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North Dallas · Medicare accepted · select Medicare Advantage plans

A Careful Review of Every Medicine You Take

Many older adults end up on a long list of medicines prescribed over the years by different doctors — plus over-the-counter products, vitamins, and supplements. A comprehensive “brown bag” medication review with Dr. Rajan Kohli looks at everything in one place to catch duplicates and interactions, ease side effects like dizziness or confusion, and simplify your routine where it’s safe to do so — always together with you.

Request a New-Patient Appointment Questions first? Call or text 214-810-4331

Never stop or change a medication on your own — some medicines must be adjusted gradually and safely. Any changes are made with your doctor.

Why a full medication review is worth it

Over time, medicines add up. Some may no longer be needed, some can work against each other, and some can quietly cause side effects — dizziness, unsteadiness, or foggy thinking — that get blamed on “getting older.” Taking five or more medicines regularly is common in older adults and is a good reason to review the whole list. A review won’t promise to fix everything, but it can reduce unnecessary medicine, make your routine safer and simpler, and help you understand exactly what each one is for. If you’re helping a parent who’s on many medications — or who’s had a fall, new confusion, or a recently added drug — this is a concrete, low-risk way to help.

How the “brown bag” review works

  1. Bring everything — every prescription in its original bottle, plus over-the-counter medicines, vitamins, supplements, creams, drops, and inhalers.
  2. We go through it all together, comparing the actual products against your health conditions and goals — not just the list in a chart.
  3. We flag what deserves a second look — duplicates, interactions, medicines that can raise the risk of falls or confusion, and anything that may no longer be needed.
  4. We make a plan with you — sometimes a dose is lowered, a safer option is substituted, or a medicine is reduced gradually. Nothing is changed without discussing it with you first.

Doctors use recognized tools to spot medicines worth reviewing in older adults. A medicine on one of those lists is potentially worth a second look — not automatically wrong for you.

What we look for

Duplicates & interactions

Two medicines doing the same job, or combinations that can work against each other or add up to unwanted effects.

Side effects that matter

Medicines that can contribute to dizziness, unsteadiness, drowsiness, or confusion — things that affect safety and quality of life.

Still needed?

Whether each medicine is still helping and still worth taking, based on your current health and what matters to you.

A simpler routine

Where it’s appropriate, fewer doses or easier timing — a routine you can actually keep up with.

The whole picture

Over-the-counter products, vitamins, and supplements included — because these can interact with prescriptions too.

Coordination

We reconcile medicines started by specialists or during a hospital stay, and work with your pharmacy so everyone’s list matches.

Before your visit — the “brown bag”

Please bring the actual products, not just a list:

  • Every prescription medication in its original bottle
  • All over-the-counter medicines — pain relievers, sleep aids, antacids, allergy medicine
  • Vitamins, supplements, and herbal products
  • Creams, patches, eye drops, inhalers, and injectables
  • Your pill organizer, if you use one
  • Medicines from other doctors or specialists
  • Notes on any side effects (dizziness, falls, drowsiness, stomach upset, confusion)
  • Your pharmacy name and Medicare or insurance card
  • A family member or caregiver, if they help manage the medicines

For families — and a note on cost

If you help a parent manage medications, you’re welcome to join and bring the bottles. With your parent’s permission or a valid healthcare power of attorney, we’ll keep you included in the plan.

Insurance: Your Medicare Annual Wellness Visit includes reviewing and updating your medication list, and some Medicare Part D drug plans offer a separate no-cost medication review if you qualify — eligibility is set by your plan. We accept Medicare and participate with select Medicare Advantage plans; call us with your exact plan name and we’ll help you understand your coverage.

Ready to sort out the medicine cabinet?

Bring everything you take and we’ll go through it together — safely, and with your goals in mind.

Please don’t stop any medication on your own before your visit — bring it and we’ll review it together.

Questions patients and families ask

What is a “brown bag” medication review?

It’s a visit where you bring every medicine and supplement you take — in their original bottles — so your doctor can review them all together. It helps spot duplicates, interactions, side effects, and medicines you may no longer need.

How many medications is “too many”?

There’s no magic number, but taking five or more regularly is common in older adults and is a good reason to review the whole list. What matters is whether each medicine is still helping and safe for you.

Will the doctor take me off my medications?

Only if it’s right for you, and always together with you. Sometimes a dose is lowered, a safer option is substituted, or a medicine is stopped gradually — never something you should do on your own.

Should I include vitamins and over-the-counter products?

Yes — bring everything, including vitamins, supplements, herbal products, creams, and eye drops. These can interact with prescription medicines.

Does Medicare cover a medication review?

Your Annual Wellness Visit includes reviewing your medication list, and some Medicare Part D plans offer a separate no-cost medication review if you qualify. Check your specific plan for details.

My parent seems dizzy or confused since a new prescription — can this help?

A medication review is a good next step. New dizziness, falls, or confusion can sometimes be linked to medications or interactions, and reviewing the full list with the doctor can help sort it out.

Dr. Rajan Kohli, board-certified Family Medicine physician at Lakewood Primary Care & Wellness in Dallas

Dr. Rajan Kohli, MD

Medical Director, Lakewood Med Spa

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