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Staying on Track with Medications

As a caregiver of a teen with a transplant, you know how important their medications are. Taking them as prescribed helps protect the transplanted organ and keeps your teen healthy. Some medications prevent rejection, and others help prevent infections or manage complications like high blood pressure. All of them matter.

The teen years can make taking daily meds more challenging. Schedules change, independence grows, and reminders aren’t always welcome. That’s normal—and it’ also when your support really makes a difference.

What Your Teen Should Be Learning

Over time, your teen should be learning more about their medications as they take on more responsibility for their care. They don’t have to do everything perfectly right away, but they should be working towards being able to:

  • Name all the medications they take and the dose of each.
  • Give a reason why they are taking each medication.
  • Plan a schedule for taking their meds that works best for them.
  • Recognize any side effects of their medications and tell the transplant team about this.
  • Contact their pharmacy for med refills.
  • Keep an updated medication list somewhere easy to find, either as a photo on their phone or a paper copy in their backpack or wallet.

Creating a Routine That Works

Most anti‑rejection medications are taken every 12 hours, so consistency is key. Taking them at the same times every day really matters. Teens often forget things – that’s normal. Building medication times into their daily routine (morning and evening habits) can make a big difference.

Missing Doses – Why Does This Happen?

Teens say they miss doses for lots of reasons:

  • I just forget or lose track of time.
  • I’m busy with school and activities.
  • My routine changed (travel, weekends, sleepover).
  • I didn’t have my meds with me.
  • I ran out of my meds and forgot to refill them.
  • I want to feel more “normal” like my friends.
  • I don’t want other people to notice or ask questions.
  • When I skip a dose, nothing happens and no one can tell.
  • I feel fine.  Why do I need that med?.
  • I don’t like the side effects from my meds.
  • I’m tired of taking meds.
  • I feel stressed, overwhelmed or down.
  • My meds cost too much.
  • I have trouble getting to the pharmacy.

Lots of teens struggle at times with taking their transplant medications for these reasons – and others. What matters most is understanding what the challenges are for your teen and finding ways to support them by finding tools and strategies to help. 

If you or your teen are having trouble paying for medications, getting refills, or making it to the pharmacy, contact your transplant team. Your social worker, pharmacist, or transplant coordinator can help connect you with resources and find solutions. There is always a way to help!

How You Can Support Your Teen

Medication adherence – taking all medications as prescribed – plays an important role in having a healthy outcome after transplant and in the long-term. Caregivers are essential in guiding their teen to take their meds daily and on time. You can help your teen by supporting them to:

  • Keep an up‑to‑date medication list.
  • Take more responsibility while still checking in.
  • Watch for side effects and talk openly about them.
  • Help problem‑solve when routines aren’t working.

Tools to Help

Some teens do better with reminders or prompts that don’t come from their caregivers! Using one or more of these strategies can make all the difference in their adherence.

  • Use a pillbox and fill it every week.
  • Keep your pillbox in the same place so it’s always easy to find.
  • Set up a schedule that works best with your day and activities.
  • Set alarms on your phone or watch.
  • Use a medication reminder app with refill alerts (like Medisafe or MyMeds Medication Tracking).
  • Post visual reminders like sticky notes, a calendar, or checklist.
  • Know why each med is important for your transplant health.
  • Have a “medication buddy” system with a caregiver or trusted adult.

Your guidance and support helps your teen understand how taking their medications every day is one of the most important things they can do to keep their transplanted organ healthy. It’s understandable if this feels hard or tiring at times - many caregivers feel the same way. By teaching your teen why staying on track with their meds matters, you’re taking a powerful role in supporting their health, growing independence, and being able to keep doing the things they enjoy.

                                                                                                                         

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This content was developed independently by AST and supported by a financial contribution from Sanofi