Abstract:
Disclosed is a medical scheduling system to keep the users of medically prescribed medication on their medication-taking schedule. The Med-Sked™ Tab System is a series of Day/Dose tabs that indicate the medication schedule or calendar and confirms that the schedule has been adhered to, when the appropriate tabs are removed. This procedure eliminates the confusion associated with the taking of medication. It assists the user in complying with, and with specificity to prescription and non-prescription medication scheduling. Using a tab residue, It confirms that this has been accomplished when the appropriate Day/Dose Tab has been removed.

Description:
CROSS-REFERENCE TO RELATED APPLICATION 
       [0001]    This application is a continuation of application U.S. Ser. No. 11/163,648 filed Oct. 26, 2005, now U.S. Pat. No. 7,387,208 issued Jun. 17, 2008. 
     
    
     FIELD OF THE INVENTION 
       [0002]    This invention relates to the field of medication dosage tracking, and in particular, to a system which allows the user of medication to readily track both the dosages that need to be taken as well as those that have already been taken. 
       BACKGROUND OF THE INVENTION 
       [0003]    Most practitioner-prescribed medication, as well as over-the-counter medication, requires regimented usage for optimal results. In our fast paced society, it is difficult for most people to maintain a medication-related schedule and to remember what has been taken and what still needs to be taken. 
         [0004]    A survey of approximately one hundred people who take or have taken medication (the survey included pharmacists) was conducted by applicant to substantiate the belief that most people forget, or have forgotten to take their medication. The results of the survey was that ninety-nine percent of those people surveyed forget to take their medication, and that the majority of people forget to take their medications, more often than not. Not only do most people forget to take their medication, but just as important, most people, while in the process of remembering to take their medication, often forget if they have taken their last scheduled dose or not. 
         [0005]    It is therefore desirable to have a reminder system which indicates not only when the medication is scheduled to be taken according to the medication schedule, but also contains some visible evidence attesting to the day-schedule on which the doses were to be taken and have already been taken. 
         [0006]    In particular, it is desirable for such reminder system to confirm that a particular medication dose has been taken as a consequence of removing reminder tabs from the system at the time a medication is taken, as well as to indicate what dosages still need to be taken. 
         [0007]    In other words, there should be no doubt for the user, about when the medication should be taken. And, there should be no confusion for the user, as to whether or not the medication has been taken. 
       SUMMARY OF THE INVENTION 
       [0008]    This invention relates to a system of Day/Dose tear-off tabs, which allows the user of medication to adhere to a medication schedule, with respect to dates or days of any calendar day, week, or month, in any sequence that is determined by the medication schedule. The invention also allows the user to easily determine if the scheduled dose or doses have been taken on the scheduled date/day, and indicates when the next scheduled dose is due to be taken, by viewing the visible residue Day tabs, and removing/tearing off the Dose tabs appropriately. 
         [0009]    This Med-Sked™ Tab System is used in conjunction with the consumption of any type of medication produced. The Tab System can also be used in accordance with over-the-counter medication. The System has specific Day/Dose tabs, which can be used for any prescribed schedule, but not limited to, numbering anywhere from, or numbering anywhere in between, or any combination of numbers and dates, the numbers corresponding to calendar days one through thirty one. These Day/Dose tabs correspond with the prescribed Day/Dose dosage of any type of medication. The tab system is specifically designed for, but not limited to, a medication schedule wherein one or more doses of meds are to be taken within the course of one day, for any number of days. While the dose tabs are torn off as each dose is taken, a corresponding Day Tab Residue remains adhered to the bottle or package, to indicate to the user both what has been taken, and also whether or not there are more doses to be taken that day or on a later day, until the medication is taken in its entirety. The innovative feature of this invention is in its simplicity. It is revolutionary in that it requires no electronic equipment, requires no complicated mechanics and requires no maintenance to perform its function. And, it not only tell the user what needs to be taken next, but also confirms for the user what has been taken by virtue of the tab “residue.” 
         [0010]    The function of the Med-Sked™ Tab System is to keep the users of medically prescribed medication on their medication-taking schedule. The Med-Sked™ Tab System is a series of Day/Dose tabs that indicate the medication schedule or calendar and confirms that the schedule has been adhered to, when the appropriate tabs are removed. This procedure eliminates the confusion associated with the taking of medication. It assists the user in complying with, and with specificity to prescription and non-prescription medication scheduling. Using a tab residue, It confirms that this has been accomplished when the appropriate Day/Dose Tab has been removed. 
         [0011]    The Med-Sked™ Tab System may be affixed to, or incorporated into, any medication packaging. 
         [0012]    The Med-Sked™ Tab System reduces or eliminates the possibility of overdose or under-dose. 
         [0013]    The Med-Sked™ Tab System may be manufactured in a variety of materials. 
         [0014]    The Med-Sked™ Tab System&#39;s dimensions may be adjusted accordingly to accommodate a variety of medication containers. 
         [0015]    The Med-Sked™ Tab System may be affixed, through the use of adhesives, magnets, or other attachment/adhering devices and methods known or which may become known in the art, to a multitude of surfaces. 
         [0016]    Disclosed is a device, system, method, and product-by-process for tracking consumption of a medication which is taken N doses per day where N&gt;1, for a plurality of days, the system comprising: a top tab layer comprising a plurality of top layer day-dose tabs, each top layer day-dose tab comprising a top layer day-day indicator designation and a top layer dose number designation; a bottom tab layer comprising a plurality of bottom layer day-dose tabs, each bottom layer day-dose tab comprising a bottom layer day-day indicator designation and a bottom layer dose number designation; if N&gt;2, N-2 intermediate tab layers between the top and bottom tab layers, comprising a plurality of intermediate layer day-dose tabs, each intermediate layer day-dose tab comprising an intermediate layer day-day indicator designation and an intermediate layer dose number designation; each of the top and bottom tab layers, and all of the intermediate layers, if any, comprising tearable perforation lines between the layer&#39;s day-day indicator designations, and the layer&#39;s dose number designations; and the top layer day and day indicator designations adhered over the bottom layer day and day indicator designations, and if there are any intermediate layers, via being adhered over the day but not day indicator designations of the intermediate layers; wherein: when a dose number designation portion of a tab of the top or bottom tab layers, or, if any, the intermediate layers, is pulled with a force sufficient to cause a tear along the perforation line, the pulled tab tears along the perforation line and the adhesion causes the day-day indicator designation of the pulled tab to remain adhered in place to the next-lower tab layer as a residue while the dose number designation of the pulled tab is torn away, the residue thereby indicating that the dose number for the day has been consumed and the remaining unpulled tabs indicating what doses still remain to be taken. 
         [0017]    Also disclosed is a device, system, method, and product-by-process for tracking consumption a medication which is taken one dose per day for a plurality of days, the system comprising: a top tab layer comprising a plurality of top layer day tabs, each top layer day tab comprising a top layer day-day indicator designation; a bottom tab layer comprising a plurality of bottom layer day tabs, each bottom layer day tab comprising a bottom layer day-day indicator designation; each of the top and bottom tab layers comprising tearable perforation lines between the layer&#39;s day designation, and the layer&#39;s day indicator designation; the top layer day but not day indicator designations adhered over the bottom layer day but not day indicator designations; wherein: when a tab of the top or bottom tab layers is pulled with a force sufficient to cause a tear along the perforation line, the pulled tab tears along the perforation line and the adhesion causes the day designation of the pulled tab to remain adhered in place to the next-lower tab layer as a residue while the day indicator of the pulled tab is torn away, the residue thereby indicating that the dose for the day corresponding to the torn-off day indicator has been consumed and the remaining unpulled tabs indicating the days for which doses still remain to be taken. 
     
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS 
         [0018]    The features of the invention believed to be novel are set forth in the appended claims. 
           [0019]    The invention, however, together with further objects and advantages thereof, may best be understood by reference to the following description taken in conjunction with the accompanying drawing(s) summarized below. 
           [0020]      FIGS. 1 and 2  illustrate the right/left alignment of three layers of tabs in accordance with an embodiment of the invention, as well as a fourth, underlying affixation layer for affixing the tab system to medication packaging.  FIG. 1  exemplifies a ten-day system for three doses per day.  FIG. 2  exemplifies a thirty-day system for one dose per day. These are by way of illustration only, and these illustrated examples do not in any way serve to limit the range of medication dosage calendars that can be represented in accordance with the invention. 
           [0021]      FIGS. 3 and 4  respectively illustrate the up/down alignment of the exemplary three layers of tabs illustrated in  FIGS. 1 and 2 . 
           [0022]      FIGS. 5 and 6  illustrate the manner in which the exemplary tabs illustrated in  FIG. 1 through 4  are overlaid onto one another and affixed together to assemble the embodiment of  FIGS. 1 through 4 . 
           [0023]      FIGS. 7 and 8  illustrate the embodiments of the preceding figures, with all layers of tabs assembled and affixed together, as well as the manner in which tabs are removed to indicate that a particular dose has been taken. These two figures illustrate the manner in which various embodiments of the invention would typically be provided to the medication consumer for use with a medication, whereas  FIGS. 1 through 6  illustrate “pre-assembled” representations of invention embodiments. 
           [0024]      FIG. 9  illustrates last dose and next-to-last-dose indicators for reconfiguring one or two of the first day tabs into last day tabs, for the common situation where all daily dosages of a medication are not consumed in the first day. 
           [0025]      FIG. 10  illustrates the one or two of the first day tabs reconfigured into last dose and next-to-last-dose tabs, using the last dose and next-to-last-dose indicators of  FIG. 9 . 
           [0026]      FIG. 11  illustrates the invention embodiment of  FIG. 7 , as mounted on medication packaging. 
           [0027]      FIGS. 12 and 13  illustrate sample, for illustration not limitation, of directions for using the Med-Sked™ tab systems of  FIGS. 1 ,  3 ,  5 ,  7  and  2 ,  4 ,  6 ,  8 , respectively. 
       
    
    
     DETAILED DESCRIPTION 
       [0028]    Referring to  FIGS. 1 and 2 , it is seen that that the top tab layers  11  and  21  are slightly narrower than the middle tab layers  12  and  22 , which in turn are slightly narrower than the bottom tab layers  13  and  23 . It is also seen in  FIG. 1  that the underlying affixation layer  14  is approximately equal in width to that of the “day tab” portion of the top  11 , middle  12  and bottom  13  tab layers, including a day indicator for the day (e.g., number of the day or day of the week, etc.), while in  FIG. 2 , the underlying affixation layer  24  is approximately equal in width to that of the “day tab” portion of the top  21 , middle  22  and bottom  23  tab layers, excluding the day indicator, (e.g., number of the day, day of the week). Note that affixation layer  14  in the  FIG. 1  embodiment is preferably wider than narrower affixation layer  24  in the  FIG. 2  embodiment, as will be elaborated below. Affixation layers  14  and  24  adhere on both sides (preferably, beneath  14  and  24  is a peel-off protective sheet), and the adhesive on the underside of  14  and  24  is used to adhere these to a mounting location, e.g., the medicine container, box, etc. (packaging). 
         [0029]    For the multidose-per-day embodiment of  FIG. 1 , there is a tearable perforation line  15  between the day portion of the tab including the day indicator, and the dose portion of the tab. For the single-dose-per day embodiment of  FIG. 2 , there is a tearable perforation  25  between the word “day” and the day indicator so that when an upper  21  or middle  22  tab is removed, the day indicator on the middle  22  or bottom  23  tab, respectively, is readily revealed to visual inspection. 
         [0030]    The dimensions of the tab system may readily be varied. For illustration, and not limitation, in a preferred embodiment the top-to-bottom length of the entire system is approximately 2 3/16″. Similarly, it is preferred, but not at all limiting, for the top layers  11  and  21  to be  13 / 16 ″ in width, for the middle layers  12  and  22  to be 15/16″ in width, and for the bottom layers  13  and  23  to be 1 1/16″ in width, all approximately. For the  FIG. 1  system, which illustrates multiple doses per day (and in this specific, non-limiting illustration, three doses per day for each of ten days), perforation  15  is preferably approximately 7/16″ from the left edge of each layer (and wider affixation layer  14  correspondingly, is preferably approximately 7/16″ in width), and between each tab, there are horizontal cuts  16 . For the  FIG. 2  system, which illustrates a single dose per day (and in this specific, non-limiting illustration, one dose per day for each of thirty days), perforation  25  is preferably approximately 4/16″ from the left edge of each layer (and narrower affixation layer  24  correspondingly, is preferably 4/16″ in width). Between each tab, again, are horizontal cuts  26 . Because perforation  15  in the  FIG. 1  embodiment is between the day/day indicator and the dose number, when a tab is removed from this system, the day indicator remains intact. Because perforation  25  in the  FIG. 2  embodiment is between the word “day” and the day indicator, when a tab is removed from this system, the day indicator is also removed, so that a different day indicator just beneath becomes exposed to view. 
         [0031]      FIGS. 3 and 4  illustrate the same as  FIGS. 1 and 2  respectively, except that here the tabs are shown in a right-to-left placement for comparison of how the vertical elements align, whereas  FIGS. 1 and 2  illustrate the horizontal alignment.  FIGS. 5 and 6  similarly illustrate the way in which the layers are overlaid, resulting in the configuration of  FIGS. 7 and 8 . 
         [0032]    In relation to the illustrative embodiment of  FIGS. 1 ,  3 ,  5 , and  7 , top layer  11  is adhered to middle layer  12  beneath where the word “day” (or a similar suitable indicator for a day) as well as beneath the day indicator; middle layer  12  is adhered to bottom layer  13  also beneath where the word “day” and the day indicator; and bottom layer  13  is adhered to wider affixation layer  14 , also beneath where the word “day” and the day indicator. All of these are adhered with sufficient strength such that, when a dose is taken and the dose tab is torn along perforation  15 , the word “day” and the day indicator both remain intact as an indicator “residue.” In this way, the user can keep track both that a dose has been taken together with what dose needs to be taken next. For example, as illustrated in  FIG. 7 , once the “dose  1 ” and “dose  2 ” tabs are torn at perforation  15 , the user visually sees only “day  1 , dose  3 ” remaining. This tells the user not only that day  1 , dose  3  is the next dose, but also, by virtue of the day  1  residue which contains an affirmative indicator which was formerly part of (a residue from) the indictor from dose that has now been consumed, that the first two doses from day  1  have already been consumed. Note, this “residue” is more than just the tape or glue or the nub from a removed tab, which can be inconclusive in its meaning. This residue, again, contains an affirmative remaining (unremoved) indicator which was earlier associated with a dose that has now been consumed. Thus, the indicators which are displayed to visual inspection once doses have been taken relate to and originate from both doses which have already been taken as well as doses which still need to be taken. 
         [0033]    In relation to  FIGS. 2 ,  4 ,  6 , and  8 , top layer  21  is adhered to middle layer  22  beneath the word “day,” but not beneath the day indicator. Middle layer  22  is adhered to bottom layer  23  also beneath the word “day” but not beneath the day indicator; and bottom layer  23  is adhered to wider affixation layer  24 , also beneath the word “day” but not the day indicator. All of these are adhered with sufficient strength such that, when a dose is taken and the dose tab is torn along perforation  25 , the word “day” remains intact, again, as a “residue.” But, in contrast to  FIGS. 1 ,  3 ,  5 , and  7 , the day indicator from the next lower layer is exposed. Again, this enables the user to keep track both that a dose has been taken together with what dose needs to be taken next, by maintaining an affirmative visual indicator—more than tape or glue or nub—from doses already taken as well as doses still to be taken. For example, as illustrated in  FIG. 8 , when the “1” from day  1  is torn away along perforation  25  together with the dose  1  indicator, the “11” for day  11  is exposed. It is clear to the user from both the day  1  residue (here, the word “day”) as well as the now-visible “11” that the day  1  dose has been consumed, and that the day  2  dose is next to be consumed. When all of the dosages for days  1  through  10  are completed, the user will see all of day indicators  11  through  20  exposed, and will begin to cycle through the second layer  22 , see  FIGS. 1 ,  3  and  5 . Completion of the second layer cycle then leaves the third layer  23  for days  21  through  30 , again, see  FIGS. 1 ,  3  and  5 . 
         [0034]    The directions for using the tab system, for the example of a medication that is taken three times per day for 10 days, would be as follows: 
         [0035]    On day  1 , consumer takes Dose  1  of medication from the bottle or box, then lifts and tears off the tab for Dose  1  adjacent to Day  1 , at the perforation line  15 . 
         [0036]    Later on day  1 , consumer takes Dose  2  of medication from the bottle or box, then lifts and tears off the tab for Dose  2  adjacent to Day  1 , again at the perforation line  15 . 
         [0037]    Consumer continues this medication schedule, tearing off all dose tabs from top  11 , middle  12 , and bottom  13  layers, for the prescribed 10 days, until the medication is taken in its entirety. 
         [0038]    For the example of one dose per day for 30 days, the consumer removes tabs so as to cycle through the first 10 days, which exposes days  11  through  20 . Then, the consumer cycles through and removes tabs for the next 10 days, exposing days  21  through  30 . Finally, the consumer cycles through and removes tabs for the final 10 days. 
         [0039]    In all cases, there is never any doubt whether a dose has been taken, nor is there any doubt which dose needs to be taken next. 
         [0040]    While the examples used here are for ten days at three doses per day and thirty days at one dose per day, this is exemplary and not limiting. For one week of medication taken four times per day, one would have seven tabs per layer, and four layers. For two weeks of medication taken twice a day, one might have seven tabs per layer and four layers, but differently marked so that when the day  1  dose  1  is taken, a day  1  dose  2  tab is exposed, and when that is taken a day  8  dose  1  tab is next exposed, followed by a day  8  dose  2  tab. Whether one elongates the top-to-bottom length of this system and thus uses more tab per layer, or adds additional layers, will depend on the particulars of the dosage schedule to be represented, as well as how much physical space is expected to be available on the mounting surface to which the system is to be mounted. Other combinations will become readily apparent to someone of ordinary skill, and are envisioned to be within the scope of this disclosure and its associated claims. 
         [0041]    Similarly, the use of “day  1 ,” “day  2 ” etc, is illustrative, but not limiting. For example, not limitation, the days can simply be represented by calendar numbers, e.g., 1 through 31. Or, by days of the week such as “Sunday” through “Saturday” which may employ a seven-tab-per-layer embodiment. Then, if the user starts consuming medication on, e.g., a Wednesday, the first tear-off will occur for the Wednesday tab in the middle of top layer of the tab system, and will cycle back to the Tuesday tab also in the middle of the first layer, before staring the second layer on its Wednesday tab. For a 30-day calendar month, for example, one might have 30 distinct embodiments, so that if a medication is begun on the 23 rd  of the month, the number “23” appears as the first tab, the top layer contains all of 23 through 30 and 1 and 2 (ten tabs per layer), the middle layer contains all of 3 through 12, and the bottom layer all of 13 through 22. In sum, the day indicator designations may comprise a sequence of numbers beginning at 1, or a sequence of numbers representing days on a calendar, or a sequence of markings representing days of the week, or any other suitable representation of specific days. Again, other variations of this nature will become apparent to someone of ordinary skill based on this disclosure, and are regarded to be within the scope of this disclosure and its associated claims. 
         [0042]    As a more detailed example of use, consider the example of Amoxicillin, prescribed to be taken three times a day, for ten days. The consumer receives the Amoxicillin from the pharmacy, then affixes the Med-Sked™ Tab System to the medication package/container. The consumer takes the first dose of Amoxicillin, then tears off the Dose  1  tab (adjacent to the Day  1  tab). The remaining Dose  2  and Dose  3  tabs, along with the corresponding Day  1  tab is left adhered to the medication package/container to indicate that the user has taken Dose  1 , but has yet to take Dose  2  and Dose  3  for the remaining Day  1 . The user then takes the second dose of Amoxicillin, according to the medication schedule, and tears off the Dose  2  tab adjacent to the Day  1  tab. The remaining Dose  3  tab, along with the Day  1  tab is left adhered to the medication package/container to indicate that the user has taken Dose  2 , but has yet to take Dose  3  for the remaining Day  1  schedule. The user then takes the third and final dose of Amoxicillin for Day  1 . The user tears of the Dose  3  tab. There are no more Dose tabs left for Day  1 , which indicates that the user has taken all 3 doses for Day  1 . 
         [0043]    The Day  1  tab is left adhered to the package/container as a residue to act as confirmation that all doses for Day  1  were taken according to the medication schedule. 
         [0044]    The above procedure is repeated for (but not limited to) the 10 day medication schedule. 
         [0045]    To manufacture the embodiments described above for use by a consumer, one first cuts and prints/marks a plurality of tab layers along the lines of  FIGS. 1-4 . This includes making horizontal cuts  16 ,  26 , as well as, e.g., scoring the perforations  15 ,  25 . Then, the top layers  11 ,  21  are adhered to the middle layers  12 ,  22 , the middle layers  12 ,  22  are adhered to the bottom layers  13 ,  23 , and the bottom layers  13 ,  23  are adhered to the “top” side of the affixation layers  14  and  24 . All of this is done such that the tabs will tear properly along the perforation lines and leave the required residues through which the consumer can be reminded what doses have been taken and what doses need to next be taken. As noted above, affixation layers  14  and  24  also contain, for example, an adhesive on their underside, protected, for example, by a peel-off protective sheet. When manufactured, the protective sheet remains adhered. The consumer peels off this sheet to expose the underside adhesive, and uses this to affix the entire Med-Sked™ system to the mounting surface, e.g., medication packaging. 
         [0046]    Frequently, when a consumer begins a prescription for a medication that is taken two or more times per day, not all of the daily doses are consumed on the first day, and this will leave extra doses to be consumed following the last day. For example, for the three-dose-per-day, ten-day prescription (30 doses total) illustrated in  FIGS. 1 ,  3 ,  5  and  7 , the consumer may pick up the prescription from the pharmacy on the afternoon of the first day and so skip the morning dose for that day. Or, the consumer may pick up the prescription from the pharmacy on the evening of the first day and so skip both the morning and afternoon doses for that day. In the former case the consumer takes two doses (afternoon and evening) the first day, and has one dose left over which will actually need to be consumed on the morning of the 11 th  day. In the latter case, the consumer takes only one dose (evening) the first day, and so has two doses left over which will need to be consumed on the morning and afternoon of the 11 th  day. 
         [0047]      FIGS. 9 and 10  illustrate an example of how to employ the Med-Sked™ to deal with this type of situation. Fundamentally, one addresses this situation by redesignating the “day  1 /dose  3 ” tabs, and possibly the “day  1 /dose  2 ” tabs, respectively, into next-to-last-dose and last-dose tabs. For example, if the consumer only takes two doses the first day, then the unused day “day  1 /dose  3 ” tab is redesignated into a “last dose” tab. If the consumer only takes one dose the first day, then the unused “day  1 /dose  3 ” tab is redesignated into a “last dose” tab, and in addition, the unused “day  1 /dose  2 ” tab is redesignated into a “next-to-last dose” tab. If there are more than three doses per day, then one would need to further redesignate others of the day  1  tabs into “third-from-last dose,” “fourth-from-last dose,” etc. 
         [0048]    A particular embodiment for managing this redesignation is illustrated, for example but not limitation, in  FIGS. 9 and 10 . In this embodiment, the Med-Sked™ system comprises two extra redesignation tabs (for three doses per day) with adhesive backing (and a removable protective layer over the adhesive) which can be adhered to the “day  1 /dose  2 ” and the “day  1 /dose  3 ” tabs as needed, to redesignate the meaning of these tabs as just discussed. One of these redesignation tabs is a “next-to-last dose” tab  91 . The other is a “last dose” tab  92 . For N doses per day, a total of N-1 such redesignation tabs are provided. 
         [0049]    However, one can employ other devices and methods for doing this as well. The consumer, for example, might simply use a marking pen or pencil to redesignate these tabs. The “day  1 /dose  2 ” and the “day  1 /dose  3 ” tabs might be manufactured wider (left-to-right in the drawings) than all of the other tabs, with a scoring line along which they may be reduced by tearing down to their original, illustrated widths. By leaving these tabs elongated, that would mean that these are to be regarded as “last dose” and “next-to-last dose” tabs. By removing the extra width before use, this would mean that these continue to be first day dose tabs. Other methods that may become apparent of ordinary skill for redesignating certain tabs from one indication to another indication are considered to be within the scope of this disclosure and its associated claims. 
         [0050]    While  FIGS. 2 ,  4 ,  6 , and  8  all illustrate “day,” the “day indicator,” and the “dose number,” it is recognized that the dose number tab may actually be superfluous and thus omitted, because this is a one-dose-per-day system and the dose taken on any given day will always be “dose  1 ,” and indeed the only dose, for that day. The presence of the “dose  1 ” tab section illustrated in  FIGS. 2 ,  4 ,  6 , and  8 , therefore, serves to elongate the tab to make it easier to pull, but this printed matter can also be omitted and the tab simply provided in elongated form to facilitate pulling and separation. What is most important for this one-dose-per-day embodiment, is the tearing between the “day” and the “day indicator,” so as to expose the underlying day indicator, that is, for example, to tear off the “1” of day  1  so as to expose the “11” of day  11 , again, see  FIG. 8 . 
         [0051]    It is not strictly necessary, but is preferred, that this system be mounted on a mounting location on the medication packaging  110  as illustrated in  FIG. 11 . A consumer might wish, for example, not limitation, to affix the Med-Sked™ system to a counter space, or a sheet of paper, or to a wall (in which case a Post-It® type of adhesive backing is preferred for affixation layers  14  and  24 ), or to a refrigerator (in which case a magnetic backing is suitable), or to an automobile dashboard or visor, or to any other mounting location that suits the consumer&#39;s convenience. Irrespective of the exact mode of affixation, or what mounting location the consumer chooses to affix the Med-Sked™ to based on personal preference and convenience, it is understood that the means is provided for the consumer to affix the Med-Sked™ to a suitable location that will often be the medicine packaging. And, it is understood that affixation means which employ other than glue or tape may alternatively be provided within the scope of this disclosure and its associated claims. 
         [0052]    While the tabs illustrated here use the word “day” together with a day indicator, and the word “dose” together with a dose number, to remind the user of what medication have been taken and still need to be taken, it will be understood by someone of ordinary skill that other words or indicators may be used. Any word, coloration, marking, shape, or other visual indicator which the user understands to mean “day,” and/or “dose,” with or without the actual words “day” and/or “dose” or synonyms therefore, is understood to fall within the scope of this disclosure and its associated claims. 
         [0053]    Similarly, while the ends of the tabs are all shown to be squared off, these can also be rounded, or have some other shape. That is, the particular squared shape illustrated in the various drawings is to be understood as exemplary, and not limiting. 
         [0054]    Further, while the bottom layers  13  and  23  are illustrated to be the widest, and the top layers  11  and  21  are illustrated to be the narrowest, this is exemplary, not limiting. For example, it is possible to have a reverse scheme in which the top layers are the widest and the bottom layers narrowest. Also, for example, it is possible for all of the widths to be substantially the same. Also, it is possible for the widths to be varied in any other way consistent with space requirements, ease of removing tabs, and reliability of the indication that a does has been or still needs to be consumed. 
         [0055]    While only certain preferred features of the invention have been illustrated and described, many modifications, changes and substitutions will occur to those skilled in the art. It is, therefore, to be understood that the appended claims are intended to cover all such modifications and changes as fall within the true spirit of the invention.