yikes. but i understand that somehow. the memory of the sensation of having swallowed pills, when the only pills you usually swallow are meds, suggests that the pills swallowed were your meds => brain says meds taken for the day.
yes, you definitely need some sort of mechanism/routine you can easily observe, so as to know precisely what has gone down the gullet and what has not.

when i first started logging my meds, a key aspect to avoid missing or double-dosing was this:

i made myself take the meds sitting in front of the log. i would
1. swallow the meds and
2. mark the log.

in that order and without activities in between 1 and 2 not even going to the bathroom. that way, i felt safe that if my log was marked i had taken the meds. if it was not marked, i had not taken the meds.

once things became routine for me, i allowed myself a little more freedom but not much.

~ waves ~