Embodiments herein relate to systems, devices and methods for managing pharmacological therapeutics and aspects of the same. In an embodiment, a hearing assistance device can include a control circuit, an electroacoustic transducer for generating sound in electrical communication with the control circuit, a power supply circuit in electrical communication with the control circuit, and a sensor package in electrical communication with the control circuit. The control circuit can be configured to evaluate a signal from at least one of the sensors of the sensor package to detect administration of a therapy or receive data indicating that administration of a therapy has taken place. The control circuit can also be configured to record an instance of a detected medication administration event along with a timestamp. Other embodiments are also included herein.