A medication recording apparatus is used for motoring and recording patient's medication. The medication recording apparatus is coupled with a drug inhaler. When the patient receives a drug from the drug inhaler, a drug-supply actuation is generated. The medication recording apparatus has: a sensing module for sensing at least one type of the medication recording apparatus motion generated by the drug-supply actuation and sensing a motion data generated by the drug-supply actuation; a control and analysis module for determining if the medication recording apparatus motion is a valid medication according to the motion data and recording correct medication information corresponding to the correct medication. A medication recording method is also provided and used to analyze if the drug-supply actuation of the patient generates the valid medication and to record the correct medication information, so as to control the patient's medication status.