diff --git a/src/components/medications/__tests__/intake-history-list-v2.test.tsx b/src/components/medications/__tests__/intake-history-list-v2.test.tsx
index 283ea1fb4..04ada67d2 100644
--- a/src/components/medications/__tests__/intake-history-list-v2.test.tsx
+++ b/src/components/medications/__tests__/intake-history-list-v2.test.tsx
@@ -241,6 +241,10 @@ describe("<IntakeHistoryListV2> — sort indicators", () => {
     );
     expect(html).toContain("Previous");
     expect(html).toContain("Next");
+    // a11y: pagination buttons clear the 44 px mobile touch floor and
+    // collapse to 36 px from sm+ so the row stays compact on desktop.
+    expect(html).toContain("min-h-11");
+    expect(html).toContain("sm:min-h-9");
   });
 
   it("hides pagination when total ≤ pageSize", () => {
diff --git a/src/components/medications/intake-history-list-v2.tsx b/src/components/medications/intake-history-list-v2.tsx
index 58ca0e2a5..462955b74 100644
--- a/src/components/medications/intake-history-list-v2.tsx
+++ b/src/components/medications/intake-history-list-v2.tsx
@@ -252,7 +252,7 @@ export function IntakeHistoryListV2({
                   <Button
                     type="button"
                     variant="outline"
-                    size="sm"
+                    className="min-h-11 sm:min-h-9"
                     onClick={() => setPage((p) => Math.max(0, p - 1))}
                     disabled={page === 0}
                   >
@@ -261,7 +261,7 @@ export function IntakeHistoryListV2({
                   <Button
                     type="button"
                     variant="outline"
-                    size="sm"
+                    className="min-h-11 sm:min-h-9"
                     onClick={() =>
                       setPage((p) => Math.min(totalPages - 1, p + 1))
                     }