Lortab

moderate to moderately severe pain

1-2 tabs every 4-6 hours (prn)

Vicoprofen

acute pain

1 tab every 4-6 hours (prn)

C-III, no more than 5 tabs/24 hrs; 7.5/300mg tabs

MS Contin

moderate to severe pain

individualized (every 8-12 hours)

do not break, crush, or chew tabs;  C-II

MS IR

moderate to severe pain

prn breakthrough pain

C-II

OxyContin

moderate to severe pain

individualized (every 12 hours)

C-II; cannot be broken, chewed, or crushed

Percocet

moderate to moderatey severe pain

1 tab every 6 hours (prn)

max 4 grams APAP;  C-II

Tylenol w/ codeine #2,3

mild to moderate pain

1-2 tabs every 4-6 hours (prn)

#2 tabs (15/300) #3 tabs (30/300); C-III

Ultram

moderate to moderately severe pain

50-100 mg every 4-6 hours (prn)

max of 400 mg/day; drug interactions with TCA and SSRI

Ultracet

acute pain

2 tabs every 4-6 hours (prn)

max 8 tabs/day; drug interactions w/ TCA and SSRI

Dolophine

detoxification treatment or maintenance treatment of opiod addiction, moderate to severe pain

individualized

C-II;  long half-life (24-36 hrs)

Duragesic

chronic pain individualized (apply patch every 72 hours)

transdermal (no >25 mcg/hr if naive);

25,50,75, 100 mcg/hr;  C-II

Demerol

moderate to moderately severe pain

50-150 mg every 3-4 hours (prn)

tabs, liquid, injection;   C-II

avoid in elderly or renal impairment (has seizure risk and has an active metabolite which can build up in patients with decreased renal function)

Stadol

pain

injectable, nasal spray;  C-IV

Talwin NX

moderate to severe pain

C-IV;  oral tab

naloxone will block the effects of pentazocine if injected IV

Suboxone

opioid dependence 4-24 mg/day

(based on buprenorphine)

C-III; prescribing restricted to MD/DO with DEA for opioid dependence

Neurontin

adjunct in seizure disorders, neuropathic pain

300-600 mg TID;

initail titration of 300 mg QD until a dose of 300 mg TID

Tegretol/ XR

seizure disorder

800-1200 mg per day in divided doses

Tegretol XR frequency is BID

Nicoderm, Nicorette, Nicotrol

treatment to aid smoking cessation; decrease nicotine withdrawal symptoms

Nicoderm: 21, 14, 7 mg/day based on smoking habit, taper dose

Nicorette: gum; chew up to 24 pieces/day 2 or 4 mg strength

Nicotrol: 6-16 cartridges/day

Chantix

treatment to aid smoking cessation

day 1-3: 0.5 mg daily day 4-7: 0.5 mg BID > day 6-8: 1 mg BID

Therapy should start 1 week prior to quit date Black box warning for angina, psychotropic effects and a suicide warning

Zyban

treatment of major depression; adjunct in smoking cessation

150 mg daily daily for 3 days, then 150 mg BID

therapy should start 1 week prior to quit date

Zofran

chemotherapy-induced nausea/vomiting

8 mg BID (30 min pre- and in 8 hours)

Phenergan

antiemetic/antivertigo

25 mg every 4-6 hours/ 25 mg BID

tabs, syrup, suppository, injection

Compazine and Compazine Spansule

severe nausea/vomiting

5-10 mg TID-QID and

10 mg q12hr or 15 mg q am (Spansules)

avoid overexposure to sunlight

Reglan

diabetic gastroparesis 5-10 mg QID (30 min ac and hs)

symptomatic GERD 5-15 mg up to QID

(30 min ac and hs prn)

Antivert

vertigo

25-100 mg/day in divided doses

Lomotil

diarrhea 2 tabs or tsp QID initially, then 1 tab daily BID

C-V, short-term use; DC if no response in 48 hours

Imodium AD

diarrhea 2 tabs after 1st loose BM;

then 1 after subsequent loose BM max 4 tabs/day

D5W

fluid management and injection vehicle

50, 100, 250, 500, 1000ml slightly hypotonic

NS

fluid management and injection vehicle

50, 100, 250, 500, 1000ml isotonic

1/2 NS

fluid management and injection vehicle

500, 1000ml hypotonic

fluid management and injection vehicle

500, 1000ml

very slightly hypertonic

fluid management and injection vehicle

frequently used pediatric maintenance fluid

slightly hypertonic

NaHCO3

acid base management

injectable; 4.2%, 7.5%, 8.4%

NaAcetate

acid management

2 mEq/ml; 4 mEq/ml

metabolized to bicarbonate by liver