Westcort

Relief of itching or inflammation of corticosteroid-responsive dermatoses

Ointment and Cream 0.2%

Cortef, Cortenema

Endocrine disorders/ inflamm disorders

Oral tablet/ enema

Cushingoid features with LT systemic dosing

Solu-Cortef

Endocrine disorders/ inflamm disorders

Injection

Deltasone

Short-term treatment of inflammatory respiratory disorders

5-60mg/day tabs,oral soln, oral conc.

Commonly used as a steroid "burst" with taper schedule

Arthrotec

Arthritic conditions

 (used in patients with risk of NSAID-ulcer)

50/200 mcg TID *Contraindicated in pregnant women

Orapred

Various allergic and inflamm diseases

Often dosed mg/kg for oral soln.

Concentration 15mg/5ml (Refrigerated)

Urecholine

Urinary Retention

oral tablets

Isopto Carpine

Glaucoma

Ophthalmic drops

Aricept

Mild to moderate Alzheimer's dementia

5mg qhs

Isopto Atropine

To induce mydriasis or cycloplegia

Ophthalmic drops

Transderm-Scop

Prevention of N/V with motion sickness

Topical Patch

*Apply patch behind ear; replace q72 hours

Cogentin

Parkinson's disease

0.5-2mg daily

muscarinic antagonist

Bentyl

Functional/Irritable bowel syndrome

20-40mg tid or qid

Levsin (0.125 mg tabs) or LevBID

Irritable Bowel Syndrome

Levsin = 0.125-0.25 q4h prn

Levbid = 1-2 capsules q12h

Ditropan/XL

Bladder instability/urgency

5 mg TID or 5 mg XL qd

Detrol/LA

Overactive bladder

2 mg BID or

4 mg qd (LA)

Atrovent

Maintenance tx of bronchospasms (COPD)

2 puffs (or 1 vial nebulizer solution) tid-qid

anticholingergic

Combivent or Duoneb

Maintenance tx of bronchospasms (COPD)

Combivent = 2 puffs qid

Duoneb = 1 vial via nebulizer qid

anticholinergic/beta-2 agonist

Spiriva

Maintenance tx of bronchospasms (COPD)

One 18 mcg capsule inhaled qd

Dopamine

Hemodynamic imbalances

Injectable

Sinemet and Sinemet CR

Parkinson's disease

Sinemet = Individualized; 25/100 TID

Sinemet CR = individualized; 50/200 BID

Dobutrex

Cardiac decompensation

Injection

Naphcon, Privine

Ocular redness/nasal congestion

Ophthalmic drops/nasal spray

alpha adrenergic agonist

NMT 3 days

Ocuclear, Afrin

Ocular redness/nasal congestion

Ophthalmic drops/nasal spray

alpha adrenergic agonist

NMT 3 days

Sudafed

Nasal congestion 60 mg q4-6h prn (for adults)

Max dose for all dosage forms in 240mg/day

Sudafed PE and Neo-Synephrine

Nasal congestion

Oral tablets/nasal spray

Epinephrine

Respiratory distress/anaphylaxis

Injectable

Catapres or Catapres-TTS patches

Tabs = 0.1-0.4 mg bid (start 0.1 mg bid)

Patches = 0.1mg patch q7 days

TTS-1: 0.1mg/24 hrs; TTS-2: 0.2mg/24 hrs; TTS-3: 0.3mg/24 hrs

central alpha-2 agonist

Alphagan P

OAG

1 drops in affected eye(s) q8h

Proventil Inhalation Solution

Relief of bronchospasm

2.5 mg tid-qid prn

Serevent Diskus

Maintenance tx of asthma

1 inhalation q12 h

*To prevent (not relieve) bronchospasm*

Foradil Aerosolizer

Maintenance tx of asthma

One 12 mcg capsule inhaled q12h

*To prevent (not relieve) bronchospasm*

Maxair

Relief of bronchospasm

1-2 inhalations q4-6h prn

Xopenex inhalation solution

Relief of bronchospasm

1 vial nebulized TID (dose based on age)

3 available strengths: 0.31, 0.63, 1.25 mg all per 3 mL

Brethine

Relief of bronchospasm/asthma

5 mg TID

Alupent

Relief of bronchospasm/asthma

Oral inhalation

Amitriptyline (Elavil)

TCA - Depression

40-150 mg in divided dose or QHS

*Used more for off label - Neuropathic pain/HA*

Tofranil, Tofranil PM Caps

Child enuresis (> 6 y/o) - 50-75 mg qhs

[no more than 2.5 mg/kg/day]

Depression - 50-150mg qd

Pamelor

Depression

75-150 mg qd

Nardil

Depression

Oral tablet

Flomax

BPH (urinary retention)

0.4-0.8 mg qd

Minipress

HTN

2-5 mg TID

Cardura or Cardura XL

Cardura - HTN/BPH = 1-16 mg qd

Cardura XL - BPH = 4 mg qd

Hytrin

HTN

1-5 mg qd

Lopressor

HTN

100 mg qd or 50 mg BID

Toprol XL

CHF - 12.5-25mg qd (up to 200 mg/day)

HTN - 25-100 mg qd (up to 400 mg/day)

Long term tx of angina - 100 mg qd (up to 400mg/day)

Inderal LA

Angina Prophylaxis = 30-160 mg qd

HTN = 120-160 mg qd

Betoptic

OAG

1-2 gtts in affected eye(s) BID

Zebeta

HTN

2.5-10 mg qd

Tenormin

HTN = 50-100 mg qd

Long-term Tx of angina = 50-200 mg qd

Timoptic

OAG

1 gtt in affected eye(s) BID

Cosopt

OAG

1 gtt in affected eye(s) BID

Normodyne

HTN

200 mg BID

Beta-blocker (non-selective), alpha 1 blocker

Coreg

HTN - 25 mg BID;

Starting dose = 6.25 mg BID

CHF - 25 mg BID (<85 kg); 50 mg BID (>85kg)

Starting dose = 3.125 mg BID

Resperine

HTN

Oral Tablet

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; 7.5/200mg 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