Insulin Glulisine

Fastest Onset

Vial: 10 mL

15 min before meals/20 mins after meals

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Wafarin

97% protein bound

DOC: To prevent clots from A-Fib

"Please Let George Brown (tan) Bring Peaches To Your Wedding"

P = pink, 1 mg

L = lavender, 2 mg

G = green, 2.5 mg

B = tan, 3 mg

B = blue, 4 mg

P = peach, 5 mg

T = teal, 6 mg

Y = yellow, 7.5

W = White, 10 mg

Ranitidine

H2 Receptor Antagonist

150 mg BID

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Imatinib

Cancer: Ph + cml; GIST

Tyrosine Kinase Inhibitor

400 - 600 mg QD up to 400 mg BID

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Amlodipine

CCB

For HTN: 2.5 - 5 mg PO QD

Amlodipine/Benazepril

(CCB/ACE - I)

Amlodipine/Olmesartan

(CCB/ARB)

Aliskiren

Renin - I

norelgestromin/ET

BC: suppress LH & FSH

New patch each week for 3 weeks

Valsartan/HCTZ

(ARB + Thiazide)

1QD

Bimatoprost

Glaucoma

1 gtt in affected eye(s) QD

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Zaleplon

Hypnotic, CIV

Gaba-BZ receptor

5-10 mg hs prn

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Pimecrolimus CR 1%

Dermatitis

Apply BID

Not For Long Term Use

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Leflunomide

DMARD

Pregnancy X

Drug elimination procedure w/chlostyramine before attempting pregnancy

Only PO disease modifying DMARD indicated to improve physical function

100 mg QD x 3D

Estrogen/Progestin

Menopause

Women without uterus don't need Progestin

Oxybutynin

Overactive bladder

Anticholinergic

5 -10 mg po QD same time

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Escitalopram

SSRI

Linezolid

Abx - inhibits protein synthesis

Conjugated Estrogens

Menopause - hormone replacement

Fexofenadine

H1 receptor antagonist

2nd generation

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Aripiprazole

Antipsychotic

Max: 30 mg/D

Schizo: 10 - 15 mg QD

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Methylphenidate XR

ADHD, CII

Narcolepsy

Decreases seizure threshold

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Tamsulosin

Alpha 1 Blocker

1QD Following same meal each day

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Abciximab

Blocks GPIIb/IIIa

Antiplatelet

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Ondansetron

5-HT3 Receptor Antagonist

Antiemetic

32 mg IV or 8PO

Zidovudine/Lamivudine

NRTI 300/150mg

1tab bid w/wo food

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Valacyclovir

Herpes

1^st time: 1 g bid x 10 D

t: 500 mg, 1 g

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Eszopiclone

Insomnia (hypnotic)

Celecoxib

COX - 2 inhibitor

Sulfa Allergy

Black Box Warning: Cardiovascular risk

Adapalene

Acne

Lidocaine

Apply PRN

Topical Anesthetic

Polyethylene Glycol

Osmotic Laxative

17 gm (Tbsp) QD dissolved

Polyethylene Glycol

Osmotic Laxative

17 gm (Tbsp) QD dissolved

Oxcarbarzepine

Epilepsy

600 - 240 mg/D

Brimonidine Tartrate

Glaucoma, 1 gtt tid

Alpha - 2 agonist = decrease aqueous humor formation

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Aliskiren/Amlodipine

(Renin - I/CCB)

Ciclesonide

Allergic Rhinits

Corticosteroid

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milli

micro

nano

pico

femto

atto

10^-3

10^-6

10^-9

10^-12

10^-15

10¹⁸

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Tirofiban

Blocks GPIIb/IIIa

Antiplatelet

Amoxicillin

Antibiotic

Pneu: 500 Tid or 875 Bid

Thyroid

Hypothyroidism

Do not use for obesity

1QD

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Miglitol

Diabetes

Alpha - Glucose inhibitor

1 with 1^st bite of each meal

Major SE: Flatulence (acarbose is in this class too)

Irbesartan

AT1 antagonist (ARB)

1QD max: 300 mg/D

Topiramate

Bipolar; seizures; migrane prophylaxis

E: Goal (200 - 400 mg/D)

renally eliminated

adequate hydration to prevent kidney stones

Exenatide

Decrease HbA1C

DM - Type 2

Start: 5 mch SC BID AC

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Citalopram

SSRI

Start: 20 mg PO QD

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Triamcinolone

Corticosteroid

2 sprays each nostril QD

Budesonide Nasal

Corticosteroids

1-4 sprays per nostril QD

nasal & inhaler

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Cyclosporin

Chroinc Dry Eye

Opthalmic Emulsiion 0.05%

1 gtt bid (Q12h)

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Quetiapine

atypical amipsychotic

25 mg BID -> 400 mg/D

Valsartan

AT1 antagonist (ARB)

Synthetic Lung Surfactant

RDS 5ml/kg intracheally

Alendronate

Bisphosphonate

Osteoporosis

Venlafaxine

Depression

1 fl oz =

1 solid oz =

1 lb =

1 pt =

1 gallon =

1 gr =

1 fl oz = 29.35 gm ~ 30 gm

1 solid oz = 28.35 gm

1 lb = 454 gm

1 pt = 473 gm

1 gallon = 128 oz = 3785 mL

1 gr = 65 mg

Transdermal E

Menopause

Hormone replacement

1 patch once weekly

Levonorgestrel + EE

Menopause

Hormone replacement

1 patch once weekly

Plan B = Levonorgestrel (contraceptive)

Fluoxetine

SSRI

Bulimia: 60 mg

SSRIs common SE = insomnia, GI upset, HA, Sexual Dysfunction

Long T1/2: wait 5 weeks before switching to a MAOI

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Pioglitazone

Diabetes; 1QD

Thiazolidinediones

Insulin Glargine

Mix w/nothing - good at room temperature for 28 days.

Has a low pH of 4.0

Losartan/HCTZ

(ARB/Thiazide)

1QD

Ezetimibe

Cholesterol

Absorption inhibitor-inhibits at brush border

1-10 mg

Ezetimibe/Simvastatin

1QD evening w/wo food

max 10/80 mg/D

Omeprazole

PPI 20 mg PO QD

Omalizumab

Must test for perennial aeroallergin

Administered SC every 2 - 4 weeks

Recombinant antibody for pts (>12 yrs) w/allergic asthma.

Pramipexole

Parkinson's

D3 Dopamine Agonist

Associated w/sleep attacks

Tolterodine

Overactive bladder

Anticholinergic

LA: 4mg/D

Fentanyl Patch

1 patch Q3D (Q72h), CII

Drotrecogin IV

Fro Sepsis

May cause bleeding

Complex anti-thrombotic and anti-inflammatory effects

Recombinant of endogeous anticoagulatn Protein C. Hence, bleeding = contraindication.

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Levalbuterol

Short B2 Agonist

Use in nebulizer

Salmeterol

Long B2 agonist

COPD Asthma

2 INH Q12h

Lopinavir/Ritonavir

Take w/food

Salmeterol/Fluticasone

Asthma/COPD

Carvedilol

Nonspecific B-blocker

(B1/B2/alpha 1)

HTN/CHF

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Raloxifene

Osteoporosis

SERM

T: 600 mg

Will not tx hot flashes

D/C 3 days prior to prolonged immobilization

CI: in those with hx of venous thromboembolism

Orlistat

Fat absorption inhibitor

1 TID w/meals

Rx at 120 mg

BMI>30

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Ciprofloxacin

2^nd Generation Fluoroquinolone

Cimetidine

H2 Receptor antagonist

Gastric Ulcer: 800 mg QHS

Potent p450 inhibitor

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Moxifloxacin

Fluoroquinolone

1QD (PO or IV) x 5 D

All fluoroquinolones are good against legionella

Avoid in breast feeding and children

Cefprozil

Cephalosporin, 2^nd Generation

500 mg QD x 10D

Azelastine

Antihistamine 1^st generation

Non-selective

Rhinits

2 sprays each nostril BID

Eptifibatide

Blocks GPIIb/IIIa

Antiplatelet

Acute coronary (heart attacks)

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Glyburide/Metformin HCL

Diabetes

max: 20/200 mg/D

1QD or BID w/meals

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Zolpidem

Hypnotic, CIV

Gaba - BZ receptor

10 mg hs: CR 12.5 mg hs

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Doxorubicin

Chemo

MOA: inhibits topoisomerase II

Extravasation - IV only

Urine Turns Red

SE: myelosuppression; myocardial tox; alopecia

Do not exceed total cumulative dose of 400mg/m²

Pretreat: Dexraz for cardioprotection

Ipratropium Br

2 INH QID

Asthma COPD

Anticholinergic

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mometasone fuorate

Corticosteroid

2 sprays each nostril QD

Desloratadine

H1 Receptor Antagonist

5 mg QD

Tadalafil

Max 1/D

PDE5 Inhibitor

Dorzolamide/Timolol

1 gtt affected eye(s) BID

Glaucoma

Dorzolamide = carbonic anhydrase inhibitor; can't give to those with sulfa allergy

Timolol = can cause nausea and vomitting in the elderly

Pseudoephedrine/Cetirizine

1PO Q12h

Metronidazole

1 appl. Qhs x 5 D

Bupropion

Depression

Initial: 150 mg QD

Decreases seizure threshold

Buproprion

Smoking Cessation

1 week prior, 1 QAM x 3D then BID for 7-12 weeks.

Levetiracetam

Epilepsy

500 - 1000 mg/D

Sertraline

SSRI

Depression: start 50 mg PO QD

max: 200 mg/D

Progesterone

Endometrial hyperplasia

200 mg QHS x 10 D

Prednisolone

Anti - Inflammatory

5-60 mg/D

Mometasone Furoate

Corticosteroid

Apply QD

Used to relieve the itching & inflammation of skin conditions

Gatifloxacin

4th Generation Fluoroquinolone

1 gtt eye(s) Q2h while awake

Azithromycin

Otitis Media: 10 mg/kg first day, then 5 mg/kg x 5 days

Amphetamine Salts

ADHD, CII

Narcolepsy

Vardenafil

PDE5 Inhibitor

ED: QD 1hr before sex

Transdermal Estradiol

Menopause

Hormone Replacement

1 patch twice/week

Ibesartan & HCTZ

1QD

Phenytoin Na Ext

Epilepsy 1 TID

Olanzapine & Fluoxetine

Bipolar Depression

Max: 18/75 mg/D

Atomoxetine

ADHD

Blocks NE reuptake

QD or BID

Black Box Warning: for hepatic injury; D/C if Jaundice or increased LFTs

Sumatriptan

5-HT1 agonist

Acute Migraine

Perindopril

ACE - I

Amoxicillin/Clavulanate

Refrigerate - Good for 10 days

Usually Q12h

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Rivastigmine

Dementia/Parkinsons/Alzheimeirs

Reversibly binds and inactivates acetylcholinesterase

Associated with weight loss

PO: Start 1.5 mg BID w/meals

Terbinafine

Antifungal

1PO QD x 6 weeks (fingers); x 12 weeks (toes)

Budesonide

Corticosteroid

Use with Jet Nebulizer & Compressor

Carbamazepine

Anticonvulsant

Strong LE Inducer, induces own metabolism

Caution: Aplastic Anemia, do cbc

1st line in complex partial seizures

2nd line in bipolar

Amoxicillin/Clavulanate

2 Tablets Q12 H w/meals

Tenecteplase

Thrombolytic

Acute MI

IV bolus (over 5 min)

Losartan

AT1 Antagonist

ARB HTN: start 50 mg QD

Max: 100 mg/D

Digoxin

Therapeutic levels (serum): 0.8 - 2.0 ng/mL

PO QD

A-Fib

Divalproex (Valproic Acid)

Epilepsy; migrane; bipolar

DOC: for absence seizures

Caution: Liver Failure: Do LFTs

SE: alopecia

Do not use in children < 2 years

Use Ethosuximide in children < 2 years

Ipratropium/Albuterol

2INH QID

COPD ONLY

Dornase Alfa

CF (decrease mucose vicosity)

1 ampule inhaled daily

mix w/nothing

Tobramycin/Dexamethasone

ointment

Calcitonin - Salmon

Osteoporosis

200 IU QD Alternate Nostrils

Bevacizumab

Chemo

Decreases blood circulation to tumor

Peginterferon Alfa 2b

Hep C

1.0 ng/kg/week SC for 1 year

Aprepitant

Use with Zofram

Antiemetic 125 mg PO on day 1

Fluvastatin

1 QD HS

Misoprostol

Prevents Ulcers

Start: 100 mcg PO QID w/food

Abortifacient: Preg X (induces uterine contractions)

Olanzapine

Atypical Antipsychotic

5 - 10 mg PO QD

Max: 20 mg/D

SE: serious weight gain

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Gabapentin

Epilepsy; Post Hepatic Neuralgia

Renally Eliminated

No drug interactions

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Fluticasone

Corticosteroid

Nasal Spray = 0.05%

Oxycodone

10 - 40 mg PO Q12H

Controlled Release Tab

Metoprolol

B Blocker

T: 50, 100mg

HTN: 100 mg QD

Don't stop abruptly

Atorvastatin

Take anytime w/wo meals (the only statin with a long T_1/2)

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Fluticasone

Corticosteroid

INH BID Rountinely

Diskus & HFA

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Rosiglitazone

Diabetes; Thiazolidinedione

Rabeprazole

PPI

1 PO QD

Lamotrigine

Epilepsy

Caution: Rash = SJS (D/C)

Capsaicin

Arthritis

Decreases Substance P Levels

Apply TID - QID

Hydroxyurea

Sickle Cell Anemia

Max: 35 mg/kg/D

Inital: 15 mg/kg/D

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Clarithromycin

Take XL w/food

XL Pack: #14 500 mg BID

Lisinopril

HTN, CHF

ACE - I

HTN: Start 10 mg QD

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Glimepiride

2nd Gen Sulfonylurea

1-2 mg QD with breakfast or first meal

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Clonidine Patch

Tourettes; Alcohol & Opioid Withdrawal

1 patch weekly

Alpha - agonist (centrally acting)

Telmisartan

Start: 40 mg QD

Latanoprost

Glaucoma

1gtt in affected eye(s) QD evening

Increases aqueous humor outflow

[image][image][image][image]Wikipedia: Glaucoma is an eye disease in which the optic nerve is damaged in a characteristic pattern. →

Fluconazole

Antifungal

Potent 450 Inhibitor

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Mesalamine (5-ASA)

Ulcerative Colitis

Sulfa Free

2 TID x 6 weeks

MOA: anti - inflammatory effects

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Paroxetine HCL

SSRI

Depression, start: 20 mg PO QAM

max: 50 mg/D

Exomeprazole

PPI

Montelukast

Leukotriene (receptor antagonist)

Phenylketanurics can't take this!

Oxycodone/APAP

(5/325), CII

1Q6h prn

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Metoprolol XL

B-Blocker

Don't stop abruptly

Azithromycin

Macrolid

250 mg First Day then 1 QD x 4D

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Glatiramer

MS

Olmesartan

Olopatadine

Antihistamine, H1 antagonist

Conjunctivitis

1-2 gtts ou BID

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Trandolapril

ACE - I

HTN: Non Blacks = 1 mg QD; Blacks = 2 mg QD

Metformin

Biguanide

Max: 2000 mg/D

SE: Lactic acidosis; GI upset (diarrhea)

Doesn't cause hypoglycemia

Moxifloxacin

Ointment

4th Gen Fluoroquinolone

1 gtt afflected eye TID x 7 D

Bacterial Conjunctivitis

Zidovudine/Abacavir/Lamuvidine

NRTI

1 tab BID

Inteferon beta - 1a

MS

30 mcg injected Q weekly

Don't shake

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Insulin Lispro

Rapid Onset, Short Duration

Often w/sulfonylureas

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Cyclobenzaprine

Muscle Relaxant

Max: 69 mg/D

10 mg TID

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Etonogestrel/Ethinyl Estradiol

Birth Control

21 days in, 7 out

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Risperidone

Atypical Antipsychotic

1 - 16 mg daily

All atypical antipsychotics increase mortality when administered to elderly for dementia

Ropinirole

Parkinson's

D3 Dopamine Agonist

Initial = 0.25 mg TID

Direct Stimulation of Dopamine Receptors

Clopidogrel

Antiplatelet (prevents stroke)

Pantoprazole

GERD

Meloxicam

NSAID

max: 15 mg/D

Donepezil

Alzheimers

AchE-I

Mild to moderate 5-10 mg QHS

Given once daily due to long T_1/2

Sildenafil

PDE 5 Inhibitor

Levofloxacin

3rd Gen Fluoroquinolone

Po = IV

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Erythromycin/Benzoyl Peroxide

Erythromycin = suppres growth

Benzoyl Peroxide = Kills P. Acne

Acne = reconstituted w/ethyl acohol

Apply BID

Glipizide

2nd Gen Sulfonylurea

Max: 20mg/D

Start: 5 mg QD

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APAP + Codeine

Cough

Adult 15 mL Q4H

Chlorpheniramine + Hydroxcodone

Cough, CIII

Chlorpheniramine = cough suppressant

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Repaglinide

Meglitinide: stimulate release of insulin

Diabetes max 16 mg/D

Take before each meal

Skip a meal; skip a dose

Doesn't cause hyperglycemia

Benazepril

ACE -I

HTN: start 10 mg QD

Candesartan

ARB

Start: 16 mg QD

Finasteride

5-alpha reductase enzyme inhibitor (stops testosterone to dihydroxytestosterone)

Duloxetine

Neuro/Pain/GAD/Depression

Amylinomimetic

Pramlintide

DM, Injectable

Refrigerate Until Dispensed

Type I: 15 - 60 mcg Type II: 60 - 120 mcg

Mupirocin

Antibacterial

Apply TID for nasal

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Teriparatide

Osteoporosis

20 mcg/QD SC

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Quinapril

ACE - I

Start: 10 - 20 mg QD max: 80

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Paroxetine

SSRI

Depression Start: 25 mg PO QAM

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Rosiglitazone/Metformin

Diabetes

1 BID

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Estrogen/Progestin

Menopause

No Uterus = No progestin

1 patch twice weekly

Levothyroxine

Hypothyroidism

1 QD 30 min before breakfast

100 mcg = 1 gram of Armour (Thyroid)

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Medroxyprogesterone

BirthControl

1 injection 150 mg Q 3 months

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Ramipril

ACE - I

Preferred ACE - I in DM

Caps can be opened & Sprinkled

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Liraglutide

GLP-1; Incretin Mimetic

Black Box Warning: Thyroid Cell Tumor Risk

0.6 MG SC injection QD

Pancreatitis risk

Loperamide

Diarrhea

Opiod Receptor at mu receptor

4 mg start, then 2 mg after each lose bowel movement

Estrogens

Menopause

Hormone Replacement

1 appl 1 - 3 per week

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Fluoxetine

Premenstrual Dysphoric Disorder

SSRI

20 mg QD or 20 mg QD for 14 D

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Trospium

Overactive Bladder

Anticholinergic

1BID 1/2 AC

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Diphenoxylate & Atropine

Diarrhea

2 QID PRN

Diltiazem

CCB

Starting dose: 120 - 240 mg/D