Pharmacotherapeutics

      Drugs & drugs

      Analgesics
      Maximum daily dosages:
      ASA 4 g/d
      Acetaminophen 4g/d

        Ped (<12 y/o) 10-15 mg/kg q4h prn
        Rx List - acetaminophen
        Dosage Calculator

      ASA 7.2 g/d ≡
      Ibuprofen (Motrin, Advil) 600 mg PO QID ≡
      Diclofenac (Voltaren) 50 mg PO TID ≡
      Naproxen (Naprosyn) 500 mg PO BID ≡
      Keterolac (Toradol) 10 mg PO QID

      Equivalent dosages of opioids

        IV or IM PO
        Morphine 10 mg Morphine 60 mg
        Meperidine 75 mg Meperidine 300 mg
        Codiene 120 mg Codiene 200 mg

      MS IR 5 mg PO q4h ≡ MS Contin 15 mg q12h
      MS IR 10 mg PO q4h ≡ MS Contin 30 mg q12h
      MS IR 20 mg PO q4h ≡ MS Contin 60 mg q12h
      MS IR 30 mg PO q4h ≡ MS Contin 100 mg q12h
      MS IR 60 mg PO q4h ≡ MS Contin 200 mg q12h

      Antibiotics
      Erythromycin base 1000 mg ≡ EES 1800 mg
      E.g. Erythromycin base 250 mg PO QID (empty stomach) ≡ EES 600 mg PO TID (with meals)

      Anxiolytics
      Lorazepam (Ativan) 1 mg PO BID prn (max 6 mg/d)

      Asthma
      fluticasone 250 mcg ≡ budesonide 400 mcg ≡ beclomethasone 500 mcg

      Perimenopausal vasomotor symptoms
      Clonidine (Dixarit) 0.05 mg PO BID
      Alpha-2 adrenoceptor agonist

      Osteoporosis
      Class Indications Contraindications
      Bisphosphonates esp. males, thromboembolic dz, steroids  
      SERMs (e.g. raloxifene) breast Ca Hx/FHx, MI, CVA thromboembolic dz, vasomotor symps
      HRT perimenopausal vasomotor symps breast Ca Hx/FHx, thromboembolic dz, MI, CVA
      Calcitonin; teriperitide painful vertebral #'s nasal problems

      Bisphosphonates
      Risedronate (Actonel) 35 mg PO q.1 week for osteoporosis prevention & treatment
      SE's: esophageal irritation/ulceration; hypocalcemia; jaw bone necrosis (rare)
      Note: chelating agent - not to be taken at same time as dairy products, antacids, iron supplements, calcium carbonate

      Alendronate (Fosamax)
      5 mg PO qd for prevention
      10 mg PO qd OR 70 mg PO q weekly for treatment

      tamsulosin (FLOMAX) 0.4 mg PO QDAY
      lisinopril (PRINIVIL) 20 mg PO QDAY
      formoterol (OXEZE TURBUHALER) 12 mcg/Actuation AePB take 1 Puff BID
      tiotropium (SPIRIVA) 18 mcg inhalation capsule 1 Cap by inhalation QDAY


      PREMARIN 0.3 mg PO QDAY
      Allopurinol 100 mg PO QDAY
      ASAPHEN 81 mg PO QDAY
      CELEXA 40 mg PO QDAY
      Colchicine 0.6 mg PO PRN
      LASIX 40 mg PO q AM
      LOSEC 20 mg PO QDAY
      ROCALTROL 0.25 mcg PO Q AM
      SYNTHROID 75 mcg PO QDAY
      Formoterol 12mcg i puff BID
      Salbutamol MDI 100mcg i-ii puffs prn or 2.5mg NEB prn (or q4h ATC if acute exacerbation)
      Salmeterol MDI 25mcg ii puffs BID or Diskus 50mcg i puff BID
      Fenoterol MDI 100mcg i-ii puffs TID-QID
      Turbutaline turbuhaler 500mcg 1-6´/day
      Ipratropium MDI 20mcg ii puffs QID or 500mcg NEB QID (or q4h ATC in acute exacerbation)
      Tiotropium 18mcg i inhaled capsule daily