Oral Medication

Selected Oral Drug Doses
 
Generic Name (Trade name) Therapeutic Category

Preparation

Usual Adult Dose/Comments

Central Nervous System

Sedatives
Alprazolam (Xanax) Antianxiety Tab: 0.25, 0.5, 1, 2 mg 0.25-0.5 mg po tid
Diazepam (Valium) Sedative-hypnotic

Tab: 2, 5, 10 mg

SR -Cap: 15 mg

Liq: 5 mg/5 ml, 5 mg/ml

2-10 mg po bid-qid

SR-Cap: 15 mg po qd
Lorazepam (Ativan) Sedative-hypnotic Tab: 0.5, 1, 2 mg

Liq: 2 mg/ml
Antianxiety: 0.5-3 mg po bid-tid

Hypnotic: 0.5-4 mg po at hs


Hypnotics
Chloral Hydrate (multiple) Sedative-hypnotic

Cap: 250, 500 mg

Syr: 250, 500 mg/5 ml

Suppos: 324, 500, 648 mg

Sedative: 250 mg po tid

Hypnotic: 500-1000 mg po at hs
Pentobarbital (Nembutal) Hypnotic

Cap: 50, 100 mg

Elixir: 20 mg/5 ml

Suppos: 30, 60, 120, 200 mg

Cap/elixir: Hypnotic: 100 mg qhs

Pre-op: 100 mg pre-procedure

Suppos: 120-200 mg pr qhs

Secobarbital (Seconal) Hypnotic Cap: 100 mg Hypnotic: 100 mg po at hs

Pre-op: 200-300 mg po 1-2h before procedure or surgery
Temazepam (Restoril) Hypnotic Cap: 7.5, 15, 30 mg 7.5-30 mg po at hs
Triazolam (Halcion) Hypnotic Tab: 0.125, 0.25 mg 0.125-0.5 mg po at hs
Zolpidem (Ambien) Hypnotic Tab: 5, 10 mg 2.5-10 mg po at hs


Narcotic Analgesics
Codeine (multiple) Opiate analgesic Tab: 15, 30, 60 mg 15-60 mg po q3-6h prn
Hydromorphone (Dilaudid) Opioid analgesic Tab: 1, 2, 3, 4, mg

Liq: 1 mg/ml
1-2 mg po q4-6h prn titrating dose to severity of pain
Meperidine (Demerol) Opioid analgesic Tab: 50, 100 mg

Syr: 50 mg/5 ml
50-150 mg po q3-4h prn
Methadone (Dolophine) Opioid analgesic Tab: 5, 10 mg

Liq: 5, 10 mg/5 ml, 10 mg/ml, 10 mg/10 ml
2.5-10 mg po q3-4h prn
Morphine

Morphine sustained-release (MS-Contin, Kadian, Oramorph-SR,
Opiate analgesic

Tab: 15, 30 mg

Liq: 2, 4, 20 mg/ml, 10, 20 mg/5 ml

SR-tab: 15, 30, 60, 100, 200 mg

SR-cap: 20, 50, 100 mg

Suppos: 5, 10, 20, 30 mg

Tab/liq/suppos: 10-30 mg po q4h prn

SR-tab: 15-30 mg po q12h initially, then adjust dose and interval according to the requirements of individual patient

SR-cap: 20 mg po qd initially, then adjust dose and interval according to the requirements of individual patient

Oxycodone (multiple) Opioid analgesic Tab: 5 mg

Liq: 5 mg/5 ml, 20 mg/ml
10-30 mg po q4h prn
Percocet (oxycodone HCl, acetaminophen) Analgesic Tab:

Oxycodone HCl 5 mg, acetaminophen 325 mg
1 tab po q6h prn pain
Percodan (oxycodone HCl, oxycodone terephthalate, aspirin) Analgesic Tab:

Oxycodone HCl 5 mg, oxycodone terephthalate 0.038 mg, aspirin 325 mg
1 tab po q6h prn pain


Nonnarcotic Analgesics
Ibuprofen (Motrin, Advil) NSAID Tab: 200, 300, 400, 600, 800 mg

Susp: 100 mg/5 ml
Analgesia: 200-600 mg po qid

Arthritis: 300-800 mg po tid-qid
Indomethacin (Indocin) NSAID

Cap: 25, 50 mg

Susp: 25 mg/5 ml

Suppos: 50 mg

25-50 mg po bid-qid
Ketorolac (Toradol) NSAID Tab: 10 mg Indicated only as continuation therapy to parenteral ketorolac; maximum combined duration of use (parenteral and oral) 5d

10 mg po q6h not to exceed 40 mg/d
Tylenol with codeine acetaminophen, codeine) Analgesic

Tab:

Tylenol #2:

Acetaminophen 300 mg, codeine 15 mg

Tylenol #3:

Acetaminophen 300 mg, codeine 30 mg

Tylenol #4:

Acetaminophen 300 mg, codeine 60 mg

Elixir (per 5 ml):

Acetaminophen 120 mg, codeine 12 mg

Tylenol #2: 2-3 tabs po q4h prn pain

Tylenol #3: 1-2 tabs po q4h prn pain

Tylenol #4: 1 tabs po q4h prn pain

Elixir: 15 ml po q4h prn pain

Trilisate (choline magnesium salicylate, magnesium salicylate) NSAID

Tab:

500 mg tablet:

Choline salicylate 293 mg, magnesium salicylate 362 mg

750 mg tablet:

Choline salicylate 400 mg, magnesium salicylate 544 mg

1000 mg tablet:

Choline salicylate 587 mg, magnesium salicylate 725 mg

Liq:

500 mg/5 ml:

Choline salicylate 293 mg, magnesium salicylate 362 mg

1000-1500 mg po bid or 3000 mg po qhs


Anticonvulsants
Carbamazepine (Tegretol) Anticonvulsant Tab: 100, 200 mg

Susp: 100 mg/5 ml
200 mg po qid up to 1200 mg/d

Adjusting dose monitoring serum concentrations
Divalproex (Depakote) Anticonvulsant SR-tab: 125, 250, 500 mg

SR-Cap: 125 mg sprinkle caps
125-500 mg po qid

Adjust dose monitoring serum concentrations
Felbamate (Felbatol) Anticonvulsant Tab: 400, 600 mg

Susp: 120 mg/ml
1200 mg/d in 3-4 divided doses up to 3600 mg/d
Gabapentin (Neurontin) Anticonvulsant Cap: 100, 300, 400 mg 300 mg po on day 1, 300 mg po bid on day 2, 300 mg po tid on day 3, up to 1800 mg/d divided tid
Lamotragine (Lamictal) Anticonvulsant Tab: 25, 50, 150, 200 mg Patients on enzyme inducing agents but not valproate: 50 mg po qd for 2 weeks, then 50 mg po bid for 2 weeks, then 300-500 mg/d divided bid

Patients on enzyme inducing agents or valproate: 25 mg po qod for 2 weeks, then 25 mg po qd for 2 weeks, then 100-150 mg/d divided bid
Phenobarbital (multiple) Anticonvulsant, sedative Tab: 15, 30, 60, 100 mg

Elixir: 15, 20 mg/5 ml

Sedative: 30-100 mg/d divided in 3 doses

Hypnotic: 30-200 mg po at hs

Anticonvulsant: 30-200 mg/d in single or divided doses;

Adjust dose monitoring serum concentrations

Phenytoin (Dilantin) Anticonvulsant

Cap: 30, 100 mg

Tab: 50 mg

Susp: 25 mg/ml

100 mg po tid

Only the Dilantin brand of phenytoin sodium may be given in a single daily dose

Adjust dose monitoring serum concentrations

Primidone (Mysoline)

 
Anticonvulsant Tab: 50, 250 mg

Susp: 250 mg/5 ml
250 mg po tid

Adjust dose monitoring serum concentrations
Topiramate (Topamax) Anticonvulsant Tab: 25, 100, 200 mg 200 mg po bid
Valproic acid (Depakene) Anticonvulsant Cap: 250 mg

Syr: 250 mg/5 ml
15 mg/kg/day divided bid-tid to maximum 60 mg/kg/d

Adjust dose monitoring serum concentrations


Antidepressants
Doxepin (Sinequan) Antidepressant Cap: 10,25, 50, 75, 100, 150 mg

Liq: 10 mg/ml
25-150 mg po qd
Nortriptyline (Pamelor) Antidepressant Cap: 10, 25, 50, 75 mg

Liq: 10 mg/5 ml
25 mg po tid-qid

Adjust dose monitoring serum concentrations
Fluoxetine (Prozac) Antidepressant Cap: 10, 20 mg

Liq: 20 mg/5ml
20-80 mg/d in 1 or 2 doses
Paroxetine (Paxil) Antidepressant Tab: 10, 20, 30, 40 mg 20-50 mg po qd
Sertraline (Zoloft) Antidepressant Tab: 50, 100 mg 25-100 mg po qAM
Methylphenidate (Ritalin, Ritalin-SR) Antidepressant Tab: 5, 10, 20 mg

SR-tab: 20 mg

Tab: 5-60 mg/d in 1 to 3 doses with the last dose given before 6PM

Ritalin-SR: May be used in place of methylphenidate tablets when the 8h dosage of Ritalin-SR corresponds to the titrated dose of methylphenidate

Ritalin-SR must be swallowed whole and never crushed or chewed



Neuroleptics
Chlorpromazine (Thorazine) Antipsychotic

Tab: 10, 25, 50, 100, 200 mg

Syr: 2 mg/ml

Liquid conc: 30, 100 mg/ml

SR-cap: 30, 75, 150, 200, 300 mg

Suppos: 25, 100 mg

Psychosis: 10-25 mg po tid up to 1-2 g/d

Hiccups: 25-50 mg po tid-qid
Haloperidol (Haldol) Antipsychotic Tab: 0.5, 1, 2, 5, 10, 20 mg

Liq: 2, 5 mg/ml
0.5-5 mg po bid-tid
Olanzapine (Zyprexa) Antipsychotic Tab: 5, 7.5, 10 mg 5-15 mg po qd


Antiparkinson
Amantadine (Symmetrel) Antiparkinsonian, antiviral Cap: 100 mg

Syr: 50 mg/5 ml
Influenza: 200 mg po qd or 100 mg po bid


Cardiology


Antihypertensives


Calcium Channel Blockers
Amlodipine (Norvasc) Antihypertensive, antianginal Tab: 2.5, 5, 10 mg HTN: 2.5-5 mg po qd

Angina: 5-10 mg po qd
Diltiazem (Cardizem, Dilacor) Antihypertensive, antianginal

Tab: 30, 60, 90, 120 mg

SR- cap:

Cardizem SR 60, 90, 120 mg

Cardizem CD 120, 180, 240, 300 mg

Dilacor XR 120, 180, 240 mg

Tab: 30-90 mg po qid

Cardizem SR: 60-120 mg po bid up to 360 mg/d

Cardizem CD: 120-480 mg po qd

Dilacor XR:120-480 mg po qd

Nifedipine (Adalat, Procardia)

Nifedipine sustained release (Adalat CC, Procardia XL)
Antihypertensive, antianginal Cap: 10, 20 mg

SR-tab: 30, 60, 90 mg
Cap: 10-30 mg po tid

SR-tab: 30-90 mg po qd
Verapamil (Calan, Isoptin)

Verapamil sustained release (Calan-SR, Isoptin-SR)
Antihypertensive, antianginal Tab: 40, 80, 120 mg

SR-tab/cap: 120, 180, 240 mg
Tab: 20-120 mg po qid

SR-tab: 120 mg po qd up to 240 mg po q12h


Beta-Adrenergic Blockers
Atenolol (Tenormin) Antihypertensive, antianginal Tab: 25, 50, 100 mg HTN, angina: 25-100 mg po qd

Post myocardial infarction: 50 mg po after last IV dose, 50 mg po 12h later, then 50 mg po bid for 6-9 days or until discharge from the hospital
Labetalol (Normodyne, Trandate) Antihypertensive Tab: 100, 200, 300 mg 100-400 mg po bid
Metoprolol (Lopressor, Toprol XL) Antihypertensive, antianginal Tab: 50, 100 mg

SR-tab: 50, 100, 200 mg (equal to 47.5, 95, 190 mg of metoprolol)
Tab: 25-200 mg po bid

SR-tab: 50-100 mg po qd
Propranolol (Inderal, Inderal LA) Antihypertensive, antianginal

Tab: 10, 20, 30, 40, 80, 90 mg

SR-cap: 60, 80, 120, 160 mg

Liq: 4, 8, 80 mg/ml

Tab/liq: 10-40 mg po tid-qid up to 240 mg/d divided tid-qid

Post-myocardial infarction: 180-240 mg/d divided tid-qid

SR-cap: 60-240 mg po qd



ACE Inhibitors
Captopril (Capoten) Antihypertensive, congestive heart failure, post myocardial infarction Tab: 6.25, 12.5, 25, 50, 100 mg HTN, CHF: 6.25-100 mg po bid-tid

Post myocardial infarction: 6.25 mg initially increasing up to 50 mg po tid
Enalapril (Vasotec) Antihypertensive, congestive heart failure Tab: 2.5, 5, 10, 20 mg 2.5 mg po qd to 20 mg po bid
Lisinopril (Prinivil, Zestril) Antihypertensive, congestive heart failure Tab: 2.5, 5, 10, 20, 40 mg 2.5-40 mg po qd


Angiotensin II Antagonists
Losartan (Cozaar) Antihypertensive Tab: 25, 50 mg 25-100 mg po qd

Initial dose for patients on diuretics 25 mg po qd


Centrally Acting Agents
Clonidine (Catapres) Antihypertensive Tab: 0.1, 0.2, 0.3 mg 0.1-1.2 mg po bid
Methyldopa (Aldomet)

 
Antihypertensive Tab: 125, 250, 500 mg

Susp: 250 mg/5 ml
250-500 mg po bid-qid


Vasodilators
Hydralazine (Apresoline) Antihypertensive Tab: 10, 25, 50, 100 mg 10-50 mg po qid
Minoxidil (Loniten) Antihypertensive Tab: 2.5, 10 mg 5-40 mg po qd in single or divided doses bid


Alpha Adrenergic Blockers
Phenoxybenzamine (Dibenzyline) Antihypertensive Cap: 10 mg 10 mg po bid up to 40 mg bid-tid
Terazosin (Hytrin) Antihypertensive Cap: 1, 2, 5, 10 mg 1-5 mg po qhs


Antiarrhythmics


Class Ia
Disopyramide (Norpace, Norpace CR) Antiarrhythmic Cap: 100, 150 mg

SR-cap: 100, 150 mg

Cap: 100-150 mg po q6h

SR-cap: 100-300 mg po q12h

Adjust dose monitoring serum concentrations

Procainamide (Pronestyl)

Procainamide sustained-release (Procan-SR, Pronestyl-SR)
Antiarrhythmic Tab/cap: 250, 375, 500 mg

SR-tab: 250, 500, 750, 1000 mg

Cap: up to 50 mg/kg/day in divided doses q3h

SR-tab: 50 mg/kg/day in divided doses q6-12h

Some sustained-release products utilize a wax matrix from which the drug is slowly leached out as it passes through the GI tract. The expended wax matrix may appear intact in the stool

Adjust dose monitoring serum concentrations

Quinidine gluconate (Quinaglute) Antiarrhythmic SR-tab: 324 mg

324-648 mg to q6-12h

Adjust dose monitoring serum concentrations

Contains 62% quinidine alkaloid

Quinidine sulfate (multiple)

Quinidine sulfate sustained-release (Quinidex)

Antiarrhythmic Tab: 200, 300 mg

SR-tab: 300 mg

Tab/SR-tab: 200-600 mg po q6-8h

Adjust dose monitoring serum concentrations

Contains 83% quinidine alkaloid



Class Ib
Tocainide (Tonocard) Antiarrhythmic Tab: 400, 600 mg 400-600 mg po tid
Mexiletine (Mexitil) Aniarrhythmic Cap: 150, 200, 250 mg 200 mg po q8h with food

Adjust dose monitoring serum concentrations


Class III
Amiodarone (Cordarone) Antiarrhythmic Tab: 200 mg Loading: 800-1600 mg po qd for 1-3 weeks

Maintenance: 600-800 mg po qd for 1 months, then 200-400 mg po qd
Sotalol (Betapace) Antiarrhythmic Tab: 80, 160, 240 mg 80-160 mg po bid


Class V
Digoxin (Lanoxin, Lanoxicaps) Congestive heart failure, antiarrhythmic

Tab: 0.125, 0.25, 0.5 mg

Cap: 0.05, 0.1, 0.2 mg

Elixir: 0.05 mg/ml

0.125-0.5 mg po qd

Adjust dose monitoring serum concentrations


Antianginal Agents
Isosorbide dinitrate (Isordil, Sorbitrate, Dilatrate SR) Antianginal

Tab: 5, 10, 20, 30, 40 mg

SL-tab: 2.5, 5, 10 mg

SR-tab/cap: 40 mg

Tab: 5-40 mg po q6h

SL-tab: 2.5-10 mg sl q2-3h

SR-tab: 20-80 mg po q8-12h (40 mg tablets are scored and may be broken in half)

SR-cap: 40-80 mg po q8-12h

Nitroglycerin (Multiple) Antianginal

SL-tab: 0.15, 0.3, 0.4, 0.6 mg

SL-spray: 0.4 mg/dose

SR-cap: 2.5, 6.5, 9, 13 mg

SR-tab: 2.6, 6.5, 9 mg

SR-buccal tab: 1, 2, 3 mg

Top: 2% ointment (NTG 15 mg/in)

Patch: 0.1, 0.2, 0.3, 0.4, 0.6, 0.8 mg/h

SL-tab: 0.15-0.6 mg under tongue q5min as needed for relief of chest pain

SL-spray: 0.4-0.8 mg on or under tongue q5min as needed for relief of chest pain

SR-cap: 2.5-9 mg po q8-12h

SR-tab: 1.3-6.5 mg po q8-12h

SR-buccal tab: 1-3 mg dissolved in place on oral mucosa q5h while awake

Top: 0.5-2 in q6-8h

Patch: 0.1-0.6 mg/h patch q24h, removing the patch for a 10-12h nitrate free period before applying the next patch



Diuretics


Potassium Sparing
     
Amiloride (Midamor) Potassium-sparing diuretic Tab: 5 mg 5-10 mg po qd
Spironolactone (Aldactone) Potassium sparing diuretic Tab: 25, 50, 100 mg 25-100 mg po qd or in divided doses
Triamterene (Dyrenium) Potassium sparing diuretic Cap: 50, 100 mg 50-100 mg po bid
Dyazide (triamterene, hydrochlorothiazide) Diuretic, antihypertensive Cap:

Triamterene 37.5 mg, hydrochlorothia-zide 25mg
1-2 cap po qd
Maxide (triamterene, hydrochlorothiazide) Diuretic, antihypertensive

Tab:

Maxide-25:

Triamterene 37.5 mg, hydrochlorothia-zide 25mg

Maxide:

Triamterene 75 mg, hydrochlorothia-zide 50 mg

 

Maxide-25: 1-2 tabs po qd

Maxide: 1 tab po qd


Loop Diuretics
     
Bumetanide (Bumex) Loop diuretic Tab: 0.5, 1, 2 mg 0.5-2 mg po qd
Furosemide (Lasix) Loop diuretic Tab: 20, 40, 80 mg

Liq: 10 mg/ml, 40 mg/5 ml
10-80 mg po bid


Thiazide Diuretics
     
Hydrochlorothiazide (multiple) Thiazide diuretic Tab: 25, 50, 100 mg

Liq: 50 mg/5 ml, 100 mg/ml
25-100 mg po qd
Metolazone (Zaroxolyn) Thiazide-like diuretic Tab: 0.5, 2.5, 5, 10 mg 2.5-20 mg po qd


Pulmonary


Beta Adrenergic Agents
Albuterol (Proventil, Ventolin) Bronchodilator

Tab: 2, 4 mg

SR-tab: 4 mg

Syr: 2 mg/5 ml

Tab/syr: 2-4 mg po tid-qid, maximum 8 mg/d

SR-tab: 4-8 mg po q12h

 

Terbutaline (Brethine, Bricanyl) Bronchodilator Tab 2.5, 5 mg 2.5-5 mg po tid


Phosphodiesterase Inhibitors
Theophylline (Elixophyllin, Slo-phyllin, Theolair)

Sustained-release (Slo-Bid, Theo-Dur, Theo-24, Uni-Dur)
Bronchodilator

Theophylline

Cap: 100, 200, 300 mg

Tab: 100, 125, 200, 250, 300 mg

Liq: 27 mg/5 ml

SR-tab: 100, 200, 250, 300, 400, 450, 500, 600 mg

SR-cap: 50, 75, 100, 125, 200, 250, 260, 300, 400 mg

Initially 300 mg/d; if tolerated, the dose may be increased after 3 days to 400 mg/d; and then if necessary after 3 days to 600 mg/d. Depending on product selected, dosing interval may be 6, 8, or 12h. Dose and interval should be using serum levels.


Hematopoietic


Hemostatic Agents
Aminocaproic acid (Amicar) Hemostatic Tab: 500 mg

Syr: 250 mg/ml
5 g po during the first hour, then by 1-1.25 g/h for 8 h or until bleeding is controlled
Tranexamic acid (Cyklokapron) Hemostatic Tab: 500 mg 25 mg/kg po tid-qid starting 1d before surgery and continued for 2-8d post surgery


Antiplatelet Agents
Dipyridamole (Persantine) Antiplatelet Tab: 25, 50, 75 mg 25-100 mg po qid
Ticlopidine (Ticlid) Antiplatelet Tab: 250 mg 250 mg po bid with meals

Contraindicated in patients with liver disease


Anticoagulants
Warfarin (Coumadin) Anticoagulant Tab: 1, 2, 2.5, 4, 5, 7.5, 10 mg 10 mg po qd x 3, then individualize dose based on PT or INR results


Immunosuppressive Agents
Azathioprine (Imuran) Immunosuppressant Tab: 50 mg Organ transplant: Maintenance after IV therapy 1-3 mg/kg/d
Cyclosporine (Sandimmune, Neoral) Immunosuppressant

Sandimmune Cap: 25, 50, 100 mg Liq: 100 mg/ml

Neoral Cap: 25, 100 mg Liq: 100 mg/ml

 

15 mg/kg po 4-12h before transplant, then taper to maintenance of 5-10 mg/kg/d monitoring cyclosporine concentrations


Gastroenterology


H2-Antagonists
Cimetidine (Tagamet) H2-antagonist Tab: 100, 200, 300, 400, 800 mg

Liq: 300 mg/5 ml
300 mg po qid, 400 mg po bid, or 800 mg po qhs
Ranitidine (Zantac) H2-antagonist

Tab: 75, 150, 300 mg

Cap: 150, 300 mg

Syr: 75 mg/5 ml

Effervescent tab: 150 mg

Effervescent granules: 150 mg/packet

150 mg po bid or 300 mg po qd


Proton Pump Inhibitors
Omeprazole (Prilosec) Proton pump inhibitor SR-cap: 20 mg 20 mg po qd up to 80 mg/d divided bid


Miscellaneous Agents
Sucralfate (Carafate) Antiulcer Tab: 1 g

Susp: 1 g/10 ml
1 g po qid on empty stomach


Promotility Agents
     
Cisapride (Propulsid) GI motility Tab: 10, 20 mg

Susp: 5 mg/ 5 ml
10-20 mg po qid
Metoclopramide (Reglan) GI motility, antiemetic Tab: 5, 10 mg

Syr: 5 mg/5 ml
5-15 mg po qid


Antiemetics
Granisetron (Kytril) Antiemetic Tab: 1.12 mg (1 mg as the base) 1 mg po bid, with the first dose given up to 1h before highly emetogenic chemotherapy, and the 2nd dose given 12h after the first dose
Ondansetron (Zofran) Antiemetic Tab: 4, 8 mg Administer first dose (4-8 mg) 30 minutes before start of chemotherapy, with subsequent doses 4h and 8h after first dose, then 4-8 mg po tid for 1-2d after completion of chemotherapy
Prochlorperazine (Compazine) Antiemetic

Tab: 5, 10, 25 mg

Syr: 5 mg/5 ml

SR-cap: 10, 15, 30 mg

Suppos: 2.5, 5, 25 mg

Tab/syr: 5-10 mg po tid-qid

SR-cap: 10-30 mg po q12h

Suppos: 25 mg PR q12h

Promethazine (Phenergan) Antiemetic

Tab: 12.5, 25, 50 mg

Syr: 6.25, 25 mg/5 ml

Suppos: 12.5, 25, 50 mg

Tab/syr/suppos: 12.5-50 mg PO/PR q4-6h prn
Trimethobenzamide (Tigan) Antiemetic Cap: 100, 250 mg

Suppos: 200 mg
100-250 mg po tid-qid

Suppos: 200 mg pr tid-qid


Laxative Agents
     
Bisacodyl (multiple) Laxative Tab: 5 mg

Suppos: 10 mg
PO: 5-15 mg qd prn

PR: 10 mg qd prn
Lactulose (Cephulac, Chronulac) Laxative Syr: 10 g/15 ml 15-60 ml/dose qd-tid
Peri-Colace (casanthranol, docusate) Laxative

Cap:

Casanthranol 30 mg, docusate 100 mg

Syr (per 15 ml):

Casanthranol 30 mg, docusate 60 mg

Cap: 1-2 caps po qd

Syr: 15-30 ml po qd
Lomotil (diphenoxylate, atropine) Antidiarrheal

Tab:

Diphenoxylate 2.5 mg, atropine 0.025 mg

Liq (per 5 ml):

Diphenoxylate 2.5 mg, atropine 0.025 mg

Tab: 2 tabs po qid until control of diarrhea is achieved

Liq: 10 ml po qid until control of diarrhea is achieved
Loperamide (Imodium) Antidiarrheal Cap/tab: 2 mg

Liq: 1 mg/5 ml
4 mg po initially, then 2 mg po after each loose stool to a maximum of 8 mg/d
Opium, tincture, deodorized Antidiarrheal Lid: 10% (morphine 6 mg/0.6 ml) 02-0.6 ml qd-qid
Paregoric Antidiarrheal Liq: Morphine 2 mg /5 ml 5-10 ml po qd-qid


Antiflatulant Agents
Simethicone (Mylicon, Phazyme, Mylanta Gas) Antiflatulant

Tab: 60, 95 mg

Chewable tab: 40, 80, 125 mg

Gelcap: 62.5, 125 mg

Liq: 40 mg/0.6 ml

40-125 mg po qd after meals


Genitourinary


Urinary Antispasmotic Agents
Oxybutynin (Ditropan) Urinary antispasmodic Tab: 5 mg

Syr: 5 mg/5 ml
5 mg po tid


Urinary Analgesic Agents
Phenazopyridine (Pyridium) Urinary analgesic Tab: 100, 200 mg 100-200 mg po tid


Renal


Uricosuric Agents
Allopurinol (Zyloprim) Antigout Tab: 100, 300 mg Mild gout: 200-300 mg po qd

Moderate-severe gout: 400-600 mg po qd


Electrolytes
Bicitra (sodium citrate, citric acid) Electrolyte replacement, systemic alkalinizer

Liq (per 5 ml):

Sodium citrate 500 mg, citric acid 334 mg

(Each 1 ml delivers 1 mEq of Na and the equivalent of 1 mEq of bicarbonate)

Systemic alkalinizer: 10-30 ml diluted in 30-90 ml water qid, after meals and at bedtime, the dose being titrated as needed

Neutralizing buffer: 15-30 ml as a single dose; may be diluted in 15-30 ml water

Phosphate

Potassium

phosphate (K-Phos Original, Neutra-Phos-K)

Potassium and

sodium phosphate (K-Phos M.F., Neutra-Phos)

Electrolye replacement

Potassium

phosphate:

Tab:

K-Phos Original PO4 114 mg (3.7 mmol), K 3.7 mEq

Cap:

Neutra-Phos-K PO4 250 mg (8 mmol), K 14.25 mEq

Potassium and

sodium phosphate:

Cap:

Neutra-Phos PO4 250 mg (8 mmol), K 7.125 mEq, Na 7.125 mEq

Tab:

K-Phos M.F. PO4 125.6 mg (4 mmol), K1.14 mEq, Na 2.9 mEq

1 g (228 mg or 7.4 mmol) po qid with meals and at bedtime

Must be thoroughly dissolved in 180-240 ml water
Polycitra (sodium citrate, potassium citrate, citric acid) Electrolyte replacement, systemic alkalinizer

Liq (per 5 ml):

Sodium citrate 500 mg, potassium citrate 500 mg, citric acid 334 mg

(Each 1 ml delivers 1 mEq of Na, 1 mEq of K, and the equivalent of 2 mEq of bicarbonate)

Systemic alkalinizer: 10-30 ml diluted in 30-90 ml water qid, after meals and at bedtime, the dose being titrated as needed

Neutralizing buffer: 15-30 ml as a single dose; may be diluted in 15-30 ml water
Potassium chloride (multiple) Electrolyte replacement

SR-tab: 6, 8, 10, 20 mEq

SR-cap: 8, 10 mEq

Liq:

10, 20, 30, 40 mEq/15 ml

Packets: 10, 15, 20, 25 mEq

Hypokalemia (treatment or prophylaxis):10-40 mEq po qd-qid, with titration as needed.

Oral solution and powder must be diluted and stirred in 60-180 ml water before swallowing; these dosage forms may also be added to orange, tomato, or apple juice

Sustained-release tablets without a wax matrix may be swallowed whole or broken

Sustained-release capsules may be opened and sprinkled on food

Some sustained-release products utilize a wax matrix from which the drug is slowly leached out as it passes through the GI tract; the expended wax matrix may appear intact in the stool

 



Potassium Exchange Resins
Sodium polystyrene sulfonate (Kayexalate)

 
Potassium removing resin Pwd: 10-12 g/heaping teaspoon

Susp: 15 gm/60 ml
15-60 g po, repeat as necessary to lower serum potassium level


Endocrine
Alendronate (Fosamax) Bone stabilizer Tab: 10, 40 mg Paget's disease: 40 po qd for 6 months


Glucocorticosteroids
Dexamethasone (multiple) Corticosteroid Tab: 0.25, 0.5, 0.75, 1.5, 2, 4, 6 mg

Elixir: 0.1 mg/ml, 0.5 mg/0.5 ml
0.75-10 mg po qd-qid depending on condition being treated
Hydrocortisone (multiple) Corticosteroid Tab: 5, 10, 20 mg 10-240 mg/d depending on disease being treated
Methylprednisolone (Medrol) Corticosteroid Tab: 2, 4, 8, 16, 24, 32 mg 4-48 mg/d depending on disease being treated
Prednisolone (multiple) Corticosteroid Tab: 5 mg

Syr: 15 mg/5 ml
5-60 mg/day depending on disease being treated
Prednisone (Multiple) Corticosteroid Tab: 1, 2.5, 5, 10, 20, 50 mg

Liq: 5 mg/5 ml., 5 mg/ml
5-60 mg/day depending on disease being treated


Antidiabetic agents
Glyburide (Diabeta, Micronase) Hypoglycemic Tab: 1.25, 2.5, 5 mg Tab: Initial: 1.25-5 mg po qAM with breakfast

Maintenance: 1.25 to 20 mg/d in single or divided doses
Metformin (Glucophage) Hypoglycemic Tab: 500, 850 mg

500 mg: 500 mg po bid with morning and evening meals up to 2500 mg/d divided bid

850 mg: 850 mg po qAM with morning meal up to 2550 mg/d divided bid

Should not be used in patients with renal disease or dysfunction and should be avoided in patients with clinical or laboratory evidence of hepatic disease

Troglitazone (Rezulin) Hypoglycemic Tab: 200, 400 mg 400-600 mg po qd


Thyroid Replacement
Levothyroxine (Synthroid, Levothroid) Thyroid hormone Tab: 25, 50, 75, 88, 100, 112, 125, 137, 150, 175, 200, 300 µg Initial dose: 25-50 µg/d increasing to 100-200 µg/d with monitoring of T4 and TSH levels
Liothyronine (Cytomel) Thyroid hormone Tab: 5, 25, 50 µg 25 µg initially, increase up to 25-75 µg qd


Miscellaneous Agents
Diphenhydramine (Benadryl) Antihistamine, hypnotic Cap: 25, 50 mg

Liq: 12.5 mg/5 ml
25-50 mg po q4-6h prn

Hypnotic: 25-50 mg po at hs
Hydroxyzine (Atarax, Vistaril) Antihistamine, sedative, antianxiety

Tab/Cap: 10, 25, 50, 100 mg

Syr: 10 mg/5 ml

Susp: 25 mg/5 ml

Pruritis: 25 mg po tid-qid

Sedation/antianxiety: 10-100 mg po qid


Infectious Disease


Penicillins
Amoxicillin (multiple) Antibiotic

Cap: 250, 500 mg

Tab: 125, 250 mg

Susp: 125, 250 mg/5 ml

250-500 mg po tid
Augmentin (amoxicillin, clavulanic acid) Antibiotic

Tab:

Amoxicillin 250 mg, clavulanic acid 125 mg

Amoxicillin 500 mg, clavulanic acid 125 mg

Susp (per 5 ml):

Amoxicillin 250 mg, clavulanic acid 62.5 mg

Augmentin 250-500 po q8h
Ampicillin (multiple) Antibiotic Cap: 250, 500 mg

Susp: 125, 250, 500 mg/5 ml
250-500 mg po qid
Dicloxacillin (multiple) Antibiotic Cap: 250, 500 mg

Susp: 62.5 mg/5 ml
250-500 mg po qid
Oxacillin (multiple) Antibiotic Cap: 250, 500 mg

Susp: 250 mg/5 ml
500-1000 mg po q4-6h
Penicillin VK (multiple) Antibiotic Tab: 125, 250, 500 mg

Susp: 125, 250 mg/5 ml
250-500 mg po qid


Cephalosporins
Cefixime (Suprax) Antibiotic Tab: 200, 400 mg

Susp: 100 mg/5 ml
400 mg po qd or 200 mg po bid
Cefuroxime (Ceftin) Antibiotic Tab: 125, 250, 500 mg

Susp: 125 mg/5 ml
125-500 mg po bid
Cephalexin (Keflex) Antibiotic

Cap: 250, 500 mg

Tab: 250, 500, 1000 mg

Susp: 125, 250 mg/ 5 ml

250-1000 mg po qid


Macrolides
Azithromycin (Zithromax) Antibiotic Tab: 250, 600 mg

Susp: 100 mg/5 ml, 200 mg/5 ml 1 g packs

500 mg on day one, then 250 mg po qd x 4 d

MAC: 1200 mg q weekly

Capsules should be taken at least 1 hour before or 2 hours after a meal, oral tablets and suspension may be taken with or without food

The 1 g packet should be thoroughly mixed with 60 ml water before administration

Clarithromycin (Biaxin) Antibiotic Tab: 250, 500 mg

Susp: 125, 250 mg/5 ml
250-500 mg po q12h
Erythromycin (multiple) Antibiotic

Tab: 250, 500 mg

SR-tab: 250, 333, 500 mg

SR-cap: 250 mg

Susp: 200, 400 mg/5 ml

Tab: 250 mg po q6h, 333 mg po q8h, 500 mg po q12h

Susp: 400 mg po q6h, 800 mg po q12h

Legionnaire's disease: 250-1000 mg po qid



Quinolone
     
Ciprofloxacin (Cipro) Antibiotic Tab: 250, 500, 750 mg 250-750 mg po q12h
Levofloxacin (Levaquin) Antibiotic Tab: 250, 500 mg 250-500 mg po qd

Oral doses should be at least 2h before or after antacids containing magnesium or aluminum, as well as sucralfate, metal cations such as iron, and multivitamins containing zinc


Tetracyclines
     
Doxycycline (Vibramycin) Antibiotic

Tab: 100 mg

Cap: 50, 100 mg

Syr: 50 mg/5 ml

50-100 mg po bid
Tetracycline (multiple) Antibiotic Cap: 250, 500 mg

Syr: 125 mg/5ml
250-500 mg po qid


Miscellaneous
     
Bactrim / Septra (sulfamethoxazole, trimethoprim) Antibiotic

Tab:

Sulfamethoxazole 400 mg, trimethoprim 80 mg

DS Tab:

Sulfamethoxazole 800 mg, trimethoprim 160 mg

Susp (per 5 ml):

Sulfamethoxazole 200 mg, trimethoprim 40 mg

1 Bactrim to 1 Bactrim DS tab (or equivalent susp volume) po q12h

P. carinii pneumonia treatment: 20 mg/kg/d trimethoprim divided q6h

P. carinii pneumonia prophylaxis: 1 DS tablet or 20 ml of susp po q24h

Clindamycin (Cleocin) Antibiotic Cap: 75, 150, 300 mg

Susp: 75 mg/5 ml
150-450 mg po q6h
Metronidazole (Flagyl) Antibiotic Tab: 250, 500 mg 250-500 mg po tid
Pyrimethamine (Daraprim) Antiparasitic Tab: 25 mg Toxoplasmosis: 50-75 mg po qd with 1-4 g of sulfadiazine, continued for 1-3 weeks, decrease by 50% and continued for an additional 4-5 weeks
Vancomycin (Vancocin) Antibiotic Cap: 125, 250 mg

Liq: 125, 250 mg/5 ml
Clostridium difficile: 125 mg po q6h for 7-10d;

Oral solution may be prepared using the injection dosage form


Antiviral Agents
     
Acyclovir (Zovirax) Antiviral

Cap: 200 mg

Tab: 400, 800 mg

Susp: 200 mg/5 ml

Herpes Simplex

Initial treatment genital herpes: 200 mg po q4h (5x/d)

Herpes Zoster

Acute treatment: 800 mg po q4h (5x/d)

Varicella Zoster: 20 mg/kg (up to 800 mg) po qid x 5d

Famciclovir (Famvir) Antiviral Tab: 125, 250, 500 mg 500 mg po q8h for 7d
Ganciclovir (Cytovene) Antiviral Cap: 250 mg CMV retinitis maintenance dosing: 1000 mg po tid with food or 500 mg po 6X/d (q3h while awake) with food
Rimantidine (Flumadine) Antiviral Tab: 100 mg

Syr: 50 mg/5 ml

Influenza:

Prophylaxis: 100 mg po bid

Treatment: 100 mg po bid starting within 48h of symptoms and continuing for 7d

Valacyclovir (Valtrex) Antiviral Tab: 500 mg 1000 mg po tid for 7d


Antituberculer Agents
Ethambutol (Myambutol) Antituberculous Tab: 100, 400 mg Initial: 15 mg/kg po qd

Retreatment: 25 mg/kg po qd, after 60 days, decrease to 15 mg/kg po qd
Isoniazid (multiple) Antituberculous Tab: 50, 100, 300 mg

Liq: 50 mg/5 ml
300 mg po qd
Pyrazinamide (Multiple) Antituberculous Tab: 500 mg 15-30 mg/kg up to 2 g qd
Rifabutin (Mycobutin) Antituberculous Cap: 150 mg 300 mg po qd
Rifampin (Rifadin) Antituberculous Cap: 150, 300 mg 300-600 mg po qd


Antifungal Agents
     
Fluconazole (Diflucan) Antifungal Tab: 50, 100, 150, 200 mg

Susp: 10, 40 mg/ml
200 mg initially, then by 100 mg po qd
Itraconazole (Sporanox) Antifungal Cap: 200 mg

Liq: 50 mg/5 ml
Cap: 200-400 mg po qd with meals

Liq: 200-400 mg po qd on empty stomach
Ketoconazole (Nizoral) Antifungal Tab: 200 mg 200-400 mg po qd
Flucytosine (Ancoban) Antifungal Cap: 250, 500 mg 50-150 mg/kg/d divided q6h

Adjust dose monitoring serum concentrations


Antiretroviral Agents
Delavirdine (Rescriptor) Antiviral Tab: 100 mg 400 mg po tid on empty stomach
Didanosine (Videx) Antiviral Tab: 25, 50, 100, 150 mg

Pwd: 100, 167, 250, 375 mg

Tab: < 60 kg: 125 mg po q12h; > 60 kg: 200 mg po q12h

Take 2 tablets at each dose for adequate buffering to prevent degradation by gastric acid. Chew or crush and disperse 2 tablets in > 1 oz water prior to consumption; take on empty stomach

Pwd: < 60 kg: 167 mg po q12h; > 60 kg: 250 mg po q12h

Dissolve contents of packet in 4 oz water and drink on empty stomach

Lamivudine (Epivir) Antiviral Tab: 150 mg

Liq: 50 mg/5 ml
> 50 kg: 150 mg po bid in combination with zidovudine

< 50 kg: 2 mg/kg po bid in combination with zidovidine
Stavudine (Zerit) Antiviral Cap: 15, 20, 30, 40 mg 40 mg po q12h
Zalcitabine (Hivid) Antiviral Tab: 0.375, 0.75 mg 0.375-0.75 mg po tid
Zidovudine (Retrovir) Antiviral Cap: 100, 300 mg

Syr: 50 mg/5 ml
100 mg po q4h (5-6x/d)


Protease Inhibitors
Indinavir (Crixivan) Antiviral Cap: 200, 400 mg 800 mg po tid on empty stomach or with light low fat meals; drink plenty of water
Nelfinavir (Viracept) Antiviral Tab: 250 mg

Pwd: 50 mg/g
750 mg po tid with food
Nevaripine (Virammune) Antiviral Tab: 200 mg 200 mg po qd x 14d, then 200 mg po bid
Ritonavir (Norvir) Antiviral Cap: 100 mg

Liq: 80 mg/ml
600 mg po bid
Saquinavir (Invarase) Antiviral Cap: 200 mg 600 mg po tid within 2h of food and in combination with zidovudine or zalcitabine
 

Abbreviations: BPH, benign prostatic hypertrophy; Cap, capsule; HTN, hypertension; Inj, injection, INR, international normalized ratio; Liq, liquid; MI, myocardial infarction; PR, per rectum; PT, prothrombin time; Pwd, powder; NSAID, nonsteroidal antiinflammatory drug; NTG, nitroglycerin; SCr, serum creatinine, SL, sublingual; SR, sustained-release; Suppos, suppository; Susp, suspension; Syr, syrup; Tab, tablet; Top, topical


Last Updated: 10/06/98

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