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188 Cards in this Set

  • Front
  • Back
Acetaminophen 300 mg/Codeine 30 mg
Tylenol #3

Narcotic analgesic

PO: 30-60 mg codeine Q 4-6 hours (max 4 g APAP/day)

Hepatic
Acyclovir
Zovirax

Antiviral

PO: 200 mg 3-5 times/day
IV: 10 mg/kg/dose or 500 mg/m2/dose every 8 hours for 7 days

Obese patients should be dosed using ideal body weight

Renal
Albuterol Inhaler
Proventil, Ventolin, ProAir HFA

Beta2 agonist

Inhale 1-2 puffs Q 4-6 H prn (max 12 inhalations/day )

Minimal systemic absorption
Alendronate
Fosamax

Bisphosphonate

Prophylaxis – PO: 5 mg QD or 35 mg Q week
Treatment – PO: 10 mg QD or 70 mg Q week
Allopurinol
Zyloprim

Xanthine oxidase inhibitor

PO: 200-600 mg/day in divided doses (max 800mg/day)

Renal
Alprazolam
Xanax

Benzodiazepine

PO: 0.25-1mg TID

Elderly: 0.125-0.25 mg twice daily
Amiodarone
Cordarone, Pacerone

Class III antiarrhythmic

PO: 800-1600 mg/day in 1-2 divided doses
IV: 150-300 mg infused over 10 minutes

Hepatic
Amitriptyline
Elavil

TCA

PO: 50-150 mg/day single dose at bedtime in divided doses; dose may be gradually increased up to 300 mg/day (max 400 mg/day)
Amlodipine
Norvasc

CCB

PO: 2.5-10 mg QD

Reduce starting dose in the elderly

Hepatic
Amoxicillin
Amoxil, Trimox

Penicillin antibiotic

PO: 250-500 mg Q 8 H or 500-875 mg Q 12 H
Amoxicillin/Potassium Clavulanate
Augmentin

Penicillin antibiotic

PO: 250-500 mg TID or 875 mg BID

Renal
Ampicllin/Sulbactam
Unasyn

Penicillin antibiotic

IM, IV: 1-2 g ampicillin (1.5-3 g Unasyn®) every 6 hours
Anastrazole
Arimidex

Antineoplastic agent, aromatase inhibitor

PO: 1 mg once daily
Atenolol
Tenormin

Beta blocker

PO: 25-50 mg QD
IV: 1.25-5 mg

Renal
Atorvastatin
Lipitor

HMG Co-A reductase inhibitor

PO: 10-80 mg QD
Azithromycin
Zithromax

Macrolide antibiotic

PO: 500 mg on day 1 followed by 250 mg QD x 4 days, or 1-2 g as a single dose
IV: 250-500 mg qd

Dosing is illness dependent
Aripiprazole
Abilify

Atypical antipsychotic

PO: 10-15 mg QD (max 30 mg/day)
Benazepril
Lotensin

ACE-I

PO: 20-40 mg QD

Renal
Benazepril/Amlodipine
Lotrel

Combination antihypertensive (ACE-I and CCB)

PO: Amlodipine: 2.5-10 mg; Benazepril: 10-40 mg
Bisoprolol/HCTZ
Ziac

Antihypertensive combination (beta blocker and thiazide diuretic)

PO: QD

Hepatic and Renal (HCTZ)
Bupropion SR
Wellbutrin SR

Antidepressant, dopamine reuptake inhibitor

PO: 150 mg BID (max 450 mg/day)

Hepatic and Renal
Buspirone
Buspar

Antianxiety agent

PO: 7.5-15 mg BID (max 60 mg/day)

Hepatic and Renal
Carvedilol
Coreg, Coreg CR

Beta blocker

Immediate release – PO: : 3.125-50 mg BID
Extended release – PO: 10-80 mg once daily
Cefazolin
Ancef

1st generation cephalosporin

IV: 250 mg-2 g Q6-12H (max 12 g/day)

Renal
Cefdinir
Omnicef

3rd generation cephalosporin

PO: 300 mg BID x10d
Cefepime
Maxipime

4th generation cephalosporin

IV: 1-2 g Q8-12H

Renal
Cefixime
Suprax

3rd generation cephalosporin

PO: 400 mg/day divided every 12-24 hours

Renal
Cefotaxime
Claforan

3rd generation cephalosporin

IM, IV: 1-2 g Q8-12H

Renal
Cefotetan
Cefotan

2nd generation cephalosporin

IM, IV: 1-6 g divided into Q12H dosing

Renal
Cefoxitin
Mefoxin

2nd generation cephalosporin

IM, IV: 1-2 g Q6-8H

Renal
Ceftazidime
Fortaz

3rd generation cephalosporin

IM, IV: 500 mg-2 g Q6-12H

Renal
Ceftriaxone
Rocephin

3rd generation cephalosporin

IM, IV: 1-2g Q12-24H
Cefuroxime
Ceftin, Zinacef

2nd generation cephalosporin

PO: 250-500 mg BID
IM, IV: 750 mg-1.5 g Q8H

Renal
Celecoxib
Celebrex

COX2 selective NSAID

PO: 200 mg BID
Cephalexin
Keflex

1st generation cephalosporin

PO: 250-1000 mg Q 6 H (max 4 g/day)
Ciprofloxacin
Cipro

Fluoroquinolone antibiotic

PO: 500 mg BID
IV: 200-400 mg every 12 hours
Citalopram
Celexa

SSRI

PO: 20-40 mg QD (max 60 mg/day)
Clarithromycin
Biaxin

Macrolide antibiotic

PO: 250-500 mg BID
Clindamycin
Cleocin

Lincosamide antibiotic

PO: 150-450 mg Q 6-8 H (max 1.8 g/day)
IM, IV: 1.2-1.8 g/day in 2-4 divided doses (max 4.8 g/day)

Hepatic
Clonazepam
Klonopin

BZD

PO: 0.25-0.5 mg BID (max 4 g/day)

To D/C, treatment should be withdrawn gradually
Clonidine
Catapres

Alpha2 adrenergic agonist

PO: 0.05-0.4 mg BID
Transdermal Patch: 0.1-0.3 mg once weekly (max 2.4 mg/day)
Clopidogrel
Plavix

Antiplatelet agent

PO: 75 mg QD

Non-ST-segment elevation acute coronary syndrome: Initial: 300 mg loading dose
Conjugated Estrogens
Premarin

Estrogen derivative

PO: 0.3-1.25 mg daily

Doses vary per patient. Cyclic dosing may be used.

Hepatic
Cyclobenzaprine
Flexeril

Skeletal muscle relaxant

PO: 5-10 mg TID
Diazepam
Valium

Benzodiazepine

PO: 2-10 mg BID-QID
Rectal gel: 0.2 mg/kg
IM, IV: 2-10 mg, may repeat in 3-4 hours if needed

Reduce dose in the elderly
Diclofenac
Voltaren, Flector (patch)

NSAID

PO: 50 mg TID
TD patch: apply 1 patch twice daily to most painful area (sprain, strains, contusions)

Renal
Digoxin
Lanoxin, Digitek

Cardiac glycoside, class IV antiarrhythmic

PO: 0.125-0.5 mg QD
Reference ranges: CHF: 0.5-0.8 ng/mL; Arrhythmias: 0.8-2 ng/mL

Renal
Diltiazem
Cartia XT

CCB

PO: 120-420 mg QD
IV: Initial bolus dose: 0.25 mg/kg actual body weight over 2 minutes (average adult dose: 20 mg)
Use with caution in hepatic and renal failure
Diltiazem CD
Dipyidamole 200
Cardizem, Cartia, Taztia, Dilacor

CCB

PO: 180-240 mg QD (max 480 mg/day)

Use with caution in hepatic and renal impairment
Donepezil
Aricept

Acetylcholinesterase inhibitor

PO: 5-10 mg QHS
Doxazosin
Cardura

Alpha1 antagonist

PO: 4-8 mg QD (max 16 mg/day)

Hepatic
Doxycycline
Vibramycin

Tetracycline antibiotic

PO: 100-200 mg/day in 1-2 divided doses

Partially inactivated in GI tract
Duloxetine
Cymbalta

SNRI

PO: 40-60 mg QD (max 120 mg/day)

Hepatic and Renal
Enalapril
Vasotec

ACE-I

PO: 2.5-40 mg QD
IV (Enalaprilat): 1.25 mg/dose over 5 minutes q6h up to 5 mg/dose
Enoxaparin
Lovenox

Low molecular weight heparin

Prophylaxis – PO: 30 mg BID or 40 mg QD SC
Treatment – PO: 1 mg/kg BID or 1.5 mg/kg QD SC

Renal
Eplerenone
Inspra

Selective aldosterone blocker

PO: 50 mg QD-BID (max 100 mg/day)

Renal
Escitalopram
Lexapro

SSRI

PO: 10-20 mg QD
Esomeprazole
Nexium

PPI

PO: 20-40 mg QD
Eszopiclone
Lunesta

Hypnotic, non-BZD

PO: 2 mg QHS (max 3mg/day)

Avoid taking with fatty meals
Ezetimibe
Zetia

Antilipidemic agent

PO: 10 mg QD

Available with simvastatin as Vytorin
Famotidine
Pepcid

H2 antagonist

PO: 20-40 mg QD-BID
IV: 20 mg Q12H

Renal
Fenofibrate
Tricor

Fibric acid antilipidemic

PO: 48-145 mg QD (max 145 mg/day)

Renal
Fexofenadine
Allegra

Antihistamine

PO: 60 mg BID or 180 mg QD

Renal
Fluconazole
Diflucan

Antifungal

PO, IV: 200-800 mg QD
Yeast infection – PO: 150 mg x 1 dose

Renal
Fluoxetine
Prozac

SSRI

PO: 20-40 mg QD for depression (max 80 mg/day)

Hepatic
Fluticasone
Flovent HFA, Flonase

Inhaled corticosteroid

Oral Inhalant: Inhale 88-220 mcg BID (max 440 mcg BID)
Intranasal: Instill 2 sprays in each nostril once daily
Fluticasone/Salmeterol
Advair Diskus

Inhalted corticosteroid and B2 agonist

Inhale 1 puff BID of any dose (max fluticasone 500 mcg BID)
Folic
Folic Acid
Acid

Water soluble vitamin

PO: 1 mg po daily
Furosemide
Lasix

Loop diuretic

PO: 10-40 mg BID
Gabapentin
Neurontin

Anticonvulsant

PO: 300-600 mg TID (max 3600 mg)

Renal
Gemfibrozil
Lopid

Fibric acid

PO: 600 mg BID, 30 min before breakfast and dinner
Glimepiride
Amaryl

Sulfonylurea

PO: 1-4 mg QD with breakfast (max 8 mg/day)

Renal
Glipizide
Glucotrol

Sulfonylurea

Initial dose – PO: 5 mg QD (max 40 mg QD)

Hepatic and Renal
Glipizide ER
Glucotrol XL

Sulfonylurea

Initial dose – PO: 5mg QD, titrate up (max 20 mg/day)

Hepatic and Renal
Glyburide
Diabeta, Micronase

Sulfonylurea

PO: 1.25-20 mg/day (max 20 mg/day)

Renal
Hydrochlorothiazide
Hydrodiuril

Thiazide diuretic

Edema – PO: 25-100 mg QD
HTN – PO: 12.5-50 mg QD (max 200 mg/day)

Renal
Hydrocodone/Acetaminophen
Vicodin, Norco (contains 325 mg APAP), Lortab (contains 500 mg APAP)

Narcotic analgesic

PO: 1-2 tabs Q 4-6 H prn (max 4 g/day APAP)

Hepatic
Hydrocodone 10 mg/Chlorpheniramine 8 mg
Tussionex

Antitussive, opioid analgesic

PO: 5 mL q 12 h (max 10 mL/day)

Contraindicated in children <6yo. For children 6-12yo use half the adult dose.
Hydroxyzine
Atarax

Antihistamine, antiemetic

PO: 25-100 mg Q 4-6 hrs PRN

Hepatic
Ibandronate
Boniva

Bisphosphonate

PO: 150 mg once monthly
IV: 3 mg q 3 months

Renal
Ibuprofen
Motrin, Advil

NSAID

PO: 200-800 mg TID-QID (max 3200 mg/day RX; max 1200 mg/day OTC)
Imipenem/Cilastatin
Primaxin

Carbapenem antibiotic

IV: 250-1000 mg Q 6-8 hrs (max 4 g/day)
IM: 500-750 mg Q 12 hrs (max 1500 mg/day)

Renal and Hepatic
Insulin Aspart
NovoLog

Insulin
Insulin Detemir
Levemir

Insulin
Insulin Glargine
Lantus

Insulin

Partially metabolized in the skin
Insulin Glulisine
Apidra

Insulin
Insulin Lispro
Humalog

Insulin
Ipratropium
Atrovent

Anticholinergic

2 inhalations QID (max 12 inhalations/day)
Ipratropium/Albuterol
Combivent

Bronchodilator (anticholinergic and B2 agonist)

2 inhalations QID (max 12 inhalations/day)
Irbesartan
Avapro

ARB

PO: 150-300 mg QD
Isosorbide Mononitrate
Imdur

Nitrate, vasodilator

PO: 30-60 mg QAM (max 240 mg/day)
Lamotrigine
Lamictal

Anticonvulsant

PO: 225-375 mg/d in 2 divided doses

Hepatic and Renal
Lansoprazole
Prevacid

PPI

PO: 15-30mg QD
Levetiracetam
Keppra

Anticonvulsant

Initial dose: Immediate release – PO: 500 mg BID
Initial dose: Extended release – PO: 1000 mg daily

Renal
Levofloxacin
Levaquin

Fluoroquinolone antibiotic

PO, IV: 250-750 mg QD

Renal
Levothyroxine
Synthroid, Levoxyl, Levothroid

Thyroid product

PO: 1 QD 30 min before breakfast (dosage will vary) (average dose is 1 mcg/kg)
Linezolid
Zyvox

Oxazolidinone antibiotic

PO, IV: 600 mg Q12H

2 metabolites may accumulate in renal dysfunction, avoid foods containing tyramine
Lisinopril
Zestril, Prinivil

ACE-I

HTN – PO: 10-40 mg QD
CHF – PO: 20-40 mg QD

Renal
Lorazepam
Ativan

Benzodiazepine

PO: 2-6 mg in divided doses (max 8 mg)
Losartan
Cozaar

ARB

PO: 25-100 mg QD (max 100 mg/day)
Losartan/HCTZ
Hyzaar

Combination antihypertensive (ARB and thiazide diuretic)

PO: 1 QD

Renal (HCTZ)
Meclizine
Antivert

Antihistamine

PO: 25-100 mg/day in divided doses
Meloxicam
Mobic

NSAID

PO: 7.5-15 mg QD (max 15 mg/day)
Memantine
Namenda

NMDA receptor antagonist

Initial dose – PO: 5 mg daily, then titrate up to 20 mg daily

Renal
Meropenem
Merrem

Carbapenem antibiotic

PO: 1.5-6 g/day divided every 8 hours (max 6 g/day)

Monitor for sign of anaphylaxis during first dose.
For dialysis patients: administer dose after dialysis.

Hepatic and Renal
Metformin
Glucophage

Biguanide

PO: 500-1000 mg BID with meals (max 2550 mg/day)

Do not use if sCr >1.5 mg/dL in males or >1.4 mg/dL in females.

Hepatic and Renal
Metformin ER
Glucophage XR

Biguanide

PO: 500 mg QD-1000 mg QD with the evening meal (max 2000 mg QD)

Hepatic and Renal
Methotrexate
Rheumatrex

DMARD, antifolate

Arthritis – PO: 7.5 mg Q week (max for arthritis is 20 mg/week)

Hepatic and Renal
Methylphenidate
Concerta

CNS stimulant

PO: 18-54 mg QAM (6-12 years old: max 2 mg/kg/day or 54 mg/day; 13-17 years old: max 72 mg/day)
Methylprednisolone
Medrol

Corticosteroid

PO: Tapered dose using 4 mg tablets
Metoclopramide
Reglan

Prokinetic, antiemetic

PO: 10-15 mg/dose QID
IV: 10-20 mg over 1-2 minutes; chemotherapy dose is 1-2 mg/kg

Boxed warning about risk of tardive dyskinesia with long term use, high doses, or in elderly.

Renal
Metolazone
Zaroxolyn

Thiazide-like diuretic

PO: 2.5-20 mg qd

5mg is approximately equal to 50 mg HCTZ.
Metoprolol Succinate
Toprol XL

Beta blocker

PO: 25-100 mg QD (max 400 mg/day)
Metoprolol Tartrate
Lopressor

Beta blocker

PO: 25-100 mg BID (max 450 mg/day)
Metronidazole
Flagyl

Miscellaneous antibiotic

PO, IV: 500-750 mg Q6-8H (max 4 g/day) (dosage form depends on use)

Hepatic and Renal
Midazolam
Versed

Benzodiazepine

PO, IM, IV: (dosage form depends on use)
IV: Pre-op sedation - 0.02-0.04 mg/kg
Minocycline
Minocin, Dynacin

Tetracycline antibiotic

PO: 100 mg BID (max 400 mg/day)

Renal
Mirtazapine
Remeron

Antidepressant, alpha2 antagonist

PO: 15-45 mg QD

Renal
Montelukast
Singulair

Leukotriene receptor antagonist

PO: 10 mg QD
Moxifloxacin
Avelox

Fluoroquinolone antibiotic

PO, IV: 400 mg QD
Naproxen
Naprosyn

NSAID

PO: 250-500 mg BID (max 1250 mg/day)
Niacin
Niaspan

Antilipidemic, water soluble vitamin

PO: 500-1000 mg QHS (max 2 g/day)
Nifedipine ER
Procardia XL

CCB

PO: 30-60 mg QD (max 120-180 mg/day)

Hepatic
Nitrofurantoin
Macrodantin, Macrobid

Miscellaneous antibiotic

Macrodantin – PO: 50-100 mg Q 6 H (max 400 mg/day)
Macrobid – PO: 100 mg BID

Renal
Nitroglycerine
Nitroquick, Nitro-Dur, Nitro-stat

Vasodilator

PO: 2.5-9 mg BID to QID
IV: 5 mcg/min-200mcg/min
TD patch: 0.2-0.4 mg/hr
Oint: 1/2" Q6H
Sublingual: 0.2-0.6 mg Q 5 min
Translingual: 1-2 sprays Q 3-5min (max 3 doses/15 min)
Nortriptyline
Pamelor

TCA

PO: 25 mg TID-QID (max 150 mg/day)

Hepatic
Olanzapine
Zyprexa

Atypical antipsychotic

PO: 5-20 mg QD (max 30 mg/day)
Olmesartan
Benicar

ARB

PO: 20-40 mg QD

Excreted in the feces
Omega-3-acid ethyl esters
Lovaza

Miscellaneous antilipemic agent

PO: 4 g/day

Do not use if pt has fish allergy.
May cause prolonged bleeding time.
Omeprazole
Prilosec

PPI

PO: 20-40 mg QD
Oxcarbazepine
Trileptal

Anticonvulsant

Initial dose – PO: 300 mg BID; titrate based on prior therapy

Renal
Oxycodone
OxyContin

Narcotic analgesic

PO: 10-40 mg BID (use caution with doses >160 mg BID)

Hepatic
Oxycodone/APAP
Endocet, Percocet, Tylox

Narcotic analgesic

Oxycodone – PO: 5-30 mg Q 4-6 H prn (max 4 g of APAP)

Hepatic
Pantoprazole
Protonix

PPI

PO: 40 mg QD
IV: Dose to effect, 0.05-0.1 mg/kg bolus (max 240 mg QD)
Paroxetine
Paxil

SSRI

PO: 20 mg QD (max 60 mg/day)

Hepatic and Renal
Paroxetine CR
Paxil CR

SSRI

PO: 12.5-37.5 mg QD (max 75 mg/day)

Hepatic and Renal
Penicillin VK
Veetids

Penicillin antibiotic

Children – PO: 25-50 mg/kg/day
Adults – PO: 125-500 mg Q 6-8 H (max of 3 g per day in children <12)

Renal
Phenytoin
Dilantin

Anticonvulsant

PO: 200-1200 mg/day

Adjustment dose in cirrhosis

Hepatic
Pioglitazone
Actos

Thiazolidinedione

PO: 15-45 mg QD (max 45 mg/day)

Hepatic
Piperacillin/Tazobactam
Zosyn

Penicillin antibiotic

IM, IV: 2.25-4.5 g Q6H

Renal
Polyethylene Glycol
MiraLax, GlycoLax

Osmotic laxative

PO: 17 g QD
Potassium Chloride
K-Dur, Klor-Con, Micro K

Electrolyte supplement

PO: 40-80 mEq/day (max 400 mEq/day)
Pravastatin
Pravachol

HMG-CoA reductase inhibitor

PO: 10-80 mg QD (max 80 mg/day)

Hepatic and Renal
Prednisone
Deltasone

Corticosteroid

PO: dose varies, must taper dose if longer than 5 days

Dosage adjustments vary in hyperthyroidism

Hepatic
Pregabalin
Lyrica

Anticonvulsant, analgesic

PO: dose is variable

Renal
Promethazine
Phenergan

Antihistamine, antiemetic

PO: 12.5-25 mg every 4-6 hours PRN
Propofol
Diprivan

General anesthetic

PO: dose is variable
Propranolol
Inderal

Beta blocker

PO: 40-320 mg/day
IV: 1-3 mg bolus (max 640 mg/day)

Decrease initial dose in cirrhosis

Hepatic
Quetiapine
Seroquel

Atypical anti-psychotic

PO: 150-400 mg BID (max 800 mg/day)
Quinapril
Accupril

ACE-I

PO: 10-40 mg QD

Renal
Rabeprazole
Aciphex

PPI

PO: 20 mg QD
Raloxifene
Evista

SERM

PO: 60 mg QD
Ramelteon
Rozerem

Hypnotic, non-BDZ

PO: 8 mg PO within 30 minutes of bedtime
Ramipril
Altace

ACE-I

PO: 2.5-5 mg QD (max 20 mg/day)

Hepatic and Renal
Ranitidine
Zantac

H2 antagonist

PO: 150 mg BID

IV: 50 mg Q6-8H (max 600 mg/day)

Renal
Risedronate
Actonel

Bisphosphonate

PO: 5 mg QD or 35 mg Q week

Renal
Risperidone
Risperdal

Atypical antipsychotic

PO: 1-4 mg BID (max 16 mg/day)

Hepatic and Renal
Ropinirole
Requip

Dopamine agoinst

Parkinsonse - PO: 0.25-1 mg TID
Restless leg syndrome - PO: 0.25-4 mg QHS

Reduced clearance in the elderly
Rosiglitazone
Avandia

Thiazolidinedione

PO: 4-8 mg QD

Therapy should not be initiated if the patient exhibits active liver disease
Rosuvastatin
Crestor

HMG-CoA reductase inhibitor

PO: 5-40 mg QD (max 40 mg/day)

Dosage adjustment with concomitant medications: cyclosporine and gemfibrozil

Hepatic and Renal
Sertraline
Zoloft

SSRI

PO: 50-100 mg/day (max 200 mg/day)

Hepatic
Sildenafil
Viagra, Revatio

PDE-5 inhibitor

ED - PO: 25-100 mg 1 hr prior to sexual activity
Pulmonary HTN - PO: 20 mg TID (4-6 hrs apart)

Renal and Hepatic
Simvastatin
Zocor

HMG-CoA reductase inhibitor

PO: 20-40 mg QHS (max 80 mg/day)

Dosage adjustment with concomitant medications: cyclosporine and danazol
Sitagliptin
Januvia

DPP IV inhibitor

PO: 100 mg daily

Renal
Spironolactone
Aldactone

K+ sparing diuretic

PO: 25-200 mg QD depending upon use

Avoid use if CrCl <10 mL/min

Renal
Sulfamethoxazole 800 mg/Trimethoprim 160 mg
Bactrim DS, Septra DS

Sulfonamide antibiotic

PO: 1 BID

Use is not recommended if CrCl <15mL/min

Renal
Sumatriptan
Imitrex

Seratonin receptor agonist

PO: 25-100 mg as a single dose, may repeat dose in 2 hours (max 200 mg/day)
Intranasal and SQ dosage forms also available

Hepatic
Tamsulosin
Flomax

Alpha1 antogonist

PO: 0.4-0.8 mg QD ½ hour after the same meal each day
Telithromycin
Ketek

Ketolide antibiotic

Tonsillitis/pharyngitis – PO: 800 mg once daily for 5 days
Community-acquired pneumonia – PO: 800 mg once daily for 7-10 days

Do not use if: hypersensitivy to Ketek, myasthenia gravis, history of hepatitis, concurrent use of cisapride or pimozide.

Renal
Temazepam
Restoril

Benzodiazepine

PO: 15-30 mg QHS

Lower doses in the elderly
Terazosin
Hytrin

Alpha1 antagonist

PO: 1-20 mg QD (max 20 mg/day)
Ticarcillin/Clavulanate
Timentin

Penicillin antibiotic

IV: 3.1 g Q 4-6 H

Hepatic and Renal
Tiotropium
Spiriva

Anticholinergic agent

Inhale contenta of one 18 mcg capsule daily (max 18 mcg/day)

Renal
Topiramate
Topamax

Anticonvulsant

PO: 25-200 mg BID (max 1600 mg/day)

Hepatic and Renal
Tramadol
Ultram

Analgesic

PO: 50-100 mg Q 4-6 H (max 400 mg/day)

Renal impairment: max dose is 200 mg/day

Hepatic and Renal
Tramadol/APAP
Ultracet

Analgesic

PO: 2 tabs Q 4-6 H prn (max 4 g of APAP)

Renal impairment: max of 2 tablets Q 12 hours, treatment should not exceed 5 days

Renal
Trazodone
Deseryl

Serotonin reuptake inhibitor

PO: Initial dose – 50 mg TID (max 600 mg/day)
Triamterene/HCTZ
Maxzide, Dyazide

K+ sparing diuretic and thiazide diuretic

PO: 37.5/25 mg QD-BID (max 300 mg triamterene/200 mg HCTZ)

Renal
Valacyclovir
Valtrex

Antiviral agent

PO: 500-1000 mg BID

Renal
Valproic Acid
Depakote

Anticonvulsant

PO: 1000-2500 mg/day (max 60 mg/kg/day)

Hepatic and Renal
Valsartan
Diovan

ARB

PO: 80-160 mg QD (max 320 mg/day)

Hepatic
Vancomycin
Vancocin

Miscellaneous antibiotic

PO: 500-1000 mg/day in divided doses Q 6 hours (max 3 g/day)
IV: 2-3 g/day in divided doses Q 6-12 hrs

IV: administer over at least 60 minutes (Red Man Syndrome may occur if infusion is too rapid)

Renal
Varenicline
Chantix

Smoking cessation aid

PO: Days 1-3: 0.5 mg QD, days 4-7: 0.5 mg BID, maintenance (weeks 2-12): 1 mg BID

Renal
Venlafaxine
Effexor XR

SNRI

PO: 37.5-75 mg QD with food (max 225 mg/day)

Hepatic and Renal
Verapamil SR
Calan SR

CCB and class IV anti-arrhythmic

PO: 120-360 mg/day in 1-2 divided doses
IV: 2.5-5 mg over 2 minutes

No benefit > 360mg/day
Warfarin
Coumadin

Anticoagulant

PO: 5 mg QD (dosages range from 2-10 mg QD)
Ziprasidone
Geodon

Atypical antipsychotic

PO: 20-40 mg BID with food (max 80-100 mg BID depending on indication)
Zolpidem
Ambien, Ambien CR

Hypnotic, non-BZD

Ambien - PO: 5-10 mg QHS (max 10 mg/day)
Ambien CR - PO: 6.25-12.5 mg QHS

Hepatic