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250 Cards in this Set
- Front
- Back
|
Codeine 30 mg
|
30-60 mg codeine Q 4-6 hours
|
|
|
Hepatic adjustment
Acyclovir |
PO: 200 mg 3-5 times/day
|
|
|
Renal adjustment
Albuterol |
1-2 puffs Q 4-6 hours as needed
|
|
|
Minimal systemic absorption
Alendronate |
Proph: 5mg QD or 35 mg Qwk
|
|
|
Txt: 10 mg QD or 70 mg Qwk
Allopurinol |
200-600 mg/day in divided doses
|
|
|
Renal adjustment
Alprazolam |
0.25-1 mg TID
|
|
|
Elderly:0.125-0.25 mg BID
Amiodarone |
PO:800-1600 mg/day in 1-2 divided doses
|
|
|
Hepatic adjustment
Amitriptyline |
50-150 mg/day single dose at bedtime or in divided doses
|
|
|
Max 400 mg/day
Amlodipine |
2.5-10 mg QD
|
|
|
Hepatic adjustment
Amoxicillin |
250-500 mg Q 8 hours or 500-875 mg Q 12 hours
Amoxicillin/Potassium Clavulante |
|
|
Renal adjustment
Ampicillin/Sulbactam |
IM/IV: 1-2 g ampicillin (1.5-3 g) every 6 hours
Anastrazole |
|
|
Renal adjustment
Atomoxetine |
40-80 mg QD
|
|
|
Hepatic adjustment
Atorvastatin |
10-80 mg QD
Azythromycin |
|
|
IV: 250-500 mg QD
Aripiprazole |
10-15 mg QD
|
|
|
Max 30 mg/day
Benazepril |
20-40 mg QD
|
|
|
Renal adjustment
Benazepril/Amlodipine |
Amlodipine: 2.5-10 mg
|
|
|
Benazepril: 10-40 mg
Bisoprolol/HCTZ |
QD
|
|
|
Hepatic and Renal adjustment (HCTZ)
Bupropion SR |
150 mg BID
|
|
|
Hepatic and Renal adjustment
Buspirone |
7.5-15 mg BID
|
|
|
Hepatic and Renal adjustment
Buprenex |
12-16 mg/day for opioid dependence
Candesartan |
|
|
Hepatic adjustment
Carvedilol |
IR: 3.125-50 mg BID
|
|
|
ER: 10-80 mg QD
Cefaclor |
PO: 250-500 mg Q8 hours
|
|
|
Renal adjustment
Cefazolin |
IV: 250 mg-2 g Q6-12 hours
|
|
|
Renal adjustment
Cefdinir |
300 mg BID x 10 days
Cefepime |
|
|
Renal adjustment
Cefixime |
PO: 400 mg/day divided every 12-24 hours
|
|
|
Renal adjustment
Cefotaxime |
IM/IV: 1-2 g Q 8-12 hours
|
|
|
Renal adjustment
Cefotetan |
IM/IV: 1-6 g divided into Q 12 hour dosing
|
|
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APAP 300mg/Codeine 30mg
|
Tylenol #3
|
|
|
hepatic
acyclovir |
Zovirax
|
|
|
Renal
alendronate |
Fosamax
|
|
|
treatment: 10mg qd or 70mg qw
albuterol inhaler |
Proventil/Ventolin/ Proair HFA
|
|
|
minimal systemic absorbtion
allopurinol |
Zyloprim
|
|
|
renal
alprazolam |
Xanax
|
|
|
elderly:0.125-0.25 bid
amiodarone |
Cordarone or Pacerone
|
|
|
hepatic
amitriptyline |
Elavil
|
|
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max 400mg/day
amlodipine |
Norvasc
|
|
|
hepatic
amoxicillin |
Amoxil or Trimox
|
|
|
250-500mg q8h or 500-875 q12h
amoxicillin |
Amoxil or Trimox
|
|
|
250-500mg q8h or 500-875 q12h
amoxicillin |
Amoxil or Trimox
|
|
|
250-500mg q8h or 500-875 q12h
amoxicillin/potassium clavulanate |
Augmentin
|
|
|
renal
ampicillin/sulbactam |
Unasyn
|
|
|
IM/IV:1-2g amp(1.5-3g Unasyn) q6h
anastrazole |
Arimidex
|
|
|
1mg once daily
atenolol |
Tenormin
|
|
|
renal
atomoxetine |
Strattera
|
|
|
hepatic
atorvastatin |
Lipitor
|
|
|
10-80mg/d
azithromycin |
Zithromax
|
|
|
typically 500 mg d1
|
250mg qdx4
|
|
|
IV:250-500 qd
aripiprazole |
Abilify
|
|
|
10-15mg qd (max 30mg)
benazepril |
Lotensin
|
|
|
renal
benazepril/amlodipine |
Lotrel
|
|
|
ben:10-40mg
bisoprolol/HCTZ |
Ziac
|
|
|
hep and renal (HCTZ)
bupropion SR |
Wellbutrin SR
|
|
|
hep and renal
buspirone |
Buspar
|
|
|
hep and renal
buprenex |
Subutex
|
|
|
12-16mg/day
candesartan |
Atacand
|
|
|
hepatic
carvedilol |
Coreg and Coreg CR
|
|
|
ER: 10-80 mg qd
cefaclor |
Ceclor
|
|
|
renal
cefazolin |
Ancef
|
|
|
renal
cefdinir |
Omnicef
|
|
|
300mg bid x 10 days
cefepime |
Maxipime
|
|
|
renal
cefotaxime |
Claforan
|
|
|
renal
cefixime |
Suprax
|
|
|
renal
cefotetan |
Cefotan
|
|
|
IM/IV: 1-6g divided
|
q12h
|
|
|
renal
cefoxitin |
Mefoxin
|
|
|
renal
ceftazidime |
Fortaz
|
|
|
renal
ceftriaxone |
Rocephin
|
|
|
IM/IV: 1-2g q12-24h
cefuroxime |
Ceftin; Zinacif
|
|
|
renal
celecoxib |
Celebrex
|
|
|
200mg bid
cephalexin |
Keflex
|
|
|
250-1000mg q6h (max 4g)
ciprofloxacin |
Cipro
|
|
|
IV: 200-400mg q12h
citalopram |
Celexa
|
|
|
20-40mg qd (max 60mg)
clarithromycin |
Biaxin
|
|
|
250-500mg bid
clindamycin |
Cleocin
|
|
|
hepatic
clonazepam |
Klonopin
|
|
|
to d/c
|
should be widrawn gradually
clonidine |
|
|
(max 2.4mg)
clopidogrel |
Plavix
|
|
|
(non-ST seg elevation ACS LD:300mg)
conjugated estrogens |
Premarin
|
|
|
doses vary/pt
|
cyclic doses used
|
|
|
hepatic
cyclobenzaprine |
Flexeril
|
|
|
5-10mg tid
cyclosporine opthalmic |
Restasis
|
|
|
1 gtt in both eyes q12h
diazepam |
Valium
|
|
|
IM/IV:2-10mg
|
may repeat in 3-4h if needed
|
|
|
reduce dose in elderly
diclofenac |
Voltaren
|
|
|
renal
digoxin |
Lanoxin
|
|
|
renal
diltiazem |
Cartia XT
|
|
|
use w/caution in hep & renal failure
diltiazem CD |
Cardizem
|
|
|
hepatic
dipyidamole 200mg/ ASA 25mg |
Aggrenox
|
|
|
hep and renal
donepezil |
Aricept
|
|
|
5-10mg qhs
doxazosin |
Cardura
|
|
|
hepatic
doxycycline |
Vibramycin
|
|
|
partially inactivated in GI tract
duloxetine |
Cymbalta
|
|
|
hepatic and renal
enalapril |
Vasotec
|
|
|
IV (enalaprilat): 1.25mg/dose over 5 min q6h up to 5mg/dose
enoxaparin |
Lovenox
|
|
|
renal
eplerenone |
Inspra
|
|
|
renal
escitalopram |
Lexapro
|
|
|
10-20mg qd
esomeprazole |
Nexium
|
|
|
20-40mg qd
eszopiclone |
Lunesta
|
|
|
hypnotic
|
non benzo
|
|
|
avoid taking with fatty meals
ezetimibe |
Zetia
|
|
|
available w/simvastatin as Vytorin
famotidine |
Pepcid
|
|
|
renal
fenofibrate |
Tricor
|
|
|
renal
fexofenadine |
Allegra
|
|
|
renal
fluconazole |
Diflucan
|
|
|
renal
fluoxetine |
Prozac
|
|
|
hepatic
fluticasone |
Flovent HFA; Flonase
|
|
|
intranasal:2 sprays each nostril qd
fluticasone/ salmeterol |
Advair Diskus
|
|
|
(max flu: 500mcg bid)
folic acid |
Folic Acid
|
|
|
1mg po qd
furosemide |
Lasix
|
|
|
10-40mg bid
gabapentin |
Neurontin
|
|
|
renal
gemfibrozil |
Lopid
|
|
|
600mg bid
|
30 min b4 breakfast and dinner
glimepiride |
|
|
renal
glipizide |
Glucotrol
|
|
|
hepatic and renal
glipizide ER |
Glucotrol XL
|
|
|
initial: 5mg qd
|
titrate up (max 20mg)
|
|
|
hepatic and renal
glyburide |
Diabeta; Micronase
|
|
|
renal
hydrochlorothiazide |
Hydrodiuril
|
|
|
renal
hydrocodone/acetominophen |
Vicodin; Norco (325mg APAP); Lortab (500mg APAP)
|
|
|
hepatic
hydrocodone 10mg/chlorpheniramine 8mg |
Tussionex
|
|
|
children 6-12 - use half adult dose
hydroxyzine |
Atarax
|
|
|
hepatic
ibandronate |
Boniva
|
|
|
renal
ibuprofen |
Motrin; Advil
|
|
|
200-800mg TID-QID (max 3200mg/day RX; max 1200mg/day OTC)
imipenem/cilastatin |
Primaxin
|
|
|
renal and hepatic
insulin aspart |
NovoLog
|
|
|
insulin
insulin detemir |
Levemir
|
|
|
insulin
insulin glargine |
Lantus
|
|
|
partially metabolized in the skin
insulin glulisine |
Apidra
|
|
|
insulin
insulin lispro |
Humalog
|
|
|
insulin
ipratropium |
Atrovent
|
|
|
2 inhalations qid (max 12)
ipratropium/albuterol |
Combivent
|
|
|
2 inhalations qid (max 12)
irbesartan |
Avapro
|
|
|
150-300mg qd
irbesartan/HCTZ |
Avalide
|
|
|
renal (hctz)
isosorbide mononitrate |
Imdur
|
|
|
nitrate
|
vasodilator
|
|
|
30-60mg qam (max 240mg)
lamotrigine |
Lamictal
|
|
|
renal and hepatic
lansoprazole |
Prevacid
|
|
|
15-30mg qd
latanoprost |
Xalatan
|
|
|
do not exceed once daily dose
levetiracetam |
Keppra
|
|
|
renal
levofloxacin |
Levaquin
|
|
|
renal
levothyroxine |
Synthroid; Levoxyl; Levothroid
|
|
|
1 mcg/kg average dose
linezolid |
Zyvox
|
|
|
2 metabolites may accumulate in renal dysfunction; avoid foods containing tyramine
linezolid |
Zyvox
|
|
|
2 metabolites may accumulate in renal dysfunction; avoid foods containing tyramine
lisinopril |
Zestril; Prinivil
|
|
|
renal
lorazepam |
Ativan
|
|
|
(max 8mg)
losartan |
Cozaar
|
|
|
25-100mg QD (max 100 mg/day)
losartan/HCTZ |
Hyzaar
|
|
|
renal (HCTZ)
meclizine |
Antivert
|
|
|
25-100mg/day in divided doses
meloxicam |
Mobic
|
|
|
7.5-15mg QD (max 15 mg/day)
meloxicam |
Mobic
|
|
|
7.5-15mg QD (max 15 mg/day)
memantine |
Namenda
|
|
|
Initial: 5mg daily
|
then titrate up to 20mg daily
|
|
|
renal
meropenem |
Merrem
|
|
|
hepatic and renal
metformin |
Glucophage
|
|
|
hepatic and renal
metformin ER |
Glucophage XR
|
|
|
hepatic and renal
methotrexate |
Rheumatrex
|
|
|
Arthritis
|
PO: 7.5mg Q week
|
|
|
hepatic and renal
methylphenidate |
Concerta
|
|
|
(6-12 years max 2 mg/kg/day or 54 mg/day; 13-17 years max 72 mg/day)
methylprednisolone |
Medrol
|
|
|
tapered dose using 4mg tablets
metoclopramide |
Reglan
|
|
|
IV: 10-20mg over 1-2 minutes
|
Chemotherapy dose is 1-2mg/kg
|
|
|
Boxed warning about risk of tardive dyskinesia with long term use
|
high doses
|
|
|
renal
metolazone |
Zaroxolyn
|
|
|
5mg is approximately equal to 50mg HCTZ.
metoprolol succinate |
Toprol XL
|
|
|
25-100mg QD (max 400 mg/day)
metoprolol tartrate |
Lopressor
|
|
|
25-100mg BID (450 mg/day)
metronidazole |
Flagyl
|
|
|
Depends upon use
|
PO or IV: 500-750mg Q6-8H (max 4 grams/day)
|
|
|
hepatic and renal
midazolam |
Versed
|
|
|
PO
|
IM
|
|
|
renal
minocycline |
Minocin; Dynacin
|
|
|
renal
mirtazapine |
Remeron
|
|
|
renal
montelukast |
Singulair
|
|
|
10mg qd
moxifloxacin |
Avelox
|
|
|
PO and IV: 400mg QD
nabumetone |
Relafen
|
|
|
renal
naproxen |
Naprosyn
|
|
|
250-500mg BID (max 1250 mg/day)
niacin |
Niaspan
|
|
|
500-1000mg QHS (max 2 g/day)
nifedipine ER |
Procardia XL
|
|
|
hepatic
nitrofurantoin |
Macrodantin; Macrobid
|
|
|
renal
nitroglycerine |
Nitroquick; Nitro-Dur; Nitro-stat
|
|
|
Sublingual: 0.2-0.6mg Q 5 min Translingual: 1-2 sprays Q 3-5min (max 3 doses/15 min)
nortriptyline |
Pamelor
|
|
|
hepatic
olanzapine |
Zyprexa
|
|
|
5-20mg QD (max 30mg/day)
olmesartan |
Benicar
|
|
|
excreted in feces
omega-3-acid ethyl esters |
Lovaza
|
|
|
Do not use if: fish allergy;may cause prolonged bleeding time.
omeprazole |
Prilosec
|
|
|
20-40mg d
oxcarbazepine |
Trileptal
|
|
|
renal
oxycodone |
OxyContin
|
|
|
hepatic
oxycodone/APAP |
Endocet; Percocet; Tylox
|
|
|
hepatic
pantoprazole |
Protonix
|
|
|
IV: dose to effect
|
0.05-0.1mg/kg bolus (max 240mg QD)
paroxetine |
|
|
hepatic and renal
paroxetine CR |
Paxil CR
|
|
|
hepatic and renal
penicillin VK |
Veetids
|
|
|
renal
phenytoin |
Dilantin
|
|
|
liver
pioglitazone |
Actos
|
|
|
hepatic
pipperacillin/tazobactam |
Zosyn
|
|
|
renal
polyethylene glycol |
MiraLax
|
|
|
17gm qd
potassium chloride |
K-Dur
|
|
|
40-80mEq/day (max 400mEq)
pravastatin |
Pravachol
|
|
|
hepatic and renal
prednisone |
Deltasone
|
|
|
Varies
|
must taper dose if longer than 5 days
|
|
|
hepatic
pregablin |
Lyrica
|
|
|
renal
promethazine |
Phenergan
|
|
|
12.5-25 mg every 4-6 hours PRN
propofol |
Diprivan
|
|
|
variable
propoxyphene-N/APAP |
Darvocet-N 100
|
|
|
hepatic and renal
propranolol |
Inderal
|
|
|
hepatic
quetiapine |
Seroquel
|
|
|
150-400mg BID (max 800mg/day)
quinapril |
Accupril
|
|
|
renal
rabeprazole |
Aciphex
|
|
|
20mg QD
raloxifene |
Evista
|
|
|
60mg QD
ramelteon |
Rozerem
|
|
|
8 mg PO within 30 minutes of bedtime
ramipril |
Altace
|
|
|
hepatic and renal
ranitidine |
Zantac
|
|
|
renal
risedronate |
Actonel
|
|
|
renal
risperidone |
Risperdal
|
|
|
hepatic and renal
ropinirole |
Requip
|
|
|
Reduced clearance in the elderly
rosiglitazone |
Avandia
|
|
|
therapy should not be initiated if the patient exhibits active liver disease
rosuvastatin |
Crestor
|
|
|
hepatic and renal
sertraline |
Zoloft
|
|
|
hepatic
sildenafil |
Viagra; Revatio
|
|
|
renal and hepatic
simvastatin |
Zocor
|
|
|
dosage adjustment with concomitant medications: cyclosporine and danazol
sitagliptin |
Januvia
|
|
|
renal
spironolactone |
Aldactone
|
|
|
renal
sulfamethoxazole 800mg / trimethoprim 160mg |
Bactrim DS; Septra DS
|
|
|
renal
sumatriptan |
Imitrex
|
|
|
hepatic
tamsulosin |
Flomax
|
|
|
after the same meal each day
telithromycin |
Ketek
|
|
|
Do not use if: hypersensitivy to Ketek
|
|
|
|
myasthenia gravis
|
|
|
|
history of hepatitis
|
|
|
|
renal
temazepam |
Restoril
|
|
|
lower doses in elderly
temazepam |
Restoril
|
|
|
lower doses in elderly
terazosin |
Hytrin
|
|
|
1-20mg QD (max 20mg/day)
ticarcillin/Clavulanate |
Timentin
|
|
|
hepatic and renal
tiotropium |
Spiriva
|
|
|
renal
tolterodine |
Detrol LA
|
|
|
hepatic and renal
topiramate |
Topamax
|
|
|
hepatic and renal
tramadol |
Ultram
|
|
|
hepatic and renal
tramadol/APAP |
Ultracet
|
|
|
renal impairment: 2ts q12h
|
do not exceed 5days
|
|
|
renal
trazodone |
Deseryl
|
|
|
initial:50mg tid (max 600mg)
triamterene/HCTZ |
Maxzide
|
|
|
renal
valacyclovir |
Valtrex
|
|
|
renal
valproic acid |
Depakote
|
|
|
renal
valsartan |
Diovan
|
|
|
hepatic
vancomycin |
Vancocin
|
|
|
renal
varenicline |
Chantix
|
|
|
renal
venlafaxine |
Effexor XR
|
|
|
hepatic and renal
verapamil SR |
Calan SR
|
|
|
no benefit >360mg/d
warfarin |
Coumadin
|
|
|
5mg qd (2-10mg qd)
ziprasidone |
Geodon
|
|
|
(Max 80-100mg BID depending on indication)
zolpidem |
Ambien
|
|
|
hypnotic
|
non-BZD
|
