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Huntsville Hospital

Approved Hospital Formulary

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Medications not yet evaluated by P&T are considered NON-FORMULARY. Always check 2 unique patient identifiers - NAME and DATE OF BIRTH - at every step!
Please be sure to document all clinical activities daily.

Huntsville Hospital

Approved Hospital Formulary

Suggestions or Corrections? Above and Beyond Nominations Formulary Request

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ipratropium

ipratropium

Formulary Inhaled Short-Acting Medications-Noncorticosteroids Formulary
Restricted Atrovent HFA --> Restricted to NO SUB orders OR PRN orders kept at bedside or self-administered.
Therapeutic Interchange

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-Formulary	Interchange
Atrovent HFA	AEROSOL, INHALATION	CFC free 17 mcg/inh
Atrovent	SOLUTION, INHALATION	500 mcg/2.5 mL

VIEW MORE Antimuscarinics/Antispasmodics

Comments:

Due to national shortage of the nebulization solutions, the formulary status of inhaler products has been temporarily adjusted to formulary, restricted to use during the albuterol/Duoneb shortage. Upon shortage resolution, these products will automatically return to their original formulary status. See Albuterol/Duoneb Shortage Mitigation for more information. (Updated Feb 2023)

ORDERED FORMULATION	THERAPEUTIC INTERCHANGE	NOTES
ipratropium (Atrovent HFA) PRN orders 1-3 puffs PRN	ipratropium (Atrovent) 0.5 mg per nebulizer PRN ( at some dosage interval)	Exceptions --> PRN inhalers to be "kept at bedside" or "self-administered"
ipratropium (Atrovent HFA) Scheduled orders 1-2 inhalations TID-QID	ipratropium (Atrovent) 0.5 mg per nebulizer TID-QID (or at same dosing interval), 6 to 8 hours apart, maximum of 4 treatments/day
ipratropium (Atrovent HFA) acute asthama 2-3 puffs q6 hrs up to 8 puffs q 20 minutes x 3 doses	ipratropium (Atrovent) nebulization 250 mcg q6 hrs up to 500 mcg q20 minutes x3 doses

Common Nebulized Doses for Pediatrics

Reviewed: December 16, 2014 (Atrovent HFA)

Last updated: Mar. 3, 2023

Formulary, Not Routinely Stocked: Atrovent HFA

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