FormWeb • guaiFENesin-codeine

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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*codeine-guaiFENesin

guaiFENesin-codeine

Restricted Codeine is not to be used in children < 18 years old or in breastfeeding mothers. Contact MD for alternative therapy.
Restricted Guaifenesin & DM/Codeine Combination Formulary

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-Formulary	Interchange
Robitussin AC, Guaiatussin AC, Robafen AC	SYRUP, ORAL	100 mg-10 mg/5 mL

VIEW MORE Opioid Agonists, Antitussives, Expectorants
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Comments:

codeine is not to be used in children < 18 years old. Contact MD for alternative therapy.

codeine use should be avoided in breastfeeding mothers due to possible harm to their infants.

Updated: 25 July 2017 (Codeine pediatric update), and 24 Oct 2017 (Breastfeeding Mothers update)

Last updated: May. 1, 2019

Black Box Warning: Codeine in children: death due to ultra-rapid metabolism

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