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.
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Famotidine

famotidine
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Pepcid SOLUTION, INTRAVENOUS 20 mg/50 mL, 10 mg/mL      
Pepcid AC TABLET, ORAL 10 mg    
Pepcid TABLET, ORAL 20 mg, 40 mg      


Comments:

ORDER FORMULATION

THERAPEUTIC INTERCHANGE

famotidine (Pepcid AC) OTC

  • 10 mg BID               

cimetidine (Tagamet)

  • 200 mg BID 

Automatic IV to PO conversion per IV to oral conversion guidelines. IV to PO Conversion Guidelines

Automatic renal adjustment per guidelines. Renal Adjustment Guidelines See H2-Receptor Blocker Formulary document for renal dosing recommendations.

Use tablets (to be crushed) instead of famotidine suspension.


If H2 blocker prescribed with PPO, discontinue H2 blocker after 48 hours. Exception if GI physician -- check with physician that H2 blocker is not being used for a non-GI use prior to discontinuing.


Reviewed: 26 Sept 2017 (Renal Adjustment Update)


Last updated: Mar. 1, 2018







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