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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Lansoprazole

lansoprazole
  • Restricted Huntsville Hospital Proton Pump Inhibitor Formulary
  • Restricted Prevacid SoluTab --> Restricted to NO SUB orders, NG/G tube administration, ~OR~ Pediatrics.
  • Restricted Prevacid DRC --> Restricted to NO SUB orders.
  • Restricted FIRST Lansoprazole --> Pediatrics
  • Therapeutic Interchange
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Prevacid DELAYED RELEASE CAPSULE, ORAL 15 mg, 30 mg    
Prevacid I.V. POWDER FOR INJECTION, INTRAVENOUS 30 mg    
FIRST Lansoprazole SUSPENSION, ORAL 3 mg/mL    
Prevacid SoluTab TABLET, DISINTEGRATING, ORAL 15 mg, 30 mg      

VIEW MORE Proton-pump Inhibitors
CLASS
562836

Comments:

ORDERED FORMULATION

THERAPEUTIC INTERCHANGE

Notes

lansoprazole (Prevacid)

  • 15-30 mg daily PO
  • 60 mg daily PO
  • 90 mg daily PO
  • 120 mg daily PO
  • 30 mg daily IV (and proportionally)                                                   
  • Prevacid-24 (daily or BID)
  • Prevacid solution
  • Prevpac
  • Prevacid Naprapac

pantoprazole (Protonix)

  • 40 mg daily PO
  • 80 mg daily PO
  • 120 mg daily PO
  • 160 mg daily PO
  • PROTONIX 40 mg IV daily (and proportionately)
  • pantoprazole 40 mg PO daily
  • Dispense as ordered, if needed
  • Dispense separately
  • Dispense naproxen 375 or 500 mg + BID and pantoprazole 40 mg once daily

Prevacid capsule may be opened or Prevacid SoluTab may be used for NG/G tubes.

With the SoluTab, place 15 or 30 mg tab in oral syringe with 10 mL water, agitate, & administer within 15 minutes.

Pharmacist may automatically convert to SoluTab if needed.


Prevacid DR capsule and DR ODT medication guide


Lansoprazole (Prevacid) is considered a "back-up workhorse" and maybe used when the patient cannot swallow a pantoprazole tablet (either open the capsule or make a solution). May use Solu-Tab for N/G tube administration or special dosing (pediatrics).

 

Lansoprazole suspension: Restricted to use in pediatric patients that require a liquid formulation of a PPI. 

 


Prevacid - 24 (OTC version of lansoprazole 15 mg) is classified as non-formulary, not stocked. Interchange to pantoprazole 40 mg.


Lansoprazole --> discontinue H2 blocker after 48 hours if prescribed together (exception - GI physicians).

 

 


Reviewed: June 23, 2009 (Prevacid - 24)

Updated: July 17, 2018 (Lansoprazole suspension), October 2022 (Pediatrics), October 2023 (Pediatrics)


Last updated: Jan. 31, 2024







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