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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Tylenol with Codeine

acetaminophen-codeine
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Tylenol with Codeine LIQUID, ORAL 120 mg-12 mg/5 mL      
Tylenol with Codeine #2 TABLET, ORAL 300 mg-15 mg    
Tylenol with Codeine #3 TABLET, ORAL 300 mg-30 mg      
Tylenol with Codeine #4 TABLET, ORAL 300 mg-60 mg      
VIEW MORE Opioid Agonists, Antitussives
CLASS
280808, 480800
Comments:

Orders for acetaminophen with codeine (no strength listed) are to be filled with acetaminophen w/codeine 30 mg (Tylenol #3).

Tylenol with Codeine #2 is non-formulary, not stocked.

Orders are to be converted to the liquid preparation at a ratio of 1 tablet (300 mg-15 mg) to 5 mL liquid (120 mg-12 mg/5 mL).

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 (pediatric update), and 24 Oct 2017 (Breastfeeding Mothers update), and 26 June 18 (Tylenol with Codeine #2)

Last updated: May. 1, 2019






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