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.
Search results for:

nicotine

nicotine
  • Formulary Nicotine Patch Formulary
  • Restricted Nicotrol, ProStep (ER film) --> Restricted to NO SUB orders.
  • Therapeutic Interchange
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Nicotrol Inhaler DEVICE, INHALATION 10 mg      
NICODERM CQ, Habitrol FILM, EXTENDED RELEASE, TRANSDERMAL 7 mg/24 hr, 14 mg/24 hr, 21 mg/24 hr      
Nicotrol FILM, EXTENDED RELEASE, TRANSDERMAL 15 mg/16 hr, 10 mg/16 hr, 5 mg/16 hr    
ProStep FILM, EXTENDED RELEASE, TRANSDERMAL 22 mg/24 hr, 11 mg/24 hr    
Nicorelief, Nicorette GUM, ORAL TRANSMUCOSAL 2 mg      
Nicotrol NS SPRAY, NASAL 10 mg/mL      


Comments:

ORDERED FORMULATION

THERAPEUTIC INTERCHANGE

nicotine (Nicotrol)

  • 15 mg/16 hr
  • 10 mg/16 hr
  • 5 mg/16 hr

nicotine (Nicoderm CQ)

  • 21 mg/24 hr
  • 14 mg/24 hr
  • 7 mg/24 hr

nicotine (Prostep)

  • 22 mg /24 hr
  • 11 mg/24 hr

nicotine (Nicoderm CQ)

  • 21 mg/24 hr
  • 14 mg/24 hr

Nicotrol Inhaler and Nasal Spray classified as non-formulary, not stocked. Patient may use home supply if available or contact the prescriber to switch to nicotine gum or patch.

Use formulary generic nicotine gum for Thrive gum. Thrive gum is classified as non-formulary, not stocked.

 


Nurses or pharmacists may discontinue orders for nicotine replacement products ordered for patients who do not use nicotine containing products.

The order should be entered under the ordering provider as 'no cosign required'.

 


Reviewed: December 12, 2007 (Thrive Gum) and April 26, 2011 (Nicotrol Inhaler and Nasal Spray), October 22, 2019


Last updated: Oct. 30, 2019







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