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Huntsville Hospital

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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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sodium biphosphate-sodium phosphate

sodium biphosphate-sodium phosphate

Formulary Laxative - General Formulary

Drug Name	Form	Strength
Fleet Enema for Children	ENEMA, RECTAL	3.5 g-9.5 g
Fleet Enema Extra, Fleets Enema Extra	ENEMA, RECTAL	7 g-19 g
OsmoPrep, Visicol	TABLET, ORAL	1.5 g

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ORDERED FORMULATION	THERAPEUTIC INTERCHANGE	NOTES
sodium biphosphate-sodium phosphate (Fleet Enema Extra) 7 g-19 g enema rectal	mineral oil (Fleet Mineral Oil Enema) 100% enema Rectal
sodium biphosphate-sodium phosphate (Fleet Enema for Children) 3.5 g-9.5 g enema rectal	mineral oil (Fleet Mineral Oil Enema) 100 % rectal enema Use Half of bottle. Not for Children less than 2 years.
sodium biphosphate-sodium phosphate (Visicol) 1.5 g tablet oral	sodium biphosphate-sodium phosphate (OsmoPrep) 1.5 g tablet oral	Give 32 OsmoPrep tablets for 32-40 Visicol tablets. If less than 32 Visicol tablets are ordered, convert Visicol to OsmoPrep on a 1:1 basis.

Osmoprep medication guide

Visicol medication guide

Fleet Phosphasoda NO SUBSTITUTION Orders: Restricted to patients with adequate renal function (CrCl > 30 mL/min). One dose (118 mL) may be administered per 24 hours, not to exceed a total of 2 doses in a 14-day period. Patients with CrCl < 30 mL/min, ESRD, or requiring renal replacement therapy should continue to be interchanged to Fleet Mineral Oil Enemas.

Reviewed: November 14, 2006 (OsmoPrep), and March 25, 2014 (Fleet phosphasoda enema), and May 27, 2014 (Fleet phosphasoda enema -- pediatrics)

Updated: 26 April 2016 (Fleet phosphasoda enema)

Last updated: Jul. 19, 2023

Black Box Warning: Sodium Phosphate: Acute Phosphate Nephropathy
Formulary, Not Routinely Stocked: OsmoPrep, Fleet Phosphasoda (adult)

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