Policies and procedures

Consults, protocols, and therapeutic interchanges

System_RXCLIN 127 Pharmacy Procedure for Oseltamivir Alert (Vigilanz)

Key points:

• Based on microbiological data, pharmacists will evaluate indication, dosing, and frequency
• If consulted, pharmacist will optimize dosing “per policy” or will recommend discontinuation of therapy. If not consulted, pharmacist will contact MD for therapy optiminization
• The recommended frequency and duration for influenza treatment is twice daily for 5 days
• The recommended frequency and duration for influenza prophylaxis is once daily for 10 days
• Dose must be renally adjusted
• Ensure patient is on appropriate isolation status. Nursing may change isolation orders "per policy"

Additional information

Houston Methodist Antimicrobial Stewardship page

• Micromedex
• UpToDate
• Lexicomp