Prophylactic PPI's started in the hospital will be automatically discontinued when patients are discharged from ICU, unless there is a gastrointestinal indication for continuation.
Per policy, orders for these non-formulary agents will be changed to formulary equivalents.
Non-Formulary Agent
Formulary Equivalent
lansoprazole (Prevacid) 15-30 mg PO
pantoprazole (Protonix) 40 mg PO at same frequency (esomeprazole (NexIUM) 40 mg packets if patient receives medication through a tube)
lansoprazole (Prevacid) 30 mg IV
pantoprazole (Protonix) 40 mg IV at same frequency (see policy in the event of drug shortages.)
lansoprazole (Prevacid) for pediatric patients
esomeprazole (NexIUM) granules - see for more details.
Enteral Drug Administration notes.
Generic (Brand)
Comments and Considerations
Recommendations for Administration with Enteral Nutrition
lansoprazole (Prevacid)
Oral suspension granules - extremely viscous may cause occlusion
Substitute to esomeprazole delayed-release granules. Do NOT administer oral suspension through feeding tube. May cause occlusion.
(see policy in the event of drug shortages.)
(Brand)
(Prevacid)