Per policy, orders for these non-formulary agents will be changed to formulary equivalents.
Non-Formulary Agent
Formulary Equivalent
naproxen (Aleve) 220 mg
naproxen (Naprosyn) 250 mg
naproxen (Anaprox DS) 550 mg
naproxen (Naprosyn) 500 mg
naproxen-esomeprazole (Vimovo) 375 mg - 20 mg
naproxen (Naprosyn) 375 mg plus pantoprazole (Protonix) 40 mg
naproxen-esomeprazole (Vimovo) 500 mg - 20 mg BID
naproxen (Naprosyn) 500 mg plus pantoprazole (Protonix) 40 mg
Anticoagulant / Antiplatelet Stoppage For Procedures
generic (Brand)
Dept.
Procedure Type (hover over entry for examples)
Stop Medication Prior To Procedure Restart after:
naproxen (Naprosyn)
Anesthesia
High-risk
4 days Restart after 24 hours
Intermediate-risk
No hold Restart after 24 hours
Low-risk
No hold Restart after 24 hours
Patients with high risk of bleeding (eg, old age, history of bleeding tendency, concurrent uses of other anticoagulants/antiplatelets, liver cirrhosis or advanced liver disease, and advanced renal disease) undergoing low- or intermediate-risk procedures should be treated as intermediate or high risk, respectively.
pantoprazole (Protonix) 40 mg
pantoprazole (Protonix) 40 mg
(hover over entry for examples)
(Naprosyn)