NOTE: 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
pantoprazole (Protonix) for pediatric patients
esomeprazole (NexIUM) granules - see details there
pantoprazole (Protonix) per tube
esomeprazole (NexIUM) granules - see details there
Per policy, these drugs may be converted from IV to PO in patients who meet criteria.
pantoprazole(Protonix)
may convert from IV to PO on a mg-to-mg basis.
Enteral Drug Administration notes.
Generic (Brand)
Comments and Considerations
Recommendations for Administration with Enteral Nutrition
pantoprazole (Protonix)
Crushing DR tablet can clog tubes.
Substitute to esomeprazole delayed-release granules. No dose adjustment when using compounded suspension. Do NOT use DR or EC tablets. Consider holding tube feeding 1 hour before dose
(Brand)
(Protonix)