Medications approved for therapeutic interchange are as follows:

Medication

Therapeutic Interchange

Notes

Antifungal cream or ointment (example:  Nystatin)

Miconazole 2% cream or ointment

Dose:  apply topically twice daily

Antifungal powder

(example: Nystatin powder)

Miconazole powder

Dose:  apply topically twice daily

Exception for patients in NICU

Brompheniramine 12mg BID

Cetirizine (Zyrtec)

Dose:  5 mg PO daily

Clemastine 1.34 mg BID

Desloratadine (Clarinex) 5mg every other day

Fexofenadine (Allegra) 60 mg daily

Loratadine (Claritin) 5mg daily

Brompheniramine 24 mg BID

Cetirizine (Zyrtec)

Dose:   10 mg PO daily

Clemastine 2.68 mg BID

Desloratadine (Clarinex) 5mg daily

Fexofenadine (Allegra) 30 mg BID, 60 mg BID or 180 mg daily

Loratadine (Claritin) 10 mg daily

Clarinex D

Cetirizine (Zyrtec) 10 mg PO daily + pseudoephedrine 120 mg PO BID

Allegra D

Claritin D

All corticosteroid nasal sprays

Fluticasone

Dose:  2 sprays into each nostril daily

Calcitonin (Miacalcin)

Calcitonin (Fortical)

Dose:  1 spray into 1 nostril daily

Cyclosporin eye drops (Restasis)

Hydroxypropyl methylcellulose 0.5% (Artificial tears)

Dose:  2 drops in affected eye(s) every 4 hrs while awake and 4 times a day as needed for dry eye(s).

Nizatidine (Axid)

Famotidine (Pepcid)

Dose:  40 mg PO/IV HS or 20 mg PO/IV BID

Ranitidine (Zantac)

Cimetidine (Tagamet)

Humulin insulins

Novolin insulins (1:1)

Humalog

Novolog (1:1)

Lantus

Levimir (1:1)

Humulin 75/25

Novolog 70/30 (1:1)

Lansoprazole (Prevacid)

Pantoprazole (Protonix)

Dose:  40 mg PO/IV daily

Omeprazole (Prilosec)

Esomeparazole (Nexium)

Rabeprazole (Aciphex)

Carvedilol (Coreg CR) PO

10 mg daily

20 mg daily

40 mg daily

80 mg daily

Carvedilol IR  PO

3.125 mg BID

6.25 mg BID

12.5 BID

25 mg BID

Nifedipine XL (Procardia and Adalat)

Nifedipine ER

Nisoldipine (Sular) 17 mg daily

Nisoldipine generic 20 mg daily

Nisoldipine (Sular) 25.5 mg daily

Nisoldipine generic 30 mg daily

Nisoldipine (Sular) 34 mg daily

Nisoldipine generic 40 mg daily

Multivitamins

Theragran or generic

Dose: 1 tablet or 5mL daily

Centrum Silver

Theragram M or generic

Dose:  Take 1 daily

Multivitamin liquid

Theravite liquid

Dose:  5mL daily

Nephor-Vit RX

Nephrocaps

Dose:  Take 1 daily

Calcium carbonate supplements without Vitamin D

Oscal or Tums 500 mg

Dose varies 2-4 times/day

Use the same frequency as physician’s order.

Calcium carbonate with Vitamin D

Calcium carbonate 600 mg and Vitamin D 200 units

Dose:  Take 1 BID

Stress formula vitamins

Allbee with C

Dose:  Take 1 daily

B complex vitamins

Foltx

Dose:  Take 1 daily

Citrucel and Unifiber

Metamucil (1:1)

Aluminum hydroxide and Magnesium hydroxide, Maalox, Mylanta

Aluminum hydroxide and Magnesium hydroxide generic and simethicone

Dose:  30 mLs every 4 to 6 hours

Note:  Double strength is also available in 30 mLs

Mucinex 1 tablet per PEG/NG twice a day

Guaifenesin syrup

Dose: 200 mg every 4 hours

Mucinex 2 tablets per PEG/NG twice a day

Guaifenesin syrup

Dose: 400 mg every 4 hours

Eszopiclone (Lunesta) 3 mg HS

Zolpidem (Ambien)

Dose:

<65 yo use 5  mg and repeat x1 prn > 65 yo use Ramelteon 8 mg

Triazolam (Halcion)

Zolpidem (Ambien CR) 12.5 mg

Flurazepam (Dalmane) 15 or 30 mg

Temazepam (Restoril)

Dose: 15 or 30 mg PO HS

Restricted to patients already on temazepam or flurazepam prior to admission

Levofloxacin (Levaquin) 250mg, 500 mg

Moxifloxacin (Avelox) 400 mg and Ciprofloxacin 400 mg

Doripenem 500mg

Meropenem 1 gm q8h each infusion over 3 hours

Imipenem500 mg

Ticarcillin/clavulanate (Timentin)

 3.1 g every 4 hours

All Piperacillin/tazobactam (Zosyn)

 4.5 g every 8 hours each infusion over 4 hours

CrCl less 20ml/min

Piperacillin/tazobactam (Zosyn)

4.5 g every 12 hours

Ticarcillin/clavulanate (Timentin)

3.1 g every 6 hours or

2 g every 4 hours or

3.1 g every 8 hours

Ticarcillin/clavulanate (Timentin)

2 g every 8 hours or

3.1 every 12 hours

Ticarcillin/clavulanate (Timentin)

2 g every 12 hours or

2 g every 24 hours

Nafcillin

Oxacillin (1:1)

Anidulafungin (Eraxis)

Micafungin (Mycamine)

Dose:  100 mg daily

Caspofungin (Cancidas)

Hydrocodone/APAP

Hydrocodone/APAP

5/325 mg, 7.5/325 mg, 10/325 mg

Not implemented yet

Oxycodone/APAP

Oxycodone/APAP

5/325 mg, 7.5/325 mg, 10/325 mg

Not implemented yet

Brovana

Perforomist

Dose:  20 mcg twice daily

Baton Rouge only

Sevelamir (Renagel) 800 mg

Sevelamer (Renvela) 800  mg (1:1)

Probiotics, Acidophilus/Bulgaricus (Lactinex packets)

Acidophilus/Bulgaricus (Floranex packets)  1:1

Usually dose 1 packet 3-4 times per day

Gatifloxacin (Zymar) ophthalmic drops

Moxifloxacin (Vigamox)

Dose:  1 drop into affected eye(s) 3 times/day