Lake County Sheriff's Office Prescription Formulary ANALGESICS AND ANTI-INFLAMMATORY AGENTS Non-salicylates
* Acetaminophen maximum daily dose: 4g; acetaminophen maximum daily dose in those with hepatic impairment is 1.8g
* Exercise caution when admiistering acetaminophen to those whith hepatic dysfunction
* Chronic use of acetaminophen may lead to both nephrotoxicity and hepatotoxicity
Salicylates
* Exercise caution when administering NSAIDS to those with renal dysfunction or those with hypertension
* Separate aspirin and NSAID dose bytwo hours when possible.
* NSAIDS DO NOT have any antiplatelet properties. Anti-Gout Migraine Products Narcotics Anti-Bacterial Agents Cephlasporins Fluoroquinolones Macrolides Penicillins Sulfonamides Tetracyclines Antimycobacterial (Tuberculosis) Miscellaneous Anticonvulsants
* Serum through concentration of carbamazepine: 4-12mcg/ml
* Serum concentration of carbamazepine incombination with other anticonvulsants: 4-8mcg/ml
* Serum concentration of phenobarbital: 15-40mcg/ml
* Serum concentration of phenytoin: 10-20mcg/ml
* Serum concentration of free phenytoin:1-2mcg/ml
* Serum through concentration of primidone: 5-12mcg/ml
* Serum concentration of valproic acid: 50-100mcg/ml
Antifungal Agents Antihistamines Vertigo, Dizziness Antihyperlipidemic Agents HMG CoA Reductase Inhibitors
* When initiating a HMG COA Reductase Inhibitor obtain baseline LFT and Monitor Q 3 months
Miscellaneous
* Patients may benefit from co-administration with aspirin to decrease flushing
Cardiovascular Agents ACE-Inhibitors Alpha-1 Blockers Antiarrythmics
* Serum quinidine concentration: 1-4 mcg/ml
Beta-Blockers Calcium Channel Blockers Cardiac Glycosides
* Obtain levels every 6-12 months once digoxin levels are stable
Centrally Acting Anti-hypertensives Diuretics Hematological Agents
* To adjust Coumadin dose: INR is < 2: Increase weekly warfarin dose by 5-20%
INR is 3.0-3.5: Decrease weekly warfarin dose by 5-15%
INR is 3.5-4.0: Consider holding 1dose and decrease weekly warfarin dose by 10-15%
Nitrates
* When administerin Nitrate products,remember that a nitrate free interval needs to be incorporated to minimize tolerance
Peripheral Vasodilators Potassium Regulators Dermatologicals Skin and Mucous Membranes Topical: Anti-infectives, (Antibiotics) Antifungal, and Antivirals Anti-inflammatory Agents Antipsoriatic, Antiseborrheic Combinations, Pediculicides Miscellaneous, Topicals Diabetic Agents Oral Antidiabetic Drugs Emergency Drug Box Gastrointestinal Agents Anorectals Antidiarrheals Laxatives/ Stimulants Ulcer, Antiemetic, Digestives Aids Miscellaneous GI Agents Gynecological Preparations Contraceptives Estrogen & Progestins Topical/Vaginal Preparations Minerals Muscle Relaxants Opthalmic Preparations Antibiotics/Combination Antibiotic Products Anti-inflammatory Agents/NSAIDs/Corticosteroids Decongestant Agents/Mydriatics Decongestant Agents/Vasoconstrictors Glaucoma Ocular Lubricants/Irrigation Otic Preparations Psychiatric Agents: Antianxiety/Sedative Antihistamines/Sedative Benzodiazepines Psychiatric Agents: Anticholinergics Psychiatric Agents: Antidepressants Tricylic Antidepresants (TCA) Selective Serotonin Reuptake Inhibitor (SSRI) Tetracyclic Antidepressants Psychiatric Agents: Mood Stabilizers
* Serum through concentration of carbamazepine: 4-12mcg/ml* Serum concentrationof carbamazepine in combination with other anticonvulsants: 4-8mcg/ml* Serum through concentration of lithium: 0.6-1.2mEq/ml when drawn 12 hrs after last dose
* Serum concentration of phenobarbital: 15-40mcg/ml* Serum concentration of phenytoin: 10-20mcg/ml* Serum concentration of free phenytoin: 5-12mcg/ml* Serum through concentration of primidone: 5-12mcg/ml* Serum concentration of valproic acid: 50-100mcg/ml
Psychiatric Agents:Antiparkinsons Agents Psychiatric Agents: Antipsychotics Respiratory Agents Bronchodilator/ Beta2agonist
* Serum concentration of Theophylline: 5-15mcg/ml
Cough Preparations, Decongestants, and Antihistamine Preparations Nasal Products Systemic Corticosteroids Thyroid Medications Urinary System Preparation Vitamins/Dietary Supplements
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