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MTM MID TERM
| DISEASE STATE | TREATMENT | |
|---|---|---|
| Hypertension | Lisinopril (Prinivil, Zestril) 10 mg QD -> Usual 20-40 mg QD, Losartan (Cozaar) 50 mg QD up to 100 mg QD, Amlodipine (Norvasc) 5 mg QD, max 10 mg QD | |
| DDyslipidemia/ASCVD | HIGH INTENSITY STATINS: - Atorvastatin (Lipitor) 40-80 mg daily - Rosuvastatin (Crestor) 20-40 mg daily MODERATE: Atorvastatin (Lipitor) 10-20 mg Rosuvasatin (Crestor) 5-10 mg Simvastatin (Zocor) 20-40mg Pravastatin (Pravachol) 40-80mg | |
| Atrial Fibrillation (rate control) | RATE CONTROL: - Metoprolol Succinate (Toprol-XL) 25-200 mg QD - Diltiazem ER (Cartia XT, Cadizem CD/LA) 120-360mg QD | |
| A fib (stroke prevention) | STROKE PREVENTION: Apixaban (Eliquis) 5 mg BID Rivaroxaban (Xarelto) 20 mg QD with evening meal Dabigatran (Pradaxa) 150 mg BID Warfarin (Coumadin, Jantoven) INR = 2-3 | |
| HFrEF | THE 4 = ARNI, BB, MRA, SGLT2 Sacubitril/Val (Entrestro) 24/26 mg or 49/51 mg BID Metroprolol succ (Toprolol- XL) 12.5-25 mg QD Carvedilol (Coreg) 3.125 mg BID Spironolactone (Aldactone) 12.5-25 mg QD Empaga (Jardiance) or Dapaga (Farxiga) 10 mg QD | FUROSEMIDE 20-40 mg QD or BID |
| Stroke/Secondary Prevention | Aspirin (Bayer, Bufferin, Ecotrin) 81 mg QD Clopidogrel (Plavix) 75 mg QD Atorvastatin (Lipitor) 80 mg QD | |
| IMMUNIZATIONS | - FLU (Fluzone) Qyear - Tdap (Boostrix, Adacel) once then Q10 yr - HPV (Gardasil-9) <26 y/o (27-45y/o fem) - Shingles (shingrix) -> 50 y/o+ - Pneumo (Prevnar 20 (PCV20) -> 65 y/o+ - RSV (arexxy, abryso) -> 60+ (high risk), 75+ (recommended | |
| GERD | - Omeprazole (Prilosec) 20 mg QD before brekkie - Pantoprazole (Protonix) 40 mg QD - Famotidine (Pepcid, Zantac 360) 20 mg BID or 40 mg QHS | |
| Constipation | - PEG 3350 (Miralax) 17g QD - Senna (Senokot, Exlax) 8.6-17.2 mg QD or BID - Docusate (Colace) 100 mg QD or BID - Bisacodyl (Dulcolax) 5-15 mg PO PRN - Lubiprostone (Amitiza) 24 mcg BID - Linaclotide (Linzess) 145 mcg QD for CIC | |
| Diarrhea | - Loperamide (Imodium) 4 mg then 2 mg after each loose poop - Bismuth Subsalicylate (Pepto Bismol) - Diphenoxylate and atropine (Lomotil) 5 mg QID | |
| Type 2 Diabetes | - Metformin IR/XR (Glucophage) 500 mg QD or BID up to 1000 mg - Empaga (Jardiance) or Dapaga(Farxiga) 10 mg QD - Semaglutide (Ozempic)0.25mg to start - Liraglutide (Victoza) 0.6 mgQD - Insulin Glargine (Lantus, Toujeo, Basaglar) 10U or 0.1-0.2/kg | |
| Diabetic Peripheral Neuropathy | - Duloxetine (Cymbalta) 30 mg QD - Pregablin (Lyrica) 50 mg TID or 75 mg BID - Gabapentin (Neurontin) 100-300 mg HS or TID | |
| Osteoporosis | - Alendronate (Fosamax) 70 mg Qweek or 10 mg QD - Ibandronate (Boniva) 150mg Qmonth - Risedronate (Actonel/Atelvia) 35 mg Qweek - Zoledronic acid (Zometa) 5 mg IV Qyear - Denosumab (Prolia, Xgeva) 60 mg SC Q6 months | |
| MENOPAUSE | - Estradiol patch (Cimera, Vivelle Dot) 0.025mg/day-0.05mg/day changed once or twice weekly - Oral Estradiol (Estrace) 0.5 mg - 1 mg daily - Micronized progesterone 100 mg QD or 200 mg HS | |
| Hypothyroidism | Levothyroxine (Synthroid, Levoxyl, Unithyroid) - FOR HEALTHY YOUNG ADULTS: 1.6 mcg/kg/day ROUND TO NEAREST DOSE (12.5, 25, 50, 75, 88, 100, 112, 125, 137, 150, 175, 200 mcg) OLDIES: 12.5-25 mcg/day | |
| CKD | - Lisinopril (Prinvil) 5-10 mg QD - Losartan (Cozaar) 25-50 mg daily - Empaga (Jardiance) Or Dapaga (Farxiga) 10 mg QD | |
| BPH | - Tamsulosin (Flomax) 0.4 mg QD after same meal QD - Alfuzosin ER (Uroxtral) 10 mg QD - Finasteride (Proscar, Propecia) 5 mg QD if enlarged prostate | |
| Asthma | - Bud-Fom (Symbicort) 80/4.5 or 160/4.5 - Mom-Fom (Dulera) - Fluticasone (Flonase) - Albuterol (Proair, Proventil) | |
| COPD | - Tiotropium LAMA (Spiriva) 2 puffs or 18 mcg /day - Umeclidium LAMA 62.5 mcg QD - Salmeterol or formoterol (LABA) 1 puff BID | |
| Tobacco cessation | - Varencline (chantix) 0.5 mg QD x 3 days then 0.5 mg BID x 4 then 1 mg BID - Bupropion SR (Wellbutrin SR/XL) 150 mg QD x 3 then 150 mg BID - Nic patch 21 mg then taper - Nic gum/lozenge 2mg or 4 mg depending on time of first cig | |
| Osteoarthitis | - Diclofenac 1% (Voltaren) - 2g for upper 4 g for lower - Acetaminophen (Tylenol, Ofirmev) 500-1000 mg PRN Naproxen (Naprosyn, Aleve) 250-500 mg BID - Duloxetine 30 mg QD then 60 mg QD | |
| Gout | - NSAIDs (indomethacin or naproxen) - Colchicine (Colcrys) 1.2 mg QD, then 0,6 mg 1 hr later - Allopurinol (Zyloprim) 100 mg QD - Prednisone (Prednisolone) 30-40 mg QD | |
| PAIN | - Acetaminophen (Tyelnol) 500-1000 mg - Ibuprofen (Motrin, Advil) 200-400 mg QTC - Naproxen (Naprosyn) 250-500mg BID - Tramadol (Ultram, Ultram ER) 50-100 mg Q4-6 hr PRN |