Ambulatory Care Product List
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| Amaryl | Glimepiride
Sulfonylurea
Initial: 1-2mg daily w/ 1st meal
Maint: 1-8 mg daily
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| Glucotrol | Glipizide
Sulfonylurea
Initial: 5mg/day
Max: RR- 40mg/day, XR - 20mg/day
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| Diabeta | Glyburide
Sulfonylurea
Maint: 1.25-20 mg/day (QD-BID)
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| Prandin | Repaglinide
meglitinide
0.5-4mg TID
Max of 16mg/day
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| Starlix | Nateglinide
Meglitinide
120mg TID taken 1-30 min prior meals
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| Actos | Pioglitazone
Thiazolidinediones
Init: 15-30 mg daily
Max: 45 mg daily
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| Glucophage Riomet (liquid) | Metformin
Biguanide
RR: 500mg/day to 2550 mg/day. (1-2 doses/day)
XR: 500 mg/day to 2000 mg/day
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| Precose | Acarbose
Alpha-glucosidase inhibitor
Maint: 50-100 mg TID
Max: <60kg: 50mg TID
>60kg: 100mg TID
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| Glyset | Miglitol
Alpha-glucosidase inhibitor
TID (25-300 mg/daily)
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| Januvia | Sitagliptin
DPP4 Inhibitor
25-100 mg/daily
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| Onglyza | Saxagliptin
DPP4 Inhibitor
2.5-5 mg/daily
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| Tradjenta | Linagliptin
DPP4 Inhibitor
5 mg daily
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| Glucovance | Glyburide/Metformin
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| Metaglip | Glipizide/Metformin
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| ActoPlusMet | Pioglitazone/Metformin
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| Duetact | Pioglitazone/Glimepiride
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| Avandaryl | Rosiglitazone/Glimepiride
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| Janumet | Sitagliptin/Metformin
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| Jentadueto | Linagliptin/Metformin
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| Kombiglyze | Saxagliptin/Metformin
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| Byetta | Exenatide
Incretin mimic agent
5-10 mcg BID 60 min prior to meal
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| Bydureon | Exenatide
Incretin mimic agent
2 mg SQ weekly
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| Victoza | Liraglutide
Incretin mimic agent
0.6 mg for one week, then 1.2mg daily.
Max of 1.8mg
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| Novolog | Insulin aspart
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| Humalog | Insulin lispro
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| Apidra | Insulin glulisine
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| Humulin/Novolin R | Regular Insulin
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| Humulin/Novolin N | NPH (neutral protamine Hagedorn)
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| Lantus | Insulin glargine
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| Levemir | Insulin detemir
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| Cymbalta | Duloxetine
SNRI
60mg QD
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| Amitriptyline | Tricyclic antidepressant
10-150mg daily
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| Lyrica | Pregabalin
anticonvulsant
50 TID-100 mg TID (>60ml/min)
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| Neurontin | Gabapentin
anticonvulsant
If >60ml/min then 900-3600mg/daily on TID
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| Niacin (RR) or Niaspan (ER) | Niacin
B Vitamin
RR: 250mg QHS initially, max of 6g daily (BID-TID)
ER: 500mg QHS initally, max 2000 mg daily (QD or Divided Doses as tolerated)
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| Questran, Prevalite | Cholestyramine
Bile acid sequestrant
4g QD/BID initally, max of 24 g daily (Qday up to 6x daily)
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| Welchol | Colesevelam
Bile acid sequestrant
1 tab QD initally, max of 6 tab QD/ 3tab BID
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| Colestid | Colestipol
Bile acid sequestrant
Granules
Initial : 5g daily
5-30 g daily (QDay or in divided doses of 2-4x daily)
Tablets
initial: 2g daily
Maximum: 16g daily
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| Tricor | Fenofibrate
Fibric acid derivative
48-145 mg QD
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| Lofibra | Fenofibrate
Fibric acid derivative
54-160 mg QD
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| Micronized Fenofibrate | Fenofibrate
Fibric acid derivative
45-135 mg QD
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| Lopid | Gemfibrozil
Fibric acid derivative
600 mg BID
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| Lescol (XL) | Fluvastatin
HMG CoA Reductase Inhibitor
Initial : 20-40 mg QDay
Max : 80mg QDay
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| Mevacor (RR) Altoprev (ER) | Lovastatin RR
HMG CoA Reductase Inhibitor
Initial: 10-20 mg w/ evening meal
Max : 80mg daily for RR, 60mg daily for ER w/ evening meal
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| Zocor | Simvastatin
HMG CoA Reductase Inhibitor
Initial: 5-40 mg QHS
Max: 80 mg QHS
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| Pravachol | Pravastatin
HMG CoA Reductase Inhibitor
Initial: 10-40 mg QHS
Max: 80 mg QHS
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| Lipitor | Atorvastatin
HMG CoA Reductase Inhibitor
Initial: 10-20 mg QHS
Max: 80 mg QHS
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| Crestor | Rosuvastatin
HMG CoA Reductase Inhibitor
Initial: 5-10 mg QHS
Max: 40 mg QHS
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| Zetia | Ezetimibe
Cholesterol Absorption Inhibitor
10mg QDay
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| Advicor | Lovastatin/ Niacin
QHS
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| Caduet | Amlodipine/ Atorvastatin
QD
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| Vytorin | Ezetimibe/ Simvastatin
QD
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| Simcor | Simvastatin/ Niacin
QHS
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| HCTZ | Hydrochlorothiazide
Diuretic
12.5-50mg dialy
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| Lasix | Furosemide
Diuretic
40-120mg dialy
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| Zestril/ Prinivil | Lisinopril
ACE-Inhibitor
5-80 mg/day
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| Lotensin | Benazepril
ACE-Inhibitor
10-40mg
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| Altace | Ramipril
ACE-Inhibitor
2.5-10mg/daily in 1-2 doses
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| Tenormin | Atenolol
B1 Blocker
50-200 mg
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| Lopressor | Metoprolol tartrate
B1 blocker
50-450 mg/d (1-2 doses)
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| Toprol XL | Metoprolol succinate
B1 blocker
25-400 mg daily
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| Coreg (CR) | Carvedilol
Alpha1 and nonselective Beta Blocker
3.125-50mg BID
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| Apresoline | Hydralazine
Peripheral Vasodilator
10-50 mg QID
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| Catapres (TTS) | Clonidine
Central Alpha Agonist
0.1 mg QD - 2.4mg/day
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| Calan/Isoptin | Verapamil
Non-Dihydropyridine CCB
Max of 480 mg daily
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| Cardizem CD/SR, Tiazac | Diltiazem
Non-Dihydropyridine CCB
CD: 180-480 mg QD
SR: 60-180 mg BID
Tiazac: 120-420 mg QDay
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| Procardia XL, Adalat CC | Nifedipine
Dihydropyridine CCB
30-90 mg QDay
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| Norvasc | Amlodipine
Dihydropyridine CCB
2.5-10 mg Qday
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| Cozaar | Losartain
ARB
25-100 mg Qday
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| Avapro | Irbasartan
ARB
150-300 mg Qday
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| Atacand | Candesartan
ARB
8-32 mg QDay
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| Diovan | Valsartan
ARB
80-320 mg Qday
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| Cordarone, Pacerone | Amiodarone
Class 3 antiarrhythmic
200-400 mg/Qday
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| Multaq | Dronedarone
Class 3 antiarrhythmic
400 mg BID
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| Ventolin HFA, ProAir HFA, Proventil HFA | Albuterol
1-2 puff Q 4-6 H Qday
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| Singulair | Montelukast
>15 y/o : 10mg Qday in evening
6-14 y/o: 5 mg Qday
2-6 y/o: 4mg chewablet tablet Qday
12-23 months: 4 mg granules
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| Atrovent | Ipratropium
Initial : 2 puff QID
COPD : 3-6 puff QID
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| Flovent | Fluticasone
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| Advair | Fluticasone/Salmeterol
100 - 500 /50 BID
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| Symbicort | Budesonide/Formoterol
2 puff BID
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| Spiriva | Tiotropium
1 18 mcg capsules in Handihaler QDay
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| Combivent | Albuterol/ Ipratropium
2 puff QID
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| Zyban | Bupropion SR
150 mg Qam x 3 days, then 150 mg BID
Set quit date 1-2 wks after initiating tx.
Allow at least 8 hours btwn interval
Avoid HS b/c insomnia
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| Nicotrol, Nicoderm CQ | Nicotine Patch
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| Nicorette | Nicotine Gum
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| Commit | Nicotine Lozenge
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| Nicotrol NS | Nicotine Nasal Spray
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| Chantix | Varenicline Tartrate
0.5 mg QD - 1 mg BID over 8 days
Tx duration is 8 weeks
Patient should quit smoking within one week of starting Chantix
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| Risperdal | Risperidone
4-8 mg daily. Titrate from 1 mg BID
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| Zyprexa | Olanzapine
5-10 mg daily initially titrated up to 20 mg daily
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| Geodon | Ziprasidone
20 mg BID with food up to 80 mg BID
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| Abilify | Aripiprazole
10-30 mg daily
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| Seroquel | Quetiapine
For Schizophrenia: inital dose 25 mg BID up to 750 mg/daily
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| Desyrel | Trazodone
Serotonin Reuptake Inhibitor/Antagonist
50-400 mg daily
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| Effexor (XR) | Venlafaxine
SNRI
Initial 75 mg in divided doses up to 375 mg daily
XR can be given once daily
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| Celexa | Citalopram
SSRI
20-60 mg QDay
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| Lexapro | Escitalopram
SSRI
10-20 mg Qday
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| Prozac | Fluoxetine
SSRI
20-80 mg daily
90mg weekly
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| Zoloft | Sertraline
SSRI
50-200 mg daily
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| Paxil (CR) | Paroxetine
SSRI
20-50 mg/daily RR
25-62.5 mg Qday DR
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| Remeron | Mirtazapine
Tetracyclic Antidepressant
15-45 mg Qday
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| Coumadin | Warfarin
Vitamin K Antagonist
1 - pink
2 - lavender
2.5 - green
3 - tan
4 - blue
5 - peach
6 - teal
7.5 - yellow
10 - white
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| Pradaxa | Dabigatron etexilate
Direct Thrombin Inhibitor
150 mg BID
if CrCl <30 ml/min then use 75 mg BID
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| Eliquis | Apixaban
Factor Xa Inhibitor
2.5-5 mg BID
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| Xaralto | Rivaroxaban
Factor Xa Inhibitor
15-20 mg Qday
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| Arixtra | Fondaparinux
2.5-10 mg Qday Inj
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| Lovenox | Enoxaparin
Low Molecular Weight Heparin
1 mg/kg Q12 H or 1.5 mg/kg Q24 hr
if CrCl < 30ml/min - 1 mg/kg Q 24 Hr
DVT Prophalaxis is 40 mg Q24 hr
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| Aspirin | Platelet Aggregation Inhibitor
75-325 mg Qday for CAD Prophylaxis
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| Plavix | Clopidogrel
Platelet Aggregation Inhibitor
75 mg Qday
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| Effient | Prasugrel
Platelet Aggregation Inhibitor
10 mg Qday
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| Mephyton | Vitamin K; phytonadione
2.5-10 mg for oral anticoagulant therapy reversal
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| Zantac | Ranitidine
H2 Antagonist
150 mg BID for GERD
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| Pepcid | Famotidine
H2 Antagonist
20 mg BID for GERD
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| Prilosec | Omeprazole
PPI
20 mg Qday for 4-8 weeks
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| Nexium | Esomeprazole
PPI
40 mg daily
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| Prevacid | Lansoprazole
PPI
15mg daily for GERD
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| Protonix | Pantoprazole
PPI
40 mg daily
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| Aciphex | Rabeprazole
PPI
20 mg Qday for 4-8 weeks
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| Bactrim DS 800/160 | Sulfamethoxazole/ trimethoprim
Sulfonamide
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| Flagyl | Metronidazole
Imidazole
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| Diflucan | Fluconazole
Triazole Antifungal
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| Cipro | Ciprofloxacin
Fluoroquinolone
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| Levaquin | Levofloxacin
Fluoroquinolone
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| Avelox | Moxifloxacin
Fluoroquinolone
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| Zithromax | Azithromycin
Macrolide
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| Biaxin | Clarithromycin
Macrolide
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| E-Mycin | Erythromycin
Macrolide
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| Penicillin derivative | Dicloxacillin
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