Brand Names and Dosing Flashcards
MiraLAX
- Generic name
- Initial dose
- Maintenance dose
polyethylene glycol
Initial dosing: 0.4-0.8 g/kg/day QD (Max: 17 grams/day)
Maintenance: 0.2-1.5 g/kg/day
- titrate as needed for desired effect
Augmentin
- Generic name
- Dosing
- Preferred dosing ratio
amoxicillin + clavulanate
Dosing: 14:1 = 90 mg/kg/day q12h (Max: 4000 mg/day)
Use highest ratio amoxicillin:clavulanate available (14:1 or 16:1)
Acetaminophen (oral)
- Brand name (2)
- Dosing
Tylenol, Paracetamol
10-15 mg/kg/dose q4-6h (Max: 75 mg/kg/day, do not exceed 4000 mg/d)
- do not exceed 5 doses in 24 hours
Ibuprofen (oral)
- Brand names (2)
- Dosing
Advil, Motrin
4-10 mg/kg/day q6-8h (Max: 600 mg/dose, do no exceed 2400 mg/day)
Pseudoephedrine
- Brand name
- Use
- Dosing (3)
Sudafed
Use: oral decongestant (vasoconstriction)
< 4 yo = 15 mg/kg q4-6h (Max: 60 mg/day)
4-6 yo = 30 mg/kg q4-6h (Max: 120 mg/day)
> 6 yo = 60 mg/kg q4-6h (Max: 240 mg/day)
Extended = 120 mg/kg q12h or 240 mg QD (Max:240/day)
Oseltamivir
- Brand name
- Use (when can it be initiated)
- Length of treatment
- Dosing for children/adolescents (4)
Tamiflu
Use: influenza treatment (initiate within 48 hours from sxs)
Length: 5 days
< 15 kg: 30 mg BID
15-23 kg: 45 mg BID
24-40 kg: 60 mg BID
> 40 kg: 75 mg BID
Amoxicillin (AOM)
- Length of treatment (2)
- Dosing
- When should Augmentin be used instead?
LOT:
- severe or < 2 yo = 10 days
- mild or > 2 yo = 5-7 days
Dosing: 80-90 mg/kg/day in divided doses q12h (Max: 4000 mg/day)
- switch to Augmentin if Abx use within the last 30 days
Acyclovir
- Length of treatment
- Dosing
- When is medication treatment deferred?
LOT: 5-7 days
15 mg/kg PO 5x/day (Max single dose 200 mg)
Drug treatment should occur < 96 hours after sxs; if > 96 hours since sxs –> supportive care
Cetirizine
- Brand name
- Use (2)
- Dosing (2)
Zyrtec
allergic rhinitis, urticaria
Dosing:
- < 6 yo: 2.5 mg QD; can inc. to 2.5 mg BID or 5 mg QD (Max: 5 mg/day)
- > 6 yo: 5-10 mg QD
Fluticasone (nasal spray)
- Brand name
- Use
- Dosing (2)
Flonase
allergic and non-allergic rhinitis
Dosing:
- < 11 yo: 1 spray/nostril/day (Max: 2 spray/nostril/day)
- > 12 yo: 2 spray/nostril/day x1 week, then 1-2 spray/nostril/day as needed
Ciprodex
- Generic name(s)
- Use
- Dosing
Ciprofloxacin + Dexamethasone
Use: Otitis Externa
Dose: 7.5 mL 4 drops/ear BID x7 days
Mupirocin
- Use
- Dosing
topical antibiotic ointment/cream
Dose: small amount TID x5-10 days + Band-Aid
Oral Azithromycin (CAP > 3 mo)
- Dosing
10 mg/kg PO - 1st day (Max: 500 mg)
5 mg/kg/day PO QD - 2nd-5th day (Max: 250 mg/day)
Oral Azithromycin (Acute Sinusitis > 6 mo)
- Dosing
10 mg/kg/dose PO QD x3 days
Oral Azithromycin (CAP adolescent)
- Dosing
500 mg PO - 1st day
250/day PO QD - 2nd-5th day
Oral Azithromycin (Acute Sinusitis adolescent)
- Dosing
500 mg PO QD x3 days
Cephalexin (Strep Pharyngitis and Skin Infections)
- Dosing
25-50 mg/kg/day PO q6-12 hr (Max: 4g/24hrs)
Cephalexin (UTI)
- Dosing
25 mg/kg/dose q6-8h (Max: 2 g/24hrs)
Cephalexin
- Difference between mild/moderate and severe dosing
Mild/Mod: 25-50 mg/kg/24h PO q6hr (Max: 2g/24hr)
Severe: 75-100 mg/kg/24h PO q6hr (Max: 4g/24hr)
Clindamycin (>1 mo and adolescent)
- Dosing (PO and IV)
PO: 10-40 mg/kg/day q6-8hr (Max: 1.8g/24hr)
IV: 20-40 mg/kg/day q6-8hr (Max: 2.7/24hr)
Diaper (Contact) Dermatitis Topicals
- Brand names for: Petrolatum, Dimethicone + Zinc Oxide, and Zinc Oxide alone
Petrolatum = Aquaphor
Dimethicone + Zinc Oxide = A&D Diaper Rash Cream
Zinc Oxide = Desitin
Diaper (Contact) Dermatitis Topicals
- MOA of: Petrolatum, Dimethicone, Zinc Oxide, and Lanolin
Petrolatum = emollient (blocks water loss/pulls water into outer skin layer)
Dimethicone = moisturizer/emollient (blocks water loss/pulls water into outer skin layer)
Zinc Oxide = physical barrier to irritants
Lanolin = emollient (oil blocks transdermal water loss)
Unasyn
- Generic name
Ampicillin/Sulbactam
Augmentin
- Generic name
Amoxicillin/Clavulanate
Flagyl
- Generic name
Metronidazole
Zosyn
- Generic name
Piperacillin/Tazobactam
Bactrim or Sulfrim
- Generic name
Trimethoprim-Sulfamethoxazole (TMP-SMX)
Keflex
- Generic name
Cephalexin
Rocephin
- Generic name
Ceftriaxone
Xarelto
- Generic name
Rivaroxaban
Eliquis
- Generic name
Apixaban
Plavix
- Generic name
Clopedigrol
Amoxicillin (Strep Pharyngitis)
- Dosing
- Duration
50 mg/kg/day PO (can be divided into 2 equal doses)
Duration: 10 days
Amoxicillin or Augmentin (Acute Otitis Media)
- Dosing
- Duration (2)
90 mg/kg/day PO divided in 2 equal doses (Max: 3 g/day)
Duration: < 2 yo = 10 days, > 2 yo = 5-7 days
Symbicort
- Two meds in it
Budesonide-Formoterol
Metronidazole (Gardnerella vaginalis)
- Route (oral or IV)
- Dosing (2)
ORAL
< 45 kg = 15-25 mg/kg/day divided in doses TID (Max: 2250 mg/day)
> 45 kg/Adolescents = 500 mg BID x7 days
Metronidazole (Trichomonas)
- Route (oral or IV)
- Dosing (2)
- Dosing for male sexual partners
ORAL
< 45 kg = 45 mg/kg/day divided TID x7 days (Max: 2000 mg/day)
> 45 kg/adolescents = 500 mg/day BID x7 days
MALES= 2000 mg single dose
Risperidone (Autism - aggression)
- Initial Dosing (<20kg vs >20kg)
- How to increase dosage
15-20 kg: 0.25 mg QD
- after 4 days, inc. to 0.5 mg/day
- after 14 days, can inc. by 0.25 mg q2 weeks until sxs controlled
> 20 kg: 0.5 mg QD
- after 4 days, inc. to 1 mg/day
- after 14 days, can inc. by 0.5 mg q2 weeks until sxs controlled
What are the only two FDA-approved medications to treat aggression in ASD patients?
Risperidone and Aripiprazole
Melatonin (sleep)
- Initial dosing
- Titration
Initial: 0.5-1.0 mg QD at night
- can increased to 10 mg as needed
What is the brand name of risperidone?
Risperdal
- Atypical Antipsychotic
What is the brand name of aripiprazole?
Abilify
- Atypical Antipsychotic
What is the brand name of clomipramine?
Anafranil
- TCA
What is the brand name of escitalopram?
Lexapro
- SSRI
What is brand name of fluoxetine?
Prozac
- SSRI
What is the brand name of sertraline?
Zoloft
- SSRI
Fluoxetine (Anxiety)
- Initial dosing (children vs adolescents)
- how to titrate dose
Dosing:
- Children = 5-10 mg QD
- Adolescents = 10 mg
Titrate:
- after 7 days: inc. dose to 20mg
- then after 4 and 8 weeks, increase by 20mg if needed
Sertraline (Anxiety)
- Initial dosing
- how to titrate dose
Dosing: 12.5-25 mg QD
Titrate:
- children: inc. by 12.5mg after 7 days
- adolescents: inc by 25-50mg after 7 days
What symptoms might patients on sertraline experience more than being on other SSRIs?
diarrhea
Escitalopram (Anxiety)
- Initial dosing
- how to titrate dose
Dosing: 10 mg QD
Titrate:
- inc by 5-10mg after minimum of 14 days
What cardiac condition is associated with escitalopram use?
prolongation of QT interval
Clomipramine (Anxiety)
- Initial dosing (ages >/= 10yo)
- how to titrate
Dosing: 25 mg QD
Titrate:
- inc. by 25mg after minimum of 7 days
- give in divided doses at meals/bedtime