Exam 2 Women's and Men's Health Dosing Flashcards by Julia Stone

Dose of testosterone ethanate or cypionate for treatment of hypogonadism?

75-100mg IM weekly or

200mg every 2 weeks

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Dose of testosterone patch for treatment of hypogonadism?

One to two 5mg patches applied nightly

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Dose of testosterone gel for treatment of hypogonadism?

5-10g of 1% gel applied daily over a covered area of skin

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Dose of testosterone solution for treatment of hypogonadism?

30-120mg (1 to 4 applications) applied to armpits daily (deodorant first)

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Dose of testosterone buccal tablet for treatment of hypogonadism?

30mg buccal tablet applied to mucosa every 12 hours

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Dose of testosterone SQ pellets for hypogonadism?

Implanted at intervals of 3-6 months (different dose depending on formulation)

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Dose of terazosin for BPH?

Initial: 1mg HS

May increase to 10-20mg hs

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Dose of doxazosin for BPH?

Initial: 1mg HS

May increase to 4-8mg hs

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Dose of tamsulosin for BPH?

Initial: 0.4mg HS (daily ok)
May increase to 0.8mg HS
Do not chew/crush, take 1/2 hour after same meal daily

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Dose of alfuzosin for BPH?

10mg daily; swallow whole, do not crush

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Dose of silodosin for BPH?

Initial: 4mg PO daily
May increase to 8mg daily
Take with a meal

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Dose of finasteride for BPH?

5mg PO daily (1mg just for alopecia)

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Dose of dutasteride for BPH?

0.5mg PO daily (longer half life)

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Dose of sildenafil for ED?

Initial: 50mg
Max: 100mg

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Dose of vardenafil for ED?

Initial: 10mg
Max: 20mg

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Dose of tadalafil for ED?

Initial: 10mg (2.5-5mg if daily dosing)
Max: 20mg

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Dose of avanafil for ED?

Initial: 100mg
Max: 200mg

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PDE-5 inhibitor with the longest onset and duration?

Cialis (tadalafil) - 60 min onset, 36 hour duration

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Which PDE-5 inhibitor may have the fastest onset in addition to a slightly longer duration?

Avanafil (15 min onset? 6h duration)

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How are alprostadil injections dosed?

Initial: 2.5 mcg
Usual range: 10-20mcg
Max: 60 mcg

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What is the dose of diclofenac for dysmenorrhea?

50mg TID

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What is the dose of ibuprofen for dysmenorrhea?

800mg TID

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What is the dose of celecoxib for dysmenorrhea?

400mg x1 then 200mg BID

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What is the dose of mefenamic acid for dysmenorrhea?

500mg x1 then 250mg QID

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What is the dose of naproxen for dysmenorrhea?

500-550mg BID

What is the dose of danazol for dysmenorrhea?

100-200mg BID

What is the dose of leuprolide acetate for dysmenorrhea?

3.75mg IM monthly

What is the dose of tranexamic acid for acute menorrhagia treatment?

1300mg PO TID x5 days

What is the dose of medroxyprogesterone for acute menorrhagia treatment?

20mg PO TID x 1 week

What is the dose of estrogen for acute menorrhagia treatment?

25mg IV q4h until bleeding slows OR | Monophonic OC 30-35mcg EE TID x 1 week

What is the dose of levonorgestrel for emergency contraception?

150mg X1 OR 0.75mg PO q12h x2 doses

If using a COC for emergency contraception, how is it dosed?

At least EE 100mcg and levonorgestrel 0.5mg per dose (2-4 tablets) -- 1 dose q12h x 2

What is the dose of ulipristal acetate for emergency contraception?

30mg tablet x1 dose

What is the dose of calcium for PMDD?

Calcium carbonate 1200mg/day

What is the dose of fluoxetine for PMDD?

20mg PO daily (or 90mg PO weekly during luteal phase)

What is the dose of sertraline for PMDD?

50-150mg PO daily

What is the dose of paroxetine for PMDD?

CR 12.5-25mg daily

What is the dose of citalopram for PMDD (not FDA approved)?

20-30mg PO daily

What is the dose of escitalopram for PMDD (not FDA approved)?

10-20mg PO daily

What is the dose of alprazolam for PMDD?

0.25mg PO BID-QID during luteal phase

What is the dose of Yaz for PMDD?

Drospirenone 3mg/EE 20mcg

What is the dose of spironolactone for PMDD?

25-200mg PO daily during luteal phase

How is Addyi dosed for femal sexual interest/arousal disorder?

100mg PO at bedtime

What is the dose of folate in prenatal care?

0.4mg PO daily beginning at least 1 month prior to conception

What is the dose of iron in prenatal care?

27-30mg of iron for all pregnant women

What is the dose of calcium in prenatal care?

1300mg PO daily 14-18yo 1000mg PO daily 19-50yo Can be through diet

What is the dose of Pen G for group B beta strep prophylaxis during labor?

5 million units IV then 2.5-3 million units IV q4h

What is the dose of ampicillin for group B beta strep prophylaxis during labor?

2g IV then 1g IV q4h

What is the dose of cefazolin for group B beta strep prophylaxis during labor?

2g IV then 1g IV q8h

What is the dose of clindamycin for group B beta strep prophylaxis during labor?

900mg IV q8h

What is the dose of vancomycin for group B beta strep prophylaxis during labor?

1g IV q12h

What is the dose of vitamin B for NVP?

10-25mg q8h

What is the dose of Diclegis for NVP?

Doxylamine 10mg/pyridoxine 10mg 2 tabs at bedtime. May increase to qAM, qNoon, 2 qHS

Dose of ginger for NVP?

125-250mg q6h

Dose of promethazine for NVP?

12.5-25mg q4-6h

Dose of metoclopramide for NVP?

10mg q6h

Dose of ondansetron for NVP?

4-8mg q6h

Dose of methylprednisolone for NVP?

16mg q8h x3 days then taper over 2 weeks

Dose of cephalexin for UTI of pregnancy?

250mg BID-QID

Dose of nitrofurantoin for UTI of pregnancy?

50-100mg QID

Dose of ampicillin/amoxicicillin for UTI of pregnancy?

250-500mg QID

Dose of sulfisoxazole for UTI of pregnancy

1-2g QID

Progesterone dose to prevent preterm birth if history present?

17-a hydroxyprogesterone 250mg IM qweek during weeks 16-36

Progesterone dose to prevent preterm birth if NO history of preterm birth?

Micronized pregesterone suppository 200mg intravaginally daily

Dose of magnesium for fetal neuroprotection in preterm labor?

4-6g IV load then 1g/hr for 12 hours

Dose of betamethasone for fetal development in preterm labor?

12mg IM q24h x2 doses

Dose of dexamethasone for fetal development in preterm labor?

6mg IM q12h x4 doses

Pen G dose for group B strep prophylaxis in preterm labor?

5 million units Iv then 2.5 million units IV q4h until delivery

Dose of nifedipine as a tocolytic?

10mg PO q20 minutes x3 doses, then 20mg PO q 4-6 hours

Dose of indomethacin as a tocolytic?

50-100mg PO or PR, then 25-50mg q6h

Dose of terbutaline as a tocolytic?

0.25mg subcutaneously every 15-30 mintutes

Dose of magnesium sulfate as a tocolytic?

4-6g loading dose, then 2 g/hr

Dose of antibiotics for preterm membrane rupture?

Ampicillin 2g IV q6h x 48 hours then amoxicillin 250mg PO q8h x 5 days PLUS Erythromycin 250mg IV q6h x 48 hours then erythromycin 333mg q8h x 5 days PLUS Azithromycin 1g PO x1 dose

What is the dose of magnesium for seizure prophylaxis in preeclampsia?

4-6g IV bolus then 2g/hr

What is the dose of magnesium sulfate in eclampsia?

If already on Mg infusion when it presents, give additional 2g IV If not on infusion, give 6g Iv loading dose over 15-20 minutes then 2g/hr infusion

What is the dose of oxytocin for postpartum hemorrhage?

10 IU IM or 20 IU/1 L IV

Dose of carboprost for postpartum hemorrhage?

0.25mg IM or intromyometrially q15 min | MAX 2mg

Dose of misoprostol for postpartum hemorrhage?

1000mcg rectally

Dose of methylergonovine for postpartum hemorrhage?

0.2mg IM q2-4 hours

How is oxybutynin (Ditropan) dosed for incontinence?

5mg PO BID-QID

How is oxybutynin (Ditropan XL) dosed for incontinence?

5mg PO daily

How is tolterodine (Detrol) dosed for incontinence?

1-2mg PO BID

How is tolterodine (Detrol LA) dosed for incontinence?

2-4mg PO daily

How is trospium (Sanctura) dosed for incontinence?

Take BID 1 hour before meals

How is trospium (Sanctura XR) dosed for incontinence?

Daily

How is solifenacin (Vesicare) dosed for incontinence?

5mg PO daily

How is darifenacin (Enablex) dosed for incontinence?

7.5-15mg PO daily

How is fosoterodine (Toviaz) dosed for incontinence?

4-8mg once daily

Dose of mirabegron for incontinence?

25mg PO daily (may increase to 50mg in 8 weeks)

Dose of carbidopa/levodopa for RLS?

IR 25/100 - 0.5 to 1 tablet qHS | ER 25/100 1 hour before bedtime

Dose of pramipexole (Mirapex) for RLS?

0.125mg daily 2-3 hours before bedtime. May increase to 0.5mg.

Dose of ropinorole (Requip) for RLS?

0.25mg daily initially, may increase to 4mg max by 0.5mg each week

Dose of gabapentin for RLS?

300mg daily 2 hours before HS | May increase to max 1800mg daily

Dose of gabapentin enacarbil (Horizant)?

600mg PO daily with food ~5pm

Dose of pregabalin for RLS?

100mg daily in 2-3 divided doses up to 450mg

Dose of iron for RLS?

Ferrous sulfate 325mg with vitamin C 100mg PO daily