Exam 2 Women's and Men's Health Dosing Flashcards
Dose of testosterone ethanate or cypionate for treatment of hypogonadism?
75-100mg IM weekly or
200mg every 2 weeks
Dose of testosterone patch for treatment of hypogonadism?
One to two 5mg patches applied nightly
Dose of testosterone gel for treatment of hypogonadism?
5-10g of 1% gel applied daily over a covered area of skin
Dose of testosterone solution for treatment of hypogonadism?
30-120mg (1 to 4 applications) applied to armpits daily (deodorant first)
Dose of testosterone buccal tablet for treatment of hypogonadism?
30mg buccal tablet applied to mucosa every 12 hours
Dose of testosterone SQ pellets for hypogonadism?
Implanted at intervals of 3-6 months (different dose depending on formulation)
Dose of terazosin for BPH?
Initial: 1mg HS
May increase to 10-20mg hs
Dose of doxazosin for BPH?
Initial: 1mg HS
May increase to 4-8mg hs
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
Dose of alfuzosin for BPH?
10mg daily; swallow whole, do not crush
Dose of silodosin for BPH?
Initial: 4mg PO daily
May increase to 8mg daily
Take with a meal
Dose of finasteride for BPH?
5mg PO daily (1mg just for alopecia)
Dose of dutasteride for BPH?
0.5mg PO daily (longer half life)
Dose of sildenafil for ED?
Initial: 50mg
Max: 100mg
Dose of vardenafil for ED?
Initial: 10mg
Max: 20mg
Dose of tadalafil for ED?
Initial: 10mg (2.5-5mg if daily dosing)
Max: 20mg
Dose of avanafil for ED?
Initial: 100mg
Max: 200mg
PDE-5 inhibitor with the longest onset and duration?
Cialis (tadalafil) - 60 min onset, 36 hour duration
Which PDE-5 inhibitor may have the fastest onset in addition to a slightly longer duration?
Avanafil (15 min onset? 6h duration)
How are alprostadil injections dosed?
Initial: 2.5 mcg
Usual range: 10-20mcg
Max: 60 mcg
What is the dose of diclofenac for dysmenorrhea?
50mg TID
What is the dose of ibuprofen for dysmenorrhea?
800mg TID
What is the dose of celecoxib for dysmenorrhea?
400mg x1 then 200mg BID
What is the dose of mefenamic acid for dysmenorrhea?
500mg x1 then 250mg QID
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