FM dosages

Question 1

Lisinopril

Answer 1

Initial: 10 mg PO qd for HTN

Question 2

Carvedilol

Answer 2

Initial: 6.25 mg PO BID for 2 weeks for HTN

Question 3

Metoprolol

Answer 3

Initial: 25 to 100 mg PO qd for HTN

Question 4

HCTZ

Answer 4

Initial: 25 mg PO qd for HTN

Question 5

Amlodipine

Answer 5

Initial: 5 mg PO qd for HTN

Question 6

Amoxicillin

Answer 6

ENT (mild-mod)/Skin/GU infection: 500 mg PO q 12 hrs or 250 mg PO q 8 hrs

Question 7

Augmentin

Answer 7

Acute otitis media, mod: 500 mg PO q 12 hrs
Community Acquired PNA: 2000 mg PO q 12 hrs x 7-10 days
Skin infection: 500 mg PO q 12 hrs
Sinusitis (initial empiric tx): 500 mg/125 mg PO 3x/day for 5-7 days
UTI: 500 mg PO q 12 hrs

Question 8

Bactrim

Answer 8

sulfamethoxazole 800 mg/TMP 160 mg PO q 12 hrs

Question 9

doxycycline

Answer 9

100 mg PO q 12 hrs

Question 10

azithromycin

Answer 10

500 mg PO loading dose (day 1), then 250 mg PO qd for days 2-5; can also do onetime 1 gm PO dose or 1 gm PO dose weekly

Question 11

ciprofloxacin

Answer 11

500 mg PO q 12 hrs

Question 12

Glyburide

Answer 12

Glycemic control: Initial: 2.5 to 5 mg PO qd, titrate up no more than 2.5 mg weekly as needed

Question 13

Metformin

Answer 13

Immediate-release, initial: 500 mg PO BID

Extended-release, initial: 500 mg PO qd

Question 14

Lantus (insulin glargine)

Answer 14

Insulin-naive: 10 units (0.2 U/kg) subcut. daily, adjust dose no more than every 3-4 days

Question 15

Lispro Insulin

Answer 15

administer 15 min before mealtime, individualize per pt

Question 16

Celexa (citalopram)

Answer 16

initial dose for depression: 20 mg PO qd, can go to 40 mg PO qd no sooner than 1 week

Question 17

Lexapro (escitalopram)

Answer 17

initial dose of 10 mg PO qd for GAD/Depression, can increase to 20 mg PO qd no sooner than 1 week

Question 18

Prozac (fluoxetine)

Answer 18

initial: 20 mg PO qAM for depression/OCD

Question 19

Effexor (venlafaxine)

Answer 19

37.5-75 mg/day PO (can take larger doses in 2-3 divided doses)

Question 20

Cymbalta (duloxetine)

Answer 20

initial: 20 mg PO BID up to 60 mg qd

Question 21

Amitriptyline

Answer 21

75 mg PO qd, divided into 1-3 doses

Question 22

Anxiety medications

Answer 22

Most of the depression meds, but at 1/2 dose

Question 23

Lithium

Answer 23

for BPD: 300 mg PO three to four times per day (900 mg to 1200 mg qd total); desired lithium serum levels 0.6-1.2 mEq/L

Question 24

Depakote (valproate)

Answer 24

for BPD, extended-release: 25mg/kg/day initial, can increase up to 60 mg/kg/day, measure serum trough levels

Question 25

Klonopin (clonazepam)

Answer 25

for anxiety/panic: initial 0.25 mg PO BID x 3 days, then increase to target dose of 1 mg qd

Question 26

Ativan (lorazepam)

Answer 26

anxiety initial: 2 to 3 mg PO qd divided into 2 to 3 dosese

Question 27

Valium (diazepam)

Answer 27

anxiety: 2 to 10 mg PO 2 to 4 times per day depending on sxs and severity

Question 28

Trazodone

Answer 28

Insomnia: 50 to 100 mg PO one hour before bed

Question 29

Ambien

Answer 29

Insomnia, short-term immediate release: 5 mg PO immediately before bed, max of 10 mg PO

Question 30

Norco (hydrocodone/acetaminophen)

Answer 30

moderate/severe pain: hydro 5 mg/acetam 325 mg (1 tablet) PO q 4-6 hrs

Question 31

Hydrocodone (Zohydro(R))

Answer 31

10 mg PO q 12 hrs, gradually titrate in 10 mg increments q 12 hrs prn

Question 32

oxycodone

Answer 32

10 mg PO q 12 hrs, titrate by 25%-50% of dose as needed

Question 33

Morphine

Answer 33

30 mg PO q 24 hrs

Question 34

Methadone

Answer 34

Pain: initial 2.5 to 10 mg PO q 8 to 12 hrs

Opioid abuse/drug detox: initial 20 to 30 mg PO, usual daily dose is 40 mg

Question 35

Dilaudid (hydromorphone)

Answer 35

IM/SubC: 1 to 2 mg q 2-3 hrs
IV: 0.2 to 1 mg over 2-3 minutes q 2-3 hours
PO liquid: 2.5 to 10 mg q 3-6 hrs
PO tablet: 2 to 4 mg q 4-6 hrs

Question 36

Tramadol

Answer 36

Pain, extended release: 100 mg PO qd initial

Immediate release: 25 mg PO qd initial, titrate in 25 mg increments q 3 days to max 100 mg/qd

Question 37

Gabapentin (neurontin)

Answer 37

fibromyalgia: initial 300 mg PO on day 1, titrate up to 2400 mg/day (usually in divided doses of 3)

Question 38

pregabalin

Answer 38

75 mg PO BID can titrate up