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Main Outpatient Meds (HP Formulary)
  • allergies
  • antibacterial
  • antiemetic
  • antifungal
  • antiviral
  • apthous ...pharyngitis
  • asthma/COPD
  • dysuria
  • GI
  • migraine/headache
  • ophthalmic antibacterial
  • otitis externa/cerumen
  • otitis media with tymp tubes
  • steroids
  • topical antibacterial
  • topical steroids
  • URI
  • vaginitis
  • Other Contents
  • Links
  • Alerts, Newer Meds,  Updates
  • Noteworthy interactions
  • Antiemetic Inpatient
  • Breast Feeding - Avoid Rx
  • Helicobacter ulcer/gastritis
  • Herbal and Alt Med - Problems
  • Misc Remedies
  • Pain Control
  • NSAIDs
  • Pyelonephritis
  • Steroid Comparison
  • Tapering anti-hypertensives

  • Note

    11/03: This page hasn't been maintained for a few years, so it's quite dated. Also, the links from med names to entries in the Nursing PDR no longer work; that service went to a subscriber only model.


    Main Outpatient Meds

    not on Health Partners Formulary, monitored drugs (failed, contraindicated, insists, other)




    These are mild to moderately effective fairly inexpensive agents. For a discussion of powerful antiemetics see Antiemetic Inpatient.

    antihistamine-like: safer, less effective. Tigan best?

    phenothiazide: more effective. Compazine more s/e.




    apthous ulcers, mouth sores, severe pharyngitis

    asthma and COPD

    See also: Asthma Therapeutics



    steroids - po/iv





    ophthalmic antibacterial

    otitis externa/cerumen

    otitis media: tympanostomy tubes or perforated


    topical antibacterial

    topical steroids


    age form sig
    1-3 mo Rondec DM drops 0.25 ml QID
    3-6 mo Rondec DM drops 0.5 ml QID
    6-9 mo Rondec DM drops 0.75 ml QID
    9-18 mo Rondec DM drops 1.0 ml QID
    18 mo-6 y Rondec DM syrup 2.5 ml QID
    6 yr-adult Rondec DM syrup 5.0 ml QID


    Alerts, Newer Meds, Updates


    Updates and Newer

    1. Vitamin Therapies
    2. Fibrocystic Breast Disease: elemental Iodine??

    Noteworthy interactions

    1. hydrocholorothiazide, Celecoxib (celebrex) and related meds: cross-reactivity with sulfonamides - beware allergies, also have Stevens-Johnson risk.
    2. some authorities suggest avoid bactrim and other folate antagonists in all potentially pregnant women because of theoretical increase in NTD risk.
    3. decreased fluoroquinolone absorption from cations (calcium, ferrous sulfate, etc)
    4. tylenol and coumadin
    5. rezulin may reduce effectiveness of OCP
    6. viagra: any nitrates (lethal)
    7. problem drugs: erythromycin, azoles, tagamet, lipid agents, coumadin, antidepressants, triptans, second-generation antihistamines
    8. CYP3A4 drugs

    Antiemetic Inpatient

    Breast Feeding - Avoid Rx

    Helicobacter ulcer/gastritis

    1. Indications: recurrent peptic ulcer

    2. option 1: Two weeks, may need H2 blocker or Omeprazole also

    3. option 2: Two weeks, may need H2 blocker also

    Herbal and Alt Med - Problems

    herb adverse effect
    echinacea potential hepatotoxicity
    garlic prolong bleeding time, hypotension?
    ginger prolong bleeding time
    gingko baloba platelet dysfunction
    St. John's Wort dry mouth, dizziness, constipation, nausea. MAOI, SSRI serious toxicity/death. Avoid pseudoephedrine.
    Ginseng estrogenic activity, hypertension, insomnia, headache (migraine), vomiting, epistaxis, prolonged bleeding time, hypoglycemia
    Kava Kava Icthyosiform dermopathy, prolong barbiturate/benzodiazepines
    Feverfew Aphthous ulcers, GI irritability, headache.
    Ephedra Hypertension, tachycardia, cardiomyopathy, CVA, arrhythmia. Interaction with anesthetics, profound hypotension in surgery


    1. clinoril: safest for kidney
    2. classes

    Misc Remedies

    Pain Control


    bone pain: NSAIDs

    visceral pain and bone pain

    neuralgic pain

    Therapeutic Equivalents

    oral drug IM
    100 codeine 60
    15 MS 5
    10 oxycodone 7.5

    Pyelonephritis (not pregnant)

    Steroid Comparison

    cortisol 1 1 8-12 20 mg biological form
    solu-cortef 1 1 8-12 20 mg  
    solu-medrol 5 .5 12-36 4 mg  
    prednisone 4 0.8 12-36 5 mg  
    prednisolone 5 moderate 12-24? 4 mg  
    decadron 25 0 36-72 .75 mg  

    Tapering anti-hypertensives

    Author: John G. Faughnan.  The views and opinions expressed in this page are strictly those of the page author. Pages are updated on an irregular schedule; suggestions/fixes are welcome but they may take weeks to years to be incorporated. Anyone may freely link to anything on this site and print any page; no permission is needed for citing, linking,  printing, or distributing printed copies.