JERSEY SHORE HOSPITAL APPROVED LIST OF THERAPEUTIC SUBSTITUTIONS Non Formulary Drug Approved Formulary Comments/Medical Staff Approval Therapeutic Equivalent Angiotensin Converting Enzyme (ACE) Inhibitors Antacids Antibiotics Inhalation therapy Non Formulary Drug Approved Formulary Comments/Medical Staff Approval Therapeutic Equivalent Calcium Channel Blockers Diuretics Grains/mg conversions
Originally, a grain was defined as the weight of
a grain seed from the middle of an ear of barley.
Today the inconsistencies are due to two
apothecary/troy versus the more modern avoirdupois
H-2 Antagonist
Ranitidine (Zantac) is the only H-2 antagonist
Non Formulary Drug Approved Formulary Comments/Medical Staff Approval Therapeutic Equivalent Intravenous to Oral Substitution List Insulins Rapid/Short acting Intermediate acting Long Acting ( Basal) Premixes Laxatives Non Formulary Drug Approved Formulary Comments/Medical Staff Approval Therapeutic Equivalent Lipid Lowering Agents NSAIDSubstitution List Pain Medications Potassium
Potassium (immediate release The potassium will be substituted on a
Non Formulary Drug Approved Formulary Comments/Medical Staff Approval Therapeutic Equivalent Proton Pump Inhibitors Topical Steroids/ Low Potency
Flucinolone acetonide (Synalar) 0.01% cr/soln
Hydrocortisone (Hytone , Cortaid other): 0.25%, 0.5%, 1%, 2.5%
Non Formulary Drug Approved Formulary Comments/Medical Staff Approval Therapeutic Equivalent Topical Steroids/ Medium Potency
Betamethasone dipropionate (Diprosone) Lotion 0.05%.
Hydrocortisone valerate (Westcort) 0.2% cr/oint
Mometasone furoate (Elocon) 0.1% cr/oint/lotion
Triamcinolone (Aristocort, Kenalog) 0.025%, 0.1%, 0.5% cr,oint, aerosol
Non Formulary Drug Approved Formulary Comments/Medical Staff Approval Therapeutic Equivalent Topical Steroids/ High Potency
Fluocinolone acetonide (Synalar) 0.2% cr
Topical Steroids/ Very High Potency
Halobetasol propionate (Ultravate) 0.05% cr, oint
Vitamins/Minerals Non Formulary Drug Approved Formulary Comments/Medical Staff Approval Therapeutic Equivalent
Therapeutic Substitution is the selection of a chemically different drug that is considered to be a therapeutic alternative with a comparable therapeutic effect. All therapeutic substitutions require Medical Staff approval. All Therapeutic Substitutions will be treated as a verbal order. The initiator of the action will write the order change and the physician will countersign it within 24 hours. The Physician has the option to write “do not substitute” if he/she doesn’t feel the therapeutic substitution is appropriate. Reviewed 10/2010, 3/2013
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BIJSLUITER: INFORMATIE VOOR DE GEBRUIK(ST)ER Fluitussin 15 mg omhulde tabletten Lees de hele bijsluiter zorgvuldig door, want deze bevat belangrijke informatie voor u. Dit geneesmiddel kan zonder voorschrift verkregen worden. Desondanks moet u Fluitussin 15 mg omhulde tabletten zorgvuldig gebruiken om een goed resultaat te bereiken. - Bewaar deze bijsluiter. Het kan nodig zijn om