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ED DC Pharmacopeia

This is my list of most commonly prescribed medications for patients discharged from the ED. Meds that require renal dose adjustments are flagged in red. Many of these scripts assume that you give the first dose in the ED, which in my opinion is best practice. 

Antibiotics: general out patient

Amoxicillin 875 mg Tablet, take 1 tablet by mouth twice daily for a total of 10 days; dispense QS; refills = 0
*HD and Renal impairment (GFR<30 mL/min): 500 mg 24 Horus

Amoxicillin/Clavulanate 875/125 Tablet, take 1 tablet by mouth twice daily for a total of 10 days; dispense QS; refills = 0
*HD and Renal impairment (GFR<30 mL/min): 875 every 24 hours

Azithromycin 250 mg tablet. Take 1 tablet by mouth starting tomorrow and continue for a total of 4 days; dispense QS; refills=0 (note: 1st dose in given in ED
*Use with caution GFR<10 mL/min, no dose adjustment

Cefdinir 600 mg tablet, take 1 tablet by mouth daily for 7 days. Dispense= QS; refills=0
*HD: 300 mg every other day
*Renal impairment (Cr/Cl<30 mL/min) 300 mg daily

Cefpodoxime 100 mg tablet, take 1 tablet by mouth 2 times per day for 7 days. Dispense QS, refills=0 (note: cystitis)
*HD: 200 mg loading dose, 100 mg 12 hours later, then 100 mg every 24 hours; (drug is dialyzed)
*Renal impairment (Cr/Cl<10 mL/min): 100 mg every 24 hours

Cefpodoxime 200 mg tablet, take 1 tablet by mouth 2 times per day for 14 days. Dispense QS, refills=0 (notecommunity acquired pneumonia)
*HD: 200 mg loading dose, 100 mg 12 hours later, then 100 mg every 24 hours; drug is dialyzed)
*Renal impairment (Cr/Cl<10 mL/min): 100 mg every 24 hours

Cephalexin 500 mg tablet, take 1 tablet twice daily by mouth for 7 days. Dispense=QS; refills=0 (note: contaminated wound prophylaxis)
*Renal impairment:
*CrCl 5 to 14 mL/min and not yet on dialysis: 250 mg every 24 hours
*CrCl 1 to 4 mL/min and not yet on dialysis: 250 mg every 48 hours

Cephalexin 500 mg tablet, take 1 tablet 4 times daily by mouth for 10 days. Dispense=QS; refills=0 (note: active infection)
*Renal impairment:
*CrCl 15 to 29 mL/min: 250 mg every 8 or 12 hours
*CrCl 5 to 14 mL/min and not yet on dialysis: 250 mg every 24 hours
*CrCl 1 to 4 mL/min and not yet on dialysis: 250 mg every 48 hours

Ciprofloxacin 500 mg tablet, take 1 tablet by mouth tomorrow and the day after. Dispense=2, refills=0 (note: hot tube folliculitis, first dose in ED, not recommended for UTI)
*HD: give after dialysis

Ciprofloxacin 500 mg tablet, take 1 tablet by mouth daily for 10 days. Dispense=QS, refills=0 (note: uncomplicated colitis, diverticulitis)
*HD: give after dialysis

Doxycycline 100 mg tablet, take 1 tablet by mouth two times per day for 7 days. Dispense QS, refills=0
(note: MRSA coverage)

Doxycycline 100 mg tablet, take 1 tablet by mouth two times per day for 14 days. Dispense QS, refills=0 (note: lyme disease)

Levofloxacin 250 mg tablet: take 3 tablets once per day for 5 days; dispense 40, refills=0 (Note: PNA 5-7 days)
*Renal impairment (CrCl 20 to 49 mL/min): 750 mg every 48 hours
*D and Renal impairment CrCl (CrCl<20): 1st dose 750 mg, then 500 mg every 48 hours

Levofloxacin 250 mg tablet: take 2 tablets once per day for 14 days; dispense 40, refills=0 (Note: acute prostatitis (no STI risk factors))
*Renal impairment (CrCl 20 to 49 mL/min): 500 mg every 48 hours
*HD and Renal impairment CrCl (CrCl<20): 1st dose 500 mg, then 250 mg every 48 hours

Metronidazole 500 mg tablet, take 1 tablet by mouth 2 times per day for 10 days dispense QS; refills=0 (notes: uncomplicated colitis, diverticulitis; recommend use with ciprofloxacin or augmentin alone)

Nitrofurantoin (macrobid) 100 mg tablet take 1 tablet by mouth twice daily for 5 days. Dispense QS; refills=0
*Contraindicated in AKI and Renal impairment (CrCl<60 mL/min)

Trimethroprim/Sulfamethoxazole (Bactrim DS). Take 1 tablet by mouth twice a day for the next 7 days. dispense qs, refills=0
*Renal impairment:
*CrCl 15 to 29 mL/min: half dose with bactrim 400mg/80mg [single strength] 1 tablet PO BID
*CrCl<15: contraindicated

Antibiotics: STI

This section assumes you gave a first dose of CTX 250 mg IM and Azithromycin 1 gm PO during the visit if treating simple cervicitis or urethritis. 

Azithromycin 250 mg tablet, take 4 tablets 1 week from today. take with food. Dispense 4; refills=0 (note: alternative dosing for PID, as per sanford guide)
*Use with caution GFR<10 mL/min, no dose adjustment

Doxycycline 100 mg tablet, take 1 tablet by mouth two times per day for 14 days. Dispense QS, refills=0                                                             (note: PID)

Metronidazole 500 mg tablet, take 1 tablet by mouth 2 times per day for 14 days. dispense QS; refills=0

Antibiotics: Antifungal

Fluconazole 150 mg capsule, take 1 capsule by mouth every 72 hours for a total of 3 doses; dispense 3 capsules, refills=0 (note: vulvovaginal candidiasis)
*HD and Renal impairment (CrCl<49 mL/min): half dose

Fluconazole 150 mg capsule, take 1 capsule by mouth once per week for a total of 6 doses; dispense 6 capsules, refills=0 (note: refractory tinea infections)
*HD and Renal impairment (CrCl<49 mL/min): half dose

Anticoagulation

Apixiban (Eliquis) 5 mg tablet, take 2 tablets twice daily by mouth for 1 week. On day 8, take 1 tablet (5 mg) twice daily. dispense= 74 ; refills = 0 (note: DVT/PE)
*No dose adjustment required for renal insufficiency

Apixiban (Eliquis) 5 mg tablet, take 1 tablet twice daily by mouth. Dispense=60; refills=0. Must follow up with cardiologist. (note: stroke reduction in non-valvular afib)
*HD or SrCr ≥1.4 mg/dL, Wt≤60 kg, Age≥80 (any 2) and/or patient on a dual inhibitor of Cyp3A4 and P-glycoprotein (eg ketoconazole, itraconazole, ritonavir): 2.5 mg twice daily

Rivaroxaban (Xarelto) 20 mg tablet. Take 1 tablet once per day; Dispense 30, refills=0. Must follow up with cardiologist (note: stroke reduction in non-valvular afib)
*HD: 15 mg daily
*Renal impairment
*CrCl<49 mL/min not on dialysis: 15 mg daily
*CrCl<15 mL/min not on dialysis: avoid use

Rivaroxaban (Xarelto) 15 mg tablet. Take 1 tablet two times per day; Dispense 42, refills=0 (note: DVT/PE, this is for first 21 days of treatment, afterward maintenance is 20 mg daily)
*HD and Renal impairment (CrCl<30 mL/min): avoid use

Antihistamine

Cetirizine 5 mg tablet, take 1 tablet by mouth two times per day. Dispense 30, refills=0

Diphenhydramine 25 mg tablet, take 1 tablet by mouth every 4-6 hours as needed for congestion/dizziness. Dispense 40, refills=0
notes: Avoid in elderly
HD and renal impairment (GFR<10): increase interval to every 12 hours

Diphenhydramine 25 mg tablet, take 1 tablet by mouth every 4-6 hours as needed for itchiness/hives Dispense 40, refills=0 (notes: Avoid in elderly)
*HD and renal impairment (GFR<10): increase interval to every 12 hours

Analgesics (Non-opioid)

Acetaminophen 500 mg tablet, take 1 or 2 tablets every 6 hours as needed for fever, daily dose not to exceed 1g, dispense 40; refills=0 (note: fever dosing)
*HD and renal impairment (GFR<10 or Cr/Cl<30 mL/min): increase interval to every 8 hours

Acetaminophen 500 mg tablet, take 1 tablet every 8 hours as needed for pain, daily dose not to exceed 4g, dispense 40; refills=0 (note: pain analgesic ceiling is 1.5 gm/d)

Colchicine 0.6 mg tablet. Take 1 tablet by mouth daily. Dispense=14, refills=0 (note: gout prophylaxis regimen)
*assumes ED 1st loading dose of 1.2 mg for acute gout, avoid in the elderly HD and renal impairment *(GFR<30 mL/min): do not place on regimen or reduce dose to 0.3 mg with frequent PMD monitoring

Dicloflenac 3% cream (flector or equivalent). Apply to front and sides of knee joints twice daily. Dispense 1 tube; refills=0

Ibuprofen 400 mg tablet: take 1 tablet every 6 hours as needed for pain; dispense 40, refills= 0
*HD and renal impairment: Use lowest dose, 200 mg

Lidocaine 5% ointment. Apply thin layer to affected skin 4 times per day as needed for pain; dispense 1 tube, refills=0

Lidocaine 5% transdermal patch, apply 1 patch(s) to affected area for a maximum of 12 hours per day. Max 3 patches. Dispense 10; refills=0

Bell’s Palsy

Acyclovir 200 mg tablet, take 2 tablets 5 times daily for 10 days; Dispense QS, refills=0
*HD and Renal impairment (CrCl<10 mL/min): 200 mg every 12 hours

-or-

Valacyclovir 1000 mg tablet, take 1 tablet by mouth 3 times a day for 10 days; Dispense QS, refills=0
*Renal impairment
*CrCl 10 to 29 mL/min and not on dialysis: 1000 mg every 24 hours
*CrCl < 10 mL/min or HD: 500 mg every 24 hours

Prednisone 10 mg Tab, take 5 tabs by mouth starting tomorrow and then for 5 days; day 6 take 4 tabs, day 7 take 3 tabs, day 8 take 2 tabs, day 9 take 1 tabs; Dispense QS, refills=0

Dispense 1 eye patch for the affected eye to be worn at night or as needed during the day for comfort

Lubricant sterile ophthalmic saline solution (lacrilube), add 2 drops to affected eye 4 times per day. Use until palsy resolves. Dispense 1 bottle; refills=1

Controlled Substances

(CS) Buprenorphine-Naloxone 8 mg / 2 mg strips 1 strip SL BID; Dispense x 1 week (#14).  Maximum Daily Dose 16 MG.  No refills.  May use generic.  May substitute tablets for strips. (note: outpatient opioid withdrawal, max 32 mg while in ed)
*Must include x-waiver in transmitted Rx

(CS) Codeine phosphate 10 mg / guaifenesin 100 mg per 5 mL cough syrup. Take 10 mL every 4 hours as needed per cough. Max 6 doses in 24 hours. Max 3 days. Dispense 1 120 mL bottle; refills=0
*codeine has variable metabolism due to CYP2D6 genetic polymorphism, avoid Rx

(CS) Hycodan syrup (hydrocodone 5 mg / homatropine 1.5 mg) 1 teaspoon every 8 hours as needed for cough. Max 3 days. Dispense 1 60 mL bottle; refills=0 (note: for severe refractory cough)
*superior to codeine cough syrup; black box warning, high abuse potential; use in low risk for opioid abuse patient population only
*ESRD and/or HD: 1/2 dose

(CS) Morphine 15 mg Immediate release tablet; take 1 table by mouth every 4 hours as needed for breakthrough pain. Max 3 days, Dispense 10, refills=0
*HD and renal impairment: be cautious and consider halving dose

Narcan intranasal spray (2 mg/ spray). Spray once in 1 nostril for opioid overdose (not breathing enough). May repeat in 2-3 minutes with new spray; dispense=3, refills=0
*Dispense to all opioid users at risk for overdose

(CS) Diazepam 5 mg tablet (Valium or generic). Take 1 tablet as needed by mouth every 12 hours as needed for muscle spasm. Max 2 days, Dispense 3 tablets, refills=0
*Caution in advance liver disease, consider 1/2 dose

CAD

Aspirin 81 mg enteric coated tablet, take 1 tablet by mouth daily; dispense=30, refills=0

Metoprolol 25 mg tablet, take 1 tablet by mouth daily, dispense 7, refills=0 (note: must follow up with cardiologist asap
)

DERM

Aclometasone 0.5% ointment, apply to affected skin 2-3 times daily. Max length  of use 3 weeks. Dispense 1 tube; refills=1
*Medium strength steroid

Clotrimazole cream 1%, apply thin layer of cream to affected area twice daily for 2 weeks; dispense 30g tube; refills=0

Hydrocortisone 1% Cream (20 g), apply to affected areas of skin 2 times per day until lesions are gone; dispense 1 tube, refills=0 (follow up with dermatologist for refill/eval)
*Low potency over the counter steroid
*Very safe, but dermatologist regard this medication to have little clinical effect anywhere on the skin

Hydrocortisone cream 2.5%, apply to affected areas of FACE ONLY 2 times per day. Dispense 1 tube; refills=1
*Only effective on face, arm pits, groin/genitals, see triamcinolone for rest

Mupirocin Ointment 2%, apply to affected area(s) of skin 3 times a day for the next 5 days; dispense 1 tube, refills=0

Triamcinalone ointment 0.1%, apply to affected areas of BODY ONLY 2 times per day. Dispense 1 tube; refills=1 (note: instruct patient must not apply to face, arm pits, groin/genitals)

GI Meds

Famotidine (Pepcid) 20 mg tablet, take 1 tablet by mouth twice daily; dispense 60; refills=0
*HD: 20 mg after dialysis
*Renal impairment:
*Cr/Cl 31- 60 mL/min: 20 mg daily
*Cr/Cl<30 mL/min: 20 mg every other day

Loperamide 2 mg tablet, take 1 tablet by mouth after each loose bowel movement up to a MAX of 6 tablets per day until diarrhea subsides; dispense=40, refills=0

Magnesium Hydroxide 200 MG-Aluminum Hydroxide 200 MG-Simethicone 20 MG/5 ML (Maalox) take 30 ML every 6 hours as needed for gas/heartbur; dispense 1 bottle, refills=0

Omeprazole 20 mg tablet, take 1 tablet by mouth daily; dispense 30, refills=0

Ondansetron 4 mg quick dissolving tablet. Take 1 tablet by mouth every 4 hours as needed for nausea/vomiting; dispense 20, refills=0
*do not exceed 8 mg /day in severe liver disease

Tucks pads witchhazel pads for hemorrhoids. Box of 100, dispense=1, refills=0

Viscous lidocaine 2% (generic xylocaine) 100 mL bottle, apply topically to external hemorrhoid every 2 hours as needed for pain. Max 1 tablespoon per day; dispense 1, refills=0

GI: BOWEL REGIMENS

Docusate sodium 100 mg capsule, take 1 capsule by mouth twice daily; dispense 60, refills=0

Fleet Enema ready-to-use squeeze bottle 133 mL, insert tip into anus, squeeze bottle emptying medication into rectum. May repeat. Dispense 4 bottles, refills=1

Senna (sennosides) 8.6 mg tablet, take 2 tablets by mouth once daily; Dispense 10, refills=0

Miralax 17g dissolved in water twice per day for 2 weeks (1 g/kg/24 hr) until stools are soft. Please note, bottle contains 17g measurer. Dispense 1 large bottle, refills=0

Swan Citroma (magnesium citrate) 10 fluid ounce bottle, drink 1 bottle. If no BM, drink 1 more bottle the next day. Dispense 2 bottles; refills=2

ENT

Ciprofloxacin/dexamethasone otic solution 0.3%/0.1% (Ciprodex). Apply 4 drops to affected ear(s) 2 times per day for 7 days. Dispense 1 bottle (7 mL), refills=0

Hydrocortisone/Neomycin sulfate/polymixin B sulfate 1%/0.35%/10000 units/1 mL otic solution. Apply 4 drops to affected ear(s) 4 times per day for 7 days. Dispense QS, refills=0

Carmbamide peroxide 6.5% otic solution (Debrox). Apply 10 drops to affected ear(s) 2 times per day for 4 days. Lay head to 1 side so solution can soak. Dispense 1 bottle, refills=1

Headache (migrainous)

Fiorecet (Butalbital 50 mg/Acetaminophen 300 mg/Caffeine 40 mg) Take 1 or 2 capsules by mouth every 4 hours, max 6 capsules per day. Dispense 10 capsules; refills=0
                                                                              *refill only for known migraine treatment

Metoclopramide (reglan or equivalent) 10 mg tablet, take 1 tablet by mouth every 6 hours as needed for headach/nausea/vomiting; dispense=20, refills=0
*pregnancy category B
*ESRD and/or HD: extend dosing interval to every 12 hours

Respiratory Meds, allergy, anaphylaxis

Albuterol MDI (Ventolin) 90 mcg/ actuation, take 2 puffs every 4 hours as needed for cough wheezing; dispense 1 inhaler, refills=0

Epinephrine autoinjector 0.3 mg (generic, epipen, or adrenaclick) administer intramuscular in lateral thigh for rash, difficulty breathing, vomiting (anaphylaxis); Dispense 2, refills=0

levoalbuterol tartrate (xopenex) 90 mcg/ actuation, take 2 puffs every 4 hours as needed for cough wheezing; dispense 1 inhaler, refills=0
*Pure beta 2 agonist, less effect on beta 1

Oxymetolazine HCl (affrin) 0.05% Nasal spray. Apply 2-3 spray each nostril. Use for a max of 3 days. Dispense 1 bottle; refills=0

Phenylephrine 0.5% nasal solution. 2-3 sprays each nostril every 4 hours as needed for congestion; dispense 1 bottle, refills=0

Prednisone 50 mg Tab, take 1 tab by mouth starting tomorrow and then for 4 more days; Dispense 4, refills=0

Pseudoephedrine HCl 60 mg tablet, take 1 tablet every 4 to 6 hours as needed for nasal congestion; dispense 20, refills=0. No more than 4 tabs per day
ESRD and/or HD: extend dosing interval to every 12 hours

OB/GYN

Bonjesta doxylamine succcinate 20 mg/ pyridoxine HCl 20 mg 1 tablet by mouth at bedtime. If by day 2 symptoms persist, increase 1 tablet; Max 2 per day; Dispense 16; refills=0 (note: hyperemesis gravidarum)

Terconazole 80 mg suppository, insert suppository into vagina at bedtime for a total of 3 nights. dispense=3, refills=0

Terconazole 0.4% cream (20 mg per applicator). Apply 1 full applicator intravaginally for a total of 3 days. Dispense QS, refills=0

Ophthalmic Meds

Polymixin B/Trimethoprim 10000 units/1mg/mL (Polytrim), 2 drops every 6 hours in affected eye(s) for 7 days; dispense 1 eye dropper of 10 mL, refills=0 (note: corneal abrasion, no contacts)

Ciprofloxacin 0.3% Ophthalmic Drops. Apply 2 drops to affected eye(s) every 6 hours for 7 days. Dispense QS, refills=0 | YOU NEED TO SEE AN OPHTHALMOLOGIST TOMORROW (note: corneal ulcer or corneal abrasion in contact wearer)

Ketotifen fumarate 0.025% ophthalmic solution (Zaditor or generic), 1 drop in both eyes every 12 hours as needed for allergic eye redness; dispense 2 5 mL eye droppers, refills=0 (note: allergic conjunctivitis)

Seizure Disorder

Leveteracitam (keppra) 500 mg tablet, take 1 tablet by mouth 2 times per day. Dispense 60; refills=0 (note: urgent refill only)

Smoking Cessation

Buproprion 150 mg Tablet, take 1 tablet by mouth for the first 3 days, then on day 4 take 1 tablet 2 times per day (at least 8 hours apart). Dispense=23, refills=0 (note: contraindicated in seizure disorder)
*HD or Renal impairment (GFR < 90 mL/min): consider 1/2 dosing
*Moderate to severe hepatic impairment: consider 1/2 dosing

Chantix (varenicline) 0.5 mg tablet take 1 tablet by mouth daily for days 1 to 3, days 4 to 7 take 1 tablet 2 times a day, after day 7 take 2 tablets 2 times a day; dispense=39;refills=0 (note: increased risk of suicidality)
*Avoid in depression
*HD and renal impairment (CrCl<30 mL/min): max dose 0.5 mg 2 times per day

Vitamins/Supplements

Ferrous Sulfate 325 mg tablet (65 mg elemental iron). Take 1 tablet by mouth once daily after a meal. Dispense=30; refills=0

Melatonin 3 mg tablet take 1 tablet by mouth at 9 PM (bedtime) daily; dispense 30, refills=0

Prenatal 19 multivitamin. Take 1 vitamin table by mouth per day during the duration of your pregnancy. Dispense=30; refills=1

PEDS

Acetaminophen 160 mg / 5 mL take *** mL every 4-6 hours as needed for fever; dispense 1 bottle, refills=0
*10-15 mg/kg

Acetaminophen 120 mg suppository. Insert *** rectally every 6 hours as needed for fever; dispense 40, refills=0
*10-20 mg/kg

Albuterol 0.083% nebulizer solution (prediluted) 2.5 mg/ 3mL 0.9% normal saline solution, 3 to 4 times per day as needed for wheezing/cough; Dispense 1 box, refills=0

Azithromycin oral suspension 200 mg / 5 mL take *** mL on day 1, take *** mL on day 2-5; dispense QS; refills = 0 (10 mg/kg day 1 and 5 mg/kg day 2-5)
*10 mg/kg (max 500 mg)

Dispense 1 room air nebulizer and compressor with face mask for home administration of albuterol solution, refills=0

Amoxicillin 400 mg / 5 mL take *** mL two times per day (morning and night) for the next 10 days; dispense QS, refills=0
*80-90 mg/kg (high dose)

Amoxicillin 400 mg / 5 mL take *** mL once per day for the next 10 days; dispense QS, refills=0
*45 mg/kg (low dose for pneumonia)

Azithromycin oral suspension 200 mg / 5 mL take *** mL on day 1, take *** mL on day 2-5; dispense QS; refills = 0 (10 mg/kg day 1 and 5 mg/kg day 2-5)
*10 mg/kg (max 500 mg)

Albendazole liquid 200 mg / 5 mL take 10 mL once. Then in 2 weeks, take 10 mL once more; Dispense QS, refills=0

Augmentin ES 600 mg / 5 mL take *** mL’s two times per day (morning and night) for the next 10 days; dispense QS, refills=0
*90 mg/kg/24 hour

Cefdinir (omnicef) Oral solution 125 mg / 5 mL take *** mL by mouth 2 times per day for 10 days; dispense QS, refills=0
*14 mg/kg daily or divided in 2

Cephalexin 250 mg/ 5 mL Oral solution. Take 10 mL by mouth 2 times per day for 10 days; dispense QS, refills=0
*25 – 50 mg/kg for soft tissue; wound ppx

Diphenhydramine 12.5 mg / 5 mL, Take *** mL every 6 hours by mouth as needed for rash; dispense 1 bottle, refills=0
*5 mg/kg, but usually round to 12.5 or 25 mg.

Epinephrine autoinjector jr 0.15 mg (generic, epipen, or adrenaclick) administer intramuscular in lateral
thigh for rash, difficulty breathing, vomiting (anaphylaxis); Dispense 2, refills=0

Famotidine 40 mg/5 mL syrup. Take 2.5 mL by mouth 2 times per day. Dispense 1 50 mL bottle, refills=0
*0.5 mg/kg

Ibuprofen 100 mg / 5 mL take *** mL’s every 6 hours as needed for pain; dispense 1 bottle, refills=0
*10 mg/kg

Hydroxyzine 10 mg/ 5mL oral syrup, give 12.5 mL every 6 to 8 hours as needed for itchiness, max 2 weeks, do not apply to face or genitals. dispense one 120 mL bottle, refills=0
*50 mg/kg per day

Miralax 17g (1 heaping teaspoon) dissolved in water once per day for 2 weeks (1 g/kg/24 hr) until stools are soft. Dispense 1 large bottle, refills=0

Fleet Pedia-Lax Enema ready-to-use squeeze bottle 66 mL, insert tip into anus, squeeze bottle emptying medication into rectum. May repeat. Dispense 1 bottles, refills=0

Ondansetron ODT 4 mg. Dissolve 1 tablet under tongue as needed for nausea and vomiting; dispense=3, refills=0

Prednisolone (orapred) 15 mg / 5 mL take *** mL daily for the next 4 days. Dispense QS; refills=0
*1 mg/ kg, max 60

Senna Oral Syrup 176 mg/5 mL 218 mg/ 5 mL mixed with juice/milk/ice cream take *** mL daily for 5 days (do not use more than 1 week) ; dispense 1 60 mL 240 mL bottle, refills=0
*1 mo -1 yr, 55-109mg
*1-5yr 109-218mg
*5-15yr 218-436mg

Ranitidine 15 mg/mL syrup, give 1 mL by mouth 3 times per day, dispense 1 bottle; refills=0
*5-10 mg/kg/day

Bisacodyl Suppository 5 mg 10 mg, insert into rectum. May repeat on day 2 if now adequate BM. Dispense 2, refills=0

Domeboro solution astringent, soak on cotton ball and apply to affected area 2 times per day. Dispense 1 bottle, refills=0