139 results
Algorithm for Metformin Prescribing and Dosing in CKD
Dose Initiation - Immediate release:
 • Initial 500 mg
Algorithm for Metformin ... in CKD Dose Initiation ... until maximum dose ... Dose Initiation ... until maximum dose
Transdermal Fentanyl require unique dosing conversions. For Adult and pediatric patients taking opiouds or doses not
require unique dosing ... taking opiouds or doses ... oral morphine dose ... using Table A ... find the correct dose
Pain Assessment and Management Initiative (PAMI) - Neuropathic Pain Medications:

Agent, Initiation Dose and Max Dosages

 -
Agent, Initiation Dose ... #Medications #Doses ... #Dosing #Table
DPP4 Inhibitors - Normal and Renal Dosing

Increase Incretins (GLP-I & GIP) -> Stimulates Insulin, Inhibits Glucagon
DPP4 inhibitors work ... on the highest dose ... at the lowest dose ... patient on a lower dose ... make sure the dose
Reduced DOAC Dosing for Atrial Fibrillation 

#DOAC #Reduced #Dosing #Reduction #Dose #Anticoagulation #Pharmacology #AFib #Renal #CKD
Reduced DOAC Dosing ... DOAC #Reduced #Dosing ... #Reduction #Dose
Apixaban Dose Adjustments in Atrial Fibrillation - ABCDs

Age > 80 years 
Body Weight <60kg 
Creatinine >=
Apixaban Dose Adjustments ... present) -> Decrease dose ... #Apixaban #Dose ... #Pharmacology #Dosing
Metformin 
Current Renal Dose Adjustments due to Risk of Lactic Acidosis 
> 60 No adjustment 
45-60
Current Renal Dose ... , consider 50% dose ... Metformin #Renal #Dosing ... #Dose #Pharmacology
Acute Pain Control In Patients On Medication Assisted Treatment (MAT)
Methadone - µ-opioid receptor agonist:
1) Continue maintenance
Continue maintenance dose ... ) Try increase dose ... or frequency of dosing ... Continue maintenance dose ... ) Try increase dose
Therapeutic Drug Level Monitoring 
Carbamazepine - Sample immediately before next dose (trough) 
Clozapine - Sample immediately
-24 hours post dose ... 12 hours post dose ... 12 hours post dose ... : 30 mins post dose ... - Intermittent dosing
Phosphate binders - quick reference chart of maximum daily dose. Most patients with CKD will require
maximum daily dose ... Generally, the initial dose ... phosphate levels and doses ... Hyperphosphatemia #Dose ... #Dosing #Pharmacology