Joint Pharmacy & Therapeutics Committee of Cedar Rapids

Therapeutic Exchange Conversion Chart

 

 

  1. Proton Pump Inhibitors - Standard Medication: Protonix*

MEDICATION ORDERED

CONVERTED TO

COMMENTS

Prilosec 10mg QD or 10mg BID

Protonix 40 mg QD

Prilosec/Nexium 20mg QD or 20mg BID

Protonix 40 mg QD

Prilosec/Nexium 40mg QD or 40mg BID

Protonix 40 mg QD or 40mg BID

Prevacid 15mg QD or 15mg BID

Protonix 40 mg QD

Prevacid 30mg QD or 30mg BID

Protonix 40 mg QD or 40mg BID

Aciphex 20mg QD or 20mg BID

Protonix 40 mg QD or 40mg BID

*Prevacid retained for simplified oral solution.

 

 

  1. Histamine H-2 Receptor Antagonists- Standard Medication: Zantac

    2. Oral Route

    MEDICATION ORDERED

    CONVERTED TO

    COMMENTS

    Axid 150mg QD or 150mg BID

    Zantac 150mg QD or 150mg BID

    Axid 300mg HS

    Zantac 300mg HS

    (may use 2 x 150mg for dose)

    Pepcid 20mg QD

    Zantac 150mg QD

    Pepcid 20mg BID

    Zantac 150mg BID

    Pepcid 40mg HS

    Zantac 300mg HS

    (may use 2 x 150mg for dose)

    Tagamet 800mg HS*

    Zantac 300mg HS

    (may use 2 x 150mg for dose)

    Tagamet 300mg QID*

    Zantac 150mg BID

    Tagamet 400mg BID*

    Zantac 150mg BID

    * Only applies to patients initially being started on Tagamet. Patients that are admitted to the hospital established on Tagamet, may continue on Tagamet.

    IV Route

    MEDICATION ORDERED

    CONVERTED TO

    COMMENTS

    Pepcid 20mg Q12 hours

    Zantac 50mg Q8 hours

    Tagamet 300mg Q6 hours

    Zantac 50mg Q8 hours

  2. Broad-Spectrum Fluoroquinolones – Standard Medication: Levaquin
    3.

    Oral Route

    MEDICATION ORDERED

    CONVERTED TO

    COMMENTS

    Cipro 250mg BID

    Levaquin 250mg QD

    Cipro 500mg BID

    Levaquin 500mg QD

    Cipro 750mg BID

    Levaquin 750mg QD

    IV Route

    MEDICATION ORDERED

    CONVERTED TO

    COMMENTS

    Cipro 200mg IV BID

    Levaquin 250mg IV QD

    Cipro 400mg IV BID

    Levaquin 500mg IVQD

     

  3. Penicillin class
    4.

    Oral Route

    MEDICATION ORDERED

    CONVERTED TO

    COMMENTS

    Ampicillin 250mg QID

    Amoxicillin 250mg TID

    Ampicillin 500mg QID

    Amoxicillin 500mg TID

    Ampicillin suspension any dose QID

    Amoxicillin susp any dose TID

     

  4. Vitamin and mineral products
    5.

    Oral Route

    MEDICATION ORDERED

    CONVERTED TO

    COMMENTS

    Surbex, Becotin, Any other B-Complex (with B-12)

    B-COMPLEX (with B-12)

    Total B with C, Allbee with C, Surbex with C,

    Becotin T, Becotin with C,

    Super B Complex with Vitamin C,

    Natural B Complex with Vitamin C,

    Any other B-Complex w/Vitamin C less than 500 mg

    B-COMPLEX WITH

    VITAMIN C LESS THAN 500mg

    Stress Formula, Berocca, Surbex T, Allbee with C-550, Any other B-Complex with Vitamin C over 500 mg

    B-COMPLEX WITH

    VITAMIN C OVER 500 mg

    Vicon-C, Z-Bec, Z-Gen, Stresstab with Zinc,

    Stress-B Complex, Any other B-Complex with C and Zinc

    B-COMPLEX WITH C & ZINC

    Stress Formula with Iron, Stress B Complex Plus Iron,

    Natural B Complex with Vitamin C and Iron, Any other B-Complex with C and Iron

    B-COMPLEX WITH C & IRON

     

    Flint Stones, PolyVisol, Any other Chewable multivitamin.

    CHEWABLE MULTIVITAMIN

    Flint Stones w/Iron, PolyViSol w/Iron, Any other Chewable Multivitamin with Iron.

    CHEWABLE MULTIVITAMIN with IRON

    One-Tab-Daily, One-A-Day Essential, Unicap,

    Multi-Cebrin, Theracebrin, Any other Multivitamin

    MULTIVITAMIN

    Any other multivitamin Liquid.

    MULTIVITAMIN LIQUID

    Unicap Plus Iron, Femiron Multivitamin with Iron, Dayalet with Iron, Any other Multivitamin with Iron

    MULTIVITAMIN WITH IRON

    Centrum, Unicap M, Unicap T, Any other Multivitamin w/Minerals

    MULTIVITAMIN W/ MINERALS

    All Prenatal vitamins, except Prenatal Vitamins without Iron.

    STANDARD PRENATAL VITAMINS

    High Potency Multivitamin, Multivitamin Plus,

    Optilets-500, Theragran, Any other Therapeutic Multivitamin.

    (Also used in combination with Folic Acid 1 mg, as a substitute for Prenatal Vitamins without Iron)

    THERAPEUTIC MULTIVITAMIN without IRON

    Centrum Silver, One-A-Day 55 Plus, Cerovite Sr.,

    One-A-Day Maximum, Theragran-M, Any other Therapeutic Multivitamin with Minerals

    THERAPEUTIC

    MULTIVITAMIN WITH MINERALS

    Prescription Vitamins: Diatx and Foltx will be issued as ordered, no Interchange.

    SPECIALITY VITAMINS

     

  5. Statins - Standard Medication: Zocor* (maximum interchanged dose will not exceed 80 mg)
    6.

    MEDICATION ORDERED

    CONVERTED TO

    COMMENTS

    Lescol/fluvastatin 20 mg daily

    Mevacor/lovastatin 10 mg daily

    Pravachol/pravastatin 10 mg daily

    Zocor 5 mg daily

    Lescol/fluvastatin 40 mg daily

    Mevacor/lovastatin 20 mg daily

    Pravachol/pravastatin 20 mg daily

    Lipitor/atorvastatin 5 mg daily

    Zocor 10 mg daily

    Lescol/fluvastatin 80 mg daily

    Mevacor/lovastatin 40 mg daily

    Pravachol/pravastatin 40 mg daily

    Lipitor/atorvastatin 10 mg daily

    Crestor/rosuvastatin 5 mg daily

    Zocor 20 mg daily

    Lipitor/atorvastatin 20 mg daily

    Crestor/rosuvastatin 10 mg daily

    Zocor 40 mg daily

    Lipitor/atorvastatin 40 mg daily

    Crestor/rosuvastatin 20 mg daily

    Zocor 80 mg daily

    Crestor/rosuvastatin 40 mg daily

    Zocor 80 mg daily

    Lipitor/atorvastatin 80 mg daily

    Not substituted

    *Zocor® will not be interchanged: If the patient is also taking itraconazole, ketoconazole, erythromycin, clarithromycin, HIV protease inhibitors, or nefazadone.

    At a level higher than 10 mg daily if the patient is also taking cyclosporin, gemfibrozil, other fibrates, or lipid lowering doses of 1 gram or more of niacin.

    At a level higher than 20 mg daily if the patient is also taking amiodarone or verapamil.
  6. Antidiabetic Medications

Injectable Route

MEDICATION ORDERED

CONVERTED TO

COMMENTS

Humalog brand immediate-acting insulin all doses

Novolog brand immediate-acting insulin all doses at 1:1 conversion.