Appendix: Formulary

Mark Dershwitz; Carl Rosow

Table A-1 Analgesic Agents

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Table A-1 Analgesic Agents

Drug

Route

Usual Dose

How Supplied

Form

Cost*

Oral COX Inhibitors

Acetaminophen

325-1000 mg

325, 500 mg

Tablet

0.01

Aspirin

325-1000 mg

325, 500 mg

Tablet

0.05

Celecoxib

100-400 mg

100 mg

200 mg

400 mg

Capsule

2.03

3.32

4.98

Choline magnesium trisalicylate

500-1000 mg

500 mg

1000 mg

Caplet

0.35

0.86

Diclofenac

50-75 mg

50 mg

75 mg

Tablet

0.80

1.10

Diflunisal

500-1000 mg

500 mg

Tablet

0.66

Ibuprofen

200-800 mg

200 mg

400 mg

600 mg

800 mg

Tablet

0.02

0.04

0.05

0.08

Indomethacin

25-50 mg

25 mg

Capsule

0.04

Ketorolac

10 mg

Tablet

0.68

Naproxen

250-500 mg

250 mg

375 mg

500 mg

Tablet

0.10

0.08

Piroxicam

10-40 mg

10 mg

20 mg

Capsule

0.09

0.11

Sulindac

150 mg

Tablet

0.33

Oral Opioids

Codeine

30-60 mg

30 mg

60 mg

Tablet

0.47

0.86

Codeine/acetaminophen

30-60 mg/300 mg

30/300 mg

60/300 mg

Tablet

0.47

0.75

Hydrocodone/acetaminophen

5-7.5 mg/500-1000 mg

5 mg/500 mg

7.5 mg/750 mg

Tablet

0.15

0.27

Hydromorphone

2-4 mg¶

2 mg

Tablet

0.36

Levorphanol

2 mg¶

2 mg

Tablet

0.80

Methadone

10-20 mg¶

10 mg

Tablet

0.18

Morphine

30-60 mg

30 mg

2 mg/mL, 5 mL

Tablet

Solution

0.23

0.58

Morphine sustained release

30-60 mg¶

30 mg

Caplet

1.20

Oxycodone

5-10 mg

5 mg

Tablet

0.26

Oxycodone/acetaminophen

5-10 mg/500-1000 mg

5 mg/500 mg

Caplet

0.20

Oxycodone sustained release

10-20 mg¶

10 mg

20 mg

40 mg

80 mg

Tablet

1.52

2.93

5.18

9.75

Tramadol

50-100 mg

50 mg

Tablet

0.09

Tramadol/acetaminophen

75 mg/650 mg

Tablet

0.77

Transdermal and Transmucosal Opioids

Fentanyl

Transdermal

25-100 mcg/h

25 mcg/h

50 mcg/h

75 mcg/h

100 mcg/h

Patch

9.75

17.81

27.17

36.05

Fentanyl

Transbuccal

200-1600 mcg

200 mcg

400 mcg

800 mcg

Lozenge

17.67

25.68

41.08

Parenteral COX Inhibitors

Acetaminophen

1000 mg

10 mg/mL, 10 mL

Solution

10.60

Ketorolac

30 mg

60 mg

30 mg/mL, 1 mL

30 mg/mL, 2 mL

Solution

1.00

1.07

Parecoxib§

IV/IM

20-40 mg

40 mg

Powder

Parenteral Opioids

Alfentanil

0.3-3 mcg/kg/min

500 mcg/mL, 2 mL

500 mcg/mL, 5 mL

Solution

3.87

7.25

Codeine

IV/IM

30-60 mg

30 mg/mL, 2 mL

Solution

2.18

Fentanyl

0.5-5 mcg/kg

50 mcg/mL, 2 mL

50 mcg/mL, 5 mL

50 mcg/mL, 20 mL

Solution

0.53

0.72

2.70

Hydromorphone

IV/IM

0.5-2 mg

2 mg/mL, 1 mL

Solution

0.68

Meperidine

IV/IM/SC

12.5-100 mg

100 mg/mL, 1 mL

Solution

0.63

Methadone

1-10 mg

10 mg/mL, 20 mL

Solution

101.25

Morphine

IV/IM/SC

1-10 mg

10 mg/mL, 1 mL

Solution

0.57

Oxymorphone

IV/IM

1.5 ...

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Appendix: Formulary

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