Drug Comparisons Beta Blockers - Comparative properties and equivalent dosages of various beta blocker medications and protocols for clinical professionals The National Library of Medicine (NLM), on the NIH campus in Bethesda, Maryland, is the world's largest biomedical library and the developer of electronic information services that delivers data to millions of scientists, health professionals and members of the public around the globe, every day. pharmacist for any questions about appropriate conversion doses. Documentation 4.1. Metoprolol. Automatic IV to PO Conversion Protocol Purpose: To allow for the conversion of intravenous medications to oral equivalents when medically appropriate in an effort to reduce line-associated risk, reduce nosocomial-acquired infection risk, improve patient satisfaction, promotes earlier and easier ambulation, and reduce Articles describing intravenous to oral conversion protocols for any therapeutic category were identified in an English-language MEDLINE search (1990-April 2010) using a wide variety of MeSH terms. 0.05 mg IV daily 0.1 mg PO daily *Reminder: 1:2 IV to PO conversion, unless otherwise noted (Endocrine recommendations, new TSH/ fT4 results) 40-80% levetiracetam n/a 500 mg IV Q12H 500 mg PO Q12H 96% metoclopramide n/a 10 mg IV Q6H PRN 10 mg PO Q6H PRN 80% multivitamin n/a 10 ml IV daily 1 tablet PO … Extended release product for conversion is listed in Appendix A, Table 2. I do not want to do an invasive procedure if possible. • IV PPI CI should be used for no longer than 72 hours (i.e., patients need to be converted to PO or NG admini-stration as soon as possible using esomeprazole 40 mg PO or lansoprazole SoluTab™ 30 mg NG once daily). 50%. 4. Medication orders meeting the above criteria for the change in the route of administration are subject to interchange as soon as the patient meets the established criteria. 10mg IV q6h = 50mg PO BID. Cimetidine Tagamet IV® N/A 900 to 1200 Ranitidine Zantac IV® 50 to 100 150 to 200 *Formulary agent in bold. Conversion rates are between 33 and 45 percent within the first 70 minutes. Document created: 02/08. Metoprolol (Lopressor)* 2.5 to 5 mg IV bolus over 2 minutes, up to 3 doses. 3.5.2.2. 4.2. 5 minutes. For example, if a patient is receiving a chronic oral dose of metoprolol tartrate 25 mg twice daily (total daily dose of 50 mg), this could translate to a range of 2.5 mg IV every 6 hours (based on a 5:1 ratio) to 5 mg IV every 6 hours (based on a 2.5:1 ratio). Metoprolol (Lopressor ®)- Intravenous (IV) Dilution Essentially a 1:1 conversion; 10mg IV =10mg PO. IV bolus of a PPI followed by a CI should be used. Dose Equivalents (mg/day) By declaration of the P&T Committee, the H2RAs are subject to automatic IV to PO interchange. Please refer to the Intravenous to Oral Medication Conversion Program for further details. 1:2.5. 100% Pharmacy: Toprol XL versus Metoprolol, toprol xl 50, toprol xl 50 mg My doctor is recommending cardiac conversion. Metronidazole. Drug Usual IV Dose* Approximate PO Dose* PO to IV Considerations/Comments Reference digoxin 0.1 -0.4 mg IV Q 24 H 0.125 -0.5 mg PO Q 24 H Oral bioavailability about 80% for tablets and liquid 1,2 dimenhyDRINATE 25-50 mg IV 25-50 mg PO Conversion of IV to PO is 1:1