Approved Formulary
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Approved Formulary

HIGH ALERT: Please read the COMMENTS very carefully.

Search results for:

promethazine

promethazine
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-formulary Interchange
Phenergan INJECTION 25 mg/mL      
Phenergan SUPPOSITORY 12.5 mg; 25 mg      
Phenergan SYRUP 6.25 mg/5mL      
Phenergan TABLET 12.5 mg; 25 mg      

High Alert Drug

Comments:

IV promethazine is RESTRICTED to use in the following patients:

  1. Patients with CVL access
  2. Patients on end of life care
  3. Hem/Onc patients who have failed at least 2 other antiemetics
  4. PCA patients who failed at least 1 other antiemetic
  5. Patients in PACU or OMFS clinic.

All other use requires approval from the CMO or their delegate.


Last updated: May. 22, 2023


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