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Woman's Hospital Baton Rouge

Approved Hospital Formulary

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Woman's Hospital Baton Rouge

Approved Hospital Formulary

Woman's Hospital Web Site Hospital Intranet

Black Box Warning

Please review each of these drugs carefully.

abacavir	Hypersensitivity
acetaminophen	Hepatotoxicity
acetaminophen-codeine	Addiction, Abuse, And Misuse; Life-Threatening Respiratory Depression; Risks From Concomitant Use With Benzodiazepines
acetaminophen-HYDROcodone	Acetaminophen - Hepatotoxicity Hydrocodone - Risks from Concomitant Use with Benzodiazepines or Other CNS Depressants
acetaminophen-oxycodone	Addiction, Abuse, and Misuse; Life-Threatening Depression; Accidental Exposure; Neonatal Opioid Withdrawal Syndrome; and Hepatotoxicity
acetylcysteine	Inhalation solution: not for injection
ALfentanil	Addiction, Abuse, and Misuse
ALPRAZolam	Risks From Concomitant Use in Opioids
alprostadil	Apnea
amiodarone	Oral: Pneumonitis; Proarrhythmic Effects
amitriptyline	Suicidal ideation in children, adolescents
amphotericin B	Noninvasive fungal disease; avoid overdose
apixaban	Discontinuation without anticoagulation
ARIPiprazole	Elderly patients with dementia related psychosis
ascorbic acid-carbonyl iron	Iron Overdose Risk
ascorbic acid-iron polysaccharide	Iron Overdose Risk
atenolol	Avoid abrupt withdrawal
azaTHIOprine	Risk of neoplasia, infections
baclofen	Intrathecal: Abrupt discontinuation
bevacizumab	GI perforation; wound healing complications
bumetanide	Potent diuretic
BUPivacaine	Intravascular injection risk; 0.75% strength caution
BUPivacaine-EPINEPHrine	Bupivacaine: Intravascular injection risk; 0.75% strength caution
buprenorphine	Addiction, Abuse, And Misuse; Respiratory Depression; Neonatal Opioid Withdrawal Syndrome; Risks From Concomitant Use With Benzodiazepines
buprenorphine-naloxone	Implant: Implant Migration, Protrusion, Expulsion, and Nerve Damage Associated with Insertin and Removal
buPROPion	Suicidal Ideation
butorphanol	Addiction, Abuse, And Misuse; Respiratory Depression; Neonatal Opioid Withdrawal Syndrome; and Risks From Concomitant Use With Benzodiazepines
captopril	Pregnancy risk
carBAMazepine	Hematological Risk; Serious Dermatologic Reactions
carbidopa-levodopa	Bolded (not boxed): Carbidopa dosing
celecoxib	Cardiovascular, gastrointestinal risk
chlorproMAZINE	Mortality in elderly with dementia
ciprofloxacin	Tendinitis; tendon rupture
citalopram	Suicidal Ideation
clindamycin	Pseudomembranous colitis
clonazePAM	Risk From Concomitant Use With Opioids
CloNIDine	Epidural Clonidine
clopidogrel	Poor CYP2C19 metabolizers
codeine	Addiction, Abuse, And Misuse; Respiratory Depression; Neonatal Opioid Withdrawal Syndrome; and Risks From Concomitant Use With Benzodiazepines
codeine-guaifenesin	Codeine in children: death due to ultra-rapid metabolism
codeine-promethazine	Codeine in children: death due to ultra-rapid metabolism Promethazine: contraindicated in patients < 2 years
conjugated estrogens	Endometrial cancer; cardiovascular; dementia risk
conjugated estrogens topical	Endometrial cancer; cardiovascular; dementia risk
dantrolene	Hepatotoxicity
denosumab	Prolia - Severe Hypocalcemia in Patients with Advanced Kidney Disease
desvenlafaxine	Suicidal ideation
diatrizoate	Not for intrathecal use
diazePAM	Risks From Concomitant Use With Opioids
diclofenac	Cardiovascular, gastrointestinal risk
divalproex sodium	Hepatotoxicity; mitochondrial disease; fetal risk
DOCEtaxel	Hepatic dysfunction, hypersensitivity risk
DOPamine	Peripheral ischemia risk
doxepin	Suicidal Ideation
DOXOrubicin liposomal	Cardiac, acute infusion reaction, myelosuppresssion risk
DULoxetine	Suicidal Ideation
emtricitabine-tenofovir	Lactic acidosis; severe hepatomegaly; hepB co-infection
emtricitabine/rilpivirine/tenofovir	Lactic acidosis, severe hepatomegaly; hepB co-infection
enalapril	Pregnancy risk
enoxaparin	Spinal/epidural hematoma risk
escitalopram	Suicidal ideation
estradiol	Transdermal: endometrial cancer; cardiovascular; dementia risk Vaginal cream/tab: endometrial cancer; cardiovascular; dementia risk
estradiol topical	Endometrial cancer; cardiovascular; dementia risk
etonogestrel	Bolded (not boxed): sexually transmitted disease risk
fentaNYL	Buccal Tablet: Serious adverse events, deaths; abuse potential Nasal Spray: Schedule II Controlled Substance: Abuse potential Sublingual Spray: Risk of respiratory depression, medication errors, abuse potential Transdermal: High concentration of Schedule II opioid agonist
ferrous gluconate	Iron Overdose Risk
ferrous sulfate	Iron Overdose Risk
flecainide	Cardiovascular risk
FLUoxetine	Suicidal Ideation
fluticasone-salmeterol	Salmeterol: asthma related death; pediatric and adolescent patients
fosphenytoin	Cardiovascular risk with rapid infusion
furosemide	Potent Diuretic
gadobutrol	Nephrogenic Systemic Fibrosis
gadoxetate	Nephrogenic Systemic Fibrosis
ganciclovir	Hematological toxicity; IV and oral different indications
gentamicin	Ototoxicity; Nephrotoxocity
haloperidol	Mortality in elderly with dementia
heparin	Spinal/Epidural Hematomas
hetastarch	Renal injury risk
homatropine-HYDROcodone	Hycodan - Risks from Concomitant Use with Benzodiazepines or Other CNS Depressants
hydrochlorothiazide-triamterene	Hyperkalemia
HYDROmorphone	Injection: Respiratory depression risk; abuse potential Injection, High Potency: Opioid-tolerant patients only; Respiratory depression risk; abuse potential Oral, extended release: Opioid-tolerant patients only; overdose risk; abuse potential Oral, liquid & tablets: Abuse potential; respiratory depression; neonatal withdrawal; alcohol interaction
hydroxychloroquine	Prior to initiation of therapy
ibuprofen	Cardiovascular; gastrointestinal risk
immune globulin intravenous and subcutaneous	Renal dysfunction, acute renal failure
indomethacin	Cardiovascular; gastrointestinal risk
iron sucrose	Iron overdose risk
isoniazid	Hepatitis
ketamine	Emergence reactions; psychological manifestations
ketoconazole	Oral: hepatoxicity, drug interactions
ketorolac	Duration of therapy; max dose; GI, cardiovascular, bleeding, renal risk Nasal Spray - Risk of Serious Cardiovascular and Gastrointestinal Events
lamiVUDine	Lactic acidosis, hepatomegaly; exacerbations of hepatitis b; dosing formulation
lamivudine-zidovudine	Lamivudine: Lactic acidosis, hepatomegaly; exacerbations of hepatitis b; dosing formulation Zidovudine: Hematological adverse events; myopathy; lactic acidosis; hepatomegaly
lamoTRIgine	Serious dermatological reactions
levoFLOXacin	Tendinitis, tendon rupture
levonorgestrel	Bolded (not boxed): Not Protective Against HIV
levothyroxine	Treatment of obesity or weight loss
lidocaine topical	Lidocaine, viscous: Do NOT use for teething pain
liothyronine	Treatment of obesity or weight loss
lipid emulsion, intravenous	Cautious use in infants Death in preterm infants
lithium	Monitoring recommendations
lopinavir-ritonavir	Ritonavir: Drug interactions
LORazepam	Risks From Concomitant Use With Opioids
losartan	Pregnancy risk
lurasidone	Mortality in elderly patients with dementia related psychosis
LVP solution	Extraneal: Unrecognized Hypoglycemia Resulting From Drug-Device Interaction
mannitol	Severe bronchospasm risk
medroxyPROGESTERone	Oral: Cardiovascular and other risks Injection: Loss of Bone Mineral Density
meloxicam	Cardiovascular; gastrointestinal risk
meperidine	Addiction, Abuse, and Misuse; Life-Threatening Respiratory Depression; Accidental Exposure; Neonatal Opioid Withdrawal Syndrome
metFORMIN	Lactic Acidosis
methadone	Risk during initiation of or conversion to methadone
methotrexate	Bone marrow, liver, lung and kidney toxicity risk
methylene blue (unavailable)	Serotonin Syndrome with Concomitant Use of Serotonergic Drugs
metoclopramide	Tardive Dyskinesia
metoprolol	Avoid abrupt withdrawal
metroNIDAZOLE	Carcinogenicity
midazolam	Individualize dose
midodrine	Supine blood pressure > 180 mmHg
minoxidil	Antihypertensive risk
mirtazapine	Suicidal ideation
miSOPROStol	Pregnancy risk
morphINE	Injection PreserveFree: 24-hour observation following epidural/intrathecal administration Controlled/Extended Release: Addiction, Abuse, and Misuse; Life-Threatening Respiratory Depression; Accidental Exposure; Neonatal Opioid Withdrawal Syndrome
multivitamin with iron	Iron overdose risk
naloxone-pentazocine	Addiction, Abuse, and Misuse; Life-Threatening Depression; Accidental Exposure; Neonatal Opioid Withdrawal Syndrome
nevirapine	Hepatotoxicity; dermal reactions; patient monitoring
norepinephrine	Extravasation risk
norethindrone	Cigarette smoking; risk of cardiovascular disease
nortriptyline	Suicidal ideation
OLANZapine	Mortality in elderly with dementia related psychosis
onabotulinumtoxinA	Distant spread of toxin effect
oxyCODONE	Oral solution: Risk of errors Controlled release: Abuse potential
oxytocin	Elective induction of labor
PARoxetine	Suicidal ideation
perphenazine	Elderly patients with dementia related psychosis
phenylephrine	Prior to initiation of therapy
phenylephrine-promethazine	Promethazine: Patients < 2 years; respiratory depression
phenytoin	Cardiovascular risk with rapid infusion
phytonadione	Severe reactions with IM and IV use
procainamide	Positive titers with chronic administration
prochlorperazine	Elderly patients with dementia related psychosis
progesterone	Cardiovascular disorders; breast cancer; probable dementia
promethazine	Patients < 2 years; severe tissue injury
propranolol	Avoid abrupt withdrawal
propylthiouracil	Severe liver injury; acute liver failure
protamine	Hypotension, pulmonary hypertension; risk factors described
QUEtiapine	Elderly patients with dementia related psychosis
remifentanil	Addiction, Abuse, and Misuse
risperiDONE	Elderly patients with dementia related psychosis
ritonavir	Drug interaction risk
rivaroxaban	Premature discontinuation; spinal/epidural hematomas
rocuronium	Prior to initiation of therapy
sertraline	Suicidal ideation
sodium nitroprusside	Cyanide toxicity; hypotension risk; dilute
sodium phosphate	Phosphate nephropathy
spironolactone	Possible tumorigen
succinylcholine	Hyperkalemic rhabdomyolysis in infants or children
tamoxifen	Women at high risk for breast cancer; women with DCIS
tenofovir	Lactic acidosis, severe hepatomegaly; hepB co-infection
terbutaline	Preterm labor (injectable and oral)
thrombin topical	Bleeding, thrombosis risk
thyroid desiccated	Treatment of obesity or weight loss
tiZANidine	Bolded (not boxed): bioequivalence between products
tobramycin	Ototoxicity, nephrotoxicity risk with IV use
traMADol	Addiction, Abuse, and Misuse; Life-Threatening Depression; Accidental Exposure; Neonatal Opioid Withdrawal Syndrome; and Hepatotoxicity
traZODone	Suicidal ideation
valGANciclovir	Granulocytopenia, Anemia, Thrombocytopenia
valproic acid	Risk to children exposed in utero
valsartan	ACE inhibitor pregnancy risk
venlafaxine	Suicidal ideation
vilazodone	Suicidal ideation
warfarin	Serious bleeding risk
zidovudine	Hematological adverse events; myopathy; lactic acidosis; hepatomegaly
ziprasidone	Mortality in elderly with dementia related psychosis

Pharmacy Phone Numbers
Inpatient / Hospital Pharmacy: 225-924-8195
Retail Pharmacy: 225-924-8199

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