I would flag it, 5 mg b.i.d. is not a normal dose

Here's some info copied and pasted from my QuickLook drug reference. It looks like 4 mg a day total is about the highest dose.

Usual Dosage

Oral: Note: Treatment >4 months should be re-evaluated to determine the patient's continued need for the drug
Adults:
Anxiety: Immediate release: Effective doses are 0.5-4 mg/day in divided doses; the manufacturer recommends starting at 0.25-0.5 mg 3 times/day; titrate dose upward; maximum: 4 mg/day
Anxiety associated with depression: Immediate release: Average dose required: 2.5-3 mg/day in divided doses
Panic disorder:
Immediate release: Initial: 0.5 mg 3 times/day; dose may be increased every 3-4 days in increments ≤1 mg/day; many patients obtain relief at 2 mg/day, as much as 10 mg/day may be required
Extended release: 0.5-1 mg once daily; may increase dose every 3-4 days in increments ≤1 mg/day (range: 3-6 mg/day)
Switching from immediate release to extended release: Patients may be switched to extended release tablets by taking the total daily dose of the immediate release tablets and giving it once daily using the extended release preparation.
Preoperative sedation: 0.5 mg in evening at bedtime and 0.5 mg 1 hour before procedure
Dose reduction: Abrupt discontinuation should be avoided. Daily dose may be decreased by 0.5 mg every 3 days, however, some patients may require a slower reduction. If withdrawal symptoms occur, resume previous dose and discontinue on a less rapid schedule.

Dosage Forms

Solution, oral (Alprazolam Intensol�): 1 mg/mL (30 mL)
Tablet (Xanax�): 0.25 mg, 0.5 mg, 1 mg, 2 mg
Tablet, extended release (Xanax XR�): 0.5 mg, 1 mg, 2 mg, 3 mg
Tablet, orally-disintegrating (Niravam�): 0.25 mg, 0.5 mg, 1 mg, 2 mg [orange flavor]

The messages you are viewing are archived/old.
To view latest messages and participate in discussions, select the boards given in left menu

http://www.healthsystem.virginia.edu/internet/obgyn-clerkship/UVA/Abbreviations.cfm

I have a name that I can't understand in the document anyway (person's last name) and I can't find it to verify spelling - so it's got to go to QA anyway, I come back here and post if/when QA gets it in case someoen else ever has it. TY for those that tried looking also.

It wasn't locked. Sounded like lap or lapped. Doctor was running words together and even made up a few of his own! Gotta love it !

I have a doc who says stuff like that all the time...give a list of "this is normal, that is normal" only he says the same thing both times. I don't change it, I just flag it.

Is this correct or should I take the hypens out? I assume this is correct, but it looks funny to me.

. . . all of which can cause stomach upset, expecially the metformin in a 1-g-b.i.d. dose.