Is Xanax 5 mg b.i.d. a customary dose of this?
Posted By: SM on 2007-03-26
In Reply to:
Subject: Is Xanax 5 mg b.i.d. a customary dose of this?
Just wondering, I am used to transcribing 0.5 mg or 1 mg, 2 mg at the most but I have a resident saying 5 mg b.i.d. I'm not a doctor so I don't want to pretend I know better, but would you flag this to be sure it was 5 and not 0.5 if you were me? Maybe they do prescribe as high as 5 mg and just because I have never typed that high of a dose doesn't mean anything, but I always worry, same as when they dictate mg for something that I'm used to typing mcg. Any opinions?
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There are three sliding-scale insulin regimens - mild dose, moderate dose, and high dose.
Subject: There are three sliding-scale insulin regimens - mild dose, moderate dose, and high dose.
So mild is correct.
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Could it be Xanax 0.5 mg? nm
Subject: Could it be Xanax 0.5 mg? nm
s
Maybe Xanax? nm
Subject: Maybe Xanax? nm
x
Xanax
Subject: Xanax
XanaX
Subject: XanaX
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Thank you, XanaX
Subject: Thank you, XanaX
This dictator is a notorious word-shortener-upper. I should have figured it out myself, especially where it went in the report. Thanks so much!
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Thanks so much XanaX -- I think that's it.
Subject: Thanks so much XanaX -- I think that's it.
Thanks XanaX!
Subject: Thanks XanaX!
So true! XanaX CAN do that!
Subject: So true! XanaX CAN do that!
.
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Subject: s/l cynex, definately not Xanax
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XanaX is correct please disregard
Subject: XanaX is correct please disregard
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guessing "two more dose" protocol, or even "tumor dose" protocol. sm
Subject: guessing "two more dose" protocol, or even "tumor dose" protocol. sm
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Subject: maybe alprazolol (Xanax) and mirtazepine (Remeron) /nm
.
Way to go, XanaX!! my head is as foggy as London right now...sm
Subject: Way to go, XanaX!! my head is as foggy as London right now...sm
started at 6:00 am, double shift!
No dose
Subject: No dose
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That is the max dose as per the sm
Subject: That is the max dose as per the sm
Monthly Prescribing Reference.
dose of?
Subject: dose of?
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Subject: It comes in 17 gm. Could be dose? nm
nm
what is the dose? nm
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Subject: dose is 250 per 5 mL most likely. nm
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Subject: Oh no dose?
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Subject: not metered dose
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Subject: that's much too high of a dose
nm
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Subject: Sorry. I keep thinking that with that 400 mg dose sm
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Subject: do you have a dose or any idea what it is taken for? nm
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x
I would flag it, 5 mg b.i.d. is not a normal dose
Subject: 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]
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