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Formulary Drugs - Letter M


Back to Start Drug Classes Trade Name/Generic Cross Reference
A B C D E F G H  I  J K L M N O P Q R S T U V W X Y Z
 

Magnesium Hydroxide
Trade Name: MOM
Therapeutic Class: 56:12 Cathartics and Laxatives
Contraindications: Hypersensitivity to magnesium hydroxide or any component
Usual Dosage
Adults:
Oral: Antacid - 5 to 15 ml by mouth up to four times daily with water
Laxative - 30 to 60 ml by mouth daily with water
Dosage Form
Liquid: 400 mg/5 ml
Authorized Prescribers: MD/NP/PA/RN
Comments: MD/NP/PA/RN: as per guidelines. Above dosages are for 400mg/5 ml strength. Do NOT consfuse with Concentrate (800mg/5 ml)
 

Magnesium Sulfate
Trade Name: Magnesium Sulfate
Therapeutic Class: 28:12.92 Miscellaneous Anticonvulsants
Contraindications: Heart block or myocardial damage; serious renal impairment
Usual Dosage
Hypomagnesemia:
Adults:
Oral: 3 grams every 6 hours for 4 doses as needed
IM, IV: 1 gram every 6 hours for 4 doses or IV: 250 mg/kg over a 4 hours period or 8-12 grams magnesium sulfate/24 hours in divided doses
Dosage Form
Injectable: 12.5% solution of magnesium sulfate
Authorized Prescribers: MD only
Comments: None
 

Measles, Mumps, and Rubella Vaccine
Trade Name: MMR
Therapeutic Class: 80:12 Vaccines
Contraindications: Known hypersensitivity to drug, hypersensitivity to neomycin, acute respiratory illness, active untreated tuberculosis, immunosuppressive therapy, immunodeficiency states, hematologic or lymphogenous malignancy.
Usual Dosage
See DIHS SOP 8.16.01
Dosage Form
Injection: single-dose
Authorized Prescribers: MD/NP/PA/RN
Comments: MD/NP/PA/RN: as per guidelines
 

Mebendazole
Trade Name: Vermox
Therapeutic Class: 08:08 Anthelmintics
Contraindications: Hypersensitivity to mebendazole or any component
Usual Dosage
Adults:
Pinworms: Single chewable tablet; may need to repeat after 2 weeks
Whipworms, roundworms, and hookworms: One tablet twice daily, morning and evening on 3 consecutive days; if patient is not cured within 3-4 weeks a second course of treatment may be administered
Dosage Form
Tablet: 100 mg
Authorized Prescribers: MD/NP/PA
Comments: NP/PA: E. vermicularis
 

Meclizine
Trade Name: Antivert
Therapeutic Class: 56:22 Antiemetics
Contraindications: Hypersensitivity to meclizine or any component; pregnancy
Usual Dosage
Adults:
Vertigo: 25-100 mg/day in divided doses
Motion Sickness: 25-50 mg 1 hour before travel, repeat dose every 24 hours if needed
Dosage Form
Tablet: 12.5 mg, 25 mg, 50 mg
Authorized Prescribers: MD/NP/PA
Comments: NP/PA: Vertigo
 

Medroxyprogesterone
Trade Name: Provera
Therapeutic Class: 68:32 Progestins
Contraindications: Women with undiagnosed abnormal uterine bleeding, hemorrhagic diathesis, known or suspected pregnancy, active hepatic disease, active thrombophlebitis, thromboembolic disorders, or known or suspected carcinoma of the breast.
Usual Dosage
Adults:
Oral: 5-10 mg daily for ten days
Dosage Form
Tablet: 2.5 mg, 5 mg, 10 mg
Authorized Prescribers: MD/NP/PA
Comments: NP/PA: Secondary amenorrhea and osteoporosis
 

Meperidine Hydrochloride
Trade Name: Demerol
Therapeutic Class: 28:08.08 Opiate Agonists
Contraindications: Hypersensitivity to meperidine or any component
Usual Dosage
Adults:
Oral, IM, IV, SC: 50-150 mg/dose every 3-4 hours as needed
Dosage Form
Injection: 25 mg/ml, 50 mg/ml, 100 mg/ml
Authorized Prescribers: MD/DDS/NP/PA
Comments: NP/PA: Nephrolithiasis; Note: Physician must approve and co-sign written prescription ASAP Keep in locked cabinet.
 

Mepivacaine
Trade Name: Carbocaine
Therapeutic Class: 72:00 Local Anesthetics
Contraindications: Hypersensitivity to mepivacaine or any component; pregnancy
Usual Dosage
Adults:
Injection: use as per dental protocol; maximum dose 7 mg/kg or 400 mg whichever is less
Dosage Form
Injection: 3% solution
Authorized Prescribers: MD/DDS only
Comments: None
 

Metaraminol
Trade Name: Aramine
Therapeutic Class: 12:12 Sympathomimetic (Adrenergic) Agents
Contraindications: Known hypersensitivity to metaraminol or other sympathomimetic agents
Usual Dosage
Adults:
IV: 1.5-10 mcg/kg/min
Dosage Form
Injection: 10 mg/ml
Authorized Prescribers: MD only
Comments: None
 

Metformin
Trade Name: Glucophage
Therapeutic Class: 68:20.92 Miscellaneous Antidiabetic Agents
Contraindications: Hypersensitivity to metformin or any component; renal or liver disease, heart failure, pulmonary insufficiency, pregnancy and alcoholism
Usual Dosage
Adults:
Oral: Initial dosage 850 mg once daily or 500 mg twice daily.
Maintenance dosage Must be individualized on basis of effectiveness and tolerance. Maximum Dose 2550 mg/day
Dosage Form
Tablet: 500 mg, 850 mg
Authorized Prescribers: MD/NP/PA
Comments: Second line agent for patients unable to take insulin or tolerate sulfonylureas
 

Methocarbamol
Trade Name: Robaxin
Therapeutic Class: 12:20 Muscle Relaxants
Contraindications: Renal impairment, hypersensitivity to methocarbamol or any component
Usual Dosage
Adults:
Oral: 1.5 grams 4 times/day for 2-3 days, then decrease to 4-4.5 grams/day in 3-6 divided doses
Dosage Form
Tablet: 500 mg, 750 mg
Authorized Prescribers: MD/NP/PA
Comments: NP/PA: Lumbosacral strain, cervical neck sprain and headaches
 

Methylcellulose Ophthalmic
Trade Name: Tears Naturale
Therapeutic Class: 52:36 Miscellaneous EENT Drugs
Contraindications: Hypersensitivity to methylcellulose or any component
Usual Dosage
Adults:
Ophthalmic: 2-5 drops every 2-3 hours as needed for eye irritation
Dosage Form
Ophthalmic: Solution
Authorized Prescribers: MD/NP/PA/RN
Comments: NP/PA/RN: Eye irritation
 

Methyldopa
Trade Name: Aldomet
Therapeutic Class: 24:08 Hypotensive Agents
Contraindications: Hypersensitivity to methyldopa or any component; liver disease;
pheochromocytoma.
Usual Dosage
Adults:
Oral: 250-500 mg 2-3 times/day, up to 3 grams/24 hours
Dosage Form
Tablet: 125 mg, 250 mg, 500 mg
Authorized Prescribers: MD only
Comments: None
 

Methylprednisolone
Trade Name: Solu-Medrol, Medrol
Therapeutic Class: 68:04 Adrenals
Contraindications: Hypersensitivity to methylprednisolone or any component; administration of live virus vaccine, systemic fungal infection.
Usual Dosage
Children
Anti-inflammatory:
IM, IV: 0.16-1.0 mg/kg/24 hours
Status asthmaticus:
IV: Loading: 2 mg/kg as a single dose
Maintenance: 0.5-1.0 mg/kg/dose every 6 hours
Adults:
Oral: 2-60 mg in 1-4 divided doses
IM: 10-80 mg/24 hours once daily
Dosage Form
Injection, as sodium succinate: 1 gram
Tablet: 2 mg, 4 mg, 8 mg, 16 mg, 24 mg, 32 mg
Authorized Prescribers: MD/NP/PA
Comments: NP/PA: Anaphylaxis in infant/children, asthma in adults
 

Metoclopramide Hydrochloride
Trade Name: Reglan
Therapeutic Class: 56:40 Miscellaneous GI Drugs
Contraindications: Hypersensitivity to metoclopramide or any component; GI obstruction, pheochromocytoma, history of seizure disorder.
Usual Dosage
Adults:
Oral: 10-15 mg/dose up to 4 times/day, 30 minutes before each meal and at bedtime
Dosage Form
Tablet: 5 mg, 10 mg
Authorized Prescribers: MD/NP/PA
Comments: NP/PA: For hiatal hernia and reflux
 

Metronidazole
Trade Name: Flagyl and Metrogel
Therapeutic Class: 08:40 Miscellaneous Anti-infective 84:04.16 Miscellaneous Local Anti-Infectives
Contraindications: Hypersensitivity to metronidazole or any component
Usual Dosage
Children
Amebiasis: 35-50 mg/kg/24 hours in divided doses every 8 hours
Other parasitic infections: 15-30 mg/kg/24 hours in divided doses every 8 hours
Anaerobic infections: 30 mg/kg/24 hours in divided doses every 6 hours
Clostridium difficile: 20 mg/kg/24 hours divided every 6 hours
Maximum dose: 2 grams/24 hours
Adults:
Amebiasis: 500-750 mg every 8 hours
Other parasitic infections: 50 mg every 8 hours or 2 grams as a single dose
Anaerobic infections: 30 mg/kg/24 hours in divided doses every 6 hours, not to exceed 4 grams/24 hours
Antibiotic associated colitis: 250 mg 4 times/day for 10-14 days Bacterial vaginosis: 0.75% gel intra-vaginally twice a day for 5 days 
Dosage Form
Tablet:  250 mg
Gel: 0.75% vaginal gel
Authorized Prescribers: MD/NP/PA
Comments: NP/PA can use oral medication for trichomonal and gardnerella vaginitis, bacterial vaginosis; can use intra-vaginal gel to treat Gardnerella Vaginalis in patients unable to tolerate triple sulfa cream; can also use gel to treat Rosacea
 

Mirtazapine
Trade Name: Remeron
Therapeutic Class: 28:16.04 Antidepressants
Contraindications: Hypersensitivity to mirtazapine or any component.
Usual Dosage
Adults:
Oral: Starting dose 15 gm/day preferably in the evening
Dosage Form
Tablet: 15 mg, 30 mg, 45 mg
Authorized Prescribers: Psychiatry only
Comments: None
 

Morphine Sulfate
Trade Name: Duramorph
Therapeutic Class: 28:08.08 Opiate Agonists
Contraindications: Known hypersensitivity to morphine sulfate; increased intracraninal pressure; severe respiratory depression; severe liver or renal insufficiency.
Usual Dosage
Adults:
IM, IV, SC: 2.5-20 mg/dose every 2-6 hours as needed
IV, SC continuous infusion: 0.8-80 mg/hour
Dosage Form
Injection: 8 mg/ml, 10 mg/ml, 15 mg/ml
Authorized Prescribers: MD only
Comments: Keep in locked cabinet.
 

Multivitamin
Trade Name: One-A-Day
Therapeutic Class: 88:28 Multivitamin Preparation
Contraindications: Hypersensitivity to any component
Usual Dosage
Oral: 1 tablet/ day
Dosage Form
Tablet: 1 multivitamin
Authorized Prescribers: MD/NP/PA/RN
Comments: NP/PA/RN: Vitamin deficiency
 

Multivitamin/Mineral/Folic Acid
Trade Name: Prenatal Vitamin
Therapeutic Class: 88:28 Multivitamin Preparation
Contraindications: Hypersensitivity to any component
Usual Dosage
Adults:
Oral: 1 tablet/day
Dosage Form
Tablet: 1 prenatal vitamin
Authorized Prescribers: MD/NP/PA
Comments: None
 

Mumps Skin Test Antigen
Trade Name: MSTA
Therapeutic Class: 36:52 Mumps (Diagnostic)
Contraindications: Persons with ovian protein (eggs or egg products) sensitivity, known hypersensitivity to thimerosal.
Usual Dosage 
Must be given intradermally if it is given SC no reaction or an unreliable reaction may occur.
Children and Adults:
0.1 ml intradermally into flexor surface of the forearm; examine reaction site in 24-48 hours; a positive reaction is >1.5 mm diameter induration; pseudopositive reaction may develop in persons sensitive to egg protein; a positive reaction indicates sensitivity; a negative reaction probably indicates either anergy or nonsenstivity.
Dosage Form
Injection: 10 doses/1 ml vial
Authorized Prescribers: MD/NP/PA/RN
Comments: Diagnostic agent for anergy testing; vials need to be refrigerated.
 

 

 

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