Pediatric Clinical Pharmacy
Chlorothiazide Suspension 50 mg/ml (Diuril)
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May 12,2006
To: NICU Attending Physicians
Marcia Warner RN, Juliette Lowe RN
NICU prescribers and nurses
From: Maureen McColl Pharm.D.
This product has been approved by the P&T committee for use in neonates and infants unable to take hydrochlorothiazide tablets.
The dose is 10-20 mg/kg/dose every 12 hours
Pharmacists and nurses please ask prescribers to change hydrochlorothiazide orders for doses less than 12.5 mg or fractions of doses less than _ of the 25 mg tablet to chlorothiazide.
For example 3.5 kg baby 2 mg/kg/dose hydrochlorothiazide would be 7 mg.
This dose should be changed to chlorothiazide 70 mg susp (20 mg/kg/dose).
Prescribers for discharge prescriptions
Chlorothiazide suspension 50 mg/ml
Dose 70 mg (1.4 ml)
Every 12 hours po for X days
Dispense (2.8ml x # of days supply)
Since this is a commercial product and does not require refrigeration or additional preparation by parents it should be readily obtainable and less troublesome than using hydrochlorothiazide tablets for these patients.
Chlorothiazide Suspension 50 mg/ml
Available instead to using tablets
Please refer to chlorothiazide information
On page 169
Chlorothiazide Suspension 50 mg/ml
Available instead to using tablets
Please refer to chlorothiazide information
On page 169
Chlorothiazide Suspension 50 mg/ml
Available instead to using tablets
Please refer to chlorothiazide information
On page 169
Chlorothiazide Suspension 50 mg/ml
Available instead to using tablets
Please refer to chlorothiazide information
On page 169
Chlorothiazide Suspension 50 mg/ml
Available instead to using tablets
Please refer to chlorothiazide information
On page 169
