12.06.2013 Views

NATIONAL ADAP MONITORING PROJECT - AIDS United

NATIONAL ADAP MONITORING PROJECT - AIDS United

NATIONAL ADAP MONITORING PROJECT - AIDS United

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

Wisconsin<br />

<strong>ADAP</strong> FORMULARIES<br />

ANTIRETROVIRALS<br />

NRTIs- abacavir (Ziagen), abacavir/lamivudine/zidovudine (Trizivir), didanosine (ddI, Videx, Videx EC), lamivudine (Epivir, 3TC),<br />

lamivudine/zidovudine (Combivir), stavudine (d4T, Zerit), tenofovir (Viread), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir).<br />

PIs- amprenavir (Agenerase), indinavir (Crixivan), lopinavir/ritonavir (Kaletra), nelfinavir (Viracept), ritonavir (Norvir), saquinavir<br />

(Fortovase, Invirase). NnRTIs- delavirdine (Rescriptor), efavirenz (Sustiva), nevirapine (Viramune). Other- hydroxyurea (Hydrea).<br />

OI DRUGS<br />

PHS “A1 OI”s- acyclovir (Zovirax), azithromycin (Zithromax), clarithromycin (Biaxin), fluconazole (Diflucan), ganciclovir (Cytovene),<br />

itraconazole (Sporonox), leucovorin (Wellcovorin), pyrimethamine (Daraprim), sulfadiazine, TMP/SMX (Bactrim, Septra). Other OIsamphotericin<br />

B (Fungizone), atovaquone (Mepron), clindamycin (Cleocin), dapsone, ganciclovir implant (Vitrasert),<br />

ketoconazole (Nizoral), pentamidine (NebuPent), rifabutin (Mycobutin). Hepatitis C- none.<br />

Wyoming<br />

ANTIRETROVIRALS<br />

NRTIs- abacavir (Ziagen), didanosine (ddI, Videx), lamivudine (Epivir, 3TC), lamivudine/zidovudine (Combivir), stavudine (d4T,<br />

Zerit), tenofovir (Viread), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir). PIs- amprenavir (Agenerase), indinavir (Crixivan),<br />

nelfinavir (Viracept), ritonavir (Norvir), saquinavir (Fortovase, Invirase). NnRTIs- delavirdine (Rescriptor), efavirenz (Sustiva),<br />

nevirapine (Viramune). Other- hydroxyurea (Hydrea).<br />

OI DRUGS<br />

PHS “A1 OI”s- acyclovir (Zovirax), azithromycin (Zithromax), clarithromycin (Biaxin), fluconazole (Diflucan), foscarnet (Foscavir),<br />

ganciclovir (Cytovene), isoniazid, itraconazole (Sporonox), leucovorin (Wellcovorin), pyrazinamide (Terbrazid), pyrimethamine<br />

(Fansidar), rifampim (Rifadin, Rifamate), sulfadiazine (Microsulfon), TMP/SMX (Bactrim, Septra). Other OIs- amikacin (Amikin),<br />

amphotericin B (Fungizone), atovaquone (Mepron), bleomycin (Blenoxane), ciprofloxacin (Cipro), clindamycin (Cleocin), clofazimine<br />

(Lamprene), clotrimazole (Lotrimin, Mycelex), dapsone, doxorubicin (Adriamycin), erythropoietin (Epogen, Procrit), ethambutol<br />

(Myambutol), filgrastim (Neupogen), interferon n3, Beta, Gamma (Alferon N, Betaseron, Actimmune), ketoconazole (Nizoral),<br />

metronidazole (Flagyl), nystatin, paromomycin (Humatin), pentamidine (Pentam), prednisone (Deltasone), primaquine, rifabutin<br />

(Mycobutin), streptomycin, terconazole (Terazol), vinblastine (Velban), vincristine (Oncovin), valacyclovir (Valtrex).<br />

Hepatitis C- interferon 2a, 2b (Roferon A, Intron A).<br />

TREATMENTS FOR METABOLIC DISORDERS<br />

Hyperlipidemia- atorvastatin (generic), simvastatin (generic), fenofibrate (Tricor).<br />

Wasting- dronabinol (Marinol), megestrol acetate (Megace).<br />

ALL OTHERS<br />

amoxicillin,amoxicillin/clavulante (Augmentin), bupropion (Wellbutrin), carbamezapine (Tegretol), cephalexin, cefprozil (Procef, Prozef,<br />

Cefzil), doxycycline, famotidine (Pepcid), fluoxetine (Prozac), ibuprofen (Motrin, Advil), lansoprazole (Prevacid), levofloxacin<br />

(Levaquin), morphin sulfate (MS Contin/Roxanol), norfloxacin (Norflox), paroxetine (Paxil), penicillin, phenytoin (Dilantin), sertraline<br />

(Zoloft), sulfacetamide, trifluridine (Viroptic), valproic acid (Depakene, Depakote).<br />

Secondary Forumulary ( all generics) : acetaminophen combinations, alprazolam, amantadine, amitriptyline, amoxapine, aspirin<br />

combinations, birth control pills and injection, bronfenac, buspirone, chlorpromazine, choline magnesium trisalicylate, choline<br />

salicylate, citalopram, clozapine, clomipramine, codeine, desipramine, diazepam, diphenoxylate/altropine (generic), doxepin, etodolac,<br />

fenoprofen, fentanyl, fluphenazine, fluvoxamine, guafenisin, haloperidol, hydromorphone, hydroxyzine ibuprofen, imipramine,<br />

imiquimod cream (generic), indomethacin, Kao-Pectate (generic), ketoprofen, ketorolac, lidocaine viscus sol/gel, lithium, loperamide<br />

(generic), lorazepam, loxapine, maprolitine, meclofenamate, mefenamic, meperidine,, methadone, mirtazapine, morphine, nabumetone,<br />

naproxen, nefazodone, nortriptyline, olanzapine, omeprazole, oxaprozin, oxazepam, oxycodone, perphenazine, phenelzine, piroxicam,<br />

prochlorperazine, promazine, propoxyphene, protriptyline, psyllium, quetipine, relenza, rimatadine, risperidone, salsalate, sertindole,<br />

sulindac, tamiflu, thioridazine, thiothixene, tolmetin, topical corticosteroids, tranycypromine, trazodone, trifluoperazine, trimipramine,<br />

venlaxafine.

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!