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If CrCl
< 70 ml/min
Venlafaxine Effexor PO 75 mg 75 mg QD–BID C Possibly
unsafe
Hormones
Undefined
C Possibly
unsafe
200 IU QD
(limited data)
Calcitonin Fortical IN 200 IU 200 IU (limited
data)
Undefined
C Possibly
unsafe
May repeat 200
IU dose once
200 IU (limited
data)
Miacalcin IV 200 IU over
20 min
None
C Possibly
unsafe
Acthar IM 40–80 units 40–80 units q8–
12 h to total of
2–3 doses
Corticotropin
(ACTH)
Muscle relaxants
5–10 mg TID 5 mg TID B Unknown None
Cyclobenzaprine Flexeril PO 5 mg 5 mg for age
> 14 yrs
None
D Possibly
unsafe
2–10 mg TID 0.12–0.8 mg/kg
per day div q6h
Diazepam Valium PO 2–10 mg 0.12–0.8 mg/
kg per day
divided QID
Cardiovascular agents
C Unknown None
Not applicable to
ED
Nitrostat SL 0.4 mg q5 mins
x3
Nitroglycerin
(glyceryl
trinitrate)
C Unknown None
Titrate to
maximum usual
dose of 5 μg/kg
per min
Titrate to
maximum
usual dose
of 100 μg/
kg per min
0.25–0.5 μg/
kg per min,
titrated
Tridil IV 5 μg/min,
titrated
None
Metoprolol Lopressor PO 25–50 mg 50–200 mg BID C Probably
safe
None
IV 5 mg IV C Probably
safe