Subject:

Choose Tickler reminder date 4 wk 8 wk

SA Generic, V37_Jan10_2023 by Drs. John Yap, Gunther Klein, and Herbert Chang is licensed under a GPL.
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Specific Special Authority Requests:
click the buttons to populate the form, follow the links to the SA website for more information

Acetaminophen for osteoarthritis, as:       Monotherapy Adjunct to NSAID Aclidinium (+ Formoterol) for COPD Alendronate / Risedronate for:       Osteoporotic # Steroid-induced osteoporosis Angiotensin-2 Receptor Blocker Antifungal - topicals for lower extremity dermatomycosis with:       DM PVD Apixaban Bupropion for depression Carvedilol Celecoxib for: OA RA Cipro/Dexamethasone for:       AOM + vent tube AOE Dapagliflozin for DM Dapagliflozin for HRrEF Detemir / Glargine DOAC for Atrial Fibrillation Donezepil Dutasteride / Finasteride Empagliflozin (+ Metformin) Formoterol for asthma Galantamine Gliclazide Glycopyrronium (+ Indacaterol) for COPD Indacaterol for COPD Indapamide ICS / LABA for asthma for COPD       ( Advair   Atectura   Breo   Symbicort   Zenhale )

ICS-LABA-LAMA combo for asthma Levetiracetam Linagliptin (+ Metformin) LMW Heparin for Cancer or VTE Methylphenidate Long-acting Mometasone Nasal Pamidronate Perindopril Pioglitazone Proton Pump Inhibitor Raloxifene for osteoporotic # and:       Intolerance Treatment failure Rivaroxaban - reason: DVT or PE only Rivastigmine Salmeterol for asthma for COPD Saxagliptin (+ Metformin) Semaglutide injection Tacrolimus Terbinafine tablets only Testosterone injectable only Tiotropium (+ Oladaterol) for COPD Umeclidinium (+ Vilanterol) Vancomycin ORAL Zopiclone for:       HIV-AIDS Psychiatric Dx       Failed Benzodiazepine/Hypnotic       Alcohol-Drug Addiction Elderly

Links / References / other Special Authority Forms:

SA Drug List Formulary Search Drug Shortages Bugs & Drugs

ACEI Reference CCB Reference H2RA Reference Statin Reference COPD Reference

  

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