I see so many mistakes when it comes to dosage forms. More often than not, it doesn’t result in any issues for the patient, but there is always the potential. Here’s 3 classic dosage form mistakes that I see all the time.
- MS Contin – this medication is an extended release morphine intended to control chronic pain. You should not see this ordered as needed, as the immediate release formulation would be more appropriate to treat acute pain.
- Metoprolol succinate versus metoprolol tartrate – Metoprolol succinate is extended release and is “typically” only dose once daily, although I will see it used twice daily on occasion. Metoprolol tartrate is the immediate release formulation.
- Oxycontin – Oxycontin is an extended release product (oxycodone ER). Again like MS Contin, this should not be used on an as needed basis. There is an oxycodone immediate release product that can be used as needed for acute relief of pain.
What’s your favorite dosage form mistake?!
If you’ve followed the blog, you maybe remember the morphine post in which there are two different oral liquid concentrations that can end up causing a potential life threatening situation if these are mixed up.
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