The Mortar & Pestle | Pharmacy & Therapeutics Update
What’s New… November 13, 2024 meeting
Carboxymethylcellulose 0.5% ophthalmic drops and Dequalinium (Dequadin) throat lozenges were added to formulary due to Health Pro contract changes.
Potassium Phosphate 15 mmol/250 mL D5W and 30 mmol/500 mL D5W have been added to the formulary at the Regional Centers which should eliminate after hour requests for compounding.
After a comprehensive review of SH-SS inhalers, the following were added to the formulary: Combivent Respimat, Spiriva Respimat. Advair MDI will be removed and replaced by Wixela Diskus to decrease the greenhouse gases in the environment from the propellant hydrofluoroalkane (HFA). More info is shared on the briefing note for the updated Automatic Substitution Medication List in Acute Care.
The Acute Care Formulary Review policy was created with a Process for Handling Non-Formulary Medication Orders.
The Emergency Department Adult Intravenous Iron Administration Standard Orders was revised to reflect the name change of Monoferric from iron isomaltoside to ferric derisomaltose. Labs were also changed from Fe, TIBC to TSTAT (Percent transferrin saturation; report includes iron & TIBC).
Medication Order Writing and Processing policy was updated with more exclusive wording for texting orders using provincial or SH-SS approved secure communication for communication. It also refers to the regional Secure Messaging for Patient Care policy.
FORMULARY
- Carboxymethcellulose 1% to 0.5% ophthalmic
- Lozenges Bradasol to Dequadin
- Potassium Phosphate 15/250 & 30/500 (mmol /mL D5W)
- Meperidine inj restrictions
- Combivent Respimat
- Too many to list, see memo
POLICIES - AutoSub list Acute Care
a. Spiriva caps to Respimat
b. Advair MDI to Diskus
c. Salbutamol preferred brand Teva - Acute Care Formulary Review
- Adult Intravenous Iron Administration in ED Standard Orders updated
- Medication Order Writing and Processing
- Secure Messaging for Patient Care
MONOGRAPHS
- Too many to list, see memo
POLICIES
- AutoSub list Acute Care
- Spiriva caps to Respimat
- Advair MDI to Diskus
- Salbutamol preferred brand Teva
- Acute Care Formulary Review
- Adult Intravenous Iron Administration in ED Standard Orders updated
- Medication Order Writing and Processing
- Secure Messaging for Patient Care
For more info. go to the GENERAL shared folder to review the completed Pharmacy & Therapeutics minutes