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from the Updated American College of Gastroenterology Guidelines
- Hospice Medication Chart: Inhaled Respiratory Medications
- Insomnia in Hospice Care: Additional Questions about the Use of the “Z Drugs”
- Hospice Medication Chart: Comparison of Proton Pump Inhibitors
- Generic Versions of the Original Opana ER Will Continue to Be Manufactured
- Hospice Medication Alert: New Once Daily ICS/LABA for COPD
- Hospice Medication Alert: Vicodin® and Generic Substitution
- Faxing Schedule II Prescriptions to Pharmacies for Hospice Patients
- Lubiprostone (Amitiza®) Approved for Opioid-Induced Constipation: How should we use in hospice care?
- FDA Blocks Generic OxyContin: Implications for Hospice
- Join us at the NHPCO Management & Leadership Conference Next Week
- Drug Induced QT Prolongation and Cardiac Arrhythmia: Implications for Hospice Care
- OTC Treatment for Overactive Bladder
- Hospice Medication Alert: FDA Requires Lower Recommended Doses of Zolpidem
- Hospice Medication Alert: Changes of Acetaminophen Content in the Branded Vicodin Products
- DEA Proposes Regulations Expanding Options for Drug Disposal
- Hospice Medication Alert: Qualitest Recalls 101 Lots of Hydrocodone/APAP 10/500
- Hospice Medication Alert: Zofran 32 mg to be Pulled Due to Safety Concerns
- Pitfalls in the Management of Constipation in Hospice Patients
- NEJM Study: Relapse Risk After Discontinuation of Risperidone in Alzheimer’s Disease
- Hospice Medication Alert: FDA Opposes Hydrocodone/APAP Rescheduling
- Outcome Resources & NHPCO: Pediatric Palliative Care
- Hospice Medication Alert: Update on Fungal Meningitis Outbreak
- Palliative Care: The Best Language to Use with the Public
- FDA Reminds Prescribers About the Risks Associated with Using Quinine for Nocturnal Leg Cramps
- Study Reports that Docusate is Ineffective for Constipation in Hospice Patients
- Hospice Medication Alert: Methylprednisolone Recall Due to Meningitis Outbreak; 4 Deaths Recorded
- Review of DEA rules on Controlled Substance Prescriptions for Hospices
- Now Available: New Presentation on Pediatric Palliative Care
- The New Criteria for Potential Inappropriate Medications in Elderly - START and STOPP
- Hospice Medication Alert: New Combivent Formulation Coming This Month
- FDA Sued by Consumer Advocacy Group over Aricept 23 mg
- Should Hospice Patients use Exelon Patch?
- New Medication for Chronic Constipation and IBS: FDA Approves Linaclotide
- Pediatric Hospice Medication Alert: Recommendation Against Using Revatio in Children
- Hospice Medication Alert: EXALGO (Extended-Release Hydromorphone) 32mg Approved
- Bexarotene: Should Doctors Prescribe This Skin Cancer Drug for Alzheimer’s Disease?
- Congress Blames the FDA for Drug Shortages
- Reminder About the Risks of Using Codeine in Pediatric Palliative Care
- What is “Incomplete Cross-Tolerance”, and Why Does it Matter in Hospice?
- Pediatric Palliative Care: Strategies for Administering Medications
- The Age of "Digital Medicine" : Pill Sensor for Patient Adherence
- Should your hospice pay for leukotriene-receptor antagonists (LTRAs) for COPD patients?
- Hospice Medication Alert: New Long-Acting Inhaled Bronchodilator for COPD
- H2RAs and Delirium in Hospice Patients
- OIG Examines Medicare Medication Payments for Hospice Beneficiaries
- Hydrocodone-Containing Products May Become Schedule II Controlled Substances
- Abuse-Resistant OxyContin Pushes Users to Other Opioids, Including Heroin
- Hospice Medication Alert: Azithromycin and Risk of Cardiovascular Death
- Hospice Medication Alert: Morphine 20 mg/mL Patient Education Handout
- Update on REMS for Extended-Release and Long-Acting Opioids
- Hospice Medication Alert: Hospira Carpuject Pre-Filled Cartridges
- Rapid Treatment of Depression in Hospice, Part 2: Ketamine
- Haloperidol Dose Equivalence to Newer Atypical Antipsychotics
- Update on Injectable Lorazepam Shortage and Implications for Hospice
- Analgesics Reduce Agitation in Nursing Home Residents with Dementia
- Hospice Drug Alert - Hydromorhone Injection Recall
- Aspirin as Good as Warfarin in Heart Failure with Normal Sinus Rhythm
- Opioids for Dyspnea in COPD: Preferences of Patients, Caregivers and Prescribers
- Rapid Treatment of Depression in Hospice, Part 1: Methylphenidate
- Managing Elevated INRs in Patients Taking Warfarin
- New Hospice Drug: Intermezzo (Low-Dose Zolpidem)
- New Warnings and Contraindication for Aliskiren (Tekturna®)
- Morphine Injection Lot Recalled ? May Contain Excessive Fill Volume
- Disposal of Unused Medicines: What You Should Know
- The Four Medications that Cause 70% of Adverse-Event-Related Hospitalizations in Older Adults
- AAHPM Joins the Choosing Wisely® Campaign to Reduce Unnecessary Treatments
- Generic Seroquel® (Quetiapine) Now Available
- Updated Beers Criteria and Implications for Hospice Care, Part 3
- Updated Beers Criteria and Implications for Hospice Care, Part 2
- Updated Beers Criteria and Implications for Hospice Care, Part 1
- Generic Lexapro® Now Available
- Could a Skin Cancer Drug Be the Cure for Alzheimer's Disease?
- Statins - Important Safety Label Changes
- Hospice Medication Alert: Fleet Enemas and Acute Renal Failure
- Midazolam Via Intramuscular Autoinjector For Seizure Treatment
- Counterfeit Version of Avastin (bevacizumab) in Circulation in the US
- How to Dose Immediate-Release Opioids for Breakthrough Pain in Hospice Patients
- Hospice Drug Safety Alert: PPIs Associated with C. Difficile Diarrhea
- "Drug Shortage Prevention Act" Introduced
- Make This YOUR Hospice Pharmacy Blog by Providing Your Ideas and Feedback!
- Medication Reviews and Medicare CoPs: Is Your Hospice in Compliance?
- Proper Inhaler Technique in Hospice Patients
- Update on Immediate-Release Fentanyl REMS
- Hospice Medication Alert: New Fentanyl Sublingual Spray Approved
- Attention Hospice Providers: Important Public Health Advisory
- Hospice Medication Alert: Washington State Warns on Methadone Use
- Hospice Medication Update: Morphine/Oxycodone Combination Product (MoxDuo® IR) Expected in 2012
- Study Suggests Synergism Between Medical Marijuana and Opiates
- Hospice Medication Alert: Oral Relistor® Tablets in the Pipeline
- Hospice Drug Shortage: Oxycodone Immediate-Release Tablets & Capsules
- How to Choose an NSAID for Hospice Patients, Part 3
- Lorazepam Injection Shortage: Implications for Hospice
- How to Choose an NSAID for Hospice Patients, Part 2
- How to Choose an NSAID for Hospice Patients, Part 1
- Hospice Medication Alert: Pradaxa® Under FDA Investigation
- Researchers Block Morphine-Induced Pruritis
- Lipitor® Off Patent Today
- Updated Beers Criteria on the Way
- Opioid Allergy versus Pseudoallergy: How to Differentiate
- Hospice Medication Alert: Scopolamine Patch Shortage
- Hospice Medication Alert: Kadian® and Avinza®
- Generic olanzapine available, but not much cheaper than Zyprexa
- Is Nitrate Tolerance Important in Hospice Patients?
- When and How to Taper Oral Corticosteroids in Hospice Patients
- Writing a Proper Medication Order for Hospice Patients, Part 3: Things to Avoid
- Writing a Proper Medication Order for Hospice Patients, Part 2: PRN Meds
- Writing a Proper Medication Order for Hospice Patients, Part 1: Scheduled Meds
- Boniva vs. Radiation for Bone Pain in Prostate Cancer Patients
- Hospice Medication Alert: Ingredients in ABH Gel Not Absorbed
- Prophylactic Antibiotic Therapy: Implications for Hospice Patients with Severe COPD
- Hospice Medication Alert: Maximum Daily Dose of Tylenol Reduced
- Medical Marijuana Dispensaries are Now at Risk for DEA Raids
- Hospice Medication Alert: High-dose Citalopram (Celexa)
- Revised Seroquel Label: Stronger Warnings
- Update on Opioid Risk Evaluation and Mitigation Strategies
- Hospice, End Stage Dementia, & The Role of Drug Treatment PART 2
- Hospice, End Stage Dementia, & the Role of Drug Treatment PART 1
- Hospice Medication Update: Morphine/Oxycodone Combination Product
- Hospice Medication Alert: Arcapta Neohaler for COPD
- Hospice Medication Alert: Fentanyl Nasal Spray Approved by FDA
- Pediatric Palliative Care: Pediatric Acetaminophen Concentration & Dosing
- Risk of Hospice Medication Errors: Ropinirole (Requip) and Risperidone (Risperdal)
- Hospice Medication Alert: New Drug for Insomnia: Silenor (Doxepin)
- Hospice Clinicians: Roflumilast (Daliresp®) Approved by the FDA for COPD
- New Study Shows Cannabis Extract Sativex Effective for MS, in trials for Cancer Pain
- Hospice Advocacy & The 26th NHPCO MLC
- Hospice Medication Alert: New COPD Drug Approved by the FDA
- Medication Mangement of Delirium in Hospice Patients
- Hospice Medication Update: New Limits on Acetaminophen Content in Opioid/APAP Combination Products
- Identifying Causes of Delirium in Hospice Patients
- Reglan (Metoclopramide) and Tardive Dyskinesia in Hospice Patients
- Hospice Medication Alert: Withdrawal of Propoxyphene from the Market
- Hospice Patients and the Flu Vaccine
- Hospice Medication Update: Oxycodone 20mg/ml Oral Concentrate Shortage
- Hospice Medication Update: Exalgo (Hydromorphone, Opioid)
- The Use of Megestrol Acetate (Megace) in Elderly Hospice Patients
- Upcoming Presentation by Dr. Jim Joyner, PharmD
- Early Initiation of Palliative Care May Increase Survival in Lung Cancer Patients
- Hospice Medication Update: Oxycodone Oral Solution Availability
- High-Dose Donepezil Approved for Moderate to Severe Alzheimer's Disease
- Pediatric Palliative Symptom Management
- New Hospice Medication Update: Butrans
- FDA Approves Generic Fentora and Generic Effexor XR
- Series on Pediatric Hospice & Palliative Care Patients
- Pediatric Palliative Care: Pain Management
- Pain Management in Hospice Patients: Buprenorphine (Subutex, Suboxone)
- Proton Pump Inhibitors and Hospice Patients
- New FDA Approvals of Pain Medications for Hospice Patients
- Revised Labeling & Warnings for Hospice Medications
- Proper Use of Sublingual Nitroglycerin
- Generic Memantine for Alzheimer's Approved by the FDA
- Opioid Medication Shortages in Hospice Care
- Methadone in Hospice and Palliative Care
- New OxyContin Formulation and Generic Alprazolam Approved
- Hospice Advocacy: Outcome Resources goes to Washington!
- Find out more about Pharmacy Services for your Hospice at the NHPCO MLC!
- Pediatric Palliative Care: Current Concepts in Drug Therapy
- Baclofen: Effective for Cancer Pain in Hospice Patients
- DEA Actions May Compromise Hospice Patients in Nursing Homes - UPDATE
- Relistor for Opioid Induced Constipation in Hospice Patients
- Nebulized Opioids for Hospice Patients
- Federal Hospice Conditions of Participation: The Comprehensive Drug Review
- Sativex for Hospice Patients?
- What is a Pharmacy Benefit Manager? How can a PBM benefit my hospice?
- Is there a less expensive therapeutic alternative for Xopenex?
- Drug Disposal in Hospice Care: FDA Guidelines
- Discontinuing Drugs in Hospice: Which ones need to be tapered? Part 2
- Discontinuing Drugs in Hospice: Which ones need to be tapered? (Part 1)
- Phenytoin (Dilantin) Rectal Administration in Hospice Patients
- What Drugs Work for a Hospice Patient with Hiccups?
- Appetite Stimulation in Hospice Patients
- Morphine and Renal Impairment in Hospice Patients
- Hospice Patients with Sulfa Allergy
- Drugs for Treatment of Cough in the Hospice Patient
- Pain Management in Hospice Patients: Onsolis
- Opioid Induced Pain in Hospice Patients: Hyperalgesia and Allodynia
- Pain Management in Hospice Patients: The Fentanyl Patch
- Dementia Drug Alert for Hospices
- Hospices, Opioids, & the FDA REMS
- Tips for Choosing a Pharmacy Benefit Manager for your Hospice PART 2
- Tips for Choosing a Pharmacy Benefit Manager for your Hospice PART 1
- Methadone for Hospice Patients Part 2
- Methadone for Hospice Patients Part 1
- Pain Management in Hospice Patients: Reactions to Opioids
2013 Articles
2012 Articles
2011 Articles
2010 Articles
2009 Articles
11/28/2011
Hospice Medication Alert: Scopolamine Patch Shortage
The American Society of Health Systems Pharmacists (ASHP) has announced a shortage of the 1.5 mg transdermal scopolamine system (Transderm-Scop). The two manufacturers of Transderm-Scop, Baxter and Novartis, state the shortage is due to increased demand. All package sizes are on back order and product is being released as it becomes available.
There are a number of alternatives to the scopolamine patch for your hospice patients. Consider atropine 1% ophthalmic solution, 2-4 drops PO/SL every 4 hours PRN or hyoscyamine (Levsin®) 0.125 – 0.25 mg PO/SL every 4 hours PRN. Hyoscyamine is also available in an extended-release (12-hour) formulation that is dosed 0.375 mg PO BID or TID. If the patient is unable to swallow, glycopyrrolate (Robinul®) can be given SC, IM and IV at a dose of 0.1 – 0.2 mg every 6 hours PRN.
Let us know… Have you been affected by the scopolamine patch shortage?
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Tags: hospice pharmacy, hospice medication, hospice drugs, nausea, Scopolamine, Transderm Scop
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