Survivalism & Self Sufficiency Topics > Medical Needs and First Aid

DOC K'S MEDICINE LIST

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Doc K:
The following posts are something I put together over the last few months in my (rare) spare time.

I am often asked:
What medicines should I have on hand at my house?
Which medicines should I have for TEOTWAWKI? 
What medicines should I have that I can purchase without a prescription?
What medicines should I have if I had access to any prescription medication?

What I wanted to do was assemble a list of medications that are important in everyday life for me as a Family Medicine physician.  Some are common.  Some are not so common.  Some are used to treat common problems.  Some would only be used to treat rare problems.

At this point all medicines listed are for adults.  I will try and get to pediatric dosing next.

I do not talk about life expectancy for any medication.  The U.S. Military is currently conducting extensive testing with the FDA to examine the shelf life of medications.  None of that data is public information.  I have tried to gain access to the database for my own knowledge being in the military… I was denied.  I think it is safe to say that most medications can be safely used after the expiration date.  There are some notable exceptions that can be deadly.  I do not know what all of these deadly exceptions are, so I will not elaborate.  If in doubt, throw it out (or at least weigh the risks vs. benefits of using expired medications).

This list is long but not exhaustive.  I tried to be selective so as to not overwhelm someone trying to assemble a home pharmacy, but I also wanted to include commonly used (or commonly heard of) medications.

Depending on where you live (in the USA or not), some medications may or may not be available or may be sold under a different trade name.

I have medications listed by Major Category in each post. 
The medicines are listed by their generic name followed by the trade name if available or examples.
The next line is the indication for the medicine (what it is supposed to be used for). 
Under this is the regular dosing of the medication and, if available, the maximum dose.

**If you notice an error, please let me know so that I can check it and correct it if needed.  If you notice a glaring absence of an important medication, please let me know so I can add it as well.

KEY TO ABBREVIATIONS
I tried to avoid using abbreviations as much as possible, but a few are so easy to use…
PO = Per Oral (this means by mouth)
OTC = Over The Counter (this means you can buy this without a prescription)

OBLIGATORY COVER MY BUTT COMMENT:  I have gone to school for many years and have trained for many years to prescribe medications.  You most likely have not.  This is not meant to insult, but to show the importance and potentially dangerous effects of using any and all medications.  This list is only a list.  This is not a prescription.  This is not a diagnosis.  I may have some errors in this list, although I have tried to be as accurate as possible.  I am in no way responsible for the use or misuse of this list.  This list should not be used in place of utilizing a properly trained healthcare practitioner.  That would be foolish and potentially life-threatening.  Use at your own risk.  I do not knowingly own any stock or have any financial ties to any pharmaceutical or medication producing company that is or is not mentioned in this list. 

As always…
Hope this helps,
Doc K

Doc K:
PAIN MEDICATIONS
You should have the OTC meds at a minimum.  
If you have prescription strength pain meds, caution should always be used.  Overdose is easy.
I have included Migraine medications in this section as well.  There are many Migraine meds out there; this is just a sampling.

OVER THE COUNTER

Acetominophen (Tylenol)
Pain, Fever
500 mg - 1,000 mg PO every 3-6 hrs (max 4,000mg in 24 hrs)

Ibuprofen (Motrin)
Pain, Fever
400 mg - 800 mg PO every 4-8 hrs (max 3,200 mg in 24 hrs)

Aspirin
Pain, Fever
325 mg - 650 mg PO every 2-4 hrs (max 4,000 mg in 24 hrs); Heart attack: 325 mg chewed

(edit: archer: added this from later in thread)
Naproxen sodium (Aleve)
Pain
200 mg PO every 8-12 hrs (max 600 mg per 24 hrs)

PRESCRIPTION

Naproxen (Naprosyn)
Pain
500 mg PO initially, then 250 mg every 6-8 hrs (max 1250 mg per 24 hrs)

Tramadol (Ultram)
Pain
50 mg - 100 mg PO every 4-6 hrs (max 400 mg per 24 hrs; may need to titrate up)

Tylenol-3 (acetaminophen 300 mg / codeine 30 mg)
Pain
1-2 tabs PO every 4-6 hrs; with food (max 4,000 mg acetaminophen in 24 hrs)

Percocet
Pain
Dosing varies

Lortab
Pain
Dosing varies

Darvocet N 100 (acetaminophen 650 mg / propoxyphene napsylate 100 mg)
Pain
1 tab PO every 4 hrs (max 6 tabs per 24 hrs)

Fentanyl
Pain
50 mcg - 100 mcg IV/IM every 1-2 hrs

Morphine sulfate
Pain
2.5 mg - 10 mg SC/IM/IV every 2-6 hrs

Ketorolac (Toradol)
Pain
30-60 mg IM (max 120 mg per 24 hrs)

Sumatriptan (Imitrex) - Oral
Migraines
Oral: 25-50 mg (with fluids); May repeat in 2 hours (max dose 200 mg in 24 hrs)

Sumatriptan (Imitrex) - Intranasal
Migraines
Intranasal: 5-20 mg in one nostril; May repeat in 2 hours (max dose 40 mg in 24 hrs)

Sumatriptan (Imitrex) - Sub Cutaneous
Migraines
SubQ: Up to 6 mg; May repeat in 1 hour (max dose 2 injections in 24 hrs)

Rizatriptan (Maxalt) - Oral Tablet or Oral Dissolving Tablet
Migraines
5-10 mg PO; May repeat in 2 hours (max dose 30 mg in 24 hrs)

Doc K:
GI MEDICATIONS
Lots of stuff in here from dehydration to heartburn to motion sickness.
Note: Constipation is not a joke.  It can make your life miserable and could lead to serious medical problems.  If we ever have a TEOTWAWKI scenario, many people will get constipated from the drastic changes in everyday life.  Be proactive and eat some fiber.  1-3 bowel movements a day is normal.  25-30 grams of fiber a day is your goal.  Try to get there now… slowly.

OVER THE COUNTER

Oral Re-Hydration Salts (electrolyte replacement mix: Gatorade, etc.)
Dehydration
Use as directed on packaging

Loperimide (Imodium)
Diarrhea
4 mg PO x 1 dose; then 2 mg PO after each loose stool (max 16 mg in 24 hrs)

Pepto Bismol
Diarrhea
CHEWABLE TABS: 2 tabs PO every 30-60 minutes (max 16 tabs in 24 hrs)

Simethicone (Gas-X)
Gas
1-2 tabs PO (max 6 tabs in 24 hrs)

Calcium Carbonate (Tums, Rolaids, Maalox)
Heartburn
Tums: 2-4 tabs PO (Tums: Max 15 tabs per 24 hrs);  Rolaids: 1-2 tabs PO  (may repeat hourly if symptoms return)

Ranitidine (Zantac)
Heartburn/Reflux, Allergic Reactions
150 mg PO every 12-24 hrs (max 300 mg in 24 hrs)

Famotidine (Pepcid AC)
Heartburn/Reflux, Allergic Reactions
20-40 mg PO twice a day (max 80 mg in 24 hrs)

Magnesium Hydroxide (Milk of Magnesia 400mg/5ml)
Heartburn/Constipation
LIQUID: Heartburn - 5-15 mL as needed up to 4 times/day; Constipation - 30-60 mL at bedtime

Magnesium Hydroxide (Milk of Magnesia 311mg Tabs)
Heartburn/Constipation
TABLETS: Heartburn - 2-4 tablets needed up to 4 times/day; Constipation - 8 tablets at bedtime

Docusate (Colace)
Constipation
100 mg PO twice a day

Polyethylene Glycol 3350 (Miralex)
Constipation
17 g of powder (~1 heaping tablespoon) dissolved in 4-8 ounces of beverage, once daily; do not use for >2 weeks

Bisacodyl (Dulcolax)
Constipation
ORAL: 5-15 mg PO at bedtime (max 30 mg per 24 hrs); RECTAL: 10 mg rectally one time

Enema kit
Constipation
Use as directed on packaging

Dimenhydrinate (Dramamine)
Nausea, Motion Sickness
50-100 mg PO every 4-6 hours (max: 400 mg in 24 hrs)

Meclizine (Bonine)
Nausea, Motion Sickness
25-50 mg PO (max 100 mg per 24 hrs)

Prochlorperazine (Compazine) suppositories
Nausea, Vomiting
25 mg rectally twice daily

Promethazine (Phenergan) suppositories
Nausea, Vomiting, Allergic reaction
12.5-25 mg rectally twice daily

Activated charcoal
Poisoning
25-100 g PO as a single dose

Preparation H
Hemorrhoids
Use as directed on packaging


PRESCRIPTION

Esomeprazole (Nexium)
Heartburn/Reflux  
20 mg - 40 mg PO every 12-24 hrs; take 1 hr before meal (max 80 mg per 24 hrs)

Ondansetron Oral dissolving tablet (Zofran ODT)
Nausea
4-8 mg PO every 8 hrs (max 24 mg per 24 hrs)

Scopolamine Patch (Transderm Scop)
Motion Sickness
Apply 1 patch behind the ear at least 4 hours prior to exposure and every 3 days as needed

Dicyclomine (Bentyl)
Abdominal Cramping / Irritable Bowel Syndrome
20-40 mg by mouth every 6 hours as needed for cramping (max 160 mg per 24 hours)

Doc K:
ALLERGY MEDICATIONS
Allergies can range from annoying to life threatening.  There have been other posts about alternatives to an Epi-Pen.  I include Asthma medications in the Repiratory section.  Also note that some of these medications are used for other purposes.  Keep this in mind when stocking your pharmacy.  If one drug can do more than one job, consider it strongly.

OVER THE COUNTER

Sinus Rinse (Neil Med)
Allergies
Use as directed on box (1-2 rinses per day)

Diphenhydramine (Benadryl)
Allergic Reactions, Motion Sickness, Insomnia
25 mg - 50 mg PO every 4-6 hrs (max 100 mg per dose; max 400 mg per 24 hrs)

Loratidine (Claritin)
Allergies, Allergic Reaction
10 mg PO every 24 hrs (max 20 mg per 24 hrs for a few days)

Ceterizine (Zyrtec)
Allergies, Allergic Reaction
5-10 mg PO every 24 hrs (max 10 mg per 24 hrs)

Ranitidine (Zantac)
Heartburn/Reflux, Allergic Reactions
150 mg PO every 12-24 hrs (max 300 mg in 24 hrs)

Epinephrine Inhaled (Primatene Mist)
Allergic Reaction, Asthma
One inhalation, may repeat after one minute; wait 3 hours before using again


PRESCRIPTION

Epi-Pen
Anaphylactic Reaction (respiratory compromise)
0.3 mg IM x 1 dose; May repeat

Epi-Pen Jr
Anaphylactic Reaction (respiratory compromise)
0.15 mg IM x 1 dose; May repeat

Epinephrine vials with needles
Anaphylactic Reaction
0.1-0.5 mg (1:1000 soln) SC/IM every 5-15 minutes (Max 1 mg per dose)

Epinephrine vials with needles
Severe Asthma Attack
0.1-0.5 mg (1:1000 soln) SC/IM every 20 minutes - 4 hrs (Max 1 mg per dose)

Prednisone
Severe Asthma Attack; Many other reasons
40-80 mg PO every 12-24 hrs (max 80 mg per 24 hrs)

Doc K:
RESPIRATORY MEDICATIONS
The OTC meds are mainly for common cold issues.  The prescription meds are Asthma medications.  Antibiotics are addressed below.

OVER THE COUNTER

Pseudoephedrine (Sudafed)
Nasal congestion
30-60 mg every 4-6 hours (max 240 mg/24 hours)

Phenylephrine (Sudafed PE)
Nasal congestion
10-20 mg every 4 hours

Oxymetazoline (Afrin) - Decongestant nasal spray
Nasal congestion
2-3 sprays into each nostril twice daily (not to exceed 3 days)

Diphenhydramine (Benadryl)
Allergic Reactions, rhinorrhea
25 mg - 50 mg PO every 4-6 hrs (max 100 mg per dose; max 400 mg per 24 hrs)

Loratidine (Claritin)
Allergies, rhinorrhea
10 mg PO every 24 hrs (max 20 mg per 24 hrs for a few days)

Guaifenesin (Mucinex)
Cough, phlegm
600 mg tablets: 1-2 tabs PO every 12 hrs (Max 4 tabs per 24 hrs)

Dextromethorphan (Robitussin)
Cough
10-20 mg every 4 hours or 30 mg every 6-8 hours (max 120 mg/day)

Cough Drops
Cough
varies

Sore throat spray (Chloraseptic)
Sore throat
Use as directed on packaging

Dayquil
Cold/flu - combo of above meds
Use as directed on packaging

Nyquil
Cold/flu/sleep  - combo of above meds
Use as directed on packaging


PRESCRIPTION

Albuterol Inhaled (Proventil HFA)
Asthma wheezing (bronchospasm)
2 puffs inhaled every 4-6 hrs (max 12 puffs per day)

Levalbuterol Inhaled (Xopenex)
Asthma wheezing (bronchospasm)
2 puffs inhaled every 4-6 hrs (max 12 puffs per day)

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