Daily Dose Thresholds: Sedatives-Hypnotics

DAILY DOSE THRESHOLDS: SEDATIVES-HYPNOTICS
Generic Brand Usual Max
Daily Dose
Max Daily
Dose for
LTC Patients
chloral hydrate* 2000mg  500mg
diphenhydramine* Benadryl   50mg   25mg
estazolam    2mg   0.5mg
eszopiclone Lunesta    3mg    1mg
flurazepam*   30mg   15mg
hydroxyzine* Vistaril  100mg   50mg
lorazepam Ativan    4mg    1mg
oxazepam   30mg   15mg
quazepam* Doral   15mg   7.5mg
ramelteon Rozerem    8mg    8mg
temazepam Restoril   30mg   15mg
triazolam* Halcion   0.5mg 0.125mg
zaleplon Sonata   20mg    5mg
zolpidem Ambien   10mg    5mg
Ambien CR 12.5mg  6.25mg
Intermezzo 1.75mg (female)
3.5mg (male)
 1.75mg

*Not recommended for management of insomnia, especially in elderly.

REFERENCES

Adapted from the CMS State Operations Manual: Appendix PP - Guidance to Surveyors for Long Term Care Facilities.
Available at: cms.hhs.gov/manuals/Downloads/
som107ap_pp_guidelines_ltcf.pdf
. Accessed 9/2010.

(Rev. 9/2014)

You must be a registered member of ONA to post a comment.

Sign Up for Free e-newsletters

Regimen and Drug Listings

GET FULL LISTINGS OF TREATMENT Regimens and Drug INFORMATION

Bone Cancer Regimens Drugs
Brain Cancer Regimens Drugs
Breast Cancer Regimens Drugs
Endocrine Cancer Regimens Drugs
Gastrointestinal Cancer Regimens Drugs
Genitourinary Cancer Regimens Drugs
Gynecologic Cancer Regimens Drugs
Head and Neck Cancer Regimens Drugs
Hematologic Cancer Regimens Drugs
Lung Cancer Regimens Drugs
Other Cancers Regimens
Rare Cancers Regimens
Skin Cancer Regimens Drugs