that's much too high of a dose

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Is this correct or should I take the hypens out? I assume this is correct, but it looks funny to me.

. . . all of which can cause stomach upset, expecially the metformin in a 1-g-b.i.d. dose.

1. Thyroid carcinoma � a TSH and free T4 have been requested. Review of laboratory studies requested by Dr. X in June of 2005 demonstrated an elevated TSH level at 8. Apparently s/l DOE DOSE adjustment was made. We will need to discuss thyroid suppression and goal of TSH with Dr. x. She is due for thyroid scan.

It is definately not low dose. It sounds like doe dose. Am i missing something ???

it might be an antibiotic for UTI etc? Here is a list of some antibiotics in that dosage. Good luck. All I can offer for this one!!

Patient with COPD. exam--O2 sat at rest is 96% on 2 liters of sl--post or pulsed dose.

Here's some info copied and pasted from my QuickLook drug reference. It looks like 4 mg a day total is about the highest dose.

Usual Dosage

Oral: Note: Treatment >4 months should be re-evaluated to determine the patient's continued need for the drug
Adults:
Anxiety: Immediate release: Effective doses are 0.5-4 mg/day in divided doses; the manufacturer recommends starting at 0.25-0.5 mg 3 times/day; titrate dose upward; maximum: 4 mg/day
Anxiety associated with depression: Immediate release: Average dose required: 2.5-3 mg/day in divided doses
Panic disorder:
Immediate release: Initial: 0.5 mg 3 times/day; dose may be increased every 3-4 days in increments ≤1 mg/day; many patients obtain relief at 2 mg/day, as much as 10 mg/day may be required
Extended release: 0.5-1 mg once daily; may increase dose every 3-4 days in increments ≤1 mg/day (range: 3-6 mg/day)
Switching from immediate release to extended release: Patients may be switched to extended release tablets by taking the total daily dose of the immediate release tablets and giving it once daily using the extended release preparation.
Preoperative sedation: 0.5 mg in evening at bedtime and 0.5 mg 1 hour before procedure
Dose reduction: Abrupt discontinuation should be avoided. Daily dose may be decreased by 0.5 mg every 3 days, however, some patients may require a slower reduction. If withdrawal symptoms occur, resume previous dose and discontinue on a less rapid schedule.

Dosage Forms

Solution, oral (Alprazolam Intensol�): 1 mg/mL (30 mL)
Tablet (Xanax�): 0.25 mg, 0.5 mg, 1 mg, 2 mg
Tablet, extended release (Xanax XR�): 0.5 mg, 1 mg, 2 mg, 3 mg
Tablet, orally-disintegrating (Niravam�): 0.25 mg, 0.5 mg, 1 mg, 2 mg [orange flavor]

Benadryl� Injection I.M., I.V.: 10-50 mg in a single dose every 2-4 hours, not to exceed 400 mg/day.

However, fentanyl would be more common in an OP note (at least that has been my experience) and could kinda sort sound like Benadryl). Did they give any dosage?

fentanyl - Preoperative sedation, adjunct to regional anesthesia, postoperative pain: I.M., I.V.: 50-100 mcg/dose