Medications to Hold for Tube Feed

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Last updated 7:10 PM on 7/29/26
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4 Terms

1
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Levothyroxine

  • hold for 30-60 min before and after

  • reason: calcium, iron, and soy reduce absorption. more common in infants with congenital hypothyroidism.

2
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Phenytoin

  • typically 1-2 hr before and after

  • EN formula decreases absorption

  • rare in NICU but used for refractory neonatal seizures

3
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warfarin

  • sometimes held

  • vitamin K in EN formulas may reduce effect

  • very uncommon in NICU

4
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fluoroquinolones (ciprofloxacin, levofloxacin)

  • sometimes

  • chelation with Ca, Mg, and Fe decreases absorption

  • rare in NICU