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. Author manuscript; available in PMC: 2022 Aug 22.
Published in final edited form as: J Pediatr. 2021 Sep 2;240:66–71.e4. doi: 10.1016/j.jpeds.2021.08.075

Table 2:

Medications Most Commonly Used in the NICU Ranked by Exposure

Rank Medication Exposurea Coursesa Days of Usea
1 Ampicillin 582 602 2266
2 Gentamicin 579 649 2452
3 Caffeine citrate 153 191 4221
4 Poractant alfa 89 100 100
5 Morphine 68 82 814
6 Vancomycin 61 93 502
7 Furosemide 58 118 389
8 Fentanyl 56 69 453
9 Midazolam 47 55 421
10 Acetaminophen 42 49 274
11 Dopamine 40 48 164
12 Calfactant 34 40 39
13 Beractant 30 34 34
14 Phenobarbital 27 34 218
15 Fluconazole 27 31 411
16 Erythromycin 26 27 78
17 Hydrocortisone 23 30 241
18 Indomethacin 22 28 66
19 Lorazepam 22 25 262
20 Cefotaxime 22 25 138
21 Albuterol 19 24 366
22 Ranitidine 18 21 144
23 Acyclovir 17 18 75
24 Dexamethasone 16 23 141
25 Epoietin alpha 14 18 296
26 Nitric oxide 14 15 86
27 Tobramycin 13 18 93
28 Simethicone 12 13 103
29 Piperacillin-tazobactam 12 16 96
30 Epinephrine 12 13 18
31 Nystatin oral 11 12 97
32 Alprostadil 11 11 20
33 Ursodeoxycholic acid 10 12 178
34 Cefazolin 10 12 36
35 Budesonide 10 12 222
36 Dobutamine 10 10 28
37 Chlorothiazide 10 12 157
38 Clindamycin 9 11 62
39 Insulin 9 11 33
40 Metronidazole 9 11 69
41 Lansoprazole 9 10 55
42 Vecuronium 9 10 29
43 Nafcillin 8 10 49
44 Spironolactone 8 10 136
45 Meropenem 8 10 80
46 Palivizumab 8 8 8
47 Amoxicillin 8 8 43
48 Methadone 8 9 122
49 Ceftazidime 8 9 56
50 Cefepime 7 9 56
51 Clotrimazole 7 7 39
52 Fluticasone 6 7 113
53 Phenylephrine 6 7 24
54 Oxacillin 6 7 34
55 Ibuprofen 6 8 23
56 Vitamin-A 6 6 135
57 Epinephrine - racemic 5 6 16
58 Famotidine 5 6 49
59 Penicillin G 5 5 39
60 Levothyroxine 4 5 68
61 Cholestyramine 4 4 27
62 Milrinone 4 4 21
63 Metoclopromide 4 5 40
64 Propranolol 4 4 13
65 Levetiracetam 4 4 15
66 Clonidine 4 4 79
67 Omeprazole 4 4 25
68 Prednisone 4 5 44
69 Aminophylline 4 4 40
70 Amikacin 3 4 21
71 Amphotericin B deoxycholate 3 3 26
72 Hyaluronidase 3 3 3
73 Hydrochlorothiazide 3 3 44
74 Naloxone 3 3 3
75 Beclomethasone 3 3 47
76 Sildenafil 3 3 30
77 Digoxin 3 3 11
78 Filgrastim 2 3 7
79 Aluminum/Magnesium Hydroxide 2 2 14
80 Cephalexin 2 2 11
81 Ceftriaxone 2 2 5
82 Dornase Alpha 2 3 18
83 Zidovudine 2 2 12
84 Adenosine 2 2 3
85 Sucralfate 2 2 13
86 Cefoxitin 2 2 5
87 Bumetanide 2 2 10
88 Azithromycin 2 2 10
89 Acetazolamide 2 3 14
90 Dexmedetomidine 2 2 16
91 Atropine 2 2 2
92 Heparin 2 2 14
93 Chloral hydrate 1 2 7
94 Pentobarbital 1 2 13
95 Linezolid 1 2 12
96 Rifampin 1 1 12
97 Hydralazine 1 1 14
98 Captopril 1 1 9
99 Diazoxide 1 1 7
100 Enalapril 1 1 8
a

Units for exposure, courses, and days of use, per 1000 infants.