Kategori Obat Ven
Kategori Obat Ven
Kategori Obat Ven
ESSENTIAL AND
NECESSARY
DRUGS AND
MEDICAL SUNDRIES
FOR PUBLIC HEALTH
INSTITUTIONS
Service Delivery of the Public Health Care System is managed by four (4) 1. The column headed “Category” indicates the classification of the products
Regional Health Authorities. There are three hundred and twenty six (326) as Vital (V), Essential (E) or Necessary (N).
2. The Column headed “Institution” reflects the type of institution in and above
health institutions which comprise twenty-six (26) hospitals and three
which the product is designated for use. So that:
hundred (300) health centres.
o Where a number appears under the Institution column, the
product may be used in that type of Primary Care institution
Hospitals are categorised as Types A, B, C, Specialist and Community and upwards. Example: “3” means for use in Type 3 health
hospitals. The number of each type is as follows: centres up to Type A hospitals.
Type A 03 o Where a letter appears under the Institution column the
Type B 06 product is designated for use in that type of hospital and
Type C 08 upwards. Example: “C” means for use in Type C through to Type
Specialist 06 A hospitals.
Community 03 o Where a specific institution or out-patient clinic is named, the
product is designated for use in that institution/clinic only.
The specialist hospitals are:
1. Bellevue - Mental Health care ABBREVIATIONS AND SYMBOLS
2. Bustamante - Paediatric care BVH Bellevue Hospital
3. Hope Institute - Oncology care BHC Bustamante Hospital for Children
NCH National Chest Hospital
4. Sir John Golding
VJH Victoria Jubilee Hospital
Rehabilitation Center - Rehabilitative care for physically RU Renal Unit
challenged patients and paraplegics HCl Hydrochloride
5. National Chest - Cardio-thoracic care Inj. Injection
6. Victoria Jubilee - Obstetrics & Gynaecology care Susp. Suspension
Tab. Tablet
Public Health centres are classified as Types I through V and the allocation Oint. Ointment
is as follows: Co. Compound
Type I - 144 Soln. Solution
Type II - 83 Neb. Nebulization
Type III - 61 * Location specified at the end of the section
Type IV - 08 ¤ Restricted use; Consultant’s or Registrar’s authorization required,
Type V - 04 supported by C&S Tests where applicable
º Drugs in categories “E” and “N” will only be available on special
A Health Department is located in each parish and the office of the Medical request
Officer of Health is situated there. This department is responsible for - Available as Raw Material for manufacturing
supplies of vaccines and related products for the parish. © Controlled Drugs/Narcotics; appropriate storage measures required
Prescription Writing - Prescriptions for controlled drugs must state the total quantity of the
[Pharmacy Regulation 20; Food and Drug Regulation 51(4)] drug to be dispensed.
- Prescriptions for controlled drugs can only be written by licensed
prescribers.
Prescribing of medicines should only be done when necessary and in - The names of drugs and related preparations must be written in
all cases should be subject to a risk-benefit analysis. full, not abbreviated.
- The units of measure, micrograms and nanograms, should be
Prescriptions for drugs or poison should be written clearly, in ink and written in full. Latin abbreviations for directions for use are
should include the following: acceptable.
- Unofficial abbreviations can be misinterpreted and should
a. The date of the prescription. therefore not be used.
b. The name and address of the person for whom the prescription is - Avoid the unnecessary use of decimal points. E.g. 50 mg not 50.0
issued. mg, 1G not 1.0 G, 500 mg not 0.5 G, 200 micrograms not 0.2 mg.
c. The name and quantity of the drug prescribed using the generic name. Where the use of a decimal is unavoidable a zero is to be placed
d. The name and address of the practitioner prescribing the drug. before the decimal point when no other number is present, E.g. 0.8
e. Adequate directions for use given with the prescription, and if that ml not .8ml
prescription is to be repeated, the number of times and intervals of time - When prescribing for infants, dose should preferably be calculated
at which it may be repeated; using the weight of the child rather than the age. See formula
f. The usual legible signature of the prescriber in ink. below.
g. The name and registration number of the prescriber should either
clearly written or stamped. patient’s weight in kg X adult dose
h. The name and address of the person receiving the prescription, if given 72
verbally.
i. Where the prescription is given by a registered dentist … the words “for
dental treatment only” … as the case may require.
The following guidelines are applicable, and when used can minimize
medication errors:
- The age of children 12 years and under must be stated.
- The dose, frequency and duration of medicines should be stated.
A minimum dose interval is to be given in cases where preparations
are to be used “as needed”.
- Suitable quantities of dermatological preparations should be stated.
- Prescriptions for controlled drugs should be written for a maximum
duration of two (2) weeks without repeats. A new prescription must
be written each time the patient requires the drug.
List of Drugs Designated for The List of Drugs Designated for The
National Health Fund National Health Fund Contd.
2.6 DRUGS USED IN VERTIGO AND NAUSEA Contd. 2.7.1 Opioid Analgesics Contd.
Domperidone Tablets 10mg E B Tramadol Injection 50 mg, 100 mg E C
Domperidone Susp. 5 mg/ml E B Tramadol Tablets 50 mg E C
Levopromazine Injection 25 mg/ml E C
Prochlorperazine Maleate Tablets 5 mg V 3 2.7.2 Non-Steroidal Anti-Inflammatory Drugs (NSAIDS)
Prochlorperazine Mesylate Inj. 12.5 mg/ml V C Acetylsalicylic Acid Tablets 325 mg V 3
Promethazine Hydrochloride Tablets V C Diclofenac Sodium Tablets 50 mg, V 3
10 mg 75 mg, 100 mg
Promethazine HCl Injection 25 mg/ml V C Diclofenac Sodium Injection 75 mg/3ml V 4
2.7 ANALGESICS, ANTI-INFLAMMATORY AND ANTI-PYRETIC DRUGS Diclofenac Potassium Supp. 12.5mg E C
Diclofenac Potassium Drops 1.5% V 4
2.7.1 Opioid Analgesics Diclofenac Potassium Tabs. 25 mg, 50 mg V 3
©Codeine Phosphate Tablet 30 mg E C Diclofenac Potassium Susp. 9 mg/5ml V 4
Ibuprofen Syrup100 mg/5ml E 3
©Codeine Phosphate Oral Soln. 15mg/5ml E C
Ibuprofen Tablets 200 mg, 400 mg, 600 mg V 3
©Codeine Phosphate 30 mg/ Paracetamol E C
Mefenamic Acid Capsules 250 mg, 500mg N 3
500 mg Tablet
Metamizol Drops 500mg/ml E 4
©Fentanyl Patches 25, 50, 75, 100 E B
Metamizol Sodium Tabs. 500 mg E 4
©Methadone Tablets 5 mg E ¤B
Metamizol Sodium Injection 500 mg/ml E 4
©Methadone Injection 10 mg/ml E ¤B
Paracetamol Tablets 500 mg V 3
©Morphine Sulphate Tablets 10 mg, V C
Paracetamol Syrup 125 mg/5ml E 3
30 mg, 60 mg, 100 mg
Paracetamol Suppositories 125mg, 250mg E C
©Morphine Sulphate Injection 10 mg/ml, V C
15 mg/ml
2.8 DRUGS USED IN PARKINSONISM AND RELATED DISORDERS
©Morphine Oral Solution 10mg/5ml V C
©Oxycodone HCl Tablets 10 mg, 40 mg, E S
Benztropine Mesylate Tablets 2 mg V 3
80 mg
Benztropine Mesylate Injection 1mg/ml V 3
©Oxycodone HCl Injection 10 mg/ml E S
Levodopa 250mg / Carbidopa 25 mg V 3
Panadeine F Tablets E C
Tablets
©Pethidine Hydrochloride Injection V C
Trihexphenidyl Tablets 2 mg, 5 mg E 3
50 mg/ml, 100 mg/ml
Tramadol Drops 100 mg/ml E C
CLASSIFICATION AND DRUG CATEGORY INSTITUTION CLASSIFICATION AND DRUG CATEGORY INSTITUTION
3.3 ANTIFUNGALS
Ciclopirox Solution 1% E *
Clotrimazole Cream 1% V 3
Clotrimazole Solution 1% N 3
Econazole Cream 1% V 3
Ketoconazole Cream 2% N 3
Salicyclic Acid 3% / Benzoic Acid 6% N 4
CLASSIFICATION AND DRUG CATEGORY INSTITUTION CLASSIFICATION AND DRUG CATEGORY INSTITUTION
4. DRUGS USED IN DISORDERS OF THE EAR, NOSE & OROPHARYNX 4.3 OROPHARYNX
5.4 HORMONES
5.2. THYROID AND ANTI-THYROID DRUGS
Conjugated Oestrogen Tablets E 4
Carbimazole Tablets 5 mg V 4 0.625 mg, 1.25 mg
L-Thyroxine Tabs 25, 50, 100 mcg V 3 Conjugated Oestrogen Injection E C
L-Thyroxine Sodium Tabs. 100 mcg V 4 60 mg/ml
Lugol’s Solution (Iodine) 5% V C Estradiol Valerate Tablets 1 mg, 2 mg N C
Propylthiouracil Tablets 50 mg V C Medroxyprogesterone Acetate Depot V C
Injection 150 mg/ml
Norethisterone Tablet 5 mg N C
5.2.2 Adjuvants Oxytocin Injection 10 units/ml V *C
Stilboestrol Diphosphate Tablets 1 mg, E C
See Section 1.3.2 - Tablets 5 mg
Stilboestrol Diphosphate Injection E C
60 mg/ml
Testosterone Enanthate Inj. 250 mg/ml N B
CLASSIFICATION AND DRUG CATEGORY INSTITUTION CLASSIFICATION AND DRUG CATEGORY INSTITUTION
Acyclovir Tablets 200 mg, 400 mg, 800 mg V 4 7.8 OTHER ANTI-INFECTIVES
Acyclovir Suspension 200 mg/5 ml V 4
Acyclovir Cream 5% E 4 Cotrimoxazole Tablets 480 mg V 3
Acyclovir Injection 250 mg, 500mg N C Cotrimoxazole Paediatric Suspension V 3
Abacavir Tablets 300mg E C 240 mg/ 5ml
Darunavir Tablets 300 mg E 4 Cotrimoxazole Injection 320 mg/ml E C
Didanosine Tablets 25 mg, 50 mg, 200 mg V 4 Metronidazole Tablets 200 mg, 250 mg, V 3
Didanosine Capsules 100 mg V 4 400 mg
Efavirenz Capsules 200 mg V 4 Metronidazole Injection 5 mg/ml N C
CLASSIFICATION AND DRUG CATEGORY INSTITUTION CLASSIFICATION AND DRUG CATEGORY INSTITUTION
7.8 OTHER ANTI-INFECTIVES Contd. 8. DRUGS USED IN TREATMENT OF MALIGNANT DISEASES AND FOR
IMMUNOSUPPRESSION
Metronidazole Suspension 200 mg/5ml N 3
Nalidixic Acid Tablets 500 mg E C 8.1 ALKYLATING DRUGS
Nitrofurantoin Tablets 100 mg N C
Pentamidine Injection 300mg N C Chlorambucil Tablets 2 mg V C
Pyrimethamine Tablets 25mg N ¤C Cyclophosphamide Tablets 50 mg, V C
Sulphadiazine Tablet 250mg, 500mg N C 100 mg, 500mg
Cyclophosphamide Injection 200 mg, 1G V C
* National Chest & Regional Hospital Only ºIfosfamide Injection 1G N B
ºLomustine (CCNU) Capsules 10 mg, E B
40 mg, 100 mg
ºLomustine (CCNU) Injection 10 mg E B
Melphalan Tablets 2 mg, 5 mg V C
*Mustine Hydrochloride Injection 10 mg V B
Temozolomide Caps. 5 mg, 20 mg, 100 mg N A
8.2 ANTIMETABOLITES
9.6 OTHERS
9.3 IMMUNOSUPPRESSANTS
Allopurinol Tablets 100 mg V C
Diclofenac Sodium Gel V 3
Chloroquine Phosphate Tablets 250 mg V 5
Probenecid Tablets 500 mg V 5
Cyclosporin Capsules 25 mg N B
Methylsalicylate Liniment V 3
Cyclosporin Oral Solution 100 mg/ml N B
Hydroxychloroquine Tablets 200 mg E 5
Sulphasalazine Tablets 500 mg E C
Etanercept Injection 25 mg N Aο
See Section 8.7 - Malignant Disorders
9.4 ANTIBIOTICS
Aminocaproic Acid Injection 400 mg/ml E C 11.2 MIOTICS AND DRUGS FOR TREATING GLAUCOMA
Aminocaproic Acid Syrup 300 mg/ml E C
Phytomenadione Injection 1 mg, 10 mg V C Acetazolamide Tablets 250 mg V C
Phytomenadione Tablets 10 mg N C Betaxolol Hydrochloride Eye Drops 0.25%, E C
Tranexamic Acid Tablet 500 mg N B 0.5%
Tranexamic Acid Injection 100 mg/ml N B Dorzolamide Eye Drops 2% E B
Dorzolamide 2%/ Timolol 0.5% Eye Drops N B
10.3.3 Other Preparations Pilocarpine Hydrochloride Eye Drops 1%, V C
2%, 3%, 4%
Epoetin Alfa Injection V RU Timolol Maleate Eye Drops 0.5%, 0.25% V C
Epoetin Beta Injection V RU Travaprost Eye Drops 0.004% E B
11.3 CORTICOSTEROIDS
10.4 OTHER FLUIDS
Betamethasone Sodium Phosphate Eye V C
Water for Irrigation 500ml, 1L E C Drops 0.1%
Betamethasone Sodium Injection 0.1% V ¤B
(for Subconjunctival use)
Dexamethasone Injection 4mg/ml (for E ¤B
Subconjunctival use)
Dexamethasone Eye Drops 0.1% N C C
Methylprednisolone Acetate Injection E C
40 mg/ml
CLASSIFICATION AND DRUG CATEGORY INSTITUTION CLASSIFICATION AND DRUG CATEGORY INSTITUTION
12.3 DRUGS USED IN STD's 12.5 DRUGS USED FOR URINARY FREQUENCY, ENURESIS &
INCONTINENCE
Benzathine Penicillin Inj. 2,400,000 Units V 3
Ceftriaxone Injection 250 mg V 3 Oxybutynin Tablets 2.5 mg, 3 mg, 5 mg E B
Ciprofloxacin Tablets 250 mg, 500 mg E 4 Tolterodine SR Tablets 4 mg E B
Clotrimazole Pessaries 100 mg V 3
Clotrimazole Cream 1% V 3 12.6 OTHERS
Cotrimoxazole Tablets 480 mg N 3
Doxycycline Capsules 100 mg V 3 See Section 5.4 - Hormones; 5.5 - Oral Contraceptives
Erythromycin Tablets 250 mg, 500 mg V 3 See Section 8 - Malignant Disease
Fluconazole Capsule 150mg E 4
Metronidazole Suspension 100 mg/5ml V 3
Metronidazole Tablets 500 mg V 3
Norfloxacin Tablets 400 mg N 3
Podophyllin Paint 25% in Tr. Benzoin Co N 4
Procaine Penicillin Injection 3,000,000 Units V 3 4
Silver Nitrate Sticks E 3
Spectinomycin Injection 1G, 2G N 4
Finasteride Tablets 5 mg V B
Phenazopyridine Tablets 100 mg E B
Terazosin Tablet 1 mg, 2 mg, 5 mg E B
Tamsulosin CRO Tablets 4 mg E B
CLASSIFICATION AND DRUG CATEGORY INSTITUTION CLASSIFICATION AND DRUG CATEGORY INSTITUTION
Ammonia Spirit N 1
13.8 OXYGEN
Oxygen V 1
CLASSIFICATION AND DRUG CATEGORY INSTITUTION CLASSIFICATION AND DRUG CATEGORY INSTITUTION
SECTION 14 SECTION 15
16. ANTIDOTES & OTHER SUBSTANCES USED IN POISONING BANDAGES AND DRESSINGS
Name of drug (generic/trade) Dosage form(s) and strength(s) List of supporting documents received:
Consultant contacted:
Your recommendation: If the recommendation is for deletion, please Registration status of drug nationally:
o Delete drug indicate reason(s)
o Add drug o New evidence drug is unsafe Registration status of drug internationally:
o Add drug with (provide supporting documents)
restrictions/guidelines o An equivalent drug on the General Comments:
o Re-evaluate drug formulary is more effective (state
name of drug)
o A more effective drug is being
recommended
o A less expensive drug is being
recommended
o Other (please state)
Date:
Place of Practice Telephone #/ fax Number #/ email
The completed form is to be forwarded to the Ministry of Health & Environment, Standards &
Regulation Division, Attention: Director.
Signature: Date: Telephone # 967-1100 -3 or 948-4106; Fax # 967-1629