Republic of Yemen Ministry of Public Health & population

Republic of Yemen
Ministry of Public Health
& population
Amt Al salaam
1
O
Drug
Form
Strength
Unit
L
VEN
btl, 250 ml
4
V
vial, 10 ml
4
V
Inhal
btl. 250 ml
4
V
inhal
cylinder
3
V
inhal
cylinder
2
V
1. Anaesthetics
1.1 General anaesthetics and medical gases
1
2
3
4
5
6
7
8
Halothane
Ketamine HCl
Isoflurane
Nitrous oxide (medical
quality)
Oxygen (medinal quality)
Propofol
Propofol
Thiopental sodium
Inhal
Inj
50 mg/ml
inj
10 mg/ml
vial 20 ml
4
V
inj
10 mg/ml
vial 50 ml
4
V
pow inj
1 gr
vial
4
V
Inj
0.5%
amp, 4 ml
4
V
inj
2%
vial, 50 ml
2
V
inj
2%
vial, 50 ml
2
E
inj
5%
vial, 2 ml
4
N
spray
10%
btl, 100 ml
S
N
Gel
2%
20 gm
S
N
inj
1 mg/ml
amp, 1 ml
3
V
inj
5 mg/ml
amp, 2 ml
3
V
syrup
1 mg/ml
btl 100ml
3
N
inj
5 mg/ml
Amp , 2ml
4
V
1.2 Local anaesthetics
9
10
11
12
13
14
Bupivacaine HCl, spinal
Lidocaine HCl
Lidocaine HCl +
adrenaline 1/100,000
Lidocaine HCl (heavy)
spinal
Lidocaine HCl
Lidocaine HCl
1.3 Preoperative medication
15
16
17
18
Atropine sulfate
Diazepam
Promethazine HCl
Midazolam HCl
2. Analgesics, antipyretics, non-steroidal anti-inflammatory Medicines and Medicines to treat gout
2.1 Non-opioids
19
20
21
22
23
24
25
Acetylsalicylic acid,
scored
Allopurinol
Diclofenac sodium
Ibuprofen, scored
Indomethacin
Paracetamol, scored
Paracetamol
tab
300 mg
1
E
tab
300 mg
4
E
inj
25 mg/ml
3
N
tab
200 , 400mg
2
E
caps
25 mg
2
N
tab
500 mg
1
E
syrup
24 mg/ml
btl, 60 ml
1
E
inj
50micrgr/ml
Amp,2ml
S
V
inj
10 mg/ml
amp, 1 ml
S
E
amp, 3 ml
2.2 Opioid analgesics
26
27
Fentanyl
Morphine sulfate
Amt Al salaam
2
28
Pethidine HCl
inj
50 mg
amp, 1 ml
3
V
1
E
3. Antiallergics and Medicines used in anaphylaxis
29
30
31
32
33
34
Chlorphenamine maleate
scored
Chlorphenamine maleate
Dexamethasone (sodium
phos)
Epinephrine (Adrenaline)
Hydrocortisone(sodium succ)
Prednisolone
tab
4 mg
inj
10 mg/ml
amp, 1 ml
2
E
inj
4 mg/ml
amp, 1 ml
3
E
inj
1 mg/ml
amp, 1 ml
2
V
pow inj
100 mg
vial
3
V
tab
5 mg
2
E
S#
V
S#
V
4. Antidotes and other substances used in poisonings
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
Acetylcystine
Activated Charcoal
Atropine sulfate
Desferoxamine mesilate
Defriprone scored
Dimercaprol
Dantrolene
Ipecacuanha
Naloxone
Penicillamine scored
Pralidoxime mesilate
Protamine sulphate
Sodium calcium edetate
Sodium nitrite
Sodium thiosulfate
Neostigmine
methylsulphate
Flumazenil
Phytomenadionr (Vit.K1)
inj
200 mg/ml 1
amp 10ml
powder
0.14% alkal.
inj
1 mg/ml
amp, 1 ml
3
V
pow inj
500 mg
vial
S#
V
Tab
500 mg
Box /50
S#
V
amp 2ml
S#
V
3
V
inj
50 mg/ml
Pow
inj
20 mg/vial
syrup
0.7ml extract
to 10ml
1
V
inj
0.4 mg/ml
amp, 1 ml
S#
V
tab
250 mg
S#
V
inj
200 mg/ml
amp, 5ml
S#
V
inj
10 mg/ml
amp, 5ml
S
V
inj
200 mg/ml
amp, 5 ml
S#
V
inj
30 mg/ml
amp 10ml
S#S#
V
inj
250 mg/ml
amp,50 ml
S#
V
inj
2.5 mg/ml
amp, 10 ml
S#
V
inj
100 mcg/ml
amp, 5 ml
S#
V
inj
10 mg/ml
amp, 1 ml
S#
V
3
V
# through SBD & MA poison centres
5. Anticonvulsants / Antiepileptics
53
54
55
56
57
Carbamezapine
Diazepam
Magnesium sulphate
Phenobarbital, scored
Phenytoin sodium
tab
200 mg
inj
5 mg/ml
amp, 2 ml
2
V
inj
2 mmol/ml
amp, 10ml
4
E
tab
60 mg
2
V
50 mg
2
V
S
E
S
E
S
E
tab
30mg/ 5ml
(6 mg/ml )
58
Phenytoin sodium
syrup
59
Phenytoin sodium
inj
50 mg/5 ml
60
Sodium Valproate
tab
500 mg
61
Sodium Valproate
syrup
200 mg/5ml
Amt Al salaam
3
btl 100 ml
btl 150 ml
62
63
64
Clonazepam
Clonazepam , Scored Tab
Diazepam Recat
drop
2.5 mg/ml
Tab
2 mg
supp
10 mg
S
E
Box /10
6. Anti-infective Medicines
6.1 Anthelminthics
6.1.1 Intestinal anthelminthics
65
66
67
Albendazole, chewable
Niclosamide
Praziquantel
tab
400 mg
1
E
tab
500 mg
2
N
tab
600 mg
2
V
tab
6 mg
S*
E*
tab
600 mg
2
E
2
V
2
V
3
E
3
V
3
V
2
E
4
V
4
V
4
E
1
E
6.1.2 Antifilarials
68
Ivermectine
6.1.3 Antischistosomals
69
Praziquantel
6.2 Antibacterials
6.2.1 Penicillins
caps
500 mg
Amoxicillin
syrup
125 mg/5ml
btl, 100 ml
71
Amoxicillin
inj
500 mg
vial
72
Ampicillin
pow inj
1.2 mill. IU
vial
73
Benzathine benzyl penicillin
Benzyl penicillin (crystalline
pow inj
1 million IU
vial
74
penicillin)
pow inj
1.2 mill. IU
vial
75
Procaine benzyl penicillin
caps
500 mg
76
*Cloxacillin sodium
susp
50 mg/ml
btl, 100 ml
77
*Cloxacillin sodium
inj
250 mg
vial
78
Cloxacillin sodium
Phenoxymethyl penicillin
tab
1000 mg
79
(V)
Notes:- Erythouycis is reserved for penicillin resistant patients.
70
Phenoxymethyl penicillin
susp
50 mg/ml
btl, 100 ml
1
E
(V)
Cloxacillin is penicillinase resistant. Tab and susp are used as alternative to Erythromycin (see 6.2.2)
80
6.2.2 Other antibacterials
81
82
83
84
85
86
87
88
Chloramphenicol
Chloramphenicol
Erythromycin
Erythromycin
Azithromycin
Gentamycin sulfate
Metronidazole
Metronidazole
caps
250 mg
inj
1 gr
tab
250 mg
susp
125 mg/5ml
caps
250-500mg
inj
40 mg/ml
tab
250 mg
susp
200 mg/5 ml
Amt Al salaam
4
3
V
S
V
3
V
btl, 100 ml
3
V
amp, 2 ml
S
E
1
E
1
E
vial
btl, 100 ml
89
90
91
92
93
94
95
96
97
Metronidazole i.v
Ciprofloxacin scored
Cotrimoxazole, scored
Trimetheprim
Cotrimoxazole
Doxycycline HCl
Nitrofurantoin, scored
Nalidixic acid
Nalidixic acid
inj
5 mg/ml
tab
tab
vial,100ml
S
V
500 mg
4
V
400/80 mg
1
V
1
V
1
V
tab
200 mg
susp
40/8 mg/ml
tabs/cap
100 mg
S
V
tab
100 mg
S
V
tab
500 mg
4
V
susp
300mg/5ml
4
E
btl, 100 ml
btl, 100 ml
6.2.3 Antileprosy Medicines
National TB Control Program
98
99
100
Clofazimine
Dapsone
Rifampicin
Caps
50 mg
S#
E
tab
50 mg
S#
E
tab
150 mg
S#
V
# Issued through leprosy only
6.2.4 Antituberculosis Medicines
tab
400 mg
S#
V
102
Ethambutol, double scored
Pyrazinamide
tab
S#
V
103
Rifampicin + isoniazid
tab
S#
E
104
Streptomycin
Rifampicin + isoniazid+
Pyrazinamide
inj
400 mg
RH150/75
mg
1 gr
S#
E
101
105
106
Rifampicin + isoniazid+
Pyrazinamide+ Ethambutol
Vial
tab
150+75+40
0 mg
S#
E
tab
150+75+40
0+275 mg
S#
E
pow inj
50 mg
S*
N
caps/ oral
50 mg
S
E
4
E
tube 40g
3
E
Box / 7
3
E
cont
1
E
# Issued through NTP only
6.3 Antifungal Medicines
107
Amphotericin B
108
Fluconazole
109
tab
125 mg
110
Griseofulvin
Miconazole (or Equivalent)
oral gel/
111
Miconazole (or Equivalent)
pessary
24mg/ml
200mg /
ovules
112
Whitfield’s ointment
Oint
vial
6.4 Antiprotozoal Medicines
6.4.1 Antiamoebic and antigiardiasis Medicines
tab
500 mg
2
N
114
Diloxanide furoate
Metronidazole
tab
1
V
115
Metronidazole
susp
btl, 100 ml
1
E
116
Metronidazole i.v
250 mg
200 mg/5
ml
5 mg/ml
vial,100ml
S
V
113
inj
Amt Al salaam
5
6.4.2 Antileishmaniasis Medicines
117
Sodium stibogluconate
(10%SB) 33%
inj
100 mg/ml
btl, 30 ml
S
E
6.4.3 Antimalarial Medicines
118
119
120
121
122
123
Primaquine
Quinine
Quinine
Artesunate+Sulfadoxine/pyr
imethamine
Artemether+Lumefantrine
Artemether
tab
7.5 mg
1
V
tab
300 mg
4
V
inj
300 mg/ml
4
V
tab
50+500+25 mg
3
V
tab
20 mg+120 mg
3
V
inj
80mg/ml
3
V
amp, 2 ml
Amp /1 ml
Notes :- This combantion remains with of Malaria and they should be delet and rcmanis with project
because it still under trail
7. Antimigraine Medicines
124
Acetylsalicylic acid scored
tab
300 mg
1
E
125
Paracetamol, scored
tab
500 mg
1
E
126
Propranolol HCL
tab
40 mg
3
E
127
Ibuprofin
tab
400mg
2
E
8.1. Antineoplastic and immunosuppressant Medicines
128
Azathioprine
129
Bleomycin sulfate
130
tab
50 mg
pow.inj
15 mg
Biclutamid
tab
50 mg
131
Calcium folinate
inj
3 mg/ml
amp,10ml
S#
E
132
Carboplatin
inj
10 mg/ ml
vial, 5ml
S#
E
133
Chlorambucil
tab
2 mg
S#
E
134
Cisplatin
pow inj
10mg, 50mg
vial
S#
E
135
Cyclophosphamide
pow inj
500 mg
vial
S#
E
136
Cyclophosphamide
tab
25 mg
S#
E
137
Cytarabine, preservative free
pow inj
100 mg
vial
S#
E
138
Dacarbazine
pow inj
100 mg,500
vial
S#
E
139
Dactinomycin
pow inj
0.5 mg
vial
S#
E
140
Daunorubicin
pow inj
20mg/ vial or
50 mg/ vial
vial
S#
E
141
Docetaxel
vial
50 mg
vial
S#
E
142
Doxorubicin HCl
pow inj
10mg, 50mg
vial
S#
V
143
Etoposide
caps
100 + 500mg
S#
E
144
Etoposide
inj
20 mg/ml
amp, 5 ml
S#
E
145
Erythropoietin
inj
10.000 I.U
amp, 1ml
S#
v
Amt Al salaam
6
vial
S#
E
S#
E
E
146
Filgrastim
inj
300microg/m
147
Fluconazole
inj
150 mg
148
Fluorouracil
inj
50 mg/ml
149
Hydroxyurea
caps
150
Ifosfamide
151
vial im
S#
V
amp, 5 ml
S#
V
500 mg
S#
E
vial
1g,2g
S#
E
caps
400 mg
vial
10,000IU
S#
E
153
Imatinib
(Crisantaspase)LAsparaginase
Mercaptopurine
tab
50 mg
S#
E
157
Methotrexate
tab
2.5 mg
S#
E
158
Methotrexate, preservat. free
pow inj
50 mg
S#
E
159
Procarbazine
caps
50 mg
S#
N
160
Paclitaxel
inj
6 mg/ml
vial 5ml
S#
E
161
Vinblastine
pow inj
10 mg
vial
S#
E
162
Vincristine sulphate
pow inj
1 mg
S#
V
163
Vinorelbine
inj
10 mg/ml
152
vial 5ml
S#
# Issued through recognised Cancer Units only
8.2.Anti hormones
164
Flutamide
tab
250 mg
S#
N
165
Goserelin
inj
10.8mg
S#
E
166
Megestrol acetate
Tamoxifen citrate
tab
160mg
S#
E
tab
10 mg
S#
E
167
8.3. Anti-emetic
168
Ondansetron HCL
Inj
2mg/ml
Amp /2 ml
S*
N
169
Granisetron HCL
Inj
1 mg/ml
Amp /1 ml
S
E
tab
5 mg
S
E
tab
250+25 mg
S
E
9. Antiparkinsonism Medicines
170
171
Benzhexol, scored
Levadopa + carbidopa,
scored
10. Medicines affecting the blood
10.1 Antianaemia Medicines
172
Ferrous sulfate (65 mg iron)
tab
200 mg
1
E
173
Folic acid
tab
1 mg
1
E
174
Folic acid
tab
5 mg
175
Ferrous Sulhate + Folic acid
tab
60mg + 400
mg
1
E
176
Hydroxocobolamin (Vit B12)
inj
1 mg/ml
S
N
Amt Al salaam
7
amp, 1 ml
10.2 Medicines affecting coagulation
178
Acetylsalicylic Acid enteric
coated
Desmopressin acetate
179
Desmopressin acetate
inj
4 micrg/ml
amp, 1 ml
S
E
180
Heparin
inj
5000 IU/ml
amp, 5 ml
S
V
181
Phytomenadione (Vit K1)
tab
10 mg
S
N
182
Phytomenadione (Vit K1)
inj
10 mg/ml
4
V
183
Warfarin sodium, dble scored
tab
5 mg
S
V
184
Warfarin sodium, dble scored
tab
3 mg
S
V
185
Tranexamic acid
tab
500 mg
S
V
186
Tranexamic acid
Inj
500 mg
S
V
187
Clopidogril
tab
75 mg
S
V
177
tab
100 mg
1
E
tab
0.2 mg
S
E
amp, 1 ml
10.3.1. Renal conditions
188
Cyclosporin
caps
25,50,100mg
S
V
189
Alfacalcidol
caps
0.25 microg
S
E
190
caps
250,500mg
S
V
inj
2000, 4000
IU/ml
S
N
192
Mycophenolate mofetile
Human Recombinant
Erythropiotine
Tacrolimus
caps
1mg , 5 mg
S
V
193
Sirolimus
caps
1mg & 5 mg
S
V
194
Methylprednisolone
Inj
0.5gm & 1gm
vial
S
V
inj sol
6%
btl, 0.5 ltr
S
N
inj
20%
vial, 50 ml
S
N
S
V
S
V
191
Vial
11.1. Blood products and plasma substitutes
195
Dextran 70
196
Albumin, human
197
Factor VIII concentrate
dried
198
Factor IX complex
dried
250 IU antihaem.
fac
500 IU
plasmathrom
11.2. Immunoglobulins
190
192
Human Normal
Immunoglobulin
Human Anti D (Rho)
Immunoglobulin
Vial ,I.V
2.5 , 5 , 10gm
S
N
Vial
250 I.U
S
N
tab
100 mg
4
N
Sub / tab
0.5 mg
3
E
12. Cardiovascular Medicines
12.1 Antianginal Medicines
193
Atenolol, scored
194
Glyceryl trinitrate
Amt Al salaam
8
195
Isosorbide dinitrate scored
tab
5 mg
S
E
196
Propranolol, double scored
tab
40 mg
3
V
4
N
S
N
3
V
4
V
S
N
S
V
12.2 Antiarrythmic Medicines
197
Atenolol, scored
tab
100 mg
198
Lidocaine HCl, preserv. free
inj
20 mg/ml
199
Propranolol, double scored
tab
40 mg
200
Propranolol
Inj
1 mg/ml
201
Awideran
vial
200 mg
202
Verapamil HCL
tab
40 mg
203
Verapamil HCL
vial
2.5 mg /ml
amp, 5 ml
amp, 1 ml
amp, 2 ml
12.3 Antihypertensive Medicines
204
Atenolol, scored
tab
100 mg
4
N
205
Captopril Scored
tab
25 mg
S
N
206
Lisinopril Scored
tab
10 mg
S
N
207
Hydralazine HCl, scored
tab
50 mg
S
N
208
Hydralazine HCl, scored
Inj
20mg/ml
S
N
209
Hydrochlorothiazide scored
tab
25 mg
3
V
210
Magnesium sulphate
inj
500 mg/ml
4
E
amp, 1 ml
amp, 10ml
211
Amlodipine
Tab
5mg
3
N
212
Methyldopa
tab
250 mg
2
V
213
Nifedipine
caps
10 mg
4
E
214
Propranolol, double scored
tab
40 mg
3
V
3
V
2.4 Cardiac glycosides
215
Digoxin
tab
0.25 mg
216
Digoxin
syrup
0.05 mg/ml
btl, 60 ml
S
V
217
Digoxin
inj
0.25 mg/ml
amp, 2 ml
S
V
12.5 Medicines in shock
218
Epinephrine (Adrenaline)
inj
1 mg/ml
Amp, 1ml
2
V
219
Dopamine HCL
inj
40 mg/ml
vial, 5 ml
S
E
tab
100 mg
1
E
pow inj
1,500,000 IU
S
N
12.6 Antithrombolytic Medicines
220
Acetylsalicylic acid, enteric
coated
221
Streptokinase
13. Dermatological Medicines
13.1 Antifungal Medicines
Amt Al salaam
9
vial
222
223
Benzoic + salicylic acid
(Whitfield’s ointment)
Miconazole nitrate (or eq)
oint
6%/3%
tin/jar 1 kg
1
E
oint
20mg/g/or eq
tube, 30 g
3
E
13.2 Anti-infective Medicines
224
Gentian violet
pow
For dilution
packt 25 g
1
E
225
Potassium permanganate
pow
For dilution
sachet/25g
1
N
226
Silver sulfadiazine
cream
1%
jar, 500 g
2
V
13.3 Anti-inflammatory and antipruritic Medicines
227
Calamine
lotion
5%
btl, 100 ml
1
N
228
Hydrocortisone acetate
cream
1%
tube, 15 g
2
N
229
Betamethasone valerate
ointm
0.1%
tube, 30 g
3
E
13.4 Keratoplastic and keratolytic agents
230
Salicylic Acid B.P.
sol
5%
tube, 30 g
1
N
231
Zinc oxide
oint
10%
tube, 30 g
1
N
lotion
1%
btl. 100ml
2
N
13.5 Scabicides and pediculides
232
Gamma benzene
hexachloride
14. Diagnostic agents
233
Fluorescein sodium
eye dr
1%
btl, 10 ml
S
E
234
Tropicamide
eye dr
0.5%
btl, 5 ml
S
N
235
Amidotrizoate sodium
inj
76%
amp, 20 ml
3
N
236
Barium sulfate
pow
drum
4
N
237
Iopanoic acid
tab
500 mg
4
E
238
Propyliodone
oilysusp
60%
vial, 20 ml
S
N
239
Meglumine iotroxate 38 %
inj sol
5-8 gr iodine in 100250ml
amp, 30ml
4
E
15. Disinfectants and antiseptics
15.1 Antiseptics
240
Chlorhexidine digluconate
sol
5 %, to dilute
btl, 1 ltr
1
N
241
Polyvidone iodine Solution
top sol
10 %
btl, 1 ml
1
E
242
Methylated spirit (ethanol)
liq
90 % to dilute
btl, 20 ltr
1
E
243
Ethanol Absolute
sol
70 %
btl, 20 ltr
4
S
3
E
4
E
15.2 Disinfectants
244
Formaline
liq
10%
245
Glutaraldehyde + activator
sol
2%
16. Diuretics
Amt Al salaam
10
5 Litre
246
Furosemide, scored
tab
40 mg
247
Furosemide
inj
10 mg/ml
248
Hydrochlorothiazide, scored
tab
25 mg
249
Mannitol
inj sol
20 %
amp, 2 ml
btl, 250 ml
2
V
2
V
3
V
S
E
1
N
17. Gastrointestinal Medicines
17.1 Antacids and other antiulcer Medicines
tab
200+200+
50mg
251
Al/Mg hydroxide /
simethicone
Omiprazol
caps
20 mg
252
Ranitidine
tab
150 mg
S
E
tab
25 mg
2
N
elixer
1 mg/ml
blt 100 ml
3
N
inj
5 mg/ml
amp, 2 ml
4
N
oint
Manufacturer
tube, 30 gr
2
N
tab
500 mg
S
N
2
N
2
N
2
N
Sachet
1
V
250
17.2 Antiemetic Medicines
253
Promethazine sugar coated
254
Promethazine HCl
255
Metoclopramide HCl
17.3 Antihaemorrhoidal Medicines
256
Antihaemorrhoidal ointment
+ hydrocortisone
17.4 Anti-inflammatory Medicines
257
Sulfasalazine
17.5 Antispasmodic Medicines
258
Hyoscine N-Butylbromide
tab
10 mg
259
Hyoscine N-butylbromide
inj
20 mg/ml
tab
5 mg
powder
Dil. to 750ml
amp, 1 ml
17.6 Cathartic Medicines
260
Bisacodyl
17.7 Medicines used in diarrhoea
261
Oral Rehydration Salts
To Local water
bottle
(as per WHO-formula)
18. Hormones, other endocrine Medicines and contraceptives
18.1 Adrenal hormones and synthetic substitutes
262
Dexamethasone (sod phosph)
inj
4 mg/ml
amp, 1 ml
4
E
263
Somatropin ( HGH)
vial
10 mg / 15
mg
1.5 m vial
4
E
264
Hydrocortisone (sod
succinate)
pow inj
100 mg
vial
4
V
265
Prednisolone
tab
5 mg
3
E
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11
18.2 Contraceptives
267
Ethinylestradiol +
levonorgestrel
Ethinylestradiol/levonorgestrel
268
Norethisterone
269
Copper containing IUD
266
tab
30/150 mcrgr
1*
E*
tab
50/250 mcrgr
1*
E*
sol
350 mcrgr
S*
E*
2*
E*
*Give by trained staff only
270
Condoms
All can give
1
E
271
Spermicidials
FHPlanning
1
E
tab
50 mcrgr
S
N
• Prescribed by trained midwives only.
18.3 Estrogens
272
Ethinylestradiol
18.4 Insulins and other antidiabetic agents
273
Insulin (soluble)
inj
100 IU/ml
vial, 10 ml
274
Insulin (intermediate-acting)
inj
100 IU/ml
vial, 10 ml
2#
V
275
Insulin Mixtard (30/70)
inj
100 IU/ml
vial, 10 ml
2#
V
276
Glibenclamide
tab
2#
E
277
Metformine
tab
2*
V
500 mg
*Control by diabetic clinic
# Patients are stabilized at tertiary level. Resupply may take place at the secondary level.
18.5 Progestogens
278
Norethisterone
tab
5 mg
4
N
18.6 Thyroid hormones and antithyroid Medicines
279
Carbimazole
tab
5 mg
4
V
280
Levothyroxine (sodium)
tab
0.1 mg
S
N
19. Immunologicals
19.1 Diagnostic agents
281
Tuberculin (PPD)
inj
10 IU/ml
amp, 1 ml
S
E
vial
4
V
3
V
S
N
19.2 Sera and immunoglobulins
282
Antitetanus immunoglobulin
inj
500 IU
283
Snake venom antiserum
inj
polyvalent
284
Diphtheria antitoxin
inj
10,000 IU
Amt Al salaam
12
amp,10 ml
285
Rabies immunoserum
(hours)
inj
200 IU/ml
amp, 5 ml
3
V
19.3 Vaccines
Universal:
287
BCG vaccine (dried)
inj
20 dose
vial
1
V
288
Diphtheria-Tetanus vaccine
Diphth-Pertussis-Tetanus
vacc
Measles vaccine
Poliomyelitis vaccine, live
att.
Tetanus toxoid vaccine
inj
10 dose
vial
1
V
inj
10 dose
vial
1
V
inj
10 dose
vial
1
V
oral sol
10dose
vial
1
V
inj
10dose
vial
1
V
inj
single dose
vial
4
E
inj
single dose
set
vial
2
V
inj
2.5 mg/ml
amp, 10ml
4
E
Pow /.inj
50 mg
vial
3
V
inj
10 mg/ml
amp, 5 ml
4
V
inj
10 mg/ml
amp, 5 ml
4
V
Pow/.inj
10mg
Vial
4
V
289
290
291
292
Specific groups/individuals:
Hepatitis B vaccine
293
294
Rabies vaccine (verocell)
20. Muscle relaxants and antagonists
297
Neostigmine metilsulfate
Suxamethonium chloride
or bromide
Atracurium Besylate
298
Rocuronium Bromide
299
Vecuronium
295
296
21. Ophthalmological preparations
21.1 Anti-infective agents
300
Tetracycline HCl
eye oint
1%
tube, 5 gr
1
V
301
Idoxuridine
eye oint
0.2%
tube, 5 gr
S*
N
302
Gentamycin sulphate
eye drop
0.3%
btl, 5 ml
3
N
303
Sulphacetamide
eye drop
20%
btl, 10 ml
3
N
304
Acyclovir
eye oint
3%
tube, 5 gr
S*
N
305
erythromycin
eye oint
0.5%
tube, 5 gr
2
N
306
Tobramycin
eye drop
0.3%
btl, 5 ml
3
N
Inj 4 mg
0.1%
btl, 5 ml
3
N
Eye dr
0.5%
btl, 10 ml
S
N
21.2 Anti-inflammatory agents
307
Dexamethasone
21.3 Local anaesthetics
308
Tetracaine /Amethocaine
21.4 Miotics and antiglaucoma Medicines
Amt Al salaam
13
309
Acetazolamide
310
311
tab
250 mg
4
N
Pilocarpine
eye dr
2%
btl, 5 ml
4
E
Timolol
eye dr
0.1- 0.5%
btl, 5 ml
S
N
eye dr
1, 0.5 %
btl, 10 ml
S
V
2*
E
21.5 Mydriatics
312
Atropine
22. Oxytocics and antioxytocics
313
Ergometrine maleate
tab
0.2 mg
314
Ergometrine maleate
inj
0.2 mg/ml
amp, 1 ml
3*
E
315
Oxytocin
inj
10 IU/ml
amp, 1 ml
3*
E
* Notes :- Prescribed by trained midwives only.
23. Peritoneal dialysis solution
316
Intraperitoneal dialysis
solution
infusion
1.5 or 4.5%
As required
S*
N
24. Psychotherapeutic Medicines
317
Amitriptyline HCl
tab
25 mg
4
E
317
Amitriptyline HCl
tab
25 mg
4
E
318
Chlorpromazine HCl
tab
100 mg
4
V
319
Chlorpromazine HCl
inj
25 mg/ml
3
V
320
Diazepam, scored
tab
5 mg
3
E
321
Diazepam
inj
5 mg/ml
amp, 2 ml
3
V
322
Fluphenazine decanoate
inj
25 mg/ml
amp,10 ml
S
E
323
Haloperidol, scored
tab
5 mg
S
E
324
Risperidone scored
tab
3 mg
S
E
amp, 2 ml
25. Medicines acting on the respiratory tract
25.1 Antiasthmatic Medicines
inj
25 mg/ml
amp,10 ml
2
V
inhaler
50 mcrgr/dse
200 doses
S#
E
327
Aminophylline
Beclometasone
dipropionate
Salbutamol scored
tab
4 mg
2#
V
328
Salbutamol
syrup
2 mg/5 ml
btl, 100 ml
2#
E
329
Sodium cromoglycate
spinhal
20 mg/dose
set + caps
S#
N
#
E
325
326
330
Theophylline
tab
200 mg, SR
2
# Patients are stabilized at tertiary level. Resupply may take place at the secondary level.
26. Solutions correcting water, electrolyte and acid-base disturbances
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14
331
Oral Rehydration Salts
powder
Dil. to 750ml
Sachet
1
V
332
Glucose 5%
inj sol
5%
0.5 ltr
2
V
333
Sodium chloride 0.9%
Dextrose 5% + Sodium
chloride 0.9%
Sodium compound
(Ringer’s lactate)
Glucose 40%
inj sol
0.5 ltr
2
V
0.5 ltr
2
E
0.5 ltr
2
V
3
V
3
V
amp,20 ml
S
V
amp,10 ml
4
V
334
335
336
337
338
339
inj sol
Full strength
inj sol
inj
Potassium chloride
Sodium bicarbonate
8.4%
Water for injection
amp,
tab
600 mg, SR
inj
11.2%
inj
20 ml
Comment:
Other solutions may be ordered on special request
27. Vitamins and minerals
340
Retinol (Vit A ),
341
Vitamin B complex
inj
342
Vitamin D
(Ergocalciferol)
tab
343
Calcium lactate
344
345
Soft cap
100,000 IU
2
V
S
N
50,000 IU
4
N
tab
300 mg
2
N
Calcium gluconate
inj
100 mg/ml
4
N
Multivitamin
tab
2
N
amp, 2 ml
amp,10 ml
National Aides Control Program
28. Antiretrovirals
Based on current evidence and experience of use, medicines in the following three classes of
antiretroviralsare included as essential edicines for treatment and prevention of HIV (prevention
of mother‐to‐child transmission and post exposure prophylaxis). The Committee emphasizes the
importance of using these products in accordance with global and national guidelines.
The Committee recommends and endorses the use of fixed‐dose combinations and the development
of appropriate new fixed‐dose combinations, including modified dosage forms, non‐refrigerated
products and paediatric dosage forms with assured pharmaceutical quality.
28.1. Nucleoside/Nucleotide reverse transcriptase inhibitors
346
abacavir (ABC) [as sulfate ]
Oral
liquid
100 mg/5
ml
100 mg /5 ml
4
E
347
abacavir (ABC) [ as sulfate ]
Tablet
300 mg
300 mg
4
E
348
didanosine (ddI)
Powder
100 mg; 167
mg; 250 mg
packets
4
E
349
didanosine (ddI)
Capsule
125 mg;
200 mg;
4
E
Amt Al salaam
15
350
didanosine (ddI)
351
emtricitabine (FTC)*
Capsule
352
emtricitabine (FTC)*
Oral
liquid
Tablet
250 mg;
400 mg.
25 mg;
50 mg;
100 mg;
150 mg;
200 mg.
200 mg
10 mg/ml
4
E
4
E
4
E
* Notes
:- FTC is an acceptable alternative to 3TC, based on knowledge of the pharmacology, the
resistance patterns and clinical trials of antiretrovirals.
353
lamivudine (3TC)
Oral
liquid
354
lamivudine (3TC)
Tablet
355
stavudine (d4T)*
Capsule
356
stavudine 30mg+lamivudine
150mg
* Notes
meeting.
357
:-
Tablet
50
mg/5
ml.
150 m
15 mg;
20 mg;
30 mg
30mg
150mg
4
E
4
E
4
E
4
E
The Committee expects this dosage form to be reviewed for possible deletion at the next
stavudine (d4T)
Powder
5 mg/5
ml.
4
E
tenofovir disoproxil
Tablet
4
300 mg
fumarate (TDF)*
* Notes :- (tenofovir disoproxil fumarate ‐ equivalent to 245 mg tenofovir disoproxil).
358
E
359
zidovudine (ZDV or AZT)
Capsule
100 mg; 250 mg
4
E
360
zidovudine (ZDV or AZT)
Oral
liquid
50 mg/5 ml
4
E
361
zidovudine (ZDV or AZT)*
inj
10 mg/ml in 20‐ml vial.
4
E
* Notes :- Solution for IV infusion injection: 10 mg/ml in 20‐ml vial.
362
zidovudine (ZDV or AZT)
300 mg
Tablet
4
E
4
E
4
E
28.1.2. Non-nucleoside reverse transcriptase inhibitors
363
efavirenz (EFV or EFZ)
Capsule
364
efavirenz (EFV or EFZ)
Oral liquid
50 mg; 100 mg;
200 mg
150 mg/5 ml
365
efavirenz (EFV or EFZ)
Tablet
600 mg.
4
E
366
nevirapine (NVP)
Oral liquid
50 mg/5 ml
4
E
367
nevirapine (NVP)
Tablet
200 mg.
4
E
28.1.3. Protease inhibitors
Selection of protease inhibitor(s) from the Model List will need to be determined by each country after
consideration of international and national treatment guidelines and experience. Ritonavir is
Amt Al salaam
16
recommended for use in combination as a pharmacological booster, and not as an antiretroviral in its
own right.
This section will be reviewed by the Committee as a priority at its next meeting. It is expected that
application for a heat stable tablet formulation containing 200/50 mg lopinavir + ritonavir will be
submitted for the next meeting.
Capsule
200 mg; 333 mg; 400
mg
4
E
Capsule
133.3 mg + 33.3 mg.
4
E
Tablet
200 mg + 50 mg.
4
E
Oral liquid
400 mg + 100 mg/5
ml.
4
E
Oral Powder
50 mg/g
4
E
Tablet
250 mg
4
E
372
indinavir (IDV)
lopinavir + ritonavir
(LPV/r)
lopinavir + ritonavir
(LPV/r)
lopinavir + ritonavir
(LPV/r)
nelfinavir (NFV)
373
nelfinavir (NFV)
374
ritonavir
Oral liquid
400 mg/5 ml
4
E
375
ritonavir
Oral solid dosage
form
100 mg
4
E
376
saquinavir (SQV)
Capsule
200 mg
4
E
368
369
370
371
FIXED-DOSE COMBINATIONS
efavirenz + emtricitabine
600 mg + 200 mg +
Tablet
E
4
300 mg.
+ tenofovir*
emtricitabine +
Tablet:
200 mg + 300 mg.
E
4
378
tenofovir*
* Notes :- FTC is an acceptable alternative to 3TC, based on knowledge of the pharmacology, the
377
resistance patterns and clinical trials of antiretrovirals.
379
380
381
382
stavudine + lamivudine
stavudine + lamivudine
+ nevirapine
zidovudine + lamivudin
zidovudine +
lamivudine +
nevirapine
Tablet
30 mg + 150 mg
E
4
Tablet
30 mg + 150 mg + 200
m
E
4
Tablet
300 mg + 150 mg.
E
4
Tablet
300 mg + 150 mg +
200 mg
E
4
E
4
E
4
28.3. Other antivirals
383
384
Ribavirin [phosphate buffer
solution.]
ribavirin
inj
Oral solid dosage
1000 mg and 800 mg in
10‐ml
200 mg; 400 mg; 600
mg.
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