1 Anaesthetics 1.1 General Anaesthetics and Oxygen

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5% reconstitute 3 1.2 Local Anaesthetics Bupivacaine HCl amp 0.5% 20mls 3 Bupivacaine HCl Heavy amp 0.

1 1 Anaesthetics 1.1 General Anaesthetics and Oxygen Halothane liq 250mls 3 Ketamine amp 50mg 3 Medical Oxygen inh medicinal gas 3 Nitrous Oxide inh medicinal gas 3 Propofol amp 10mg 3 Thiopentone sodium amp 500mg (2.5% reconstitute Local Anaesthetics Bupivacaine HCl amp 0.5% 20mls 3 Bupivacaine HCl Heavy amp 0.5% 4ml 3 Lignocaine 1% vial 1% 10ml 2A Lignocaine 1% vial 1% 50ml 2A Lignocaine 1% Oint 2% 3 Lignocaine 2% vial 2% 5ml 2A Lignocaine 2% vial 2% 50ml 2A Lignocaine + Adrenaline vial 1% u 3 Lignocaine + Adrenaline vial 2% u 3 Prilocaine felypressin (Citanest) dent cart cart. 3% 1.8mls D Lignocaine + Adrenaline dental cart. 2% 1.8mls D Ephedrine amp 30mg 1ml Preoperative medication and sedation for short term procedures Atropine Sulfate amp 1mg/ml 2A Diazepam tab 5mg 4 Diazepam amp 10mg/2ml 4 Metochlorpromide amp 10mg/2ml 3 Morphine cap SR 10mg 4 Morphine amp 10mg/ml 4 Midazolam amp 5mg/ml 4 Promethazine amp 50mg/2ml 2A 2 Anagesics,Antipyretic, NSAIDs, Gout tt, DMARDs 2.1 NSAIDS Aspirin tab 300mg 1 Diclofenac tab 50mg 2A Diclofenac amp 25mg/3ml 3 Diclofenac suppository 50mg 3 Ibuprofen tab 200mg 2A Indomethacin tab 25mg 3 Paracetamol tab 500mg 1 Paracetamol suppository 125mg 2A Paracetamol suppository 250mg 3 Paracetamol Elixir 120mg/5mls 2A

2 2.2 OPIOID ANALGESICS Codeine tab 30mg 4 Morphine tab 10mg 4 Morphine amp 10mg/ml 4 Morphine oral solution 1mg/ml 4 Fentanyl amp 100mcg/2ml 4 Paracetamol & Codeine tablets tab 500mg/8mg 2B Pethidine amp 50mg/ml 4 Pethidine amp 100mg/2ml DRUGS FOR GOUT Allopurinol tab 100mg 3 Colchicine tab 500mcg 3 Probenecid tab 500mg DMARDS (drug modifying agents used in rheumatoid disorders) Methotrexate tab 2.5mg 3 3 Antiallergics & Medicines used in anaphylaxis Chlorpheniramine tab 4mg 2B Chlorpheniramine amp 10mg/ml 3 Dexamethasone amp 8mg/2ml 3 Adrenaline (Epinephrine ) amp 1:1000 (1mg/ml) 2A Hydrocortisone vial 100mg/ml 2A Prednisolone tab 5mg 2B Promethazine amp 50mg/2ml 2A Promethazine tab 25mg 3 Promethazine tab 10mg 2A 4 Antidotes & other substances used in poisoning 4.1 Non specific Charcoal, activated suspension 5g 2A 4.2 Specific Acetylcysteine amp 2mg/10ml 3 paracetamol Atropine amp 1mg/ml 3 Cholinesterase Calcium Gluconate amp 10% (1g/10ml) 3 Methylthioninium Chloride (Methylene Blue) amp 1% 3 Prilocaine/Lignocaine Naloxone amp 400mcg/ml 3 Opioid Protamine Sulfate amp 50mg/5ml 3 Heparin 5 Anticonvulsants/Antiepileptics Carbamazepine tab 200mg 3 Carbamazepine tab 50mg 3 Diazepam tab 5mg 4 Diazepam amp 10mg/2ml 4 Magnesium Sulphate amp 1g/2ml (50%) 3 Paraldehyde amp 5mls 3 Phenobarbitone tab 30mg 4 Phenobarbitone amp 200mg/ml

3 Phenobarbitone elixir 15mg/5ml 4 made upon request Phenytoin tab 100mg 3 Phenytoin amp 250mg/5ml 3 Phenytoin mixture 30mg/5ml (500mls) 3 Sodium Valproate tab 200mg 3 6 Anti Infective Medicines 6.1 Antihelminthics Intestinal antihelminthics Mebendazole tab 100mg 2A Mebendazole syrup 100mg/5mls (30mls) 2A 6.2 Antibacterials Beta Lactam antibacterials Amoxycillin cap 250mg 2A Amoxycillin cap 500mg 2A Amoxycillin syrup 125mg/5mls 2A Amoxycillin & Clavulanic acid tab 500mg + 125mg 3 Ampicillin vial 500mg 2B Ampicillin vial 1g 3 Benzathine Benzylpenicillin vial 2.4MU 2A BenzylPenicillin (Penicillin G) vial 1MU 2A BenzylPenicillin (Penicillin G) vial 5MU 3 Ceftriaxone vial 500mg 3 Restricted Ceftriaxone vial 1g 3 Restricted Cephalexin cap 500mg 3 Cloxacillin vial 500mg 3 Cloxacillin vial 1g 3 Cloxacillin cap 250mg 3 Cloxacillin cap 500mg 2B Cloxacillin syrup 125mg/5mls 2B Phenoxymethylpenicillin (PenV) tab 250mg 2A Phenoxymethylpenicillin (PenV) syrup 125mg/5mls 2A Procaine Benzylpenicillin vial 1MU 2A Procaine Benzylpenicillin vial 4MU Other antibacterials Azithromycin tab 500mg 2B Chlamydial treatment Chloramphenicol cap 250mg 2B Chloramphenicol syrup 125mg/5mls 3 Chloramphenicol vial 500mg 3 Chloramphenicol vial 1g 3 Ciprofloxacillin tab 250mg 3 For infections resistant to usual therapy Cotrimoxazole tab 480mg 2A Cotrimoxazole syrup 240mg/5mls 2A Doxycycline tab 100mg 2B Erythromycin tab 250mg 2A Erythromycin syrup 125mg/5mls 2A Gentamicin amp 80mg/2ml 3 Metronidazole IV bag 500mg/100mls

4 Metronidazole tab 200mg 2A Metronidazole syrup 125mg/5mls 2A Metronidazole suppos 500mg 3 Nitrofurantoin tab 50mg 3 Trimethoprim tab 300mg Antileprosy medicines Clofazamine tab 50mg 3 Dapsone tab 100mg 3 MDT Multibacillary Adult (red) tab combination 3 MDT Multibacillary child (orange) tab combination 3 MDT Paucibacillary adult (green) tab combination 3 MDT Paucibacillary child (blue) tab combination Antituberculosis medicines Ethambutol tab 100mg 3 Ethambutol tab 400mg 3 Isoniazid tab 100mg 3 Isoniazid tab 300mg 3 Pyrazinamide tab 150mg 3 Pyrazinamide tab 400mg 3 Pyrazinamide tab 500mg 3 Rifampicin cap 150mg 3 Rifampicin cap 300mg 3 Rifampicin syrup 100mg/5mL 3 Rifampicin & Isoniazid disp tab 60 mg/30mg 3 Rifampicin & Isoniazid disp tab 60 mg/60mg 3 Rifampicin & Isoniazid tab 150mg/75mg 3 Rifampicin & Isoniazid tab 150mg/150mg 3 Rifampicin & Isoniazid & Pyrazinamide disp tab 60mg/30mg/150mg 3 Rifampicin & Isoniazid & Pyrazinamide & Ethambutol tab 150mg/75mg/400mg/ 275mg 3 Rifampicin & Isoniazid & Ethambutol tab 150mg/75mg/275mg 3 Streptomycin vial 1g AntiFungal medicines Clotrimazole pessary 500mg 2B Griseofulvin tab 125mg 3 Griseofulvin tab 500mg 3 Nystatin oral drop units 2A Nystatin cream 3% 3 Nystatin tab 500,000iu Antiherpes medicines Aciclovir tab 200mg Antiretroviral medicines Efavirenz tab 600mg 3 Lamivudine tab 150mg 3 Lamivudine/Zidovudine tab 150mg/300mg 3 Lamivudine/Stavudine tab 150mg/30mg 3 Lopinavir/Ritonavir cap 3 Nevirapine tab 200mg 3 Nevirapine syrup 50mg/5ml

5 Nevirapine/Lamivudine/Zidovudine tab 200mg/150mg/300mg 3 Stavudine tab 30mg 3 Zidovudine tab 300mg 3 Zidovudine tab 50mg/5ml 3 other 2nd lines tba 6.5 Antiprotozoal Antiamoebic & antigiardiasis medicines Metronidazole tab 200mg 3 Metronidazole IV bag 500mg/100mls 2B Antimalarial medicines Chloroquine tab 150mg (base) 3 Doxycycline tab 100mg 3 Primaquine tab 7.5mg 3 Quinine tab 300mg 3 7 Antimigraine medicines Aspirin tab 300mg 2A Ergotamine & Caffeine (Cafergot) tab 1mg/100mg 3 Paracetamol tab 500mg 2A Propranolol tab 40mg 3 8 Antineoplastic,immunosuppressant medicines in palliative care 8.1 Cytotoxic & Immunosuppressive medicines Azathioprine tab 50mg Ordered on special requirement only! Ciclosporin cap 25mg Ordered on special requirement only! Bleomycin inj 15mg Ordered on special requirement only! Cyclophosphamide tab 25mg Ordered on special requirement only! Fluorouracil inj 250mg/500mg Ordered on special requirement only! Methotrexate tab 2.5mg Ordered on special requirement only! 8.2 Hormones & Antihormones Dexamethasone amp 4mg/ml 3 Dexamethasone tab 4mg 3 Hydrocortisone vial 100mg 2A Prednisolone tab 5mg 2B Tamoxifen tab 10mg 3 ordered on special requirement only! 9 Antiparkinsonism medicines Levodopa + Carbidopa tab 250mg+25mg 3 10 Medicines Affecting the Blood 10.1 Antianaemia medicines Ferrous Sulphate (60mg iron) tab 200mg 2A Ferrous Sulphate + Folic acid tab 200mg/0.4mg 2A Ferrous Sulphate syrup 100mg/5ml 3 Folic acid tab 5mg 3 Hydroxycobalamin (Vit B12) amp 1mg/ml 3 Iron Dextran vial 100mg

6 11 Blood Products & Plasma Substitutes 11.1 Plasma substitutes Haemaccel IV bag 3.5% 3 12 Cardiovascular Medicines 12.1 Antianginal medicines Atenolol tab 50mg 2B Glyceryl trinitrate sub.tab 500mcg 2A Isosorbide Dinitrate tab 10mg 3 Verapamil tab 40mg Antiarrhythmic medicines Adrenaline (Epinephrine) amp 1mg/ml 3 Atenolol tab 50mg 2B Digoxin tab 250mcg 2B Digoxin tab 62.5mcg 3 Digoxin Elixir 250mcg/5ml 3 Digoxin amp 500mcg/2ml 3 Lignocaine amp 2% (5mls) 3 Verapamil tab 40mg 3 Verapamil amp 5mg/2ml Antihypertensive medicines Amlodipine tab 5mg 3 Atenolol tab 50mg 2B Captopril tab 25mg 3 Enalapril tab 5mg 2B Hydralazine amp 20mg 3 Hydrochlorthiazide tab 25mg 2A Metaraminol (as Tartrate) amp 10mg/ml 3 Methyldopa tab 250mg 2B Nifedipine tab 10mg 3 not to be used for hypertension Verapamil amp 5mg/2ml Verapamil tab 40mg Medicines used in Heart failure Atenolol tab 50mg 2B Digoxin tab 250mcg 3 Digoxin tab 62.5mcg 3 Digoxin amp 500mcg/2ml 3 Digoxin Elixir 250mcg/5ml 3 Dopamine HCl amp 40mg/ml 3 Enalapril tab 5mg 3 Frusemide tab 40mg 2B Spironolactone tab 25mg Antithrombotic medicines Aspirin tab 300mg 1 Heparin amp 5000iu 3 Streptokinase amp 1.5MU 3 Specialist order only! Warfarin tab 5mg 3 Warfarin tab 1mg

7 12.6 Lipid Lowering agents Simvastatin tab 10mg 3 13 Dermatological Medicines 13.1 Antifungal topical medicines Benzoic acid & Salicylic acid (Whitfield's) oint 6%+3% 2A Miconazole cream 2% 2A Salicylic acid in Spirit (Dhani's) lotion 15% Antiinfective topical medicines Acriflavin solution 0.10% 3 Gentian Violet solution (0.5%) solution 0.50% 3 Neomycin & Bacitracin oint 0.5%+500iu/g 2A Potassium Permanganate solution 1: Silver Sulfadiazine cream 1% 2B Sulphur oint 10% Antiinflammatory and pruritic medicines Betamethasone (valerate) cream 0.10% 3 Calamine lotion 15%/5% 3 Hydrocortisone (acetate) cream 1% 2A 13.4 Astringent medicines Zinc oxide oint 10% 2A 13.5 Scabicides and perdiculicides Permethrin lotion 1% 2A Permethrin cream 5% 2A 13.6 Miscellaneous topicals Coal Tar solution 5% 3 Lubricating jelly jelly standard 1 Moisturising cream cream standard 1 Podophyllotoxin solution 0.5% 3 Silver Nitrate sticks standard 3 14 Diagnostic Agents Urine Combination (Multistix) strips standard 2A Urine Glucose strips standard 2A Urine Glucose & Ketone strips standard 2A Urine Glucose & Protein strips standard 2A 15 Disinfectants and Antiseptics Chlorhexidine + Cetrimide (Savlon) solution 1.5% & 15% 2A Chlorhexidine gluconate scrub 3% 3 Chlorhexidine obstetric cream 1% 2A Chlorine base compound solution 0.1% (Cl) 3 Chloroxylenol (Dettol) 4.8% solution 4.80% 3 Hydrogen Peroxide solution 6% 3 Povidone Iodine scrub 7.50% 3 Povidone Iodine solution 10% 2A SVM (Methylated spirit) solution 70%

8 16 Diuretics Frusemide amp 20mg/2ml 3 Frusemide tab 40mg 2B Hydrochlorthiazide tab 25mg 2A Mannitol amp 20% 3 Spironolactone tab 25mg 3 17 Gastrointestinal Medicines 17.1 Antacids & other antiulcer medicines Magnesium Trisilicate (chewable) tab comb. 2A Ranitidine tab 150mg 2B Ranitidine amp 50mg/2mls 3 Omeprazole cap 20mg Antiemetic medicines Metoclopromide tab 10mg 3 Metoclopromide amp 10mg/2ml 3 Prochlorperazine tab 5mg 3 Prochlorperazine amp 25mg/2ml 3 Promethazine tab 10mg 2A Promethazine tab 25mg 3 Promethazine amp 50mg/2ml 3 Promethazine syrup 5mg/5ml Antihaemorrhoidal medicines Antihaemorrhoid oint comb. 2B Antihaemorrhoid supp comb. 2B 17.4 Antispasmodic medicines Hyoscine Butylbromide amp 20mg/ml 3 Hyoscine Butylbromide tab 10mg 3 Propantheline tab 15mg Laxatives Bisacodyl tab 5mg 2A Bisacodyl supp 5mg 3 Bisacodyl supp 10mg 3 Coloxyl infant drops drop 100mg/ml 3 Glycerin supp 1g 3 Lactulose syrup 0.67g/ml 3 Liquid Paraffin solution 32% 3 Senna tab 7.5mg Medicines Used in Diarrhoea Oral Rehydration Salt sachet WHO Standard (1L) 1 Loperamide tab 2mg 3 Zinc Sulphate disp. tab 10mg 2A 18 Hormones, other endocrine medicines and Contraceptives 18.1 Adrenal hormones and synthetic substitutes Dexamethasone amp 4mg/ml 3 Dexamethasone tab 4mg 3 Hydrocortisone vial 100mg 2A

9 Prednisolone tab 5mg 2B 18.3 Contraceptives Oral hormonal contraceptives Ethinylestradiol + Levonorgestrel (Microgynon) tab 30mcg/150mcg 2A Ethinylestradiol + Norethisterone (Eugynon) tab 35mcg/1mg 2A Levonorgestrel (Microlut) tab 30mcg 2A Injectable hormonal contraceptives Medroxy Progesterone acetate vial 150mg/ml(Depo) 2A Intrauterine devices Copper containing device unit standard 2A Barrier Methods Condom unit male 1 Condom unit female 1 Diaphragms unit standard 2A Implantable Contraceptives Jadelle (Levonorgestrol) implant 2 rod Oestrogens Conjugated oestrogen (Premarin) tab 0.625mg Progestogens Medroxy Progesterone acetate (Provera) tab 5mg 3 Norethisterone tab 5mg Insulins and other antidiabetic agents Glibenclamide tab 5mg 2A Insulin soluble (Actrapid) inj 100u/ml 3 Insulin premixed (Mixtard) inj 100u/ml (70/30) 3 Insulin Isophane (Protaphane) inj 100u/ml 3 Metformin tab 500mg 2A 18.8 Thyroid hormones and antithyroid medicines Carbimazole tab 5mg 3 Levothyroxine/Thyroxine tab 100mcg 3 19 Immunologicals and Diagnostic Agents to check 19.1 Tuberculin, purified protein derivative (PPD) amp 5iu/dose Vaccines BCG amp 20 dose 2B DPT vial 10 dose 2B Hep B vial 10 dose 2B Hep B vial single 2B Measles & Rubella vial 10 dose 2B Pentavalent HIb vial 10 dose 2B Poliomyelitis vial 10 dose 2B Tetanus Toxoid vial 10 dose 2B 20 Muscle Relaxants (in anaesthesia) and Cholinesterase Inhibitors Atracurium Besylate amp 25mg in 2.5mls 3 Neostigmine amp 2.5mg in 5mls 3 Pancuronium Bromide amp 4mg in 2ml 3 Suxamethonium amp 100mg in 2ml

10 21 Ophthalmological Preparations 21.1 Anti infective agents Acyclovir eye oint 3% 3 Chloramphenicol eye oint 1% 2A Chloramphenicol eye drop eye drop 0.5% 2A Gentamicin eye drop 0.3% 3 Framycetin + Dexamethasone eye drop 0.5%/0.05% 3 Tetracycline eye oint 1% Anti inflammatory agents Dexamethasone eye drop 0.1% Local Anaesthetics Amethocaine (tetracaine) eye drop 0.5% Miotics & Antiglaucoma Acetazolamide tab 250mg 3 Pilocarpine eye drop 2% 3 Timolol eye drop 0.50% Mydriatics Atropine Sulphate 1% eye drop 1%, 15mls 3 Tropicamide eye drop 0.5% eye drop 1%, 15mls Diagnostic agents Fluorescein ophthalmic strip (0.6mg) strips 0.6mg 3 22 Oxytoxics & Antioxytoxics 22.1 Oxytoxics Ergometrine amp 0.5mg/ml 3 Misoprostol tab 200mcg 3 Oxytocin amp 5units/ml Antioxytocics Nifedipine tab 10mg 3 Salbutamol amp 500mcg/ml 3 23 Psychotherapeutic Medicines 23.1 Medicines Used in psychotic disorders Chlorpromazine tab 25mg 2A Chlorpromazine tab 100mg 3 Chlorpromazine amp 50mg/2ml 2A Fluphenazine decanoate amp 25mg/ml 3 Haloperidol tab 5mg 3 Haloperidol amp 5mg/ml 3 Olanzapine tab 5mg 3 Psychiatrist prescription ONLY! Olanzapine tab 10mg 3 Psychiatrist prescription ONLY! Procyclidine (as HCl) tab 5mg 3 Psychiatrist prescription ONLY! Thioridazine tab 50mg 3 Psychiatrist prescription ONLY! Trifluoperazine tab 5mg Medicines Used in mood disorders Medicines used in depressive disorders Amitriptylline tab 25mg

11 Medicines used in bipolar disorders Carbamazepine tab 200mg 3 Valproic acid (as Sodium) tab 200mg Medicines used in generalised anxiety and sleep disorders Diazepam tab 5mg 4 24 Medicines act on the Respiratory Tract 24.1 Antiasthmatic medicines Adrenaline (Epinephrine) amp 1:1000 (1mg/ml) 2A Aminophylline amp 250mg/10ml 3 Aminophylline tab 100mg 3 Beclomethasone aerosol 50mcg/puff 2A Adult only Bromehexine Hcl tab 8mg 3 Salbutamol aerosol 100mcg/puff 2A Salbutamol tab 4mg 2B Salbutamol amp 500mcg 3 Salbutamol syrup 2mg/5mls (100mls) 2B Salbutamol neb 2.5mg 3 Salbutamol neb 5mg 3 Salbutamol + Beclomethasone aerosol 200/50mcg 3 Spacer device unit standard 1 25 Solutions Correcting Water, Electrolyte and Acid Base Disturbances 25.1 Oral Oral Rehydration Salt sachet WHO Standard (1L) 1 Potassium Chloride tab 600mg (SR) 2B 25.2 Parenteral Glucose iv inf 5% (500ml) 3 Glucose iv inf 5% (1 Ltr) 2A Glucose iv inf 10% (500mls) 3 Glucose iv inf 50% (50mls) 3 Glucose & sodium chloride (Dextrose Saline) iv inf 4%/0.18% (1Ltr) 2A Potassium Chloride amp 11.2% (20mls) 3 Sodium Bicarbonate amp 8.4% 3 Sodium Chloride (Normal Saline) iv inf 0.9% (1 Ltr) 2A Sodium Chloride (Normal Saline) iv inf 0.9% (500mls) 3 Sodium Chloride (Normal Saline) irrigation 0.9% (50mls) 3 Sodium Lactate compound (Hartman's) iv inf comb 2A 25.3 Miscellaneous Water for injection amp 100mls 2A Water for injection amp 10mls 2A 26 Vitamins and Minerals Ascorbic acid (Vit C) tab 250mg 3 Calcium lactate tab 300mg 3 Calcium Gluconate amp 1g/10ml (10%) 3 Cyanocobalamin (Vit B12) amp 1mg/ml 3 Pyridoxine (Vit B6) tab 50mg

12 Pyridoxine (Vit B6) amp 10mg 3 Thiamine (Vit B1) tab 50mg 3 Thiamine (Vit B1) amp 100mg/2ml 3 Vitamin A cap A Vitamin A cap A Vitamin A cap A Vitamin B complex tab comb. 2A Vitamin B complex amp comb. 2A Multivitamin tab comb. 2A Multivitamin drops comb. 2A 27 EAR, NOSE AND OROPHARYNGEAL PREPARATIONS 27.1 Ear Preparations Arachis oil drop standard 2A Chloramphenicol ear drop 5% 2A Gentamicin ear drop 0.30% Nasal Preparations Beclomethasone 50mcg 50mcg/dose 3 1 Medicinal drugs available at first aid posts 2A 2B Medicinal drugs available at dispensary level, to be utilised by registered nursing officer Medicinal drugs available at Health Centre level, to be utilised by Medical Assistants 3 Medicinal drugs to be available on prescription only, dispensed by pharmacist or pharmacy assistant 4 Narcotic drugs and Psychotropic substances subject to special Import Control and available on Special prescription only, dispensed by Pharmacist D Dental use only

Chlorpheniramine 4mg tablet Yes 0.01 cheaper than prom Dexamethasone 4mg/ml injection 0.2

Chlorpheniramine 4mg tablet Yes 0.01 cheaper than prom Dexamethasone 4mg/ml injection 0.2 2008 TUVALU ESSENTIAL MEDICINE LIST WHO Drug name, strength and dosage form Outer Restrict use Cost $A COMMENTS Island 1 ANAESTHETICS 1.1 GENERAL ANAESTHETICS Halothane inhalation 39 Isoflurane inhalation