Republic of Yemen Ministry of Public Health & population

Transcription

1 Republic of Yemen Ministry of Public Health & population 1

2 O Drug Form Strength Unit L VEN 1. Anaesthetics 1.1 General anaesthetics and medical gases 1 Halothane Inhal btl, 250 ml 4 V 2 Ketamine HCl Inj 50 mg/ml vial, 10 ml 4 V 3 Isoflurane Inhal btl. 250 ml 4 V 4 Nitrous oxide (medical quality) inhal cylinder 3 V 5 Oxygen (medinal quality) inhal cylinder 2 V 6 Propofol inj 10 mg/ml vial 20 ml 4 V 7 Propofol inj 10 mg/ml vial 50 ml 4 V 8 Thiopental sodium pow inj 1 gr vial 4 V 1.2 Local anaesthetics 9 Bupivacaine HCl, spinal Inj 0.5% amp, 4 ml 4 V 10 Lidocaine HCl inj 2% vial, 50 ml 2 V 11 Lidocaine HCl + adrenaline 1/100,000 inj 2% vial, 50 ml 2 E 12 Lidocaine HCl (heavy) spinal inj 5% vial, 2 ml 4 N 13 Lidocaine HCl spray 10% btl, 100 ml S N 14 Lidocaine HCl Gel 2% 20 gm S N 1.3 Preoperative medication 15 Atropine sulfate inj 1 mg/ml amp, 1 ml 3 V 16 Diazepam inj 5 mg/ml amp, 2 ml 3 V 17 Promethazine HCl syrup 1 mg/ml btl 100ml 3 N 18 Midazolam HCl inj 5 mg/ml Amp, 2ml 4 V 2. Analgesics, antipyretics, non-steroidal anti-inflammatory Medicines and Medicines to treat gout 2.1 Non-opioids 19 Acetylsalicylic acid, scored tab 300 mg 1 E 20 Allopurinol tab 300 mg 21 Diclofenac sodium inj 25 mg/ml amp, 3 ml 3 N 22 Ibuprofen, scored tab 200, 400mg 2 E 23 Indomethacin caps 25 mg 2 N 24 Paracetamol, scored tab 500 mg 1 E 25 Paracetamol syrup 24 mg/ml btl, 60 ml 1 E 2.2 Opioid analgesics 26 Fentanyl inj 50micrgr/ml Amp,2ml S V 27 Morphine sulfate inj 10 mg/ml amp, 1 ml S E 2

3 28 Pethidine HCl inj 50 mg amp, 1 ml 3 V 3. Antiallergics and Medicines used in anaphylaxis 29 Chlorphenamine maleate scored tab 4 mg 1 E 30 Chlorphenamine maleate inj 10 mg/ml amp, 1 ml 2 E 31 Dexamethasone (sodium phos) inj 4 mg/ml amp, 1 ml 3 E 32 Epinephrine (Adrenaline) inj 1 mg/ml amp, 1 ml 2 V 33 Hydrocortisone(sodium succ) pow inj 100 mg vial 3 V 34 Prednisolone tab 5 mg 2 E 4. Antidotes and other substances used in poisonings 35 Acetylcystine inj 200 mg/ml 1 amp 10ml S# V 36 Activated Charcoal powder 0.14% alkal. S# V 37 Atropine sulfate inj 1 mg/ml amp, 1 ml 3 V 38 Desferoxamine mesilate pow inj 500 mg vial S# V 39 Defriprone scored Tab 500 mg Box /50 S# V 40 Dimercaprol inj 50 mg/ml amp 2ml S# V 41 Dantrolene Pow inj 20 mg/vial 3 V 42 Ipecacuanha syrup 0.7ml extract to 10ml 1 V 43 Naloxone inj 0.4 mg/ml amp, 1 ml S# V 44 Penicillamine scored tab 250 mg S# V 45 Pralidoxime mesilate inj 200 mg/ml amp, 5ml S# V 46 Protamine sulphate inj 10 mg/ml amp, 5ml S V 47 Sodium calcium edetate inj 200 mg/ml amp, 5 ml S# V 48 Sodium nitrite inj 30 mg/ml amp 10ml S#S# V 49 Sodium thiosulfate inj 250 mg/ml amp,50 ml S# V 50 Neostigmine methylsulphate inj 2.5 mg/ml amp, 10 ml S# V 51 Flumazenil inj 100 mcg/ml amp, 5 ml S# V 52 Phytomenadionr (Vit.K1) inj 10 mg/ml amp, 1 ml S# V # through SBD & MA poison centres 5. Anticonvulsants / Antiepileptics 53 Carbamezapine tab 200 mg 3 V 54 Diazepam inj 5 mg/ml amp, 2 ml 2 V 55 Magnesium sulphate inj 2 mmol/ml amp, 10ml 56 Phenobarbital, scored tab 60 mg 2 V 57 Phenytoin sodium tab 50 mg 2 V 58 Phenytoin sodium syrup 30mg/ 5ml (6 mg/ml ) 59 Phenytoin sodium inj 50 mg/5 ml btl 100 ml S E 60 Sodium Valproate tab 500 mg S E 61 Sodium Valproate syrup 200 mg/5ml btl 150 ml S E 3

4 62 Clonazepam drop 2.5 mg/ml 63 Clonazepam, Scored Tab Tab 2 mg S E 64 Diazepam Recat supp 10 mg Box /10 6. Anti-infective Medicines 6.1 Anthelminthics Intestinal anthelminthics 65 Albendazole, chewable tab 400 mg 1 E 66 Niclosamide tab 500 mg 2 N 67 Praziquantel tab 600 mg 2 V Antifilarials 68 Ivermectine tab 6 mg S* E* Antischistosomals 69 Praziquantel tab 600 mg 2 E 6.2 Antibacterials Penicillins 70 Amoxicillin caps 500 mg 2 V 71 Amoxicillin syrup 125 mg/5ml btl, 100 ml 2 V 72 Ampicillin inj 500 mg vial 3 E 73 Benzathine benzyl penicillin pow inj 1.2 mill. IU vial 3 V 74 Benzyl penicillin (crystalline penicillin) pow inj 1 million IU vial 3 V 75 Procaine benzyl penicillin pow inj 1.2 mill. IU vial 2 E 76 *Cloxacillin sodium caps 500 mg 4 V 77 *Cloxacillin sodium susp 50 mg/ml btl, 100 ml 4 V 78 Cloxacillin sodium inj 250 mg vial 79 Phenoxymethyl penicillin (V) tab 1000 mg 1 E Notes:- Erythouycis is reserved for penicillin resistant patients. Phenoxymethyl penicillin 80 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) Other antibacterials 81 Chloramphenicol caps 250 mg 3 V 82 Chloramphenicol inj 1 gr vial S V 83 Erythromycin tab 250 mg 3 V 8rythromycin susp 125 mg/5ml btl, 100 ml 3 V 85 Azithromycin caps mg 86 Gentamycin sulfate inj 40 mg/ml amp, 2 ml S E 87 Metronidazole tab 250 mg 1 E 88 Metronidazole susp 200 mg/5 ml btl, 100 ml 1 E 4

5 89 Metronidazole i.v inj 5 mg/ml vial,100ml S V 90 Ciprofloxacin scored tab 500 mg 4 V 91 Cotrimoxazole, scored tab 400/80 mg 1 V 92 Trimetheprim tab 200 mg 1 V 93 Cotrimoxazole susp 40/8 mg/ml btl, 100 ml 1 V 94 Doxycycline HCl tabs/cap 100 mg S V 95 Nitrofurantoin, scored tab 100 mg S V 96 Nalidixic acid tab 500 mg 4 V 97 Nalidixic acid susp 300mg/5ml btl, 100 ml Antileprosy Medicines National TB Control Program 98 Clofazimine Caps 50 mg S# E 99 Dapsone tab 50 mg S# E 100 Rifampicin tab 150 mg S# V # Issued through leprosy only Antituberculosis Medicines 101 Ethambutol, double scored tab 400 mg S# V 102 Pyrazinamide tab 400 mg S# V 103 Rifampicin + isoniazid tab RH150/75 mg S# E 104 Streptomycin inj 1 gr Vial S# E Rifampicin + isoniazid+ Pyrazinamide Rifampicin + isoniazid+ Pyrazinamide+ Ethambutol # Issued through NTP only 6.3 Antifungal Medicines tab tab mg mg S# E S# E 107 Amphotericin B pow inj 50 mg vial S* N 108 Fluconazole caps/ oral 50 mg S E 109 Griseofulvin tab 125 mg 110 Miconazole (or Equivalent) oral gel/ 24mg/ml tube 40g 3 E 111 Miconazole (or Equivalent) pessary 200mg / ovules Box / 7 3 E 112 Whitfield s ointment Oint cont 1 E 6.4 Antiprotozoal Medicines Antiamoebic and antigiardiasis Medicines 113 Diloxanide furoate tab 500 mg 2 N 114 Metronidazole tab 250 mg 1 V 115 Metronidazole susp 200 mg/5 ml btl, 100 ml 1 E 116 Metronidazole i.v inj 5 mg/ml vial,100ml S V 5

6 6.4.2 Antileishmaniasis Medicines 117 Sodium stibogluconate (10%SB) 33% Antimalarial Medicines inj 100 mg/ml btl, 30 ml S E 118 Primaquine tab 7.5 mg 1 V 119 Quinine tab 300 mg 4 V 120 Quinine inj 300 mg/ml amp, 2 ml 4 V 121 Artesunate+Sulfadoxine/pyr imethamine tab mg 3 V 122 Artemether+Lumefantrine tab 20 mg+120 mg 3 V 123 Artemether inj 80mg/ml Amp /1 ml 3 V 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 tab 50 mg S# E 129 Bleomycin sulfate pow.inj 15 mg vial S# E 130 Biclutamid tab 50 mg E 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 mg S# E 14toposide inj 20 mg/ml amp, 5 ml S# E 145 Erythropoietin inj I.U amp, 1ml S# v 6

7 146 Filgrastim inj 300microg/m vial im S# V 147 Fluconazole inj 150 mg 148 Fluorouracil inj 50 mg/ml amp, 5 ml S# V 149 Hydroxyurea caps 500 mg S# E 150 Ifosfamide vial 1g,2g S# E 151 Imatinib caps 400 mg 152 (Crisantaspase)L- Asparaginase vial 10,000IU S# E 153 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 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 tab 160mg S# E 167 Tamoxifen citrate 8.3. Anti-emetic tab 10 mg S# E 168 Ondansetron HCL Inj 2mg/ml Amp /2 ml S* N 169 Granisetron HCL Inj 1 mg/ml Amp /1 ml S E 9. Antiparkinsonism Medicines 170 Benzhexol, scored tab 5 mg S E 171 Levadopa + carbidopa, scored 10. Medicines affecting the blood 10.1 Antianaemia Medicines tab mg S E 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 mg 1 E 176 Hydroxocobolamin (Vit B12) inj 1 mg/ml amp, 1 ml S N 7

8 10.2 Medicines affecting coagulation 177 Acetylsalicylic Acid enteric coated tab 100 mg 1 E 178 Desmopressin acetate tab 0.2 mg S E 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 amp, 1 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 Renal conditions 188 Cyclosporin caps 25,50,100mg S V 189 Alfacalcidol caps 0.25 microg S E 190 Mycophenolate mofetile caps 250,500mg S V 191 Human Recombinant Erythropiotine inj 2000, 4000 IU/ml Vial S N 192 Tacrolimus caps 1mg, 5 mg S V 193 Sirolimus caps 1mg & 5 mg S V 194 Methylprednisolone Inj 0.5gm & 1gm vial S V Blood products and plasma substitutes 195 Dextran 70 inj sol 6% btl, 0.5 ltr S N 196 Albumin, human inj 20% vial, 50 ml S N 197 Factor VIII concentrate dried 198 Factor IX complex dried Immunoglobulins Human Normal Immunoglobulin Human Anti D (Rho) Immunoglobulin 12. Cardiovascular Medicines 12.1 Antianginal Medicines 250 IU antihaem. fac 500 IU plasmathrom S V S V Vial,I.V 2.5, 5, 10gm S N Vial 250 I.U S N 193 Atenolol, scored tab 100 mg 4 N 194 Glyceryl trinitrate Sub / tab 0.5 mg 3 E 8

9 195 Isosorbide dinitrate scored tab 5 mg S E 196 Propranolol, double scored tab 40 mg 3 V 12.2 Antiarrythmic Medicines 197 Atenolol, scored tab 100 mg 4 N 198 Lidocaine HCl, preserv. free inj 20 mg/ml amp, 5 ml S N 199 Propranolol, double scored tab 40 mg 3 V 200 Propranolol Inj 1 mg/ml amp, 1 ml 4 V 201 Awideran vial 200 mg 202 Verapamil HCL tab 40 mg S N 203 Verapamil HCL vial 2.5 mg /ml amp, 2 ml S V 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 amp, 1 ml S N 209 Hydrochlorothiazide scored tab 25 mg 3 V 210 Magnesium sulphate inj 500 mg/ml amp, 10ml 211 Amlodipine Tab 5mg 3 N 212 Methyldopa tab 250 mg 2 V 213 Nifedipine caps 10 mg 214 Propranolol, double scored tab 40 mg 3 V 2.4 Cardiac glycosides 215 Digoxin tab 0.25 mg 3 V 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 12.6 Antithrombolytic Medicines 220 Acetylsalicylic acid, enteric coated tab 100 mg 1 E 221 Streptokinase pow inj 1,500,000 IU vial S N 13. Dermatological Medicines 13.1 Antifungal Medicines 9

10 222 Benzoic + salicylic acid (Whitfield s ointment) oint 6 % / 3 % tin/jar 1 kg 1 E 223 Miconazole nitrate (or eq) 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 13.5 Scabicides and pediculides 232 Gamma benzene hexachloride 14. Diagnostic agents lotion 1% btl. 100ml 2 N 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 238 Propyliodone oilysusp 60% vial, 20 ml S N 239 Meglumine iotroxate 38 % inj sol 5-8 gr iodine in ml amp, 30ml 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 15.2 Disinfectants 244 Formaline liq 10% 3 E 245 Glutaraldehyde + activator sol 2 % 5 Litre 16. Diuretics 10

11 246 Furosemide, scored tab 40 mg 2 V 247 Furosemide inj 10 mg/ml amp, 2 ml 2 V 248 Hydrochlorothiazide, scored tab 25 mg 3 V 249 Mannitol inj sol 20 % btl, 250 ml S E 17. Gastrointestinal Medicines 17.1 Antacids and other antiulcer Medicines 250 Al/Mg hydroxide / simethicone tab mg 251 Omiprazol caps 20 mg 1 N 252 Ranitidine tab 150 mg S E 17.2 Antiemetic Medicines 253 Promethazine sugar coated tab 25 mg 2 N 254 Promethazine HCl elixer 1 mg/ml blt 100 ml 3 N 255 Metoclopramide HCl inj 5 mg/ml amp, 2 ml 4 N 17.3 Antihaemorrhoidal Medicines 256 Antihaemorrhoidal ointment + hydrocortisone 17.4 Anti-inflammatory Medicines oint Manufacturer tube, 30 gr 2 N 257 Sulfasalazine tab 500 mg S N 17.5 Antispasmodic Medicines 258 Hyoscine N-Butylbromide tab 10 mg 2 N 259 Hyoscine N-butylbromide inj 20 mg/ml amp, 1 ml 2 N 17.6 Cathartic Medicines 260 Bisacodyl tab 5 mg 2 N 17.7 Medicines used in diarrhoea 261 Oral Rehydration Salts powder Dil. to 750ml Sachet 1 V (as per WHO-formula) 18. Hormones, other endocrine Medicines and contraceptives 18.1 Adrenal hormones and synthetic substitutes To Local water bottle 262 Dexamethasone (sod phosph) inj 4 mg/ml amp, 1 ml 263 Somatropin ( HGH) vial 264 Hydrocortisone (sod succinate) 10 mg / 15 mg 1.5 m vial pow inj 100 mg vial 4 V 265 Prednisolone tab 5 mg 3 E 11

12 18.2 Contraceptives 266 Ethinylestradiol + levonorgestrel tab 30/150 mcrgr 1 * E * 267 Ethinylestradiol/levonorgestrel tab 50/250 mcrgr 1* E* 268 Norethisterone sol 350 mcrgr S* E* 269 Copper containing IUD 2* E* *Give by trained staff only 270 Condoms All can give 1 E 271 Spermicidials FHPlanning 1 E Prescribed by trained midwives only Estrogens 272 Ethinylestradiol tab 50 mcrgr S N 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 500 mg 2* V *Control by diabetic clinic # Patients are stabilized at tertiary level. Resupply may take place at the secondary level 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 19.2 Sera and immunoglobulins 282 Antitetanus immunoglobulin inj 500 IU vial 4 V 283 Snake venom antiserum inj polyvalent 3 V 284 Diphtheria antitoxin inj 10,000 IU amp,10 ml S N 12

13 285 Rabies immunoserum (hours) 19.3 Vaccines Universal: inj 200 IU/ml amp, 5 ml 3 V 287 BCG vaccine (dried) inj 20 dose vial 1 V 288 Diphtheria-Tetanus vaccine inj 10 dose vial 1 V 289 Diphth-Pertussis-Tetanus vacc inj 10 dose vial 1 V 290 Measles vaccine inj 10 dose vial 1 V 291 Poliomyelitis vaccine, live att. oral sol 10dose vial 1 V 292 Tetanus toxoid vaccine inj 10dose vial 1 V Specific groups/individuals: 293 Hepatitis B vaccine inj single dose vial 294 Rabies vaccine (verocell) inj single dose set vial 2 V 20. Muscle relaxants and antagonists 295 Neostigmine metilsulfate inj 2.5 mg/ml amp, 10ml 296 Suxamethonium chloride or bromide Pow /.inj 50 mg vial 3 V 297 Atracurium Besylate inj 10 mg/ml amp, 5 ml 4 V 298 Rocuronium Bromide inj 10 mg/ml amp, 5 ml 4 V 299 Vecuronium Pow/.inj 10mg Vial 4 V 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 21.2 Anti-inflammatory agents 307 Dexamethasone Inj 4 mg 0.1% btl, 5 ml 3 N 21.3 Local anaesthetics 308 Tetracaine /Amethocaine Eye dr 0.5% btl, 10 ml S N 21.4 Miotics and antiglaucoma Medicines 13

14 309 Acetazolamide tab 250 mg 4 N 310 Pilocarpine eye dr 2% btl, 5 ml 311 Timolol eye dr % btl, 5 ml S N 21.5 Mydriatics 312 Atropine eye dr 1, 0.5 % btl, 10 ml S V 22. Oxytocics and antioxytocics 313 Ergometrine maleate tab 0.2 mg 2* E 31rgometrine 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 24. Psychotherapeutic Medicines infusion 1.5 or 4.5% As required S* N 317 Amitriptyline HCl tab 25 mg 317 Amitriptyline HCl tab 25 mg 318 Chlorpromazine HCl tab 100 mg 4 V 319 Chlorpromazine HCl inj 25 mg/ml amp, 2 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 25. Medicines acting on the respiratory tract 25.1 Antiasthmatic Medicines 325 Aminophylline inj 25 mg/ml amp,10 ml 2 V 326 Beclometasone dipropionate inhaler 50 mcrgr/dse 200 doses S# E 327 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 330 Theophylline tab 200 mg, SR 2 # E # Patients are stabilized at tertiary level. Resupply may take place at the secondary level. 26. Solutions correcting water, electrolyte and acid-base disturbances 14

15 331 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% inj sol 0.5 ltr 2 V Dextrose 5% + Sodium chloride 0.9% Sodium compound (Ringer s lactate) inj sol Full strength 0.5 ltr 2 E inj sol 0.5 ltr 2 V 336 Glucose 40% inj amp, 20 ml 3 V 337 Potassium chloride tab 600 mg, SR 3 V 338 Sodium bicarbonate 8.4% inj 11.2% amp,20 ml S V 339 Water for injection inj amp,10 ml 4 V Comment: Other solutions may be ordered on special request 27. Vitamins and minerals 340 Retinol (Vit A ), Soft cap 100,000 IU 2 V 341 Vitamin B complex inj amp, 2 ml S N 342 Vitamin D (Ergocalciferol) tab 50,000 IU 4 N 343 Calcium lactate tab 300 mg 2 N 344 Calcium gluconate inj 100 mg/ml amp,10 ml 4 N 345 Multivitamin tab 2 N 28. Antiretrovirals National Aides Control Program 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 Nucleoside/Nucleotide reverse transcriptase inhibitors 346 abacavir (ABC) [as sulfate ] Oral liquid 100 mg/5 ml 100 mg /5 ml 347 abacavir (ABC) [ as sulfate ] Tablet 300 mg 300 mg 348 didanosine (ddi) Powder 349 didanosine (ddi) Capsule 100 mg; 167 mg; 250 mg packets 125 mg; 200 mg; 15

16 350 didanosine (ddi) Tablet 250 mg; 400 mg. 25 mg; 50 mg; 100 mg; 150 mg; 200 mg. 351 emtricitabine (FTC)* Capsule 200 mg 352 emtricitabine (FTC)* Oral liquid 10 mg/ml * 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 50 mg/5 ml. 354 lamivudine (3TC) Tablet 150 m 355 stavudine (d4t)* Capsule 356 * Notes meeting. stavudine 30mg+lamivudine 150mg Tablet 15 mg; 20 mg; 30 mg 30mg 150mg :- The Committee expects this dosage form to be reviewed for possible deletion at the next 357 stavudine (d4t) Powder tenofovir disoproxil 358 fumarate (TDF)* * Notes :- (tenofovir disoproxil fumarate 5 mg/5 ml. Tablet 300 mg equivalent to 245 mg tenofovir disoproxil). 359 zidovudine (ZDV or AZT) Capsule 100 mg; 250 mg 360 zidovudine (ZDV or AZT) Oral liquid 50 mg/5 ml 361 zidovudine (ZDV or AZT)* inj 10 mg/ml in 20 ml vial. * Notes :- Solution for IV infusion injection: 10 mg/ml in 20 ml vial. 362 zidovudine (ZDV or AZT) Tablet 300 mg Non-nucleoside reverse transcriptase inhibitors 363 efavirenz (EFV or EFZ) Capsule 50 mg; 100 mg; 200 mg 364 efavirenz (EFV or EFZ) Oral liquid 150 mg/5 ml 365 efavirenz (EFV or EFZ) Tablet 600 mg. 366 nevirapine (NVP) Oral liquid 50 mg/5 ml 367 nevirapine (NVP) Tablet 200 mg 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 16

17 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. 368 indinavir (IDV) Capsule lopinavir + ritonavir (LPV/r) lopinavir + ritonavir (LPV/r) lopinavir + ritonavir (LPV/r) 200 mg; 333 mg; 400 mg Capsule mg mg. Tablet 200 mg + 50 mg. Oral liquid 400 mg mg/5 ml. 372 nelfinavir (NFV) Oral Powder 50 mg/g 373 nelfinavir (NFV) Tablet 250 mg 374 ritonavir Oral liquid 400 mg/5 ml 375 ritonavir Oral solid dosage form 100 mg 376 saquinavir (SQV) Capsule 200 mg FIXED-DOSE COMBINATIONS efavirenz + emtricitabine 600 mg mg Tablet E 4 + tenofovir* 300 mg. emtricitabine Tablet: 200 mg mg. E 4 tenofovir* * Notes :- FTC is an acceptable alternative to 3TC, based on knowledge of the pharmacology, the resistance patterns and clinical trials of antiretrovirals. 379 stavudine + lamivudine Tablet 30 mg mg E stavudine + lamivudine + nevirapine Tablet 30 mg mg m E zidovudine + lamivudin Tablet 300 mg mg. E 4 zidovudine lamivudine + nevirapine Other antivirals 383 Ribavirin [phosphate buffer solution.] Tablet 384 ribavirin Oral solid dosage inj 300 mg mg mg E mg and 800 mg in 10 ml E mg; 400 mg; 600 mg. E 4 17