Vanuatu National Essential Drugs List Page 15

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12 Vanuatu Essential rug List 2014 updated 0114.xlsx NATIONAL ESSENTIAL RUG LIST COMMENTS Updated April 2012 Abbreviations = Main Hospital = ispensary CMS = Central Medical Store = Rural Hospital = Aid Post = Health Centre F/A = First Aid ANAESTHETICS Halothane inhalation 500ml Nitrous Oxide Inhalation Oxygen inhalation Bupivacaine inj. 0.5%, 10ml Bupivicaine Spinal Heavy 0.5% 4ml Ephedrine inj. 30mgml, 1ml Isoflurane inhalation Ketamine inj. 50 mg/ml in 10ml Lignocaine inj. 1% 20ml Lignocaine inj. 2%, 20ml Lignocaine dental inj. 2% + adrenaline 1:80, ml Propofol Injection 200mg/20mL Thiopentone inj. 500mg OT use only VCH only initially ANALGESICS & ANTISPASMOICS Aspirin (acetylsalicylic acid) tablet 300mg Hyoscine tablet 10mg Hyoscine inj. 20mg in 1ml Paracetamol tablet 500mg Paracetamol syrup 120mg/5ml - various sizes Paracetamol suppo 125mg Paracetamol Suppos 500mg NARCOTIC ANALGESICS & ANTAGONISTS Codeine tablet 30mg Fentanyl inj. 50mcg/ml, 2ml Morphine inj. 10mg/ml Morphine tablet SR 10mg Morphine tablet SR 30mg Morphine tablet SR 60mg Naloxone inj. 0.4mg/ml, 2ml ANTI-INFLAMMATORY RUGS Allopurinol tablet 100mg Ibuprofen tablet 400mg Indomethacin suppo 100mg Probenecid tablet 500mg Limited supply-see info sheet ANTI-ALLERGICS Chlorpheniramine 4mg tab Methylprednisolone 40mg inj depot Promethazine inj. 50mg ANTIOTES Atropine inj. 1mg/ml Inj Charcoal, activated soln ANTI-EPILEPTICS Carbamazepine tablet 200mg iazepam inj. 5mg/ml, 2ml Phenobarbitone tablet 30mg Phenobarbitone inj. 200mg/ml, 1ml Phenytoin tablet 100mg Phenytoin inj. 50mg /ml, 5ml Sodium valproate tablet 150mg Named patient Named patient Named patient

13 ANTI-HELMINTHICS (INTESTINAL) Albendazole chewable tablet 200mg /400mg Vanuatu Essential rug List 2014 updated 0114.xlsx ANTIFILARIALS iethylcarbamazine tablet 50mg No further purchases - delete 2014 Ivermectin tablet 3mg/6mg Restricted to Crusted Scabies only ANTIBACTERIALS Amoxycillin tab/cap 250mg Amoxycillin Syrup 125mg/5ml Amoxicillin + Clavulanic acid tablet mg Ampicillin inj. 1g Azithromycin tablet 500mg Benzathine Penicillin inj. 1.2 Mega Benzyl penicillin inj. 600mg Ceftriaxone inj. 1g Chloramphenicol cap/tab 250mg Chloramphenicol syrup 125mg/5ml, 100ml Chloramphenicol inj. 1g Ciprofloxacin scored tablet 500mg Cloxacillin tablet 250mg Cloxacillin inj. 500mg Cotrimoxazole tablet 480mg oxycycline 100mg tablet Erythromycin cap/tab 250mg Erythromycin suspension 125 mg/5ml Gentamicin inj. 80mg Penicillin V tablet 250mg Procaine Penicillin 3Mega Restricted use Restricted use for STI/YAWS/Trachoma Restricted use Restricted use STI/Typhoid/Shigella ANTILEPROTIC Clofazimine in MB Combi Pack Rifampicin cap 150mg MB Combi Packs ANTI-TUBERCULOSIS Ethambutol 400mg Isoniazid tablet 100mg Pyrazinamide tablet 400mg Rifampicin cap 150mg Rifampicin 100mg/5ml Syrup Rifampicin 150mg/Isoniazid 75mg Tab Rifampicin 150mg/Isoniazid 75mg/Ethambutol 275mg/ Pyrazinamide 400mg Tab Streptomycin inj. 1g ANTIFUNGALS Benzoic Acid comp Oint 40g Clotrimazole Cream 20g Clotrimazole 500mg Pessary Griseofulvin tablet 500mg Nystatin drops 100,000 IU/ml, 24ml ANTI-PROTOZOAL Chloroquine tablet 150mg Metronidazole tablet 200mg Metronidazole inj. 500mg in 100ml Primaquine tablet 7.5mg/15mg base Quinine tablet 300mg Quinine inj. 600mg Tinidazole tablet 500mg Arthemeter-Lumefantrine (Coartem 20/120) Prophylaxis of malaria only Limited use Limited use

14 Vanuatu Essential rug List 2014 updated 0114.xlsx Artesunate injection (2.4 mg /kg) Artesunate suppository (50 mg / 100mg) ANTINEOPLASTICS Cyclophosphamide tablet 50mg Cyclophosphamide inj. 500mg Methotrexate tablet 2.5mg Methotrexate 50mg inj Tamoxifen tablet 20mg ANTI-PARKINSONISM Benzhexol tablet 2mg Benztropine 2mg/2ml Inj. Levodopa+carbidopa tablet mg BLOO & HAEMATOPOIETIC Ferrous sulph. 200mg + folic acid 0.40mg tablet Folic Acid 5mg tablet Ferrous Fumarate Syrup 5L Hydroxocobalamin inj. 1mg in 1ml Heparin inj IU/ml, 5ml Phytomenadione inj. 1mg Warfarin tablet 1mg Warfarin tablet 3mg Warfarin tablet 5mg CARIOVASCULAR A. ANTI-ANGINA & ANTI-ARRHYTHMIC Atenolol inj. 5mg Amiodarone 150mg/3ml Inj - Annex to VCH Glyceryl trinitrate tablet subling. 600mcg Glyceryl trinitrate 5mg/24hr patch Verapamil inj. 5mg B. ANTI-HYPERTENSIVE Atenolol tablet 50mg Atenolol inj. 5mg Enalapril tablet 5mg/10mg Hydralazine inj. 20mg Hydrochlorothiazide tablet 25mg Magnesium sulphate inj. 50% 10ml Methyldopa tablet 250mg Nifedipine SR tablet 20mg C. CARIAC GLYCOSIES igoxin tablet 250mcg igoxin elixir 50mcg/ml 50ml igoxin inj. 500mcg in 2ml. ANTI-SHOCK Adrenaline inj. 1mg in 1ml (1:1000) Hydrocortisone inj. 100mg E. IURETICS Frusemide tablet 40mg Frusemide inj. 20mg Hydrochlorothiazide tablet 25mg Spironolactone 25mg Tabs F. LIPI LOWERING AGENT Simvastatin 20mg tablet Retain same brands if possible VCH/NPH only Small supply for Named Patients VCH/NPH only For preg induced hypertension Need Calcium gluc as antidote only for preg-induced hypertension Half chewed as a tocolytic Restricted use after heart attack or stroke ERMATOLOGICAL RUGS Benzoic acid 6% + salicylic acid 3% oint 40g/500g Benzyl benzoate lotion 25% 1L Chlorhexidine Skin Cream Clotrimazole cream 1% 15g Hydrocortisone 1% Cream/Ointment 15g Ichthammol 10% oint

15 Vanuatu Essential rug List 2014 updated 0114.xlsx Paraffin gauze dressing sterile 10x10cm 100 units For burns use only Silver Nitrate Sticks Silver sulphadiazine cream 1% 100g/ 500g Zinc oxide oint 15% g EAR, NOSE & THROAT Chlorhexidine Mouthwash Oil of cloves (Eugenol) Sofradex/Otodex Ear drops Kenacomb Ear Ointment entist use only entist use only IAGNOSTIC AGENTS - REAGENTS Glucose and protein in urine Substances in urine x7/9 tests Glucose in Blood -Betachek visual strips Glucose in Blood - machine and strips (Omnitest) ANTISEPTICS & ISINFECTANTS Alcohol, swab with (Alcowipe ) 100 units Alcohol 70%/80%/95% Chlorhexidine 1% Cream 25g Chlorine Tablets/Sachets Formaldehyde Soln 10%/37% Glutaraldehyde Soln (Cidex) 5L Hospital grade neutral detergent Hydrogen peroxide sol 6% 100ml Povidone iodine sol 10%, 200ml/500ml Povidone iodine surg. scrub sol 7.5% 500ml Soda Lime 5kg GASTRO-INTESTINAL RUGS Antacid tablet (Mag Trisilicate Co) Anti-haemmorhoid Cream Bisacodyl tablet 5mg Bisacodyl suppo. 10mg Metoclopramide tablet 10mg Metoclopramide inj. 10mg Omeprazole tab/cap 20mg - Annex Sod Citrate Powder Zinc Sulphate 20mg tabs ARENAL HORMONES examethasone tablet 0.5mg/4mg examethasone inj.4mg/ 5mg in 1ml Hydrocortisone inj. 100mg Methylprednisolone inj 40mg Prednisolone tablet 5mg Clinic supply only, not hospitals VCH/NPH for 0.3M dose before ceasarian For severe diarrhoea in <5yo. only for Midwives SEX HORMONES Clomiphene tablet 50mg Norethisterone tablet 5mg see Contraceptives also INSULIN & OTHER ANTI-IABETIC AGENTS Glibenclamide tablet 5mg Insulin human soluble inj. 100 IU/ml 10ml Insulin human isophane inj. 100 IU/ml 10ml Insulin human mixtard 30/70 100IU/ml 10ml Metformin tablet 500mg THYROI AN ANTAGONISTS Carbimazole tablet 5mg Thyroxine tablet 100mcg

16 Vanuatu Essential rug List 2014 updated 0114.xlsx IMMUNOLOGICALS A. IAGNOSTIC AGENTS Tuberculin (PP) inj. 30,000 IU B. VACCINES BCG vaccine (dried) inj. 20 doses iphteria-pertussis-tetanus vaccine inj. 10 doses Hepatitis B vaccine inj. 10 doses HIB vaccine - combined Pentavalent Vaccine Measles vaccine inj. 10 doses Poliomyelitis vaccine (live atten) oral sol. 10 doses Tetanus vaccine inj. 10 doses Tetanus-diphteria vaccine inj. 10 doses Meningococcal vaccine for splenectomy in child Pneumococcal vaccine for splenectomy in child MUSCLE RELAXANTS & ANTAGONISTS Atracurium 2.5mg Inj Vecuronium 10mg Inj Neostigmine inj. 2.5mg Pancuronium, 2mg/ml 2ml Suxamethonium chlor inj. 100mg in 2ml OPTHALMOLOGICAL PREPARATIONS Acyclovir eye oint Acetazolamide tablet 250mg Amethocaine eye drops 0.5%, Minims Atropine 1% eye drops Chloramphenicol eye drops 0.5% 10ml Chloramphenicol eye oint 1% 4g Ciprofloxacin 0.3% eye drops 5ml Cyclopentolate 0.5% Minims examethasone 0.5% Eye rops Fluorescein strips (FLUORETS) 1% Gentamicin 0.3% eye drops 5ml Pilocarpine eye drops 2% 10ml Phenylephrine 10% eye drops, Minims Tetracycline eye oint 1% 5g Timolol eye sol. 0.5% 5ml/10ml Tropicamide eye drops 0.5% Minims OXYTOCICS & TOCOLYTICS Methylergometrine 0.2mg Oxytocin inj. 10 IU in 1ml Misoprostol Tablet 200mcg Nifedipine SR tablet 20mg Salbutamol tab/spray PSYCHOTHERAPEUTIC Amitriptyline tablet 25mg Chlorpromazine tablet 25mg Chlorpromazine inj. 50mg/2ml iazepam tablet 5mg Fluphenazine inj. 25mg/1ml Haloperidol tab 5mg RESPIRATORY TRACT A. ANTI-ASTHMATIC RUGS Aminophylline inj. 25mg/ml 10ml Beclomethasone aerosol 50mcg/dose, 200 doses Beclomethasone aerosol 100mcg/dose, 200 doses Salbutamol tablet 4mg Salbutamol Injection 0.5mg Special for renal failure patients Replacing Atracurium for general use available thru NH/VCH Eye Program Restricted use Half chewed and swallowed as tocolytic Second line treatment after Nifedipine VCH/NPH Named patients only Encourage use of puffers - phase out

17 Vanuatu Essential rug List 2014 updated 0114.xlsx Salbutamol aerosol 100mcg/dose, 200 doses Salbutamol sol nebulizer 5mg/ml, 10ml SOLUTIONS CORRECTING WATER, ELECTROLYTE & ACI- BASE ISTURBANCES A. ORAL Oral rehydration salts (powder for 1L) Potassium Chloride tablets 600mg B. PARENTERAL Calcium Gluconate inj. 10% 10ml Antidote to Mag Sulphate extrose inj. 5% 1L extrose 4%+ sodium chloride inj. 0.18% 1L extrose inj. 50% 50ml Hartmann's solution inj. 1L Mannitol inj. 20% 500ml Polygeline 3.5% (Gelofusine) Replaces Haemaccel Normal saline inj. 0.9% 10mL Flush solution for IV lines Normal saline inj. 0.9% 1L Potassium chlor. inj. 1g in 10ml Keep one strength only Sod. bicarbonate inj. 8.4% 10ml C. MISCELLANEOUS Glycine 1.5% for irrigation 2L Sodium Chloride Powder 1kg for irrigation solns Water for inj. 10ml VITAMINS & MINERALS Calcium tablet Hydroxocobalamin inj. 1mg in 1ml Multivitamin tablet MNP on trial thru UNICEF 0213 Pyridoxine (vit. B6) tablet 50mg Thiamine 100mg inj Retinol (vit. A) cap 200,000 IU Zinc sulphate 20mg tabs For severe diarrhoea in children CONTRACEPTIVES All available UNFPA Condom Female Condom Intrauterine device TCU-380A Levonorgestrel + ethinylestradiol 0.15mg mg tablet 1box/3 cycles (Microgynon ) Marvelon alternative 0213 Levonorgestrel tablet 0.03mg 1box/3 cycles (Microlut ) Levonorgestrol tablet 0.75mg x2 Morning after pill Norlevo 1.5mg alt 0213 Medroxyprogesterone depot inj. 150mg in 1ml (epo Provera ) Noristerat 2monthly alt 0213 MISCELLANEOUS Formaldehyde 37% 1L Surgical lubricant ANNEX TO THE NEL ISTRIBUTION OF THIS ANNEX IS RESTRICTE TO: Provincial Health Supervisors, onal Programmes Officers, CMS and Provincial Pharmacy Personnel. Staff working in peripheral health facilities can be authorized to use additional drugs provided that (1) special approval is given by provincial health supervisor, (2) personnel has previously received specific training in their use and (3) the pharmacy officer has been officially informed. COMPLEMENTARY LIST FOR PERIPHERAL HEALTH FACILITIES Beclomethasone aerosol 50mcg/dose, 200 doses Beclomethasone 100mcg/dose,200doses Cloxacillin tablet 250mg Codeine Phosphate tablet 30mg Erythromycin tabs 250mg Glyceryl trinitrate tablet subling. 600mcg

18 Vanuatu Essential rug List 2014 updated 0114.xlsx Glibenclamide 5mg tablet Named patient Griseofulvin tablet 500mg Hyoscine 20mg Inj Lignocaine dental inj. 2% + adrenaline 1:80, ml Metformin 500mg tablet Named patient Morphine 10mg Inj Metoclopramide 10mg inj Oxygen inhalation Salbutamol sol nebulizer 5mg/ml, 10ml Sod. bicarbonate inj. 8.4% 10ml ANTIRETROVIRALS PEP/PMTCT Use: Efavirenz 600mg Lamivudine 150mg/Zidovudine 300mg Nevirapine 50 mg in 5 ml suspension Zidovudine 300mg

19 Lowest level of Use Vanuatu Essential rug List 2014 updated 0114.xlsx VCH/NPH VCH/NPH F/A F/A

20 Vanuatu Essential rug List 2014 updated 0114.xlsx CMS for STI

21 Vanuatu Essential rug List 2014 updated 0114.xlsx CMS CMS CMS CMS VCH/NPH VCH VCH/NPH F/A

22 Vanuatu Essential rug List 2014 updated 0114.xlsx F/A VCH/NPH VCH/NPH

23 Vanuatu Essential rug List 2014 updated 0114.xlsx VCH F/A VCH/NPH

24 Vanuatu Essential rug List 2014 updated 0114.xlsx F/A CMS () () () () () ()

25 () () () () () (HC) () () () () Vanuatu Essential rug List 2014 updated 0114.xlsx CMS CMS CMS CMS CMS