NATIONAL ESSENTIAL DRUG LIST COMMENTS Lowest Updated May 2006

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1 Vanuatu_Essential rug List 2007.xls NATIONAL ESSENTIAL RUG LIST COMMENTS Lowest Updated May 2006 level of Abbreviations Use = Main Hospital = ispensary = Rural Hospital = Aid Post = Health Centre = First Aid ANAESTHETICS Halothane inhalation 500ml Nitrous Oxide Inhalation Oxygen inhalation see below re use in clinics Bupivacaine inj. 0.5%, 10ml Bupivicaine Spinal Heavy 0.5% 4ml addition in OT use only Bupivacaine inj. 0.5% + adrenaline 1:200,000 10ml elete 9/06 - mix as required Ephedrine inj. 30mgml, 1ml Ketamine inj. 50 mg/ml in 10ml Lignocaine inj. 1% 20ml Lignocaine inj. 1% + adrenaline 1:200,000 20ml elete 9/06 - mix as required Lignocaine inj. 2%, 20ml Lignocaine dental inj. 2% + adrenaline 1:80, ml see below re use in clinics Propofol Injection 200mg/20ml- Annex for VCH only VCH Thiopentone inj. 500mg ANALGESICS & ANTISPASMOICS Aspirin (acetylsalicylic acid) tablet 300mg Hyoscine tablet 10mg Hyoscine inj. 20mg in 1ml see below re use in clinics Paracetamol tablet 500mg Paracetamol syrup 120mg/5ml - various sizes Paracetamol suppo 125mg Paracetamol Suppos 500mg NARCOTIC ANALGESICS & ANTAGONISTS Codeine tablet 30mg see below re use in clinics Fentanyl inj. 50mcg/ml, 2ml Morphine inj. 10mg/ml Morphine tablet SR 10mg Morphine tablet SR 60mg Naloxone inj. 0.4mg/ml, 2ml ANTI-INFLAMMATORY RUGS Allopurinol tablet 100mg Colchicine tablet 500mcg deleted 5/06 Ibuprofen tablet 400mg Indomethacin suppo 100mg Limited supply-see info sheet Probenecid tablet 500mg ANTI-ALLERGICS Chlorpheniramine 4mg tab Promethazine Syrup 5mg/5ml Promethazine inj. 50mg ANTIOTES Atropine inj. 1mg/ml Inj see below re use in clinics Charcoal, activated soln ANTI-EPILEPTICS Carbamazepine tablet 200mg iazepam inj. 5mg/ml, 2ml Phenobarbitone tablet 30mg Named patient Phenobarbitone inj. 200mg/ml, 1ml Phenytoin tablet 100mg Named patient Phenytoin inj. 50mg /ml, 5ml Sodium valproate tablet 150mg Named patient ANTI-HELMINTHICS (INTESTINAL) Albendazole chewable tablet 200mg /400mg ANTIFILARIALS

2 Vanuatu_Essential rug List 2007.xls iethylcarbamazine tablet 50mg Ivermectin tablet 3mg/6mg Restricted to Crusted Scabies only ANTIBACTERIALS Amoxycillin tab/cap 250mg Amoxicillin + Clavulanic acid tablet mg Restricted use Ampicillin inj. 1g see below re use in clinics Azithromycin tablet 500mg Restricted use for STI for STI Benzathine Penicillin inj. 1.2 Mega Benzyl penicillin inj. 600mg see below re use in clinics Benzylpenicillin inj 3g Ceftriaxone inj. 1g Restricted use Chloramphenicol cap/tab 250mg Chloramphenicol syrup 125mg/5ml, 100ml elete if tabs available Chloramphenicol inj. 1g Ciprofloxacin scored tablet 250mg Restricted use for STI Cloxacillin cap/tab 250mg see below re use in clinics Cloxacillin inj. 500mg Cotrimoxazole tablet 480mg oxycycline 100mg tablet Erythromycin cap/tab 250mg see below re use in clinics Gentamicin inj. 80mg see below re use in clinics Penicillin V tablet 250mg Procaine Penicillin 3Mega 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 Streptomycin inj. 1g ANTIFUNGALS Clotrimazole Cream 20g Clotrimazole 500mg Pessary Gentian Violet Paint Griseofulvin tablet 500mg see below re use in clinics 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 Under control of Malaria MOH Quinine tablet 300mg Quinine inj. 600mg Sulfadoxine + pyrimethamine 500mg/25mg (Fansidar ) tablet Tinidazole tablet 500mg ANTINEOPLASTICS Cyclophosphamide tablet 50mg Cyclophosphamide inj. 500mg Methotrexate tablet 2.5mg Tamoxifen tablet 20mg ANTI-PARKINSONISM Benzhexol tablet 2mg Benztropine 2mg/2ml Inj. Levodopa+carbidopa tablet mg BLOO & HAEMATOPOIETIC

3 Vanuatu_Essential rug List 2007.xls 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 in 0.5ml Warfarin tablet 1mg (Marevan) Warfarin tablet 3mg (Marevan) Warfarin tablet 5mg (Marevan) CARIOVASCULAR A. ANTI-ANGINA & ANTI-ARHYTHMIC Atenolol inj. 5mg VCH/NH only Amiodarone 150mg/3ml Inj - Annex to VCH VCH Glyceryl trinitrate tablet subling. 600mcg see below re use in clinics Glyceryl trinitrate 5mg/24hr patch Small supply for Named Patients Isosorbide dinitrate tablet 10mg deleted 5/06 Verapamil inj. 5mg B. ANTI-HYPERTENSIVE Atenolol tablet 50mg Atenolol inj. 5mg Enalapril tablet 10mg Hydralazine tablet 50mg eleted 9/06 Hydralazine inj. 20mg For pregnancy induced hypertension Hydrochlorothiazide tablet 25mg Magnesium sulphate inj. 50% 10ml Methyldopa tablet 250mg only for pregnancy-induced hypertension Nifedipine SR tablet 20mg Half chewed as a tocolytic 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 ERMATOLOGICAL RUGS Benzoic acid 6% + salicylic acid 3% oint 40g/500g Benzyl benzoate lotion 25% 1L Betamethasone 0.1% Cream 15g Chlorhexidine Skin Cream Clotrimazole cream 1% 15g Gentian violet alcoholic sol. 1% 500ml Hydrocortisone 1% Cream/Ointment 15g Magnesium sulph paste/ Ichthammol 10% Methyl salicylate sol 500ml delete when stock finished Paraffin gauze dressing sterile 10x10cm 100 units Silver Nitrate Sticks Silver sulphadiazine cream 1% 100g/ 500g Zinc oxide oint 15% g EAR, NOSE & THROAT Sofradex/Otodex Ear drops Kenacomb Ear Ointment IAGNOSTIC AGENTS - REAGENTS Glucose and protein in urine Substances in urine x7/9 tests

4 Vanuatu_Essential rug List 2007.xls Glucose in Blood -Betachek visual strips Glucose in Blood - machine (Omnitest) ANTISEPTICS & ISINFECTANTS Alcohol, swab with (Alcowipe ) 100 units Alcohol 70%/80%/95% Chlorhexidine 1% Cream 25g Chlorine Tablets Hydrogen peroxide sol 6% 100ml Medol Concentrate 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 see below re use in clinics Omeprazole tab/cap 20mg - Annex Replacing Ranitidine 9/06 Ranitidine tablet 150mg To be replaced by Omeprazole 10/06 ARENAL HORMONES examethasone tablet 0.5mg/4mg examethasone inj. 5mg in 1ml Hydrocortisone inj. 100mg Prednisolone tablet 5mg SEX HORMONES Clomiphene tablet 50mg Misoprostol Tablet 200mcg Restricted use Norethisterone tablet 5mg see Contraceptives also INSULIN & OTHER ANTI-IABETIC AGENTS Glibenclamide tablet 5mg see below re use in clinics 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 see below re use in clinics THYROI AN ANTAGONISTS Carbimazole tablet 5mg Thyroxine tablet 100mcg 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 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 Special for renal failure patients VCH Vecuronium 10mg Inj Replacing Atracurium for general use Neostigmine inj. 2.5mg Pancuronium, 2mg/ml 2ml Suxamethonium chlor inj. 100mg in 2ml OPTHALMOLOGICAL PREPARATIONS available thru NH Eye Program

5 Vanuatu_Essential rug List 2007.xls Acetazolamide tablet 250mg Amethocaine eye drops 0.5%, Minims Atropine 1% eye drops,minims 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 Ergometrine inj. 500mcg in 1ml Oxytocin inj. 10 IU in 1ml Misoprostol Tablet 200mcg Restricted use Nifedipine SR 10mg Half chewed and swallowed as tocolytic Salbutamol tab/spray Second line treatment after Nifedipine 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 see below re use in clinics Beclomethasone aerosol 250mcg/dose, 200 doses elete when finished Salbutamol tablet 4mg Encourage use of puffers - phase out Salbutamol Injection 0.5mg Salbutamol aerosol 100mcg/dose, 200 doses see below re use in clinics Salbutamol sol nebulizer 5mg/ml, 10ml see below re use in clinics Theophylline SR tablet 200mg deleted 5/06 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 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% 1L Potassium chlor. inj. 1.5g 10ml Sod. bicarbonate inj. 8.4% 10ml see below re use in clinics 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

6 Vanuatu_Essential rug List 2007.xls Pyridoxine (vit. B6) tablet 50mg Thiamine 50/100mg tablets Retinol (vit. A) cap 200,000 IU Zinc sulphate 10mg tabs Restricted to use in children for severe d CONTRACEPTIVES Condom Female Condom Gradual introduction with training Intrauterine device TCU-380A Levonorgestrel + ethinylestradiol 0.15mg mg tablet 1box/3 cycles (Microgynon ) Levonorgestrel tablet 0.03mg 1box/3 cycles (Microlut ) Medroxyprogesterone depot inj. 150mg in 1ml (epo Provera ) MISCELLANEOUS Formaldehyde 37% 1L Surgical lubricant Paraffin gauze dressing For burns use ANNEX TO THE NEL ISTRIBUTION OF THIS ANNEX IS RESTRICTE TO: Provincial Health Supervisors, al Programmes Officers, 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 Ampicillin 1g Inj () Atropine inj. 1mg () Azithromycin 500mg tablet For STI use single dose only - in STI Pac () Beclomethasone aerosol 50mcg/dose, 200 doses () Benzylpenicillin 600mg inj () Ciprofloxacin 500mg tablet For STI use - single doses only in STI Pa () Cloxacillin tablet/ capsule 250mg () Codeine Phosphate tablet 30mg () Erythromycin tabs 250mg () Gentamicin 80mg inj () Glyceryl trinitrate tablet subling. 600mcg () Griseofulvin tablet 500mg Hyoscine 20mg Inj Ibuprofen tablet 400mg Lignocaine dental inj. 2% + adrenaline 1:80, ml Morphine 10mg Inj Metoclopramide 10mg inj Oxygen inhalation Salbutamol aerosol 100mcg/dose, 200 doses Salbutamol sol nebulizer 5mg/ml, 10ml Sod. bicarbonate inj. 8.4% 10ml ANTIRETROVIRALS Efferven 200mg EFZ Indinavir 400mg IV Lamivudine 150mg 3TC Nevirapine 200mg NVP Stavudine 40mg d4t Zidovudine 300mg ZV () () () () (HC) () () () () () New additions to EL if budget approved by MOH.