Orphan Drug List. Drug Name Dosage Form Route of Admin ATC Code Description List Name. Amyl Nitrite INHALER INHALATION V۰۳AB

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1 Orphan Drug List - Drug Name Dosage Form Route of Admin ATC Code Description List Name Alprostadil ۲۰ mcg INJECTION, POWDER PARENTERAL CEA Alprostadil ۲۰ mcg INJECTION, SOLUTION PARENTERAL CEA Alteplase ۱۰ INJECTION, POWDER PARENTERAL BAD Alteplase ۲۰ INJECTION, POWDER PARENTERAL BAD Alteplase ۵۰ INJECTION, POWDER PARENTERAL BAD Amyl Nitrite INHALER INHALATION VAB ۲۲ Anagrelide HCl ۵۰۰ Capsule Oral LXX ۳۵ Artisunate ۲۰۰ INJECTION PARENTERAL PBE Artisunate ۶۰ /, ۱ INJECTION PARENTERAL P BE - Prostaglandin E ۱ Treatment of severe peripheral arterial occlusive disease (critical limb ischemia) in patients where other procedures, grafts or angioplasty, are not indicated. Prostaglandin E ۱ Treatment of severe peripheral arterial occlusive disease (critical limb ischemia) in patients where other procedures, grafts or angioplasty, are not indicated. Treatment of cyanide poisoning در اختيار معاونت سالمت قرار گيرد در اختيار معاونت سالمت قرار گيرد در اختيار معاونت سالمت قرار گيرد Bevacizumab ۲۵ /, ۱۶ PARENTERAL LXC Bevacizumab ۲۵ /, ۴ Bortezomib ۳.۵ PARENTERAL LXC PARENTERAL LXX ۳۲ **(As Manitol baronic ester)** برای مصرف در بيمارستانھای دارای مراکز تخصصی درمان سرطلن در بيمارستانھای دارای مراکز تخصصی درمان سرطان

2 Cladribine ۱/, ۱۰ INJECTION, SOLUTION IV INFUSION LBB Cladribine ۲/, ۵ INJECTION, SOLUTION IV INFUSION LBB Clofazimine ۱۰۰ CAPSULE ORAL JBA Clofazimine ۵۰ CAPSULE ORAL JBA Daclizumab ۵/, ۵ PARENTERAL LAA LAC Dantrolene Sodium ۲۰ PARENTERAL MCA Dantrolene Sodium ۲۰ CAPSULE ORAL MCA Treatment of acute myeloid leukemia. Treatment of the chronic progressive form of MS Treatment of non-hodgkin's lymphoma. Treatment of acute myeloid leukemia. Treatment of the chronic progressive form of MS Treatment of non-hodgkin's lymphoma. Treatment of lepromatous leprosy, including dapsone-resistant lepromatous leprosy and lepromatous leprosy complicated by erythema nodosum leprosum. Treatment of lepromatous leprosy, including dapsone-resistant lepromatous leprosy and lepromatous leprosy complicated by erythema nodosum leprosum. Prevention of acute renal allograft rejection. Treatment of the neuroleptic malignant syndrome. Treatment of the neuroleptic malignant syndrome. Dapsone ۱۰۰ TABLET ORAL JBA For the combination treatment of Pneumocystis carinii pneumonia in conjunction with trimethoprim. Dapsone ۵۰ TABLET ORAL JBA Digoxin Speci ic Antibody ۴۰ INJECTION PARENTERAL VAB VAB Dimethyl Sulfoxide ۵۰ SOLUTION PARENTERAL GBX ۱۳ Factor XIII Powder for INJECTION PARENTERAL BBD Fibrinogen ۱g INJECTION, POWDER PARENTERAL BBB Fomepizole ۱g/, ۱.۵ INJECTION PARENTERAL VAB ۳۴ Idarubicin Hydrochloride Idarubicin Hydrochloride ۵ ۱۰ PARENTERAL LDB PARENTERAL LDB For the combination treatment of Pneumocystis carinii pneumonia in conjunction with trimethoprim. Special available for Poisoning Center Treatment of potentially life threatening digitalis intoxication in patients who are refractory to management by conventional therapy. Treatment of life-threatening acute cardiac glycoside intoxication manifested by conduction disorders, ectopic ventricular activity and (in some cases) hyperkalemia. Treatment of cutaneous manifestations of scleroderma. Treatment of palmar-plantar erythrodysethesia syndrome. Human Fibrin-stabilising Factor نداردINN For the control of bleeding and prophylactic treatment of patients deficient in fibrinogen. Treatment of methanol or ethylene glycol poisoning. Treatment of acute lymphoblastic leukemia in pediatric patients. Treatment of acute myelogenous leukemia, also referred to as acute nonlymphocytic leukemia. Treatment of acute lymphoblastic leukemia in pediatric patients. Treatment of acute myelogenous leukemia, also referred to as acute nonlymphocytic leukemia.

3 Imiglucerase ۲۰۰ U INJECTION, POWDER PARENTERAL A۱۶AB Imiglucerase ۴۰۰ U INJECTION, POWDER PARENTERAL A۱۶AB Indocyanine Green ۲۵ INJECTION, POWDER PARENTERAL V CX In liximab ۱۰۰ INJECTION, POWDER PARENTERAL LAB Laronidase ۲.۹ / INJECTION PARENTERAL ۱۶ ۰۵ Mercaptamine ۱۵۰ CAPSULE ORAL A۱۶AA Mercaptamine ۱۵۰ POWDER ORAL A۱۶AA Midodrine Hydrochloride ۲. ۵ Midodrine Hydrochloride B ۵۱۵ TABLET ORAL CCA ۱۷ TABLET ORAL CCA ۱۷ Nitisinone ۱۰ CAPSULE ORAL A۱۶AX Nitisinone ۱۰ TABLET ORAL A۱۶AX Nitisinone ۲ CAPSULE ORAL A۱۶AX Nitisinone ۲ TABLET ORAL A۱۶AX Nitisinone ۵ CAPSULE ORAL A۱۶AX Nitisinone ۵ TABLET ORAL A۱۶AX Para-aminosalicylic Acid ۴g GRANULE ORAL JAA Pegaspargase ۳۷۵۰ IU INJECTION, POWDER PARENTERAL LXX Pegaspargase ۷۵۰ IU/, ۵ INJECTION, SOLUTION PARENTERAL LXX Pilocarpine Nitrate ۴ DROPS, SOLUTION OPHTHALMIC SEB Praziquantel ۶۰۰ TABLET ORAL PBA Rifampicin ۶۰۰ INJECTION, POWDER PARENTERAL JAB Sapropterin Hydrochloride ۵۰ TABLET ORAL A۱۶AX Replacement therapy in patients with types I, II, and III Gaucher's disease. Replacement therapy in patients with types I, II, and III Gaucher's disease. نداردINN Treatment of moderately to severely active Crohn's disease for the reduction of the signs and symptoms, in patients who have an inadequate response to conventional therapy; and treatment of patients with fistulizing Crohn's disease. Treatment of chronic sarcoidosis Treatment of giant cell arteritis فھرست داروھای متابوليک برای بيماران مبتال به موکوپلی ساکاريدوز - فھرست داروھای متابوليک A AB Phosphocysteamine Treatment of cystinosis. Phosphocysteamine Treatment of cystinosis. جھت مصرف در بيمارستانھای تخصصی قلب جھت مصرف در بيمارستانھای تخصصی قلب جھت مصرف در بيمارستانھای تخصصی قلب جھت مصرف در بيمارستانھای تخصصی قلب INN ندارد Treatment of tuberculosis infections L-ASPARGINASE L-ASPARGINASE Acute lymphocytic leukemia Treatment of xerostomia induced by radiation therapy for head and neck cancer-as Base Treatment of xerostomia and keratoconjunctivitis sicca in Sjogren's syndrome patients. Treatment of neurocysticercosis. For antituberculosis treatment where use of the ORAL form of the drug is not feasible. برای بيماران مبتال به فنيل کتونوريا (Phenylketonuria) In patients responsive to tetrahydrobiopterin As Hydrochloride

4 Serine ۶۰۰ برای بيماران مبتال به کمبود سرين deficiency) CAPSULE ORAL - (Serine Sodium Benzoate/Sodium Phenylacetate ۱۰ / ۱۰ Sodium Benzoate/Sodium Phenylacetate ۱۰ / ۱۰ Sodium Nitrite ۳۰ /, ۱۰ INJECTION PARENTERAL - SOLUTION ORAL - INJECTION, SOLUTION PARENTERAL VAB Sodium Nitroprusside ۵۰ INJECTION, POWDER PARENTERAL CDD Sodium Phenylbutyrate ۲۰۰ /, ۱۰ Sodium Phenylbutyrate Sodium Thiosulfate ۲۵۰ /, ۵۰ ۵۰۰ INJECTION, SOLUTION PARENTERAL A۱۶AX TABLET ORAL A۱۶AX INJECTION, SOLUTION PARENTERAL VAB Somatostatin ۰.۲۵ INJECTION, POWDER PARENTERAL HCB Sorafenib tosilate ۲۰۰ TABLET ORAL LXE ۰۵ Succimer ۱۰۰ CAPSULE ORAL Succimer ۲۰۰ CAPSULE ORAL Sulfadiazine Silver/Epidermal Growth Factor ۱ / ۰.۹۲ Technetium [ ۹۹mTc] Human Immunoglobulin G ( ۱۵-۲۵ ۲۵) mci V AB V AB CREAM TOPICAL DBA ۵۱ INTRAVENOUS BOLUS V۰۹HA Teniposide ۱۰ /, ۵ INJECTION, SOLUTION PARENTERAL LCB Testosterone Undecylate ۴۰ CAPSULE ORAL GBA Thalidomide ۱۰۰ CAPSULE ORAL LAX Thalidomide ۱۰۰ TABLET ORAL LAX Thyrotropin Alfa ۱.۱ PARENTERAL VCJ INN ندارد (Grade III and برای بيماران مبتال به ھيپرآمونميا encephalopathy) VI hepatic (Hyperammonemia). INN ندارد برای بيماران مبتال به ھيپرآمونميا. INN ندارد Treatment of cyanide poisoning INN ندارد Nitroprusside Sodium Treatment and prevention of cerebral vasospasm following subarachnoid. INN ندارد Sodium phenylbutyrate: Adjunctive to surgery, radiation therapy, and برای chemotherapy for primary or recurrent malignant gliome ( Hyperammonemia )بيماران مبتال به ھيپرآمونميا INN ندارد Sodium phenylbutyrate: Adjunctive to surgery, radiation therapy, and برای chemotherapy for primary or recurrent malignant gliome ( Hyperammonemia )بيماران مبتال به ھيپرآمونميا ندارد Sodium Hyposulfite INN As Thiosulfate Treatment of cyanide poisoning-as PENTAHYDRATE Treatment of bleeding esophageal varices. **(As Tosilate)** برای مصرف در بيمارستانھای دارای مراکز تخصصی درمان سرطان Treatment of lead poisoning in children. Treatment of lead poisoning in children. EGF) Silver نام INNندارد ( Sulfadiazine ۱ + Epidermal Growth Factor ۰.۹۲ For promotion of cutaneous wound healing in extreme burn treatment protocols. ندارد INN Treatment of refractory childhood acute lymphocytic leukemia. Testosterone Undecanoate As Base Treatment of weight loss in AIDS patients with HIV-associated wasting. برای مصرف در بيمارستانھای دارای مراکز تخصصی درمان سرطلن فھرست راديو داروھا فھرست داروھاي با دسترسي خاص برای بيماران مبتال به مولتيپل ميلوما برای بيماران مبتال به مولتيپل ميلوما در بيمارستانھای دارای مراکز تخصصی تشخيص سرطان

5 Thyrotropin Alfa ۹۰۰ mcg Tobramycin ۳۰۰ / ۴ NEBULISATION RESPIRATORY JGB Tobramycin ۳۰۰ / ۵ NEBULISATION RESPIRATORY JGB Trypan Blue ۰.۱ INJECTION INTRAOCULAR Uridine ۱ TABLET ORAL PARENTERAL VCJ در بيمارستانھای دارای مراکز تخصصی تشخيص سرطان S JA Varicella-Zoster Vaccine INJECTION PARENTERAL JBK Vertepor in ۱۵ INJECTION, POWDER PARENTERAL SLA Zidovudine ۱۰۰ CAPSULE ORAL J۰۵AF Zidovudine ۳۰۰ CAPSULE ORAL J۰۵AF Zidovudine ۳۰۰ TABLET ORAL J۰۵AF Zidovudine ۵۰ / ۵ SYRUP ORAL J۰۵AF Trientine Dihydrochloride ۳۰۰ CAPSULE ORAL Alglucosidase Alfa ۵۰ INJECTION, POWDER PARENTERAL A۱۶AB Ibuprofen ۵/, ۲ INJECTION INTRAVENOUS CEB ۱۶ Ibuprofen ۱۰ / INJECTION, SOLUTION INTRAVENOUS DRIP B۰۵BA Galsulfase ۱/ INJECTION PARENTERAL A۱۶AB Bronchiectasis patients injected with pseadornonas aerugi- nosa Bronchiectasis patients injected with pseadornonas aerugi- nosa INN ندارد Selectively staining epiretinal membranes during ophthalmic surgical victrectomy procedures INN ندارد Cystic fibrosis, facilitate removal of lung secvetions in primary ciliary dyskinesia برای بيماران مبتال به Aciduria) (Orotic اسيدوری يوروتيک INN ندارد Passive immunization for the treatment of exposed, susceptible individuals who are at risk of complications from varicella Antineovascularization Treatment of Wilson Disease in patients intolerance of penicillamine - داروھای متابوليک جھت ١٤ بيمار ثبت می گردد. فھرست داروھاي با دسترسي خاص در مراکز دارای فوق تخصص نوزادان و فوق تخصص قلب کودکان و مجھز به دستگاه اکوکارديوگرافی جھت تشخيص (PDA(Patent ductus arterious **(as Lysine)** فھرست داروھاي با دسترسي خاص. در داروخانه بيمارستاني توزيع ميشود - برای ٣٥ بيمار ثبت می گردد.

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