Formularium Rskp 2017.xlsx

FORMULARIUM

OBAT

RS KHUSUS PARU PROPINSI SUMSEL TAHUN 2017

NO

NAMA OBAT

I

GOL ANTIBIOTIKA, ANTI VIRUS, AMUBA

1

Acyclovir

2

Amoksisilin 500 mg

3 4

Azitromisin Ampicillin

5 6

Asam pipemidat Cefixime

7

Cefadroksil

8

Cefotaxime

9 10 11

Ceftriaxone Ceftazidime Ciprofloksasin

12

Cotrimoxazol

13 14

Co Amoxiclave Chloramphenicol

15 16

Clindamisin Erytromisin

17

Gentamisin

18 19

Levofloksasin Metronidazol

20

Meropenem

21 22 23

Spiramisin Tetrasiklin Thiamphenicol

II

ANTITUSIVE - EKSPEKTORAN

1 2 3

Acetil sistein Codein Erdosistein

4

Ambroxol

5

OBH syrup

BENTUK DAN DOSIS SEDIAAN

tablet 200 mg cream, tube 10 gram kaplet 500 mg syrup tablet 500 mg tablet 250 mg injeksi ( Phapin injeksi ) tablet (Urotractin ) tablet 100 mg syrup 100 mg tablet 500 mg syrup vial 500 mg vial 1 gram vial 1 gram vial 1 gram tablet 500 mg infus 500 mg tablet 480 mg syrup 240 mg tablet 500 mg tube, salep mata tube, salep kulit kapsul 150 mg tablet 500 mg syrup 200 mg ampul 40 mg/cc tube, salep kulit botol, tetes mata tablet 500 mg tablet 500 mg infus 500 mg vial 500 mg vial 1 gram tablet 500 mg kapsul 500 mg kapsul 500 mg

kapsul 200 mg tablet 10 mg tablet ( Edotin & Vectrin ) syrup ( Erdomex ) tablet, syrup tablet ( Broxal ) syrup ( Broxal )

NO

NAMA OBAT

III

ANTI EMETIK

1

Domperidon

3

Ondansetron tablet

IV

OBAT JANTUNG , DIABETES

1 2

& HIPERTENSI Atorvastatin Acetosal

3

Amlodipine

4 5 6 7

Apidra Bisoprolol Candesartan Captopril

8 9

Digoksin Furosemid

10 11 12 13

Fenofibrat Gemfibrozil 300 mg Glibenclamide 5 mg Glimepiride

15 16 17 18 19 20 21 22 23 24 25

Hydroclortiazide Isosorbide Lantus Metformin Micardis Novorapid Nifedipine Propanolol Simvastatin Spironolakton Valsartan

V

OBAT RADANG

1 2

Betametason krim Deksametason

3 4

Kalium diklofenak (Nichoflam) Metil Prednisolon

5 6

Natrium diklofenak Prednison ( Lexacort )

BENTUK DAN DOSIS SEDIAAN tablet 10 mg syrup tablet 8 mg ampul

tablet 20 mg tablet 80 mg ( Miniaspi ) tablet 100 mg ( Aptor ) tablet 5 mg tablet 10 mg Flexpen tablet 2,5 mg ( Concor ) tablet 8 mg tablet 12,5 mg tablet 25 mg tablet 0,25 mg tablet 40 mg ampul 40 mg tablet 300 mg tablet 300 mg tablet 5 mg tablet 2 mg tablet 3 mg tablet 5 mg tablet 5 mg Flexpen tablet 500 mg tablet 80 mg Flexpen tablet tablet 10 mg tablet 20 mg tablet 25 mg tablet 80 mg tablet 80 mg ( Diovan ) tablet 160 mg ( Diovan )

tube tablet 0,5 mg injeksi/ampul 5 mg/ml tablet 50 mg tablet 8 mg injeksi/vial 125 mg tablet 25 mg tablet 5 mg

VI

OBAT TIROID

1 2

PTU Thyrozol

NO

tablet 100 mg tablet 10 mg

NAMA OBAT

VII

OBAT TB

1 2

Ethambutol INH

3 4 5 6 7 8

INHA (INH, Vit B6) Kanamisin OAT 2 FDC anak OAT 3 FDC OAT 2 FDC OAT 4 FDC

9

OAT TAHAP INTENSIF

10 11 12 13 14 15

OAT TAHAP LANJUTAN Pirazinamide Rifampisin 300 mg Rifampisin 450 mg Streptomycin TB Vit syrup

VIII

OBAT BRONCHODILATOR

1

BENTUK DAN DOSIS SEDIAAN tablet 500 mg tablet 100 mg tablet 300 mg tablet 400 mg/10 mg injeksi/vial 1 gr tablet R 75/ INH 50 tablet R 75/ INH 50/ PZA 150 tablet R 150 / INH 150 tablet R 150/ INH 75/PZA 400 / Ethamb 275 mg tablet R 450/ INH 300 / PZA 1500/ ETHAMB 750 tablet R 450/ INH 600 tablet 500 mg tablet 300 mg tablet 450 mg injeksi/vial 1 gr syrup/INH 100 mg,Vit B6 10 mg

Berotec (Fenoterol HBr)

13 14

inhaler 100 mcg/puff solution 0,1% Bronsolvan (Theophylin ) tablet 150 mg Bisolvon solution (Bromhexin) Botol 50 ml Combivent nebula (Ipratropium bromidevial/ Ipratropium bromide 0,52 mg Salbutamol sulphate) Salbutamol sulphate 3,01 mg Salbutamol tablet 2 mg inhaler 100 µg (Dipsamol) Obucort Swinghaler (Budesonide) inhaler (40 mg), 200 µg/dosis Onbreeze (Indacaterol ) inhaler 150 mcg Pulmicort (Budesonide) respule / 0,25 mg/ml inhaler Seretide (Salmeterol xinafoate, inhaler (25/50 microgram) Fluticasone propionate) diskus (50/250 microgram) Symbicort Turbuhaler (budesonide/ 80/4,5 µg/dosis formoterol) 160/4,5 µg/dosis Spiriva (Tiotropium bromide 18 mcg) combopack (Handihaler+10 cap) refill (30 cap) Teosal (Theophylin, Salbutamol) tablet (Theophylin 130 mg, Salbutamol 1 mg) Theobron (Theophylin) tablet 130 mg Ventolin nebula (Salbutamol) vial/ 2,5 mg/2,5 ml

IX

HEMOSTATIK

1 2

Asam Traneksamat (Lexatrans) Asam Traneksamat

2 3 4 5 6 7 8 9 10 11 12

tablet 500 mg tablet 500 mg

3 4

Carbazochrome ( Adona Forte ) Phytomenadion

NO

NAMA OBAT

injeksi/ ampul 100 mg/ml tablet 30 mg tablet 10 mg injeksi/ ampul 10 mg/ml

BENTUK DAN DOSIS SEDIAAN

X

ANALGETIK - ANTIPIRETIK, VERTIGO

1 2

dan ANTI PIRAI Asam mefenamat Alupurinol

3

Betahistin mesilat

tablet 6 mg

4

Ibuprofen

5 6 7

Ketoprofen Meloksikam Parasetamol

tablet 200 mg sirup 100 mg/5 ml tablet 100 mg tablet 15 mg tablet 500 mg

8

Tramadol ( Contram )

sirup 125 mg/5 ml infus tablet 50 mg

XI

OBAT SAL CERNA

1

Antasida

2

3

4

5 6

7 8 9 10 11 12 13

tablet 500 mg tablet 100 mg tablet 300 mg

tablet Alluminium Hidroksida 200 mg, Magnesium Hidroksida 200 mg Stromaag tablet Alluminium Hidroksida 200 mg, Magnesium Hidroksida 200 mg, Dimetikon 40 mg Aludona suspensi tablet Alluminium Hidroksida 200 mg, Magnesium Hidroksida 200 mg, Simetikon 20 mg Dexanta tablet tablet Alluminium Hidroksida 200 mg, Magnesium Hidroksida 200 mg, Simetikon 20 mg Lansoprazole 30 mg kapsul 30 mg Laxadin sirup/5 ml (Phenolphtalein 55 mg, Paraffin Liquidium 1200 mg, Glycerin 378 mg) Omeprazole kapsul 20 mg Ranitidin tablet 150 mg injeksi ampul 25 mg/ml Akita tablet (Attapulgite 600 mg, Pectin 50 mg) Sucralfate Tablet 500 mg (Ulsidex) Suspensi 500 mg/5 ml (Ulsafate) Hyscopan (Hyoscine N-Butylbromide) tablet 10 mg Papaverin tablet 40 mg Pyrantel Pamoat tablet 125 mg

NO

NAMA OBAT

XII

ANTI EMETIK

1

Domperidon

2

Ondansetron

XIII

1 2 3 4 5

XIV

BENTUK DAN DOSIS SEDIAAN tablet 10 mg sirup 5 mg/5 ml tablet 4 mg injeksi ampul 4 mg/2 ml

ANTIFUNGI

Fluconazole Itrakonazol Myconazol cream Nystatin drops (Nyndia) Ketokonazol

tablet 150 mg tablet 100 mg cream/tube 2% 10 gr Botol 100.000 IU/ml tablet 200 mg cream/tube 2% 5 gr

ANTI HISTAMIN

1

Cetirizin

tablet 10 mg sirup 5 mg/5 ml

2 3

Loratadin Simzen (Cetirizin)

tablet 10 mg tablet 10 mg

XV

1 2 3 XVI

1 2 3 4 5

ANXIETAS

Alprazolam Clobazam Diazepam OBAT INJEKSI

Atropin Aqua pro injeksi Calcium Glukonat Dipenhydramin Dopamin

6 7 8 9 10 11

Dobutamin injeksi Epinefrin injeksi KCl (Kalium Clhorida) Ketorolac injeksi Lidocain injeksi Meylon (Sodium Bicarbonate)

XVII

CAIRAN INFUS

1 2 3 4 5 6 7

tablet 0,5 mg tablet 10 mg tablet 2 mg

Aminofluid (Electrolytes, Glucose, Amino Acids) Dextrose 5 %

injeksi ampul 0,25 mg/ml vial 20 ml injeksi ampul 100 mg/ml injeksi ampul 10 mg/ml injeksi ampul 20 mg/ml injeksi ampul 40 mg/ml injeksi ampul 50 mg/ml injeksi ampul 0,1% 1 ml injeksi vial 0,38% 25 ml injeksi ampul 30 mg/ml injeksi ampul 20 mg/ml injeksi vial 8,4% 25 ml

infus 500 ml

infus infus Dextrose 10 % infus Dextrose 40 % infus KaEn 1 B (Dextrose, Sodium Chloride) infus NaCl 0,9 % infus infus NaCl 3% infus

100 500 500 500 500 100 500 500

ml ml ml ml ml ml ml ml

8

Ringer Laktat

NO

NAMA OBAT

infus 500 ml

BENTUK DAN DOSIS SEDIAAN

XVIII VITAMIN, MINERAL, ASAM AMINO DAN HEPATOPROTEKTOR

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

Asam Folat tablet 1 mg Biocombin (Vit B1,B6,B12) injeksi Calostrum (Suplemen makanan) sirup 100 ml Ezygard ( Echinacea, Vit C,Zinc) tablet Imunvit (Echinacea, black elderberry, tablet Zn picolinate, selenium) Kalsium Laktat tablet 500 mg Ketocid (Suplemen Asam Amino) tablet KSR (Potasium Kloride ) tablet Na Bicarbonat tablet 500 mg Neurodex (Vit B1,B6,B12) tablet Proliver (Silymarin phytosome, tablet Curcuminoid, Choline bitartrate, vit B6) Supralysin drop sirup Vit B1 tablet 50 mg Vit B6 tablet 10 mg Vit C tablet 100 mg Zinc tablet sirup (Zinkid)

XIX OBAT FLU & BATUK KOMBINASI 1

Alpara

2

Flutamol

3

Fludane Plus syrup

4 Ponflu

tablet (Parasetamol 500 mg, CTM 2 mg, Phenylpropanolamine HCl 12,5 mg, DMP 15 mg) tablet (Parasetamol 500 mg, CTM 1 mg, Phenylpropanolamine HCl 15 mg, DMP 15 mg) sirup/5 ml (Parasetamol 150 mg, CTM 0,5 mg, Phenylpropanolamine HCl 3,5 mg, DMP 5 mg) sirup/5 ml (Parasetamol 125 mg, CTM 0,5 mg, Phenylpropanolamine HCl 3,125 mg, GG 30 mg) sirup/5 ml (Parasetamol 125 mg, CTM 0,5 mg, Phenylpropanolamine HCl 3,125 mg, Guaifenesin 50 mg)

Theobron Ventolin nebula

Cairan Infus Aminofluid Dextrose 5 % infus 100 ml Dextrose 5 % infus 500 ml Dextrose 10 % Dextrose 40 % NaCl 0,9 % infus 100 ml NaCl 0,9 % infus 500 ml Ringer Laktat

Vitamin, Mineral dan Asam Amino dan Hepatoprotektor Asam Folat Biocombin injeksi ( Vit B1,B6,B12) Colostrum syrup Ezygard ( Echinacea, Vit C,Zinc) Imunvit tablet Kalsium Laktat Ketocid KSR ( Potasium Kloride ) Na Bicarbonat Neurodex Proliver

Supralysin drop Supralysin syrup Vit B1 Vit B 6 Vit C Zinc tablet Zinc syrup

INFORMASI OBAT BULAN FEBRUARI 2016 RS KHUSUS PARU PROPINSI SUMSEL NAMA OBAT

NAMA OBAT

Acetylsystein 200 mg tablet

Broxal tablet ( Ambroxol )

Acyclovir 5% cream

Broxal syrup ( Ambroxol )

Acyclovir 200 mg tablet

Calcium Glukonat inj

Akita ( attapulgite )tablet

Candesartan tablet

Adona Forte ( Carbazochrome )tablet

Captopril 12,5 tablet

Alopurinol 100 mg tablet

Captopril 25 mg tablet

Alupurinol 300 mg tablet

Cefadroxil 500 mg tablet

Alpara tablet

Cefadroxil Syr

Alprazolam 0,5 mg

Cefadroksil Forte syr

Aludona suspensi( Al,Mg,Simeticone)

Cefixime tablet

Ambroxol 30 mg tablet

Cefixime syrup

Ambroxol Syr 15 mg/ml

Cefotaksim inj 0, 5 gr

Aminofilin injeksi

Cefotaksim Inj 1 gr

Aminofluid infus

Ceftazidime 1 gr inj

Amlodipin 5 mg tablet

Ceftriakson injeksi

Amlodipin 10 mg tablet

Cetirizin Tab 10 mg

Amoksisilin Syr

Cetirizin syrup

Amoxicilin 500 mg tablet

Chloramphenicol Salep Mata

Ampicillin 250 mg tablet

Ciprofloxacin infus

Ampicillin inj (Phapin)

Ciprofloksasin 500 mg tablet

Antasida Doen I tablet

Clindamisin 150 mg kapsul

Antasida Doen II susp

Clobazam 10 mg tab

Apidar-Solostar Insulin

Co- Amoxiclav tablet

Atropin 0,25 mg Inj

Codein 10 mg tab

Aptor tablet ( Acetosal 100 mg )

Colostrum syrup ( Multivit+ lysin )

Aqua Pro Injeksi

Combivent nebula

Asam Folat tablet

Contram tablet ( Tramadol )

Asam Mefenamat 500 mg tablet

Cotrimoksazol 480 mg

Asam Traneksamat injeksi

Cotrimoksazol Susp

Atorvastatin tablet

Concor 2,5 mg ( Bisoprolol )

Berotec Inhaler MDI

Deksametason injeksi

Berotec nebula

Dexametason tablet

Bedak salicyl

Dexanta Tab

Betahistin Mesilat 6 mg tablet

Dextrose 5 %

Bronsolvan tablet

Dextrose 5 % piggy bag

Betametason krim

Dextrose 40 %

Biocombin injeksi ( Vit B1,B6,B12 )

Dextrose 10 %

Bisolvon Sol Nebulizer

Diazepam 2 mg

NAMA OBAT

NAMA OBAT

Diovan 80 mg ( Valsartan 80 mg )

Kanamisin Injeksi 1 gr

Diovan 160 mg ( Valsartan 160 mg )

Ketocid tablet ( Multivit+ As Amino)

Digoksin tablet

Ketokonazol 200 mg

Dipenhydramin injeksi

Ketokonazol Cream 2%

Dipsamol Inhaler ( Salbutamol )

Ketoprofen 100 mg tab

Domperidon tablet

Ketorolac injeksi 30 mg

Domperidon suspensi

Kloramfenikol SK

Dopamin injeksi

Kloramfenicol SM

Dobutamin injeksi

KSR ( Potassium Chloride )

Epinefrin Injeksi

Lansoprazole

Eritromisin Syr

Lantus Flexpen

Erdomex syrup ( Erdostein )

Laxadin syrup

Eritromisin Tab

Levofloksasin 500 mg

Ethambutol 500 mg

Lexatrans tablet ( As traneksamat )

Ezygard (Echinacea,Vit C , Zink )

Lexacort ( prednison )

Fenofibrat tablet

Lidocain inj 2%

Fluconazole tablet

Loratadin 10 mg

Fludane Plus Syrup

Meloksikam 15 mg

Flutamol Plus tablet

Meptin Swinghaler

Flutamol Syr

Meropenem 500 mg Inj

Furosemide Inj

Meropenem 1 gr Injeksi

Furosemide Tab

Metformin 500 mg tab

Gemfibrozil 300 mg

Methyl Prednisolon 8 mg

Gentamisin inj

Metil Prednisolon Inj 125 mg

Gentamisin zalf

Metronidazol 500 mg

Gentamisin Tetes Mata

Metronidazole Infus

Glibenklamide 5 mg

Meylon Injeksi

Glimepiride 2 mg tablet

Micardis 80 mg tablet

Glimepiride 3 mg tablet

Mikonazol krim

Hyscopan ( Hyoscine - N bromide )

Miniaspi

Ibuprofen 200 mg tablet

Molafate suspensi

Ibuprofen syrup

NaCl Piggy Bag

Imunvit tablet

Na Bicarbonat tablet

INH 100 mg tablet

Natrim diklofenak

INHA 400 mg tablet

NaCl 3 % infus

Isosorbide Dinitrate

tablet

NaCl 0,9 % 500 ml

Itrakenazol tablet

Neurodex tablet

KCl

Nifedipin

injeksi

KCl infus

NovoRapid Flexpen

Kaen IB

OBH Sirup 100 ml

K.Diklofenak(Nichoflam)

Obucort swinghaler

Kalsium laktat

NAMA OBAT

NAMA OBAT

Omeperazol kap 20 mg

Seretide 50 inhaler

Onbreeze inhaler

Seretide Discus 250

Ondansentron 4 mg

Simvastatin 20 mg

Ondansentron 4 inj Oralit

Simzen 10 mg ( Cetirizin ) Spiramycin 500 mg

OAT 2 FDC anak ( R 75/ INH 50 )

Spiriva Combo

OAT 3 FDC ( R 75/ INH 50/PZA 150 )

Spiriva Refil

OAT 2 FDC ( R 150 /INH 150 )

Spironolactone 25 mg

OAT 4 FDC ( R150/INH 75/PZA 400/

Streptomicin Injeksi

Ethamb 275 )

Stromaag ( Antasida )

OAT TAHAP INTENSIF (R450/INH 300 /

Symbicort 80

PZA 1500 / ETHAMB 750

Symbicort 160

OAT TAHAP LANJUTAN(R 450/ INH 600)

Sucralfat syrup

Papaverin 40 mg

Supralysin drop (Multivit + Lysin )

Parasetamol syrup

Supralysin syrup ( Multivit + lysin)

Parasetamol 500 mg tab

TB Vit B6 syrup

Phytomenadion Inj

Tetrasiklin

Phytomenadion tab

Teosal

Ponflu

Theobron

Proliver Kaplet

Thiamfenikol 500 mg

Propanolol

Thyrozol 10 ( Thiamazole )

PTU 100 mg

Ulsafate suspensi ( Sucralfate )

Pulmicort nebula

Ulsidex tablet ( Sucralfat )

Pulmicort Turbuhaler

Urotractin ( Asam Pipemidat )

Pyrazinamide 500 mg

Vectrine 300 mg kaps (Erdostein )

Pyrantel

Valsartan 80 mg tablet

Ranitidin 150 mg

Valsartan 160 mg tablet

Ranitidin injeksi

Vit B1 tab

Renadinac 25 mg

Vit B6 tab

Rifampicin 300 mg

Vit C tab

Rifampicin 450 mg

Ventolin nebula

Ringer Lactat

Xylocaine 2% Jelly

Salbutamol inh ( Dipsamol )

Zinc Tablet

Salbutamol 2mg

Zinc syrup

Mohon ditulis obat2 slow moving di bawah ini Loratadin tablet Vectrin / Erdostein tablet utk mukolitik

Ulsidex tablet Stromag tablet Dexanta tablet Terima ksh atas perhatian dan kerjasama nya.