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Health Center Pharmaceutical Guide

This document presents a pharmaceutical list for a health center. It was prepared by the Drug and Therapeutics Committee of the health center in collaboration with the Dire Dawa Administration Health Bureau and another organization. The list includes an acknowledgement section, forward, list of acronyms and abbreviations, introduction, guidelines for prescribers and dispensers, a classification of pharmaceuticals organized by therapeutic category, laboratory reagents and chemicals, medical supplies, medical equipment, terms of reference for the health center, and forms for prescription, adverse drug reaction reporting, and requesting additions or deletions to the list.

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Tewodros Tafere
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0% found this document useful (0 votes)
93 views53 pages

Health Center Pharmaceutical Guide

This document presents a pharmaceutical list for a health center. It was prepared by the Drug and Therapeutics Committee of the health center in collaboration with the Dire Dawa Administration Health Bureau and another organization. The list includes an acknowledgement section, forward, list of acronyms and abbreviations, introduction, guidelines for prescribers and dispensers, a classification of pharmaceuticals organized by therapeutic category, laboratory reagents and chemicals, medical supplies, medical equipment, terms of reference for the health center, and forms for prescription, adverse drug reaction reporting, and requesting additions or deletions to the list.

Uploaded by

Tewodros Tafere
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Pharmaceutical List for -------------Health Center

Prepared by:
Drug and Therapeutics Committee (DTC) of --------- Health Center
in collaboration with Dire Dawa Administration Health Bureau and
-------------

Dire Dawa, Ethiopia

Year -------
Pharmaceutical List for --------- Health Center

Prepared by:
Drug and Therapeutics Committee (DTC) of ------- Health Center in
collaboration with Dire Dawa Administration Health Bureau and
---------

Dire Dawa, Ethiopia

Year……
LIST OF DTC MEMBERS

1.
2.
3.
4.
5.

LIST OF EDITORS
1.
2

TECHNICAL ADVISORS

1.
2.
3.

List of Final Workshop Participants

1.
TABLE OF CONTENTS

CONTENTS PAGE

LIST OF DTC MEMBERS AND EDITORS 3

TABLE OF CONTENTS 4

ACKNOWLEDGEMENT 9

FORWARD 10

LIST OF ACRONYMS and ABBREVIATIONS 11

1. INTRODUCTION 12

2. PHARMACEUTICAL LIST MANAGEMENT 14

3. GENERAL GUIDE TO PRESCRIBERS AND DISPENSERS 15


4. LIST OF PHARMACEUTICALS 17

4.1 PHARMACOLOGIC –THERAPEUTIC CLASSIFICATION OF DRUGS 17

GI.000 GASTROINTESTINAL DRUGS 17

GI.100 Anti-acid 17

GI.200 Antispasmodics/spasmolytics analgesics 17

GI.300 Antiulcer agents 17

GI.400 Antiemetic 17

GI.500 Laxatives 18

GI.600 Drugs used in diarrhea 18

Gi.700 Anti hemorrhoid agent 18

CV.000 CARDIOVASCULAR DRUGS 19

CV.100 Anti Hypertensive 19

CV.200 Diuretics 19

CV.300 Drugs used in vascular shock 19

RE.000 RESPIRATORY DRUGS 20

RE.100 Antitussives/Expectorant 20

RE.200 Bronchodilators/Antiasthmatic 20

NS.000 CENTRAL NERVOUS SYSTEM DRUGS 21

NS.100 Analgesics/Antipyretics 21

NS.200 Sedatives, Hypnotics, and Tranquillizer 21

NS.300 Anticonvulsant 21

NS.400 Anti depressant 21

AA.000 DRUGS USED IN ANAESTHESIA 22

AA.100 local Anesthetic 22

MS.000 DRUGS USED IN MUSCULOSKELETAL AND JOINT DISEASE 22

MS.100 Anti Rheumatics 22

MS.200 Drugs used for gout 22

MS.300 Skeletal Muscle Relaxant 22

AI.000 ANTI-INFECTIVES 23
AI.100 Antibacterial 23

AI.101 Penicillins 23

AI.102 Other Antibacterials 23

AI.103 Anti-Tubercular 24

AI.104 Antileprotics 24

AI.200 Antifungal 24

AI.300 Anti-Retro Viral 24

AI.301 Other Anti Viral 25

AI.400 Antiprotozoal 25

AI.401 Antimalarial 25

AI.402 Amoebicides 25

AI.403 Antigiardial agents 25

AI.500Antihelmentics 26

AI.501 Schistosomicides 26

AI.502 Other Antihelmentics 26

ED.000 DRUGS USED IN ENDOCRINE DISORDERS AND CONTRACEPTIVES 27

ED.100 Corticosteriod Preparations 27

ED.200 Contraceptives 27

ED.201 Combined Oral Contraceptives 27

ED.202 Progestrogen Only Contraceptives 27

ED.203 Contraceptive Devices and Barriers 27

OG.000 OBSTETRIC AND GYNAECOLOGICAL MEDICATIONS 28

BL.000 BLOOD PRODUCTS AND DRUGS AFFECTING THE BLOOD 28

BL.100 Antiplatlet 28

BL.200 Antianemia 28

WE.000 DRUGS FOR CORRECTING WATER, ELECTROLYTE AND ACID – BASE


DISTURBANCES 29

WE.100 Oral 29
WE.200 Parenteral 29

VT.000 VITAMINS 29

VT.100 Vitamin, single 29

VT.200 Vitamin, combination 30

AL.000 ANTIHISTAMINES AND ANTIALLERGIES 30

AL.100 Antihistamines 30

AL.200 Drugs used in Allergic Emergencies 30

OP.000 OPHTHALMIC AGENTS 31

OP.100 Anti- infective, ophthalmic 31

OP.101 Antibacterials 31

OP.200 Anti- infective/Anti- inflammatory Combination 31

EN.000 EAR, NOSE, AND THROAT PREPARATIONS 31

EN.100 Nasal and Oropharyngeal Preparations 31

EN.200 Otic Agents 31

DE.000 DERMATOLOGICAL AGENTS 32

DE.100 Anti- infectives 32

DE.200 Anti- inflammatories, Topical 32

DE.300 Drugs for Psoriasis and Eczema 32

DE.400 Antiprurities 32

DE.500 Dermatological, systemic 32

DE.600 Skin Disinfecting Agents 33

DE.700 Dermatological, Others 33

AD.000 ANTIDOTES AND OTHER SUBSTANCES USED IN POISONING 33

IM.000 IMMUNOLOGICAL PREPARATIONS 34

MI.000 MISCELLANEOUS 34

4.2 LABORATORY REAGENTS AND CHEMICALS 35

LR.100 ACID FAST BACILLI (AFB) 35

LR.200 BLOOD FILM EXAMINATION 35


LR.300 COMPLETE BLOOD COUNT 35

LR.400 HAEMATOLOGY 35

LR.500 HAEMOGLOBIN 35

LR.600 HAEMOTOCRIT 36

LR.700 LEUCOCYTE AND DIFFERENTIAL 36

LR.800 PARASITOLOGY 36

LR.801 Blood Film Test 36

LR.802 Stool Test 36

LR.900 Serology 36

LR.901 HIV test kit 37

LR.902 Blood Group Test 37

LR.1000 Urinalysis Reagents 37

LS.000 Laboratory Supplies 37

CS.000 Chemicals and Solutions 38

4.3 MEDICAL SUPPLIES 39

MS.000 DRESSING MATERIAL 39

MS.100 SUTURING MATERIAL 39

MS.200 INJECTABLE SUPPLIES 39

MS.300 TUBES AND DRAINS 39

4.4 MEDICAL EQUIPMENTS 40

APPENDIX I: TERMS OF REFERENCE OF ---------HEALTH CENTER 41

APPENDIX II: PRESCRIPTION FORM 45

APPENDIX III: ADR REPORTING FORM 46

APPENDIX IV: REQUEST FORM FOR ADDITION/DELETION OF MEDICINES


FROM THE LIST 47

INDEX 48
ACKNOWLEDGEMENTS

------- Health Center would like to extend its gratitude to the Dire Dawa Administration

Health Bureau and ------- for their technical assistance and advisory support. The Health

Center would also like to give special acknowledgement to the Health Center Drug and

Therapeutics Committee and all participants of workshop for their invaluable contributions to

the preparing, commenting and finalizing this list.


Forward

The provision of complete health care pre-requisites the availability of safe, effective
and affordable drugs of the required quality, in adequate quantity every time. These available
drugs must also be prescribed, dispensed and used by the patient rationally.

It gives me a great pleasure to see the pharmaceutical list, which is the fruit of the joint effort
of the staff of -------- Health Center, especially the drug and therapeutic committee.

I believe that this list has a crucial role parallely with the standard treatment guideline for our
prescribers and dispensers and also serve as useful guide for selection, procurement,
distribution, and use of drugs in our facility. Finally, I would like to express my gratitude to
all those who have directly and indirectly contributed to the preparation and printing of the
list.

Ato ------

Head of ------- Health Center,


LIST OF ACRONYMS AND ABBREVIATIONS

DTC – Drug and Therapeutic Committee

STG – Standard Treatment Guideline

ADR – Adverse Drug Reaction

TOR – Terms of Reference


1. INTRODUCTION

-------- Health Center is a public health center found in Dire Dawa. It was
established in ------- E.C. Currently the Health Center serves a total of about -----
populations. The health Center has ------Health Officers,---- B.Sc. Nurses, 18 diploma nurses,
---- Laboratory Technologist, ------ Laboratory Technician, ---- Pharmacists, -----Druggist,
-----Midwifery, -----Environmental Health Experts, ----- Health Extension Professionals,----
Health Extension Workers and a total of ---- Administrative staffs. The major services
provided by the health center are delivery, antenatal care, postnatal care, family planning,
immunization, HIV/AIDS & STI, Laboratory service, Pharmacy service TBL and So on.

Top twenty causes of morbidity in the health center are


1. Acute upper Respiratory tract infection
2. Non bloody diarrhea
3. Trauma
4. Disease of Musculoskeletal system
5. Pneumonia
6. Dyspepsia
7. Urinary Tract Infection
8. Helmenthiasis
9. Infection of skin and subcutaneous tissue
10. Bloody diarrhea
11. Acute Bronchitis
12. Anemia
13. Disease of eye and adnex
14. Violence
15. Otitis media
16. Other or unspecified disease of digestive system
17. Dental and gum disease
18. Asthma
19. Hypertension
20. Disease of Genitourinary infection

The health center DTC was established in August 4 th 2004 E.C. The committee is
composed of representatives from all relevant professional categories. The DTC has its own
Terms of Reference (TOR) which is annexed. Since its establishment the DTC has been
undertaking activities like giving IPLS training for the staffs, developing drug list for each
dispensing units, adopting good dispensing and prescribing practice manual, acting on
improvement of the professionals awareness regarding adherence to STG.

DTC of ---------Health Center took the initiative to develop facility’s own list with
the aim of improving the availability of needed pharmaceuticals in the health center for the
delivery of quality health services. The list which contains all types of pharmaceuticals
(medicines, medical supplies, laboratory chemicals and reagents, medical supplies and
equipments) was developed based on previous morbidity pattern of the health facility. STG
prepared for the level and the National Formulary were used as a reference in the selection of
medicines. Medical supplies and instruments needed for the diagnosis, examination or
management of the various procedures expected to be conducted were also selected. In
addition to the list of morbidities, basic services which might does not appear on the
morbidity list were also considered in the selection of all types of pharmaceuticals. All types
of selected pharmaceuticals are categorized into Vital (V), Essential (E) or Non-Essential (N)
based on their clinical importance in the facility. Then ABC analyzed was done using one
full year consumption. After the draft list was developed by the DTC, it was distributed to
relevant staff for comment. Those comments were collected and reviewed again.
2. PHARMACEUTICALS LIST MANAGEMENT PRINCIPLES
The formulary process is the cornerstone of good pharmaceutical management and rational
medicine use. It consists of preparing, using and updating a pharmaceutical list, a formulary and
standard treatment guidelines (STGs). Choosing the most appropriate therapies and selecting the most
cost-effective good-quality pharmaceuticals leads to better quality of care and more efficient,
equitable use of resources. The purpose of managing the formulary system is to optimize patient care
through rational selection and use of pharmaceuticals within the health care system. Strict adherence
to a pharmaceuticals list alone will not improve treatment practice if medicine selection is not based
on STGs (if there is no consistency between the list and the STGs).

The health facility will apply the following formulary management principles:

 Select pharmaceuticals according to the needs of patients.

 Select pharmaceuticals of choice for the conditions identified.

 Avoid therapeutic duplications.

 Use explicit selection criteria, based on proven efficacy, safety, quality and cost.

 Use evidence-based information whenever possible.

 Be consistent with national medicines list and STGs.

 Consider request for the addition or deletion of medicines when made by the health care staff.

 Require that requests for the addition or deletion of medicines are justified using documented
evidence of efficacy, safety and comparative cost-effectiveness and that the person requesting
any new medicine declare any conflict of interest.

 Carry out annual systematic reviews of all therapeutic classes to avoid duplication.

 Use the list to restrict the purchasing and donation of pharmaceuticals for the facility.

 Encourage prescribers to follow the STG and prescribe from the list.

Addition to or deletion from the list will be based on official request backed by evidence presented
to the DTC using the attached Request Form for Addition/Deletion of Pharmaceuticals. Prescribers
should follow the STGs and the list during prescribing. Procurement of pharmaceuticals that are not
included in the list will be possible for a very limited number of pharmaceuticals if and only if
recommended by the DTC and approved by the management.
3. GENERAL GUIDE FOR PRESCRIBERS AND DISPENSERS
The aim of any pharmaceutical management system is to deliver the correct medicines to the
patient who needs that medicine. All the effort made to avail the medicines will be nullified if
medicines are used irrationally at the level of prescribing, dispensing and patient use. The Rational
Use of Medicines requires that patients receive medications appropriate to their clinical needs, in
doses that meet their own individual requirements, for an adequate period of time, and at the lowest
cost to them and their community.

Rational medicine use includes the following criteria:

 Appropriate indication – that is prescribing is based on sound medical considerations

 Appropriate medicine, considering efficacy, safety, suitability for the patient, and cost

 Appropriate dosage, administration, and duration of treatment

 Appropriate patient – that is, no contraindications exist, and the likelihood of adverse
reactions is minimal

 Correct dispensing, including appropriate information for patients about the prescribed
medicines

 Patient adherence to treatment

To conform to these criteria, prescribers should follow a standard process of prescribing, which
starts with a diagnosis to define the problems that requires treatment. Next, the therapeutic goal
should be defined. The prescriber must decide which treatment is required, based on up-to-date
information on medicines and therapeutics, to achieve the desired goal for an individual patient.
When the decision is made to treat the patient with medicines, the best medicine for the best outcome
is selected based on efficacy, safety and cost. Then, dose, route of administration, and duration of
treatment are determined following the STG, taking into consideration the condition of the patient.
When prescribing a medicine, the prescriber should provide proper information to the patient about
the medicine and the patient’s condition. Finally, the prescriber should decide how to monitor the
treatment.

Then the medicine should be dispensed to the patient in a safe and hygienic manner, making sure
that the patient understands the dosage and course of therapy. Then the patient takes the medicine.
Adherence occurs if the patient and the community understands and appreciates the value of using
specific medicines for specific conditions. Irrational use will occur if problem occurs at one or more
of the three major parties in medicine use (prescriber, dispenser, and patient/community) and can
result in serious consequences.

It is very essential that prescribers follow the STGs, use standard prescriptions (sample attached)
and write all patient and medication-related information on the prescription to maximize the benefit
and minimize the risks associated with the use of medicines. Health professionals are encouraged to
report to Food, Medicines and Healthcare Administration and Control Authority of Ethiopia
(FMHACA) when they come across unusual adverse medicine reactions using the pre-paid Adverse
Medicine Reaction Reporting (ADR) reporting form.
4. LIST OF PHARMACEUTICALS

4.1 PHARMACOLOGIC-THERAPEUTIC CLASSIFICATION OF DRUGS

GI.000 GASTROINTESTINAL DRUGS

GI.100 Anti acids

Ser Drug name Dosage form VEN ABC


No category Category
1. Aluminum hydroxide Tablet(chewable),120mg+250mg E
+magnesium trisilicate
2. Aluminum hydroxide + Oral jell,(225mg+200mg+25mg) in E A
magnesium tri 5ml
Silicate +simethicone

GI.200 Antispasmodics/spasmolytic analgesics

Ser Drug name Dosage form VEN ABC


No category Category
1. Hyoscine butyl Br Tablet ,10mg N C
Injection, 10mg/2ml N C

GI.300 Antiulcer agents

Ser Drug name Dosage form VEN ABC


No category Category
1. Cimetidine Tablet, 400mg E C
Injection, 200mg/ml in 2ml E C
ampoule
2. Omeprazole Capsules,20mg E -

Ser Drug name Dosage form VEN ABC


No category Category
1. Metoclopramide HCL Tablet, 10mg E C
Drop,0.2mg/drop E C
Injection,5mg/ml in 2ml E C
ampoule
2. Promethazine HCL Tablet ,25mg N C
GI.400 Antiemetic
GI.500 Laxatives

Ser Drug name Dosage form VEN ABC


No category Category
1. Bisacodyl Suppository, 5mg N C
Tablet, 5mg N C

GI.600 Anti hemorrhoid agent

Ser Drug name Dosage form VEN ABC


No category Category
1. Bismuth subgallate+Bismuth oxide Suppository,5mg+24mg+49mg+290mg N -
+peru balsam +zinc oxide
2. Betamethasone valerate +phenylephrine Ointment, 0.5mg+1mg+25mg N C
HCL+Lidocaine HCL

GI.700 Drugs used in diarrhea

Ser Drug name Dosage form VEN ABC


No category Category
1. Oral rehydration salt Powder for reconstitution V A

CV.000 CARDIOVASCULAL DRUGS

CV.100 Anti hypertensive


Ser Drug name Dosage form VEN ABC
No category Category
1. Methyldopa Tablet,250mg E C
2. Hydralazine Injection,20mg/ml V -
3. Nifedipine Tablet, 20mg E -

CV.200 Diuretics

Ser Drug name Dosage form VEN ABC


No category Category
1. Furosemide Tablet, 40mg E C
Injection ,10mg/ml in 2ml ampoule E -
2. Hydrochlorothiazide Tablet,25mg N -

CV. 300 Drugs used in vascular shock

Ser Drug name Dosage form VEN ABC


No category Category
1. Adrenaline (epinephrine) Injection,0.1% in 1 ampoule V B

RE.000 RESPIRATORY DRUGS

RE.100 Antitussives/Expectorant

Ser Drug name Dosage form VEN ABC


No category Category
1. Dextrometorphan HBr Syrup,15mg/5ml N A
2. Diphenhydramine + sodium citrate + Syrup , 12.5mg +60mg +130mg/5ml N B
Ammonium chloride

RE.200 Bronchodilators/Antiasthmatics

Ser Drug name Dosage form VEN ABC


No category Category
1. Adrenaline (epinephrine) Injection,0.1%in 1 ampoule V B
2. Theo-ephedrine Tablet,120mg+11mg N -
3. Aminophyllin Injection,250mg/5ml in 10ml amp V C
4. Salbutamol (albuterol) Tablet,4mg N C
Syrup,2mg/5ml N C
Oral inhalation(aerosol),0.1mg/dose E C

NS.000 CENTRAL NERVOUS SYSTEM DRUGS

NS.100 Analgesics/Antipyretics

Ser Drug name Dosage form VEN ABC


No category Category
1. Acetylsalicylic acid Tablet(soluble),100mg, 300mg N C
2. Paracetamol Tablet,500mg N A
Tablet, 100mg N C
Syrup,120mg/5ml N A
Suppository,125mg N C

NS.200 Sedatives, Hypnotics and Tranquillizer

Ser Drug name Dosage form VEN ABC


No category Category
1. Diazepam Injection,5mg/ml in 2ml ampoule N C
2. Promethazine Tablet,25mg N C

NS.300 Anticonvulsant

Ser Drug name Dosage form VEN ABC


No category Category
1. Diazepam Injection, 5mg/ml in 2ml ampoule V C

2. Magnesium sulfate Injection, 50% in 20ml V -

NS.400 Anti depressants

Ser Drug name Dosage form VEN ABC


No category Category
1. Amitriptyline Tablet,25mg N C

AA.000 DRUGS USED IN ANAESTHESIA

Ser Drug name Dosage form VEN ABC


No category Category
1. Lidocaine HCL Injection, 2%in 20ml ampoule V C
Gel,2% N C
AA.100 Local Anesthetics
MS.000 DRUGS USED IN MUSCULOSKLETAL AND JOINT DISEASE

Ser Drug name Dosage form VEN ABC


No category Category
1. Acetylsalicylic acid Tablet,(micro fined),300mg N C
2. Ibuprofen Tablet,400mg N A
3. Indomethacin Capsule,25mg N C
Suppository,100mg N C
4. Diclofenac Na Tablet,50mg N C
Suppository, 100mg N C
Injection, 25mg/ml in 3ml ampoule N B
MS.100 Ant rheumatics

Ser Drug name Dosage form VEN ABC


No category Category
1. Ibuprofen Tablet,400mg N A
2. Indomethacin Capsule,25mg N C
Suppository,100mg N C
MS.200 Drugs used for gout

Ser Drug name Dosage form VEN ABC


No category Category
1. Diazepam Injection ,5mg/ml in 2ml ampoule N C

MS.300 Skeletal muscle relaxant

AI.000 ANTI-INFECTIVES

AI.100 Antibacterial

Ser Drug name Dosage form VEN ABC


No category Category
1. Amoxicillin Capsule,500mg E A
Capsule, 250mg E C
Suspension,125mg/5ml,250mg/5ml E A
2. Ampicillin Injection, 500mg E C
Capsule, 500mg E A
Capsule, 250mg E C
Syrup,250mg/5ml,125mg/5ml E -
3.. Cloxacillin Injection, 500mg E C
Capsule,250mg,500mg E A
Suspension, 125mg/5ml E B
Suspension, 250mg/5ml E -
4. Penicillin G, benzathine Injection, 1.2, 2.4MIU in vial E C
5. Penicillin G, sodium crystalline Injection, 1MIU in vial E C
6. Procaine penicillin fortified Injection ,4,000,000 IU in vial E C
7. Amoxicillin + Clavulanic acid Capsule ,500mg +125mg E -
Suspension, 200mg/5ml +28.5mg/5ml E -
AI.101 Penicillins

Ser Drug name Dosage form VEN ABC


No category Category
1. Ceftriaxone Injection, 1gm in vial E C
2. Chloramphenicol Capsule,250mg N C
Injection,1gm in vial E C
Suspension, 125mg/5ml E -
3. Doxycycline Capsule,100mg E B
4. Erythromycin Tablet,250mg E -
Suspension, 125mg/5ml, 250mg/5ml E -
5. Gentamycin Injection, 40mg/ml in 2ml ampoule E B
6. Sulphamethoxazole + Trimethoprim Tablet,400mg + 80mg, 800mg + 160mg E A
Suspension,200mg+40mg in 5ml E A
7. Tetracycline HCL Capsule,250mg N C
8. Norfloxacin Tablet, 400mg E B
9. Ciprofloxacin Tablet, 500mg E B
AI.102 Other Antibacterials

Ser Drug name Dosage form VEN ABC


No category Category
1. Ethambutol Tablet,400mg V -
2. Isoniazid Tablet,100mg,300mg V -
3. Rifampicin+ lsoniazid Tablet,150mg+75mg,60mg+30mg V -
4. Rifampicin+lsoniazid + pyrazinamide Tablet,150mg+75mg+400mg V -
5. Rifampicin+ lsoniazid + Tablet,150mg+75mg+400mg+ 275mg V -
pyrazinamide+ethambutol
6. Streptomycin sulfate Powder for injection,1g V -
AI.103 Ant tubercular

Ser Drug name Dosage form VEN ABC


No category Category
1. Rifampicin + Dapsone Capsule, 400mg + 50mg, 600mg + 100mg V -
2. Rifampicin + Dapsone + Clofazimine Capsule, 450mg + 50mg + 100mg, 600mg V -
+ 100mg + 300mg
AI.104 Antileprotics

Ser Drug name Dosage form VEN ABC


No category Category
1. Fluconazole Tablet, 200mg N -
2. Griseofulvin Capsule,250mg N -
3. Ketoconazole Tablet ,200mg N -
4. Miconazole Oral gel, 20mg/ml N B
AI.200 Anti fungal

Ser Drug name Dosage form VEN ABC


No category Category
1. Efavirenz Capsule, 600mg V -
2. Lamivudine+zidovudine Tablet,150mg+300mg V -
3. Lamivudine+zidovudine+Nevirapine Tablet,150mg+300mg+200mg V -
Tablet,30mg+60mg+50mg V -
4. Lamivudine+Stavudine+Nevirapine Tablet,60mg+12mg+100mg V -
5. Nevirapine Tablet,200mg V -
Oral suspension, 50mg/5ml V -
6. Tenofovir +Lamivudine Tablet,300mg+300mg V -
7. Zidovudine Tablet,300mg V -
Oral suspension, 50mg/5ml V -
AI.300 Anti-Retro Viral

Ser Drug name Dosage form VEN ABC


No category Category
1. Acyclovir Tablet,200mg V C

AI.301 Other Anti viral

AI.400 Antiprotozoal

Ser Drug name Dosage form VEN ABC


No category Category
1. Chloroquine phosphate Tablet,150mg base V -
Syrup,50mg base/5ml V -
2. Primaquine Tablet,15mg V -
3. Quinine dihydrochloride Injection 300mg/ml in 1ml V -
Tablet, 300mg V -
4. Arthemeter +Lumfantrine Tablet,20mg+120mg V -
5. Artesunate Injection, 60mg in vial V -
6. Arthemeter Suppository, 40mg V -
AI.401 Antimalarial

Ser Drug name Dosage form VEN ABC


No category Category
1. Metronidazole Capsule,250mg E C
Oral suspension,125mg/5ml E A
2. Tinidazole Tablet,500mg E C
AI.402 Amoebicides

Ser. Drug name Dosage form VEN ABC


No category Category
1. Metronidazole Capsule,250mg E C
Oral suspension,125mg/5ml E A
2. Tinidazole Tablet,500mg E C
AI.403 Antigiardial agents

AI.500 Antehelmentics

Ser. Drug name Dosage form VEN ABC


No category Category
1. Praziquantel Tablet,600mg E C

AI.501 Schistosomicides

Ser Drug name Dosage form VEN ABC


No category Category
1. Albendazole Tablet,200mg E C
Suspension,100mg/5ml E C
2. Mebendazole Tablet, 100mg E C
Suspension, 100mg/5ml E C
3. Piperazine Elixir,500mg/5ml E C
AI.502 Other Antihelmintics
ED.000 DRUGS USED IN ENDOCRINE DISORDERS AND CONTRACEPTIVES

ED.100 Corticosteroidal preparations

Ser.No Drug name Dosage form VEN ABC


category Category
1. Hydrocortisone powder for injection, 500mg in vial N C
2. Prednisolone Tablet,5mg N C

ED.200 Contraceptives

ED.201 Combined Oral Contraceptives

Ser.No Drug name Dosage form VEN ABC


category Category
1. Levonorgestrel + Tablet, 0.15mg + 0.03mg + V -
Ethinylestradiol with Iron 75mg

ED.202 Progesterogen only contraceptives

Ser.No Drug name Dosage form VEN ABC


category Category
1. Etonogestrel Implant (Subdermal), V -
68mg/capsule
2. Levonogestrel (D- Implant (Subdermal), V -
Norgestrel) 75mg/capsule
3. Medroxyprogesterone Injection (aqueous solution), V -
150mg/ml in 1ml vial

ED.203 Contraceptive Devices and Barriers

Ser.No Drug name Dosage form VEN category ABC


Category
1. Condom (male) V -
2. Copper T 380 A V -

OG.000 OBSTETRIC AND GYNAECOLOGICAL MEDICATIONS

Ser.No Drug name Dosage form VEN ABC


category Category
1. Clotrimazole Tablet (pessary),100mg,500mg N C
2. Magnesium sulfate Injection, 50% in 20ml V -
3. Metronidazole Iv infusion, 5mg/ml in 100ml V -
Capsule,250mg N E
4. Miconazole nitrate Tablet (pessary)200mg, cream N -
(pessary)2%
5. Misoprustol Tablet,200mg V -
6. Oxytocin Injection,10 unit/ml V A

BL.000 BLOOD PRODUCTS AND DRUGS AFFECTING THE BLOOD

BL.100 Antiplatlet

Ser.No Drug name Dosage form VEN category ABC Category

1. Acetylsalicylic acid Tablet 100mg,300mg N C

BL.200 Ant anemic Agents


Ser.No Drug name Dosage form VEN category ABC Category

1. Ferrous sulfate +Folic acid Tablet E A


2. Iron gluconate Tablet E B

WE.000 DRUGS FOR CORRECTING WATER, ELECTROLYTE AND ACID-BASE


DISTURBANCES

WE.100 Oral

Ser.No Drug name Dosage form VEN ABC


category Category
1. Oral Powder, each sachet for 1litre contain V A
Rehydration salt Nacl(2.6gm) +trisodium citrate
dihydrate(2.9gm)+Kcl(1.5gm)
+glucose(13.5gm)

WE.200 Parenteral

Ser.No Drug name Dosage form VEN category ABC


Category
1 Dextrose in water Injection,5% in 1000ml, 40% in V C
20ml
2. Dextrose in Normal Injection,5% in 1000ml V C
Saline
3. Lactated Ringer’s Injectable solution in 1000ml V A
Injection
4. Sodium chloride Injection, 0.9%(normal saline) in V C
1000ml
VT.000 VITAMINS

VT.100 Vitamin, single

Ser.No Drug name Dosage form VEN ABC


category Category
1. Ascorbic acid Tablet,500mg N A
(Vitamin C)
2. Vitamin A Oral Solution, 150,000IU/ml (concentrate) V -

VT.200 Vitamins, combination

Ser.No Drug name Dosage form VEN category ABC


Category
1. Vitamin B1+B6+B12 Injection N B
Tablet N A
2. Multi Tablet, N A
Vitamin( vit+B1+B2+B6+B12+ Syrup, N A
thiamine+ nicotinamide+
panthenol )
3. Vitamin B complex Injection N A
Tablet N B
Syrup N C

AL.000 ANTIHISTAMINES AND ANT ALLERGIES

AL.100 Antihistamines

Ser.No Drug name Dosage form VEN ABC


category Category
1. Chlorpheniramine Maleate Syrup,2mg/5ml N B
Tablet,4mg N B
2. Promethazine Tablet, 25mg N C
Hydrochloride
AL.200 Drugs used in allergic emergencies

Ser.No Drug name Dosage form Remark ABC


Category
1. Adrenaline (epinephrine) Injection,0.1% in 1ml ampoule V B

2. Hydrocortisone Injection,(sodium succinate), E C


50mg/ml

OP.000 OPHTHALMIC AGENTS

OP.100 Anti-infective,ophthalmic

OP.101 Antibacterials

Sar Drug name Dosage form Remark ABC


No Category
1. Chloramphenicol Eye ointment,1% N C
Solution(eye drop), 1% N C
2. Gentamicin Eye/Ear drop, 0.3% E B
3. Tetracycline Eye ointment,1% E C

OP.200 Anti-infective/Anti-inflamatory combination

Ser. Drug name Dosage form VEN ABC


No category Category
1. Gentamicin + Dexamethasone Eye drop,0.3%+0.1% N -

EN.000 EAR, NOSE, and THROAT PREPARATIONS

EN.100 Nasal and Oropharyngeal preparations


Ser.No Drug name Dosage form VEN category ABC
Category
1. Gentian violet Solution, 1% E -
2. Miconazole Oral gel ,25mg/ml N B
3. Povidone –Iodine Solution, 1% E -
4. Xylometazoline Solution (nasal drops), 0.05% N C

Ser. Drug name Dosage form VEN ABC


No category Category
1. Chloramphenicol Solution (ear drop), 1% N -
2. Gentamicin Solution (ear drops), 0.3% N B
3. Hydrogen peroxide Solution, 3% N -
EN.200 Otic agents

DE.000DERMATOLOGICAL AGENTS

Ser. Drug name Dosage form VEN ABC


No category category
1. Benzyl benzoate Lotion, 25% N C
2. Benzoic acid + Salicylic Acid Ointment ,6%+3%,12%+6% E C
3. Clotrimazole Cream ,1% E C
4. Fusidic acid Cream, 2% N C
5. Gentian violet Solution, 0.5%,1% N -
6. Ketoconazole Cream,2% E C
Shampoo, 2% N -
7. Miconazole nitrate Cream, 2% E C
8. Salicylic acid Ointment, 25% N -
9. Tetracycline Ointment ,3% N C
DE.100 Anti infectives

Ser. Drug name Dosage form VEN ABC


No category category
1. Hydrocortisone acetate Cream, 1% E C
DE.200 Anti-inflammatories,Topical

Ser. Drug name Dosage form VEN ABC


No category category
1. Ichtamol Ointment,10% N C
2. Zinc oxide Ointment,15% N C
DE.300 Drugs for Psoriasis and Eczema

DE.400 Antiprurities

Ser.No Drug name Dosage form VEN ABC


category category
1. Calamine Lotion,5% N -

DE.500 Dermatological, Systemic

Ser.No Drug name Dosage form VEN ABC


category category
1. Prednisolone Tablet,5mg N C

DE.600 Skin disinfecting agents

Ser.No Drug name Dosage form VEN ABC


category category
1. Chlorohexidine gluconate + Solution 1.5%+15%,0.3%+3% E -
Cetrimide
2 Ethyl alcohol Solution,70% E -
3. Hydrogen peroxide Solution,3%,6% N -
4. Iodine Solution, 2% E -
5. Povidone-Iodine Solution,4%,7.5%,10% E -

DE.700 Dermatological, others

Ser.N Drug name Dosage form VEN category ABC


o category
1. Methyl salicylate ----- N B

AD.000 ANTIDOTES AND OTHER SUBSTANCES USED IN POISONING

Ser.No Drug name Dosage form VEN ABC


category category
1. Universal antidote Powder,2parts+1pont+1pant V -
(charcoal+Tannic acid
+MgO)
2. Atropine sulfate Injection,1mg/ml in 1ml ampoule V C
Ser.No Drug name Dosage form VEN category ABC category
1. BCG vaccine Injotion,500,000 organism/ml in V -
0.05ml
2. Diphtheria + Tetanus Toxoid + Injection, 30IU + 60IU + 4.0IU + V -
Pertussis antigen + Haemophilus 10microgram + 10microgram +
influenza type B(Hib) + Hepatitis B
0.3microgram + 4.5microgram, in
surface antigen + Aluminium 0.5ml
Phosphate + Sodium chloride vaccine
3. Measles virus vaccine,live attentuated Injection,0.5ml V -
4. Pneumococcal polyssaccharide Injection ,0.5ml V -
vaccine
5. Poliomyelitis vaccine, trivalent type Oral,10ml V -
I,II,III
6. TAT 1500IU,1ml V A
IM.000 IMMUNOLOGICAL PREPARATIONS

MI.000 Miscellaneous

Ser.No Drug name Dosage form VEN category ABC


category
1. Water for Injection In 5ml,10ml V B

2. Oxygen (white colored --- V -


cylinder)
4.2 LABORATORY CHEMICALS and REAGENTS

LR.100 Acid Fast bacilli (AFB)

Ser.No Description Unit VEN category


1. Acid alcohol 3% Solution, 3% V
2. Carbon Fuction Solution V
3. Methylene blue Solution V

LR.200 Blood film Examination

Ser.No Description Unit VEN category


1. Geimsa stain solution Solution,100ml V
2. Distelled water Vial, 10ml V
3. Buffer Tablet V

LR.300 Complete Blood Count

Ser.No Description Unit VEN category


1. Alcohol Solution, 70% V
2. Absolute methanol Solution, 96% V
3. Wright stain Solution, V

LR.400 Haematology

Ser.No Description Unit VEN category


1. Trisodium citrate 3-8% Bottle V
2. Bleech 5% Bottle V
3. Alcohol 70% Bottle V
LR.500 Haemoglobin

Ser.No Description Unit VEN category


1. Alcohol Solution, 70% V

LR.600 Haematocrit

Ser.No Description Unit VEN category


1. Alcohol Solution, 70% V

LR.700 Leucocyte and Differential Count

Ser.No Description Unit VEN category


1. Geimsa stain Solution, 70% V
2. Romanowsky stain Solution V
3. Wright stain Solution V

LR.800 Parasitology

LR.801 Blood Film Test

Ser.No Description Unit VEN category


1. Buffer Tablet V
2. Distelled water Vial V
3. Geimsa stain Solution V

LR.802 Stool Test

Ser.No Description Unit VEN category


1. Normal saline Injection, 0.9% V
2. V
3. V

LR.900 Serology

Ser.No Description Unit VEN category


1. Helicobacter pylori Test V
2. HBV Test V
3. HCV Test V
4. RPR Test V
5. Salmonella Typhi-O V
6. Salmonella Typhi-H V

LR.901 HIV test kit

Ser.No Description Unit VEN category


1. KHB Box V
2. STAT-PAK Pack V
3. Unigold Pack V

LR.902 Blood Group reagents

Ser.No Description Unit VEN category


1. Anti-A Tube V
2. Anti-B Tube V
3. Anti-D Tube V

LR.1000 Urinalysis reagents

Ser.No Description Unit VEN category


1. Urine strip of 10 parameter Pack V
2. HCG test Pack V

LS.000 Laboratory Supplies

Ser.No Description VEN category


1. Applicator stick wooden without cotton V
2. Blood lancet V
3. Bio Hazard bag V
4. Cover slide V

5. Capillary tube V
6. Disposable syringe V
7. EDTA capillary tube V
8. Examination glove V
9. Filter Paper V
10. Funnel V
11. Lens tissue paper V
12. Micropippette tip V
13. Microscopic slide V
14. Pasture pipette (plastic) V
15. Safety Box V
16. Sealer V
17. Slide Box V
18. Stool cup V
19. Sputum cup V
20. Test tube glass heat and chemical resistance V
21. Test tube rack V
22. Timer V
23. Tourniquet V
24. Urine cup V
25. Volumetric Flask V
26. Vacutainer needle V
27. Vacutainer tube holder V
28. Waste bin V

CS.000 Chemicals and Solutions

Ser.No Description VEN category


1. Absolute alcohol V
2. Acetone V
3. Carbon fuction V
4. Crystal violet V
5. Ethanol V
6. Giemsa stain V
7. Gram’s iodine V
8. HCl V
9. Methanol V
10. Methylene blue V
11. Oil immersion V
12. Safranine V
13. Sulfuric acid V
14. Wright stain V

4.3 Medical supplies


MS.000 Dressing Material

Ser.No Description VEN category


1. Adhesive Plaster V
2. Cotton V
3. Elastic Bandage V
4. Examination glove V
5. Gauze Bandage V
6. Plaster of Paris V
7. Surgical glove V

MS.100 Suturing Material

Ser.No Description VEN category


1. Cut gut 2/0 half, circle cutting, half, circle, round bodied V
2. Silk 4/0 curved reverse cutting V

MS.200 Injectable supplies

Ser.No Description VEN category


1. Disposable syringe ,3, 5, 10ml V
2. V

MS.300 Tubes and Drains

Ser.No Description VEN category


1. Folly Catheter V
2. Intravenous infusion set V
4.4 Medical Equipments

Ser.No Description VEN category


1. Autoclave V
2. Baby bed V
3. Blood pressure apparatus (Mercurial) V
4. Centrifuge V
5. Delivery bed V
6. Delivery set V
7. Drum V
8. Examination bed V
9. Incubator V
10. Jar stainless steel V
11. Kidney dish V
12. Microscope V
13. Othoscope V
14. Pick up Forceps V
15. Refrigerator V
16. Sphygmomanometer V
17. Sthetoscope V
18. Thermometer V
19. Weight scale V
20. Vacuum V
Appendix I: Terms of Reference of ---------Health Center Drug and Therapeutic Committee

Drug and therapeutic committee is a committee that evaluates the clinical use of medicines,
develops policies for managing pharmaceutical care & administration, and manages the formulary
system.

DTC has great benefit if it is functional and performed successfully. Among these to mention:-

 Selection of safe, effective, high quality & cost effective pharmaceutical for the
formulary
 Identification of medicine use problems
 Improved medicine use ( including antimicrobial use)
 Improved quality of patient case & health outcomes
 Management of antimicrobial resistance
 Increased staff & patient knowledge
 Decreased adverse drug reactions and medication with improved medication errors
 Improved medicine procurement & inventory management
 Management & Control of pharmaceutical expenditures through better management

Background information for ---------Health Center

---------health center has been established in 1995 E.C. and serves 25,771 populations. It
provides OPD, inpatient, MCH, VCT, emergency, laboratory and pharmacy services.

Establishment

On August 4th 2004 E.C. as per letter no. ድሬ/17/3-662/04 Melka Jebbdu Health Center Drug and
therapeutic committee has been established. The committee Comprises of 8 members. The DTC
chairperson is Basazinew Fantahun, head of ---------Health Center and secretary is Andualem Ababu,
Pharmacy coordinator.

Each member is nominated to the committee on basis of their specialties from each medical
department and administration in order to make the committee representative.

The DTC can be shown in chart as follows.

Basazinew
Fantahun
chair person

Andualem Ababu
secretary

Mikael Yohannes Iftu Beker Demelash Bete Tesfaye Deresa Alfia Duri Sisay Getachew
head of nurse MCH Laboratory Public health enviroment Finance Head

Duties and Responsibilities of members


Chairperson

 Scheduling meetings and notifying committee members


 Inviting specialties to attend meetings when required by the committee
 Guiding meetings according to the agenda and time available
 Ensuring all discussion items end with a decision, action or definite outcomes
 Reviews and approve the draft minutes before distribution
 Giving managerial and professional advice to the members
 Checking the performance of the committee frequently
 Represent the committee in the management meetings and other relevant events

Secretary

 Prepare agendas and issuing notices for meetings


 Distribute the agenda one week prior to the meeting
 Taking notes of proceedings and preparing minutes of meetings
 Distributing the minutes to all committee members one week after the meeting and be made
available to all staff
 Emanating proposals, when needed, together with the chairperson
 Follow up the action of the committee

Medical representative members

 Attending all meeting as per schedule


 Demonstrating professional competence by active participation
 Preparing for distributed agenda before one week
 Comment on agenda
 Ensuring that each minutes are actually being done
 Identifying/indicating major gaps in the facility to the committee
 Sharing new medical information and giving short studies in convenient way (e.g. peer
discussion, hard or soft copy materials. . .etc)
 Increasing staff knowledge regarding each issues discussed in meetings
 Proposing issues that need to be reviewed and discussed

Administration and finance members (additional from above duties and responsibilities)

 Ensuring financial and material support for the tasks done


 Attending all meeting as per schedule
 Ensuring contextual incentives for members as required
 Allocate budget for the committee possibly by communicating with different stakeholders

Objective of the committee (DTC)


 To develop and implement efficient and cost effective formulary system which includes
consistent standard treatment protocols ,a formulary list, and formulary manual
 To ensure that efficacious, safe, cost-effective and good quality medicines are available in the
facility
 To ensure the best possible drug safety through monitoring and evaluation; thereby preventing
adverse drug reactions (ADR) and medication error
 To develop & implement intervention to improve medicine use by prescribers, dispensers and
patients.
 To ensure sustainable pharmaceutical supply in the facility

Functions (Scope) of the committee

Roles

 The committee has broad responsibilities in determining what medicine will be available, at
what cost and how they will be used
 To optimize rational use of medicines by evaluating the chemical use of pharmaceuticals
 To develop policies for managing medicine use and administration and managing formulary
system.

Function

 Advising medical, administrative, and pharmacy department on pharmaceuticals related issues


 Developing pharmaceutical policies and procedures.
 Evaluating and selecting medicines for the formulary and providing for its periodic revision
 Identifying medicine use problems
 Promoting and conducting effective intervention
 To improve medicine use (using educational, managerial and regulatory methods)
 Managing ADRS and medication errors.
 Prepare annual action plan and budget

Meeting

Meeting shall be held on every month on first week of the month at 10:00 PM. Special/ extra
ordinary meeting be handled on call. 2/3 of the membership of the committee will constitute a quorum for
every session. Decisions will be established only on more than 50% of the committee.

Resources and Budget

 Stationary
 Fund for tea, coffee, and soft drinks
 Fund for different training and educational programs
Amendments

The terms of reference shall be reviewed annually from the date of approval by agreement of more
than half of DTC members and approval by management of the facility.

TOR approval and review date

The above TOR for ---------Health Center DTC have been Discussed in detail and approved on
meeting held on 21/12/2004 E.C and the management approves.

Each member of the committee is agreed to abide with the terms and conditions of TOR.

Name Signature

Basazinew Fantahun
Andualem Ababu
Mikael Yohannes
Tesfaye Deressa
Iftu Beker
Alfiya Durri
Sisay Getachew
Demelash Bete
Appendix II: PRESCRIPTION
PAPER Please Note the Following Information

______________ Hospital/health center: 1. Prescriptions:

Address: Tel +251 ________________ • are valid only if it has the seal of the health institution

Patient’s full Name: ___________________________ • Filled and blank are legal documents, treat them as fixed assets

Sex: _____ Age: ____ Weight: ______ Card No.______ • Written and verbal information to the client complement one another

2. The prescriber:
Region: _______Town ________ Woreda _____
•Medicine treatment is only one of the treatment options
Kebele ______ House No. ______ Tel. No: ________
• write the prescription correctly and legibly
􀂅 Inpatient 􀂅 Outpatient
• Diagnosis and other parts of the prescription have to be complete
Diagnosis ___________________________
• Abbreviations are NOT recommended
Medicine Name, Strength, Dosage Form, Price
Dose, Frequency,Duration, Quantity, How to • Please accept prescription verification call from the dispenser
use & other information (dispensers
3. The Dispenser:
use only)
• check legality of the prescription

• check completeness and accuracies before dispensing

• Check for whom the medicine is being dispensed: actual client or care taker

• If in doubt about the contents of the prescription; verify with the prescriber

• Containers used for packaging must be appropriate for the product

• Labels of medicines should be clear, legible and indelible

• Medicines should be dispensed with appropriate information and


counseling
Total Price
• keep filled prescriptions at least for 2 years

4. Minimum medicine label information should include the following:

Prescriber’s Dispenser’s • Patient name

Full name _____________________________________ • Generic name, strength and dosage form of the medicine

Qualification __________________________________ • Dose, Frequency and Duration of use of the medicines

Registration #__________________________________ • Quantity of the medicine dispensed

Signature _____________________________________ • How to take or administer the medicine

Date: _______________________________________ • Storage condition

See overleaf

APPENDIX III: ADR REPORTING FORM


Appendix IV: Request Form for Addition/Deletion of Medicines from the List

To be completed by requesting Health Professional

Name of medicine: --------------------------------------------------------------

Dosage form (s) and strength (s):---------------------------- -------------------------

List specific pharmacologic action and therapeutic use that warrants this medicine’s admission to the Formulary:
---------------------------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------------------------
------------------

This medicine is superior to present formulary medicines because:


---------------------------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------

List specific literature references:


---------------------------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------------------

If this medicine is admitted to the formulary, the following medicine(s) should be deleted:
---------------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------

Have you in the past, or are you currently conducting studies with this medicine?
---------------------------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------

Are you receiving financial support from this medicine’s manufacture?


---------------------------------------------------------------------------------------------------------------------------------------------
Requested by: ------------------------------------- Signature------------------------ Date: ------------

FOR DTC USE ONLY

Request received on: ---------------------------------------

DTC’s Action:
---------------------------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------

Date: ------------------------------------

INDEX

A
Acetyl salicylic acid, 21, 22, 28
Acyclovir, 25
Adrenaline, 19, 20, 30
Albendazole, 26
Aluminium Hydroxide + Magnesium trisilicate, 17
Aluminium Hydroxide + Magnesium trisilicate + Simethicone, 17
Aminophyllin, 20
Amitriptyline, 21
Amoxicillin, 23
Amoxicillin + Clavulanic acid, 23
Ampicillin, 23
Artesunate, 25
Arthemeter, 25
Arthemeter + Lumfantrine, 25
Ascorbic acid (Vitamin C), 29
Atropine sulfate, 33

B
BCG, 34
Benzyl benzoate, 32
Benzoic acid + Salicylic acid, 32
Betamethasone valerate + Phenylephrine + Lidocaine, 18
Bisacodyl, 18
Bismuth subgallate + Bismuth oxide + Peru balsam + Zinc oxide, 18

C
Calamine, 32
Ceftrixone, 23
Chloramphenicol, 23, 31
Chlorohexidine gluconate + Cetrimide, 33
Chloroquine phosphate, 25
Chlorpheniramine maleate, 30
Cimetidine, 17
Ciprofloxacin, 23
Clotrimazole, 28, 32
Cloxacillin, 23
Condom (male), 27
Copper T 380 A, 27

D
Dextropmethorphan, 20
Dextrose in water, 29
Dextrose in normal saline, 29
Diazepam, 21, 22
Diclofenac, 22
Diphenhydramine +Sodium Citrate + Ammonium chloride, 20
Diphtheria + Tetanus toxoid + Pertusis antigen + Haemophilus + influenza type B (Hib) + Hepatitis B surface antigen +
Aluminium phosphate + Sodium chloride, 34
Doxycycline, 23

E
Efavirenz, 24
Erythromycin, 23
Ethambutol, 24
Ethyl alcohol, 33
Etonogestrel, 27
F
Frusemide, 19
Fluconazole, 24
Ferrous sulfate + Folic acid, 28
Fusidic acid, 32

G
Gentamicin, 31
Gentamicin + Dexamethasone, 31
Gentian violet, 31, 32
Griseofulvin, 24

H
Hydralazine, 19
Hydrochlorothiazide, 19
Hydrocortisone, 27, 30, 32
Hydrogen peroxide, 31, 33
Hyoscine, 17

I
Ibuprofen, 22
Ichthamol, 32
Indomethacin, 22
Iodine, 33
Iron gluconate, 28
Isoniazide, 24

K
Ketoconazole, 24, 32

L
Lactated Ringer’s, 29
Lamivudine + Stavudine + Nevirapine, 24
Lamivudine + Zidovudine, 24
Lamivudine + Zidovudine + Nevirapine, 24
Levonorgestrel (D-Norgestrel), 27
Levonorgestrel + Ethinylestradiol with iron, 27
Lidocaine hydrochloride, 22

M
Magnesium sulfate, 21, 28
Measles Virus Vaccine, 34
Mebendazole, 26
Medroxyprogestrone, 27
Methyl dopa, 19
Methyl Salicylate, 33
Metoclopramide hydrochloride, 17
Metronidazole, 25, 28
Miconazole, 24, 31
Miconazole nitrate, 28, 32
Misoprustol, 28
Multivitamin, 30

N
Nevirapine, 24
Nifedipine, 19
Norfloxacin, 23

O
Omeprazole, 17
Oral Rehydration salt, 18, 29
Oxygen, 34
Oxytocin, 28

P
Paracetamol, 21
Penicillin G, Benzanthin penicillin, 23
Penicillin G, Sodium Crystalline, 23
Piperazine, 26
Pneumococcal Polysaccharide vaccine, 34
Poliomyelitis I, II, III, 34
Povidone-Iodine, 31, 33
Praziquantel, 26
Prednisolone, 27, 32
Primaquine, 25
Procaine Penicillin fortified, 23
Promethazine, 17, 21, 30

Q
Quinine dihydrochloride, 25

R
Rifampicin + Dapsone, 24
Rifampicin + Dapsone + clofazimine, 24
Rifampicin + Isoniazid, 24
Rifampicin + Isoniazid + Pyrazinamide, 24
Rifampicin + Isoniazid + Pyrazinamide + Ethambutol, 24

S
Salbutamol, 20
Salicylic acid, 32
Sodium chloride, 29
Streptomycin sulfate, 24
Sulphamethoxazole + Trimethoprim, 23

T
TAT, 34
Tenofovir + Lamivudine, 24
Tetracycline, 23, 31, 32
Theo-ephedrine, 20
Tinidazole, 25

U
Universal antidote, 33

V
Vitamin A, 29
Vitamin B1 + B6 + B12, 30
Vitamin B complex, 30

W
Water for injection, 34

X
Xylometazoline, 31

Z
Zidovudine, 24
Zinc oxide, 32

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