DAFTAR OBAT RUMAH SAKIT UMUM MITRA SEHAT

Kelas Terapi, Nama generik dosis dan formulasi Nama Paten 1. ANALGESIK, ANTIPIRETIK, ANTIPIRAI1.1. Analgesik NarkotikPethidin inj 50mg/ml, amp 2ml OGBFentanyl inj 0.05mg/ml, amp 2mlCodein tab 30mg OGBMorfin HCl tab SR 10mg MST Continous1.2. Analgesik Non NarkotikAsam Mefenamat tab 500mg Anastan F

Argesid GrafamicMefinal Pondex F

Ibuprofen tab 400mg OGBsusp 100mg/5 ml, botol 60ml Fenris syr

Proris syrKalium Diklofenak tab 50mg Eflagen 50mgKetoprofen tab 50mg Kaltrofen EC 50mg

inj 100mg/2ml, ampul 2ml Kaltrofen injKetorolak inj 30mg/ml, ampul 2ml OGB

Lactor injMetamizol inj Antrain injMethampiron tab 500mg Infalgin Methampiron + vit B kompleks tab Neuromec

tab Neurosanbe PlusMethampiron + Diazepam tab 500mg + 2mg Analsik

ProneuronMeloxicam tab 15mg OGB

tab 7.5mg OGB

Natrium Diklofenak tab 50mg Voltadex 50mgDiklofenak Dietilamonium gel 1%, tube 20gr Voltadex gelParasetamol tab 500mg Grafadon

Sanmol tabZetamol tab

susp 120mg/5 ml, botol 60ml Praxion suspSanmol syrZetamol syr

susp 100mg/ml, botol 15ml Praxion dropsusp Praxion Fsuppositoria 80mg Propyretic 80mgsuppositoria 160mg Propyretic 160mg

Parasetamol + tramadol tab AcetramPatral

Piroxicam caps 20mg Pirocam 20mgTramadol HCL caps 50mg OGB

inj 50mg/ml, amp 2ml Tradosik inj1.3 AntipiraiAllopurinol tab 100mg OGB2. ANESTETIK2.1. Anestesi LokalBuvipakain 0.5% inj 5mg/ml, amp 4ml Bunascan Spinal 0.5% heavyLidocain HCl inj 2%, amp 2ml OGBLidocain + Prilocain cream 2.5% + 2.5% TopsyLidocain HCl 2% dalam larutan epinefrin inj 1:80000, amp 2ml Pehacain inj2.2 Anestesi Umum

3. ANTIALERGI DAN OBAT UNTUK ANAFILAKSISdeksametason inj i.v./i.m. 5 mg/mL OGBdifenhidramin Hcl inj i.v./i.m. 10 mg/mL Duradrylepinefrin (adrenalin) inj i.v./s.k./i.m. 0,1% OGBklorfeniramin tab 4 mg Alleron

loratadin tab 1 0 mg OGBsetirizin sir 5 mg/5 mL OGB

Histrin Ozen

tab 10 mg OGBHistrin Ozen

4. ANTIDOT dan OBAT LAIN untuk KERACUNAN4.1 KHUSUSatropin inj 0,25 mg/mL OGB4.2 UMUMkarbon aktif tab Noritmagnesium sulfat ampul 25mL MgSO4 MgSO4

5. ANTIEPILEPSI – ANTIKONVULSIdiazepam inj i.v. 5 mg/mL Valisanbe

lar rektal 5 mg/2,5 mL Stesolidlar rektal 10 mg/2,5mL Stesolid

karbamazepin tab 200 mg OGB

6. ANTIINFEKSI 6.1 ANTELMINTIK 6.1.1 Antelmintik Intestinal albendazol tab 400 mg OGBpirantel pamoat tab 125 mg OGB

tab 250 mg Combantrinsusp 125 mg/5 mL Combantrin

6.2 ANTIBAKTERI 6.2.1 Beta laktam amoksisilin tab 250 mg dispersibel Amoxsan disp tab

tab 500 mg Dexymox Forte

Moxigra tabAmoxsan kap

sir kering 1 25 mg/5 mL Amoxsan dry syrYusimox dry syr

sir kering 250 mg/ mL Amoxsan Forte dry syrserbuk kering Inj 1 gram/ vial Amoxsan injeksi

sefadroksil kap 250 mg OGBkap 500 mg OGB

Cefat kapDrovax kap

sir kering 125mg/5mL OGBValos dry syr

sefiksim kap 100 mg OGBSporetik kap

sir kering 100 mg/ 5mL OGBFixiphar dry syr

seftriakson serb inj 1 g/vial OGBTerfacef inj

sefotaksim serb inj 1 g/vial OGBTaxegram inj 0.1

6.2.2 Antibakteri Lain 6.2.2.1 Tetrasiklin doksisiklin kaps 100 mg OGBtetrasiklin kaps 500 mg (HCl) OGB6.2.2.2 Kloramfenikolkloramfenikol kaps 250 mg Colsansetine

susp 125 mg/5 mL Colsansetine syrinj Colsansetine inj

6.2.2.3 Sulfa-Trimetoprimkotrimoksazol kombinasi tiap 5 ml: Primadex syr

sulfametoksazol 200 mg Sanprima syrtrimetoprim 40 mg

kotrimoksazol I (dewasa) kombinasi : Sanprima tabsulfametoksazol 400 mg trimetoprim 80 mgkombinasi : Primadex Forte kaplsulfametoksazol 800 mg Sanprima Forte kapltrimetoprim 160 mg

6.2.2.4 Makrolideritromisin chewable tab 200 mg Erysanbe chew

sir kering 200 mg/5 mL Erysanbe syrkapl 500 mg Eryra

Erysanbe Fortegentamisin salep 0.1% 5 gr OGB

Ikagen salepkrim 0.1 % 10 gr Ikagen kriminj 10 mg/mL OGB

6.2.2.6 Kuinolonsiprofloksasin tab 500 mg OGB

kasp 500 mg Baquinor Forteinfus OGB

6.2.2.7 Lain-lainmetronidazol kapl 500 mg Grafazol

susp 125 mg/5 mL Flagyl suspinfus OGB

Tricodazol inf

6.3.2 Antituberkulosisisoniazid tab 300 mg OGBrifampisisn kapl 450 mg OGB

kapl 600 mg OGBtablet kombinasi kombinasi:

isoniazid 400 mg KapedoxinB6 10 mg

ethambutol tab 500 mg OGB

6.3.3 Antiseptik Saluran Kemih

6.4 ANTIFUNGI 6.4.1 Antifungi, sistemik flukonazol kaps 150 mg Zemycgriseofulin tab 125 mg OGB

tab 500mg OGBketokonazol tab 200 mg OGB

krim 2% 10 mg OGBnistatin susp 100.000 UI/mL Nystatin

tab vaginal 100.000 UI OGBovula kombinasi:metronidazol 500 mg Trichostatic ovulanistatin 100.000 UI

6.5 ANTIPROTOZOA 6.5.1 Antiamuba dan Antigiardiasismetronidazol kapl 500 mg Grafazol6.5.2 Antimalaria 6.5.2.1 Untuk Pencegahan doksisiklin kaps 100 mg OGB6.5.2.2 Untuk Pengobatankuinnin tabklorokuin tab6.6 ANTIVIRUS 6.6.1 Antiherpes asiklovir tab 200 mg OGB

tab 400 mg OGBkrim 5% 5 gram OGB

7. ANTIMIGREN 7.1 PROFILAKSIS propanolol tab 10 mg OGB7.2 SERANGAN AKUTkombinasi : ergotamin 1 mg cafergot

kafein 50 mg

8. OBAT yang MEMPENGARUHI DARAH 8.1 ANTIANEMIasam folat tab 0.4 mg Folavitelemen besi drop 15 mg/mL Ferriz

sir 15 mg/5mL Ferriztablet kunyah 100 mg Maltoferinj 100 mg amp 5mL Venofer

8.2 OBAT yang MEMPENGARUHI KOAGULASI fitomenadion (vitamin tab salut 10 mg OGBK1 inj i.m. 2 mg/mL OGB

9. ANTISEPTIK dan DISINFEKTAN 9.1 ANTISEPTIK hidrogen peroksida cairan 3%povidon iodin lar 100 mg/ mL9.2 DISINFEKTAN etanol 70% cairan 70 %

10. OBAT dan BAHAN untuk GIGI dan MULUT 10.1 ANTISEPTIK dan BAHAN untuk PERAWATAN SALURAN AKAR GIGIklorheksidin lar 0,2% natrium hipoklorit cairan konsentrat 5% diencerkan10.2 ANTIFUNGI OROFARINGEALnistatin susp 100.000 UI/mL Nystatin10.3 PREPARAT LAINNYA

Anestetik lokal gigi kombinasi : inj 2 mL Pehacain injlidokain HCl 2% epinefrin 1 : 80.000

etil klorida semprot btl 100 mL Ethyl Chloridelidokain inj 2% (HCl) OGB

11. DIURETIK furosemid tab 40 mg OGB

inj i.v./i.m. 10 mg/mL Farsix injhidroklortiazid tab 25 mg OGBmanitol lar infus 20% Manitol 20%

12. HORMON, OBAT ENDOKRIN LAIN dan KONTRASEPTIK12.1 ANTIDIABETES 12.1.1 Antidiabetes, Oralglibenklamid tab 5 mg OGBmetformin tab 500mg OGB

Diabex12.1.2 Antidiabetes, Parenteralinsulin intermediate inj 100 UI/mLinsulin regular inj 100 UI/mL12.2 HORMON KELAMIN dan OBAT yang MEMPENGARUHI FERTILITAS 12.2.1 Androgen testosteron inj 250 mg/mL Sustanon 12.2.2 Estrogen estrogen terkonju gasi tab 0,625 mg Estheroetinilestradiol tab 0,05 mg

tab 0,5 mg12.2.3 Progestogenhidroksi progesteron inj 125 mg/mL

noretisteron tab 5 mg primolut n12.2.4 Kontraseptik12.2.4.1 Kontraseptik, Oralkombinasi : pil microgynonlevonorgestrel 150 mc g etinilestradiol 30 mcg12.2.4.2 Kontraseptik, Parenteral medroksi progesteron asetat inj depo 150 mg12.2.4.3 Kontraseptik, AKDR (IUD) copper T12.2.4.4 Kontraseptik, Implanlevonorgestrel implan 2 rods 75 mg (3-4

tahun)12.2.5 Lain-lain klomifen sitrat

12.3. ANTITIROIDpropiltiourasil tab 100 mg OGB12.4. KORTIKOSTEROIDdeksametason tab 0.5 mg OGB

inj 5 mg/ mL OGBhidrokortisonmetilprednisolon tab 4 mg OGB

inj 125mg / vial OGBprednison tab 5 mg OGB

13. OBAT KARDIOVASKULER13.1 ANTIANGINAdiltiazem tab 30 mg (HCl ) OGBisosorbid dinitrat tab sublingual 5 mg OGB13.2 ANTIARITMIAamiodaron tab 200 mg Tiaryt

digoksin tab 0,25 mg OGBpropranolol tab 10 mg OGB13.3 ANTIHIPERTENSIamlodipin tab 5 mg, tab 10 mg OGBdiltiazem tab 30 mg (HCl ) OGBhidroklorotiazid tab 25 mg OGBkaptopril tab 12.5 mg, tab 25mg OGBklonidin tab 0.15 mg OGBlisinopril tab 5 mg, tab 10 mg Nopertenmetildopa tab 250 mg Methyldopanifedipin tab 10 mg OGBvalsartan tab 80 mg OGB13.4 ANTIAGREGASI PLATELETasam asetilsalisilat (asetosal) tab 80 mg Aspiletklopidogrel tab 75 mg OGB13.5 TROMBOLITIK13.6 OBAT untuk GAGAL JANTUNG digoksin tab 0.25 mg OGBfurosemid tab 40 mg OGB

inj i.v./i.m. 10 mg/mL Farsixkaptopril tab 12.5mg, tab 25 mg OGB13.7 OBAT untuk SYOK KARDIOGENIK dan SEPSISdopamin inj 40mg/mL Dopaminepinefrin (adrenalin) inj iv 0.1% OGB13.8 ANTIHIPERLIPIDEMIAgemfibrozil tab 300 mg OGBsimvastatin tab 10 mg OGB

14. OBAT TOPIKAL untuk KULIT14.1 ANTIAKNEasam retinoat krim 0.02% Reviderm

krim 0.05% Vitacid

krim 0.1 % Vitacidadapalen gel 0.1% Evalennikotinamid gel Niacef14.2 ANTIBAKTERIkloramfenikol krim 2% Kalmicetinperak sulfadiazin gel 1% Burnazin14.3 ANTI FUNGIketokonazol krim 2% OGBmikonazol krim 2% OGBnistatin tab vagina 100.000 UI OGB14.4 ANTIINFLAMASI dan ANTIPRURITIKbetamethason krim 0.1 % Betasonhidrokortison krim 2.5% OGBmomethason furoat krim 0.1% Dermovelkalamin lotio Caladin14.5 ANTISKABIES dan ANTIPEDIKULOSISpermetrin krim 5% Scabimite14.6 KERATOLITIK dan KERATOPLASTIKasam salisilaturea krim 10%, krim 20% Carmed14.7 LAIN LAINbedak salisil

15. LARUTAN ELEKTROLIT, NUTRISI DAN LAIN LAIN15.1 ORALGaram oralit, kombinasi: serbuk untuk 200 mL air OGBnatrium klorida 0,52 g kalium klorida 0,30 g trinatrium sitrat dihidrat 0,58 g glukosa anhidrat 2,70 g15.2 PARENTERAL

dekstrosa larutan infus 5%, 10%glukosa lar infus 5%, 10%, 40%Larutan nutrisi, lar infuskombinasi : glukosa 5 % natrium klorida 0,225 %Larutan nutrisi, lar infuskombinasi : glukosa 10 % natrium klorida 0,225 %natrium klorida lar infus 0.9%ringer laktat lar infus15.3 LAIN LAINair untuk injeksi amp 25 mL

16. OBAT untuk MATA16.1 ANTI MIKROBAkloramfenikol tetes mata 0.5% Erlamicetin

salep mata 1%16.2 ANTIINFLAMASIkombinasi dexamethason + kloranfenikol tetes mata Erlamicetin plus16.3 MIDRIATIK16.4 MIOTIK DAN ANTI GLAUKOMA

17. OKSITOSIKmetilergometrin tab 0.125 OGB

inj 0.2 mg/ mL metherginoksitosin inj 10 UI/mL

18. PSIKOFARMAKA18.1 ANTIANSIETAS dan ANTIINSOMNIAdiazepam tab 2 mg, 5 mg Valisanbe

inj i.m. 5 mg/mL Valisanbe

19. OBAT untuk SALURAN CERNA,19.1 ANTASIDA dan ANTIULKUSAntasida, kombinasi : tab kunyahaluminium hidroksida 200 mg magnesium hidroksida 200 mgomeprazol kaps 20 mgranitidin tab 150 mg19.2 ANTIEMETIKdimenhidrinat tab 50 mg OGBdomperidon tab 10 mg, domesco

vesperumsyr 5 mg/ mL vomidon

vesperummetoklopramid tab 10 mg, voseaondansetron tab 4 mg, tab 8 mg trovensis19.3 ANTIHEMOROID Antihemoroid, kombinasi: suppositoria OGBbismut subgalat 150 mg heksaklorofen 2,5 mg lidokain 10 mg seng oksida 120 mg sup ad 2 g 19.4 ANTISPASMODIKhiosin butilbromid tab 10 mg, buscopan

inj gitaskombinasi hiosin butilbromid + parasetamol tab gitas plus19.5 OBAT untuk DIARE atapulgit tab new diatabGaram oralit, kombinasi: sebuk untuk 200 mL air OGB

natrium klorida 0,52 g kalium klorida 0,30 g trinatrium sitrat dihidrat 0,58 g glukosa anhidrat 2,70 gZinc tab dispersible 20mg zn diar19.6 KATARTIK bisakodil sup 5 mg Dulcolac

sup 10 mg Dulcolactab 5mg Dulcolac

laktulosa sir 3,335 g/5 mL LaxtulacLacadilac

20. OBAT untuk SALURAN NAPAS 20.1 ANTIASMAaminofilin tab 200 mg OGB

inj 24 mg/mL OGBdeksametason tab 0,5 mg Grathason

inj i.v. 5 mg/mL OGBepinefrin (adrenalin) inj 0,1 % salbutamol tab 2 mg OGB

tab 4 mg OGBlar respirator untuk ventolinnebulizer 2,5 mg/2,5 mL NaCl syr 1 mg/5 mL salbuvent

20.2 ANTITUSIFdextromethorfan tab OGBkodein tab 10mg20.3 EKSPEKTORANglyseril guaiakolat tab OGB

21. OBAT yang MEMPENGARUHI SISTEM IMUN 21.1 SERUM dan IMUNOGLOBULIN human tetanus imunoglobulin inj i.m. 250 UI serum anti bisa ular inj i.m./i.v. serum antitetanus (A.T.S) inj i.m. 1500 UI21.2 VAKSINvaksin BCG inj i.k.vaksin campak inj s.k.vaksin jerap difteri tetanus (DT) inj i.m. vaksin jerap tetanus inj i.m.vaksin kombinasi DPT -hepatitis B inj i.m.vaksin polio inj i.m

22. OBAT untuk TELINGA, HIDUNG dan TENGGOROKANhidrogen peroksida lar3%karbogliserin tts telinga 10% lidokain

23. VITAMIN dan MINERAL asam askorbat (vitamin C) tab 50 mgkalsium laktat (kalk) tab 500 mgpiridoksin (vitamin B6) tab 10 mgtiamin (vitamin B1 tab 50 mgvitamin B kompleks tab

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