Download - DOE 2012 Draft (Autosaved)
DAFTAR OBAT ESENSIAL TAHUN 2012
No KELAS NAMA GENERIK NAMA DAGANG
Kelas THERAPI BENTUK SEDIAAN
Therapi KEKUATAN SEDIAAN
1 OBAT SUSUNAN
SYARAF
1,1 ANALGETIK,
ANTIPIRETIK, ANTI
INFLAMASI NON
STEROID, ANTI PIRAI
1.1.1 ANALGETIK - ANTIPIRETIK 1. Asam Asetil Salisilat tab 80 mg, 100 mg Trombo Aspilet, Ascardia,Aptor
2. Asam Mefenamat Kap 250 mg, 500 mg Ponstad,Mefinal
3. Metampiron 250 mg, Aminofenazon 50 mg, Xylocain 15 mg inj Xylomidon
4. Metampiron 500mg, vitamin, chlordiazepoxide tab Neuralgad
5. Metampiron Inj,tab Antalgin,Novalgin
6. Parasetamol tab 500mg, sirup 125 mg/5 ml, drop,supp, Parasetamol Inj Parasetamol tab , anal supp , Sanmol
Parasetamol infus 1 gr drip 20 menit
7. Tramadol kapsul 50 mg, supp 100 mg, inj 50 mg/ml Trunal, Tramal*, Orasic
Ultracet
1.1.2 ANTI-INFLAMASI 1. Allopurinol tab 100mg,300mg Allopurinol,Uricemia
2. Ibuprofen tab 400mg, Sirup 200 mg/5 ml Ibuprofen,Proris,Bufect
3. Ketoprofen supp,tab,inj Profenid, Urogesix,Pronalges
4. Natrium Diklofenak tab 25 mg, 50 mg, gel 1% Clofenad,Voltaren,Voltadex,Voltaren emulgel 50 gram
Dolofenac 50 mg
5. Kalium Diklofenak tab Cataflam tab,Kalium Diklofenak OGB
6 Piroxicam tab 10mg,20mg Piroxicam,Pirotel,Feldene
7. Indomethasin Supp, Kap 100mg Indomethasin
8.Tinoridina Kap 50 mg Nonflamin
9. Ketorolac Inj 30 mg Remopain,Ketesse Inj
10. Meloxicam tab 7,5mg, 15 mg , supp 15 mg Mecox,Movicox supp
11. Etoricoxib 120 mg,90 mg Arcoxia 120 mg*,90 mg,Etoricoxib
8. Paracetamol + Tramadol
No KELAS NAMA GENERIK NAMA OBAT
Kelas THERAPI BENTUK SEDIAAN
Therapi KEKUATAN SEDIAAN
1,2 ANALGETIK 1. Fentanyl Inj 0,5 mg/ml Fentanil
NARKOTIKA 2. Morphin Hidroklorida tablet, injeksi 10 mg/ml MST tablet,Morphin HCl inj
3. Pethidin Hidroklorida inj 50 mg/ml Pethidin
4. Kodein tablet 10 mg,20 mg Kodein
6. Codein 30 + Paracet 500 Coditam
7. Kodein 30 mg, phenyltoloxamine 10 mg tab/syr Codipront
ANTI MUSKARIMIC 1. Tolterodin Detrusitol*
2. Solifenacin Succinate Vesicare
3. Flavoksat hidroklorida 200 mg Urispas
INHIBITOR RESORBSI TULANG 1. Allendronatex Osteofar alovell*x
2. Calcitriol Kalkatriol
1,3 ANESTESIK
1.3.1 ANESTETIK LOKAL 1. Bupivakain HCL Inj 0,25%, 0,50% 20 cc Marcain epidural , Decain Spinal, Bucain spinal
2. Etil Klorida/Kloreton semprot 100 ml/bt Chloraethyl
3. Lidocain Inj 20mg, Adrenalin 0,0125 mg Pehacain
4. Lignocaine HCl inj 2% Xylocaine 2%
5. Lidokain HCL Xylocaine 2% Jelly , Cathejel
6. Lidocaine 2,5% ,Prilocaine 2,5% Topsy cream*, Emla cream
1.3.2 ANESTETIK UMUM 1. Dinitrogen Oxide N2O gas
2. Isoflurane Sol 100ml Forane,Terrel,Aerane
3. Ketamin HCL Inj 100mg/ml vial 10 ml Ketalar Hameln, Penthotal
5. Propofol 10mg/ml Inj Savol,Fresofol
7. Sevoflurane Sojourn,Sevoflurane Baxter,Sevorane
8. Desflurane Supane
9. Deksmedetomidin HCl Precedex
No KELAS NAMA GENERIK NAMA OBAT
Kelas THERAPI BENTUK SEDIAAN
Therapi KEKUATAN SEDIAAN
1,4 ANTIEPILEPSI 1. Karbamazepina Tab 200mg Karbamazepin
2. MgSO4 40% inj MgSO4 inj
3. Natrium Fenitoina kap 100 mg, inj 50 mg/ml Phenytoin ,Dilantin
4. Diazepam , 2 mg ,5mg tab & 10 mg rektal Stesolid
5. Asam Valproat Sirup 250 mg/5 ml, tab 250 mg Depakene*
6. Gabapentin kap 300 mg Nepatic/Neurontin*
1,5 ANTIPARKINSON 1. Bromocriptine tablet 2,5 mg Parlodel*
2. Atropini Sulfas Inj 0,25 mg/ml, 0,50 mg/ml Atropin Sulfas
3. Trihexipenidil tab 2 mg Artane
4. L-Dopa 100mg, Benzerazida 25 mg tab Madopar
5. Selegilin HCL tab 5 mg Jumex*,Levazide*
1,6 ANTIKONVULSI 1. Phenobarbital tab 30 dan 100 mg, injeksi 100 mg Fenobarbital , Sibital IV
1,7 PSIKOFARMAKA
1.6.1 ANTIANSIETAS 1. Chlodiazepoksida tab 5 mg Cetabrium
2. Diazepam Tab 2mg, 5mg, inj 5 mg/ml, 10 mg/ml, rectal tube 5 mg dan 10 mg Stesolid,Valisanbe,Valium
3. Clobazam tab 10 mg Frisium, Asabium,Merlopam
4. Lorazepam tab 1 mg Ativan,Renaquil*
5. Bromazepam tab 3 mg Lexotan
6. Hydroyzine Dihidro Dichlorida tab 25 mg Iterax*
7. Alprazolam Tab 0,25 mg, 0,50mg,1mg Zolastin , Zypraz*,Atarax,Apazol
No KELAS NAMA GENERIK NAMA OBAT
Kelas THERAPI BENTUK SEDIAAN
Therapi KEKUATAN SEDIAAN
1.6.2 ANTI DEPRESI 1. Amitriptyline HCL tab 10 mg, 25 mg Laroxyl
2. Imipramine Tab 25mg Tofranil
3. Maprotilina tab 25 mg Tilsan, Sandepril*, Ludiomil
4. Fluoxetin tab 10mg, 20mg Kalxetin, Andep,Antiprestin
5. Sertralina Tab 10 mg Fridep*
6. Fluvoxsamin maleat tab 50 mg Luvox*
7. Citalopram tab 20 mg Cipram*
8. Duloxetine Caps30mg Cymbalta*
9. Venflaxine Caps 75mg, 150mg Efexor XR*
1.6.3 ATIMANIA 1. Lithium Carbonate Frimania
1.6.4 ANTIPSIKOTIK 1. Haloperidol Decanoate inj 50 mg/ml Sixonoat
2. Haloperidol Tab 1,5 mg, 5mg, inj 5mg/ml, drop 2mg/ml Serenace ,Haldol,Lodomer
3. Chlorpromazine tab 100mg, inj 25 mg/ml Cepezet, CPZ
4. Trifluoperazine tab 1 mg,5 mg Stelazine
5. Risperidon tab 1,2,3,mg, Oral sol 1 mg/ml Rispiridone OGB,Persidal,Neripros
6. Olanzapine Inj 10mg tab 5 mg,10 mg Zyprexa*
7. Quetiapine 25 mg, 100mg, 200 mg, 300 mg Seroquel*
8. Aripiprazole tab 10 mg,15 mg Abilify*
9. Clozapin tab 25, 100mg Clozaril*
10. Sulpirite Caps 50 mg,tab forte 200mg,inj 100mg/2ml Dogmatil *
1.6.5 ANTIPARKINSON 1. Bromocriptine tab 2,5 mg Parlodel*
2. Atropini Sulfas Inj 0,25 mg/ml ; 0,50 mg/ml Atropin Sulfas
3. Trihexipenidil tab 2 mg Artanex, Hexymer
4. L-Dopa 100 mg , Benzerazida 25 mg tab Madopar
1.6.6 HIPNOTIK -SEDATIF 1. Midazolam Inj 15mg/3ml, 5mg/5ml Fortanest,Miloz
2. Estazolan Tab 1mg, 2mg Esilgan
1.6.7 ANTAGONIS OPIAT 1. Naloxon Inj o,4 mg/ml Narcan*
2. Naltrexone tab 50 mg Phaltrexia*
No KELAS NAMA GENERIK NAMA OBAT
Kelas THERAPI BENTUK SEDIAAN
Therapi KEKUATAN SEDIAAN
1,7 ANTIVERTIGO 1. Betahistine Mesylate tab 6 mg,8 mg,.24 mg Merislon,Mertigo,Betaserc
2. Cinnarizine 25 mg tab Stugeron
3. Flunarizine tab 5 mg, 10 mg Sibelium,Frego,Dizilium
1,8 ANTIMIGRAIN 1. Alk Belladona 0,1 mg, ergometamine tartrat 0,3 mg,luminal 20 mg tab Bellaphen
2. Ergotamin Tartrat 1 mg, coffein 100 mg tab Cafergot
3. Sumatriptan 100 mg Tritagic*,Cetatrex,Imitrex
4. Co dergokline mesilat tab 1 mg, 4,5 mg Ergotika
1,9 OBAT TONUS
OTOT RANGKA
1.9.1 PENGHAMBAT 1. Pancuronium Bromida Inj 2mg/ml Pavulon
NEUROMUSKULAR 2. Vecuronium Bromida Inj 4 mg/ml Ecron,Norcuron
3. Atrakurium Besilat 25 mg/ml Atracurium Hameln,Notrixum
4. Rocurium Bromide 10 mg/ml Esmeron,Roculax
5. Esprison Tab 50 mg Myonal,Forres
1.9.2 OBAT 1. Pyridostigmine Br tab 60mg Mestinon
MIASTENIAGRAVIS 2. Neostigmin tab 15 mg,inj 0,5 mg/ml Prostigmin,Neostigmin
1.1 STIMULAN SSP 1. Citicholin tab 500mg, inj Takelin,Brainact,Bralin
NEUROTONIK 2. Piracetam Kap 400mg, 1,2gr, inj 3 gr/5 ml Encebion,Nootropil,Neurotam
3. Pyritinol HCL Tab 100mg, Encephabol,
Syrup 100mg/ml Encepan
4. Mecobalamine Kap250mcg,500mcg Methycobal,Lapibal,Metifer
5. Nimodipin Inj 10mg/50ml Nimotop
6. Sulbutiamine tab 200mg Arcalion
No KELAS NAMA GENERIK NAMA OBAT
Kelas THERAPI BENTUK SEDIAAN
Therapi KEKUATAN SEDIAAN
2 OBAT
KARDIOVASCULER
2,1 ANTIANGINA
2.1.1 1. Beta Bloker 1.Propranolol Hidroklorid 10 mg,40 mg Inderal
2. Atenolol 50 mg Aenolol, Hiblok, Farnormin, Tenblok
3. Bisoprolol Bisoprolol 5 mg , Maintate 5 mg
2. Nitrat 1. Isosorbidinitrat ( oral 5, 10 mg), (IV) ISDN, Cedocard,Isorbid,Cedocard Inj,
Isoket Inj
2. Isosorbidmononitrat Cardismo 20 mg
3. Glyceriltrinitrat 2,5 ; 5 Nitrokaf R/RF
3. Calcium Antagonis 1. Diltiazem Dilmen,Diltiazem
2. Nifedipine Nifedipine,Farmalat
3. Amlodipin Amlodipin 5,10 mg; Tensivask 5 mg;
Amdixal 5 mg
4. Lain 1.Trimetazidin diHCl 35 mg Trizedon MR*
2,2 OBAT GAGAL JANTUNG
1. Diuretik 1. Furosemide Furosemide 40 mg oral; Furosemide Inj
20 mg; Lasix inj* ; Farsik inj,
2. HCT HCT 25 mg
3. Amiloride + HCT Lorinid Mite*
4. Spironolactone Spirolakton 25,100 mg ; Letonal 25,100mg
5. Indapamide Natrilix SR*
2. ACE Inhibitor 1. Captopril Captopril 12.5, 25 mg ; Dexacap 12.5, 100mg
2. Lisinopril Noperten 5,10 m; Nopril 5,10 mg
3. AR Bloker 1. Valsartan Valsartan 80,160 mg
2. Candesartan Blopres/Blopresplus 8 mg*
3. Ibesartan Aprovel/Aprovelplus 150 mg*
4. Beta blocker 1. Carvedilol V bloc 6.25 ; Carboxal 6.25
2. Bisoprolol Bisoprolol 2,5 mg ; Maintate 2,5 mg
No KELAS NAMA GENERIK NAMA OBAT
Kelas THERAPI BENTUK SEDIAAN
Therapi KEKUATAN SEDIAAN
5. Digitalis 1. Digoxin Digoxin 0,25 mg oral/inj ; Lanoxin 0,25 mg/inj
6. Inotropik 1. Dopamin Inj Dopamin,Indop
2. Dobutamin inj Dominic,Inotrop,Dobutrex
2,3 ANTIHIPERTENSI
1. Diuretik 1. Furosemide Furosemide 40 mg oral; Furosemide Inj
20 mg; Kasix inj* ; Farsik inj
2. HCT HCT 25 mg
3. Amiloride + HCT Lorinid Mite*
4. Spironolactone Spirolakton 25,100 mg ; Letonal 25,100mg
5. Indapamide Natrilix SR*
2. ACE Inhibitor 1. Captopril Captopril 12.5, 25 mg ; Dexacap 12.5, 100mg
2. Lisinopril Noperten 5,10 m; Nopril 5,10 mg
3. Ramipril Triatec/Cardave 2.5,5,10 mg
3. Calcium Antagonis 1. Diltiazem Diltiazem 30 mg oral, Dilmen 60 mg,Diltiazem Inj 50 mg
Herbesser CD 100
2. Nifedipine Nifedipine 5, 10 mg ; Adalat Oros 30*;
4. Nicardipine HCL Perdipine Inj 2.5,5,10 mg,Nicardipin inj 10 mg
4. AR Bloker 1. Valsartan Valsartan 80,160 mg
Diovan 80,160 mg
2. Candesartan Blopres/Blopresplus 8 mg*
3. Ibesartan Aprovel/Aprovelplus 150 mg*
5. Alfa Bloker Terazosin Hytrin 1,2 mg*
6. Beta Bloker Metoprolol Seloken 50 g*
7. HT Pulmonal Sildenafil Viagra 10mg*
Beraprost Na Dorner*
No KELAS NAMA GENERIK NAMA OBAT
Kelas THERAPI BENTUK SEDIAAN
Therapi KEKUATAN SEDIAAN
8. Lain Nitroglycerin Nitrocine Inj*
Methyl Dopa Dopamet 250 mg
Clonidine Catapres Inj 1 ml*
2,4 ANTIARITMIA 1. Amiodarone tab 200mg, inj 150 mg Cordarone,Tiaryt
2. Disopyramide Phosphat Kapsul 100 mg Norpace,Rytmilen
3. Adenosin Adenosin Inj (ATP)
2,5 ANTI TROMBOTIK
1. Platelet Inhibitor 1. ASA Aspilet 80,100 mg,Ascardia 80,100 mg,Aptor,Farmasalx
2. Cilostazol Pletaal 100 mg*
3. Ticlopiddine Ticlopidine; Ticlid;Ticuring
4. Clopidogrel 75 mg Clopidogrel ; CPG
5. GPIIb IIIa Integilin Inj*
2. Antikoagulan 1. Walfarin Na Simarc 1,2 mg*
2. Heparin Heparin 2500 IU Inj
3. Enoxaparin Lovenox 0.4, 0.6 Inj
3. Fibrinolitik 1. Streptokinase Streptase 1500 U Inj *
2. Fundaparinuks Na 2,5 mg Arixtra*
2,6 ANTIATEROSKLEROTIK 1. Simvastatin Simvastatin 20 mg, Cholestat 20 mg
2. Pravastatin Cholespar 20 mg
2,7 OBAT PADA SYOK KARDIOGENIK/SEPTIK 1. Dobutamin
2.8 ANTIHIPERLIPIDEMIA 1. Fenobrate tab 300 mg, 160 mg Zumafib*, Lipanthyl SR
2. Gemfibrozil kap 300 mg Lowlip
3. Niacin tab 375 Niaspan*
4. Atorvastatin Ca tab 10 mg, 20 mg Lipitor *
5. Simvastatin tab 10 mg Simvastatin,Simcor, Valemia
Colespar
No KELAS NAMA GENERIK NAMA OBAT
Kelas THERAPI BENTUK SEDIAAN
Therapi KEKUATAN SEDIAAN
3 OBAT SALURAN
OBAT SALURAN PERNAFASAN
3,1 ANTITUSIF/ EKSPEKTORAN 1. Dextrometorpan HBr Tab 15 mg, sirop 10 mg/5 ml Dextrometorpan HBr
2. Kodein tab 10 mg, 20 mg Kodein
3. Bromheksin HCL tab 8 mg, sirup4 mg/5ml, inj 2 mg/ml, drop sol 2 mg/ml Solvonad,Bisolvon
4. Difenhidramin HCL 5 mg, Dekstro. HBr 7,5 mg,Fenilefrina HCl 5mg sirup Lafidril-DMP
5. Obat Batuk Hitam OBH
6. Glyceril Guayacolas tab Glyceril Guayacolas
7. N Acetyl Cytein 200mg Sachet Fluimucil ,Siran Efferfecent
8. Erdosteine sirup Vectrine sirup
9. Ambroxol Sirup,tablet,Drop Epexol,Mucopect
10. Kodein 30 mg , phenyltoloxamine 10 mg tablet/syr Codipront
3,2 OBAT FLU 1. Parasetamol,Phenylpropanolamine,CTM Stopfluad, Neo Stopflu
2. Phenylpropanolamine, CTM Nalgestan
3. Pseudoephedrin 120 mg, 60 mg
3,3 ANTI ASMA 1. Salbutamol MgSO4 tab 2 mg Ventolin
2. Theophyllin tab, inj Theophyllin
3. Aminoffilin tab 200mg. 300mg, inj 24 mg Aminophylin , Quibron T-SR
4. Ipratropium Br 21 mcg, Salbutamol SO4 120 ug Combivent MDI
Dobutamin inj
6. Rosuvastatin Crestor
7. Pravastatin
Rhinos SR(120 mg ), Trifed ( 60 mg)
5. Salbutamol Nebuliser 2,5mg/2,5 ml, Ventolin Neb
6. Terbutalin Inj 0,5mg/ml Terasma,Bricasma
7. Fenoterol HBr Sol 0,1% Berotec
8. Ipratropium Br Sol 0,1% Atrovent Sol
9. Ephedrin HCL tab 25 mg Inj Ephedrin HCL
10. Fluticasone Propionat 0,5 mg/2ml Flixotide Seretide inhaler
11. Fluticasone Propionat 0,5 mg/2ml, salmeterol 25 mcg Seretide
12. Budesonide 100mcg, 200 mcg Turbuhaler, Respules 0,25 mg, 0, 5 mg Inflamide,Pulmicort*
13. Procaterol Meptin Sol
No KELAS NAMA GENERIK NAMA OBAT
Kelas THERAPI BENTUK SEDIAAN
Therapi KEKUATAN SEDIAAN
4 OBAT SALURAN
CERNA
4,1 ANTASIDA 1. Al Hidroksida 200 mg, Mg Hidroksida 200 mg,Simeticon 20 mg tab, liq Dexanta,Antacida DOEN, Lafimag
2. Polymigel 244mg, Axethazaine 5 mg tab Strocain
4,2 Probiotik 1. Laktobasilus rhamnosus , laktobasilus Acidopilus Lacidofil, Probi ( sachet )
2. Laktobasilus Sporogenes Lacbon Sankyo
3. Laktobasilus Bulgaricus Rillus
4,3 ANTI DIARE 1. Karbo Adsorben tab Norit
2. Loperamide tab 2 mg Imodiad
3. Serbuk Kombinasi Oralit I
Untuk 1000ml air :
Natrium Klorida 3,5 mg
Kalium Klorida 1,5 mg
Natrium Bicarbonat 2,5 mg
Glukosa 20 g
4. Serbuk Kombinasi untuk 200ml Oralit II
air :
Natrium Klorida 0,7 mg
Kalium Klorida 0,3 mg
Natrium Bicarbonat 0,5 mg
Glukosa 4 g
5. Tiap 1ltr cairan : Na 45mEq,K20 mEq,dektrosa 25 gr sitrat 30 mEq,Klorida 35mEq Pedialyte,Renalyte
6. Attapulgit Aktif Tab 600mg New Diatab , Neo diare
7. Diotahedrol Smektil 3 gr, Glukosa Monohidrat 0,74 gr,Sakarin Na 0,007, Vanili 0,004 Smecta
8. Kaolin 5,92 g, pektin 132 mg Kaopectate
No KELAS NAMA GENERIK NAMA OBAT
Kelas THERAPI BENTUK SEDIAAN
Therapi KEKUATAN SEDIAAN
4,4 KATARTIK / LAKSAN 1. Bisakodil tab 5 mg, Supp5 mg, 10 mg Dulcolax, Microlax supp
2. Gliseril Cairan Gliseril
3. Lactulose sirup3,35 mg/ml Duphalac
4. MgSO4 tab, pulv Garam Inggris
5. Phenolftalein 56 mg,Mineral oil 1200 mg, agar-agar 7,4 mg Laxadine
6. Na-Lauryl Sulfoacetate 45 mg, Na-citrate 450 mg,Sorbic-Acid 5 mg, PEG 400 625 Microlax
mg, Sorbitol 4465 mg
4,5 OBAT TUKAKPEPTIK 1. Ranitidine tab 150mg, 300 mg, injeksi 40 mg/ml Ranitidine,Rantin,Radin
2. Sucralfate tab 500 mg, susp 500 mg/ml Ulcumag, Inpepsa sirup,Ulsafate
3. Sod Rabeprazole tab 10 mg Pariet*
4. Teprenone kap 50mg Purubex*
5. Lansoprazol 30 mg LAZ
6. Cimetidine tab 200mg, inj 200 mg/2ml Cimetidine,Ulsikur,Ulcumet
7. Omeprazole 20 mg kaps, inj 40 mg Omeprazole,Losec*,Pantozol,pranza
8. Cisapride Kap 5mg, 10 mg Prepulsid,Acpulsif
9. Pantoprazol Socid Panso
4,6 ANTI EMETIK 1. Dimenhidrinat tab 50 mg Dramamin
2. Metoklopramid HCL Tab 5mg,10 mg, inj 5mg/ml Primperan,Raclonid
3. Domperidon sirup,drop Vometa drop,sirup
9. Zn Zinkid tab 20 mg
4. Ondansetron HCL Tab 4mg, inj 2mg/ml Vomceran*,Cendatron
5. Ramosetron tab 0,1 ml, inj 0,3 ml Nasea Inj*, Nasea Tab
4,6 OBAT STERILISASI USUS 1. Kanamisina Sulfat Serbuk inj 1 mg/ml Kanamycin
2. Colistin 1,5 juta IU tab Colistin
4,7 ANTISPASMODIK 1. Otilium Bromide 40 mgh Spasmomen*
2. Parasetamol 500mg, Hiosina N-Butil Bromida 10mg tab Buscopan plus
3. Hycoine Butil Bromida tab 10 mg, inj 20 mg/ml Buscofiad, Buscopan
4. Chlordiazepoxide 5 mg, clidinium 2,5 mg tab Klidibrax,Braxidin
5. Ekstrak Belladona tab 10 mg Ektrak Belladona
6. Papaverine HCL tab 40mg , inj 40 mg/ml Papaverin
No KELAS NAMA GENERIK NAMA OBAT
Kelas THERAPI BENTUK SEDIAAN
Therapi KEKUATAN SEDIAAN
4,8 LAIN-LAIN 1. Policresulen 50mg,cinchocaine HCl 10 mg Faktu Salep
2. Graptophyllum pictum extr 200 mg, troxerutin extr 200 mg,papain 100 mg Papaven Kapsul
3. Lithospermi radix extr, benzocaine,dibucaine HCl,diphenhydramine HCl Boraginol-N-Supp
4. Heparin 20.000 IU ointment/gel Thrombophob, Antithrom
4,9 OBAT ANTI VIRUS 1. Lamivudin 3TC-HBV
2. Adefovir Hepsera
3. Entecavir Baraclude
4. Telbivudine Sebivo
5. IFN Pegintron
6. Ribavirin Rebettol
5 OBAT GINJAL DAN 1. Strobilanthes crispus extr 0,3 gr , sonchus arvensis extr 3 gr Batugin*
SALURAN KEMIH 2. Ol. Juneferi, ol terebintine,ol menthae,sulfur, as. Lemak esensial Enatin*
PELURUH BATU
5,1 DIURETIK 1. Furosemida tab 40 mg, Inj 10 mg/ml Furosemide,Impugan
2. Hidroklortiasida tab 25mg HCT
3. Manitol Infus 20 % Manitol
4. Spironolactone tab 25 mg, 100 mg Spironolactone, Aldactone
5. Kombinasi asam amino esensial tab 600 mg Ketosteril,Tonar
6. Acetazolamide Diamox
7. KCl KSR
No KELAS NAMA GENERIK NAMA OBAT
Kelas THERAPI BENTUK SEDIAAN
Therapi KEKUATAN SEDIAAN
5.2 ANTI SEPTIK 1. Asam Pipemidic kap 400mg Impresial,Urotractin*
2. Phenazopyridine HCL tab 100mg Pyridium, Urogetik
3. Sulfametoksasole 400mg,Trimetopirin 80 mg Bactrimad,Bactrim Forte
4. Heksamin 125 mg, natrium salisilat 100 mg, asam benzoat 25 mg, strobi- Nephrolit
lanthus crispus 25 mg, sonchus arvensis 100 mg, orthosiphon stam 75 mg
5. Pyrimetamin tab Primet
6 ANTIALERGI 1. Betametason 0,25mg , Dexchlorpheniramine maleat 2 mg tab Celestamin,Polacel
2. Cetirizine HCl 10 mg tab, sirop,drop Cetrixal,Risina,Tiriz
3. Chlorpheniramin Maleat 4 mg tab CTM
4. Dipenhidramin Hidroklorida inj 10 mg/ml Deladryl
5. Loratadine tab 10 mg Lesidas*, Anlos*,Safetin*
6. Mebhydrolin Napadisylat 50 mg kap Lafihistin
7. Promethazine HCL tab 25 mg Phenergan
7 LARUTAN UNTUK
KESEIMBANGAN
ELEKTROLIT,DIALISA
& NUTRISI
7,1 LARUTAN DIALISA 1. Cairan Hemodialisa Neprosol , Renalin, Perasidin
2. Dialisa Peritonial Dianeal 1,5% dan 2,5%
7,2 LARUTAN NUTRISI
1. Amino acid 50 gr, sorbitol 100 gr, elektrolit , vit Aminovel 600
2. Amino Acid 5 % Aminosteril
3. Amino Acids, glucose,electrolytes,Ca Combiflex Peri,Combiflex Plus
4. Glyserol 10% dalam glukosa Glyserol
5. Protein,karbohydrate,fat,vit ( Imune Formula ) Neomene Inj*,Neo-mune*
6. Komb. Amino Acid ,karbohydrat, electrolit Intrafusin 3,5 %
7. L Esensial Amino Acid, Histidine EAS
8. Amino Acid, glucose,electrolytes Clinimix*, Kabiven,Aminofluid
No KELAS NAMA GENERIK NAMA OBAT
Kelas THERAPI BENTUK SEDIAAN
Therapi KEKUATAN SEDIAAN
9. Amino acid 100 gr,nitrogen 15,7 gr, natrium 2meg,acetate 120 meg Amiparen Inj*
10. Soybean oil 200gr, egg phosphatides 12 gr, glycerol 25 gr,na oleate 0,3 gr Ivelip *, Intralipid
energy 2000 kCal
11. Amino acid 50 gr, vit, electrolyte Aminofusin Paed
12. Fruktosa 120 gr, glucosa 66 gr, xylitol 60 gr, electrolytes, vit Triofusin E 1000
13. N(2)-L-glutamine 20 g (8.20 g L-alanine, 13,46 g L-glutamine) Dipeptiven
14. Glukosa dan elektrolit Tutofusin OPS
7.3 NUTRISI RUMATAN dan ELEKTROLIT 1. CaCl2 0,2gr, HCi03 3gr, Asering
ASAM AMINO GLUKOSA 2. Ca Carbonate Kapsul 500mg Ca Co3
3. Darrow Glukosa Infus DG
4. Glukosa5%, 10%, Amp40% Glucose
5. Glokosa 2,5% + NaCL 0,45% Lar 2 A
6. Gelatin Gelofusine*
7. HES steril 6% Voluven, Tetraspan,Haes Steril
8. Kombinasi Glukosa5%, NaCl 0,225% infus NaCl 1/4 S
9. Kalium Klorida Injeksi KCI
10. Maltose5%, 10% dalam 500ml Martos10, Protacol
11. Natrium bicarbonat Sodium bicarbonat,Meylon
13. Natrium klorida Infus 0,9% 25, 3% NaCl
14. Per L Na 50 meq,K 20 Meq,Cl 50 Meq,Lactate 20 Meq,Glucose 27 gr KA-EN 3B*
15. Per L Na 50 meq,K 20 Meq,Cl 50 Meq,Lactate 20 Meq,Glucose 100 mg KA-EN Mg3*
16. Per 1 L amino acids 29,2 g, essential amino acids 21,8 gr, non essensial amino Pan Amin G*, Totilac, Tutopusin OPS
acid 7,4 gr, sorbitol 50 gr
17. Ringer Dextrose RD Ecosol-RL
18. Ringer Laktat Infus RL
19. Mannitol infus Manitol
22. Oralit (200) --> Osmolaritas rendah Pharolit - 200
23. Natrium Lactate 250 cc Totilac
24. Larutan elektrolit seimbang Ringer fundin
No KELAS NAMA GENERIK NAMA OBAT
Kelas THERAPI BENTUK SEDIAAN
Therapi KEKUATAN SEDIAAN
7,4 OBAT GANGGUAN 1. Komb Amino Acid, elektrolit, vitamin, sorbitol infus Tutofusin LC
HEPAPROTEKTOR 2. Komb Methionin 100mg,cholin tartrat 100 mg,Vit B komp,Vit E tab Methicol,Methioson, Vionin
3. Pulverised Curcuma Roots tab 200 mg Curcuma
4. Komb Asam Amino, NaCl Inf Aminoleban
5. Alkaloid Schizandrae HP Pro*
6. Phytocur 10 mg, ol xanthorizhae 20 mg, silymarin 35 mg Cursil*,Ziofar*
7. Glycyrrhizine, glycine,L-Cysteine Hcl 40 mg inj Stronger Neo Minophagen C SST*
(SNMC SST)
Urdafalk,Urdahex
7,5 ENZYM PENCERNAAN 1. Pancreatin 170 mg, dimetilpolysiloxan 80 mg tab Trypanzim,Vytazim, Elzazym sachet
dimetilpolisiloksan 80 mg
8 HORMON
8,1 ANDROGEN
ANABOLIK 1. Bromocriptin Mesylate tab 2,5 mg Parlodel ,Cropsa,Elkrip
2. Danazol Azol*,Danocrine*
3. Mestrelone tab 25 mg Proviron,Infelon
8. Asam ursodioksifolat
2. Pankreatin 170 mg setara amilase 5500 FIP,Lipase 6500 FIP,proktase 400 FIP Pankreoflat
4. Testosterone undecanoate tab 40 mg, inj 1000 mg/4ml, inj 250 mg Andriol*,Nebido*,Sustanon*
8,2 ESTROGEN Livial
2. Etinil Estradiol tab 0,05 mg Lynoral
3. Human Chlorionic, Gonadotropin 5000/10000 Profasi*
4. Natural Conyugated, estrogen tab 625 mcg Premarine
5. Estrogen 0,2 mg, 0,625 mg Esthero
6. Estradiol valerat
8,4 1. Medroxyprogesteron Asetate tab 100 mg Provera,Depo ProveraProgestin
2. Norethisterone tab 5 mg Primolut N,Norelut
3. Progesterone tab 200 mg Cygest*
8,5 ORAL 1. Cyproterone Acetate 2mg, ethynil estradiol 0,0035 mg Diane 35*
2. Levonogestrol Microgynon
No KELAS NAMA GENERIK NAMA OBAT
Kelas THERAPI BENTUK SEDIAAN
Therapi KEKUATAN SEDIAAN
8,6 Tropic Hormon 1. Clomiphene citrate Clomyfil*,Clomifene*
2. Desogestrel Cerazette*,Mestralin,Fertin*
3. Recombinan HCG Ovidrel*,Provula*
8,7 TIROID DAN 1. Karbimazole tab 5 mg Neo-Mercazole
ANTAGONIS 2. L Thyroxine Natrium tab 0,1 mg Thyrax,Euthyrax
3. Propylthio Uracyl tab 50 mg, 100 mg PTU,Fertin
4. Solutio Lugoli Lugoli Sol
8,8 KORTIKOSTEROID Flamicort inj, Kentrisin tab1.Triamcinolone acetonide Inj 10, 40 mg IA,ID,tab
2. Cortison Asetat Inj 25 mg/ml Cortison Asetat
3. Deksametason tab 0,5 mg, inj 5 mg/ml Dexametason, Fortecortin
4. Hydrocortison Na Succ100, inj 50 mg/ml Solucortel*
5. Metil Prednisolon tab 4 mg, 8 mg, 16 mg, Inj 125 mg Mexilonx,Intidrolx,Metidrolx, Depo medrol inj, Medixon
6. Prednison tab 5 mg Prednison
1. Tibolon
Progynova
5. Tiamazol 10 mg Thyrosol
1. Mycophenolate Mofetil ( MMF ) Cellcept 500 mg
8.3.1 Kortikosteroid Topikal 1. Triamcinolone acetonide Kenalog in orabase*
9 METABOLISME
9,1 ANTIDIABETIK
9.1.1 ANTIDIABETIK ORAL 1. Glibenclamide tab 5 mg Glibenclamide,Daonil
2. Gliquidone tab 30 mg Glurenorm*
3. Gliclacide tab 80 mg Glucodex,Zumadiac
4. Glimepiride 2 mg Amaryl*,Gluvas*, Amadiab*
5. Metformin HCL tab 500 mg,850 mg Metformin,Zumamet, Glucotika
6. Pioglitazone Actos*,Forbate*,Gludefatic*
7. Acarbose Glukobay 50 dan 100 mg
8. Metformin + Glibenclamide 250/1,25;500/2,5;500/5 Glukovan 500
9. Vildagliptin 50 mg
No KELAS NAMA GENERIK NAMA OBAT
Kelas THERAPI BENTUK SEDIAAN
Therapi KEKUATAN SEDIAAN
9.1.2 ANTIDIABETIK 1. A netral Isophane susp of HM insulin 40 IU/ml,100 IU/ml Insulatard Novolet,Humulin N
PARENTERAL 2. Insulin Glargine Lantus*
3. Netral Soln of Human Mono componen insulin 40 IU/ml, 100 IU/ml Actrapid HM
4. Human monocomponent insulin, susp 30% amorphous 70%,crystaline inj 40&100 IU/ml Monotard HM*
Long Acting Levemir
Lantus
Short Acting Humalog
Novorapid
Apidra
Intermediate Acting Humalogmix
Novomix
IMUNOSUPRESIF
Galvus
10 VITAMIN DAN
MINERAL
1. B1 100mg, B2 100mg, B12 5000 mg inj Neurobion 5000
2. Vit B1 100mg, B6 200mg,B12 200 mg tab Neurobiad
3. Bisbuti tiamine 57,2 mg, B6 200 mg,B12 250 mc tab Neurobeston
4. B1,B6,VitC,Bilberry 80 mg Optimax*
5. B1,B2,B6 dan VitC,Bilberry sirup Lanavision*
6. Ca Gluconas Inj 100mg/ml Ca Gluconas
7. Curcuma 25 mg, lysine 250 mg,vit B1 3mg,vit B2 2 mg,Vit B6 5 mg Likurmin*
8. Coenzyme Q 10 kap 30 mg Ubi Q*
9. Kalsium Laktat tab 500mg Kalk
No KELAS NAMA GENERIK NAMA OBAT
Kelas THERAPI BENTUK SEDIAAN
Therapi KEKUATAN SEDIAAN
10. KL Aspartat tab Aspar K ,KSR
11. Multivitamin Drop,kapsul,sirup San B Plek Drop*,Prolacta DHA
12. Nicotinic Acid tab 100mg Asam Nikotinat
13. Na Fluorida tab Vinaflour
14. Tiamina Tetra Hidrofulfuril , Disulfida, glukosa 200 mg/ml inj Alinamin F
15. Vitamin E tab 50 mg Vitamin E
16. Vitamin A tab 20.000 IU, 50.000 IU inj Vitamin A
17. Vitamin B komplek tab, Inj Vitamin B Komplek
18. Vitamin B1 tab 50 mg, Inj Vitamin B1
19. Vitamin B6 tab, Inj Vitamin B6
20. Vitamin C tab 100mg, 500 mg, inj Vitamin C
21. Vit A, B1, B6, B12, Vit D, Nicotinamid sirop,drop Multivit
22. Vit B12 mcg,placental,extr 15 mg,Zink Sulfat Moloco B12
23. Asam folat tab Folic Acid
24. Vitamin K1(inj) Neo-K (Inj)
25. Zink Zinkid,Diazink
11 ANTI INFEKSI
11,1 ANTI BAKTERI
SISTEMATIK
1. Amoxycyllin 500 mg, clavulanat 125 mg tab , 1 Amoxycyllin 1000mg,clav 200 mg inj 1 gr Amoxyclav
2. Amoxycylin kap 500 mg, sirop 125mg/5ml, inj, drop Amoxcilin ,Amoxsan*
3. Ampicillin + Sulbactam injeksi
4. Merophenem Inj 500 mg, 1 gr Meronem**,Ronem
1. Ceftriaxone inj 1 gr
2. Cepadroxil Monohidrat kap 500 mg Cefadroxil
3. Cefotaxime Inj 1 gr Cefotaxime
4. Ceftazidime Inj Ceftum * Zidifec*
5. Cefoperazone Inj 1 gr Cefobid*
Cefrom *6. Cefpirone sulfat Inj 1 gr.
No KELAS NAMA GENERIK NAMA OBAT
Kelas THERAPI BENTUK SEDIAAN
Therapi KEKUATAN SEDIAAN
7. Cefixime sirup,kapsul 100,200 Cefspan sirup*,Claforan*
8. Cefditoren Pivoxil Meiact 200 tab*
9. Sefaleksina Kap 250 mg Cephalexin *
1. Doxycycline Kap 100mg Doxycyclin
11.1.1.4 MAKROLIDE
1. Eritromisina Stearat Kap 500 mg, sirop 200 mg/ 5ml Eritrhromycin, Erysanbe
2. Azitromycin kap 500 mg Zitromax**, Zyztic
3.Clarithromycin kap 500 mg Abbotic XL*
4. Linkomisina HCl Kap 500 mg, inj 300 mg/m Lincophar, Zumalin
5. Spiramycin tab 500 mg Spiradan,spirasin
11.1.1. BETA LAKTAM
Bactesyn,Unasyn
11.1.1.2 SEFALOSPORIN Ceftiaxone, Triject ,Viculin dx
11.1.1.3 TETRASIKLIN
11.1.1.5 KUINOLON
1. Moxifloxacin Avelox 400
Quinodis**2. Fleroksasin Inf 400mg/100ml
Levofloxacin,Lekuicin3. Levofloxacin tab 250,500mg,injeksi
4. Ciprofloxacin Ciprofloxacin
11.1.1.6 KLORAMPHENICOL 1. Kloramfenikol kap 250 mg, susp 125 mg/5ml, inj iv 100 mg/ml Chloramphenicol ,Kemicetin,Chloramex
2. Tiamfenikol kap 500 mg Thiamphenikol
3. Netilmicin Inj 150mg/1,5ml Netromycin,Hypobach
1.Aztreonam inj 1 gr Vebac
2. Vancomicyn Vancep
3. Teicoplanin Targocid
4. Fosmicina Na Inj 1 gr, 2 gr Fosmicin
11,2 ANTI FUNGI 1. Griseofulvin 125 mg Fulcin
2. Clotrimazole vag tab Canesten SD*
3. Itraconazole dan Nystatin 100.000 IU vag supp, tab 250 mg Fungitrazol*
4. Fluconazol Inf 2 mg/ml, kap 150mg Diflucan infus*,Zemyc,Cryptal
No KELAS NAMA GENERIK NAMA OBAT
Kelas THERAPI BENTUK SEDIAAN
Therapi KEKUATAN SEDIAAN
5. Ketokonazole tab Ketokonazole, Fungoral
6. Metronidazole 500 mg, Nystatin 100.000 IU Nistatin Ovula,Flagystatin vag
7. Nimorazole 250 mg,Chloramphenicol 250 mg, nystatin 100.000 IU Naxogin complex
8. Nystatin Kandistatin
9. Micafungin Mikamin
IRON CHELATING AGENT Deferoxamine Desferal
11,3 ANTILEPRA 1. Dapson tab 100m g Dapsona
11,4 ANTI TUBERKULOSE 1. Ethambutol HCL tab 500mg Ethambutol
11.1.1.5 KUINOLON
11.1.1.7 GOL LAIN-LAIN
2. Isoniazida tab 100mg, 300mg INH
3. Pyrazinamida tab 500mg Pirazinamid
4. Rifampisin tab 300mg,450 mg, 600 mg Rifampisin
5. Streptomycin Sulfat Inj 1 gr Streptomysin
6. 2 FDC ( INH,Rifampicin ) Rimactazide* 430/300 ; 225/130
7. 3 FDC ( Rifampicin, INH,Piracinamid ) Rimscure*
8. 4 FDC ( Rifampicin, INH,Piracinamid, Ethambutol ) Rimstar*,4 FDC
9. INH 100 mg,Pyridoxine 10 mg (sirop) Pyravit sirop
10. FDC Rimcure 3-FDC
11. Azithromisin drip Azithromisin
11,5 ANTISEPTIK
DESINFEKTAN 1. Lactic acid 1 gr,lactoserum 0,93 g sabun Lactacyd Liquid*
2. Etakridin Lar 0,1% Rivanol
3. Alkohol 70% Etanol
4. Glutaraldehida lar 2% Cidex
5. Klorheksidin Glukonat 1,5%, cetrimide 15% Hibicet
6. Klorheksidin Glukonat lar 4% Hibiscrub,Microzid
7. Lisol (mengandung kresol yang bersabun ) Lysol
8. Paraformaldehida tab 1gr , lar 5% Formalin
9. Tetra Kloro oksigen anion komplek 1 gr 0,001% Oxoferin
10. Yodium Povidon 10%, 7,5% gargle Lafiodine,Betadine
11. Etanol 96% 833,3 ml, H2O2 3% 41,7ml, glycerin 98% 14,5 ml, aqua ad 1000 ml Handscrub
No KELAS NAMA GENERIK NAMA OBAT
Kelas THERAPI BENTUK SEDIAAN
Therapi KEKUATAN SEDIAAN
12 ANTIPARASIT
12,1 ANTEL MINTIK
1. Albendazole tablet 400 mg Albendazole*,Helben*
2. Mebendazole tab 100 mg Mebendazole
3. Piperazina Sitrat tab 500 mlg Piperazina Sitrat
4. Pirantel pamoat tab 125 mg Pirantel,Combantrin
12,2 ANTIPROTOZOA
12.2.1 ANTIAMUBIASIS
(Intestinal amubiase)
1. Metronidazole tab 500mg, inf 500 mg/100ml, supp 500 mg, 1 gr Metrofusin,Flagyl,Trichodazole
2. Paramomycin sulfat tab 250mg, sirup Gabbryl*
12.2.2 ANTIMALARIA 1. Ext Artemisin Sp Folium tab 250mg Maltron
2. Kinina Dihidroklorida inj iv 25% Kinin
3. Klorokuin Fosfat tab.15 mg Chloroquin
4. Kombinasi Phyrimethaminum, sulfodoxinum Lafidoxine,Fansidar
5. Primaquinum tab 15 mg Primaquin
12.2.3 ANTIVIRUS 1. Acyclovir tab 400 mg, asikolovir o,5% Acyclovir ,asiklovir salep
2. Entecavir 0,5mg,1 mg Baraclude*
3. Interferon konvensional Intron*
4. Interferon pegilated Pegasis,Pegitron*
5. Lamivudin 100mg 3 TC HBV*
6. Lamivudin,Zidovudin Duviral
7. Methisoprinol tab 500 mg Isoprinosin*
8. Neverapin Neviral
9. Oseltamivir Tamiflu
10. Telfimudine 60 mg Sebivo
11. Isoprinosine Isprinol
No KELAS NAMA GENERIK NAMA OBAT
Kelas THERAPI BENTUK SEDIAAN
Therapi KEKUATAN SEDIAAN
13 ANTINEOPLASTIK / IMUNOSUPRESAN 1. Bleomysinum inj 15 mg Bleocin
& OBAT UNTUK TERAPI PALIATIS 2. Chlorambucil tab 5 mg Leukeran
3. Cyclophosphamidum inj 200 mg , 50mg Endoxan
4. Cysplatinum inj 10 mg,50 mg Cysplatin
5. Carboplatin inj 450mg Carboplatin
6. Dosetaksel 20 mg, inj 80 mg Taxotere*, Brexel
7. Paclitaxel Paxus
8. Etoposide inj 100 mg Lastet,Etoposid
9. Epirubicin inj 10mg,50mg Farmorubicin
10. Doxorubicyn 10 mg dan 50 mg Doxorubicin
11. Fluorouracin inj 250mg,500mg 5 Flourouracil
12. Hydroxyurea caps 500 mg tab,krim Hydrea
13. Ifosfamide vial 1000 mg Holoxan*
14. Methotrexatum inj 5 mg,50mg tab,2,5 mg tab MTX
15. Mitomisin C inj 10gr Mitomisin*
16. Tamoksifen sitrat tab 10 mg dan 20 mg Tamoxifen,Tamofen
17. Vinblastine inj 1 mg Erbablas*
18. Vincristinum inj 1 mg dan 2 mg Krebin*
19. Kapesitabin Xeloda**
20. Daunorubisin HCl Daunorubisin*
21. Gymstarabine Gymstar*
22. L- Asaparaginase Leunase*
23. Azatioprin tab 50 mg Imuran
24. Mycophenolate Mofetil 500 mg tab Cellcept*
25. Ciclosporin 50mg,100mg kap Sandimun*
26. Purineethol Punethol
27. Uromithexan Mesna
28. Filgastim Leucogen
29. Anaglrilide Tromboredudine
30. Bifosfonat Bonefos
31. Irinotekan HCl trihidrat 20 mg/ml Campto 40, 100 mg
32. Oksaliplatin Rexta,Eloxatin,Oksaliptalin Ebewe
No KELAS NAMA GENERIK NAMA OBAT
Kelas THERAPI BENTUK SEDIAAN
Therapi KEKUATAN SEDIAAN
13.1 MONOCLONAL ANTIBODI/TARGETING 1. Anti-angiogenesis ( Anti VEGF ) Avastin 100 mg
THERAPY 2. Anti EGFR Erbitux 100 mg
14 OBAT YANG
MEMPENGARUHI
DARAH
14. 1 ANTIANEMI 1. Asam folat tab 5 mg Asam folat
2. Fe (II) Sulfat tablet 300mg Vilirad
3. Fe (II) Fumarat 300 mg,MnSO4,CuSO4, Vit C,Vit B12,Asam Folat Sangobiad
4. Vit B12 tab, inj 750.000 IU Vit B12
5. Zat besi drop Ferlin drop*
6. Zat Besi , folic acid Zamel sirup (novell)*
7. Zat Besi Parenteral Venover*
14,2 ANTIKOAGULAN 1. Enoxaparin 20mg/0,2ml,40mg/0,4ml, 60 mg/0,6 ml Lovenox*
2. Warfarin Na Simarc*
3. Natrium Heparin inj 500IU/ml,25.000mg/ml Heparin
4. Vitamin K1 injeksi Neo K
14,3 TROMBOLITIK 1. Streptokinase inj 1.500.000 IU Sreptase
2. rTPA Actylase*
3. Klopidogrel Klopidogrel
14,4 HEMOSTATIK 1. Ethamsylate tab ,inj Dycinon
2. Karbozokrom Na Sulfonat tab 10mg,30mg, Adona AC-17.Adona Forte
inj 5 mg/ml Adona
3. Menadion (VitK) tab 10mg Vitamin K
4. Protamin Sulfat inj 10mg/ml Protamin Sulfat
5. Tranexamic Acid cap 250mg,inj 50mg/ml Kalnex,Transamin
No KELAS NAMA GENERIK NAMA OBAT
Kelas THERAPI BENTUK SEDIAAN
Therapi KEKUATAN SEDIAAN
14,5 PRODUK DAN
SUBTITUEN 1. Human Plasma Protein 20gr, Sodium 5,5 mmol, Oktanat 3,2 mmol Ce alb*, Robumin,Albumin Human
PLASMA
15 OBAT YANG
MEMPENGARUHI
SISTEM IMUN
15,1 SERUM 1. Human Tetanus Imunoglobulin Tetagam P*
2. Serum Anti bisa ular Inj ABU
3. Serum Anti tetanus Inj 1500 IU ATS
20,000 IU
4. Serum Hiper anti rabies Anti Rabies
Inj 200 IU
5. Serum Imun Globulin INJ Globulin *
10 ml/vial
15,2 VAKSIN, TOKSOID 1. Protein Purified Derivate 5 TU inj PPD 5 TU
2. Serum Anti Difteri (ADS) ADS*
3. Tetanus Adsorbed Toksoid inj 5 ml Toxoid
4. Vaksin BCG Inj BCG
5. Vaksin Campak Campak
6. Vaksin Difteri Tetanus Pertusis DPT,Tripacel,Pediacel
7. Vaksin Hepatitis Hevac B Pasteur
8. Vaksin Polio Polio
9. MMR Trimovac
10. HiB Act-HiB
15,3 IMUNO MODULATOR 1. Echinacea 250mg,zinc picolinate 10mg Imboost Forte tablet
2. Phyllantus Niruri Tab , sirop Stimuno*
Gammaraas
16 OBAT MIOMETRIUM
No KELAS NAMA GENERIK NAMA OBAT
Kelas THERAPI BENTUK SEDIAAN
Therapi KEKUATAN SEDIAAN
16,1 OKSITOSIK 1. Metilergometrin maleat Tab 0,125 mg, inj 0,2 mg/ml Methergin
2. Oksitoksin HCL tab 10 IU/ml Syntocinon,Piton S
16,2 RELAKSAN UTERUS 1. Isoksuprin HCL tab 10 mg, Duvadilan
Inj 10mg/2 ml
17 OBAT PADA
15.4 IMUNOGLOBIN 1. Plasma Immune Globulin IV ( human ) 5%
PENYAKIT KULIT
17,1 ANTI AKNE 1. BBS 3% BBS
2. Lot Kumerfeldi Lotio Kumerfeldi
3. Tretinoin 0,05% Vitacid*
17,2 ANTI INFLAMASI 1. Betametason cream 5 gr Betason,Skizon
2. Fluosinolon Asetonid oint/cream Dermasolon*
3. Hydrokortison Cr1%, 2,5% Hydrokortison
4. Hydrocortison 2,5% , chloramphenicol 2% cream Lafimycort
5. Kombinasi Hydrokortison , vioform HV Cream
6. Betametason - 17 - valerat 1 mg cream Betason
7. Desoksimetason 0,25 % krim
8. Klobetasol propionate 0,05% krim
17,3 KAUSTIK 1. Policresulen 360 mg/10ml Albothyl
2. Fenol Cair Fenol
3. Perak Nitrat 10%, 15%
4. Podofilin Tinctura 25%
17,4 KERATOPLASTIK 1. Asam Salisilat Salep 2%
2. Extr. Plasenta 10%, neomisin sulfat 0,5% Bioplacenton , Bismecon
3. Chloramphenicol 2%, Ol Iecoris asseli 10%, asam salisilat 2% COS
17,5 KERATOLITIK 1. Asam Salisilat Salep 5%, 10% Salisilat Salep
No KELAS NAMA GENERIK NAMA OBAT
Kelas THERAPI BENTUK SEDIAAN
Therapi KEKUATAN SEDIAAN
17,6 ANTI INFEKSI
17.6.1 ANTI BAKTERI 1. Betamethason Valerat 0.1%, Neomisina SO4 0,5% cream Betason N
2. Chloramphenicol salep kulit 2% Lafimycetin
3. Framycetin Sulfat Daryan Tulle
4. Gentamisina Sulfat Cream 1%, 2% krim salep kulit Lafigensin
5. Kombinasi Neomysin 5 Gr,bacitrasin 250 mg powder Nebacetin
6. Asam Fusidat 2% krim, oint
17.6.2 ANTIFUNGI 1. Gentian Violet 1%, 0,5% Gentian Violet
2. Kombinasi Asam Benzoat 12% Salep AAV II
& Asam Salisilat 3%
3. Kombinasi Asam Benzoat 6% Salep AAVI
& Asam Salisilat 3% salep
4. Ketokonazole 2% cream Ketokonazole
5. Mikonazol Nitrat Cream 2% Lafinazole
6. Tiosulfas Na lar25% Na Tiosulfas
7. Clotrimazole Vag Tab SD
8. Nystatin 100.000 UI Vag Tab
17.6.3 ANTISKABIES 1. Benzyl Benzoat Emulsi 25% Emulsi Benzyl benzoat
2. Gameksan 10 mg Asam, usnat 10 mg Scabicid,Scabex
3. Kombinasi Asam Silisilat 2%, belerang endap 4% salep Salep 2-4
4. Permethrin 5% krim Scabimite cream*
17,7 ANTI SEPTIK 1. Asam Salisilat Lar 0,1% Lar Asam Salisilat
2. Hidrogen Peroksida Lar 3% Sol H2O2
3. Permanganat Kalicus Serbuk Permanganat Kalicus
17,8 LAIN -LAIN 1. Ac. Salisilat 5%,LCD5%,Vas alb ALV
2.Bedak Asam Borat 3%
3 Bedak Kocok Asam Borat3%
No KELAS NAMA GENERIK NAMA OBAT
Kelas THERAPI BENTUK SEDIAAN
Therapi KEKUATAN SEDIAAN
4. Bedak Salisil Serb 2%
5. Methoxsalen Delsoralen
6. LAR LAR
7. Liquor Faberi
8. Urea Cream 10%
18 OBAT PADA
PENYAKIT MATA
18,1 ANTI INFEKSI & ANTI SEPTIK
18,1 TOPIKAL
18.1.1 MIDRIATIK 1. Atropin Sulfat Tetes mata0,5%, 1% Cendrotropin *
2.Tropikamid Tetes Mata 2,5% dan 10% Cendo Mydriatil
18.1.2 ANESTESI LOKAL 1. Tetrakain Hydroklorida 0,5%, 2% Cendo Pantocain
18.1.3 MIOTIK 1. Myostat Myostat*
2. Pilocarpine HCL tts mata 1% Pilocarpin *
18.1.4 ANTI INFEKSI 1. Amphotericin 1% Fungicide eye oint*
2. Asiklovir salep mata 3% Poviral, Zovirax*eye oint
3. Levofloxacin tetes mata LFX ED
4. Fluorometholone 1mg,Neomycin sulfat setara dg neomycin base 3,5 mg Polynel tetes mata*
5. Iodoksuridin Tetes Mata 0,1%, salep mata 0,5% Cendrid
6. Klorampenikol salep mata 1%, tetes mata 1% Kemicetin,Cendo Fenicol
7. Ofloxacin Tarivid tetes mata *
8. Polimiksin, neomycin,deksametason Polydex*
9. Neomycin , Polymicin Polygran
10. C.phenicol + steroid oint C. Mycos eye oint
11. Gentamycin (oint) Gentamycine eye oint
12. Gol. Moxifloxacine Vigamox eye drop
No KELAS NAMA GENERIK NAMA OBAT
Kelas THERAPI BENTUK SEDIAAN
Therapi KEKUATAN SEDIAAN
18.1.5 ANTI GLAUCOMA 1.Gol Betaxolol Tonor 0,5% ED
18.1.6 LAIN-LAIN 1. Na,K ion,benzalkonium klorid Cendo lyteers tetes mata
2 Timolol Maleat tts mata 0,25% Timolol ED
3. Na Diklofenak 1 mg/0,6ml Noncort tetes mata
ANTI-VEGF (ANTI PERDARAHAN 1. Ranibizumab 1. Lucentis Inj
VITREORETINA UVEA)
EYE ROBORANTIA 1. Vitanorm Tab2. Normafit tab
19 OBAT PENYAKIT
TELINGA, HIDUNG
&TENGGOROKAN
19,1 ANTI INFEKSI 1. Fluticasone propionate semprot hidung Nasonex*,Flixonase*
2. Fludocortisone Acetate 1mg, Polymyxin B Sulfate Otopraf*,Nellicort*
10.000 IU, Neomyxin Sulfate 5 mg,Lidocaine HCl 40
mg tetes telinga Otopain,Otosporin
3. Kloramphenicol Basa 5mg/ml,Lidocain HCl Anhidrat 4mg/ml tts telinga Lafimycetine,Kemicetine
4. Nystatin 100.000 UI,Triamcinolone Acetonide 1 mg New kenacomb*
5. Ofloxacin 3 mg/ml Tarivid Otic*
19,2 LAIN-LAIN 1. Hidrogen Peroksida Lar 3% Lar H2O2
2. Karbogliserin Lar 10% tetes telinga II
3. Perak nitrat Larutan 40% Lar AgNO3
4. Neometazolin HCL, tetes hidung 0,05%,0,1% Otrivin
5. Decongestan tab , sirup Lapifed
20 OBAT GIGI DAN MULUT 1. Benzocain 4% dlm Borax Glicerin Benzocain
2. Gargarisma Khan Gargarisma Khan
3. Gentian Violet Lar 1% Lar Gentian Violet
4. Hidrogen Peroksida, Cairan H2O2
No KELAS NAMA GENERIK NAMA OBAT
Kelas THERAPI BENTUK SEDIAAN
Therapi KEKUATAN SEDIAAN
5. Salep Stomatitis Salep bibir racikan
R/Chlobampenicol 0,5mg x Kemicetine 0,5 gram
Hydrocortison 0,5 mg
Avil 0,5 mg
Lanolin 2,5 mg
Vaselin 2,5 mg
6. Yodium Povidon 1% Gargle Betadine
7. Pilocarpine HCl Miokar
8. Klorheksidina glukonat 0,05% Minocep Gargle
9. Sodium Hyaluronate Aloclair gel,Aloclair oral rinse
10. Triamanolone Acetonide 1% Kenalog In Orabase
21 ANTI DOT ASAM 1. Leucovorin Ca Rescuvolin*,Leucovorin*
2. Ca Levofolinat Ca Levofolinat
21,1 ANTAGONIS 1. Nalokson HCL Inj 0,02mg/ml, 0,04 mg/ml Narcan ,Nokoba
FISIOLOGIS
21,2 ANTIDOT KIMIA 1. Desferoxamine Mesilat Inj 500 mg Desferal
2. Metitionin Klorida(metil Blue) inj 10 mg/ml Metilen Blue
3. Natrium Tiosulfat Inj 25% Na Tiosulfat
21,3 MENGURANGI ABSORBSI 1. Garam NaCl serbuk
21.4 SKLEROTERAPI HEMOROID 1. Polidocanol Venodenol
22 ZAT DIAGNOSTIK
22,1 ZAT KONTRAS
RADIOLOGI
No KELAS NAMA GENERIK NAMA OBAT
Kelas THERAPI BENTUK SEDIAAN
Therapi KEKUATAN SEDIAAN
22.1.1 ANGIOGRAFI,UROGRAFI DAN 1. Iohexol 20,50 dan 100 cc Omnipaque 300*
HISTEROSAL PINGOGRAFI 2. Iopamidol 20cc,50cc dan 100 cc Iopamiro 300 & 370*
3. Sodium loxitalamate 1,932 gr,meglumin ioksitalamat 13,016 g,kalsium Telebrix 35
dinatrium edetat 0,000172 g, na fosfat mono basa dinitrat 0,01 gr tiap
20 ml
4. Sodium loxitalamate 4,83 gr, meglumine loxitalamate 32,54 gr tiap 50 ml Telebrix 350
5. Lodises Ethyyl esters of the fatty acids of poppy seed oil Lipiodol Ultra Fluide*
6. Ultravist 499 mg,iopromida tiap 1 ml Ultravis
22.1.2 SALURAN CERNA 1. Barium Sulfat Serbuk Medebar Plus,Medebar M
2. Sod Bicarbonat, Citric Acid, simethicone Medefizz A& B, Medefoam
3. Garam NaCl Serbuk
22.1.3 MIEOLOGRAFI 1. lohekol 10 cc Omnipaque 300*
22.1.4 M.R.I 1. 1ml Magnevist Omniscan, Magnevist
- 469 mg gado Pentetic Acid
- Dimeglumin garam dalam air
23 LAIN-LAIN 1. Aquadest steril inj 10 ml dan 20 ml
2. Gummi Arabicum Pulv Gummi Arabicum
3. Komb. Glukosamin 250 mg,Chondrotin, Vit C,Mn, Se Oste,Viostin
4. Kalsitrol Bap 0,25 mcg Rocaltrol , Calesco, Rocatriol,Kolkatriol
5. Komb. Glukosamin sulfat,chondrotin sulfat,Vit, kap,cream,gel Osteo forte*,Viostin com, Mediflex gel
Osteor C Cream,Osteotin
6. Risedronate Actonel,Osteonal*, Allovel,Ristonat
i-flex tablet