Solomon IslandsEssentialMedicines List2010

Ministry of Health and Medical Services

Solomon Islands Essential Medicines List

Foreword It is my pleasure to introduce to you the 2010 Edition of the Solomon Islands Essential Medicines List. This is the second edition of this booklet, since the reformation of the National Drugs & Therapeutics Committee in 2008 and it reflects some important updates made since then. It replaces the 2008 booklet, which can now be thrown away. Disposing of the old edition will ensure you do not get confused. This resource is designed to improve the decision making of prescribers and allow all Health Workers to become more engaged in national health trends. We encourage you to use it as often as possible; this will help you become familiar with new drugs and treatments – if there are any medicines you are unsure of, or have not seen before, contact the Medicines Information Centre and learn about them. Particular acknowledgement goes to those members of the National Drugs & Therapeutics Committee who have worked on producing this edition and who continue to dedicate considerable time into updating it. Especially, we must acknowledge the efforts of Erin Mitchell and Grace Siwainao, of the National Medicines Information Centre, whose efforts in compiling and coordinating the EML and this booklet have been invaluable. Thanks also to those who have contributed submissions to the NDTC for changes to the EML. Whilst some submissions are not successful and all are subject to review, they are the basis for the ongoing discussions on changes to therapy. They stimulate the decision making process and we encourage you all to continue to support the NDTC in this way. Please note that the EML does not represent specific prescribing advice – for individual drug protocols, please refer to existing Solomon Islands drug treatment protocols or standard international references. In situations where you are uncertain of treatment, please consult or refer to more senior staff. Dr Tenneth Dalipanda

Chairman

National Drugs & Therapeutics Committee

Solomon Islands Essential Medicines List

Preface

Hello and welcome to the Solomon Islands National Essential Medicines List. This list is a compilation of all the medicines available in the Solomon Islands for the year 2010. It has been updated and collated for current use, representing all medicines available within the public health system of the Solomon Islands. The Essential Medicines List (EML) is subject to constant review by the National Drugs & Therapeutics Committee (NDTC). The NDTC is an important group that meets four times a year and has the final say on new drugs & treatments in the Solomon Islands. They can also meet more often to approve new medicines in the case of emergencies – this happened in 2009 when the H1N1 Flu Pandemic occurred; on that occasion, the NDTC approved two new drugs – Tamiflu (Oseltamivir) and Relenza (Zanamivir), which will soon be available at all hospitals! This year, I have been delighted to take on the role of Secretary for the NDTC, replacing Michael Nunan, who is returning to Australia. I am looking forward to the challenge! Any Health Worker can make submissions to the NDTC for proposed changes or additions to the EML through the Secretary, or through the Solomon Islands Medicines Information Centre (MIC). The MIC is contactable by phone on 24697, by radio at Selcall # 5555 or by our new email at solomonmedinfo@gmail.com. The Secretary of the NDTC is contactable, c/o the Chief Pharmacist, National Pharmacy Services Division. In these days of constant medical advancement, the EML is likely to regularly change and for this reason, you will be sent an updated copy each year. If you fail to receive yours, or would like another copy, please contact the MIC or your local provincial hospital. We hope you find this resource useful and user friendly. It is intended to greatly improve Health Worker’s knowledge regarding their treatment options at each facility level. Please do NOT use this booklet as a guide to prescribing – the categorisation of drugs is for your information only and should not be taken as an endorsement of any drug for a particular usage. Please be aware that many drugs are used for several different indications and the categorisation here represents only their primary use. All prescribing should be done according to your skills and training and if you have any concerns, please seek more information or refer your patient. Information regarding any drug, interaction or side effect can be sought between 8am and 4.30pm each weekday from the MIC using the details above. Best wishes and happy prescribing! Julie Zinihite

Secretary

National Drugs & Therapeutics Committee

Solomon Islands Essential Medicines List

Recent Changes Please note that changes to the Essential Medicines List can take 6-12 months to be reflected in procurement and available stock. Stock ‘deleted’ from the EML, as indicated here, should still be used until alternatives become available or unless advised.

Deletions

Item Removed Reasoning Aminophylline tabs 100mg No longer used

Aminophylline supps No longer used

Amikacin inj 500mg in 2ml Special order for resistant TB cases

only – See TB Protocol

Capreomycin inj 1g Special order for resistant TB cases

only – See TB Protocol

Cortisone acetate 25mg tabs Cortisone acetate 5mg tabs on EML

Ethionamide 250mg tabs Special order for resistant TB cases

only – See TB Protocol

Ethosuximide 250mg in 5ml syrup Not recommended in Children’s

protocol

Ipecacuanha syrup 50mls No longer recommended for use

Isosorbide Dinitrate 30mg SR tabs Isosorbide Dinitrate 10mg tabs on EML

Isosorbide Dinitrate 5mg S/L tabs Glyceryl Trinitrate S/L tabs on EML

Nifedipine 10mg tabs Nifedipine SR 20mg tabs on EML

Phenol in Almond oil 5% No longer used

Pralidoxime inj 200mg in 20ml Pralidoxime inj 1g in 5ml on EML

Proguanil tabs 100mg Not in Malaria Protocol

Propofol inj 10mg in 1ml Propofol 200mg in 20ml on EML

Diazoxide 300mg in 20ml inj No longer used

Ethanolamine Oleate 5% injection No longer used

Additions Item Added Reasoning Misoprostol 200mcg tabs Ripening of the cervix in post term delivery Picoprep oral powder Bowel preparation for GI diagnostic or

surgical procedures Verapamil 80mg tabs Arrhythmias non responsive to other

treatment Tinidazole 500mg tabs Included in Standard Treatment Guidelines for Children Zinc Suplhate 20mg tabs Included in Standard Treatment Guidelines for Children Oseltamivir 75mg tabs Large donations from WHO, SPC and NZ Government for coverage in the event of flu epidemic Zanamivir Diskhaler Large donation from NZ Government for coverage in the event of flu epidemic Metaraminol 10mg/ml Inj Inotrope for use by Operating Theatre, at request of anaesthetists STI Treatment Pack As per Global Fund STI Treatment Protocol Azithromycin 500mg tabs Ceftriaxone 250mg inj Omeprazole 40mg inj Surgical use; bleeding GI ulcers

Solomon Islands Essential Medicines List

Legal Prescriber Categories

SA = Nurse Prescriber Category **Item can be prescribed by nurses who have it available to them at their post

S4 = Doctor Prescriber Category **Item may be prescribed by doctors only **Specialist nurses may prescribe S4 items pertaining to their specialty only

User Categories (Classified as per lowest post)

N = Nurse Aid PostC = ClinicsA = Area Health CentreH = HospitalS = Specialist

**S4 Items available at clinics without doctors can be prescribed after discusssion with a doctor**Long term items started by doctors previously can be continued by nurses

Solomon Islands Essential Medicines List - Alphabetical Order

Drug, Form, Strength Concentration Form

Lowest Level User Rx

AAcetazolamide 250mg tabs A S4Acriflavine in spirit 0.2% in 70% solution N SAActinomycin 0.5mg inj S S4Acyclovir 400mg tabs S S4Acyclovir 4.5g 3% eye ointment S S4Adrenaline 1mg in 1ml inj N SAAlbendazole 200mg tabs N SAAllopurinol 100mg tabs H S4Amethocaine (Minims) 0.5% eye drops H S4Aminophylline 250mg in 10ml inj A S4Amitriptyline 50mg tabs H S4Amoxycillin 125mg in 5ml suspension H S4Amoxycillin 250mg tabs/caps H S4Amphotericin B 50mg DP inj H S4Ampicillin 500mg DP inj A SAAnti-haemorrhoid supps H S4Antiseptic Soap soap A SAArtemether / Lumefantrine 20mg/120mg tabs N SAArtesunate 60mg inj A SAArtesunate 50mg supps N SAArtesunate 200mg supps N SAAscorbic Acid 250mg tabs H S4Aspirin 300mg tabs A SAAtenolol 50mg tabs H S4Atracurium Besylate 25mg in 2.5ml inj H S4Atropine 1% eye drops H S4Atropine sulphate 600mcg in 1ml inj H S4Azathioprine 50mg tabs S S4Azithromycin 500mg tabs C SABB.S.S ointment 20g ointment N SABaclofen 10mg tabs S S4BCG vaccine 20 dose amp and diluent 20 dose inj N SABeclomethasone 100mcg/dose inhaler H S4Benzathine Penicillin 1.2 Mega IU 0.9g inj N SABenzathine Penicillin 2.4 Mega IU 1.8g inj H S4Benzhexol 5mg tabs A S4Benztropine mesylate 2mg in 2ml inj H S4Benzyl benzoate 200ml 25% solution N SABenzylpenicillin 1 Mega Unit 600mg inj H S4Benzylpenicillin 5 Mega Units 3g inj N SABetamethasone / Neomycin 5ml 0.1% / 0.5% eye/ear drops S S4Bisacodyl 10mg supps H SA

Bisacodyl 5mg tabs A SABlood Glucose Meter diagnostic tool N SABlood glucose meter test strips strips N SABromocriptine 2.5mg tabs H S4Bupivacaine plain 20ml 0.5% inj H S4Bupivacaine spinal heavy 4ml 0.5% inj H S4Busulfan 2mg tabs S S4CCalamine 50ml lotion A SACalcium Carbonate 600mg tabs H S4Calcium Folinate (Folinic acid) 15mg tabs S S4Calcium Folinate (Folinic acid) 5ml 10mg in 1ml inj S S4Calcium Gluconate 300mg tabs H S4Calcium Gluconate 10ml 10% inj H S4Captopril 25mg tabs S S4Carbachol 0.01% inj S S4Carbamazepine 200mg tabs A S4Carbimazole 5mg tabs H S4Carboplatin 150mg in 15ml inj S S4Cefazolin 500mg DP inj S S4Cefazolin 1g DP inj S S4Cefotaxime 500mg DP inj S S4Cefotaxime 1g DP inj S S4Ceftriaxone 250mg inj C SACeftriaxone 1g inj S S4Chlorambucil 2mg tabs S S4Chlorambucil 5mg tabs S S4Chloramphenicol 1% eye ointment A S4Chloramphenicol 0.50% eye drops H S4Chloramphenicol/Prednisolone 5%/0.5% eye drops S S4Chloramphenicol sodium succinate 1g DP inj C S4Chloramphenicol 125mg in 5ml suspension H S4Chloramphenicol 250mg caps C S4Chlorhexidine in spirit bottle 1L 0.5% in 70% solution H SAChlorhexidine in spirit bottle 2L 0.5% in 70% solution A SAChlorhexidine mouth wash 200ml 0.2% solution A SAChlorhexidine 100g 1% obstetric cream N SAChlorhexidine 20g 0.5% skin cream N SAChlorhexidine/Ethanol hand wash 0.5% / 70% solution N SAChlorhexidine/Cetrimide conc. 1.5% / 15% solution A SAChlorhexidine 4% hand wash H SAChlorine (effervescent) 1g tabs (non oral) A SAChloroform water conc. 2L solution H S4Chloroquine 150mg base tabs N SAChlorpheniramine 4mg tabs A S4Chlorpromazine 50mg in 2ml inj H S4Chlorpromazine 100mg tabs H S4Chlorpropamide 250mg tabs A S4Cholera vaccine inj H S4Ciprofloxacin 10ml 0.3% eye drops S S4

Ciprofloxacin 200mg in 100ml inj H S4Ciprofloxacin 250mg in 5ml suspension S S4Ciprofloxacin 250mg tabs A S4Cisplatin 50mg in 50ml inj H S4Cisplatin 100mg in 100ml inj H S4Citanest/Octapressin dental 2.2ml 3% inj A SAClindamycin 150mg caps H S4Clindamycin 600mg in 4ml inj S S4Clofazimine 50mg caps H S4Clomiphene 50mg tabs S S4Clotrimazole 500mg pessary H S4Clotrimazole 1% skin cream A S4Clotrimazole 2% vaginal cream H S4Cloxacillin 250mg caps A S4Cloxacillin sodium 500mg DP inj H S4Codeine 30mg tabs H S4Colchicine 0.5mg tabs H S4Condom Female condom N SACondom Male condom N SACopper IUD T380A® IUD C SACortisone acetate 5mg tabs S S4Cotrimoxazole 480mg tabs N SACromoglycate 2% eye drops S S4Cyclopentolate (Minims) 0.5% eye drops H S4Cyclophosphamide 200mg DP inj S S4Cyclophosphamide 500mg DP inj S S4Cyclophosphamide 1g DP inj S S4Cyclophosphamide 50mg tabs S S4DDapsone 100mg tabs H S4Dexamethasone 0.5mg tabs S S4Dexamethasone 4mg tabs S S4Dexamethasone 10ml 0.10% eye drops H S4Dexamethasone/Neomycin 0.1%/0.5% eye drops S S4Dexamethasone 4mg in 1ml inj H S4Dextrose 500ml 5% infusion H SADextrose 50ml 50% inj N SADextrose in sodium chloride 500ml 3.3% in 0.3% infusion H SADextrose in sodium chloride 1000ml 3.3% in 0.3% infusion N SADiazepam 10mg in 2ml inj N S4Diazepam 5mg tabs H S4Diclofenac 0.1% eye drops S S4Diclofenac sodium 25mg tabs S S4Diethylcarbamazepine 50mg tabs S S4Digoxin 50mcg in 2ml inj H S4Digoxin 500mcg in 2ml inj H S4Digoxin 62.5mcg tabs H S4Digoxin 250mcg tabs H S4Digoxin 50mcg in 1ml elixir H S4Dimercaprol 100mg in 2ml inj S S4

Disinfectant Phenolic hospital grade 1% liquid H SADobutamine 250mg in 20ml inj S S4Dopamine 200mg in 5ml inj S S4Dorzolamide 2% eye drops S S4Dothiepin 25mg tabs H S4Dothiepin 75mg tabs H S4Doxorubicin 5ml 2mg in 1ml inj S S4Doxorubicin 10ml 2mg in 1ml inj S S4Doxorubicin 25ml 2mg in 1ml inj S S4Doxycycline 100mg tabs/caps A S4EEconazole 1% eye preparation S S4Efaviranez 600mg tabs S S4Enalapril 5mg tabs H S4Ephedrine 30mg in 1ml inj H S4Ephedrine 0.5% nasal drops H SAErgometrine 0.5mg tabs H S4Erythromycin 200mg in 5ml suspension H S4Erythromycin 250mg tabs A S4Ethambutol 400mg tabs A S4Ethanol Alcohol 95% solution H S4Ethinyloestradiol 0.01mg tabs S S4Ethyl Chloride spray can 100ml solution H S4FFentanyl citrate 100mcg in 2ml inj H S4Ferrous sulphate 6mg in 1ml liquid C SAFerrous sulphate/folic acid 200mg / 0.4mg tabs N SAFlucloxacillin 125mg in 5ml suspension H S4Fluconazole 200mg caps S S4Fluconazole 200mg in 100ml inj S S4Fludrocortisone 0.1mg tabs S S4Fluorescin eye strips box/100 paper strips H S4Fluorometholone 0.1% eye drops S S4Fluorouracil 250mg in 5ml inj S S4Fluorouracil 500mg in 10ml inj S S4Fluorouracil 500mg in 20ml inj S S4Fluphenazine decanoate 25mg depot inj A S4Folic acid 5mg tabs A SAFormaldehyde solution 2L 37% solution H S4Frusemide 20mg in 2ml inj A S4Frusemide 20mg tabs S S4Frusemide 40mg tabs A S4GGaviscon® (or equivalent) tabs H S4Gel, Ultrasound gel H S4Gentamicin 80mg in 2ml inj H S4Gentamicin 10ml 0.3% eye drops H S4Gentian violet paint 0.5% solution N SAGlibenclamide 5mg tabs A S4Glipizide 5mg tabs S S4

Glutaraldehyde (eg. Cidex®) 2% solution H S4Glyceryl trinitrate 0.6mg tabs H S4Glycopyrrolate 200mcg in 1ml inj S S4Glycopyrrolate 400mcg in 2ml inj S S4Griseofulvin 500mg tabs A S4

HHaloperidol 5mg in 1ml inj H S4Haloperidol 5mg tabs A S4Halothane anaesthetic liquid H S4Heparin 25,000IU in 5ml inj H S4Heparinised saline 50IU in 5ml inj H S4Hepatitis B vaccine 10mcg in 0.5ml inj N SAHomatropine 2% eye drops H S4Hyaluronidase 1,500IU inj S S4Hydralazine 20mg DP inj H S4Hydralazine 25mg tabs H S4Hydrochlorothiazide 25mg tabs H S4Hydrocortisone 1% cream H S4Hydrocortisone sodium 100mg DP inj A S4Hydrogen Peroxide 30% solution H S4Hydroxycobalamin 1mg in 1ml inj H S4Hydroxypropylmethylcellulose 20mg in 1ml inj H S4Hydroxyurea 500mg caps S S4Hyoscine Butylbromide 10mg tabs H S4Hyoscine Butylbromide 20mg in 1ml inj H S4Hypromellose 0.5% eye drops H S4IIbuprofen suspension 100mg in 5ml suspension S S4Ibuprofen 200mg tabs H S4Idoxuridine 5g 0.5% eye ointment S S4Indomethacin 25mg tabs A S4Insulin Human soluble Actrapid® 10ml 100IU in 1ml inj A S4Insulin Human Isophane 10ml 100IU in 1ml inj H S4Insulin Human biphasic Mixtard® 30/70 10ml 100IU in 1ml inj A S4Iodine tincture 500ml solution H S4Ipratropium 250mcg in 1ml nebuliser solutionS S4Iron dextran 2ml 50mg in 1ml inj H S4Isoflurane anaesthetic liquid H S4Isoniazid 100mg tabs H S4Isoniazid 300mg tabs H S4Isoniazid/Rifamp/Ethambutol/Pyrazinamide 75/150/275/400mg tabs H S4Isopropyl alcohol 70% solution H S4Isosorbide dinitrate 10mg tabs S S4KKetamine 500mg in 10ml inj H S4Ketoconazole 200mg tabs S S4LLactulose 500ml 3.3g in 5ml syrup S S4

Lamivudine 150mg tabs S S4Lamivudine 10mg in 5ml suspension S S4Lamivudine/Zidovudine 150/300mg tabs S S4Lamivudine/Zidovudine/Efaviranez 15/300/600mg tabs S S4Latanoprost 0.005% eye drops S S4Levodopa/Carbidopa 100mg / 25mg tabs S S4Levodopa/Carbidopa 250mg / 25mg tabs S S4Levonorgestrogel 0.03mg tabs N SALevonorgestrogel 750mcg tabs S S4Levonorgestrogel/Ethinyloestradiol 0.15mg / 0.03mg tabs N SALignocaine 0.5% inj H S4Lignocaine 1% inj N SALignocaine spinal heavy 2ml 5% inj H S4Lignocaine topical solution 4% solution H S4Lignocaine/Adrenaline 20ml (1:200,000) 2% inj H S4Lignocaine/Chlorhexidine 2% / 0.05% gel A SALithium carbonate 400mg SR tabs H S4Lopinavir/Ritonavir 200mg / 500mg tabs S S4Lubricating jelly gel A SAMMagnesium Sulphate 50% inj S S4Magnesium Trisilicate 250mg/120mg tabs N SAMannitol 500ml 20% inj H S4MB adult leprosy pack: tabs H S4 Rifampicin 300mg/clofazimine100mg-50mg/dapsone100mg

MB child leprosy pack: tabs H S4 Rifampicin 300mg/clofazimine 50mg/dapsone 50mg

Measles vaccine 10 doses/vial inj N SAMedroxyprogesterone (Depo Provera or equiv) 150mg in 1ml inj N SAMefloquine 250mg tabs S S4Meglumine 60% inj H S4Melphalan 2mg tabs S S4Mercaptopurine 50mg tabs S S4Mesterolone 25mg tabs S S4Metaraminol 10mg in 1ml inj S S4Metformin 500mg tabs H S4Methionine 500mg tabs H S4Methotrexate 50mg in 2ml inj H S4Methotrexate 2.5mg tabs H S4Methyldopa 250mg tabs A S4Methylene blue 50mg in 5ml inj S S4Methylprednisolone 40mg in 1ml inj S S4Methylprednisolone 500mg inj H S4Methylsalicylate 20g 50% ointment C SAMetoclopramide 10mg tabs A SAMetoclopramide 10mg in 2ml inj H S4Metronidazole 250mg tabs A S4Metronidazole 500mg suppositories A S4Metronidazole 500mg in 100ml inj H S4Midazolam 5mg in 1ml inj H S4

Midazolam 5mg in 5ml inj H S4Midazolam nasal spray H S4Misoprostol 200mcg tabs S S4Morphine 5mg in 5ml mixture H S4Morphine 10mg in 1ml inj H S4Morphine 10mg SR tabs A S4Multivitamin tabs N SAMultivitamin drops 30ml liquid N SA

NNaloxone (neonatal) 40mcg in 2ml inj H S4Naloxone 400mcg in 1ml inj H S4Naphazoline/Antazoline 0.025%/0.5% eye drops S S4Natamycin 5% eye drops S S4Neostigmine 0.5mg in 1ml inj H S4Neostigmine 2.5mg in 1ml inj H S4Nevirapine 10mg in 1ml suspension S S4Nevirapine 200mg tabs S S4Nifedipine 20mg SR tabs H S4Nitrofurantoin 50mg tabs A S4Nitrous Oxide Inhalation gas C S4Noradrenaline 2mg in 2ml inj H S4Norethisterone 5mg tabs H S4Nystatin oral drops 100,000U in 1ml suspension A S4Nystatin 100,000U pessary A S4OOlive oil ear drops C SAOmeprazole 20mg caps S S4Omeprazole 40mg inj S S4Oral Polio Vaccine 10 doses in 1vial inj N S4Oral Rehydration Salts powder N SAOseltamivir (Donated Stock) 75mg tabs H S4Oxybutynin 5mg tabs S S4Oxycodone 5mg tabs H S4Oxygen inhalation gas A SAOxytocin 5IU in 1ml inj N SAOxytocin/Ergometrine (Syntometrine) 5IU / 0.5mg inj N SAPPancuronium 4mg in 2ml inj H S4Paracetamol 100mg tabs N SAParacetamol 500mg tabs N SAParacetamol 120mg in 5ml syrup S S4Paracetamol 125mg suppository S S4Paracetamol 250mg suppository S S4Paracetamol 500mg inj S S4Paracetamol/Codeine Phosphate 500mg / 8mg tabs H SAParacetamol/Ibuprofen 125mg/100mg in 5mlsuspension S S4PB adult leprosy pack: tabs H S4

Rifampicin 300mg/dapsone 100mg

PB child leprosy pack: tabs H S4 Rifampicin 300mg-150mg /dapsone 50mg

Penicillin Procaine Fort 4 mega IU 250mg in 1ml inj N SAPenicillin V 250mg tabs N SAPentavalent vaccine (DPT-HEPB-HIB) inj H S4Permethrin 10mg in 1ml solution H S4Pethidine 50mg in 1ml inj N S4Pethidine 100mg in 2ml inj H S4Phenobarbitone 200mg in 1ml inj N S4Phenobarbitone 30mg tabs A S4Phenoxybenzamine 10mg caps S S4Phenylephrine minims 2.5% eye drops H S4Phenylephrine minims 10% eye drops H S4Phenytoin 250mg in 5ml inj H S4Phenytoin 100mg tabs A S4Phytomenadione 1mg in 1ml inj N SAPhytomenadione 10mg in 1ml inj H S4Picoprep 15.5g oral powder H SAPilocarpine 2% eye drops H S4Pilocarpine 4% eye drops H S4Polygeline infusion (Haemaccel or equiv) infusion H S4Polyhydroxymethylcellulose 2% eye gel S S4Potassium chloride 10ml 10% inj H S4Potassium chloride 600mg SR tabs H S4Povidone iodine 500ml 10% solution A SAPovidone iodine surgical hand scrub 7.5% solution H S4Pralidoxime 1g in 5ml inj H S4Prazosin 1mg tabs S S4Prednisolone 10ml 0.5% eye/ear drops H S4Prednisolone 5ml 1% eye drops H S4Prednisolone 5mg tabs C S4Prednisolone 25mg tabs S S4Primaquine 7.5mg tabs N SAProbenecid 500mg tabs A S4Procarbazine 50mg tabs S S4Prochlorperazine 12.5mg in 1ml inj H S4Promethazine 10mg tabs N SAPromethazine 25mg tabs A SAPromethazine 50mg in 2ml inj A SAPromethazine 5mg in 5ml suspension S S4Propofol 200mg in 20ml inj S S4Propranolol 1mg in 1ml inj H S4Propranolol 40mg tabs H S4Propylthiouracil 50mg tabs S S4Protamine 50mg in 5ml inj S S4Pyrazinamide 500mg tabs H S4Pyridostigmine 60mg tabs S S4Pyridoxine (Vit B6) 50mg tabs H S4Q

Quinine dihydrochloride 600mg in 10ml inj N S4Quinine sulphate 300mg tabs N S4RRanitidine 150mg tabs A S4Ranitidine 25mg in 1ml inj H S4Ranitidine 15mg in 1ml liquid S S4Rifampicin 150mg caps A S4Rifampicin 300mg caps A S4Rifampicin 100mg in 5ml syrup H S4Rifampicin/Isoniazid 150 / 75mg tabs H S4Rifampicin/Isoniazid 300 / 150mg tabs A S4Rocuronium bromide 50mg in 5ml inj H S4

SSalbutamol 100mcg/dose inhaler N SASalbutamol 0.5mg in 1ml inj S S4Salbutamol 4mg tabs N SASalbutamol nebs 5mg in 1ml solution C SASilver nitrate pencil 75% pencil A SASilver sulphadiazine 50g 1% cream A SASoda lime granules 5L powder H S4Sodium bicarbonate 20ml 8.4% inj H S4Sodium chloride 1000ml 0.9% infusion N SASodium chloride 10ml 0.9% inj H SASodium chloride 30ml 0.9% irrigation H S4Sodium chloride powder 5kg powder H SASodium citrate 30ml sachets 8.80% powder H S4Sodium lactate comp (Hartmann’s) 1000ml infusion A SASodium nitroprusside 50mg infusion S S4Sodium tetradecyl 2ml 3% inj S S4Spacer Volumatic H S4Spectinomycin 2g DP inj H S4Spironolactone 25mg tabs H S4Stavudine 30mg tabs S S4Stavudine 40mg tabs S S4STI pack:Doxycyline (14)/Ciprofloxacin (2) 100mg / 250mg tabs N SAStreptomycin 1g inj H S4Sumatriptan 50mg tabs S S4Suxamethonium 100mg in 2ml inj H S4TTamoxifen 20mg tabs H S4TB pack category II tabs/injTB pack category I & III tabsTerbinafine 250mg tabs H S4Tetanus toxoid vaccine 10 doses in 1vial inj N SATetracycline 4g tube 1% eye ointment N SATheophylline 133.3mg in 25ml syrup S S4Thiopentone sodium 0.5g DP inj H S4Thyroxine 0.1mg tabs H S4

Timolol 0.25% eye drops H S4Timolol 0.5% eye drops H S4Tinidazole 500mg tabs A SATriamcinolone 10mg in 1ml inj H S4Trifluoperazine 5mg tabs H S4Trimeprazine 30mg in 5ml syrup S S4Tropicamide 15ml 1% eye drops H S4Tuberculin PPD (Mantoux) 10ml inj A SAUUrine reagent strip glucose/protein test strip C SAVValproate sodium 200mg EC tabs S S4Valproate sodium 500mg EC tabs S S4Vancomycin 500mg DP inj S S4Vecuronium 4mg inj H S4Verapamil 80mg tabs S S4Verapamil 5mg in 2ml inj S S4Vincristine 1mg in 1ml inj H S4Vincristine 2mg in 2ml inj H S4Vitamin A 200,000IU caps N SAWWarfarin (Coumadin) 1mg tabs H S4Warfarin (Coumadin) 2mg tabs H S4Warfarin (Coumadin) 5mg tabs H S4Warfarin (Marevan) 1mg tabs H S4Warfarin (Marevan) 3mg tabs H S4Warfarin (Marevan) 5mg tabs H S4Water for Injection 10ml inj N SAYYellow fever vaccine single dose inj H S4ZZanamivir (donated stock) 5mg/dose diskhaler H S4Zidovudine 50mg in 5ml suspension S S4Zidovudine 250mg caps S S4Zidovudine 300mg caps S S4Zinc sulphate dispersible 20mg tabs C S4

Items Made in ManufacturingActivated charcoal powder mixture 50g Chlorhexidine 0.5% in Spirit 70% v/v Coal tar and salicylic acid ointmentConcentrated Chloroform waterDiazepam rectal solution 1mg in 1mlDigoxin Suspension 50mcg in 1mlEthanol/Hydrogen Peroxide hand washFerrous Sulphate mixture 60mg in 5mlFormol SalineFrusemide suspension 5mg in 5mlGentian Violet aqueous solution 0.5%Gentian Violet paint 0.5%Hydrogen peroxide solution 20vols (6%)Hydrogen peroxide ear drops 1.5%Iodine tincture 2%Isoniazid elixir 10mg in 1mlMetronidazole suspension 200mg in 5mlMorphine mixture 5mg in 5mlNitrofurantoin suspension 12.5mg in 5mlPhenobarbitone elixir 15mg in 5mlPodophyllum paint 15% w/vPotassium Citrate mixture APFPotassium permanganate solution 0.01% w/vPotassium permanganate solution 5% w/vPromethazine elixir 5mg in 5mlRanitidine suspension 15mg in 1mlRifampicin syrup 10mg in 1mlSodium Citrate mixtureSodium Valproate elixir 200mg in 5mlSpironolactone suspension 5mg in 1mlZidovudine solution 50mg in 5ml

Solomon Islands Essential Medicines List - Therapeutic Class

Drug Concentration Form

Lowest Level User Rx

AnaestheticsA. General Anaesthetics Ketamine 500mg in 10ml inj H S4Midazolam 5mg in 5ml inj H S4Midazolam 5mg in 1ml inj H S4Propofol 200mg in 20ml inj S S4Thiopentone sodium 0.5g DP inj H S4B. Local AnaestheticsBupivacaine plain 20ml 0.5% inj H S4Bupivacaine spinal heavy 4ml 0.5% inj H S4Citanest/Octapressin dental 2.2ml crt 3% inj A SAEthyl Chloride topical spray solution H S4Lignocaine 0.5% inj H S4Lignocaine 1% inj N SALignocaine/Adrenaline 20ml 2% inj H S4Lignocaine spinal heavy 2ml 5% inj H S4Lignocaine/Chlorhexidine 2% / 0.05% gel A SAC. Inhalation AnaestheticsHalothane anaesthetic liquid H S4Isoflurane anaesthetic liquid H S4Nitrous Oxide Inhalation gas C S4Oxygen inhalation gas A SAD. Other agents used in anaesthesia Adrenaline 1mg in 1ml inj N SAAtropine sulphate 600mcg in 1ml inj H S4Diazepam 10mg in 2ml inj N S4Glycopyrrolate 200mcg in 1ml inj S S4Glycopyrrolate 400mcg in 2ml inj S S4Hyaluronidase 1,500IU inj S S4Midazolam nasal spray nasal spray H S4Promethazine 50mg in 2ml inj A SAPromethazine 25mg tabs A SAAnalgesics, antipyretics, NSAIDs, medicines used to treat gout and DMARDsA. Non Opioids and Anti-inflammatory DrugsAspirin 300mg tabs A SADiclofenac sodium 25mg tabs S S4Ibuprofen 200mg tabs H S4Ibuprofen 100mg in 5ml suspension S S4Indomethacin 25mg tabs/caps A S4Paracetamol 100mg tabs N SAParacetamol 500mg tabs N SAParacetamol 125mg suppository S S4Paracetamol 250mg suppository S S4Paracetamol 120mg in 5ml liquid S S4Paracetamol 500mg inj S S4

Paracetamol/Ibuprofen 120mg/100mg in 5ml suspension S S4B. Opioid Analgesics Codeine 30mg tabs H S4Fentanyl citrate 100mcg in 2ml inj H S4Morphine 5mg in 5ml mixture H S4Morphine 10mg in 1ml inj H S4Morphine 10mg SR tabs A S4Oxycodone 5mg tabs H S4Pethidine 100mg in 2ml inj H S4Pethidine 50mg in 1ml inj N S4C. Medicines used to treat GoutAllopurinol 100mg tabs H S4Colchicine 0.5mg tabs H S4Probenecid 500mg tabs A S4D. DMARDsAzathioprine 50mg tabs S S4Methotrexate 50mg in 2ml inj H S4Methotrexate 2.5mg tabs H S4E. Medicines used to treat MigraineAspirin 300mg tabs A S4Ibuprofen 200mg tabs H S4Paracetamol 500mg tabs N SAParacetamol/Codeine Phosphate 500mg/8mg tabs H SAPropranolol (prophylaxis) 40mg tabs H S4Sumatriptan 50mg tabs

Anti-Allergics/AnaphylaxisAdrenaline 1mg in 1ml inj N SAChlorpheniramine 4mg tabs A S4Dexamethasone 4mg in 1ml inj H S4Dexamethasone 0.5mg tabs H S4Dexamethasone 4mg tabs H S4Prednisolone 5mg tabs C SAPrednisolone 25mg tabs S S4Promethazine 50mg in 2ml inj A SAPromethazine 5mg in 5ml suspension S S4Promethazine 10mg tabs N SAPromethazine 25mg tabs A SATrimeprazine 30mg in 5ml syrup S S4

AntidotesAtropine sulphate 600mcg in 1ml inj H S4Calcium Gluconate 300mg tabs H S4Calcium Folinate 5ml 10mg in 1ml inj S S4Calcium Folinate 15mg tabs S S4Charcoal 5g in 100ml powder H S4Dimercaprol 100mg in 2ml inj S S4Methionine 500mg tabs H S4Methylene blue 50mg in 5ml inj S S4Naloxone 400mcg in 1ml inj H S4

Naloxone 40mcg in 2ml inj H S4Pralidoxime 1g in 5ml inj H S4Protamine 50mg in 5ml inj S S4

Anticonvulsants/Anti-EpilepticsCarbamazepine 200mg tabs A S4Diazepam 5mg tabs H S4Diazepam 10mg in 2ml inj N S4Magnesium sulphate 50% inj S S4Phenobarbitone 200mg in 1ml inj N S4Phenobarbitone 30mg tabs A S4Phenobarbitone 15mg in 5ml elixir H S4Phenytoin 250mg in 5ml inj H S4Phenytoin 100mg tabs A S4Valproate sodium 200mg EC tabs S S4Valproate sodium 500mg EC tabs S S4

Anti-infective medicinesA. AnthelminticsAlbendazole 200mg tabs N SAB. AntifilarialsDiethylcarbamazepine 50mg tabs S S4

AntibacterialsAmoxycillin 125mg in 5ml suspension H S4Amoxycillin 250mg tabs/caps H S4Ampicillin 500mg inj A S4Azithromycin 500mg tabs C SABenzathine Penicillin 1.2MU 0.9g inj N SABenzathine Penicillin 2.4MU 1.8g inj H S4Benzylpenicillin 1MU 600mg inj H S4Benzylpenicillin 5MU 3g inj N SACefazolin 500mg DP inj S S4Cefazolin 1g DP inj S S4Cefotaxime 500mg inj S S4Cefotaxime 1g inj S S4Ceftriaxone 250mg inj C SACeftriaxone 1g inj S S4Chloramphenicol sodium succinate 1g DP inj C S4Chloramphenicol 125mg in 5ml suspension H S4Chloramphenicol 250mg caps C S4Ciprofloxacin 250mg tabs A S4Ciprofloxacin 250mg in 5ml suspension S S4Ciprofloxacin 200mg in 100ml inj H S4Clindamycin 150mg caps H S4Clindamycin 600mg in 4ml inj S S4Cloxacillin 250mg caps A S4Cloxacillin sodium 500mg DP inj H S4Co-Trimoxazole 480mg tabs N SADoxycycline 100mg tabs A S4

Erythromycin 200mg in 5ml suspension H S4Erythromycin 250mg tabs A S4Flucloxacillin 125mg in 5ml suspension H S4Gentamicin 80mg in 2ml inj H S4Metronidazole 250mg tabs A S4Metronidazole 500mg in 100ml inj H S4Metronidazole 500mg suppository A S4Metronidazole (mf) 200mg in 5ml suspension H S4Nitrofurantoin 50mg tabs A S4Nitrofurantoin (mf) 12.5mg in 5ml suspension H S4Penicillin Procaine Fort 4MU 250mg in 1ml inj N SAPenicillin V 250mg tabs N SASpectinomycin 2g DP inj H S4STI pack – Azithromycin (2)/Ceftriaxone (1) 500mg / 250mg tabs / inj C SASTI pack – Doxycyline(14)/Cipro (2) 100mg/500mg tabs N SAStreptomycin 1g inj H S4Tinidazole 500mg tabs A SAVancomycin 500mg DP inj S S4

Anti-FungalsAmphotericin B 50mg inj H S4Clotrimazole 500mg pessary H S4Fluconazole 200mg caps S S4Fluconazole 200mg in 100ml inj S S4Griseofulvin 500mg tabs A S4Ketoconazole 200mg tabs S S4Nystatin 100,000IU in 1ml oral drops A S4Nystatin 100,000IU pessary A S4Terbinafine 250mg tabs H S4

AntiviralsAcyclovir 400mg tabs S S4Oseltamivir (donated stock) 75mg tabs H S4Zanamivir (donated stock) 5mg/dose diskhaler H S4A. Anti- Retrovirals Efaviranez 600mg tabs S S4Lamivudine/Zidovudine/Efaviranez 15mg/300mg/600mg tabs S S4Lamivudine/Zidovudine 150mg/300mg tabs S S4Lamivudine 10mg in 5ml solution S S4Lamivudine 150mg tabs S S4Lopinavir/Ritonavir 200mg/500mg tabs S S4Nevirapine 10mg in 1ml suspension S S4Nevirapine 200mg tabs S S4Stavudine 30mg tabs S S4Stavudine 40mg tabs S S4Zidovudine 50mg in 5ml suspension S S4Zidovudine 250mg caps S S4Zidovudine 300mg caps S S4

Anti-Protozoal

A. Antiamoebic and anti-giardiasis medicinesMetronidazole 250mg tabs A S4B. CurativeArtemether/Lumefantrine 20mg/120mg tabs N SAArtesunate 60mg inj A SAArtesunate 50mg suppository N SAArtesunate 200mg suppository N SAChloroquine 150mg base tabs N SAPrimaquine 7.5mg tabs N SAQuinine dihydrochloride 600mg in 10ml inj N S4Quinine sulphate 300mg tabs N S4C. ProphylaxisChloroquine 150mg tabs N SADoxycycline 100mg tabs A S4Mefloquine 250mg tabs S S4

Anti-LeproticClofazimine 50mg caps H S4Dapsone 100mg tabs H S4MB adult leprosy pack tabs/caps H S4MB child leprosy pack tabs/caps H S4PB adult leprosy pack tabs/caps H S4PB child leprosy pack tabs/caps H S4

Anti-TuberculosisEthambutol 400mg tabs A S4Isonia/Rifamp/Ethamb/Pyrazin 75/150/275/400mg tabs H S4Isoniazid 100mg tabs H S4Isoniazid 300mg tabs H S4Pyrazinamide 500mg tabs H S4Rifampicin 150mg caps A S4Rifampicin 100mg in 5ml suspension A S4Rifampicin 300mg caps A S4Rifampicin/Isoniazid 150mg / 75mg tabs H S4Rifampicin/Isoniazid 300mg/150mg tabs A S4TB pack category I & III tabsTB pack category II tabs/inj

Antineoplastics/ImmunosuppressantsA. ImmunosuppressantsAzathioprine 50mg tabs S S4B. CytotoxicsActinomycin 0.5mg inj S S4Busulfan 2mg tabs S S4Carboplatin 150mg in 15ml inj S S4Chlorambucil 2mg tabs S S4Chlorambucil 5mg tabs S S4Cisplatin 50mg in 50ml inj H S4Cisplatin 100mg in 100ml inj H S4Cyclophosphamide 200mg DP inj S S4

Cyclophosphamide 500mg DP inj S S4Cyclophosphamide 1g DP inj S S4Cyclophosphamide 50mg tabs S S4Doxorubicin 5ml 2mg in 1ml inj S S4Doxorubicin 10ml 2mg in 1ml inj S S4Doxorubicin 25ml 2mg in 1ml inj S S4Fluorouracil 5% cream H S4Fluorouracil 250mg in 5ml inj H S4Fluorouracil 500mg in 10ml inj H S4Fluorouracil 500mg in 20ml inj H S4Hydroxyurea 500mg caps S S4Melphalan 2mg tabs S S4Mercaptopurine 50mg tabs S S4Methotrexate 50mg in 2ml inj H S4Methotrexate 2.5mg tabs H S4Procarbazine 50mg tabs S S4Vincristine 1mg in 1ml inj H S4Vincristine 2mg in 2ml inj H S4C. Hormones and AntihormonesDexamethasone 4mg in 1ml inj H S4Dexamethasone 0.1% inj H S4Dexamethasone 0.5mg tabs H S4Dexamethasone 4mg tabs H S4Hydrocortisone sodium 100mg DP inj A S4Prednisolone 5mg tabs C SAPrednisolone 25mg tabs S S4Tamoxifen 20mg tabs H S4

Anti-ParkinsonismBenzhexol 5mg tabs A S4Benztropine 2mg in 2ml inj H S4Bromocriptine 2.5mg tabs H S4Levodopa/Carbidopa 100mg/25mg tabs S S4Levodopa/Carbidopa 250mg/25mg tabs S S4

Blood & haematopoieticA. Anti-anaemia medicinesFerrous sulphate 6mg in 1ml liquid C SAFerrous sulphate (mf) 60mg in 5ml mixture C SAFerrous sulphate/folic acid 200mg/0.4mg tabs N SAFolic acid 5mg tabs A SAHydroxycobalamin 1mg in 1ml inj H S4Iron dextran 2ml 50mg in 1ml inj H S4B. Medicines affecting coagulationHeparin 25,000IU in 5ml inj H S4Heparinised saline 50IU in 5ml inj H S4Phytomenadione 10mg in 1ml inj H S4Phytomenadione 1mg in 1ml inj N SAWarfarin (Coumadin) 1mg tabs H S4Warfarin (Coumadin) 2mg tabs H S4

Warfarin (Coumadin) 5mg tabs H S4Warfarin (Marevan) 1mg tabs H S4Warfarin (Marevan) 3mg tabs H S4Warfarin (Marevan) 5mg tabs H S4C. Blood products and plasma substitutes Polygeline (Haemaccel or equiv) infusion H S4

CardiovascularA. Anti-angina Atenolol 50mg tabs H S4Glyceryl trinitrate 0.6mg S/L tabs H S4Isosorbide dinitrate 10mg tabs S S4Propranolol 1mg in 1ml inj H S4Verapamil 5mg in 2ml inj S S4B. Anti-arrhythmic medicinesAdrenaline 1mg in 1ml inj N SAAtenolol 50mg tabs H S4Digoxin 62.5mcg tabs H S4Digoxin 250mcg tabs H S4Digoxin 50mcg in 2ml inj H S4Digoxin 500mcg in 2ml inj H S4Digoxin 50mcg in 1ml elixir H S4Propranolol 40mg tabs H S4Verapamil 80mg tabs S S4Verapamil 5mg in 2ml inj S S4C. Anti-hypertensiveAtenolol 50mg tabs H S4Captopril 25mg tabs S S4Enalapril 5mg tabs H S4Hydralazine 20mg DP inj H S4Hydralazine 25mg tabs H S4Hydrochlorothiazide 25mg tabs H S4Methyldopa 250mg tabs A S4Nifedipine 20mg SR tabs H S4Phenoxybenzamine 10mg caps S S4Prazosin 1mg tabs S S4Propranolol 40mg tabs H S4D. Medicines used in heart failureDigoxin 62.5mcg tabs H S4Digoxin 250mcg tabs H S4Dopamine 200mg in 5ml inj S S4Enalapril 5mg tabs H S4Hydrochlorothiazide 25mg tabs H S4E. Anti-thromboticAspirin 300mg tabs A SAD. Anti-shockDobutamine 250mg in 20ml inj S S4Ephedrine 30mg in 1ml inj H S4

Metaraminol 10mg in 1ml inj S S4Noradrenaline 2mg in 2ml inj H S4Sodium nitroprusside 50mg infusion S S4

Dermatological drugsA. AntifungalsB.S.S (Benzoic acid/salicylic acid/sulphur) ointment N SAClotrimazole 2% vaginal cream H S4Clotrimazole 1% skin cream A S4B. Anti-infective Gentian violet paint 0.5% solution N SASilver nitrate pencil 75% pencil A SASilver sulphadiazine 50g 1% cream A SAC. Anti-Inflammatory, Anti-pruritic and Counterirritant Calamine 50ml lotion A SAHydrocortisone 1% cream H S4Lignocaine topical 4% solution H S4Methylsalicylate 20g 50% ointment C SAPodophyllum paint 15% solution H S4D. Scabicides and pediculicidesBenzyl benzoate 200ml 25% lotion N SAPermethrin 10mg in 1ml solution H S4E. Drugs for PsoriasisCoal tar and salicylic acid (mf) 10%/2% ointment H S4

Diagnostic agents - reagentsA. OphthalmicFluorescin eye strips box/100 strips H S4Tropicamide 15ml 1% eye drops H S4B. Radiocontrast mediaMeglumine 20ml 60% inj H S4C. Test agentsBlood Glucose meter diagnostic tool N SABlood Glucose meter test strips strips N SAUrine reagent strip glucose/protein strips C SA

Disinfectants & AntisepticsA. AntisepticsAcriflavine in spirit 0.2% in 70% solution N SAAntiseptic Soap soap A SAChlorhexidine 4.00% hand wash H SAChlorhexidine 100g 1% obstetric cream N SAChlorhexidine 20g 0.5% skin cream N SAChlorhexidine in spirit 0.5% in 70% solution A SAChlorhexidine mouth wash 200ml 0.20% solution A SAChlorhexidine/Ethanol hand rub 0.5%/70% solution N SAChlorine (effervescent) 1g tabs (non oral) A SAPovidone iodine 500ml 10% solution A SAPovidone iodine surgical hand scrub 7.5% solution H S4B. Disinfectants

Chlorhexidine/Cetrimide conc. 1.5%/15% solution A SADisinfectant, phenolic hospital grade 1% liquid H SAFormaldehyde solution 2L 37% solution H S4Glutaraldehyde (eg. Cidex®) 2% solution H S4Hydrogen Peroxide 20 vols 6% solution H S4Isopropyl alcohol 70% solution H S4Soda lime granules 5L granules H S4

DiureticsFrusemide 20mg tabs H S4Frusemide 40mg tabs A S4Frusemide 20mg in 2ml inj A S4Frusemide 5mg in 5ml suspension H S4Hydrochlorothiazide 25mg tabs H S4Manitol 500ml 20% inj H S4Spironolactone 25mg tabs H S4Spironolactone (mf) 5mg in 1ml suspension H S4

Ear, nose & throatEphedrine 0.5% nasal drops H SAEthyl alcohol (spirit) ear drops H S4Olive oil ear drops C SA

Gastro-intestinal drugsA. Antacids and Ulcer healing drugsGaviscon® (or equivalent) tabs H S4Magnesium trisilicate 250mg/120mg tabs N SAOmeprazole 20mg caps S S4Omeprazole 40mg inj S S4Ranitidine 150mg tabs A S4Ranitidine 25mg in 1ml inj H S4Ranitidine 15mg in 1ml liquid S S4B. Antiemetic drugsMetoclopramide 10mg tabs A SAMetoclopramide 10mg in 2ml inj H S4Prochlorperazine 12.5mg in 1ml inj H S4Promethazine 5mg in 5ml suspension A SAPromethazine 10mg tabs N SAPromethazine 25mg tabs A SAC. Antihemorrhoidal drugs Anti-haemorrhoid supps H S4D. Antispasmodics Hyoscine Butylbromide 20mg in 1ml inj H S4Hyoscine Butylbromide 10mg tabs H S4E. LaxativesBisacodyl 10mg suppository H SABisacodyl 5mg tabs A SALactulose 500ml 3.3g in 5ml syrup S S4Picoprep 15.5g oral powder H SAF. Antidiarrhoeals

Oral Rehydration Salts powder N SAZinc sulphate (dispersible) 20mg tabs C S4G. Antimotility drugsCodeine 30mg tabs H S4

Hormones, other endocrine medicines and contraceptivesA. Adrenal hormones (inc synthetic)Cortisone acetate 5mg tabs S S4Dexamethasone 4mg in 1ml inj H S4Dexamethasone 0.5mg tabs S S4Dexamethasone 4mg tabs S S4Fludrocortisone 0.1mg tabs S S4Hydrocortisone sodium 100mg DP inj A S4Methylprednisolone 40mg in 1ml inj S S4Methylprednisolone 500mg inj H S4Prednisolone 5mg tabs C SAPrednisolone 25mg tabs S S4Triamcinolone 10mg in 1ml inj H S4B. Sex hormonesMesterolone 25mg tabs S S4C. ContraceptivesCopper IUD T380A® IUD C SALevonorgestrogel /Ethinyloestradiol 0.15mg/0.03mg tabs N SALevonorgestrogel 0.03mg tabs N SALevonorgestrogel 750mcg tabs S S4Condom, Female condom N SACondom, Male condom N SAD. EstrogensEthinyloestradiol 0.01mg tabs S S4E. Insulin & other anti-diabetic agentsChlorpropamide 250mg tabs A S4Glibenclamide 5mg tabs A S4Glipizide 5mg tabs S S4Insulin Human Actrapid® 10ml 100IU/ml inj A S4Insulin Human Isophane 10ml 100IU/ml inj H S4Insulin Human Mixtard® 30/70 10ml 100IU/ml inj A S4Metformin 500mg tabs H S4F. Ovulation inducers Clomiphene 50mg tabs S S4G. ProgestogensMedroxyprogesterone (Depo Provera or equiv) 150mg in 1ml inj N SANorethisterone 5mg tabs H S4H. Thyroid and antagonistsCarbimazole 5mg tabs H S4Propylthiouracil 50mg tabs S S4Thyroxine 0.1mg tabs H S4

ImmunologicalsA. DiagnosticsTuberculin PPD (Mantoux) 10ml inj A SA

B. VaccinesBCG vaccine 20 dose amp and diluent inj N SACholera vaccine inj H S4Hepatitis B vaccine 0.5ml 10mcg in 0.5ml inj N SAMeasles vaccine 10 doses in 1 vial inj N SAOral Polio Vaccine 10 doses in 1 vial liquid N S4Pentavalent vaccine (DPT-HEPB-HIB) inj H S4Tetanus toxoid vaccine 10 doses in 1 vial inj N SAYellow fever vaccine single dose inj H S4

Muscle relaxants & Cholinesterase inhibitorsAtracurium besylate 25mg in 2.5ml inj H S4Baclofen 10mg tabs S S4Neostigmine 0.5mg in 1ml inj H S4Neostigmine 2.5mg in 1ml inj H S4Pancuronium 4mg in 2ml inj H S4Pyridostigmine 60mg tabs S S4Rocuronium bromide 50mg in 50ml inj H S4Suxamethonium 100mg in 2ml inj H S4Vecuronium 4mg inj H S4Ophthalmological preparationsA. Anti-Infective Acyclovir 4.5g 3% eye ointment S S4Chloramphenicol 0.5% eye drops H S4Chloramphenicol/Prednisolone 5%/0.5% eye drops S S4Chloramphenicol 1% eye ointment A S4Ciprofloxacin 10ml 0.3% eye drops S S4Econazole 1.00% eye preparation S S4Gentamicin 10ml 0.3% eye drops H S4Idoxurine 5g 0.5% eye ointment S S4Natamycin 5% eye drops S S4Tetracycline 4g 1% eye ointment N SAB. Corticosteroids/Anti-inflammatory/AllergyBetamethasone/Neomycin 0.1%/0.5% eye/ear drops S S4Cromoglycate 2% eye drops S S4Dexamethasone 0.1% eye drops H S4Dexamethasone/Neomycin 0.1%/0.5% eye drops S S4Diclofenac 0.1% eye drops S S4Fluorometholone 0.1% eye drops S S4Naphazoline/Antazoline 0.025%/0.5% eye drops S S4Prednisolone 0.5% eye drops H S4Prednisolone 1% eye drops H S4C. Local Anaesthetics Amethocaine (Minims) 0.5% eye drops H S4C. Miotics & Antiglaucoma drugs Acetazolamide 250mg tabs A S4

Carbachol 0.01% inj S S4Cyclopentolate (Minims) 0.5% eye drops H S4Dorzolamide 2% eye drops S S4Homatropine 2% eye drops H S4Latanoprost 0.005% eye drops S S4Pilocarpine 2% eye drops H S4Pilocarpine 4% eye drops H S4Timolol 0.25% eye drops H S4Timolol 5ml 0.5% eye drops H S4D. MydriaticsAtropine 5ml 1% eye drops H S4Phenylephrine (Minims) 2.5% eye drops H S4Phenylephrine (Minims) 10% eye drops H S4F. Occular LubricantsHydroxypropylmethylcellulose 20mg in 1ml inj H S4Hypromellose 0.5% eye drops H S4

Oxytocics & antioxytocics Ergometrine 0.5mg tabs H S4Magnesium sulphate 50% inj S S4Misoprostol 200mcg tabs S S4Nifedipine 20mg SR tabs H S4Oxytocin/Ergometrine (Syntometrine) 5IU/0.5mg inj N SAOxytocin 5IU inj N SASalbutamol 0.5mg in 1ml inj S S4

PsychotherapeuticA. Medicines used in psychotic disordersChlorpromazine 50mg in 2ml inj H S4Chlorpromazine 100mg tabs H S4Fluphenazine decanoate 25mg depot inj A S4Haloperidol 5mg in 1ml inj H S4Haloperidol 5mg tabs A S4B. Medicines used in mood disordersAmitriptyline 50mg tabs H S4Carbamazepine 200mg tabs A S4Dothiepin 25mg tabs H S4Dothiepin 75mg tabs H S4Lithium carbonate 400mg tabs H S4Trifluoperazine 5mg tabs H S4Valproate sodium 200mg tabs S S4Valproate sodium 500mg tabs S S4Valproate sodium (mf) 200mg in 5ml mixture S S4C. Medicines used in generalised anxiety and sleep disordersDiazepam 5mg tabs H S4

Respiratory tractAdrenaline 1mg in 1ml inj N SAAminophylline 250mg in 10ml inj A S4Beclomethasone 100mcg/dose inhaler H S4

Ipratropium 250mcg in 1ml nebuliser soln S S4Salbutamol 5mg in 1ml nebuliser soln H SASalbutamol 100mcg/dose inhaler N SASalbutamol 4mg tabs N SASpacer Volumatic H S4Theophylline 133.3mg in 25ml syrup S S4

Local Sclerosing AgentsSodium tetradecyl 2ml 3% inj S S4

Solutions correcting water, electrolyte & acid-base disturbancesA. OralOral Rehydration Salts powder N SAPotassium chloride 600mg SR tabs H S4B. ParenteralDextrose 50ml 50% inj N SADextrose 500ml 5% inj H SADextrose in sodium chloride 1000ml 3.3% in 0.3% inj N SADextrose in sodium chloride 500ml 3.3% in 0.3% inj H SAManitol 500ml 20% inj H S4Potassium chloride 10ml 10% inj H S4Potassium citrate (mf) 2mmol in 1ml solution H S4Sodium bicarbonate 20ml 8.4% inj H S4Sodium chloride 1000ml 0.9% infusion N SASodium chloride 10ml 0.9% inj H SASodium chloride 30ml 0.9% irrigation H S4Sodium citrate 30ml sachets 8.8% powder H S4Sodium lactate comp (Hartmann’s) infusion 1000ml inj A SAWater for Injection 10ml inj N SA

Genitourinary DrugsOxybutynin 5mg tabs S S4Prazosin 1mg tabs S S4

Vitamins & mineralsAscorbic Acid 250mg tabs H S4Calcium Carbonate 600mg tabs H S4Calcium Gluconate 10ml 10% inj H S4Ferrous sulphate 6mg in 1ml liquid C SAFerrous sulphate/folic acid 200mg/0.4mg tabs N SAFolic acid 5mg tabs A SAHydroxycobalamin 1mg in 1ml inj H S4Multivitamin drops liquid N SAMultivitamin tabs N SAPyridoxine 50mg tabs H S4Vitamin A 200,000IU caps N SAZinc sulphate (dispersible) 20mg tabs C S4

MiscellaneousChloroform water solution H S4Gel, Ultrasound gel H S4Lubricating jelly gel A SAPolyhydroxymethylcellulose 2% eye gel S S4

National Pharmacy Division, Ministry of Health and Medical Services

Adverse Drug Reaction Reporting

Adverse drug reactions occur more frequently than we may suspect. The Medicines Information Centre is trying to monitor these adverse drug reactions to create a log of data specifically for Solomon Islands.

Adverse drug reactions may be different depending on the patient, so all reactions reported will help build our understanding of the side effects of drugs, especially side effects specific to Solomon Islanders.

If you notice any adverse drug reactions, or if patients report adverse drug reactions please contact the Medicines Information Centre

� Ph: 24697 � Sell call: number 5555 � Email: solomonmedinfo@gmail.com

Information to record and report:

� Age, sex, weight, ethnicity of the patient � Name of the Drug � Time medication was started � Time adverse drug reaction was noticed � What the reaction was – e.g. rash, anaphylaxis, bleeding � What was done about it – e.g. medication ceased, dose reduced � The outcome of the reaction – e.g. resolved, patient hospitalised,

patient died Please consider adverse drug reactions or drug interactions as possible reasons for patient admission to hospital, and presentation to clinics. For more information on adverse drug reactions, please contact MIC.

Questions and comments can be addressed to

The PharmacistNational Medicines Information CentreC/o - National Referral Hospital Pharmacy DepartmentTel: 24697Radio Selcall: 5555Email: solomonmedinfo@gmail.com