17th who essential drug
TRANSCRIPT
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WHOModelList
of
EssentialMedicines
17thlist
(March2011)
Statusofthisdocument
ThisisareprintofthetextontheWHOMedicineswebsite
http://www.who.int/medicines/publications/essentialmedicines/en/index.html
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Thepublishedmaterialisbeingdistributedwithoutwarrantyofanykind,eitherexpressedorimplied. The
responsibilityfortheinterpretationanduseofthemateriallieswiththereader. InnoeventshalltheWorldHealth
Organizationbeliablefordamagesarisingfromitsuse.
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17thedition
EssentialMedicines
WHOModelList(March2011)
ExplanatoryNotes
Thecorelistpresentsalistofminimummedicineneedsforabasichealthcaresystem,listingthemost
efficacious,safeandcosteffectivemedicinesforpriorityconditions.Priorityconditionsareselectedonthe
basisofcurrentandestimatedfuturepublichealthrelevance,andpotentialforsafeandcosteffective
treatment.
Thecomplementarylistpresentsessentialmedicinesforprioritydiseases,forwhichspecializeddiagnostic
ormonitoringfacilities,and/orspecialistmedicalcare,and/orspecialisttrainingareneeded.Incaseofdoubt
medicinesmayalsobelistedascomplementaryonthebasisofconsistenthighercostsorlessattractivecost
effectivenessinavarietyofsettings.
Thesquareboxsymbol()isprimarilyintendedtoindicatesimilarclinicalperformancewithinapharmacologicalclass.Thelistedmedicineshouldbetheexampleoftheclassforwhichthereisthebest
evidenceforeffectivenessandsafety.Insomecases,thismaybethefirstmedicinethatislicensedfor
marketing;inotherinstances,subsequentlylicensedcompoundsmaybesaferormoreeffective.Wherethere
isnodifferenceintermsofefficacyandsafetydata,thelistedmedicineshouldbetheonethatisgenerally
availableatthelowestprice,basedoninternationaldrugpriceinformationsources.Notallsquareboxesare
applicabletomedicineselectionforchildrenseethesecondEMLcfordetails.
Therapeuticequivalenceisonlyindicatedonthebasisofreviewsofefficacyandsafetyandwhenconsistent
withWHOclinicalguidelines.Nationallistsshouldnotuseasimilarsymbolandshouldbespecificintheir
finalselection,whichwoulddependonlocalavailabilityandprice.
Theasymbolindicatesthatthereisanageorweightrestrictiononuseofthemedicine;detailsforeach
medicinecanbefoundinTable1.
Wherethe[c]symbolisplacednexttothecomplementarylistitsignifiesthatthemedicine(s)require(s)
specialistdiagnosticormonitoringfacilities,and/orspecialistmedicalcare,and/orspecialisttrainingfor
theiruseinchildren.
Wherethe[c]symbolisplacednexttoanindividualmedicineorstrengthofmedicineitsignifiesthatthereisaspecificindicationforrestrictingitsusetochildren.
ThepresenceofanentryontheEssentialMedicinesListcarriesnoassuranceastopharmaceuticalquality.It
istheresponsibilityoftherelevantnationalorregionaldrugregulatoryauthoritytoensurethateach
productisofappropriatepharmaceuticalquality(includingstability)andthatwhenrelevant,different
productsareinterchangeable.
ForrecommendationsandadviceconcerningallaspectsofthequalityassuranceofmedicinesseetheWHO
Medicineswebsitehttp://www.who.int/medicines/areas/quality_assurance/en/index.html.
Medicinesanddosageformsarelistedinalphabeticalorderwithineachsectionandthereisnoimplicationofpreferenceforoneformoveranother.Standardtreatmentguidelinesshouldbeconsultedforinformation
onappropriatedosageforms.
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ThemaintermsusedfordosageformsintheEssentialMedicinesListcanbefoundinAnnex1.
Definitionsofmanyofthesetermsandpharmaceuticalqualityrequirementsapplicabletothedifferent
categoriesarepublishedinthecurrenteditionofTheInternationalPharmacopoeia
http://www.who.int/medicines/publications/pharmacopoeia/en/index.html.
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EML 17 (March 2011) page - 1
1. ANAESTHETICS
1.1 General anaesthetics and oxygen
1.1.1 Inhalational medicines
halothane Inhalation.
isoflurane Inhalation.
nitrousoxide Inhalation.
oxygen Inhalation(medicinalgas).
1.1.2 Injectable medicines
ketamine Injection:50mg(ashydrochloride)/mlin10mlvial.
propofol*
Injection:10mg/ml;20mg/ml.
*Thiopental
may
be
used
as
an
alternative
depending
on
local
availabilityandcost.
1.2 Local anaesthetics
bupivacaine
Injection:0.25%;0.5%(hydrochloride)invial.
Injectionforspinalanaesthesia:0.5%(hydrochloride)in
4mlampouletobemixedwith7.5%glucosesolution.
lidocaine
Injection:1%;2%(hydrochloride)invial.
Injectionforspinalanaesthesia:5%(hydrochloride)in
2
ml
ampoule
to
be
mixed
with
7.5%
glucose
solution.
Topicalforms:2%to4%(hydrochloride).
lidocaine+epinephrine(adrenaline)
Dentalcartridge:2%(hydrochloride)+epinephrine1:80000.
Injection:1%;2%(hydrochlorideorsulfate)+epinephrine
1:200000invial.
ComplementaryList
ephedrineInjection:30mg(hydrochloride)/mlin1mlampoule.
(Foruseinspinalanaesthesiaduringdelivery,topreventhypotension).
1.3 Preoperative medication and sedation for short-term proceduresatropine Injection:1mg(sulfate)in1mlampoule.
midazolam
Injection:1mg/ml.
Oralliquid:2mg/ml[c].
Tablet:7.5mg;15mg.
morphine Injection:10mg(sulfateorhydrochloride)in1mlampoule.
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2. ANALGESICS, ANTIPYRETICS, NON-STEROIDAL ANTI-INFLAMMATORYMEDICINES (NSAIMs), MEDICINES USED TO TREAT GOUT AND DISEASE MODIFYING
AGENTS IN RHEUMATOID DISORDERS (DMARDs)2.1 Non-opioids and non-steroidal anti-inflammatory medicines (NSAIMs)acetylsalicylicacid
Suppository:50mgto150mg.
Tablet:100mgto500mg.
ibuprofena
Oralliquid:200mg/5ml.
Tablet:200mg;400mg.
a >3 months.
paracetamol*
Oralliquid:125mg/5ml.
Suppository:100mg.
Tablet:100mgto500mg.
*Notrecommendedforantiinflammatoryuseduetolackof
provenbenefittothateffect.
ComplementaryList[c]
acetylsalicylicacid*
Suppository:50mgto150mg.
Tablet:100mgto500mg.
*Foruseforrheumaticfever,juvenilearthritis,Kawasakidisease.
2.2 Opioid analgesics
codeine*
Tablet:30mg(phosphate).
*TheExpertCommitteehasrequestedareviewofthe
comparativeeffectivenessandsafety,forpossibledeletionofthis
medicineatitsnextmeeting.
morphine
Injection:10mg(morphinehydrochlorideormorphinesulfate)
in1mlampoule.
Oralliquid:10mg(morphinehydrochlorideormorphine
sulfate)/5ml.
Tablet:10
mg
(morphine
sulfate).
Tablet(prolongedrelease):10mg;30mg;60mg(morphine
sulfate).
2.3 Medicines used to treat gout
allopurinol Tablet:100mg.
2.4 Disease modifying agents used in rheumatoid disorders (DMARDs)
chloroquine*
Tablet:100mg;150mg(asphosphateorsulfate).
*TheExpertCommitteehasrequestedareviewofthe
comparativeeffectivenessandsafety,forpossibledeletionofthismedicineatitsnextmeeting.
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ComplementaryList
azathioprine Tablet:50mg.
hydroxychloroquine[c] Solidoraldosageform:200mg(assulfate).
methotrexate
Tablet:2.5mg(assodiumsalt).
penicillamine Solidoraldosageform:250mg.
sulfasalazine Tablet:500mg.
3. ANTIALLERGICS AND MEDICINES USED IN ANAPHYLAXIS
chlorphenaminea
Injection:10mg(hydrogenmaleate)in1mlampoule.
Oralliquid:2mg/5ml(hydrogenmaleate) [c].
Tablet:4mg(hydrogenmaleate).
a >1 year.
dexamethasoneInjection:4mg/mlin1mlampoule(asdisodiumphosphate
salt).
epinephrine(adrenaline)Injection:1mg(ashydrochlorideorhydrogentartrate)in
1mlampoule.
hydrocortisone Powderforinjection:100mg(assodiumsuccinate)invial.
prednisoloneOralliquid:5mg/ml[c].
Tablet:5mg;25mg.
4. ANTIDOTES AND OTHER SUBSTANCES USED IN POISONINGS
4.1 Non-specific
charcoal,activated Powder.
4.2 Specific
acetylcysteineInjection:200mg/mlin10mlampoule.
Oralliquid:10%[c];20%[c].
atropine Injection:1mg(sulfate)in1mlampoule.
calciumgluconate
Injection:
100
mg/ml
in
10
ml
ampoule.
methylthioniniumchloride
(methyleneblue)Injection:10mg/mlin10mlampoule.
naloxone Injection:400micrograms(hydrochloride)in1mlampoule.
penicillamine*
Solidoraldosageform:250mg.
*TheExpertCommitteehasrequestedareviewofthe
comparativeeffectivenessandsafety,forpossibledeletionofthis
medicineatitsnextmeeting.
potassiumferric
hexacyano
ferrate(II)
2H20(Prussianblue)Powder
for
oral
administration.
sodiumnitrite Injection:30mg/mlin10mlampoule.
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sodiumthiosulfate Injection:250mg/mlin50mlampoule.
ComplementaryList
deferoxamine Powderforinjection:500mg(mesilate)invial.
dimercaprol Injectionin
oil:50mg/mlin2mlampoule.
sodiumcalciumedetate Injection:200mg/mlin5mlampoule.
succimer Solidoraldosageform:100mg.
5. ANTICONVULSANTS/ANTIEPILEPTICS
carbamazepine
Oralliquid:100mg/5ml.
Tablet(chewable):100mg;200mg.
Tablet(scored):100mg;200mg.
diazepam Gelor
rectal
solution:
5mg/mlin0.5ml;2ml;4mltubes.
lorazepamParenteralformulation:2mg/mlin1mlampoule;4mg/mlin
1mlampoule.
magnesiumsulfate*
Injection:500mg/mlin2mlampoule;500mg/mlin
10mlampoule.
*Foruseineclampsiaandseverepreeclampsiaandnotforother
convulsantdisorders.
phenobarbital
Injection:200mg/ml(sodium).
Oralliquid:
15
mg/5
ml.
Tablet:15mgto100mg.
phenytoin
Injection:50mg/mlin5mlvial(sodiumsalt).
Oralliquid:25mgto30mg/5ml.*
Solidoraldosageform:25mg;50mg;100mg(sodiumsalt).
Tablet(chewable):50mg.
*Thepresenceofboth25mg/5mland30mg/5mlstrengthson
thesamemarketwouldcauseconfusioninprescribingand
dispensingand
should
be
avoided.
valproicacid(sodiumvalproate)
Oralliquid:200mg/5ml.
Tablet(crushable):100mg.
Tablet(entericcoated):200mg;500mg(sodiumvalproate).
ComplementaryList
ethosuximideCapsule:250mg.
Oralliquid:250mg/5ml.
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6. ANTI-INFECTIVE MEDICINES6.1 Anthelminthics6.1.1 Intestinal anthelminthicsalbendazole Tablet
(chewable):400mg.
levamisole*
Tablet:50mg;150mg(ashydrochloride).
*TheExpertCommitteerecommendedthatthismedicinebe
reviewedfordeletionatitsnextmeeting.Shouldbeusedin
combinationwithotheranthelminthics.
mebendazole Tablet(chewable):100mg;500mg.
niclosamide*
Tablet(chewable):500mg.
*Niclosamideislistedforusewhenpraziquanteltreatmentfails.
TheExpert
Committee
recommended
that
this
medicine
be
reviewedfordeletionatitsnextmeeting.
praziquantel Tablet:150mg;600mg.
pyrantelOralliquid:50mg(asembonateorpamoate)/ml.
Tablet(chewable):250mg(asembonateorpamoate).
6.1.2 Antifilarials
albendazole Tablet(chewable):400mg.
diethylcarbamazine Tablet:50mg;100mg(dihydrogencitrate).
ivermectin Tablet(scored):3mg;6mg.
6.1.3 Antischistosomals and other antitrematode medicines
praziquantel Tablet:600mg.
triclabendazole Tablet:250mg.
ComplementaryList
oxamniquine*
Capsule:250mg.
Oralliquid:250mg/5ml.
*Oxamniquineislistedforusewhenpraziquanteltreatmentfails.
6.2 Antibacterials
6.2.1 Beta Lactam medicines
amoxicillin
Powderfororalliquid:125mg(astrihydrate)/5ml;250mg(as
trihydrate)/5ml[c].
Solidoraldosageform:250mg;500mg(astrihydrate).
amoxicillin+clavulanicacid
Oralliquid:125mgamoxicillin+31.25mgclavulanicacid/5ml
AND250mgamoxicillin+62.5mgclavulanicacid/5ml[c].
Tablet:500mg(astrihydrate)+125mg(aspotassiumsalt).
ampicillin Powderforinjection:500mg;1g(assodiumsalt)invial.
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benzathinebenzylpenicillin
Powderforinjection:900mgbenzylpenicillin(=1.2millionIU)
in5mlvial[c];1.44gbenzylpenicillin(=2.4millionIU)in5ml
vial.
benzylpenicillinPowderforinjection:600mg(=1millionIU);3g(=5millionIU)
(sodiumor
potassiumsalt)invial.
cefalexin[c]
Powderforreconstitutionwithwater:125mg/5ml;250mg/5ml
(anhydrous).
Solidoraldosageform:250mg(asmonohydrate).
cefazolin*a
Powderforinjection:1g(assodiumsalt)invial.
*Forsurgicalprophylaxis.
a >1 month.
cefixime*
Capsule:400mg(astrihydrate).
*Onlylistedforsingledosetreatmentofuncomplicatedano
genitalgonorrhoea.
ceftriaxone*a
Powderforinjection:250mg;1g(assodiumsalt)invial.
*Donotadministerwithcalciumandavoidininfantswith
hyperbilirubinemia.
a >41 weeks corrected gestational age.
cloxacillin
Capsule:500mg;1g(assodiumsalt).
Powderforinjection:500mg(assodiumsalt)invial.
Powderfororalliquid:125mg(assodiumsalt)/5ml.
phenoxymethylpenicillinPowderfororalliquid:250mg(aspotassiumsalt)/5ml.
Tablet:250mg(aspotassiumsalt).
procainebenzylpenicillin*
Powderforinjection:1g(=1millionIU);3g(=3millionIU)in
vial.
*Procainebenzylpenicillinisnotrecommendedasfirstline
treatmentforneonatalsepsisexceptinsettingswithhigh
neonatalmortality,whengivenbytrainedhealthworkersin
caseswhere
hospital
care
is
not
achievable.
ComplementaryList
cefotaxime*[c]
Powderforinjection:250mgpervial(assodiumsalt).
*3rdgenerationcephalosporinofchoiceforuseinhospitalized
neonates.
ceftazidime Powderforinjection:250mgor1g(aspentahydrate)invial.
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imipenem*+cilastatin*
Powderforinjection:250mg(asmonohydrate)+250mg(assodium
salt);500mg(asmonohydrate)+500mg(assodiumsalt)invial.
*Onlylistedforthetreatmentoflifethreateninghospitalbased
infectionduetosuspectedorprovenmultidrugresistantinfection.
Meropenemisindicatedforthetreatmentofmeningitisandislicensed
foruseinchildrenovertheageof3months.
6.2.2 Other antibacterials
azithromycin*
Capsule:250mg;500mg(anhydrous).
Oralliquid:200mg/5ml.
*OnlylistedforsingledosetreatmentofgenitalChlamydia
trachomatisandoftrachoma.
chloramphenicol
Capsule:250mg.
Oilysuspensionforinjection*:0.5g(assodiumsuccinate)/mlin
2mlampoule.
*Onlyforthepresumptivetreatmentofepidemicmeningitisin
childrenolderthan2years.
Oralliquid:150mg(aspalmitate)/5ml.
Powderforinjection:1g(sodiumsuccinate)invial.
ciprofloxacin*
Oralliquid:250mg/5ml(anhydrous)[c].
SolutionforIVinfusion:2mg/ml(ashyclate)[c].
Tablet:250mg(ashydrochloride).
*Squareboxappliestoadultsonly.
clarithromycin*
Solidoraldosageform:500mg.
*ForuseincombinationregimensforeradicationofH.Pyloriin
adults.
doxycyclinea
Oralliquid:25mg/5ml[c];50mg/5ml(anhydrous)[c].
Solidoraldosageform:50mg[c];100mg(ashyclate).
aUse in children
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metronidazole
Injection:500mgin100mlvial.
Oralliquid:200mg(asbenzoate)/5ml.
Suppository:500mg;1g.
Tablet:200mgto500mg.
nitrofurantoinOralliquid:25mg/5ml[c].
Tablet:100mg.
spectinomycin Powderforinjection:2g(ashydrochloride)invial.
sulfamethoxazole+trimethoprim
Injection:
80mg+16mg/mlin5mlampoule;
80mg+16mg/mlin10mlampoule.
Oralliquid:200mg+40mg/5ml.
Tablet:100mg+20mg;400mg+80mg;800mg+160mg.
trimethoprima
Oralliquid:50mg/5ml[c].
Tablet:100mg;200mg.
a >6 months.
ComplementaryList
clindamycin
Capsule:150mg(ashydrochloride).
Injection:150mg(asphosphate)/ml.
Oralliquid:75mg/5ml(aspalmitate)[c].
vancomycin Powderforinjection:250mg(ashydrochloride)invial.
6.2.3 Antileprosy medicines
Medicines used in the treatment of leprosy should neverbe used except in combination. Combination
therapyisessentialtopreventtheemergenceofdrugresistance.Colourcodedblisterpacks(MDTblister
packs) containing standard two medicine (paucibacillary leprosy) or three medicine (multibacillary
leprosy)combinationsforadultandchildhoodleprosyshouldbeused.MDTblisterpackscanbesupplied
freeofchargethroughWHO.
clofazimine Capsule:50mg;100mg.
dapsone Tablet:25mg;50mg;100mg.
rifampicin Solidoraldosageform:150mg;300mg.
6.2.4 Antituberculosis medicines
ethambutolOralliquid:25mg/ml[c].
Tablet:100mgto400mg(hydrochloride).
ethambutol+isoniazid Tablet:400mg+150mg.
ethambutol+isoniazid+pyrazinamide
+rifampicin Tablet:275
mg
+75
mg
+400
mg
+150
mg.
ethambutol+isoniazid+rifampicin Tablet:275mg+75mg+150mg.
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isoniazid
Oralliquid:50mg/5ml[c].
Tablet:100mgto300mg.
Tablet(scored):50mg.
isoniazid+pyrazinamide+rifampicin
Tablet:
75mg+400mg+150mg.
150mg+500mg+150mg(Forintermittentusethreetimes
weekly).
isoniazid+rifampicin
Tablet:
75mg+150mg;150mg+300mg.
60mg+60mg(Forintermittentusethreetimesweekly).
150mg+150mg(Forintermittentusethreetimesweekly).
pyrazinamide
Oralliquid:30mg/ml[c].
Tablet:400mg.
Tablet(dispersible):150mg.
Tablet(scored):150mg.
rifabutinCapsule:150mg.*
*ForuseonlyinpatientswithHIVreceivingproteaseinhibitors.
rifampicinOralliquid:20mg/ml[c].
Solidoraldosageform:150mg;300mg.
streptomycin Powderfor
injection:1g(assulfate)invial.
ComplementaryList
Reservesecondlinedrugsforthetreatmentofmultidrugresistanttuberculosis(MDRTB)shouldbe
usedinspecializedcentresadheringtoWHOstandardsforTBcontrol.
amikacin Powderforinjection:100mg;500mg;1g(assulfate)invial.
capreomycin Powderforinjection:1g(assulfate)invial.
cycloserine Solidoraldosageform:250mg.
ethionamide
Tablet:125
mg;
250
mg.
kanamycin Powderforinjection:1g(assulfate)invial.
ofloxacin*
Tablet:200mg;400mg.
*Levofloxacinmaybeanalternativebasedonavailabilityand
programmeconsiderations.
paminosalicylicacidGranules:4ginsachet.
Tablet:500mg.
6.3 Antifungal medicines
clotrimazoleVaginalcream:1%;10%.
Vaginaltablet:100mg;500mg.
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fluconazole
Capsule:50mg.
Injection:2mg/mlinvial.
Oralliquid:50mg/5ml.
griseofulvinOral
liquid:
125mg/5ml[c].
Solidoraldosageform:125mg;250mg.
nystatin
Lozenge:100000IU.
Oralliquid:50mg/5ml[c];100000IU/ml[c].
Pessary:100000IU.
Tablet:100000IU;500000IU.
ComplementaryList
amphotericinB Powderforinjection:50
mg
in
vial.
Assodiumdeoxycholateorliposomalcomplex.
flucytosineCapsule:250mg.
Infusion:2.5gin250ml.
potassiumiodide Saturatedsolution.
6.4 Antiviral medicines6.4.1 Antiherpes medicines
aciclovir
Oralliquid:200mg/5ml[c].
Powderforinjection:250mg(assodiumsalt)invial.
Tablet:200mg.
6.4.2 AntiretroviralsBasedoncurrentevidenceandexperienceofuse,medicinesinthefollowingthreeclassesofantiretrovirals
are included as essential medicines for treatment and prevention of HIV (prevention of mothertochild
transmission and postexposure prophylaxis). The Committee emphasizes the importance of using these
products in accordance with global and national guidelines. The Committee recommends and endorses
the use of fixeddose combinations and the development of appropriate new fixeddose combinations,
including
modified
dosage
forms,
non
refrigerated
products
and
paediatric
dosage
forms
of
assured
pharmaceuticalquality.
Scoredtabletscanbeusedinchildrenandthereforecanbeconsideredforinclusioninthelistingoftablets,
providedadequatequalityproductsareavailable.
6.4.2.1 Nucleoside/Nucleotide reverse transcriptase inhibitors
abacavir(ABC)Oralliquid:100mg(assulfate)/5ml.
Tablet:300mg(assulfate).
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didanosine(ddI)
Bufferedpowderfororalliquid:100mg;167mg;250mgpackets.
Capsule(unbufferedentericcoated):125mg;200mg;250mg;
400mg.
Tablet(bufferedchewable,dispersible):25mg;50mg;100mg;
150mg;200mg.
emtricitabine(FTC)*a
Capsule:200mg.
Oralliquid:10mg/ml.
*FTCisanacceptablealternativeto3TC,basedonknowledgeof
thepharmacology,theresistancepatternsandclinicaltrialsof
antiretrovirals.
a >3 months.
lamivudine(3TC)
Oralliquid:50mg/5ml.
Tablet:150mg.
stavudine(d4T)Capsule:15mg;20mg;30mg.
Powderfororalliquid:5mg/5ml.
tenofovirdisoproxilfumarate(TDF)Tablet:300mg(tenofovirdisoproxilfumarateequivalentto
245mgtenofovirdisoproxil).
zidovudine(ZDVorAZT)
Capsule:100mg;250mg.
Oralliquid:50mg/5ml.
Solutionfor
IV
infusion
injection:10mg/mlin20mlvial.
Tablet:300mg.
6.4.2.2 Non-nucleoside reverse transcriptase inhibitors
efavirenz(EFVorEFZ)a
Capsule:50mg;100mg;200mg.
Oralliquid:150mg/5ml.
Tablet:600mg.
a >3 years or >10 kg weight.
nevirapine(NVP) Oralliquid:50
mg/5
ml.
Tablet:200mg.
6.4.2.3 Protease inhibitors
Selection of protease inhibitor(s) from the Model List will need tobe determinedby each country after
considerationofinternationalandnationaltreatmentguidelinesandexperience.Ritonavirisrecommended
foruseincombinationasapharmacologicalbooster,andnotasanantiretroviralinitsownright.Allother
proteaseinhibitorsshouldbeusedinboostedforms(e.g.withritonavir).
atazanaviraSolidoraldosageform:100mg;150mg;300mg(assulfate).
a >25 kg.
indinavir(IDV) Solidoraldosageform:400mg(assulfate).
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lopinavir+ritonavir(LPV/r)
Capsule:133.3mg+33.3mg.
Oralliquid:400mg+100mg/5ml.
Tablet(heatstable):100mg+25mg;200mg+50mg.
ritonavir
Oralliquid:400mg/5ml.
Solidoraldosageform:100mg.
Tablet(heatstable):25mg;100mg.
saquinavir(SQV)aSolidoraldosageform:200mg;500mg(asmesilate).
a >25 kg.
FIXED-DOSE COMBINATIONS
efavirenz+emtricitabine*+tenofovir
Tablet:600mg+200mg+300mg(disoproxilfumarateequivalent
to245mgtenofovirdisoproxil).
*FTCisanacceptablealternativeto3TC,basedonknowledgeof
thepharmacology,theresistancepatternsandclinicaltrialsof
antiretrovirals.
emtricitabine*+tenofovir
Tablet:200mg+300mg(disoproxilfumarateequivalentto
245mgtenofovirdisoproxil).
*FTCisanacceptablealternativeto3TC,basedonknowledgeof
thepharmacology,theresistancepatternsandclinicaltrialsof
antiretrovirals.
lamivudine+nevirapine+stavudine
Tablet:150mg+200mg+30mg.
Tablet(dispersible):
30mg+50mg+6mg[c];60mg+100mg+12mg[c].
lamivudine+nevirapine+
zidovudine Tablet:30mg+50mg+60mg[c];150mg+200mg+300mg.
lamivudine+zidovudine Tablet:30mg+60mg[c];150mg+300mg.
6.4.3 Other antivirals
oseltamivir*
Capsule:30mg;45mg;75mg(asphosphate).
Oralpowder:12mg/ml.
*OseltamivirshouldbeusedonlyincompliancewiththeWHO
treatmentguidelines,i.e.(1)fortreatmentofpatientswithsevere
orprogressiveclinicalillnesswithconfirmedorsuspected
influenzapandemic(H1N1)2009,(2)forthetreatmentofpatients
withconfirmedorsuspectedbutuncomplicatedillnessdueto
pandemicinfluenzavirusinfectionwhowereinhigherrisk
groups,mostnotablyforpregnantwomenandchildrenunder
2yearsofage.
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ribavirin*
Injectionforintravenousadministration:800mgand1gin10ml
phosphatebuffersolution.
Solidoraldosageform:200mg;400mg;600mg.
*Forthetreatmentofviralhaemorrhagicfeversonly.
6.5 Antiprotozoal medicines
6.5.1 Antiamoebic and antigiardiasis medicines
diloxanideaTablet:500mg(furoate).
a >25 kg.
metronidazole
Injection:500mgin100mlvial.
Oralliquid:200mg(asbenzoate)/5ml.
Tablet:200mgto500mg.
6.5.2 Antileishmaniasis medicines
amphotericinBPowderforinjection:50mginvial.
Assodiumdeoxycholateorliposomalcomplex.
miltefosine Solidoraldosageform:10mg;50mg.
paromomycin Solutionforintramuscularinjection:750mgofparomomycin
base(asthesulfate).
sodiumstibogluconateormeglumine
antimoniate
Injection:100mg/ml,1vial=30mlor30%,equivalentto
approximately8.1%antimony(pentavalent)in5mlampoule.
6.5.3 Antimalarial medicines6.5.3.1 For curative treatmentMedicinesforthetreatmentofP.falciparummalariacasesshouldbeusedincombination. Thelistcurrently
recommends combinations according to treatment guidelines. The Committee recognizes that not all of
theseFDCsexistandencouragestheirdevelopmentandrigoroustesting. TheCommitteealsoencourages
developmentandtestingofrectaldosageformulations.
amodiaquine*Tablet:153mgor200mg(ashydrochloride).
*Tobeusedincombinationwithartesunate50mg.
artemether*Oily
injection:
80
mg/ml
in
1ml
ampoule.
*Foruseinthemanagementofseveremalaria.
artemether+lumefantrine*
Tablet:20mg+120mg.
Tablet(dispersible):20mg+120mg[c].
*Notrecommendedinthefirsttrimesterofpregnancyorin
childrenbelow5kg.
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artesunate*
Injection:ampoules,containing60mganhydrousartesunicacid
withaseparateampouleof5%sodiumbicarbonatesolution.
Foruseinthemanagementofseveremalaria.
Rectaldosageform:50mg[c];200mgcapsules(forprereferral
treatmentof
severe
malaria
only;
patients
should
be
taken
to
an
appropriatehealthfacilityforfollowupcare)[c].
Tablet:50mg.
*Tobeusedincombinationwitheitheramodiaquine,mefloquine
orsulfadoxine+pyrimethamine.
artesunate+amodiaquine*
Tablet:25mg+67.5mg;50mg+135mg;100mg+270mg.
*Othercombinationsthatdeliverthetargetdosesrequiredsuchas
153mgor200mg(ashydrochloride)with50mgartesunatecanbe
alternatives.
chloroquine*
Oralliquid:50mg(asphosphate
or
sulfate)/5ml.
Tablet:100mg;150mg(asphosphateorsulfate).
*ForuseonlyforthetreatmentofP.vivaxinfection.
doxycycline*
Capsule:100mg(ashydrochlorideorhyclate).
Tablet(dispersible):100mg(asmonohydrate).
*Foruseonlyincombinationwithquinine.
mefloquine*Tablet:250mg(ashydrochloride).
*To
be
used
in
combination
with
artesunate
50
mg.
primaquine*
Tablet:7.5mg;15mg(asdiphosphate).
*OnlyforusetoachieveradicalcureofP.vivaxandP.ovale
infections,givenfor14days.
quinine*
Injection:300mgquininehydrochloride/mlin2mlampoule.
Tablet:300mg(quininesulfate)or300mg(quininebisulfate).
*Foruseonlyinthemanagementofseveremalaria,andshouldbe
usedincombinationwithdoxycycline.
sulfadoxine+pyrimethamine*Tablet:500mg+25mg.
*Onlyincombinationwithartesunate50mg.
6.5.3.2 For prophylaxis
chloroquine*
Oralliquid:50mg(asphosphateorsulfate)/5ml.
Tablet:150mg(asphosphateorsulfate).
*ForuseonlyincentralAmericanregions,foruseforP.vivax.
doxycyclineaSolidoraldosageform:100mg(ashydrochlorideorhyclate).
a >8 years.
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mefloquineaTablet:250mg(ashydrochloride).
a >5 kg or >3 months.
proguanil*Tablet:100mg(ashydrochloride).
*Foruseonlyincombinationwithchloroquine.
6.5.4 Antipneumocystosis and antitoxoplasmosis medicines
pyrimethamine Tablet:25mg.
sulfadiazine Tablet:500mg.
sulfamethoxazole+trimethoprim
Injection:
80mg+16mg/mlin5mlampoule;
80mg+16mg/mlin10mlampoule.
Oralliquid:200mg+40mg/5ml[c].
Tablet:100mg+20mg;400mg+80mg[c].
ComplementaryList
pentamidine Tablet:200mg;300mg(asisethionate).
6.5.5 Antitrypanosomal medicines
6.5.5.1 African trypanosomiasis
Medicinesforthetreatmentof1ststageAfricantrypanosomiasis
pentamidine*
Powderforinjection:200mg(asisetionate)invial.
*TobeusedforthetreatmentofTrypanosomabruceigambiense
infection.
suraminsodium*
Powderforinjection:1ginvial.
*Tobeusedforthetreatmentoftheinitialphaseof
Trypanosomabruceirhodesienseinfection.
Medicinesforthetreatmentof2ndstageAfricantrypanosomiasis
eflornithine*
Injection:200mg(hydrochloride)/mlin100mlbottle.
*TobeusedforthetreatmentofTrypanosomabruceigambiense
infection.
melarsoprolInjection:3.6%solution,5mlampoule(180mgofactive
compound).
nifurtimox*
Tablet:120mg.
*Onlytobeusedincombinationwitheflornithine,for the
treatmentofTrypanosomabruceigambienseinfection.
ComplementaryList[c]
melarsoprol Injection:3.6%solutionin5mlampoule(180mgofactivecompound).
6.5.5.2 American trypanosomiasis
benznidazole Tablet:100mg.
nifurtimox Tablet:30mg;120mg;250mg.
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7. ANTIMIGRAINE MEDICINES
7.1 For treatment of acute attack
acetylsalicylicacid Tablet:300mgto500mg.
ibuprofen[c] Tablet:200mg;400mg.
paracetamolOralliquid:125mg/5ml[c].
Tablet:300mgto500mg.
7.2 For prophylaxis
propranolol Tablet:20mg;40mg(hydrochloride).
8. ANTINEOPLASTIC, IMMUNOSUPPRESSIVES AND MEDICINES USED INPALLIATIVE CARE
8.1 Immunosuppressive medicines
ComplementaryList
azathioprinePowderforinjection:100mg(assodiumsalt)invial.
Tablet(scored):50mg.
ciclosporin
Capsule:25mg.
Concentrateforinjection:50mg/mlin1mlampoulefororgan
transplantation.
8.2 Cytotoxic and adjuvant medicines
Complementary
List
allopurinol[c] Tablet:100mg;300mg.
asparaginase Powderforinjection:10000IUinvial.
bleomycin Powderforinjection:15mg(assulfate)invial.
calciumfolinateInjection:3mg/mlin10mlampoule.
Tablet:15mg.
carboplatin Injection:50mg/5ml;150mg/15ml;450mg/45ml;600mg/60ml.
chlorambucil
Tablet:2mg.
cyclophosphamidePowderforinjection:500mginvial.
Tablet:25mg.
cytarabine Powderforinjection:100mginvial.
dacarbazine Powderforinjection:100mginvial.
dactinomycin Powderforinjection:500microgramsinvial.
daunorubicin Powderforinjection:50mg(hydrochloride)invial.
docetaxel Injection:20mg/ml;40mg/ml.
doxorubicin Powderforinjection:10mg;50mg(hydrochloride)invial.
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etoposideCapsule:100mg.
Injection:20mg/mlin5mlampoule.
fluorouracil Injection:50mg/mlin5mlampoule.
hydroxycarbamide Solidoraldosageform:200mg;250mg;300mg;400mg;500mg;1g.
ifosfamide Powderforinjection:1gvial;2gvial.
mercaptopurine Tablet:50mg.
mesnaInjection:100mg/mlin4mland10mlampoules.
Tablet:400mg;600mg.
methotrexatePowderforinjection:50mg(assodiumsalt)invial.
Tablet:2.5mg(assodiumsalt).
paclitaxel Powderforinjection:6mg/ml.
procarbazine Capsule:50mg(ashydrochloride).
thioguanine[c] Solidoraldosageform:40mg.
vinblastine Powderforinjection:10mg(sulfate)invial.
vincristine Powderforinjection:1mg;5mg(sulfate)invial.
8.3 Hormones and antihormones
ComplementaryList
dexamethasoneInjection:4mg/mlin1mlampoule(asdisodiumphosphatesalt).
Oralliquid:2mg/5ml[c].
hydrocortisone Powderforinjection:100mg(assodiumsuccinate)invial.
methylprednisolone[c]
Injection:40mg/ml(assodiumsuccinate)in1mlsingledosevialand
5mlmultidosevials;80mg/ml(assodiumsuccinate)in1mlsingledose
vial.
prednisoloneOralliquid:5mg/ml[c].
Tablet:5mg;
25
mg.
tamoxifen Tablet:10mg;20mg(ascitrate).
8.4 Medicines used in palliative care
TheWHOExpertCommitteerecognizestheimportanceoflistingspecificmedicinesinthePalliativeCare
Section. SomemedicinescurrentlyusedinpalliativecareareincludedintherelevantsectionsoftheModel
List, according to their therapeutic use, e.g. analgesics. The Guidelines for Palliative Care that were
referenced in theprevious listare inneedofupdate. The Committeeexpectsapplications formedicines
neededforpalliativecaretobesubmittedforthenextmeeting.
amitriptyline[c] Tablet:10mg;25mg.
cyclizine[c]Injection:
50mg/ml.
Tablet:50mg.
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dexamethasone[c]Injection:4mg/mlin1mlampoule(asdisodiumphosphatesalt).
Tablet:2mg.
diazepam[c]
Injection:5mg/ml.
Oralliquid:
2mg/5
ml.
Rectalsolution:2.5mg;5mg;10mg.
Tablet:5mg;10mg.
docusatesodium[c]Capsule:100mg.
Oralliquid:50mg/5ml.
fluoxetinea[c]Solidoraldosageform:20mg(ashydrochloride).
a >8 years.
hyoscinehydrobromide
[c]
Injection:400micrograms/ml;600micrograms/ml.
Transdermalpatches:1mg/72hours.
ibuprofena[c]
Oralliquid:200mg/5ml.
Tablet:200mg;400mg;600mg.
aNot in children less than 3 months.
lactulose[c] Oralliquid:3.13.7g/5ml.
midazolam[c] Injection:1mg/ml;5mg/ml.
morphine[c]
Granules(modifiedrelease)(tomixwithwater):20mg;30mg;
60mg;100mg;200mg.
Injection:10mg/ml.
Oralliquid:10mg/5ml.
Tablet(controlledrelease):10mg;30mg;60mg.
Tablet(immediaterelease):10mg.
ondansetron[c]a
Injection:2mgbase/mlin2mlampoule(ashydrochloride).
Oralliquid:4mgbase/5ml.
Solidoraldosageform:Eq4mgbase;Eq8mgbase.
a >1 month.
senna[c] Oralliquid:7.5mg/5ml.
9. ANTIPARKINSONISM MEDICINES
biperidenInjection:5mg(lactate)in1mlampoule.
Tablet:2mg(hydrochloride).
levodopa+carbidopa Tablet:100mg+10mg;250mg+25mg.
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10. MEDICINES AFFECTING THE BLOOD
10.1 Antianaemia medicines
ferroussaltOralliquid:equivalentto25mgiron(assulfate)/ml.
Tablet:equivalentto60mgiron.
ferroussalt+folicacidTabletequivalentto60mgiron+400microgramsfolicacid
(Nutritionalsupplementforuseduringpregnancy).
folicacid Tablet:1mg;5mg.
hydroxocobalaminInjection:1mg(asacetate,hydrochlorideorassulfate)in1ml
ampoule.
10.2 Medicines affecting coagulation
heparinsodium Injection:1000IU/ml;5000IU/ml;20000IU/mlin1mlampoule.
phytomenadioneInjection:1mg/ml[c];10mg/mlin5mlampoule.
Tablet:10mg.
protaminesulfate Injection:10mg/mlin5mlampoule.
tranexamicacid Injection:100mg/mlin10mlampoule.
warfarin Tablet:1mg;2mg;5mg(sodiumsalt).
ComplementaryList[c]
heparinsodium Injection:1000IU/ml;5000IU/mlin1mlampoule.
protaminesulfate Injection:10mg/mlin5mlampoule.
warfarin Tablet:0.5mg;1mg;2mg;5mg(sodiumsalt).
10.3 Other medicines for haemoglobinopathies
ComplementaryList
deferoxamine*
Powderforinjection:500mg(mesilate)invial.
*Deferasiroxoralformmaybeanalternative,dependingoncostand
availability.
hydroxycarbamide Solidoraldosageform:200mg;500mg;1g.
11. BLOOD PRODUCTS AND PLASMA SUBSTITUTES11.1 Plasma substitutesdextran70*
Injectablesolution:6%.
*Polygeline,injectablesolution,3.5%isconsideredasequivalent.
11.2 Plasma fractions for specific useAll plasma fractions should comply with the WHO Requirements for the Collection, Processing and
Quality Control of Blood, Blood Components and Plasma Derivatives (Revised 1992). (WHO Technical
ReportSeries,No.840,1994,Annex2).
ComplementaryList
factorVIIIconcentrate Dried.
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factorIXcomplex(coagulation
factors,II,VII,IX,X)concentrateDried.
humannormalimmunoglobulin
Intramuscularadministration:16%proteinsolution.*
Intravenousadministration:5%;10%proteinsolution.**
Subcutaneousadministration:15%;16%proteinsolution.*
* Indicatedforprimaryimmunedeficiency.
**IndicatedforprimaryimmunedeficiencyandKawasakidisease.
12. CARDIOVASCULAR MEDICINES
12.1 Antianginal medicines
bisoprolol*Tablet:1.25mg;5mg.
*includesmetoprololandcarvedilolasalternatives.
glyceryltrinitrate Tablet(sublingual):500micrograms.
isosorbidedinitrate Tablet(sublingual):5mg.
verapamil Tablet:40mg;80mg(hydrochloride).
12.2 Antiarrhythmic medicinesbisoprolol*
Tablet:1.25mg;5mg.
*includesmetoprololandcarvedilolasalternatives.
digoxin
Injection:250micrograms/mlin2mlampoule.
Oralliquid:
50
micrograms/ml.
Tablet:62.5micrograms;250micrograms.
epinephrine(adrenaline)Injection:100micrograms/ml(asacidtartrateorhydrochloride)in
10mlampoule.
lidocaine Injection:20mg(hydrochloride)/mlin5mlampoule.
verapamilInjection:2.5mg(hydrochloride)/mlin2mlampoule.
Tablet:40mg;80mg(hydrochloride).
ComplementaryList
amiodaroneInjection:50mg/mlin3mlampoule(hydrochloride).
Tablet(HCI):100mg;200mg;400mg(hydrochloride).
12.3 Antihypertensive medicines
amlodipine Tablet:5mg(asmaleate,mesylateorbesylate).
bisoprolol*Tablet:1.25mg;5mg.
*includesmetoprololandcarvedilolasalternatives.
enalapril Tablet:2.5mg;5mg(ashydrogenmaleate).
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hydralazine*
Powderforinjection:20mg(hydrochloride)inampoule.
Tablet:25mg;50mg(hydrochloride).
*Hydralazineislistedforuseintheacutemanagementofsevere
pregnancyinducedhypertensiononly.Itsuseinthetreatmentof
essentialhypertensionisnotrecommendedinviewofthe
availabilityofmoreevidenceofefficacyandsafetyofother
medicines.
hydrochlorothiazideOralliquid:50mg/5ml.
Solidoraldosageform:12.5mg;25mg.
methyldopa*
Tablet:250mg.
*Methyldopaislistedforuseinthemanagementofpregnancy
inducedhypertensiononly.Itsuseinthetreatmentofessential
hypertensionis
not
recommended
in
view
of
the
availability
of
moreevidenceofefficacyandsafetyofothermedicines.
ComplementaryList
sodiumnitroprusside Powderforinfusion:50mginampoule.
12.4 Medicines used in heart failure
bisoprolol*Tablet:1.25mg;5mg.
*includesmetoprololandcarvedilolasalternatives.
digoxin
Injection:250micrograms/mlin2mlampoule.
Oralliquid:50micrograms/ml.
Tablet:62.5micrograms;250micrograms.
enalapril Tablet:2.5mg;5mg(ashydrogenmaleate).
furosemide
Injection:10mg/mlin2mlampoule.
Oralliquid:20mg/5ml[c].
Tablet:40mg.
hydrochlorothiazideOralliquid:50mg/5ml.
Solidoral
dosage
form:
25mg.
ComplementaryList
dopamine Injection:40mg/ml(hydrochloride)in5mlvial.
12.5 Antithrombotic medicines
acetylsalicylicacid Tablet:100mg.
ComplementaryList
streptokinase Powderforinjection:1.5millionIUinvial.
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12.6 Lipid-lowering agents
simvastatin*Tablet:5mg;10mg;20mg;40mg.
*Foruseinhighriskpatients.
13. DERMATOLOGICAL MEDICINES (topical)
13.1 Antifungal medicines
miconazole Creamorointment:2%(nitrate).
seleniumsulfide Detergentbasedsuspension:2%.
sodiumthiosulfate Solution:15%.
terbinafine Cream:1%orOintment:1%terbinafinehydrochloride.
13.2 Anti-infective medicines
mupirocin Cream(asmupirocincalcium):2%.Ointment:2%.
potassiumpermanganate Aqueoussolution:1:10000.
silversulfadiazineaCream:1%.
a >2 months.
13.3 Anti-inflammatory and antipruritic medicines
betamethasoneaCreamorointment:0.1%(asvalerate).
a Hydrocortisone preferred in neonates.
calamine Lotion.
hydrocortisone Creamorointment:1%(acetate).
13.4 Medicines affecting skin differentiation and proliferation
benzoylperoxide Creamorlotion:5%.
coaltar Solution:5%.
dithranol*
Ointment:0.1%to2%.
*TheExpertCommitteehasrequestedareviewofthe
comparativeeffectivenessandsafety,forpossibledeletionofthis
medicineatitsnextmeeting.
fluorouracil Ointment:5%.
podophyllumresin Solution:10%to25%.
salicylicacid Solution:5%.
urea Creamorointment:5%;10%.
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13.5 Scabicides and pediculicides
benzylbenzoateaLotion:25%.
a >2 years.
permethrinCream:5%.
Lotion:1%.
14. DIAGNOSTIC AGENTS
14.1 Ophthalmic medicines
fluorescein Eyedrops:1%(sodiumsalt).
tropicamide Eyedrops:0.5%.
14.2 Radiocontrast media
amidotrizoate Injection:140
mg
to
420
mg
iodine
(as
sodium
or
meglumine
salt)/mlin20mlampoule.
bariumsulfate Aqueoussuspension.
iohexolInjection:140mgto350mgiodine/mlin5ml;10ml;20ml
ampoules.
ComplementaryList
bariumsulfate[c] Aqueoussuspension.
meglumineiotroxate Solution:5gto8giodinein100mlto250ml.
15. DISINFECTANTS AND ANTISEPTICS
15.1 Antiseptics
chlorhexidineSolution:5%(digluconate);20%(digluconate)(needstobediluted
priortouseforcordcare)[c].
ethanol Solution:70%(denatured).
polyvidoneiodine Solution:10%(equivalentto1%availableiodine).
15.2 Disinfectants
chlorinebasecompound Powder:(0.1%availablechlorine)forsolution.
chloroxylenol Solution:4.8%.
glutaral Solution:2%.
16. DIURETICS
amiloride Tablet:5mg(hydrochloride).
furosemide
Injection:10mg/mlin2mlampoule.
Oralliquid:20mg/5ml[c].
Tablet:10mg[c];20mg[c];40mg.
hydrochlorothiazide Solidoraldosageform:25mg.
mannitol Injectablesolution:10%;20%.
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spironolactone Tablet:25mg.
ComplementaryList[c]
hydrochlorothiazide Tablet(scored):25mg.mannitol Injectable
solution:10%;20%.
spironolactoneOralliquid:5mg/5ml;10mg/5ml;25mg/5ml.
Tablet:25mg.
17. GASTROINTESTINAL MEDICINES
ComplementaryList[c]
pancreaticenzymesAgeappropriateformulationsanddosesincludinglipase,proteaseand
amylase.
17.1 Antiulcer medicines
omeprazolePowderfororalliquid:20mg;40mgsachets.
Solidoraldosageform:10mg;20mg;40mg.
ranitidine*
Injection:25mg/ml(ashydrochloride)in2mlampoule.
Oralliquid:75mg/5ml(ashydrochloride).
Tablet:150mg(ashydrochloride).
*TheExpertCommitteehasrequestedareviewofthe
comparativeeffectivenessandsafety,forpossibledeletionofthis
classofmedicineatitsnextmeeting.
17.2 Antiemetic medicines
dexamethasone
Injection:4mg/mlin1mlampoule(asdisodiumphosphatesalt).
Oralliquid:0.5mg/5ml;2mg/5ml.
Solidoraldosageform:0.5mg;0.75mg;1.5mg;4mg.
metoclopramidea
Injection:5mg(hydrochloride)/mlin2mlampoule.
Oralliquid:5mg/5ml[c].
Tablet:10mg(hydrochloride).
a Not in neonates.
ondansetrona
Injection:2mgbase/mlin2mlampoule(ashydrochloride).
Oralliquid:4mgbase/5ml.
Solidoraldosageform:Eq4mgbase;Eq8mgbase;Eq24mg
base.
a >1 month.
17.3 Anti-inflammatory medicines
sulfasalazine
Retentionenema.
Suppository:500mg.
Tablet:500mg.
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ComplementaryList
hydrocortisone
Retentionenema.
Suppository:25mg(acetate).
(the
only
applies
to
hydrocortisone
retention
enema).
17.4 Laxatives
senna Tablet:7.5mg(sennosides)(ortraditionaldosageforms).
17.5 Medicines used in diarrhoea
17.5.1 Oral rehydration
oralrehydrationsalts
glucose: 75mEq
sodium: 75mEqormmol/L
chloride: 65mEqormmol/L
potassium: 20mEqormmol/L
citrate: 10mmol/Losmolarity: 245mOsm/L
glucose: 13.5g/L
sodiumchloride: 2.6g/L
potassiumchloride: 1.5g/L
trisodiumcitratedihydrate+: 2.9g/L
+trisodiumcitratedihydratemaybereplacedbysodium
hydrogencarbonate(sodiumbicarbonate)2.5g/L.However,asthe
stabilityofthislatterformulationisverypoorundertropical
conditions,itisonlyrecommendedwhenmanufacturedfor
immediateuse.
Powderfordilutionin200ml;500ml;1L.
17.5.2 Medicines for diarrhoea in children
zincsulfate*
Solidoraldosageform:20mg.
*Inacutediarrhoeazincsulfateshouldbeusedasanadjunctto
oralrehydrationsalts.
18. HORMONES, OTHER ENDOCRINE MEDICINES AND CONTRACEPTIVES
18.1 Adrenal hormones and synthetic substitutes
fludrocortisone Tablet:100micrograms(acetate).
hydrocortisone Tablet:5mg;10mg;20mg.
18.2 Androgens
ComplementaryList
testosterone Injection:200mg(enanthate)in1mlampoule.
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18.3 Contraceptives
18.3.1 Oral hormonal contraceptives
ethinylestradiol+levonorgestrel Tablet:30micrograms+150micrograms.
ethinylestradiol+norethisterone Tablet:35micrograms+1mg.
levonorgestrel Tablet:30micrograms;750micrograms(packoftwo);1.5mg.
18.3.2 Injectable hormonal contraceptives
estradiolcypionate+
medroxyprogesteroneacetateInjection:5mg+25mg.
medroxyprogesteroneacetate Depotinjection:150mg/mlin1mlvial.
norethisteroneenantate Oilysolution:200mg/mlin1mlampoule.
18.3.3 Intrauterine devices
coppercontainingdevice
18.3.4 Barrier methods
condoms
diaphragms
18.3.5 Implantable contraceptives
levonorgestrelreleasingimplantTworodlevonorgestrelreleasingimplant,eachrodcontaining
75mgoflevonorgestrel(150mgtotal).
18.4 Estrogens
18.5 Insulins and other medicines used for diabetes
glibenclamide Tablet:2.5mg;5mg.
glucagon Injection:1mg/ml.
insulininjection(soluble) Injection:40IU/mlin10mlvial;100IU/mlin10mlvial.
intermediateactinginsulinInjection:40IU/mlin10mlvial;100IU/mlin10mlvial
(ascompoundinsulinzincsuspensionorisophaneinsulin).
metformin Tablet:500mg(hydrochloride).
ComplementaryList[c]
metformin Tablet:500mg(hydrochloride).
18.6 Ovulation inducers
ComplementaryList
clomifene Tablet:50mg(citrate).
18.7 Progestogens
medroxyprogesteroneacetate Tablet:5mg.
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18.8 Thyroid hormones and antithyroid medicines
levothyroxineTablet:25micrograms[c];50micrograms;100micrograms
(sodiumsalt).
potassiumiodide Tablet:60mg.
propylthiouracil Tablet:50mg.
ComplementaryList[c]
Lugol ssolution Oralliquid:about130mgtotaliodine/ml.
potassiumiodide Tablet:60mg.
propylthiouracil Tablet:50mg.
19. IMMUNOLOGICALS
19.1 Diagnostic agents
AlltuberculinsshouldcomplywiththeWHORequirementsforTuberculins(Revised1985).WHOExpert
CommitteeonBiologicalStandardization.Thirtysixthreport.(WHOTechnicalReportSeries,No.745,
1987,Annex1).
tuberculin,purifiedproteinderivative
(PPD)Injection.
19.2 Sera and immunoglobulins
AllplasmafractionsshouldcomplywiththeWHORequirementsfortheCollection,Processingand
QualityControlofBlood,BloodComponentsandPlasmaDerivatives(Revised1992).WHOExpert
CommitteeonBiologicalStandardization.Fortythirdreport.(WHOTechnicalReportSeries,No.840,1994,
Annex2).
antiDimmunoglobulin(human) Injection:250microgramsinsingledosevial.
antitetanusimmunoglobulin(human) Injection:500IUinvial.
antivenomimmunoglobulin*Injection.
*Exacttypetobedefinedlocally.
diphtheriaantitoxin Injection:10000IU;20000IUinvial.
rabiesimmunoglobulin Injection:150IU/mlinvial.
19.3 Vaccines
SelectionofvaccinesfromtheModelListwillneedtobedeterminedbyeachcountryafterconsiderationof
international recommendations, epidemiology and national priorities. The listbelow details the vaccines
forwhichthereiseitherarecommendationfromtheStrategicAdvisoryGroupofExpertsonImmunization
(SAGE) (http://www.who.int/immunization/sage_conclusions/en/index.html) and/or a WHO position
paper (http://www.who.int/immunization/documents/positionpapers/en/index.html). This site will be
updated as new position papers are published and contains the most recent information and
recommendations.
AllvaccinesshouldcomplywiththeWHORequirementsforBiologicalSubstances.
BCGvaccine
choleravaccine
diphtheriavaccine
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Haemophilusinfluenzaetypebvaccine
hepatitisAvaccine
hepatitisBvaccine
influenzavaccine
Japaneseencephalitisvaccine
measlesvaccine
meningococcalmeningitisvaccine
mumpsvaccine
pertussisvaccine
pneumococcalvaccine
poliomyelitisvaccine
rabiesvaccine
rotavirusvaccine
rubellavaccine
tetanusvaccine
typhoidvaccine
varicellavaccine
yellowfevervaccine
20. MUSCLE RELAXANTS (PERIPHERALLY-ACTING) AND CHOLINESTERASEINHIBITORS
TheExpertCommitteehasrequestedareviewofthissectionatitsnextmeeting.
atracurium Injection:10mg/ml(besylate).
neostigmine
Injection:500microgramsin1mlampoule;2.5mg(metilsulfate)
in1mlampoule.
Tablet:15mg(bromide).
suxamethoniumInjection:50mg(chloride)/mlin2mlampoule.
Powderforinjection(chloride),invial.
vecuronium[c] Powderforinjection:10mg(bromide)invial.
ComplementaryList
pyridostigmineInjection:1mgin1mlampoule.
Tablet:60mg(bromide).
vecuronium Powderforinjection:10mg(bromide)invial.
21. OPHTHALMOLOGICAL PREPARATIONSThissectionwillbereviewedatthenextmeetingoftheExpertCommittee.
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21.1 Anti-infective agentsaciclovir Ointment:3%W/W.
gentamicin Solution(eyedrops):0.3%(sulfate).
tetracycline Eyeointment:1%(hydrochloride).
21.2 Anti-inflammatory agents
prednisolone Solution(eyedrops):0.5%(sodiumphosphate).
21.3 Local anaesthetics
tetracaineaSolution(eyedrops):0.5%(hydrochloride).
a Not in preterm neonates.
21.4 Miotics and antiglaucoma medicines
acetazolamide
Tablet:250
mg.
pilocarpine Solution(eyedrops):2%;4%(hydrochlorideornitrate).
timolol Solution(eyedrops):0.25%;0.5%(ashydrogenmaleate).
21.5 Mydriatics
atropine*a
Solution(eyedrops):0.1%;0.5%;1%(sulfate).
*[c]Orhomatropine(hydrobromide)orcyclopentolate
(hydrochloride).
a >3 months.
ComplementaryList
epinephrine(adrenaline) Solution(eyedrops):2%(ashydrochloride).
22. OXYTOCICS AND ANTIOXYTOCICS
22.1 Oxytocics
ergometrine Injection:200micrograms(hydrogenmaleate)in1mlampoule.
misoprostol
Tablet:200micrograms.*
*Formanagementofincompleteabortionandmiscarriage,andfor
preventionofpostpartumhaemorrhagewhereoxytocinisnot
availableorcannotbesafelyused.
Vaginaltablet:25micrograms.*
*Onlyforuseforinductionoflabourwhereappropriatefacilities
areavailable.
oxytocin Injection:10IUin1ml.
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ComplementaryList
mifepristone*misoprostol*
Wherepermittedundernational
lawand
where
culturally
acceptable.
Tablet200mgtablet200micrograms.
*Requiresclosemedicalsupervision.
22.2 Antioxytocics (tocolytics)
nifedipine Immediatereleasecapsule:10mg.
23. PERITONEAL DIALYSIS SOLUTION
ComplementaryList
intraperitonealdialysissolution
(ofappropriate
composition)
Parenteralsolution.
24. MEDICINES FOR MENTAL AND BEHAVIOURALDISORDERS
24.1 Medicines used in psychotic disorders
chlorpromazine
Injection:25mg(hydrochloride)/mlin2mlampoule.
Oralliquid:25mg(hydrochloride)/5ml.
Tablet:100mg(hydrochloride).
fluphenazine Injection:25mg(decanoateorenantate)in1mlampoule.
haloperidol Injection:
5
mg
in
1
ml
ampoule.
Tablet:2mg;5mg.
ComplementaryList[c]
chlorpromazine
Injection:25mg(hydrochloride)/mlin2mlampoule.
Oralliquid:25mg(hydrochloride)/5ml.
Tablet:10mg;25mg;50mg;100mg(hydrochloride).
haloperidol
Injection:5mgin1mlampoule.
Oralliquid:2mg/ml.
Solidoraldosageform:0.5mg;2mg;5mg.
24.2 Medicines used in mood disorders
24.2.1 Medicines used in depressive disorders
amitriptyline Tablet:25mg(hydrochloride).
fluoxetine Solidoraldosageform:20mg(ashydrochloride).
ComplementaryList[c]
fluoxetinea
Solidoraldosageform:20mg(ashydrochloride).
a >8 years.
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24.2.2 Medicines used in bipolar disorders
carbamazepine Tablet(scored):100mg;200mg.
lithiumcarbonate Solidoraldosageform:300mg.
valproicacid(sodiumvalproate) Tablet(enteric
coated):200mg;500mg(sodiumvalproate).
24.3 Medicines for anxiety disorders
diazepam Tablet(scored):2mg;5mg.
24.4 Medicines used for obsessive compulsive disorders
clomipramine Capsule:10mg;25mg(hydrochloride).
24.5 Medicines for disorders due to psychoactive substance use
nicotinereplacementtherapy(NRT)Chewinggum:2mg;4mg(aspolacrilex).
Transdermalpatch:
5mg
to
30
mg/16
hrs;
7mg
to
21
mg/24
hrs.
ComplementaryList
methadone*
Concentratefororalliquid:5mg/ml;10mg/ml(hydrochloride).
Oralliquid:5mg/5ml;10mg/5ml(hydrochloride).
*Thesquareboxisaddedtoincludebuprenorphine.Themedicines
shouldonlybeusedwithinanestablishedsupportprogramme.
25. MEDICINES ACTING ON THE RESPIRATORY TRACT
25.1 Antiasthmatic and medicines for chronic obstructive pulmonary disease
beclometasoneInhalation(aerosol):50micrograms(dipropionate)perdose;
100micrograms(dipropionate)perdose(asCFCfreeforms).
budesonide[c]Inhalation(aerosol):100microgramsperdose;200micrograms
perdose.
epinephrine(adrenaline)Injection:1mg(ashydrochlorideorhydrogentartrate)in
1mlampoule.
ipratropiumbromide Inhalation(aerosol):20micrograms/metereddose.
salbutamol
Inhalation(aerosol):100micrograms(assulfate)perdose.
Injection:50
micrograms
(as
sulfate)/ml
in
5ml
ampoule.
Metereddoseinhaler(aerosol):100micrograms(assulfate)per
dose.
Respiratorsolutionforuseinnebulizers:5mg(assulfate)/ml.
26. SOLUTIONS CORRECTING WATER, ELECTROLYTE AND ACID-BASEDISTURBANCES
26.1 Oral
oralrehydrationsalts Seesection17.5.1.
potassiumchloride
Powderfor
solution.
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26.2 Parenteral
glucoseInjectablesolution:5%(isotonic);10%(hypertonic);
50%(hypertonic).
glucosewithsodiumchloride
Injectablesolution:4%glucose,0.18%sodiumchloride
(equivalenttoNa+30mmol/L,Cl 30mmol/L).
Injectablesolution:5%glucose,0.9%sodiumchloride(equivalent
to150mmol/LNa+and150mmol/LCl);5%glucose,0.45%
sodiumchloride(equivalentto75mmol/LNa+and75mmol/L
Cl)[c].
potassiumchloride
Solution:11.2%in20mlampoule
(equivalenttoK+1.5mmol/ml,Cl 1.5mmol/ml).
Solutionfordilution:7.5%(equivalenttoK1mmol/mland
Cl1mmol/ml)[c];15%(equivalenttoK2mmol/mland
Cl2mmol/ml)[c].
sodiumchlorideInjectablesolution:0.9%isotonic(equivalenttoNa+154mmol/L,
Cl 154mmol/L).
sodiumhydrogencarbonate
Injectablesolution:1.4%isotonic(equivalenttoNa+167mmol/L,
HCO3 167mmol/L).
Solution:8.4%in10mlampoule(equivalenttoNa+1000mmol/L,
HCO31000mmol/L).
sodiumlactate,compoundsolution Injectablesolution.
26.3 Miscellaneous
waterforinjection 2ml;5ml;10mlampoules.
27. VITAMINS AND MINERALS
ascorbicacid Tablet:50mg.
cholecalciferol*[c]
Oralliquid:400IU/ml.
Solidoraldosageform:400IU;1000IU.
*Ergocalciferolcanbeusedasanalternative.
ergocalciferol
Oralliquid:250micrograms/ml(10000IU/ml).
Solidoraldosageform:1.25mg(50000IU).
iodine
Capsule:200mg.
Iodizedoil:1ml(480mgiodine);0.5ml(240mgiodine)in
ampoule(oralorinjectable);0.57ml(308mgiodine)indispenser
bottle.
nicotinamide Tablet:50mg.
pyridoxine Tablet:25mg(hydrochloride).
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retinol
Capsule:50000IU;100000IU;200000IU(aspalmitate).
Oraloilysolution:100000IU(aspalmitate)/mlinmultidose
dispenser.
Tablet(sugarcoated):10000IU(aspalmitate).
Watermiscibleinjection:100000IU(aspalmitate)in
2mlampoule.
riboflavin Tablet:5mg.
sodiumfluoride Inanyappropriatetopicalformulation.
thiamine Tablet:50mg(hydrochloride).
ComplementaryList
calciumgluconate Injection:100mg/mlin10mlampoule.
28. EAR, NOSE AND THROAT CONDITIONS IN CHILDREN [c]
aceticacid Topical:2%,inalcohol.
budesonide Nasalspray:100microgramsperdose.
ciprofloxacin Topical:0.3%drops(ashydrochloride).
xylometazolinea
Nasalspray:0.05%.
aNot in children less than 3 months.
29. SPECIFIC MEDICINES FOR NEONATAL CARE [c]
caffeinecitrateInjection:20mg/ml(equivalentto10mgcaffeinebase/ml).
Oralliquid:20mg/ml(equivalentto10mgcaffeinebase/ml).
ComplementaryList
ibuprofen Solutionforinjection:5mg/ml.
prostaglandinE
Solutionforinjection:
ProstaglandinE1:0.5mg/mlinalcohol.
ProstaglandinE2:1mg/ml.
surfactant Suspensionforintratrachealinstillation:25mg/mlor80mg/ml.
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Table 1: Medicines with age or weight restrictions
atazanavir >25kg
atropine >3months
benzyl
benzoate
>2
years
betamethasonetopicalpreparations Hydrocortisonepreferredinneonates
cefazolin >1month
ceftriaxone >41weekscorrectedgestationalage
chlorphenamine >1year
diloxanide >25kg
doxycycline >8years(exceptforseriousinfectionse.g.cholera)
efavirenz >3yearsor>10kg
emtricitabine >3months
fluoxetine >8years
ibuprofen >3months(exceptIVformforpatentductusarteriosus)
mefloquine >5kgor>3monthsmetoclopramide Notinneonates
ondansetron >1month
saquinavir >25kg
silversulfadiazine >2months
tetracaine Notinpretermneonates
trimethoprim >6months
xylometazoline >3months
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Annex 1: Explanation of dosage forms
A. Principal dosage forms used in EML - Oral administration
Term Definition
Solidoraldosageform
Referstotabletsorcapsulesorothersoliddosageformssuchas melts
thatareimmediatereleasepreparations.Itimpliesthatthereisno
differenceinclinicalefficacyorsafetybetweentheavailabledosage
forms,andcountriesshouldthereforechoosetheform(s)tobelisted
dependingonqualityandavailability.
Theterm solidoraldosageform isneverintendedtoallowanytypeof
modifiedreleasetablet.
Tablets
Refersto:
uncoatedorcoated(filmcoatedorsugarcoated)tabletsthatare
intendedtobeswallowedwhole;
unscoredandscored*;
tabletsthatareintendedtobechewedbeforebeingswallowed;
tabletsthatareintendedtobedispersedordissolvedinwateror
anothersuitableliquidbeforebeingswallowed;
tabletsthatareintendedtobecrushedbeforebeingswallowed.
Theterm tablet withoutqualificationisneverintendedtoallowany
typeofmodifiedreleasetablet.
Tablets(qualified)
Referstoaspecifictypeoftablet:
chewable tabletsthatareintendedtobechewedbeforebeing
swallowed;
dispersible tabletsthatareintendedtobedispersedinwateror
anothersuitableliquidbeforebeingswallowed;
soluble tabletsthatareintendedtobedissolvedinwateroranother
suitableliquidbeforebeingswallowed;
crushable
tablets
that
are
intended
to
be
crushed
before
being
swallowed;
scored tabletsbearingabreakmarkormarkswheresubdivisionis
intendedinordertoprovidedosesoflessthanonetablet;
sublingual tabletsthatareintendedtobeplacedbeneaththetongue.
Theterm tablet isalwaysqualifiedwithanadditionalterm(in
parentheses)inentrieswhereoneofthefollowingtypesoftabletis
intended:gastroresistant(suchtabletsmaysometimesbedescribedas
entericcoatedorasdelayedrelease),prolongedreleaseoranother
modifiedreleaseform.
* Scoredtabletsmaybedividedforeaseofswallowing,provideddoseisawholenumberoftablets.
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Term Definition
Capsules
Referstohardorsoftcapsules.
Theterm capsule withoutqualificationisneverintendedtoallowany
typeofmodifiedreleasecapsule.
Capsules(qualified)
Theterm capsule withqualificationreferstogastroresistant(such
capsulesmaysometimesbedescribedasentericcoatedorasdelayed
release),prolongedrelease oranothermodifiedreleaseform.
Granules
Preparationsthatareissuedtopatientasgranulestobeswallowed
withoutfurtherpreparation,tobechewed,ortobetakeninorwith
wateroranothersuitableliquid.
Theterm granules withoutfurtherqualificationisneverintendedto
allowanytypeofmodifiedreleasegranules.
Oralpowder
Preparationsthatareissuedtopatientaspowder(usuallyassingle
dose)tobetakeninorwithwateroranothersuitableliquid.
Oralliquid
Liquidpreparationsintendedtobeswallowedi.e.oralsolutions,
suspensions,emulsionsandoraldrops,includingthoseconstitutedfrom
powdersorgranules,butnotthosepreparationsintendedfororomucosal
administratione.g.garglesandmouthwashes.
Oralliquidspresentedaspowdersorgranulesmayofferbenefitsinthe
formofbetterstabilityandlowertransportcosts.Ifmorethanonetype
oforalliquidisavailableonthesamemarket(e.g.solution,suspension,
granulesforreconstitution),theymaybeinterchangedandinsuchcases
shouldbebioequivalent.Itispreferablethatoralliquidsdonotcontain
sugarandthatsolutionsforchildrendonotcontainalcohol.
B. Principal dosage forms used in EMLc - Parenteral administration
Term DefinitionInjection Referstosolutions,suspensionsandemulsionsincludingthose
constitutedfrompowdersorconcentratedsolutions.
Injection(qualified) Routeofadministrationisindicatedinparentheseswhererelevant.
Injection(oily) Theterminjectionisqualifiedby(oily)inrelevantentries.
Intravenousinfusion Referstosolutionsandemulsionsincludingthoseconstitutedfrom
powdersorconcentratedsolutions.
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C. Other dosage forms
Modeof
administration
Termtobeused
Tothe
eye
Eyedrops,eyeointments.
Topical Forliquids:lotions,paints.
Forsemisolids:cream,ointment.
Rectal Suppositories,gelorsolution.
Vaginal Pessariesorvaginaltablets.
Inhalation Powderforinhalation,pressurizedinhalation,nebulizer.
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Index
abacavir(ABC)........................................................ 10
acetazolamide................................ .......................... 29
acetic
acid.............................................................. ... 33
acetylcysteine ............................................................ 3
acetylsalicylicacid ........................................ 2,16,21
aciclovir ............................................................ .. 10,29
albendazole................ ................................................ 5
allopurinol ........................................................... 2,16
amidotrizoate .......................................................... 23
amikacin........................................................... ............ 9
amiloride .............................................................. .... 23
amiodarone ...................................................... .......... 20
amitriptyline ...................................................... 17,30
amlodipine............................................................... 20
amodiaquine....................... ..................................... 13
amoxicillin ............................................................ ..... 5
amoxicillin+clavulanicacid ................................... 5
amphotericinB .................................................. 10,13
ampicillin ................................................................... 5
antiDimmunoglobulin(human) ......................... 27
antitetanusimmunoglobulin(human)................. 27
antivenomimmunoglobulin ................................. 27
artemether...................... .......................................... 13
artemether+lumefantrine..................................... 13
artesunate............................................ ..................... 14
artesunate+amodiaquine...................................... 14
ascorbicacid ........................................................ .... 32
asparaginase............................................................... 16
atazanavir............................................................. .... 11
atracurium ............................................................. .. 28
atropine ............................................................ 1,3,29
azathioprine ........................................................... 3,16
azithromycin........................................... ................... 7
bariumsulfate ...................................................... ... 23
BCGvaccine................................................ ............. 27
beclometasone ......................................................... 31
benzathine benzylpenicillin .................................... 6
benznidazole............................................................ 15
benzoylperoxide..................................................... 22
benzylbenzoate....................................................... 23
benzylpenicillin....... .................................................. 6
betamethasone......................................................... 22
biperiden............................................................... ... 18
bisoprolol ........................................................... 20,21
bleomycin......................................................... .......... 16
budesonide ........................................................ 31,33
bupivacaine................................................................ 1
caffeinecitrate ......................................................... 33
calamine ................................................................... 22
calciumfolinate...................................................... .... 16
calciumgluconate ............................................... 3,33
capreomycin ........................................................ ......... 9
carbamazepine..................................................... 4,
31
carboplatin .......................................................... ....... 16
cefalexin.......................... ............................................ 6
cefazolin.................................................................... .. 6
cefixime....................................................................... 6
cefotaxime ........................................................... ......... 6
ceftazidime .......................................................... ......... 6
ceftriaxone..... ............................................................. 6
charcoal,activated..................................................... 3
chlorambucil........................................................ ....... 16
chloramphenicol....................................................... . 7
chlorhexidine ........................................................... 23
chlorinebasecompound ........................................ 23
chloroquine .......................................................... 2,14
chloroxylenol ........................................................... 23
chlorphenamine......................................................... 3
chlorpromazine ....................................................... 30
cholecalciferol .......................................................... 32
choleravaccine ........................................................ 27
ciclosporin........................................................... ....... 16
ciprofloxacin ........................................................ 7,33
clarithromycin ........................................................... 7
clindamycin ........................................................ ......... 8
clofazimine................................................................. 8
clomifene ............................................................. ....... 26
clomipramine..................................... ...................... 31
clotrimazole ............................................................... 9
cloxacillin ........................................................ ........... 6
coaltar ............................................................. ......... 22
codeine............................................................. ........... 2
condoms ................................................................... 26
coppercontainingdevice.......................................26
cyclizine....................................................................17
cyclophosphamide ...................................................... 16
cycloserine........................................................... ......... 9
cytarabine............................................................ ....... 16
dacarbazine ......................................................... ....... 16
dactinomycin....................................................... ....... 16
dapsone ........................................................... ........... 8
daunorubicin....................................................... ....... 16
deferoxamine ................................................... ....... 4,19
dexamethasone.................... .................... 3,17,18,24
dextran70.................................................................19
diaphragms .............................................................. 26
diazepam........................................................ 4,18,31
didanosine(ddI)...................................................... 11
diethylcarbamazine .................................................. 5
digoxin........ ........................................................ 20,21
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diloxanide ................................................................ 13
dimercaprol ...................................................... ............ 4
diphtheriaantitoxin................................................ 27
diphtheriavaccine .................................................. 27
dithranol.......................................... ......................... 22
docetaxel .......................................................... .......... 16
docusatesodium ..................................................... 18
dopamine.......................................................... .......... 21
doxorubicin...................................................... .......... 16
doxycycline.......................................................... 7,14
efavirenz(EFVorEFZ)........................................... 11
efavirenz+emtricitabine+tenofovir ................... 12
eflornithine .............................................................. 15
emtricitabine(FTC)............. .................................... 11
emtricitabine+tenofovir..................................... ... 12
enalapril ............................................................. 20,21
ephedrine.......................................................... ............ 1
epinephrine(adrenaline) ....................... 3,20,29,31
ergocalciferol ........................................................... 32
ergometrine.............................................................. 29
erythromycin ............................................................. 7
estradiolcypionate+medroxyprogesterone
acetate.................................................................. . 26
ethambutol........ ......................................................... 8
ethambutol+isoniazid.......... ................................... 8
ethambutol+isoniazid+pyrazinamide+
rifampicin................ ............................................... 8
ethambutol+isoniazid+rifampicin....................... 8
ethanol................................................................... ... 23
ethinylestradiol+levonorgestrel .......................... 26
ethinylestradiol+norethisterone......................... . 26
ethionamide...................................................... ............ 9
ethosuximide............................................................... . 4
etoposide .......................................................... .......... 17
factorIXcomplex(coagulationfactors,II,
VII,IX,X)concentrate .......................................... 20
factorVIIIconcentrate............................................... 19
ferroussalt ............................................................... 19
ferroussalt+folicacid ........................................... 19
fluconazole....................................... ........................ 10
flucytosine........................................................ .......... 10
fludrocortisone........................................................ 25
fluorescein........................................ ........................ 23
fluorouracil ........................................................ 17,22
fluoxetine ........................................................... 18,30
fluphenazine............................................................ 30
folicacid .................................................... ............... 19
furosemide......................................................... 21,23
gentamicin ........................................................... 7,29
glibenclamide ....................................................... ... 26
glucagon................................................................... 26
glucose........................... ........................................... 32
glucosewithsodiumchloride ...............................32
glutaral.................................................................. .... 23
glyceryltrinitrate..................................................... 20
griseofulvin..............................................................10
Haemophilusinfluenzaetypebvaccine ..................28
haloperidol....... ........................................................ 30
halothane.................................................................... 1
heparinsodium ....................................................... 19
hepatitisAvaccine..................................................28
hepatitisBvaccine................................................... 28
humannormalimmunoglobulin................................20
hydralazine .............................................................. 21
hydrochlorothiazide ................................... 21,23,24
hydrocortisone......................................... 3,17,22,25
hydroxocobalamin .................................................. 19
hydroxycarbamide................................................ 17,19
hydroxychloroquine .....................................................3
hyoscinehydrobromide ......................................... 18
ibuprofen.................................................. 2,16,18,33
ifosfamide ............................................................ ....... 17
imipenem+cilastatin................................................... 7
indinavir(IDV)........................................................11
influenzavaccine..................................................... 28
insulininjection(soluble).......................................26
intermediateactinginsulin....................................26
intraperitonealdialysissolution(ofappropriate
composition)........................................................... 30
iodine ................................................................... ..... 32
iohexol ............................................................ .......... 23
ipratropiumbromide..............................................31
isoflurane................................................... ................. 1
isoniazid .......................................................... ........... 9
isoniazid+pyrazinamide+rifampicin ..................9
isoniazid+rifampicin...............................................9
isosorbidedinitrate ................................................. 20
ivermectin .................................................................. 5
Japaneseencephalitisvaccine................................28
kanamycin........................................................... ......... 9
ketamine.....................................................................1
lactulose........................ ............................................ 18
lamivudine(3TC) .................................................... 11
lamivudine+nevirapine+stavudine...................12
lamivudine+nevirapine+zidovudine................12
lamivudine+zidovudine.......................................12
levamisole .................................................................. 5
levodopa+carbidopa ............................................. 18
levonorgestrel..........................................................26
levonorgestrelreleasingimplant ..........................26
levothyroxine........ ................................................... 27
lidocaine ............................................................ ... 1,20
lidocaine+epinephrine(adrenaline)......................1
lithiumcarbonate .................................................... 31
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lopinavir+ritonavir(LPV/r) ................................. 12
lorazepam ................................................................ .. 4
Lugolssolution..................................................... .... 27
magnesiumsulfate....................................... ............. 4
mannitol ............................................................. 23,24
measlesvaccine ...................................................... . 28
mebendazole.............................................................. 5
medroxyprogesteroneacetate ............................... 26
mefloquine......................................................... 14,15
meglumineiotroxate .................................................. 23
melarsoprol...................... ........................................ 15
meningococcalmeningitisvaccine....................... 28
mercaptopurine...................................................... .... 17
mesna............................................................... .......... 17
metformin ................................................................ 26
methadone........................................................ .......... 31
methotrexate .......................................................... 3,17
methyldopa.................................................. ............ 21
methylprednisolone.................................................... 17
methylthioniniumchloride(methyleneblue)....... 3
metoclopramide ...................................................... 24
metronidazole ..................................................... 8,13
miconazole............................................................... 22
midazolam ........................................................... 1,18
mifepristone ............................................................... 30
miltefosine .............................................................. . 13
misoprostol ........................................................ 29,30
morphine.......................................................... 1,2,18
mumpsvaccine ....................................................... 28
mupirocin.................................................. ............... 22
naloxone ..................................................................... 3
neostigmine ............................................................. 28
nevirapine(NVP).................................................... 11
niclosamide............... ................................................. 5
nicotinamide............................................................ 32
nicotinereplacementtherapy(NRT).................... 31
nifedipine ................................................................. 30
nifurtimox ............................................................ .... 15
nitrofurantoin ............................................................ 8
nitrousoxide........................... ................................... 1
norethisteroneenantate.......................................... 26
nystatin.................................................................... . 10
ofloxacin........................................................... ............ 9
omeprazole ............................................................ .. 24
ondansetron....................................................... 18,24
oralrehydrationsalts ....................................... 25,31
oseltamivir .............................................................. . 12
oxamniquine ............................................................... . 5
oxygen ........................................................... ............. 1
oxytocin............................................................... ..... 29
paclitaxel.......................................................... .......... 17
paminosalicylicacid ................................................... 9
pancreaticenzymes .................................................... 24
paracetamol.......................................................... 2,16
paromomycin........................................................... 13
penicillamine....................................................... ......... 3
pentamidine ........................................................ ....... 15
permethrin ............................................................... 23
pertussisvaccine ........