formularium rspg (juni 2010)

52
ANTIBIOTIK KELAS THERAPY GOLONGAN PRODUK (PABRIK) KOMPOSISI A. BETA - LACTAM AMOXICILLIN Amoxicillin 250 mg, 500 mg 1. PENICILLIN 125 mg/5 ml Amoxan (SANBE) 250 mg, 500 mg 125 mg/5 ml, 250 mg/5 ml 100 mg/ml Kalmoxilin (KALBE) 250 mg, 500 mg Intermoxil (INTERBAT) 250 mg, 500 mg 125 mg/5 ml, 250 mg/5 ml AMOXICILLIN & Claneksi 500 mg/125 mg CLAVULANAT 125 mg/31.25 mg 250 mg/62.5 mg dlm 5 ml Clabat (INTERBAT) 500 mg/125 mg 125 mg/31.25 mg 250 mg/62.5 mg dlm 5 ml Dexyclav (DEXA) 500 mg 125 mg/31.25 mg 250 mg/62.5 mg dlm 5 ml AMPICILLIN Ampicillin 125 mg/5 ml Sanpicillin (SANBE) 250 mg, 500 mg 125 mg/5 ml 2. CEPHALOSPORIN CEFADROXIL Cefadroxil 250 mg, 500 mg Cefat (SANBE) 250 mg, 500 mg 125 mg/5 ml 250 mg/5 ml Dexacef (FERRON) 250 mg, 500 mg 125 mg/5 ml 250 mg/5 ml Sedrofen (INTERBAT) 500 mg CEFIXIME Cefixime 50 mg, 100 mg Sporetik (SANBE) 50 mg, 100 mg 100 mg/5 ml Cefspan (KALBE) 50 mg, 100 mg Starcef (DEXA) 50 mg, 100 mg 100 mg/5 ml CEFALEXIN Cefabiotic (BERNO) 500 mg 125 mg/5 ml B. CHLORAMPHENICOL CHLORAMPHENICOL Chlorampenicol 250 mg Colsancetin (SANBE) 250 mg, Syr 125 mg/5 ml THIAMPHENICOL Biothicol (SANBE) 250 mg, 500 mg 125 mg/5 ml Thiamycin (INTERBAT) 250 mg, 500 mg 125 mg/5 ml 250 mg/5 ml C. MACROLIDE ERYTHROMYCIN Erysanbe (SANBE) 500 mg, 200 mg/5 ml 200 mg 200 mg/5 ml AZITHROMYCIN Zythromax (PFIZER) 250 mg, 500 mg Mezatrin (SANBE) 250 mg SPIRAMYCIN Spiranter (INTERBAT) 500 mg Osymycin (PHAROS) 125 mg/5 ml Spirasin (SANBE) 500 mg Rovamycine (SANOFI AVENTI 3 MIU, 1,5 MIU CLARITHROMYCIN Bicrolid (SANBE) 250 mg ROXITHROMYCIN Uplores (SANBE) 150 mg

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Page 1: Formularium Rspg (Juni 2010)

ANTIBIOTIK

KELAS THERAPY GOLONGAN PRODUK (PABRIK) KOMPOSISI SEDIAAN

A. BETA - LACTAM AMOXICILLIN Amoxicillin 250 mg, 500 mg Tab, tab forte1. PENICILLIN 125 mg/5 ml Dry syr

Amoxan (SANBE) 250 mg, 500 mg Tab, tab forte125 mg/5 ml, 250 mg/5 ml Syr, syr Forte100 mg/ml Drop

Kalmoxilin (KALBE) 250 mg, 500 mg CapIntermoxil (INTERBAT) 250 mg, 500 mg Cap, cap Forte

125 mg/5 ml, 250 mg/5 ml Syr, syr Forte

AMOXICILLIN & Claneksi 500 mg/125 mg CapCLAVULANAT 125 mg/31.25 mg Dry syr

250 mg/62.5 mg dlm 5 ml Dry syr ForteClabat (INTERBAT) 500 mg/125 mg Cap

125 mg/31.25 mg Dry syr250 mg/62.5 mg dlm 5 ml Dry syr Forte

Dexyclav (DEXA) 500 mg Cap125 mg/31.25 mg Dry syr 250 mg/62.5 mg dlm 5 ml Dry syr Forte

AMPICILLIN Ampicillin 125 mg/5 ml SyrSanpicillin (SANBE) 250 mg, 500 mg Tab, tab Forte

125 mg/5 ml Syr

2. CEPHALOSPORIN CEFADROXIL Cefadroxil 250 mg, 500 mg Cap, cap ForteCefat (SANBE) 250 mg, 500 mg Cap, cap Forte

125 mg/5 ml Dry syr250 mg/5 ml Dry syr Forte

Dexacef (FERRON) 250 mg, 500 mg Cap, cap Forte125 mg/5 ml Dry syr250 mg/5 ml Dry syr Forte

Sedrofen (INTERBAT) 500 mg Cap Forte

CEFIXIME Cefixime 50 mg, 100 mg Cap, cap ForteSporetik (SANBE) 50 mg, 100 mg Cap, cap Forte

100 mg/5 ml Dry syrCefspan (KALBE) 50 mg, 100 mg CapStarcef (DEXA) 50 mg, 100 mg Cap, cap Forte

100 mg/5 ml Dry syr

CEFALEXIN Cefabiotic (BERNO) 500 mg Tab125 mg/5 ml Syr

B. CHLORAMPHENICOL CHLORAMPHENICOL Chlorampenicol 250 mg CapColsancetin (SANBE) 250 mg, Syr Cap

125 mg/5 ml Syr

THIAMPHENICOL Biothicol (SANBE) 250 mg, 500 mg Cap, cap Forte125 mg/5 ml Dry syr

Thiamycin (INTERBAT) 250 mg, 500 mg Cap, cap Forte125 mg/5 ml Dry syr250 mg/5 ml Dry syr Forte

C. MACROLIDE ERYTHROMYCIN Erysanbe (SANBE) 500 mg, 200 mg/5 ml Tab200 mg Tab chew200 mg/5 ml Dry syr

AZITHROMYCIN Zythromax (PFIZER) 250 mg, 500 mg CapMezatrin (SANBE) 250 mg Cap

SPIRAMYCIN Spiranter (INTERBAT) 500 mg TabOsymycin (PHAROS) 125 mg/5 ml SyrSpirasin (SANBE) 500 mg TabRovamycine (SANOFI AVENT3 MIU, 1,5 MIU Tab

CLARITHROMYCIN Bicrolid (SANBE) 250 mg Kap

ROXITHROMYCIN Uplores (SANBE) 150 mg Cap, tab

Page 2: Formularium Rspg (Juni 2010)

D.QUINOLON CIPROFLOXACIN Ciprofloxacin 250 mg, 500 mg Cap, cap ForteBaquinor (SANBE) 250 mg, 500 mg Cap, cap ForteInterflox (INTERBAT) 250 mg, 500 mg Cap, cap ForteQuidex (FERRON) 250 mg, 500 mg Cap, cap Forte

OFLOXACIN Akilen (SANBE) 200 mg, 400 mg TabLoxinter (INTERBAT) 200 mg, 400 mg Tab

PEFLOXACIN Dexaflox (DEXA) 400 mg Tab

LEVOFLOXACIN Volequin (DEXA) 250 mg, 500 mg Tab, tab ForteLevocin (SANBE) 500 mg Tab Forte

E. TETRACYCLIN TETRAXICLIN Tetracyclin 250 mg TabSanlin (SANBE) 250 mg, 500 mg Tab, tab Forte

DOXYCICLIN Doxyciclin 100 mg TabInterdoxin (INTERBAT) 50 mg, 100 mg Tab

F. ANTIBACTERIAL TRIMETHOPRIME Cotrimoxazol Dewasa Tab COMBINATION SULFAMETOZAZOL Sanprima (SANBE) 80 mg/400 mg, 160/800 Tab, tab Forte

40 mg/200 mg dlm 5 ml SyrTrimoxul (INTERBAT) 80 mg/400 mg, 160/800 Tab, tab Forte

G. ANTIBIOTIK LAIN CLINDAMYCIN Clindamycin 150 mg, 300 mg TabAnerocid (FERRON) 150 mg, 300 mg TabClinium (INTERBAT) 150 mg, 300 mg Tab

METRONIDAZOLE Metronidazole 250 mg, 500 mg TabFladex (DEXA) 250 mg, 500 mg Tab, tab ForteTrichodazole (SANBE) 250 mg, 500 mg Tab, tab Forte

LINCOMYCIN Lincosin (PFIZER) 500 mg TabLincophar (PHAROS) 500 mg Tab

POLYMYCIN Colistine (ACTAVIS) Polymycin E sulf 250.000 iu Tab1.500.000 iu

CEFDINIR Omnicef (INMARK) 100 mg Cap

H. ANTI TUBERKULOSA RIFAMPICIN Rifampicin 450 mg, 600 mg TabRifamtibi (SANBE) 450 mg, 600 mg Tab

I N H KOMBINASI Rimstar 4 FDC Rifampicin 150 mg Tab(SANDOZ) INH 75 mg

Pyrazinamide 400 mgEthambutol 275 mg

Rimcur (SANDOZ) Rifampicin, INH & Pyrazinamide TabINH 100 mg TabSantibi Plus (SANBE) INH 100 mg, Ethamb 250 Tab

B6 10 mgBacbutinh (CONMED) INH 100 mg, Ethamb 250 Tab

B6 10 mgBacbutinh (CONMED) INH 200 mg, Etham 500 Tab

B6 10 mgPehadoxin F INH 400 mg, B6 10 mg Tab

ETHAMBUTOL Ethambutol 250 mg TabSantibi (SANBE) 500 mg Tab

PYRAZINAMID Pyrazinamid 500 mg Tab Sanazet (SANBE) 500 mg Tab

I. ANTI FUNGI KETOKONAZOLE Ketokonazole 200 mg TabFormyco (SANBE) 200 mg TabInterzol (INTERBAT) 200 mg Tab

ITRAKONAZOLE Sporacid (FERRON) 100 mg TabSpyrocon (INTERBAT) 100 mg Tab

GRISEOFULVIN Griseofulvin 125 mg TabGrivin (PHAPROS) 500 mg Tab

Page 3: Formularium Rspg (Juni 2010)

FLUCONAZOLE Zemyc (PHAROS) 50 mg, 150 mg Tab

NYSTATIN Fungatin (FERRON) 100.000 u/ml Oral Drop

J. ANTI VIRAL ACYCLOVIR Acyclofir 200 mg, 400 mg TabDanovir (KALBE) 100 mg, 200 mg, 400 mg TabZoter (INTERBAT) 200 mg, 400 mg Tab

ADENOVIR DIPI Hepsera (GLAXO) 10 mg TabVOCIL

VALACYCLOVIR Herclov (SANBE) 500 mg Tab

LAIN - LAIN Baraclude (BMS) Entecavir 0,5 mg, 1 mg Tab3 TC (GLAXO) Lamivudine 100 mg TabSebivo (NOVARTIS) Telbivudine 600 mg Tab

K. ANTI CACING PIRANTEL Pirantel Pam TabPAMOAT Vermox (JANSEN) Pirantel pamoat Tab

MEBENDAZOL Combantrin (PFIZER) Mebendazol 100 mg/5 ml Syr

L. ANTI MALARIA KININ Kinina Tab

CHLOROQUIN Chloroquin phosp 150 mg Tab

KOMBINASI Fansidar (ROCHE) Sulfadoksin 500, pirimeta Tabmina 25

GASTRO INTESTINAL

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

A. ANTACID dan ANTI ULKUANTASIDA Antasida Doen Al. Hidrosida 200 mg, Tabmg hidroksida 200 mgAl. Hidrosida 200 mg, Syrmg hidroksida 200 mg(tiap 5 ml)

Magalat (FERRON) Magaldrat 540 mg, Tabsimeticone 20 mgMagaldrat 540 mg, simeti Syrcone 20 mg (5 ml)

Sanmag (SANBE) Mag. Trisilikat 325, Al Tab(OH) 325 & dll

Magtral (OTTO) Al. Hidrosida 250 mg Syrmg hidroksida 250 mgSimeticone 50 mg

CIMETIDINE Cimetidine 200 mg TabSanmetidin (SANBE) 200 mg Tab

RANITIDINE Ranitidin 150 mg TabAcran (SANBE) 150 mg, 300 mg TabRadin (DEXA) 150 mg Tab

OMEPRAZOLE Omeprazole 20 mg TabOMZ (FERRON) 20 mg TabPumpitor (SANBE) 20 mg Tab

ESOMEPRAZOLE Nexium (ASTRA) 20 mg, 40 mg Tab

LANSOPRAZOLE (LAZ (DEXA) 30 mg TabLanvell (NOVELL) 30 mg TabLapraz (SANBE) 30 mg Tab

PANTOPRAZOLE Pantozol (PHAROS) 20 mg Tab

SUCRALFAT Inpepsa (FAHREINHEIT) 500 mg/ml SyrUlsafate (COMBIPHAR) 500 mg/ml Tab

500 mg/ml Syr

Page 4: Formularium Rspg (Juni 2010)

Necibloc (KALBE) 1 gr Tab

TEPRENONE Purubex (EISAI) 50 mg Tab

REBAPIMIDE Mucosta (OTSUKA) 100 mg Tab

LAIN- LAIN Fucoidan (SOHO) Fucoidan 100 mg Tab

B. GIT REGULATOR & SULFASALAZINE Sulcolon (BERNO) 500 mg Tab ANTI FLATULENT

METOCLOPRA Metoclopramide 10 mg TabMIDE Damaben (SANBE) 10 mg Tab

5 mg/5 ml SyrTomit (INTERBAT) 10 mg Tab

DOMPERIDON Vometa FT (Dexa) 10 mg Tab5 mg/5 ml, 5 mg/ml Syr, Drop

Vosedon (SANBE) 10 mg Tab5 mg/5 ml, 5 mg/ml Syr, Drop

TEGASERAD Zelmac (NOVARTIS) Tab 6 mg Tab

KOMBINASI Polysilane (PHAROS) Mg (OH)2, Al (OH)3, Dimeticon Tab

C. ANTI EMETIC LAIN Anvomer B6 (DEXA) Piratiasina 40 mg, B6 TabFrazon (FERRON) Ondansetron 4 mg, 8 mg Tab

D. ANTI SPASMODIC Papaverin 40 mg TabBraxidin (SANBE) Chlordiazepoxide, clidinium TabLibrax (COMBIPHAR) Chlordiazepoxide, clidinium TabGitas Plus (INTERBAT) Thyoscine N Buthyl Br 20, Tab

Paracetamol 500Spasmomen (DEXA) Otilium bromide 40 mg Tab

E. ANTI DIARE Diagit (INTERBAT) Actapulgit 600, Pectin 50 TabLodia (SANBE) Loperamide 2 mg TabNeo Kaolana (SANBE) Kaolin 700, pectin 66 SyrupSmecta (COMBIPHAR) Dioctahedral smectite PowderGabbryl (KALBE) Paromomycin sulf 250 mg TabQuestran (BRISTOL) Cholestyramine 4 gram SachetNifural (MEDIFARMA) Nifuroxazide 250 mg/5 ml Syr

F. DIGESTIVE ENZYM Cobazym (INTERBAT) Coenzyme B12 1 mg, 3 mg TabDisflatyl (PHAROS) Dimethylpolysiloxane 40 TabElzasym (OTTO) Pancreatin 400 mg, bromelain 50

Dimethylpolysiloxane 40Tripanzym (SANBE) Pancreatin 170 mg, bromelain Tab

ted dimethicone 80 mg

G. LAXATIVE Dulcolax (BOEHRINGER) Bisacodyl TabLactulax (IKAPHARM) Lactulose 3.335 g/5 ml SyrLaxadine (GALENIUM) Phenolphthalen 55 mg, Syr

paraffin 1200 mg, glycerin 378 mg

Fleet phosp (COMBIP) Monobasic sodium phospate Syrup

H. HEPATO PROTECTOR Lesipar (LAPI) Lecithin 300 mg, B comp KapsulVit E 10 mg, nikotin 18 mg

Urdahex (KALBE) Ursodioxycholic acid 300 KapHepamerz granul L-Ornithine-L-Aspartate Sachet(COMBIPHAR)Hepatotaf Essensial phosp 150 mg, Cap(TRIMITRA) ekstark silybium

17.5 mg, ekstrak echinace 75 mg, olium zanthoriza 5 mg, curcuma xanth5 mg

I. LAIN-LAIN Gastro AD (DEXA) Fermented soybean of Chew tablactobacillus

Lacto B (NOVELL) Lactobacillus acidopilus SachetLacidofil (DEXA) Lactobacillus rhamnosus Cap

Page 5: Formularium Rspg (Juni 2010)

RESPIRATORY SYSTEM

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

A. ANTI INFLUENZA Alco Plus DMP Pseudephedrin HCl 30 mg, Syr dan NASAL DECONGESTAN (INTERBAT) Brompheniramine maleat

2, DMP HBr 10 mgAlco Plus Pseudephedrin HCl 30 mg, Syr(INTERBAT) Bromph maleat 2,Alco (INTERBAT) Pseudephedrin HCl 7,5 DropAnadex (INTERBAT) Paracetamol 120, DMP Syr

10, CTM 1, PPA 15Paracetamol 120, DMP Tab10, CTM 1, PPA 15

Rhinofed (DEXA) Terfenadine 40, Pseudoephedrin 30 TabTerfenadine 40, Pseudoephedrin 30 Syr

Aldisa SR (SANBE) Loratadine 5, Pseudoephedrin HCl 120 CapRhinos SR (DEXA) Loratadine 5, Pseudoephedrin HCl 120 CapRhinos Junior (DEXA) Pseudoephedrin HCl 15 mg Syr

Chorpenamine maleat 1 mgRhinos Neo (DEXA) Pseudoephedrin 7,5 mg/0.8 cc DropTremenza (SANBE) Tripolidine HCl 2,5 Tab

Pseudoephedrin HCl 60Tripolidine HCl 2,5 Syrpseudoephedrin HCl 60

Trifed (INTERBAT) Tripolidine HCl 2,5 Tabpseudoephedrin HCl 60Tripolidine HCl 2,5 Syrpseudoephedrin HCl 60

Cirrus (UCB) Pseudoephedrin HCl 120 mg TabCetirizine HCl 5 mg

Tuzalos (SANBE) Paracetamol 500, DMP 10 TabDPA 25, CTM 1

Telfast Plus (SANOFI) Fexofenadine HCl 60 TabPseudoephedrin HCl 120 mg

B. MUCOLITIC AMBROXOL Ambroxol 30 mg TabEpexol (SANBE) 30 mg Tab

15 mg/5 ml SyrInterpec (INTERBAT) 30 mg Tab

15 mg/5 ml, 30 mg/5 ml Syr

N-ASETYLSISTEIN Fluimucyl (ZAMBON) 200 mg Granul

ERDOSTEINE Vectrine (DEXA) 300 mg, 225 mg Cap, granul175 mg/5 ml Syr

BROMHEXINE Mucohexin (SANBE) 8 mg Tab4 mg/5 ml Syr

LAIN- LAIN Bronchipret (DARYA V) Thymi extrc 38% Tabprimrose extr 14%

C. ANTI COUGH Codein (KF) 10 mg, 15 mg, 20 mg TabCodipront (KF) Codein 30 mg, phenyltoloxamine 10 mg Cap

Codein 30 mg, phenyltoloxamine 10 mg SyrCoditam (KF) Codein 30 mg, parasetamol 500 mg CapDoveri (KF) 100 mg, 150 mg, 200 mg TabDextrometrophan 15 mg TabRomilar (BAYER) Dextromethorphan 15 mg TabSelvigon (Transfarma) Pipazetate Hcl 20 mg TabGlyceril Guaiacolat 100 mg TabInadryl (INTERBAT) Diphenhydramine 12,5, Syr

ammon Cl 135, menthol 2,5, alkohol 5%Inadryl Plus (INTERBAT) Diphenhydramine 12,5, Syr

ammon Cl 125, menthol1, Na citrate 50

Prome (INTERBAT) Promethazine HCl 5, ipec Syr0,1, K sulfoguaicolate44, Na citrate 197, menth

Page 6: Formularium Rspg (Juni 2010)

Sanadryl (SANBE) Diphenhydramine 12,5, Syrammonium chloride 100Na citrate 50, menthol 1

Sanadryl DMP (SANBE) DMP HBr 10, Na citrate Syr50, Diphenhydramine 12,5ammonium chloride 100, menthol 1

D. ANTI ASMA AMINOPHYLLIN Aminophylin Tab BRONCHIALE

THEOPHYLLIN Theobront (INTERBAT) Theophyllin anhidrat 300 mg CapQuibront TSR (BRISTOL) Theophyllin anhidrat 300 mg Cap

KOMBINASI Teosal Salbut Sulf 1, theophylin Tab

SALBUTAMOL Salbuven (PHAROS) 2 mg, 4 mg, 2 mg/5 ml Tab2 mg/5 ml Syr

Ventolin (GLAXO) 2 mg Tab2 mg/5 ml Syr

KETOTIFEN Intifen (INTERBAT) Ketotifen hyd fumarate Tab

TERBUTALIN Nairet (OTTO) 2.5 mg, 1.5 mg/5 ml Tab

LAIN - LAIN Meptin mini (OTSUKA) Procatero Hcl hemihydrate 25 mg Tab

NEURO MUSCULAR SYSTEM

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

A. ANTIPIRETIK PARACETAMOL Paracetamol 500 mg TabPamol (INTERBAT) 500 mg Tab

120 mg/5 mg SyrProgesic (METSIKA FARMA) 250/5 ml SyrSanmol (SANBE) 500 mg Tab

120 mg/5 ml, 60 mg/0.6 ml Syr, Drop

KOMBINASI Sistenol (DEXA) Parasetamol 500 mg, Capln-acetyl sistein 200 mg

IBUPROFEN Ibuprofen 200 mg, 400 mg TabProris (Pharos) 200 mg, 400 mg Tab

100 mg/5 ml, 200 mg/5 ml Syr, syr ForteBufect (SANBE) 100 mg/5 ml, 200 mg/5 ml Syr, syr Forte

B. ANTI INFLAMASI ASAM MEFENAMAT A. Mefenamat 250 mg, 500 mg Tab ANTI RHEUMATIC Mefinal (SANBE) 250 mg, 500 mg Tab dan ANALGETIK Mefinter (INTERBAT) 250 mg, 500 mg Tab

Pondex (DEXA) 250 mg, 500 mg Cap50 mg/5 ml Syr

Ponstan (PFIZER) 500 mg Cap

METHAMPYRON Antalgin 500 mg TabRonalgin (DEXA) 250 mg, 500 mg Tab

METAMIZOL Novalgin (SANOFI) 50 mg/ml SyrNovalgin (SANOFI) 500 mg Tab

KOMBINASI Analsik (SANBE) Metamizol Na 500, chlordi Capletazepoxide HCl 5, Bcomp10 mcg, dan caffein 50

Zyparon (NOVELL) Methampyron 500 mg, diazepam Caplet2 mg

Ultracet (JANSENN-CILAG) Tramadol 37,5 mg, paracetamol 325 mg TabDoloneurobion (MERCK) Paracet 500 mg, vit B6 100 mg Tab

Vit B1 50 mg, vit B12 100 mcgNeurosanbe Plus (SANBE) B1 50, B6 100, B12 100 Caplet

mcg, metamizole Na 500

DICLOFENAC Diclofenac 50 mg TabEflagen (SANBE) Diclofenac K 25, 50 mg TabFlamar (SANBE) Diclofenac Na 25, 50 mh Tab

Page 7: Formularium Rspg (Juni 2010)

Voltadex retard (DEXA) Diclofenac Na 100 mg Tab

PIROXICAM Piroxicam 10 mg, 20 mg TabInfeld (INTERBAT) 10 mg, 20 mg TabFeldene (PFIZER) 10 mg, 20 mg, flash Tab

TENOXICAM Notritis (SANBE) 20 mg TabTilflam (DEXA) 20 mg Tab

KETOPROFEN Kaltrofen OD (KALBE) 200 mg TabKaltrofen (KALBE) 50 mg TabPronalges (DEXA) 50 mg, 100 mg Tab

TRAMADOL Tramadol 50 mg TabTrunal DX (FERRON) 50 mg TabTramal Retard (PHAROS) 100 mg, 200 mg Tab

SULFALAZINE Sulcolon (BERNO) 500 mg Tab

MORPHINE MST Continus 10 mg, 15 mg, 20 mg Tab

DEXKETOPROFEN Ketesse (FERRON) 25 mg Tab

TINORIDINE HCL Nonflamin (TAKEDA) 50 mg Tab

COX-2 INHIBITOR Meloxicam 7,5 mg, 15 mg Tab1. MELOXICAM Ostelox (SANBE) 7,5 mg, 15 mg Tab

Mecox (DEXA) 7,5 mg, 15 mg Tab

2. CELECOXIB Celebrex (PFIZER) 100 mg, 200 mg Cap

LAIN - LAIN Flexor DS (DEXA) Glucosamien HCl 500 mg, Capchondroitin sulf 400 mg

OS (INTERBAT) Glucosamine 250 mg, chondroitin Capsulf 200 mg, vit C25, Mn 0,5 mg, Mg 5 mgSe 5 mcg, Zn 2,5 mg

Atrodar (TRB PHARMA) Diacerein CapOA Forte (INTERBAT) Glucosamine 500 mg, chondroitin Cap

sulf 200 mg, vit C 50, vit E 50 mg,Mn 2,5 Mg 20 mg, Se 50 mcg

C. MUSCLE RELAXANT EPERISONE Eprinoc (SANBE) 50 mg Tab

TINAZIDINE Sirdalut (NOVARTIS) 2 mg TabZitanid (NOVELL) 2 mg Tab

D. GOUT ALLOPURINOL Allopurinol 100 mg Tab PREPARATION Isoric (INTERBAT) 100 mg, 300 mg Tab

Puricemia (SANBE) 300 mg Tab

COLCHICINE Recolfar (FAHREINHEIT) 0,5 mg Tab

E. NOOTROPIC - PIRACETAM Piracetam 400 mg, 800 mg, 1200 mg Tab NEUROTONIC Nootripol (UCB) 400 mg, 800 mg, 1200 mg Tab

Neurotam (KALBE) 400 mg, 800 mg, 1200 mg Tab100 mg Syr

PYRITINOL Encepan (INTERBAT) 100 mg, 200 mg Tab, Forte

MECOBALAMIN Megabal (SANBE) 500 mg CapMeconeuro (NOVELL) 250 mg, 500 mg CapLapibal (LAPI) 250 mg, 500 mg Cap

CITICOLINE Cholinaar (NOVELL) 500 mg TabBrainact (KALBE) 500 mg Tab

PREGABALIN Lyrica (PFIZER) 78 mg, 150 mg Tab

NIMODIPINE Nimotop (BAYER) 30 mg Tab

SULBUTIAMINE Arcalion (SERVIER) 200 mg Tab

Page 8: Formularium Rspg (Juni 2010)

F. MIGRAIN DRUG ERGOTAMINE Cafergot (NOVARTIS) Ergotamine, caffein Tab

G. ANTI EPILEPSI CARBAMAZEPINE Tegretol (NOVARTIS) 200 mg, 100 mg, 100 mg/5 ml Tab, cr

PHENYTOIN NA Dilantin (PFIZER) 50 mg, 100 mg, 30 mg/5 ml Tab

GABAPENTIN Epiven (NOVELL) 300 mg CapNepatic (KALBE) 300 mg Cap

H. CEREBRAL ACTIVATOR FLUNARIZINE Degrium (FERRON) 5 mg, 10 mg TabFrego (KALBE) 5 mg, 10 mg Tab

NICERGOLINE Serolin (KALBE) 10 mg, 30 mg Tab

CINNARIZINE Stugeron (JANSEN) 25 mg Tab

I. ANTI VERTIGO BETAHISTINE MESYLAT Mertigo (DEXA) 6 mg TabMerislon (EISAI) 8 mg Tab

DIMENHYDRINATE Dramamine (PFIZER) 50 mg, 100 mg Tab

CARDIOVASCULAR

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

A. ANTI HYPERTENSI CAPTOPRIL Captopril 12,5 mg, 25 mg Tab1. ACE INHIBITOR Tensicap (DEXA) 12,5 mg, 25 mg Tab

LISINOPRIL Noperten (DEXA) 5 mg, 10 mg TabInterpril (INTERBAT) 5 mg, 10 mg Tab

RAMIPRIL Hyperil (FERRON) 1,25 mg, 2,5 mg, 5 mg TabCardace (AVENTIS) 10 mg TabTriatec (SANOFI) 10 mg Tab

PERINDOPRIL Prexum (SERVIER) 4 mg Tab

IMIDRAPRIL Tanapres (TANABE) 5 mg, 10 mg Tab

2. BETA BLOCKERS BISOPROLOL Bisoprolol 5 mg TabConcor (MERCK) 2,5 mg, 5 mg TabBisovell (NOVELL) 2,5 mg, 5 mg Tab

PROPANOLOL Propanolol 10 mg, 40 mg TabInderal 10 mg, 40 mg Tab

ATENOLOL Internolol (INTERBAT) 50 mg, 100 mg Tab

CARVEDILOL V Block (KALBE) 6,25 mg, 25 mg Tab

METOPROLOL Lopresor (SCHERING) 100 mg Tab

3. CA ANTAGONIS NIFEDIPIN Nifedipin 10 mg TabAdalat Oros (BAYER) 20 mg, 30 mg Tab

DILTIAZEM Dilmen (SANBE) 60 mg TabHerbeser (TANABE) 60 SR, 90 SR, 180 SR Tab

CD 100, CD 200 Tab

AMLODIPINE Tensivask (DEXA) 5 mg, 10 mg TabCardisan (SANBE) 5 mg, 10 mg TabIntervask (INTERBAT) 5 mg, 10 mg TabAmcor (MERCK) 5 mg, 10 mg

4. ANGIOTENSIN II - IRBESARTAN Irvell (NOVELL) 150 mg, 300 mg Tab ANTAGONIS Irvask (KALBE) 150 mg, 300 mg Tab

LOSARTAN Insaar (INTERBAT) 50 mg TabAngioten (KALBE) 50 mg Tab

Page 9: Formularium Rspg (Juni 2010)

OLMESARTAN Olmetec (PFIZER) 20 mg, 40 mg Tab

CANDESARTAN Blopress (TAKEDA) 8 mg, 16 mg TabBlopress plus (TAKEDA) Kombinasi dengan HCT Tab

VALSARTAN Diovan (NOVARTIS) 80 mg, 160 mg Tab

KOMBINASI VALSARTAN& HCT Co Diovan (NOVARTIS) 80/12.5 mg, 160/12.5 mg Tab

5. DIURETICA FUROSEMID Furosemid 40 mg TabLasix (NOVARTIS) 40 mg TabUresix (SANBE) 40 mg Tab

SPIRONOLACTON Aldactone 25 mg, 100 mg TabSpirola (KALBE) 100 mg TabLetonal (OTTO) 25 mg, 100 mg Tab

THIAZIDE HCT 25 mg Tab

KOMBINASI SPIRO Aldazide 25 mg/2,5 mg TabNOLACTON & THIABUTAZIDE

6. LAIN - LAIN CLONODINE Catapres (BOEHRINGER) 0,075 mg, 0,15 mg Tab

B. CARDIAC DRUG DIGOXIN Digoxin (NOVARTIS) 0,25 mg TabLanoxin (GLAXO) 0,25 mg Tab

AMIODARON Cordaron (SANOFI) 200 mg Tab

C. ANTI ANGINA ISOSORBIDE Isoket (PHAROS) 5 mg, 10 mg, 20 mg TabDINITRATE Cedosard (DARYA) 5 mg, 10 mg, 20 mg Tab

ISOSORBIDE Imdur (ASTRA) 20 mg TabMONONITRATE Cardismo (PHAPROS) 20 mg Tab

TRIMETAZIDINE Trizedon MR (SERVIER) 35 mg Tab

D. HAEMOROID NATURAL EXTR Lanaven (LANAVEN) Purified soyabean extr Cap40%, hippocastani extr20%, itrus comp extr

Rhodium (Fahreinheit) Purrified flavonoid fraction TabCiflon (LAPI) Purified soyabean extr 40% Cap

hippocastani extr 20%itrus comp extr

E. PERIPERAL VASO PENTOXIFYLLINE Platof (SANBE) 400 mg Tab DILATOR Trental (SANOFI) 400 mg Tab

NAFTIDROFURYL Praxilene (MERCK) 100 mg, 200 mg Tab

CLOPIDOGREL Plavix (SANOFI) 75 mg TabClotix (FERRON) 75 mg TabVaclo (DEXA) 75 mg Tab

F. ANTICOAGULAN, ACETOSAL Ascardia 80 mg, 160 mg Tab ANTITHROMBOTIC Aspilet (MEDIFARMA) 80 mg Tab & FIBRINOLYTICS Thrombo Aspilet (UAP) 80 mg Tab

Cardio Aspirin (BAYER) 100 mg Tab

CILOSTAZOL Pleetal (OTSUKA) 50 mg, 100 mg TabAggravan (FERRON) 50 mg, 100 mgCitaz (KALBE) 50 mg, 100 mg Tab

TICLOPIDINE Ticlon (INTERBAT) 250 mg Tab

WARFARIN Simarc-2 (FAHREINHEIT) 2 mg Tab

BERAPROST Na Domer (ASTELLAS) 20 mcg Tab

G. CARDIOPROTECTIVE Cardiomin (DARYA V) Vit B6 25 mg, vit B12 25 mcg, Tabasam folat 500 mcg, vit E 400 SI

Page 10: Formularium Rspg (Juni 2010)

HORMON

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

A. ESTROGEN Norelut (DEXA) Noretisteron 5 Tab PROGESTERON Pregnolin (DEXA) Allystrenol 5 Tab

Gynaecosid (PHAROS) Methyloestrenolone 5 mg, Tabmethyloestradiol 0,3 mg

Lutenyl (MERCK) Nomegestrol asetate 5 mg TabProgynova (SCHERING) Estradiol valerate 1 mg TabCycloprogynova Estradiol valerate 2 mg Tab(SCHERING) norgestrel 0,5 mgPrimolut N (SCHERING) Nerethisterone 5 mg TabDiane 35 (SCHERING) Cyproterone acetate 2 mg Tab

ethinylestradiol 0,035 mgProthyra (SUNTHI S) Medroxyprogesteron TabParlodel (NOVARTIS) Bromocriptine mesilate TabAzol (MERCK) Danazol Tab

GENETO URINARY SYSTEM

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

A. URINARY PIPEDEMIC ACID Urinter (INTERBAT) 400 mg Tab ANTISEPTIK Urotractin (SANBE) 400 mg Tab

B. GENETO URINARY ESSENTIAL Prorenal (NOVELL) Essential ketoacid Tab SYSTEM LAINNYA KETOACID Aminefron (DEXA) Essential ketoacid Tab

FINASERID Finpro (INTERBAT) Finaserid Tab

TOLTERODINE Detrusitol (PFIZER) Tolterodine I-Tartrate 3 mg Tab

LAIN - LAIN Kalkurenal Drop 5 Etr berberidis dest Drop(DARYA V) extr saxifrag grandest 9,

lithium HCl 100 mcg, Mgbor 1, Na phosp 100 mcg

C. ANTI BPH Cardura (PFIZER) Dexazosin mesylate 1 mg TabHarnal (ASTELLAS) Tamsulosin HCl 0,2 mg Tab

DRUG ACTING ON UTERUS

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

ISOXSUPRINE HCl Hystolan (DEXA) 20 mg Tab

METHYL ERGOMETRIN Methyl ergometrin 0.125 mg TabMethergin (NOVARTIS) 0.125 mg TabPostpargin (KALBE) 0.125 mg Tab

MISOPROSTOL Cytotec (PFIZER) 200 mg Tab

METABOLISME

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

A. ANTI DIABETIC GLIBENCLAMIDE Glibenclamide 5 mg Tab1. SULFONIL UREA

GLIMEPIRIDE Glimepiride 1,2,3,4 mg TabMetrix (KALBE) 4 mg TabGluvas (DEXA) 1,2,3,4 mg TabAmaryl (SANOFI) 1,2,3,4 mg Tab

GLIPIZIDE Glucotrol XL (MERCK) 5, 10 mg Tab

GLICLAZIDE Diamicron MR 30 mg Tab

Page 11: Formularium Rspg (Juni 2010)

Glukolos (SANBE) 80 mg Tab

GLIQUIDONE Gliquidone 30 mg TabGlunenorm 30 mh Tab(BOEHRINGER)

REPAGLINIDE Novonorm (DEXA) 0,5 mg, 1 mg Tab

2. BIGUANID METFORMIN Metformin 500 mg, 850 mg TabGlucophage (MERCK) 500 mg, 850 mg TabGlucophage XR (MERCK) 500 mg TabForbetes (SANBE) 500 mg, 850 mg TabGlumin XR (DEXA) 500 mg TabGlumin (DEXA) 500 mg, 850 mg Tab

3. GLITASONE PIOGLITAZONE Deculin (DEXA) 15 mg, 30 mg Tab

4. PENGHAMBAT GLUKOSIDE ALFA ACARBOSE Glucobay (BAYER) 50 mg, 100 mg Tab

Eclid (DEXA) 50 mg, 100 mg Tab

5. KOMBINASI GLIBENCLAMIDE & Glucovance (MERCK) 1,25 mg/250 mg TabMETFORMIN 2,5 mg/500 mg Tab

5 mg/500 mg Tab

B. ANTI HIPERLIDIMIA SIMVASTATIN Simvastatin 5 mg, 10 mg, 20 mg Tab1. STATIN Cholestat (KALBE) 10 mg, 20 mg Tab

Valemia (SANBE) 5, 10 mg Tab

ATORVASTATIN Stator (DEXA) 10 mg, 20 mg, 40 mg Tab

PRAVASTATIN Novales (NOVELL) 10, 20 mg TabCholvastin (SANBE) 20 mg Tab

KOMBINASI Novosta (NOVELL) Pravastatin + asetosal TabCaduet (PFIZER) Amlodipine + Atorvastatin Tab

LOFASTATIN Lotyn (INTERBAT) 20 mg TabLofacol (FERRON) 20 mg Tab

2. FIBRATE FENOFRIBATE Lipanthyl supra (SOLVAY) 160 mg TabTrolip (DEXA) 100 mg, 300 mg Tab

GEMFIBROZIL Gemfibrozil 300 mg TabLipira (COMBIPHAR) 600 mg TabHyprofil (SANBE) 300 mg Tab

3. LAIN - LAIN NATURAL EXTRACT Resvica (DEXA) Tab

EZETIMIDE Ezetrol (SCHERING) 10 mg Tab

VIDAGLIPTINE Galvus 50 mg TabGalvus M Tab

C. PREPARAT THYROID PTU Prophyl tio uracil 100 mg TabEuthyrox (MERCK) Lefotyroxin Ha 50, 100 TabThyrosol (MERCK) Thiamasal 5, 10 Tab

ANTI DOTES & DRUG USED IN SUBTANCE DEPENDENCE

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

CA POLYSTYRENE Kalitake (DIPA) 5 gr SachetSULFONATE

HEMOSTATIK

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

ASAM TRANEKSAMAT Plasminex Asam traneksamat 500 mg Tab

Page 12: Formularium Rspg (Juni 2010)

Kalnex (KALBE) Asam traneksamat 500 mg Tab

ALERGY & IMMUNE SYSTEM

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

A. ANTI HISTAMIN dan CTM CTM 4 mg Tab ANTI ALERGI Pehachlor 4 mg Tab

LORATADINE Inclarin (INTERBAT) 10 mg TabAlloris (SANBE) 10 mg Tab

DESLORATADINE Aerius (SCHERING) 5 mg Tab

CYPROHEPTADINE Heptasan (SANBE) 4 mg Tab

FEXOFENADINE Telfast OD (SANOFI) 120 mg TabTelfast HD (SANOFI) 180 mg Tab

MEBHYDROLIN Histapan (SANBE) 50 mg TabInterhistin (INTERBAT) 50 mg Tab

CETIRIZINE Cetirizine 10 mg TabCerini (SANBE) 10 mg Tab

5 mg/5 ml SyrHistrine (FERRON) 10 mg/ ml DropHistrine FT (FERRON) 5 mg, 10 mg Tab

DIMETHINDENE Fenistil 0.10% DropMALEATE

B. KORTIKOSTEROID DEXAMETHASONE Dexamethasone 0,5 mg TabCortidex (SANBE) 0,5 mg TabIndexon (INTERBAT) 0,5 mg Tab

PREDNISON Prednison 5 mg Tab

METHYL PREDNISOLONM. Prednisolon 4 mg, 16 mg TabMedixon (FERRON) 4 mg, 16 mg TabSanexon (SANBE) 4 mg, 16 mg Tab

TRIAMCINOLONE Ketricin (FERRON) 4 mg Tab

PIZOTIFEN Lysagor (KALBE) 500 mg Tab

C. KOMBINASI Colergis (DEXA) Betameth 0,25, dex CTM 2 Tab, SyrOccuson (SANBE) Betamethason 0,25, dex CTM 2 Tab

II. IMUNO SUPRESAN Imuran (GLAXO) Azathioprine TabSandinum (NOVARTIS) Ciclosporin Cap, Sol

III. IMUNO STIMULAN Stimuno (DEXA) Phyllantus niruri L herbs extr CapImunos (LAPI) Echinacea, zinc picolinate, Tab

ascorbic acid, selenium Syr

PSIKOTROPIK

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

A. ANTI DEPRESAN SSRI Zolofit (PFIZER) Sertralin 50 mg Tab

ATYPICAL Remeron (ORGANON) Mirtazepin 30 mg Tab

TRISIKLIK Amitriptyline Amitriptyline 12,5 mg, 25 mg Tab

TETRASIKLIK Ludiomil (NOVARTIS) Maprotiline 25 mg Tab

LAIN - LAIN Serlof (KALBE) Sertralin 50 mg TabCipralex (LANDBECK) Escitazolam 10 mg Cap

Page 13: Formularium Rspg (Juni 2010)

B. ANTI ANXIETAS BENZODIAZEPINE Xanax (PFIZER) Diazepam 0,25 mg, 0,5 mg, 1 mg TabZypras (KALBE) Alprazolam 0,25 mg, 0,5 mg, 1 mg TabValisanbe (SANBE) Diazepam 2 mg, 5 mg TabClobazam Clobazam 10 mg TabMerlopam (MERSI) Lorazepam 0,5 mg, 2 mg Tab

NON BENZODIAZEPIN Dogmatil (DELAGRANGE) Sulpirid 50 mg Tab

C. ANTI PSIKOTIK BENSISOXAZOLE Zofredal (KALBE) Risperidon 1 mg, 2 mg Tab

PHENOTHIAZINE Meprosetil (MEPROFARMA) Chlorpromazine 25, 100 mg TabStelazine (PHAROS) Trifluoperazine 1 mg, 5 mg Tab

BUTYROPHENON Haloperidol (INDOFARMA) Haloperidol 2 mg, 5 mg TabGovotil (GUARDIAN) Haloperidol 1,5 mg, 5 mg Tab

BENZODIAZEPINE Clozaril (NOVARTIS) Clozapine 25 mg TabSizoril (MEPROFARM) Clozapine 25 mg, 100 mg TabZypreza (ELLY LILI) Olanzepine 5 mg, 10 mg TabLodopin (KALBE) Zotepin 25 mg, 50 mg Tab

LAIN - LAIN Chlorpromazine 100 mg TabAbilify (OTSUKA) Aripiprazol 5 mg, 10 mg TabSeroquel (ASTRA ZENECA) Quetiapine 200 mg TabInvega (JANSSEN) Palipperidone 6 mg, 9 mg Tab

D. ANTI INSOMNIA BENZODIAZEPINE Esilgan (TAKEDA) Estazolam 1 mg, 2 mg Tab

LAIN - LAIN Rozerem (TAKEDA) Ramelteon 8 mg Tab

E. LAIN - LAIN ANTI PARKINSON Artane (LEDERLA) Terihexyphenidil 2 mg TabFordesia (KALBE) Donepezil Hcl 5 mg Tab

ANTI CONVULSANT Depakote (ABBOT) Divalproex Na 250 mg TabDepakene (ABBOT) Valproic acid 250 mg/5 ml Syr

PSIKOSTIMULAN Concerta (JANSEN) Rivastigmin 18 mg, 36 mg TabTofranil (NOVARTIS) Imipramine Hcl 25 mg TabRitalin (NOVARTIS) Methylphenidate Hcl 10 mg Tab

NEOPLASTIC

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

ANTI NEOPLASTIC CYCLOPHASPHAMIDE Neosar 50 mg Tab

HYDROXYUREA Hydrea (BRISTOL) 500 mg Cap

TAMOXIFEN Tamoxifen (FERRON) 10 mg, 20 mg TabTamoflex (COMBIPHAR) 10 mg, 20 mg Tab

METHOTREXATE Methotrexate 2,5 mg TabEbewe (FERRON)

CAPECITABINE Xeloda (ROCHE) 500 mg Tab

VITAMIN

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

A. NEUROTROPIC Neurosanbe (SANBE) Vit B1, B6, B12 Tab VITAMIN Neurosanbe 5000 (SANBE) Vit B1, B6, B12 Tab

Neurobion 5000 (MERCK) Vit B1, B6, B12 TabNeurobion (MERCK) Vit B1, B6, B12 Tab

B. KOMBINASI Neurosanbe plus (SANBE) Vit B1, B6, B12, metamizol Na Tab

C. ANTI ANEMIA Biosanbe (SANBE) Fe gluconate, Mg sulfat, Tabcopper sulf, vit c, B6, sorb

Prenamia (SANBE) Fe fumarat, folic acid, B12, C, Tab

Page 14: Formularium Rspg (Juni 2010)

D3, Ca carbonateInbion (INTERBAT) Fe gluconate, Mg sulfat, Tab

copper sulf, vit c, B12, Cfolic acid, sorbitol

Hemobion (MERCK) Fe fumarate, filic acid, vit B12, CapCa carbonat, cholecalciferol

Folamil (DEXA) Beta caroten, ca lactate, ca Tabpantothenat, copper sulf folic acid, Fe fumarat,nicotinamide K iodidaNa fluroid B1, B2, B6, C, D

Folavit (SANBE) Folic ac 250 mcg, 400 mcg TabMaltofer (COMBIPHAR) Fe (III) hydroxide polymaltose 100 mg Tab

C. VITAMIN E Santa E (SANBE) Vit E 100 mg TabLanturol 400 (LANDSON) Vit E 200 iu, 300 iu, 400 iu Tab

D. CALSIUM WITH Ossoral (DEXA) Ossein-hydroxyapatite Cap, Syr VITAMIN Lycalvit (INTERBAT) B6, C, D3, Ca lactate, Ca Cap, Syr

SyrCavit D3 (MERCK) TabOssovit (INTERBAT) Ca citrate, D3, K1, Mg, Zn CapElkana (SANBE) Dibasic Ca posphate, Ca lactate, Tab

B6, C, D3, Ca lactate, Ca Syr

E. MULTIVITAMIN / Becom C (SANBE) Vit B1 50 mg, vit B2 25 mg, Kap DAN MINERAL vit B6 10 mg, vit B12 5

vit C 500 mg, nicotin100 mg, Ca panthotenic acZn 22,5 mg, niacin 100 mg

Becom Zet (SANBE) Vit E, C, B1, B6, B12, folic acpant acid, TabZn, niacin

Sanvita B (SANBE) Vit B1, B2, B12, nicotinmide, Syrpanthothenol

Apialys (LAPI) Syrm DropLyvit (INTERBAT) Vit A 5000 iu, vit B1 3 mg Syr

B2 1,5 mg, vit B6 2,5 mgB125 mcg, vit C 50 mg1000 iu, niacinamide 20 panthothenol 5 mg, lysine 200 mg, vit D

Bevizil (SANBE) Beta karoten, vit C, vit E Cap

E. MULTIVITAMIN / Cal - 95 (LAPI) Coral Ca 500 mg, vit D3 Cap DAN MINERAL soy isoflavone 20 mg

vit K1 25 mcg, Mg100 mg, Zn 5 mg, Br 1 mg

Zinkid (INDOFARMA) TabMecola (LAPI) Alpha lipoic acid, cyanoco balamin Tab

F. ANTI OKSIDAN Lycoxy (DEXA) Lutein, lycopene, vit E, C Kapcarotene, Se, Zn

Seloxy AA (FERRON) Beta carotene 10.000 iu Kap250 mg, vit E 200 iu, Zn20 mg, Se 30 mcg

Retivit (SANBE) Beta caroten 10.000 iu, vit C Kap500 mg, vit E 100 iu

G. BONE SUPPORTING Kolkatriol F (PHAPROS) Calcitriol 0.5 mcg CapKolkatriol (PHAPROS) Calcitriol 0.25 mcg CapOne alfa (DARYA VARIA) Alphacalcidol 0,25 mcg, 1 mcg CapActonel (SANOFI) Risedonate Na 35 mg Tab

H. LAIN - LAIN Q ten (NOVELL) Coenzyme Q10 60, 100 MG CapProvital Plus (LANDSON) Ginseng extr50 mg, vita A Softcap

1.000 mcg, vit B1 1,4 mgB2 1,6 mg, nicotin 25 mgvit B6 2 mg, vit B2 3 mcg, vit C 30 mg, folic ac 0,4 mg,inositol 7,5 mg, lysine 0,3glutamic 0,5 mg, Ca 40 mg,copp 0,1 mg, Mg 0,1 mgK 5 mg, Mn 0,25 mg, Fe 5

Page 15: Formularium Rspg (Juni 2010)

Zn 0,5 mg, phosphor 20 mgiodine 0,005 mg, lecithin50 mg

Tebokan (PHAPROS) Ginkgo biloba TabAsthin Force (SOHO) Beta caroten, bilberry dry ext, ret, Vit E Tab, SyrBiostrum (LAPI) Colostrum bovine 250 mg,

fructo-oligosaccharide 1,5 g, Zn 3 mg SyrOsteokom (LAPI) Glucosamine, condroitin, methyls Cap

Nyl methan, Vit C, Se, Zn, Mn, MgEnertaf (TRIMITRA) Glinkgo biloba 40 mg, ginseng, Softcap

50 mg, essphospholipid 100 mg,ro. Jelly 6 mg

Lanavision (LANDSON) Bilberry dry extr 80 mg CapBerryvision (SANBE) Bilberry dry extr 80 mg CapOptimax (FERRON) Lutein 3 mg, lycopene 2

vit E 25 mg, vit C 100 mgZn 100 mg, beta karoten6000 iu, bilberry extr 80 mg

Enercore (SOHO) D ribose, L carnitine, Q10, Mg CapDansera (OTTO) Serrapeptase, thiamine, riboflamin Tab

Pyridoxine, cyanocobalamine,Mide, tocopherol

Cholescor (ETHICA) Monascus purpureus Went Cap

ANTIBIOTIK

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

A.1. PENICILLIN AMPICILLIN Sanpicillin (SANBE) 1 gr VialViccillin (MEIJI) 1 gr Vial

AMOXICILLIN Amoxan (SANBE) 1 gr VialIntermoxyl (INTERBAT) 1 gr Vial

AMOXICILLIN + Claneksi (SANBE) 1 gr VialCLAVULANAT

CLOXACILIN Meixam (MEIJI) 1 gr Vial

SULBENISILIN Kedacillin (TAKEDA) 1 gr Vial

A.2. CEPHALOSPORIN CEFOTAXIM Cefotaxime 1 gr VialKalfoxim (KALBE) 1 gr VialLapixime (LAPI) 1 gr VialTaxegram (SANBE) 1 gr Vial

CEFTRIAXONE Ceftriaxone 1 gr VialStarxon (INTERBAT) 1 gr VialEcotrixon (BERNO) 1 gr VialTricefin (DEXA) 1 gr VialBroadcet (KALBE) 1 gr VialTerfacef (SANBE) 1 gr Vial

CEPHRADINE Dynacef (DEXA) 1 gr Vial

CEFTAZIDIME Ceftum (FERRON) 1 gr VialLacedim (LAPI) 1 gr VialCetazum (LANDSON) 1 gr Vial

CEFUROXIME Anbacim (SANBE) 1 gr VialSharox (FAHREINHEIT) 1 gr VialCelocid (DEXA) 1 gr Vial

CEFPIROME Cefrin (DEXA) 1 gr VialMorcef (INMARK) 1 gr Vial

CEFOPERAZONE Stabixin (FAHREINHEIT) 1 gr VialCefophar (PHAROS) 1 gr Vial

CEFEPIME HCI Maxicef (PHAROS) 1 gr Vial

Page 16: Formularium Rspg (Juni 2010)

CEFAZOLIN Fabiolin (INMARK) 1 gr VialCefazol (KALBE) 1 gr Vial

B. CHLORAMPHENCOL Colsancetin (SANBE) 1 gr Vial

C. AMINOGLIKOSIDE Gentamycin Sagestam (SANBE) 80 mg/2 ml VialSalticin (INTERBAT) 80 mg/2 ml Vial

AMIKASIN SULF Mikasin (KALBE) 250 mg/2 ml Vial50 mg/2 ml

NETILMICIN SULF Hypobac (PHAPROS) 100 mg Vial

KANAMYCIN Kanamycin (MEIJI) 0,5 gr, 1 gr Vial

ANTI VIRAL Pegasys (ROCHE) Peginterferon alpha-2a VialPeg Intron (SCHERING PLO Peginterferon alpha-2b Vial

D. LAIN - LAIN CLINDAMYCIN Dalacin C (PFIZER) 150 ml/ml Vial

BETA LACTAM Tripenem (DEXA) 500 mg, 1 gr Vial

KOMBINASI Sulperazone (PFIZER) Sulbactam 500 mg & Vialcefoperazone 500 mgImipenem 500 mg & Vialcilastin 500 mg

CEFTIZOXIME Tizos (DEXA) 1 gr Vial

ANTIBIOTIK INFUS

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

A. QUINOLON CIPROFLOXACIN Ciprofloxacin (Gen) 200 mg/ml InfusBaquinor (SANBE) 200 mg/ml InfusQuidex (FERRON) 200 mg/ml Infus

OFLOXACIN Tarivid (KALBE) 200 mg/ml Infus

LEVOFLOXACIN Volequin (DEXA) 500 mg/100 ml InfusCravit IV (KALBE) 250 mg/50 ml. 500 mg/100mg Vial

B. ANTIBIOTIK LAIN METRONIDAZOLE Metronidazole (Gen) 500 mg/ml InfusTrichodazole (SANBE) 500 mg/ml InfusFarnat (FAHRENHEIT) 500 mg/ml Infus

GI-TRACT

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

A. ANTASID dan ANTI RANITIDINE Radin (DEXA) 50 mg/2 ml Amp UCER Wiacid (LANDSON) 50 mg/2 ml Amp

Acran (SANBE) 25 mg/2 ml Amp

OMEPRAZOLE OMZ (FERRON) 40 mg/ml AmpOzid (DARYA VARIA) 40 mg/ml Amp

ESOMEPRAZOLE Nexium (ASTRA ZENECA) 40 mg/ml Amp

PANTOPRAZOL Pantozol (PHAROS) 40 mg/ml AmpPanso (SOHO) 40 mg/ml Amp

CIMETIDINE Cimetidin 200 mg AmpUlsikur (HEXPARM) 200 mg Amp

B. GIT REGULATOR & METOCLOPRAMIDE Tomit (INTERBAT) 5 mg/ml Amp ANTI FLATULENT Vomidex (DEXA) 5 mg/ml Amp

ONDANSETRON Invomit (INTERBAT) 4 mg/2 ml, 8 mg/4 ml AmpNarfoz (PHAROS) 4 mg/2 ml, 8 mg/4 ml Amp

Page 17: Formularium Rspg (Juni 2010)

Cedantron (SOHO) 4 mg/2 ml, 8 mg/4 ml Amp

C. ANTI SPASMODIC Papaverin 40 mg/ml AmpBuscopan (BOEHRINGER) Hyoscine-N-butylbromide AmpGitas (INTERBAT) Hyoscine-N-butylbromide Amp20mg/ml

RESPIRATORY

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

ANTI ASMA AMINOPHYLLIN Aminophyllin 24 mg/10 ml Amp

EPINEPHRIN Epinephrin 1 mg/ml Amp

TERBUTALINE Bricasma (ASTRA Z) 5 mg/ml Amp

NEURO MUSCULAR SYSTEM

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

A. ANALGETIK - METAMPYRON Antalgin 2 ml Amp ANTI REUMATIC & ANTI INFLAMASI METAMIZOLE Antrain (INTERBAT) 1 gr/2 ml Amp

Novalgin (SANOFI) 1 gr/2 ml Amp

LAIN - LAIN Xyllomidon pyramidon, lidocain Vial

KETOPROFEN Remopain (DEXA) 10 mg/ml, 30 mg/ml AmpLatrol (INMARK) 10 mg/ml, 30 mg/ml AmpKetopain (SOHO) 30 mg/ml Amp

MORPHIN Morphin (KF) 10 mgml Amp

LAIN - LAIN Dynastate (PFIZER) Parecoxibe Na 20 mg AmpHyalgan (COMBIPHAR) Na hyaluronate 10 mg/ml Amp

B. PREPARAT PSIKIATRI DIAZEPAM Stesolid (ACTAVIS) 5 mg/ml Amp MINOR

MAYOR FLUPHENAZINE Modecate (BMS) 25 mg/ml Vial

HALOPERIDOL Serenace (PFIZER) 5 mg/ml AmpHaldol decanoat (JANSEN) Amp

HYPNOTIC & SEDATIVE MIDAZOLAM Dormicum (ROCHE) 5 mg/ml AmpMidazolam H (COMBI) 5 mg/ml Amp

4. ANTI PSIKOTIC CHLORPROMAZINE Cepezet (MERSI) 50 mg/2 ml Amp

OLANZEPINE Zypreza (ELLY LILI) Amp

C. ANTI CONVULSANT PHENYTOIN Dilantin (PFIZER) 2 ml Amp

D. ANTI DEPRESANT MAPROGILINE Ludiomil (NOVARTIS) 25 mg/5 ml Amp

E. NOOTROPIC - PIRACETAM Piracetam 1 gr, 3 gr, 12 gr Amp NEUROTONIC Nootropil (UCB) 1 gr, 3 gr, 12 gr Amp

Neurotam (DANKOS) 1 gr, 3 gr, 12 gr Amp

CITICOLINE Cholinaar (NOVELL) 250 mg/2 ml AmpBrainolin (INMARK) 250 mg/2 ml AmpBarinact (KALBE) 250 mg/2 ml Amp

NIMODIPINE Nimotop (BAYER) 10 mg/50 ml Amp

DRUG ACTING ON UTERUS

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

Page 18: Formularium Rspg (Juni 2010)

SYNTETHIC OXYTOCIN Syntocinon (NOVARTIS) 10 iu/ml AmpInduxin (KALBE) Amp

ISOXSUPRINE HCI Duvadilan (SOLVAY) 10 mg/2 ml Amp

METHYLERGOMETRIN Methergin (NOVARTIS) 0,2 mg/ml AmpPostpargin (KALBE) Amp

CARDIOVASCULAR & HEMATOPOTIC

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

A. CARDIAC DRUG AMIODARONE Cordarone (SANOFI) 150 mg/3 ml Amp

DOPAMIN Dopamin 200 mg/5 ml AmpDopac (KALBE) AmpIndop (FAHREINHEIT) 200 mg/5 ml Vial

DOBUTAMIN Dobutamin 250 mg/5 ml VialDobuject (DEXA) 250 mg/5 ml Vial

ATROPIN Atropini Sulfas 250 mcg/ml Amp

EPHEDRIN HCL Ephedrin 50 mg/ml Amp

NORE EPINEPRINE Raivas (DEXA) 4 mg/4 ml AmpLevophed (ABBOT) 4 mg/4 ml Amp

NOR ADRENALIN Naret Amp

B. ANTI ANGINA DRUG ISOSORBIDE Isoket (PHAROS) 10 mg/10 ml AmpCedocard (DARYA V) 1 mg/ml Amp

NITROGLYSERIN Nitrocine (PHAROS) 10 mg/10 ml Amp

C. HAEMOSTATIC TRANEXAMID Tranexid (DEXA) 50 mg/ml, 500 mg/5 ml AmpACID Kalnex (KALBE) 500 mg/5 ml Amp

Transamin (OTTO) 250 mg/5 ml, 500 mg/5 ml Amp

LAIN - LAIN Adona (TANABE) Na Carbazocome sulfate AmpSandostatin (NOVARTIS) Octreotide 0,1 mg/ml AmpVit K Menadione 10 mg/ml AmpNeo - K (COMBIPHAR) Phytonadione Amp

D. ANTI THROMBOTIC HEPARIN Heparin 5000 iu/ml PrefiledInviclot (FAHREINHEIT) 5000 iu/ml syringe 0,6

ENOXAPARIN Na Lovenox (SANOFI) 20 mg/ml Vial

NADROPARIN Ca Fraxipharin (GLAXO) 9.500 iu Prefiledsyringe 0,6

E. FIBRINOLITIC Streptase Streptokinase Amp

F. HEMAPOITIC Epotrex (NOVELL) Recomb human erythrop Syringe2000 iu, 4000 iu

Hemapo (KALBE) Recomb human erythrop Syringe2000 iu, 4000 iu

G-CFS Syringe

G. HEPATOPROTECTOR Hepamerz granul L-Ornithine-L-Aspartate Ampul(COMBIPHAR)

H. ANTI ANEMIC Maltofer Fe (III) hydroxide polymaltose Ampul(COMBIPHAR) complex

DIURETIK dan ANTI HYPERTENSI

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

NICARDIPINE Peridipine (ASTELLAS) 2 mg, 10 mg Amp

Page 19: Formularium Rspg (Juni 2010)

FUROSEMIDE Impugan (ACTAVIS) 20 mg/2 ml Amp

ANTI HYPERTENSI dan ANTI ARITMIA

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

DILTIAZEM Herbeser R (TANABE) 10 mg Amp

VERAPAMIL Isoptin (ABBOT) 5 mg/2 ml Amp

ENDOCRINE & METABOLIC SYSTEM

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

ANTI DIABETICA. SHORT ACTING Novorapid (NOVO NORDISK Insulin aspart Flexpen

Apidra (SANOFI) Regular (solube, neutral) Penfill

B. INTERMEDIATE Insulatard HM (FERRON) NPH (isophane insulin) Penfill ACTING Novomix 30 Insulin aspart 30%, protamina Flexpen

Insulin aspart 70%Insulatard Novolet Penfill

C. LONG ACTING Lantus Optiset (SANOFI) Insulin glargine 300 iu/3 ml CartridgeLevemir Flexpen (NOVO) Insulin detemir Flexpen

D. LAIN - LAIN Mixtard HM (FERRON) Regular ins & NPH PenfillSansulin N, R (SANBE) Penfill

ALERGI & IMMUNE SYSTEM

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

A. ANTI ALERGI & DIPHENHYDRAMIN Delladryl 10 mg/ ml Ampul ANTI HISTAMIN PHENIRAMINE Avil (SANOFI) 50 mg/2 ml Amp

MALEAT

B. KORTIKOSTEROID DEXAMETHASON Cortidex (SANBE) 5 mg/ml AmpIndexon (INTERBAT) 5 mg/ml Amp

METHYL PREDNISOLONMedixon (FERRON) 125 mg VialSomerol (SOHO) 125 mg Vial

LAIN - LAIN Kenacort A (SQUIB) Triamcinolone acetonide VialFlamicort IM (DEXA) Triamcinolone acetonide VialFlamicort IN / ID (DEXA) Triamcinolone acetonide Vial

ANTI DOTUM

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

NALOXONE Nokoba (FAHREINHEIT) 0.8 mg/2 ml Ampul

C. IMMUNO SUPRESAN N-ACETYLCYSTEIN Hidonac (ZAMBON) 200 mg/ml Vial

NEOPLASTIC

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

ANTI NEOPLASTIC DOXORUBICIN Doxorubicin (FERRON) 10 mg/5 ml, 50 mg/25 ml Vial

CYCLOSPHOSPAMIDE Endoxan 200 mg, 1 gr Vial

5 FLUOROURACIL 5-Fluorouracil 250 mg/5 ml Vial

VINCRISTINE Vincristin 1 mg/ml, 2 mg/ml Vial

Page 20: Formularium Rspg (Juni 2010)

BLEOMYCIN Bleocin 15 mg Amp

PACLITAXEL Taxol 30 mg/5 ml Vial

PEG LIP ENCAP. Caelyx 2 mg/ml VialDOXORUBICIN

GEMCITABINE Gemzar 200 mg, 1 gr Vial

CISPLATIN Cisplatin 10 mg/20 ml, 50 mg/100 ml Vial

CARBOPLATIN Carboplatin 50 mg/5 ml, 150 mg/15 ml, Vial450 mg/45 ml

METHOTREXATE Methotrexate (FERRON) 50 mg/5 ml, 2,5 mg Vial5 mg/ml Amp

ETOPOSIDE Etoposide 100 mg/5 ml Vial

DOCETAXEL Taxotere 20 mg/0,5 ml Amp

EPIROBICIN Epirubicin 10 mg/5 ml, 50 mg/25 ml Vial

VITAMIN & MINERAL

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

Alinamin F (TAKEDA) Fulsurtiamine AmpBecombion VitB1, B2, B6, B12, nicotina Amp(MERCK) mide, penthotal, biotinExtrace (ETHICA) 500 mg/5 ml AmpNeurobion 5000 (MERCK) VitB1, B6, B12 AmpCernevit (KALBE) VialNeurosanbe 5000 VitB1, B6, B12 Amp

ANAESTHETICS - LOCAL GENERAL

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

ISOFLURANE Aerrane (KALBE) 100% FlesTerrel (FAHRENHEIT) Fles

ENFLURANE Ethrane (ABBOT) 250 ml Fles

HALOTHANE Fluothane 50 ml LiqdHalothane 250 ml Liqd

KETAMINE Anesject (DANPACT) 500 mg/10 ml VialKetalar (PFIZER) 50 mg/ml, 100 mg/ml Vial

PROPOFOL Safol (DEXA) 10 mg/ml AmpRecofol (DEXA)

BUPIVACAINE Marcain Spinal (ASTRA) 0.50% Amp

MIDAZOLAM Miloz (NOVELL) Midazolam 5 mg/ml AmpMidazolam Hameln Midazolam 5 mg/ml(COMBIPHAR)

THIOPHENTAL Penthothal (ABBOT) 500 mg AmpDHBP Droperidol, manitol, ac tart Amp

ATROPIN Atropini Sulfas 250 mcg/ml Amp

EPHIDRIN HCL Ephedrin 50 mg/ml Amp

SUCCYNIL Quelicin (ABBOT) 20 mg/ml Vial

ATRACURIUM Tracrium (GLAXO) 25 mg/2,5 ml Amp

Page 21: Formularium Rspg (Juni 2010)

Tramus (DEXA) 10 mg/2,5 ml Amp

LAIN - LAIN Pethidin (KF) Pethidin HCI AmpXylocaine (ASTRA) Lignocaine HCI FlesFentanyl VialLidocain Lidocaine AmpLidodex (BERNO) 50 mg/2 ml AmpPehacain Lidocaine, adrenalin Amp 2 ml

CAIRAN INFUS

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

CAIRAN RL (B BRAUN) NaCl 600 mg, Na lact an InfusWida RL (WIDATRA) hyd 310 mg, KCI 30 mg,

CaCl2 dihydrate 20 mgInfusan RL (SANBE) NaCl 600 mg, Na lactan Infus

hyd 310 mg, KCI 30 mg,CaCl2 dihydrate 20 mg

Dext 5% (B BRAUN) Dextrose monohidrat 5% InfusInfusan D5 (SANBE) Dextrose monohidrat 5% InfusWida D5 (WIDATRA) Dextrose monohidrat 5% Infus

Dext 10% (B BRAUN) Dextrose monohidrat 10% InfusWida D10 (WIDATRA)Infumal 10% (SANBE) Maltose 50 g/500 ml Infus

Dext 10% In Salin NaCl 0,18%, glucose anhy Infus0,18% (OTSUKA) drous 10%

RD5% (B BRAUN) Dextrose monohyd 50 g, InfusWida RD (WIDATRA) NaCl 6 g, Na acetate anhy

drous 2,28 g, KCl 300 mg, CaCl2 dihydrate 200 mg

Infusan R + D NaCl 4.3 g, KCl 0.15 g, Ca Infus(SANBE) Cl. 6H2O 0.24 g, Glucose

25 g

1/2 Saline (OTSUKA) Glucose 55 g, NaCl 4,5 g InfusWida D5-1/2 NS (WIDATRA)Infusan D5 + 1/2 NS (SANB Glucose25 g, NaCl 2.25 g Infus

1/4 Saline(OTSUKA) Glucose 55 g, NaCl 2,25 g InfusWida D5 - 1/4 NS (WIDATRA)Infusan D5 + 1/4 NS (SANB Glucose 25 g, NaCl 1.125 Infus

Asering (OTSUKA) Na 130 mEq, k4 mEq, Cl Infus100 mEq, Ca 3 mWq, acet28 mEq, Asering-5 contains anhydrous dext 50 g

Infusan Ring - As (SANBE) NaCl 3 g, KCl 0.15 g, CaCl Infus2H2O 0.1 g, Na asetat3H2O1.9 g

NaCl 0,9% (B BRAUN) NaCl 0,9% InfusWida NS (WIDATRA) NaCl 0,9% InfusInfusan NS (SANBE) NaCl 0,9% Infus

NaCl 0,3% (B BRAUN) NaCl 0,3% Infus

KA EN 3B (OTSUKA) Na 50 mEq, K 20 mEq, Cl InfusTridex 3B (SANBE) 50 mEq, lactate 20 mEq

glucose 27 gKA EN 1B (OTSUKA) Na 38,5 mEq, Cl 38,5 mEq Infus

glucose 37,5 gKA EN MG3 (OTSUKA) Na 50 mEq, K 20 mEq Infus

mEq, lactate 20 mEqDextrose 40% (OTSUKA) 40% Fles 25 ml

KCL (OTSUKA) Fles 25 ml

Page 22: Formularium Rspg (Juni 2010)

NaCl (OTSUKA) 0.90% Fles 25 ml

Na Bic / Meylon (OTSUKA) 84 mg/ml Fles 25 ml

MgSo4 (OTSUKA) 20%, 40% Fles 25 ml

Manitol (OTSUKA) 100 g Infus

CAIRAN Martos 10 (OTSUKA) Maltose 10% Infus

Tutofucin LC (KALBE) Mannitol 150 g, Na 60 mEq, InfusCl 45 mEq, acet 15 mEq

Tutofucin OPS (KALBE) Na 100 mEq, K 18 mEq, Ca Infus4 mEq, Mg 6 mEq,Cl 90 mEq, sorbitol 50 g

Potacol R (OTSUKA) NaCl 6 g, KCl 0,3 g, CaCl2 Infus0,2 g, Na lactate 3,1 g, maltose 50 g

Expafusin (KALBE) HES 40.000/0,5 60 g, Na InfusCl 6,9 g, KCl 0,3 g, CaCl20,22 g Na lact soln4,48 g

Triofusin 500 (KALBE) Fructose 60 g, glucose 33 g Infusxylitol 30 g

Triofusin E 1000 (KALBE) Fructose 120 g, gluc 66 g, Infusxylitol 60 g, electrolyt, vit

Comafusin (KALBE) InfusPrecopar (SANBE) InfusHES (KALBE) InfusWIDAHES (WIDATRA)Aminoleban (KALBE) Amino acid, NaCl InfusRenosan (SANBE) Amino acid, NaCl InfusAmiparen (KALBE) Amino acid 100 g, nitrogen Infus

15,7 g, Na 2 mEq, acet 120Renxamin (KALBE) InfusAminovel 600 (KALBE) L-amino acid 50 g, sorbitol Infus

100 g, electrolyt, vitAminofusin Hepar (KALBE) Amino acid, methionine Infus

tryptophan, sorbitolxylitol, electrolit

Livamin (SANBE) Amino acid, sorbitol, xylitol, InfusElectrolite

Pan Amin G (KALBE) Amino acid 27,2 g Infusamino acid 20,6 g, semi essentialamino acid 3,4 gsorbitol

Aminofluid (KALBE) InfusKidmin (OTSUKA) Amino acid InfusEAS Pfrimmer 8 essential amno acid Infus

histidine 69 gOctalbin (KALBE) Human albumin 20%, 25% InfusAlbumin Behring Human albumin 20% InfusAlbapure (DEXA) Human albumin 20% Infus

DERMATOLOGI

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

A. ANTI INFEKSI GENTAMICIN Sagestam (SANBE) 0.1% CreamSalticin (INTERBAT) 1 mg/g Cream

CLINDAMYCIN Clinium (INTERBAT) 1% Gel

SILVER SULFADIAZINE Burnazyn (DARYA V) 1% Cream

KOMBINASI Centabio (SANBE) placenta extr, neomycin Gel

CHLORAMPHENICOL Kemicetin (KALBE) 2% Oint

MUPIROCIN Bactroban (GLAXO) Mupirocin Cream

Page 23: Formularium Rspg (Juni 2010)

FUCIDIC ACID Fusycom (Combiphar) 5 g CreamAfusid (FERRON) 5 g Cream

B. KOMBINASI Benoson V (BERNO) 0,1%, clioquinol 3% Cream (BETAMETASON + Benoson M (BERNO) 2% miconazole nitrate Cream ANTI INFEKSI) Digenta (INTERBAT) 0,05%, gentamicin sulf 0,1% Cream

Lotriderm (SCHERING P) 0,5 mg, clotrimazole 10 mg Cream

FLUOCINOLON Cinolon N (SANBE) 0.025%, neomycin sulf 0,5% CreamCinogenta (FERRON) 0,25 mg, gentamicin sulf 1,67 mg Cream

HYDROCORTISON Visancort (SANBE) 1%, clioquin 1%, camphor 1% CreamLocoid Scalp (ASTELLAS) Hydrocortison 17 butyrate LotionSancortmycin (SANBE) 10 mg, oxytetracyclin 30 mg Oint

C. TOPICAL KORTI- DESOXIMETHASONE Inerson (INTERBAT) 0.25% Oint KOSTEROID Esperson (INTERBAT) 0.25% Cream

MOMETASONE Dermovel (FERRON) 0.1% CreamElocon (SCHERING) 0.1% Lotion

CLOBETASOL Forderm (FERRON) 0.05% CreamLotasbat (INTERBAT) 0.05% Cream, Oint

BETAMETHASON Benoson (BERNO) 0.05% Cream, Oint

D. TOPICAL KORTI- Cinolon (SANBE) Fluocinolone acetonide Cream, gel KOSTEROID LAIN Benoson (BERNO) Bethametason valerat Cream

Baycuten-N Dexamethason asetate, clotrimazole Cream(BAYER SCHERING FARMA)

E. FUNGISID KETOCONAZOLE Formyco (SANBE) 2% CreamInterzol (INTERBAT) 2% Cream

MICONAZOLE Miconazole 5 mg Cream

TERBINAFINE Interbi Cream (INTERB) 1% Cream

LAIN - LAIN Myco Z (SQUIB) Nystatin 100.000 iu, ZnO OintLoprox Nail Liquer Ciclopirox Nail liquer(SANOFI)Trosyd (PFIZER) Tioconazole Cream, powder

F. ANTI VIRAL ACYCLOVIR Acyclovir Gen 5% CreamDanovir (KALBE) 5% CreamZoter (INTERBAT) 5% Cream

G. ANTI KELOID Madecassol (ROCHE) Titrated extr centella Oint, powderMederma (COMBIPHAR) Cepalin 10%, allantoin 1% Gel

H. SKIN PROTECTOR Carmed (SDM) Urea 10% Cream

I. LAIN - LAIN Decubal (ACTAVIS) Kombinasi CreamBioplacenton Tulle (KALBE) Kalsium Alginat PieceSagalon (SDM) Doxepin Hcl 5% CreamDesolex (SDM) Desonide 0,05% CreamThrombopob (NORDMARK) Heparin CreamMediflex (KALBE) Glucosamine sulfate GelOxoferin (PHAROS) Tetra chlorodeca - oxygen Soln

anion complex

NEURO MUSCULAR

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

A. ANALGESIK DICLOFENAK Flamar (SANBE) 10 mg/g EmulgelVoltaren (SANOFI) EmulgelVoltadex (DEXA) 1% Emulgel

PIROXICAM Feldene gel (INMARK) 0.5% GelInfeld (INTERBAT) 0.50% Gel

Page 24: Formularium Rspg (Juni 2010)

KETOPROFEN Rhetoflam (SANBE) 2.5% GelKaltrofen (KALBE) Supp

B. ANASTETIK SPRAY LIDOCAIN Xylocain spray (ASTRA) 2% Spray

LAIN - LAIN Chloraethyl Spray Chlorethan Spray

C. ANASTETIK CREAM LIDOCAIN Lidonest (ASTRA) 5% Oint

D. ANTI CONVULSANT DIAZEPAM Stesolid (ACTAVIS) 5 mg, 10 mg Rectal

GI - TRACT

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

A. HAEMOROID Borraginol S Lithospermi radix extr, prednisolone, lidoca Oint, supp(TAKEDA) cetrimide, yolk lecithin,

oxypolyathoxydodecaneBorraginol N Lithospermi radix extr, Oint, supp(TAKEDA) dipenhydramine HCl

cetrimideFaktu (PHAROS) Policresulene, cinchocaine Oint, supp

B. LAXATIVE BISACODYL Dulcolax (BOEHRINGER) Bisacodyl 5 mg SuppStolax (SANBE) Bisacodyl 10 mg Supp

KOMBINASI Microlax Na lauryl sulfocetate 45 mg, Enema(PHAROS) Na citrate 450 mg, sorbic acid 5 mg,

PEG 625 mg sorbitol 4465 mg

LAIN - LAIN Fleet Phosposoda (COMBI) Monobasic sodium phospat Enema

RESPIRATORY SYSTEM

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

ANTI ASMA SALBUTAMOL Ventolin (INMARK) 100 mcg/puff Inhaler

SALMETEROL Seretide (GLAXO) 25 mcg, fluticasone prop 50 Inhaler

BUDESONID Pulmicort (ASTRA) 200 mcg/puff, 100 mcg/dose In, turbuhaler160 mcg, formoterol fum 4,5 Turbuhaler

PROCATEROL HCl Meptin Air (OTSUKA) 10 ug/puff Puff

TERBUTALIN Bricasma (ASTRA) 0.25 mg/puff Inh, Spray

MATA

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

A. ANTIBIOTIK CHLORAMPHENICOL Colme (INTERBAT) 0.5% DropsColsancetin (SANBE) 0.5%, 1% Drops

GENTAMYCIN Sagestam (SANBE) 3 mg/ml DropsGentamicyn 0.3% Oint, drops

TOBRAMYCIN Cendo Tobro (CENDO) 0.3% Drops

CIPROFLOXACIN Baquinor (SANBE) 3 mg/ml Drops

OFLOXACIN Tarivid (FERRON) 0.3% Ophth soln

LEVOFLOXACIN Cravit (FERRON) 0.5% Ophth soln

B. KORTIKOSTEROID Betam Ophtal (SANBE) Betameth disodium phos Drops

C. ANTISEPTIK & Cendo Xitrol (CENDO) Dexameth 0,1%, neomycin Drops, oint

Page 25: Formularium Rspg (Juni 2010)

KORTIKOSTEROID sulf 3,5 mg/ml, polymyxinB sulf 6000 l/ml

Cendo Polydex (CENDO) Dexameth 0,1%, neomycin Drops, ointsulf 3,5 mg/ml, polymyxinsulf 6000 l/ml

Dexaton (CENDO) Dexameth Na phosphat Ointneomycin sulf

Polidemisin (SANBE) Dexameth 1 mg, neomycin Dropssulf 3,5 mg, polymyxin B

Inmatrol (INTERBAT) Dexameth 1 mg, polymyxin DropsB sulf 6000 iu, neomycinsulfate 3,5 mg

Cendo Polygran Neomicyn 2.5 mg, polymycin(CENDO) sulf 5000 IU, gramicidin 0.025 mgCendo Polynel (CENDO) Drop

D. MYDRIATIC DRUG Cendo Mydriatyl (CENDO) Tropicamide DropsCendo Tropine 1% (CENDO)Atropine sulfate Drops

E. MIOTIC DRUG Cendo Carpine 2% (CENDO)Pilocarpine HCl DropsBetoptima (ALCON) Betaxolol Hcl Ophth soln

F. GLAUCOMA Cendo Timolol (CENDO) Timolol maleat DropsTravatan (ALCON) Travoprost Ophth solnXalatan (PFIZER) Latanoprost Ophth solnAzop (ALCON) Brinzolamide Drop

G. LAIN - LAIN Cendo Lyteers (CENDO) Na & K ion w/ benzalkon DropCendo Tobroson (CENDO) Drop, ointCendo Floxa (CENDO) DropVitrulenta (CENDO) DropAlegysal (FERRON) Pemirolast K DropHialid (FERRON) Na Hyaluronate DropCenfresh (CENDO) Carboxymethylcellulose sodium 5 mg DropKary Uni (FERRON) Pirenoxine Ophth suspPantocain (CENDO) Tetracaine Drops, ointCendo Catarlent (CENDO) CaCl 0.075 mg, Kl 0.075 Drop

mg, Na thiosulfate 0.0075mg, thimerosol 0.3 mg

Vasacon (CENDO) Naphazoline HCl Ophth solnVasacon A (CENDO) Naphazoline HCl 0,05% Ophth soln

antazoline phosp 0,5%Dibekacin (MEIJI) Dibekacin sulfate DropTears Naturale II Dextran 0,1% hidroxy methyl Drop(ALCON) cellulose 0,3%Sanbe Tears (SANBE) Dextran 70,01%, hydromellose 0,3% Drop

TELINGA

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

A. ANTI INFEKSI & CHLORAMPHENICOL Colme (INTERBAT) Chloramp 10%, lidocain 4% Drops ANTISEPTIC

GENTAMYCIN Sagestam (SANBE) 3 mg/ml Drops

OFLOXACIN Tarivid (KLABE) 3 mg/ml Drops

B. ANTISEPTIC & Otopain (INTERBAT) Polymyxin B slf 50.000 iu Drops KORTIKOSTEROID neomycin sulf 5, fludocortisone

Acetate 5, lidocain 200Sofradex (SANOFI) Framycetin sulf 5 mg, gramici Drops

Din 0.05 mg, dexamethason

C. LAIN - LAIN DOKUSATE Waxsol (ALPHARMA) 0.50% Drops

Glycerin 10 ml Drops

MULUT

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

Page 26: Formularium Rspg (Juni 2010)

TRIAMNISOLONE Ketricin (FERRON) 0.1% OintACETONIDE

LAIN - LAIN Forinfec (LAPI) Povidone iodine GargleSolcoceryl (PHAROS) Protein-free hamodialysate Pasta

5%, polidocanol 1%Hexadol mint (OTTO) Benzydamine HCl Soln

HIDUNG

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

OXYMETAZOLINE Liadin (MERCK) 0.025%, 0.05% Nasp Drop

XYLOMETAZOLINE Otrivin (NOVARTIS) 1%, 0.5% Nas Drop

BUDESONIDE Rhinocort Aqua (ASTRA) 32 mcg/dose x 10 ml Nas Spray

LAIN - LAIN Breathy (NOVELL) NaCl 0,9% Nas Drop

GENETO URINARY SYSTEM

KELAS THERAPY GOLONGAN PRODUK KOMPOSISI SEDIAAN

PREPARATION VAGINAL POLICRESULEN Albothyl Conc (PHAROS) Policresulen 360 mg/g ConcCONDITION Albothyl Ovula (PHAROS) Policresulen 90 mg Vag supp

KOMBINASI Fladystin ovula (DEXA) Metronidazole 500, nystatin Ovula100.000 IU

Neo Gynova (KALBE) Nimorazole 250 mg, Chloram Ovula250 mg, Nistatin 100.000 IU

LAIN - LAIN Betadine (MAHAKAM) Providone iodine 10% Vag DoucheLactacid (SANOFI) Lactoserum 0,9 g, lactic 1 g Gel