DAFTAR OBAT HIGH ALERT

INSTALASI FARMASI
RS ISLAM
MALAHAYATI
 No.
Kemasan/Se Volume/Dos Tot
No. Nama Obat Kandungan diaan is al
I. Cairan
Elektrolit
Konsentrasi
Tinggi
Natrium Klorida
1 Otsu Sanlin 3% 3% Plastik Bag 500 ml 1
Kalium Klorida
2 Otsu KCl 7,46% 7,46% Plastik Bag 25 ml 2
Magnesium
3 Otsu MgSO4 20% Sulfat 20% Plastik Bag 25 ml 3
Magnesium
4 Otsu MgSO4 40% Sulfat 40% Plastik Bag 25 ml 4
Natrium
5 Otsu Meylon 84 Bikarbonat 8,4% Plastik Bag 25 ml 5
6 Otsu D40 Glukosa 40% Plastik Bag 25 ml 6
7 Otsu Mannitol Glukosa 20% Plastik Bag 500 ml 7
II. Insulin
Pen With
1 Apidra Solostar Insulin Glulisine Cartridge 300 IU/ 3 ml 8
Actrapid HM Biosynthetic
2 Penfill Human Insulin Penfill 300 IU/ 3 ml 9
Pen With
3 Lantus Solostar Insulin Glargine Cartridge 300 IU/ 3 ml 10
Insulin Pen With
4 Levemir Flexpen Detemir,rDNA Cartridge 300 IU/ 3 ml 11
5 NovoRapid Insulin Aspart Pen With 300 IU/ 3 ml 12
 Flexpen Cartridge
Pen With
6 NovoMix Flexpen Insulin Aspart Cartridge 300 IU/ 3 ml 13
Pen With
7 Humalog Mix Insulin Lisipro Cartridge 300 IU/ 3 ml 14
Pen With
8 Humalog Insulin Lisipro Cartridge 300 IU/ 3 ml 15
III. Thrombolytic
Agent
Fondaparinux 2.5 mg/ 0.5
1 Arixtra sodium Syringe ml 16
Parnaparin (LMW 4250 IU/ 0,4
2 Fluxum Heparin Syringe ml 17
Parnaparin (LMW 6250 IU/ 0,4
3 Fluxum Heparin Syringe ml 18
25000 IU/ 5
4 Inviclot Heparin Natrium Vial ml 19
Enoxaparin 2000 IU/ 0,4
5 Lovenox sodium Syringe ml 20
Enoxaparin 4000 IU/ 0,4
6 Lovenox sodium Syringe ml 21
Enoxaparin 6000 IU/ 0,4
7 Lovenox sodium Syringe ml 22
8 Simarc 2 Warfarin Tablet 2 mg 23
IV. Anastetik
1 Sedacum Midazolam Ampul 15 mg/ 3 ml 24
200 mg/ 20
2 Recofol N Propofol Ampul ml 25
200 mg/ 20
3 Fresofol 1% Propofol Ampul ml 26

No. Nama Obat Kandungan Kemasan/Se Volume/Dos No.

 Tot
diaan is al
200 mg/ 20
4 Trivam Propofol Ampul ml 27
1000 mg/10
5 KTM-100 Ketamin Vial ml 28
6 Bunascan Spinal Bupivacaine Ampul 20 mg/ 4 ml 29
7 Lidocain HCL Lidocain HCl Ampul 40 mg/ 2 ml 30
Lidocain HCL, L 40 mg/ 2
8 Pehacain Epinefrin Ampul ml 31
No.
Kemasan/Sed Tot
No. Nama Obat Kandungan iaan Volume/Dosis al
I. Cairan
Elektrolit
Konsentrasi
Tinggi
Natrium Klorida
1 Otsu Sanlin 3% 3% Plastik Bag 500 ml 1
Kalium Klorida
2 Otsu KCl 7,46% 7,46% Plastik Bag 25 ml 2
Magnesium
3 Otsu MgSO4 20% Sulfat 20% Plastik Bag 25 ml 3
Magnesium
4 Otsu MgSO4 40% Sulfat 40% Plastik Bag 25 ml 4
Natrium
5 Otsu Meylon 84 Bikarbonat 8,4% Plastik Bag 25 ml 5
6 Otsu D40 Glukosa 40% Plastik Bag 25 ml 6
7 Otsu Mannitol Glukosa 20% Plastik Bag 500 ml 7

II. Insulin
Pen With
1 Apidra Solostar Insulin Glulisine Cartridge 300 IU/ 3 ml 8
 Actrapid HM Biosynthetic
2 Penfill Human Insulin Penfill 300 IU/ 3 ml 9
Pen With
3 Lantus Solostar Insulin Glargine Cartridge 300 IU/ 3 ml 10
Insulin Pen With
4 Levemir Flexpen Detemir,rDNA Cartridge 300 IU/ 3 ml 11
NovoRapid Pen With
5 Flexpen Insulin Aspart Cartridge 300 IU/ 3 ml 12
Pen With
6 NovoMix Flexpen Insulin Aspart Cartridge 300 IU/ 3 ml 13
Pen With
7 Humalog Mix Insulin Lisipro Cartridge 300 IU/ 3 ml 14
Pen With
8 Humalog Insulin Lisipro Cartridge 300 IU/ 3 ml 15
III. Thrombolytic
Agent
Fondaparinux 2.5 mg/ 0.5
1 Arixtra sodium Syringe ml 16
Parnaparin (LMW 4250 IU/ 0,4
2 Fluxum Heparin Syringe ml 17
Parnaparin (LMW 6250 IU/ 0,4
3 Fluxum Heparin Syringe ml 18
25000 IU/ 5
4 Inviclot Heparin Natrium Vial ml 19
Enoxaparin 2000 IU/ 0,4
5 Lovenox sodium Syringe ml 20
Enoxaparin 4000 IU/ 0,4
6 Lovenox sodium Syringe ml 21
Enoxaparin 6000 IU/ 0,4
7 Lovenox sodium Syringe ml 22
8 Simarc 2 Warfarin Tablet 2 mg 23
IV. Anastetik
1 Sedacum Midazolam Ampul 15 mg/ 3 ml 24
 200 mg/ 20
2 Recofol N Propofol Ampul ml 25
200 mg/ 20
3 Fresofol 1% Propofol Ampul ml 26

No.
Kemasan/Se Volume/Dos Tot
No. Nama Obat Kandungan diaan is al
200 mg/ 20
4 Trivam Propofol Ampul ml 27
1000 mg/10
5 KTM-100 Ketamin Vial ml 28
6 Bunascan Spinal Bupivacaine Ampul 20 mg/ 4 ml 29
7 Lidocain HCL Lidocain HCl Ampul 40 mg/ 2 ml 30
Lidocain HCL, L 40 mg/ 2
8 Pehacain Epinefrin Ampul ml 31
VI OBAT KEMOTERAPI
3,6 mg ; 10,8
1 Zoladex Goserelin Asetat Vial mg 64
2 Bleocin Bleomisin Ampul 15 mg 65
10 mg/ 5 ml ;
3 Doxorubicin Doxorubicin Vial 50 mg/ 25 ml 66
4 Etopul Etoposid Ampul 100 mg/ 5 ml 67
250 mg/ 1 ml
; 500 mg/ 10
5 Curacil Fluorourasil Vial ml 68
500 mg/ 10
6 Fluracedyl Fluorourasil Vial ml 69
7 Rescovulin Kalsium Folinat Vial 250 mg/5 ml 70
8 Leucovorin Kalsium Folinat Vial 250 mg/5 ml 71
9 Methotrexate Methotrexate Vial 50 mg/ 2 ml 72
 200 mg, 500
10 Cyclovid Siklofosfamid Vial mg, 1000 mg 73
10 mg, 50
11 Cisplatin Cisplatin Vial mg 74
12 Vincristin Vincristin Vial 1 mg, 2 mg 75
13 Carcan Carboplatin Vial 150 mg/vial 76
150 mg/ 15
ml ; 450 mg/
14 Carboplatin Carboplatin Vial 45 ml 77
10 mg/5 ml ;
15 Epirubicin Epirubicin Vial 50 mg/ 10 ml 78
16 Paclitaxel Paclitaxel Vial 30 mg/5 ml 79
30 mg/5 ml ;
150 mg/25
`17 Anzatax Paclitaxel Vial ml 80
30 mg/5 ml ;
100
18 Paxus Paclitaxel Vial mg/16,67 ml 81
19 Xeloda Capecitabine Tablet 500 mg 82
Hydroxyurea
20 Medac Hidroksi Urea Tablet 500 mg 83
21 Holoxan Ifosfamide Vial 1000 mg 84
20 mg/0,5 ml
22 Brexel Docetaxel Vial ; 80 mg/2 ml 85
20 mg/0,5 ml
23 Docetaxel Docetaxel Vial ; 80 mg/2 ml 86
24 Navelbine Vinorelbine Vial 10 mg 87

No.
Kemasan/Se Volume/Dos Tot
No. Nama Obat Kandungan diaan is al
 50 mg ; 100
28 Eloxatin Oxaliplatine Vial mg 88
29 Rexta Oxaliplatine Vial 50 mg 89
50 mg ; 100
30 Oxaliplatin Oxaliplatine Vial mg 90
40 mg/ 2 ml ;
31 Campto Irinotecan HCl Ampul 100 mg/ 5 ml 91
440 mg/ 20
32 Herceptin Trastuzumab Vial ml 92
100 mg/10
ml ; 500 mg/
33 Mabhtera Rituximab Vial 50 ml 93
Disodium
Clodronate
34 Bonefos Tetrahydrate Ampul 300 mg/ 5 ml 94
Asam
35 Zometa Zoledronat Vial 4 mg/5 ml 95
Asam
36 Bondronat Ibandronat Vial 6 mg/6 ml 96
100 mg/ 20
37 Erbitux Cetuximab Vial ml 97
38 Casodex Bicalutamide Tablet 50 mg 98
39 Avastin Bevacizumab Vial 100 mg/4 ml 99
40 Mesna Uromitexan Ampul 400 mg/ 4 ml 100
VII.
Kardiovaskular
dan Inotropik
1 Digoksin Digoksin Tablet 0,25 mg 101
2 Fargoxin Digoksin Ampul 0,5 mg/ 2 ml 102
3 Cetadop Dopamin HCl Ampul 200 mg/ 5 ml 103
4 Inodex Dobutamin HCl Ampul 250 mg/ 5 ml 104
5 Doburan Dobutamin HCl Ampul 250 mg/ 5 ml 105
6 Raivas Norepinephrine Ampul 4 mg/ 4ml 106
 7 Vascon Norepinephrine Ampul 4 mg/ 4ml 107
8 Cordaron Amiodaron HCl Ampul 150 mg/3 ml 108
9 Epinefrin Epinefrin Ampul 0,1% 1 ml 109
10 Perdipine Nicardipin HCl Ampul 10 mg/ 10 ml 110
11 NTG Nitrogliserin Ampul 10 mg/ 10 ml 111
VIII. Oksitosik
dan Relaksan
Uterus
200 mcg/ 1
1 Myomergin Metilergometrin Ampul ml 112
2 Oxyla Oksitosin Ampul 10 IU/ 1 ml 113
IX. Pengganti
Plasma
Albumin Serum 20%/50 ml ;
1 Albapure Normal Vial 20%/100 ml 114
20%/50 ml ;
Albumin Serum 20%/100 ml ;
2 Plasbumin Normal Vial 5%/50 ml 115
5%/ 250 ml ;
25%/ 20 ml 116

No.
Kemasan/Se Volume/Dos Tot
No. Nama Obat Kandungan diaan is al
Albumin Serum 20%/ 50 ml ;
3 Human Albumin Normal Vial 20%/ 100 ml 117
Hidroksi Etil
Starch BM
4 Wida HES 200.000 Plastik Bag 6% 500 ml 118
5 Fima Hes Hidroksi Etil Plastik Bag 6% 500 ml 119
Starch BM
 200.000
Modified Fluid
Gelatine BM
6 Gelafusal 30.000 Plastik Bag 4% 500 ml 120
X. Relaksan
Otot dan
Penghambat
Kolinesterase
Atracurium
1 Notrixum Besylate Ampul 50 mg/ 5 ml 121
Atracurium
2 Tramus Besylate Ampul 50 mg/ 5 ml 122
XI.
Imunoglobulin
dan Serum
Human Tetanus
1 Tetagam Imunoglobulin Ampul 250 IU/amp 123
Hepatitis B
2 HyperHep B Imunoglobulin Syringe 0,5 ml 124
Serum Anti
3 ATS 1500 Tetanus Ampul 1500 IU/1 ml 125
XII.
Hematopoetik

V. Narkotika dan
Psikotropika
10 mg, 15
1 MST Continuous Morphin Sulfat Tablet mg 32
2 Morphin Morphin Sulfat Ampul 10 mg/ 1 ml 33
3 Pethidin Pethidin HCl Ampul 100 mg/ 2 ml 34
4 Fentanyl Fentanyl Ampul 0,1 mg/ 2 ml 35
12,5 mcg/
5 Durogesic Fentanyl Strip Patch jam 36
6 Durogesic Fentanyl Strip Patch 25 mcg/ jam 37
7 Durogesic Fentanyl Strip Patch 50 mcg/ jam 38
10 mg, 20
8 Codein Codein HCl Tablet mg 39
Codein
Phenyltoloxamin
9 Codipront e Kapsul 30 mg 40
Codein
Phenyltoloxamin 11,11 mg/
10 Codipront e Sirup/Botol 5ml 41
Codein
Codipront Cum Phenyltoloxamin C 30 mg, G
11 Exp e, Guaiafenesin Kapsul 100 mg 42
Codein
Codipront Cum Phenyltoloxamin C 11,11 mg,
12 Exp e, Guaiafenesin Sirup/Botol G 55,55 mg 43
Codein, C 30 mg, P
13 Coditam Paracetamol Tablet 500 mg 44
14 Alprazolam Alprazolam Tablet 0,5 mg, 1 mg 45
Diazepam, D 2 mg, M
15 Proneuron Metamizol Tablet 500 mg 46
Mg Trisilicate, Al
Hidroksida, P 30 mg, C 5
16 Sanmag Papaverine HCl, Tablet mg 47
Chlordiazepoksi
de HCl, Vit B
Comp
Methampyron, M 500 mg, D
17 Analsik Diazepam Tablet 2 mg 48
Chlordiazepoxid
e, Clidinium Chlor 5 mg,
18 Braxidin Bromide Tablet Clid 2,5 mg 49
19 Asabium Clobazam Tablet 10 mg 50
 0,5 mg, 1
20 Ativan Lorazepam Tablet mg, 2 mg 51
21 Esilgan Estazolam Tablet 1 mg, 2 mg 52
22 Diazepam Diazepam Tablet 2 mg 53
23 Phenobarbital Phenobarbital Tablet 30 mg 54
24 Sibital Phenobarbital Ampul 200 mg/ 2 ml 55

25 Stesolid Diazepam Tablet 2 mg, 5 mg 56

26 Stesolid Diazepam Sirup/Botol 2 mg/ 5 ml 57
27 Stesolid Diazepam Ampul 10 mg/2 ml 58
5 mg/ 2,5
ml ; 10 mg/
28 Stesolid Diazepam Rektal Tube 2,5 ml 59
Diazepam, D 2 mg, Ant
29 Danalgin Antalgin Tablet 500 mg 60