LAMPIRAN III

DAFTAR OBAT STANDAR DOKTER UMUM RS. METRO

No. KELAS TERAPI, KOMPOSISI, NAMA PABRIK KET

kelas JENIS SEDIAAN GENERIC,
tera NAMA PATEN
No.Urut

pi
Obat

1 2 3 4 5 6
1 Analgesik, antipretik,antiflamsi
1. non steroid,antipirai
1.1 Analgesik Narkotik
.1.1.1 Morfin
-Inj
1.2 Analgesik Non
Narkotik,Antipiretik
1.2.1 Tramadol HCI
- tab 50 mg Tramadol

- Inj 100 mg Tramadol Generik

Kamadol

- supp

1.2.2 Ketorolac
- Inj 30 mg Ketorolac Generik

1.2.3 Asam Mefenamat

- tab 500 mg Asam mefenamat

- tab 250 mg
1.2.5 DIclofenac Sofium
- Tab 25
 - Tab 50 mg

- Gel 20 g

1.2.6 Diclofenac Potasium

- Tab 25 mg

Tab 50 mg

1.2.7 Metamizole Na
- syr

- inj

1.2.8 Metampiron
- tab 500 mg
- inj 250 mg

Kombinasi :
a. Metempiron 250mg, lidocain
15mg, aminopyrin 15mg
- inj

1.2.9 Paracetamol
- Tab 500 mg

- Drop 100 mg/ml

- Suppo 125 mg
 Kombinasi :
a. Paracetamol 500 mg, N-
acetylcysteine 200 mg tab

b. Metampiron 250mg, vit B1

50mg, vit B6 100mg, vit B12
100 mg

c. Metampiron 500mg, diazepam

2mg

1.2.10 Inuprofen
- Tab 200,400 mg

- Syr 100 mg/5 ml

1.2.11 Asam asetil salisilat

- tab 500 mg

1.3 Antipirai Dan Antirematik

1.3.1 Allopurinol
- Tab 100 mg

- Tab 300 mg

1.3.2 Kotoprofen
- Tab 100 mg

- Tab 200 mg OD

- Gel 10 g

- Inj
 1.3.3 Meloxinam
- Tab 15 mg

1.3.4 Piroxicam
- Caps 20 mg
- Gel

1.3.5 Tenoksikam 20 mg tab

1.3.6 Tinoridin HCI 50 mg tab

2 ANESTETIK
2.1 Anestetik Lokal
2.1.1 Lidocain
- inj

- spray

2.2 Anestetik Umum

2.2.1 Midazolam
- Inj 5 mg

2.2.2 Ketamin HCl

- Inj 50 mg/ml

2.2.3 Atrakurium Besilat

- Inj 10 mg/ml
3
3 ANTIHISTAMIN DAN UNTUK
ANAFILAKSIS
3.1 Antihistamin
3.1.1 Chlorfeniramin maleat 2 mg tab

3.1.2 Dexchlorfeniramin maleat tab 2

mg

3.1.3 Loratadine tab 10 mg

3.1.4 Mebhidroli tab 100 mg

 3.1.5 Cetirizine
- Tab 10 mg

3.1.6 Difenhidramin
- Inj

3.1.7 Ketotifen
- Tab
- Syr

3.2 Kortikosteroid
3.2.1 Metilprenidsolon
- Tab 4 mg

- Inj 125 mg/ml

3.2.2 Dexamethason
- Tab 0,5 mg

- Inj 5g

3.2.3 Prednison
- Tab

3.2.4 Triamsinolon asetonid

- Inj 40 mg

3.2.5 Kombinasi
 a. Betamethason,
dexchorfeniramin maleat

4 ANRIDOT-KERACUNAN
4.1 Atropine sulfas
- inj
4.2 Kalsium gluconas
- Inj 100 mg

5 ANTIMIKROBA
5.1 Antelmintik
5.1.1 Pirantel pamoat
- Tab 125 mg

- Tab 250 mg

- Syr 25 mg/ml 10 cc

5.2 Antibiotika
5.2.1 Gol. Penisilin
5.2.1.1 Amoxicillin
- Tab 500mg tab

- syr 125 mg

5.2.1.2 Amoxicillin dan asam

slavulanat
- tab

- Syr 1025 mg, clavulanat

31.25 mg

- Syr 250 mg, clavulanat

62.5 mg
 5.2.1.3 Ampicilin
- Tab 500 mg

- Syr 60 ml

5.2.2 Gol. Aminoglikosida

5.2.2.1 Gentamisin
- Inj

5.2.3 Gol. Quinolon

5.2.3.1 Ciprofloxacin 500 mg

5.2.3.2 Levofloxacin 500 mg tab

5.2.3.3 Ofloxacin
- tab 200 mg, 400mg
pefloxacin
- tab 400 mg

5.2.4 Gol. Makrolida

5.2.4.1 eritromisin
- tab 500 mg

- syr

5.2.4.2 Linkomisin 500 mg caps

5.2.4.3 Spiramisin 500 mg tab

5.2.5 Gol. cefalosporin

Generasi I
5.2.5.1 Cefadroxil
1
- tab 500 gm
 - syr 250 mg/ 5 ml

5.2.5.2 Generasi III

5.2.5.2 Cefixime
1
- caps 100 mg

- syr 100 mg/ml

5.2.5.2.3 ceftriaxone
-inj 1 g

5.25.2.4 Cefoperzon 500mg+

sulbactan 500 mg (inj)
5.2.3 Gol.tetrasiklin
5.2.3.1 Tetrasiklin
-tab 500 mg

5.2.5.2 Dokssisiklin
Tab 100 m g
5.2.4 Gol.kloramfenicol
5.2.4.1 Thiamfenicol
- tab 500 mg

- syr 125 mg/ 5 ml (60ml)

5.2.4.2 Kloramfenicol
-tab 500 mg

-inj
-syr
5.2.5 Gol.lain-lain
5.2.5.1 Clidamicyn
-kaps 150 mg .300 mg
5.2.5.2 Cotrimoxazxole
b.trimetropin 80 mg
sulfametoxazole 400 mg tab
b.trimetropin 160 mg
sulfametoxazole 800 mg tab
52.5.3 Fradiomicin 2.5 mg ,gramisidin
S 1 m g
5.3 antituberculosis
5.3.1 rifampisin
- tab 450 mg ,600 mg

5.3.2 etambutol
- tab 500 mg

5.3.3 pyrazinamide

53.4 Kombinasi :
a. etambutol 250 mg . inh 100
mg vit b6 6 mg

b.etabutol 500 mg INH 200 mg

vit B6 10 mg
c.
5.4 Antifungi
5.4.1 - tab 500 mg

5.4.2 Nistatim
- suspense (nistatin
100.000 iu )

5.4.3 Metronidazole
-tab 500 mg

-INJ
5.5 5.5.2 ANTIVIRUS

- tab 200 mg
 - tab 400 mg
5.5.3 antimalaria
klorokuin
-tab 150 mg
-tab 250 mg
6. antiepilepsi
6.1 fenitoin
-tab 100 mg

- inj

6.2 Ga pafentin 300 mg

6.3 pregabali
-tab 75 mg

6.4 Fenobarbital30 mg
tab
inj

7. Antimigrain
7.1 flunarizin
-tab 5 mg

7.2 Ergotamine tartat 1 mg ,cafein

100 mg tab
7.3 pizotifen
-tab 500 mg

8. Antivertigo
8.1 Betahistin mesilat
-Tab 6 mg

-tab 12 mg
-Tab 6 mg
8.2 Flunarizin
-tab
8.3 Perfenazin
-tab
9. System daraf pusat
9.1 N ootropik dan
neurotonik
9.1 Piracetam
-tab 400 mg

-tab 800 mg

-tab 120 mg
-syr 500 mg/ml
-Inj 1 g

-inj 3 g

9.1.2 mecobalamin
-caps 500 mg

-inj

9.1.3 Pritrinol HCI

-syr 100 ml
9.2 Antiansiates dan
anntinsomnia
9.2.1 Alprazolam
- tab 0.25 mg
- tab 0.5 mg

9.2.2 Diazepam
- tab 2 mg

- tab 5 mg

- suppo 5 mg
- inj
 3.valdimex Mersi
9.3 antivarkinson
9.3.1 Trihexylpenidil
- tab 1. Trihexylpenidil generik
2.arkine Pyridam
9.3.2 bromocriptine
- tab 2.5 mg 1.parlodel N ovell
9.3.3 pramipexole
- tab 250 & 500 mg Sifrol Boehriger

10 Obat yang mempengaruhi

darah
10.1 Antianemia
10.1.1 asam polat
- tab 400 mg 1. folavit Sanbe
10.1.2
- tab 1000 mg 1. asam folat Generik
2. folavit Sanbe
3. vomilat Kalbe

10.1.2 Besi (II) sulfat 7 H2O

- Tab 100 mg 1. Maltofer Combiphar
2. ferofort Kalbe

10.1.3 Kombinasi
a. besi (II) Fumarat 360 mg, 1. hemobion merck
asam folat 1.5 mg, vit B12 15
mcg, Ca pantotenat 200 mg,
kolekalsiferol 400 IU, vit C
75 mg kaps
b. B comp, Ca pantotenat, 1. Livron B pharos
nikotinamid, as folat, Fe, plex
tembaga

10.2 Antikoagulan, anti platelet &

anti trombolitik
10.2.1 Asam asetilsalisilat
- Tab 80 mg 1. Thrombo aspilet UAP
2. Aspilet chew UAP

- Tab 100 mg 1. Cardio aspirin Bayer

10.2.2 Clopidogrel
 - Tab 75 mg 1. Clopidogrel generik
2. CPG Kalbe
3. Clogin Interbat

10.2.3 Heparin 20.000 IU

- salep 1.thrombobhob gel Tunggal

- ijn 2.inviclot fahrenheit

10.2.4 Nadropine calcium
- ijn 0,3 gm/0,4 ml 1. fraxiparine Glaxo

10.2.5 Enoxaparine sodium

- inj 40 gm/0,4 ml 1. lovenox aventis

- ijn 60 mg/0,6 ml 1. lovenox aventis

10.2.6 Cilostazol
- tab 1. citaz Kalbe
2. pletaal Otsuka

10.3 Hemostatik
10.3.1 Carbamazochrome
- tab 10 mg 1. adona

- inj 5 mg/ml 1. adona tanabe

2. Carbamazochrome Generik
3. chrome Ferron

- inj 10 mh/ml 1. adona tanabe

2. chrome Ferron
3. Carbamazochrome Generik

10.3.2 Asam traneksamat

- Tab 500 mg 1. Asam traneksamat generik
2. Kalnex Kalbe
3. Plaminex Sanbe

- Inj 250 mg 1. Asam traneksamat generik

2. Kalnex Kalbe
3. Incelin interbat

- Inj 500 mg 1. Asam traneksamat Generik

 Kalbe
interbat

10.3.3 Fitomenadion (Vitamin K)

- Tab 10 mg 1. Vit K Generik
- inj 2. Vit K Generik
3. Neo-K Combiphar

10.3.4 Octreotit
- inj 1. sandostatin Sandoz

10.4 Hematopoetik
10.4.1 Rekombinan Eritropoetin
- inj 3000 IU 1. Hemapo kalbe

10.5 Pengganti plasma

10.5.1 Human Albumin 20 %
- 100 cc 1. Human Biotest
albumin
2. Octalbin kalbe
3. Plasbumin Dipa
pharmalab
4. Albuminar Behring
- 50 cc 1. Plasbumin kalbe

10.5.2 Human Albumin 25 %

- 100 cc 1. Plasbumin Dipa
pharmalab
2. Albuminar Behring

11 ENDOKRIN, HORMON
DAN KONTRASEPSI
11.1 Antidiabetik
11.1.1 Antidiabetik oral
11.1.1.1 Sulfonilurea
11.1.1.1 Glibenclamid
- Tab 5 mg 1. Glibenclamid Generik
2. Daonil Aventis

11.1.1.2 Glimepirid
- Tab 1 mg 1. Glimepirid Generik
2. Metrix 1mg kalbe
 3. Gluvas 1 mg dexa
4. Amary1 Aventis

- Tab 2 mg 1. Glimepirid
2. Metrix 2mg
3. Gluvas 2 mg
4. Amary1

- Tab 3 mg 1. Glimepirid Generik

2. Metrix 3mg kalbe
3. Gluvas 3 mg dexa
4. Aventis

- Tab 4 mg 1. Glimepirid Generik

2. Metrix 4mg kalbe
3. Gluvas 4 mg dexa
4. Amary1 Aventis
11.1.1.3 Gliclaside
- Tab 1.Glidabet kalbe
2.Glucolos sanbe
3.Glukodex Dexa
11.1.1.2 Biguanid
11.1.1.2. Metformin
1
- Tab 500 mg 1. Metformin Generik
2. Nevox XR kalbe
3. Forbetes sanbe
- Tab 500 mg substained 1. Glucophage XR Merck
release
- Tab 850 mg 1. Forbetes Sanbe
11.1.1.2. Proglitazon
2
- tab 15 mg 1.pionix Dankos
- Tab 30 mg 1.pionix Dankos
11.1.1.3 Alfa glukosidase
inhibitor
Acarbose
- Tab 50 mg 1.glucpbay Bayer
2.acarbose Generic
3.Eclid dexa
- Tab 100 mg 1.glucpbay Bayer
2.acarbose Generic
 3.Eclid dexa
11.1.2 Antidiabetik parenteral
11.1.2.1 - Basal Insulin Inj. 100 1 levemir Novo
IU/Ml,3 Ml

Mix Insulin
-Inj. 100 IU/ml ,3 ml 1 levemir Novo
2 lantus Eli lyly
Rapid insulin
-inj .100 IU/ml ,3 ml 1 novorapid novo
11.2 kontrasepsi
11.2.1. Etinilestradiol 0.03 mg 1.microgynon Bayer
Levonorgestrel 0.15
11.2.2. Norestisteron 1.norelut Dexa
11.2.3. Allystrenol 1.pregnolin Dexa
11.2.4. Kombinas
a. Norgestrel,etinil 1.Microgynon Dexa
estradiol
2.andalan
11.3 Hormon tiroid dan antitiroid
11.3.1 Antihipertiroidisme
11.3.1.1 Propiltiuracil (PTU)
-tsb 100 mg 1. Propiltiuracil generik
11.3.1.2 Thiamizol
- Tab 5 mg 1.thyrozol Merck
11.3.2. Antihipotiroididme
11.3.2.1 Klaium iodide
-tab 200 mg 1.Joodkali KF

11.3.3 Kortikosteroid
Metilprednisolon
-tab 4 mg 1. Metilprednisolon Generik
2.hexilon Kalbe
3.intidrol Interbat
-inj 125 mg/2ml 1. Metilprednisolon Generik
2.hexilon Kalbe
3.intidrol Interbat
11.3.3.2 Dexamethason
-tab 0.5 mg 1. Dexamethason Generik
2.cordinex Kalbe
3.kalmethason Interbat
-inj 5 g 1. Dexamethason Generik
 2.cordinex Kalbe
3.kalmethason Interbat
11.3.3.4 Prenison 1. Prenison generik
2.pehacort Pahapros
11.3.3.5 Triamsinolon acetonid
-inj 40 mg 1.flamicort Dexa
11.4 Obat metabolism tulang
11.4.1 Glucosamine
-tab 500 mg 1. Glucosamine generik
-krim 10% Glucosamine 2.mediflex Kalbe
11.4.2 Kombinasi
a. Glucosamin HCL 500
mg , kondroitin sulfat
400 mg ,vit C
50mg ,mg 10 ,zn 2.5 mg
mn 0.5 mg
-tab 1.klaostee kalbe
12 System kardiovaskuler
12.1 Antidisritmia
12.1.1 Amiodaron
-inj 1.tyaryt fahrenheit
2.kendaron Darya varia
12.2 Angtiangina
12.1.1 Isosorbid dinitrad
-tab 1. Isosorbid dinitrad generik
2.cedocard Darya varia
3.fasorbid fahrenheit
-tab 10 mg 1.fasorbid fahrenheit
-inj 1. cedocard Darya varia
2. fasorbid fahrenheit
12.1.2 Isosorbid mononitrat
-tab 25 mg 1.catopril phapros
-tab 30 mg 1.diltiazem Generic
12.3 Antihipertensi
12.3.1 Gol.ace inhibitor
12.3.1.1 Captopril
-tab 12.5 mg 1. catopril Generik
2.captensin Kalbe
-tab 25 mg 1.captopril generik
12.3.1.2. Lisinopril
-tab 5 mg 1.lisinopril generik
2.tensinop 5 Sanbe
 3.interpril Interbat
-tab 10 mg 1.lisinopril generik
2.tensinop 5 Sanbe
3.interpril Interbat
12.3.1.3 Enapril
-tab 10 mg 1.tenazid Combiphar
12.3.2 Gol.beta blocker
12.3.2.1 Bisoprolol fumarap
-tab 2.5 mg 1.Bisoprololfumarap Generik
2.beta one kalbe
3.maintate Tanabe
4.concor
-tab 5 mg 1.Bisoprololfumarap Generik
2.beta one kalbe
3.maintate Tanabe
4.concor
12.3.2.1 Kombinasi
a. Bisoprolol ,HCL
-tab 2.5 mg 1. Bisoprolol Generic
2.lodoz merck
-tab 5 1. Bisoprolol Generic
2.lodoz merck
12.3.2.2 Propanolol HCL
-tab 10 mg 1. Propanolol HCI Generik
-tab 40 mg 2. Propanolol HCI Generik
12.3.2.3 Atenolol
-tab 50 mg 1.betablok Kalbe
12.3.3 Gol-calsium channel blocker
12.3.3.1 Amlodipin besilat
- Tab 5 mg 1.amlodipin Generic
2.divask Kalbe
3.cardisan Sanbe
4.tensivask Dexa
5.intervask interbat
-tab 10 mg 1.amlodipin Generic
2.divask Kalbe
3.cardisan Sanbe
4.tensivask Dexa
5.intervask interbat
12.3.3.2 nifedipin
-tab 10 mg 1. nifedipin Generik
2.adalat Bayer
 -tab 30 GITS 1.adalat oros Bayer
12.3.4 Golongan Angiotensin II
antagonis
12.3.4.1 Losartan
-tab 50 mg 1.angioten Kalbe
12.3.4.2 Ibesartan
-tab 150 mg 1.irvask kalbe
-tab 300 mg 1. generik generik
2.irvask kalbe
12.3.4.3 Termisartan
-tab 40 mg 1.Micardis Boehringer
12.3.4.4 Cadesartan
- Tab 8 mg 1. Cadesartan generik
2.canderin Dexa
-tab 16 mg 1. Cadesartan generik
2.canderin Dexa
12.3.4.5 Kombinasi
a. Irbesartan 150 mg 1.co aprovel aventis
hidroclorothiazid
12.4 Gilokosida jantung
12.4.1. Digoxin
-tab 0.25 mg 1.digoxin Sandoz
-inj 1.digoxin Generic
2.fargoxin fahrenhaeit
12.5 antikolestrol
12.4.1 simpastation
-tab 10 mg 1.simpastation Generic
2.valemia sanbe
3.cholestat kalbe
12.5.2. Atorvastatin
-tab 10 mg 1.truvaz Kalbe
2.stator Dexa
-tab 20 mg 1.Atorvastatin generik
2.truvaz Kalbe
3.stator Dexa
12.5.3 Fenofibrate
-tab 100 mg 1.tropil Dexa
-tab 300 mg 1. Fenofibrate generik
12.5.4 Gemfibrpozil
-tab 300 mg 1. Gemfibrpozil Genrik
12.6 Vasodilator
12.6.1 Citicoline
 -tab 500 mg 1.brainact Dankos
-inj 125mg /ml 1.citicoline Generic
2. brainact Kalbe
3.intermic Interbat
Inj 250 mg/2 ml 1.citicoline Generic
2. brainact Kalbe
3.intermic Interbat
-inj 1g/8ml 1.brainact kalbe
2 intermic Interbat
3. citicoline generik
12.7 Inotropik
12.7.1 Dopamine HCI
-inj 1.dopamine Generic
2.dopac Kalbe
12.7.2 Dobutamin
-inj 1.doputamine generik
2.dominic kalbe
12.8 vasokontriktor
12.8.1 Norepinerfin bitartat
monohidrat
-inj 1 mg /ml 1.epinerfrin generik
2.vascon Fahrenhaeit
12.9 Diuretic
12.9.1. Spinorolacton
-tab 25 mg 1.Spinorolacton Generic
2.spirola kalbe
-tab 100 mg 1.Spinorolacton Generic
2.spirola kalbe
12.9.2. Furosemid
-tab 40 mg 1.furosemid genrik
2.uresix Sanbe
3.farsik fahrenhait
-inj 1.furosemid genrik
2.uresix Sanbe
3.farsik fahrenhait
12.9.3 hidroclortiazid
-tab 30 mg 1. hidroclortiazid Generik

13. Uterotonik dan

Reksan uterus
13.1.1 Metilergometrina maleat
-tab 0.125 mg 1. Metilergometrina generik
 maleat
2.pospargin kalbe
-inj 1. Metilergometrina Generik
maleat
2.pospargin kalbe
13.1.2 Oxytocin
-inj 1.oksitosin Generic
2.Induxin kalbe
14 SISTEM
GASTROINTETINAL
14.1 Antasida dan antiurcer
14.1.1 Al hidroksida, mg hidroksida,
dimetilpolisiloksan
-tab 1.generik generik
2.dexanta Dexa
3.gastran Medifarma
4.acitral Interbat
-suspensi 100 mg 1.plantacid Kalbe
2.farmacrol Fahrenhait
3.mylanta Pfizer
4.acitral interbat
14.1.2 Al Hidroksida 325 Mg, Mg
Trisilikat 325 Mg Papverin Hcl
30 Mg, Klordiazepoksid Hcl 5
Mg ,Vit B1 Vit B6,Vit
B12,niasinamid,Ca pantotenat
-tab 1.sanmag Sanbe
-Suspensi (al OH 325 mg ,mg 2.sanmag sanbe
trisilikat 325 mg,dimetikon 25
14.1.3 Ranitidine
-tab 150 mg 1.ranitidin Generic
2.Acran Sanbe
3.gastridin Interbat
-inj 1.ranitidin Generic
2.acran Sanbe
3.gastridin Interbat
4.rantin Kalbe
14.1.4 Cimetidin
-tab 200 mg 1. Cimetidin generik
2. sanmetidin Sanbe
-Inj 1. ulsikur kalbe
14.1.5 Lansoprazol
-tab 15 mg 1.prosongan Takeda
 -caps 30 mg 1. lansoprazol Generic
2. Lanced Kalbe
3. Lapraz Sanbe
14.1.6 Omeprazol
-caps 20 mg 1.omeprazol Generic
2.pumpitor Sanbe
- inj 40 mg 1.omeprazol Genreik
2.pumpitor Sanbe
3.gastrofer Dexa
14.1.7 Pantoprazol
-INJ 40 MG 1.pantoprazol Generic
2.pranza Kalbe
3.Pumpicell sanbe
4.pantopum Interbat
14.1.8 Ekstetazaina 1.stocain Eisai
14.1.9 Sukralfat
-tab 500 mg 1.ulcron Coronet
-suspensi 500 mg /5 m l 1.inpepsa Fahrenheit
2.neciblok Kalbe

14.1.10 Misoprostol
-tab 200 mcg 1.gastrul Fahrenhait
2.inviclot Kalbe
14.2 Antiemetic
12.2.1 Ondansetron HCI
-tab 8 mg 1.ondansetron Fahrenhait
2.vomceran Kalbe
-tab 8 mg 1.ondansetron Fahrenhait
2. vomceran Kalbe
-tab 4 mg 1.ondansetron Fahrenhait
2. trovensis Sanbe
3. vomceran kalbe
4.invomit interbat
14.2.2 Pyrathiazin theoclate 40 mg 1.mediAMER b darya varia
Piridoksin HCI
14.2.3 metoclorparamid
-tab 10 mg 1.metoclorparamid Generic
2.sotatic Fahrenheit
3.Tomit Interbat
-drop 1.priperan Dellagrang
e
-inj 1.priperan Dellagrang
 e
14.2.4 Domperidone
-tab 10 mg 1.vometa FT Dexa
2.vomitas Kalbe
-syr 1 mg /ml 1.vometa FT Dexa
2.vomitas Kalbe
-drop 5 mg /10 ml Vometa dexa

14.3 Antihemorroid
14.3.1 Ekstarak hipokastani 50 g 1.lan aven Landson
.ekstrak sitrus kompleks 65 mg,
lesitin murni (PPC 95%)
14.3.2 Ekstrak citrus sinensis setara 1.ardium Darya
diosmin 90% hesperidin 10 % varya
tab
14.3.3 Hidrosmin 200 mg caps 1.venosmil Dankos
2.hesmin Interbat
14.3.4 Asam metakresol sulfonat dan
metal 100 mg,sinkokain 2.5 mg
-suppo 1.faktu Pharos

14.3.5 Ektarak akar litospermi 0.18 mg

etil amino benzoate 20 mg
,dibukain HCL 0.5 mg
difenhidramin 0.5 mg setrim id
2.5 mg
-suppo 1.borraginol N takeda
-cream 1.borraginol N takeda
14.4 Antispasmodic
14.4.1 Klordiazepoksid 5 m g 1.braxidin Sanbe
,klidiniumbromide 2.5 mg tab
14.4.2 Otilonium
-tab 40 mg 1.spasmomen Dexa
14.4.3 Hiosin n-butilbromida 20 mg
-inj 1.buscopan Boehringer
2.gitas Interbat
14.4.4 Kombinasi :
a.hiosin N butilbromida 10 1.buscopan plus Boehringer
mg, parasetamol 500 mg tab
2.gitas plus Interbat
b.metampiron 500 mg .ekstarak 1.spasmacine Kalbe
beladona 10 mg ,papverin HCL
 25 mg tab
14.5 antidiare
14.5.1 Loperamid HCl
-tab 2 mg 1.lodia Sanbe
14.5.2 Attapulgit
-tab 630 mg 1.biodiar Sandoz
-tab 600 mg 1.newdiatab medifarma
2.diagit Interbat
14.5.3 Zinc
-syr 1.zincpro Combiphar
14.6 Laksafit
14.6.1 Bisakodil
-tab 10 mg 1.dulcolax Boehringer
2.bisakodil Generic
-suppo 1.dulcolax boehringer
-syr 1.dulcolax boehringer
14.6.2 Na-lauril sulfoasetat 45 mg ,Na-
sitrat 450 mg,asam srbat 5 mg
,PEG 400 625 mg,sorbitol 4.465
mg
-emulsi Microlax Pharos
14.6.4 Monobasic na-fosfat 19
g,dibasic NO-fosfat 7 g
-botol 133 ml 1.fleet enema Combiphar
14.6.5 Laktulosa
-syr 1.lacons mahakam
Pralax Fahreheit
14.7 Lain-lain
14.7.1` Lactobacillus reutrii 108 CFU 1.Rillus (biogaina) Kalbe
14.7.2 Lactobacillus
-sachet 1.probiokid Sanbe
2.lacto B AMS
-drop 3.intrlac Interbat
14.7.3 Asam ursodeoksikolat
-caps 250 mg 1.asam Generic
ursodeoksikolat
2.urdahex Kalbe
14.7.4 Pucoidan
-caps 100 mg 1.pucohelix Kalbe
15 System musculoskeletal
15.1 Relaksan otot
15.1.1 Esperison HCL
 -tab 50 mg 1.forres Kalbe
2.myobat Interbat
15.2 Gangguan neuromuscular
15.2.1 Rekuronium
-inj 1.reculax Novell
16 System saluran nafas
16.1 antiasma
16.1.1 Salbutamol 1.salbutamol Generic
-tab 4 mg 1.salbutamol Generic
-inhaler 1.ventolin Glaxo
-Nebules 1.ventolin Glaxo
16.1.2 Aminophylin
-tab 200 mg 1.aminophylin Genrik
- Inj 2.aminophylin Generk
16.1.3 Teofilin
-caps 130 mg 1.theobron Interbat
-syr 130 mg /15 ml 1.theobron Interbat
16.1.4 Fenoterol HBr 0.2 mg
-aerosol 100 /10 1.BEROTEC. MA
16.1.5 Terbutalin sulfat
-inj 1.bricasma Astra
Zeneca
16.1.6 Ephedrine HCL
-inj 1.ephedrin Ethica
Kombinasi
a.salbutamol 1 mg ,teofilin 150 1.teosal Dexa
md
16.2 antitusif
16.2.1 Codein fosfat hemihidrat
-tab 10 mg 1.codein Kimia
farma
16.2.2 Dexromethorpan HBr
-tab 15 mg 1. Dexromethorpan Generic
2.romilar Bayer
-syr 60 ml 1.dextrometorphan Generic
Kombinasi :
16.2.3 Dektrometorfan HBR 10 Mg,
Defenhidramin 12.5
Mg,Ammonium Klorida 100
Mg ,Na Sitrat 50 mg mentol 1
mg (tiap 5 ml)
-syr 60ml 1.sanadryl DMP Sanbe
16.2.4 Dekstrometorfan HBr 5 mg
 ,pseudoefedrin HCl 15 mg ( tiap
5 ml )
-drop Triaminic batuk Novartis
16.3 Mukolitik dan ekspetoran
16.3.1 Ambroxol
-tab 30 mg 1.ambroxol; Generic
2.epexol Sanbe
-syr 15 mg /5 ml ( 20ml) 1.epxol Sanbe
-syr 30 mg/5ml 1.epexol Sanbe
16.3.2 Endostein
-caps 300 mg 1.vectrine Dexa
-syr 1vectrine Dexa
16.2.3 Bromhexin
-tab 8 mg 1.mucohexin Sanbe
-syr 4 mg /5 ml 1.mucohexin Sanbe
16.2.4 Glycyrrhizae succus 167 mg
ammonium klorida 100 mg
(tiap 5 ml)
-syr 100 ml 1.OBH nellco Nello
special
16.2.5 Gliseril guaicolat 50 mg ,
difenhidramin 12.5mg. na-sitrat
180 mg ,fenilpropanolamion
12.5 mg (tiap 5 ml)
-syr 60 ml 1.triadex expectorant Interbat
16.3.6 Acetyil systein 1.siran Dexa

16.4 Dekongestan , antiin fluenza

16.4.1 Pseudoefedrin HCI
-tab 7.5 mg 1.disundrin Medifarma
-syr (Pseudoefedrin 15 mg 1.rhinos junior Dexa
CTM 1 mg )
Kombinasi
16.4.2 Dextrometorphan HBr 10 mg, 1.tuzalos Sanbe
fenilpropanolamina HCi 15
mg,CTM mg ,paracetamol 500 2.anadex interbet
mg tab

16.4.4 Pseudoefedrin HCI 60 mg, 1.rhinos SR Dexa

loratadine 5 mg kaps substained
release
 16.4.5 Pseudoefedrin HCI 60 mg, 1.tremenza Sanbe
2.rhinofed Dexa
3.trifed Interbat
16.4.6 Fenilpropanolamin HCI 15 mg 1.nalgestan Medifarma
,CTM 2 mg Tab
16.4.7 Paracetamol 120 mg ,CTM 2
mg tb
-syr 1.calorex Konimex

17. Vitamin dan mineral

17.1 Vitamin B
17.1.1 Vitamin B
a.pridoxin (B6) 1.vit B6 Generic
b.sianocobalamin (B12) 2.vit B12 Generic
17.1.2 Vitamin B dengan kombinasi
a.vit B1,50 mg ,Vit B2 5 mg
-tab 1.alinamin F Takeda
-inj 1.alinamin F Takeda
b.vit B1 100 mg , vit B6 200
mg ,VIt B12 200 mcg tab
-tab 1.neurosanbe Sanbe
-inj 1.neurosanbe Sanbe
c.vit B1 100 mg, vit B6 100 mg
,vit B12 500 mcg
-tab 1. neurosanbe 5000 Sanbe
2.neurobion 5000 Merck
3.neurobat Interbat
-inj 1.Neurosanbe 5000 Sanbe
2.neurobat Interbat
d.letisin 600 mg ,vit b1 6 mg, 1.lesichol 600 Landoson
vit b2 6 mg, vit b6 6 mcg, vit E
10 mg, nicotinamid 30 mg
caps
e.vit B6,vit E ,Ca-Laktat vit D3
-tab 1.elkana Sanbe
-syr 60 ml 1.elkana Sanbe
F.asam folat 400 mg ,vit B1 50 1.forneuro Kalbe
mcg, vit B6 50 mcg, vit B12
100 m cg vit E natural 200 iu
mg caps lunak
g.vit B1, 2 mg ,vit B6 2 mg,
vit B12 mg ,nicotinamid 20 mg
,Ca pantotenat 10 mg
 -tab 1.Vit B complex Generic
-syr(tiap 5 ml ) 1.becombion Merck
Inj 1.becopmbion merck
17.2 Vitamin c
17.2.1 Vitamin c
a.asam askorbat
-tab 1.vit C Generic
-inj 1.vit C Generic
17.2.2 Vitamin C dengan kombinasi
a. Vit C 300 mg, citrus 1.cester Ethica
bioflavonoid 100 mg tab
17.3 Vitamin E
17.3.1 vit E setara dl-atokoperol Santa E Sanbe

17.4 Multivitamin 1.becom-c Sanbe

17.4.1 VIT B1,vit B2 ,vit B6 , vit B12, 1.Becom -c Sanbe
vit C nikotinamid ,Ca
pantotetanat
17.4.2 Asam Folat 1 Mg , karoten 1.folamil genio Dexa
10.000 IU, Vit B13 Mg .Vit B2
3 Mg ,Nicotinamid 20 Mg , Vit
B6 2 Mg ,Ca D-pantotenat 7.5
mg .iron polymaltose complex
30 mg,DHA 40 mg ARA 8 mg
caps lunak
17.4.3 Vit A,vit B1 v it B2 vit B12 v it
C ,vit D ,nikotinamid, d-
pantotenol,lisin HCI,asam
gulatameate
-syr (tiap 5 ml) 1.apialys Lapi
-Drop (Vit A,Vit B1,Vit B2,Vit 1.apialys Lapi
B6,Vit B12 ,Vit C,Vit
Dnikotinamid,D-Pantotenol
,lisin HCi tiap 0.6 ml

17.4.4 Vit A 3.500 IU,vit D3 200

IU,vit B2 vit E,11.2 iu,vit C 125
mg,vit B1 ,3.51 mg ,vit B6 ,vit
B12 ,asam folat, biotin,asam
pantotenat,nikotinamid,lesitin,gl
ising.
-inj 1.cernevit Kalbe
17.5 Vitamin dengan mineral
 17.5.1 Vit B1,vit B2,vit B6 ,vit B12, 1.Becom zet Sanbe
vit C,vit E,niasin,asam
pantotenat
17.6 Mineral
17.6.1 Kalium L-aspartat 300 mg tab 1.aspar-k Tanabe
17.6.2 Kalsium laktat 1.kalk Generic
18 System saluran kemih
18.1 Alpha blocker
18.1.1 5 alpha-reductase inhibitor
18.1.1.1 Asam pipemidat 400 mg caps 1.urotractin Sanbe
18.21 Lain lain
18.3.1 Ektrak daun tempurung 3 g,
ektrak daun keji beling 0.3 g
(tiap 30 ml)
- Eliksir 300 ml 1.batugin KF
19 MATA
Sistemik
19.1.1 Asetazolamid
- Tab 200 mg 1.glucon Cendo

19.2 Topical
Antimikroba
19.2.1.1 Oksitetrasiklin
- Zalp mata 1% 1. Oksitetrasiklin Generik

19.2.1.2 Gentamisin
- Tetes \mata 3 mg/ml 1.sagetam Sanbe

- Zalp mata 0.3% 1.cendo gentamisin Cendo

19.2.1.3 Levofloxacin 5 mg
- Tetes mata 1.LFX Cendo
19.2.1.4 Oflaksasin
- Tetes mata 1.taravit Kalbe

19.2.1.5 Tobramycin 3 mg
- Tetes mata 1.tobro Cendo

19.2.1.6 Kombinasi :
a.dexametahson 0.1 %
Neomisin sulfat 3.5 mg.
Polimiskin B sulfat 6000 UI
 - Tetes mata 1.polidemisin Sanbe

19.2.2 Antiinflamasi mata

19.2.2.1 Asam borat, Zn sulfat
- Tetes mata 1.cendo astenof Cendo

19.2.2.2 Fenilraksa (II) asetat 0.002 mg

asam borat 12 mg, nafazolin
HCI 1 mg
- Tetes mata 1.vasakon Cendo

19.2.2.3 Nafazolin HCI

- Tetes mata MD 1.vernacel Cendo

19.2.2.4 Natrium diklofenak

- Tetes mata 1.noncort Cendo

19.2.2.5 Sodium C14.4 mg, KC1 0.8 mg

- Tetes mata 1.lyerteers Cendo

19.2.2.6 Tetrahidrozolin HC1 0.05 % 1.visine Pfizer

19.2.3 Pelumas mata

19.2.3.1 Karboxy metil selulosa
- Tetes mata 1.cenfresh Cendo

19.2.4 Lain-lain
19.2.4.1 k-iodida 5 mg, K-klorida 5 mg,
na-tiosulfa 0.5 mg, timerosal
0.002 mg
- Tetes mata 1.katerlent Cendo

19.2.5 Anestetik local

19.2.5.1 Tetrakain HCL
- Tetes mata 0.5 % btl 5 ml 1.pantocain Cendo

20 SUPLEMENT & TERAPI

ADJUVANT
20.1 Astaxanthin natural
- Tab 4 mg 1.truxanthin Kalbe
2.interxanthin Interbat
20.2 Kombinasi :
 a. Astaxanthin natural 4 mg, 1.asthin B-OND Soho
cucumis melo ekstrak 10 mg

20.3 Fosfatidil serina

- Cap 100 mg 1.memoran Soho

20.4 Amylase 10.000 IU, protease 1.enzyplex Medifarma

9000 IU, asam desoksikolat 30
mg, dimetilpolisiloksan 20 mg,
vit B12 5 mcg, nikotinamid 10
mg, Ca pantotenat 5 mg tab

20.5 Kombinasi :
a.PPC 95 % 150 mg, sylmarin 1.hepamax Kalbe
phytosome 100 mg, schizadra
ekstra 37.5 mg, d-a tocoferol 5
IU caps lunak

20.6 Ekstrak Echinacea purpurea 1.formuno Sanbe

500 mg, black elderberry 400 2.starmuno Dankos
mg,zinc picolinat 10 mg, vit C
60 mg

20.7 Angka 250 mg, ekstrak daun

jambu biji 250 mg, NaC1, KC1,
sodium citrate, vit B1 , vit B2,
vit B6, vit B12, zinc gluconate
- sachet 1.trolit Bintang
Toedjo
20.8 Cod liver oil 7.5 mg, ekstrak
curcuma 10 mg, asam
arakidonat 15 mh, DHA 10 mg,
FOS 500 mg, Ca hipofosfat 500
mg, vit D 100 IU , vit A, vit B1,
vit B2, vit B6, vit B12
- syr 1.elkana CL Sanbe

20.9 Glycyrrhizin 40 mg, glycine

400 mg, besar L-cysteil HC1 20
mg
- inj 1.SNMC Dexa
21 OBAT TOPIKAL UNTUK
KULIT
21.1 Antibakteril
21.1.1 Gentamisin 1mg/g
- krim 1.gentamisin generik
2.sagestam Sanbe

21.1.2 Oksitetrasiklin
- krim 1. Oksitetrasiklin Generik
21.1.3 Na-fusidat 20 mg, asam fusidat
20 mg
- krim 5g 1.fuladic Guardian

21.1.4 Silver sulfdiazine 1%

- krim 1.burnazin Darya varia

21.1.5 Neomycin , placenta ext

- krim 1.bioplacenton kalbe

21.1.6 Neomycin, bacitracin

- powder 5g 1.nebacetin Pharos
- cream 1.nebacetin pharos

21.1.7 Framisetin sulfat

- kasa steril 1.lomatule Lohman

21.2 Antifungi
21.2.1 Tiokonazol 1%
- krim 10 g 1.trosyd Pfizer

21.2.2 Ketokonazol 20 mg/g 1.ketokonazole Gererik

- krim 10 g 2.fermyco Sanbe
3.interco interbat
21.2.3 Miconazole 20 ml
- krim 1.miconazole Generik

21.1.4 \Kombinasi :
Metronidozol nistatin
- ovula 1.neogynoxa Kalbe

21.3 Antivirus
21.3.1 Acyclovir 5%
 - krim 1. Acyclovir generik
21.4 Antiinflamasi dan
antipruritus
21.4.1 Kortikosteroid topikal
21.4.1.1 Hodrocortison
- krim 1. Hodrocortison generik
21.4.1.2 Desoxyn methason 2.5 mg/g
- krim 10 g 1.inerson Interbat

21.4.1.3 Kombinasi :
a.betametason 0.5 mg, 1.digenta Interbat
gentamisin sulfat 1 mg krim
b.fluosinolon asetonit 0.25 mg, 1.cinolon-N sanbe
neomisin 5 mg krim

21.4.2 Antiproritus dan antihistamin

topical
21.4.2.1 Kalamin 10%, Zn oksida 5 %,
kamfer 0.05 %, mentol 0.1 %
- powder 1.caladine Yupharin

21.5 antiskabies
21.5.1 Permetrin 5%
- krim 1.scabimite Yupharin

21.5.2 Lindane 1% uxnic acid 1% krim 1.scabicid Kimia

farma

21.5 antiekzem
21.5.1 Clobetasol propianote 0.05 %
- cream 1.kloderma Surya
dermato

21.7 Analgesik
21.7.1 Natrium diklofenak
- cream 1.voltaren Novartis

21.7.2 Mentol 55 mg, eugenol 14,

metal salisilat 102 mg
- krim 1.lafalos Sanbe
2.counterpain Taisho
21.8 Lain-lain
21.8.1 Polikresulen 90 mg
 - ovula 1.albothyl Pharos

- larutan 3.6 mg/ml 1.albothyl Pharos

21.8.2 Bedak salicyl

- powder 2%b 1. Bedak salicyl KF

21.8.3 Sabun hijau

- sabun hijau 1. sabun hijau

22 TELINGA DAN
TENGGOROROKAN
22.1 Antibiotic dan Antideptik
telinga
22.1.1 Kombinasi
a. polimiskin B-sulfat
1.000.000 IU, neomisin 0.5
mg, fludorkotison asesat 0.1
mg, lidokain HC1 4 g
- tetes telinga 1.otopain Interbat

22.2 Preparat mulut / tenggorokan

22.2.1 Providone iodone 1 %
- larutan 1.betadine gargle Mahakam

22.2.2 Bwnzydamine HC1

- larutan 7.5 mg/5 ml 1.tantum verde oral Soho

22.2.3 Triamcinolone acetonid 0.1 %

- salep 5 g 1.kenalog in orabase Thaiso

22.2.4 Miconazole
- gel oral 20 mg/g 1.daktarin oral gel Janssen

22.2.5 Maltodextrin, propilen gliko,

polivinylpyrrolidone (PVP),
aloe vera ekstrak, kalium
sorbet, Nabenzoate,
hidroksitilselulosa, PEG 40,
Castrol oil, benzakolnium C1,
Na hyaluronat
- larutan 1.aloclair Kalbe
23 LARUTAN ELEKTROLIT
DAN NUTRISI
23.1 Oral
23.1.1 Oralit
- powder 1.oralit Pharos
- powder plus extc, jambu 1.trolit Bintang tju
biji
- larutan dalam botol 1.renalyt Fahrenheit

23.2 Parenteral
23.1.1 Glucose
- infus 5%, btl, 500 ml 1.D 5 % Widatra
- infus 10%, btl, 500 ml 1.D 5 % Widatra
- infus 40%, btl, 25 ml 1.otsu D 40 % Otsuka

23.2.2 Kalium klorida

- btl 25 ml 1.otsu KCL Otsuka
23.2.3 Natrium klorida 0,9% (PZ)
- infus btl 100 ml 1.esocol Nacl Bbraun

- infus btl 500 ml 1.Wida NS Widatra

2.Otsu NS Otsuka
- infus btl 1000 ml 1.Esocol Nacl Bbraun

23.2.4 Natrium klorida 3%

- infus btl 500 ml 1.Otsu Salin 3% Otsuka

23.2.5 Ringer laknat

- infus btl 500 ml 1.RL
2.Infusan RL
- infus btl 1000 ml 3.RL
23.2.6 Kombinasi :
a. Nacl 0,9%, dextrose 5%
- infus btl 500 ml 1.otsu D5 NS Otsuka
2.Infusan D5 1/2NS Sanbe
b. nacl 2,34 g, Kcl 0,75 g,Na
acecat 2,24 g
- infus btl 500 ml 1.KA EN 3A Otsuka

c. Nacl 1,35g, Kcl 1,5 g, Na

lacetat 2,24 g, dextrose
anhydrat 27 g
 - Infus btl 500 ml 1.KA EN 3A Otsuka
2.tridex
d. Dextrose 1g, Nacl 1,75g,
Kcl 1,5, Na acetat 2,24
- Infus btl 500 ml 1.KA EN 3A Otsuka

23.2.7 Natrium bikarborat

- Inj 8,4% 25 1.meylon Otsuka

23.2.8 Asam amino

23.2.8.1 asam amino 9%
- Btl 500 ml 1.renxami Kalbe
23.2.8.2 Asam amino 10%
- Btl 500 ml 1.kalbamin Kalbe
23.2.8.3 Kombinasi :
a. Asam amino 5%,
carbohydrate, electrolit
- Btl 500 ml 1.aminovusion hepar Kalbe
b. Asam amino 5%,
carbohydrat, vitamin,
electrolyte
- Btl 500 ml 1.comafusin hepar Finusol
2.aminovell 600 Otsuka
c. Asam amino 2,72%, sorbitol
5%
- Btl 500 ml 1.valamin Sanbe
d. Asam amino, glucose,
electrolyte
- Btl 500 ml 1.aminofluid Otsuka

23.2.9 Kombinasi :
a. Dextrose 5%, Nacl 0,45%
- Infus btl 500 ml 1.Wida D5 1/2 NS Widatra
1
2.infusan DS /2NS Sanbe
b. Dextrose 5%, Nacl 0,45%
- Infus btl 500 ml 1.Wida D5 1/2 NS Widatra
1
2.infusan DS /2NS Sanbe
c. Cacl 0.10g, Kcl 0.15 Nacl
3g, Na acetat 1,9 g
- Infus btl 500 ml 1.Asering Otsuka
2.Infusan Ring As Sanbe
d. Dextran 40, Cacl 0.2g, Kcl
0.3g, nacl 6g
 - Infus btl 500 ml 1.otsutran 40 Otsuka

e. Hidroksi etil, Nacl, Kcl,

Cacl,Na acetat
- Infus btl 500 ml 1.fimahes 200 kalbe

Mataram, Agustus 2016

Rumah Sakit Metro Medika

Dr. GDE ARYANA

Direktur