DAFTAR OBAT HIGH

ALERT
INSTALASI FARMASI
RS ISLAM
MALAHAYATI
No. No.
Kemasan/Sediaa Tota
Nama Obat Kandungan n Volume/Dosis l
I. Cairan Elektrolit
Konsentrasi Tinggi
1 Otsu Sanlin 3% Natrium Klorida 3% Plastik Bag 500 ml 1
Kalium Klorida
2 Otsu KCl 7,46% 7,46% Plastik Bag 25 ml 2
Magnesium Sulfat
3 Otsu MgSO4 20% 20% Plastik Bag 25 ml 3
Magnesium Sulfat
4 Otsu MgSO4 40% 40% Plastik Bag 25 ml 4
Natrium Bikarbonat
5 Otsu Meylon 84 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
Biosynthetic Human
2 Actrapid HM Penfill 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
 Pen With
5 NovoRapid 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
1 Arixtra sodium Syringe 2.5 mg/ 0.5 ml 16
Parnaparin (LMW
2 Fluxum Heparin Syringe 4250 IU/ 0,4 ml 17
Parnaparin (LMW
3 Fluxum Heparin Syringe 6250 IU/ 0,4 ml 18

4 Inviclot Heparin Natrium Vial 25000 IU/ 5 ml 19

5 Lovenox Enoxaparin sodium Syringe 2000 IU/ 0,4 ml 20
6 Lovenox Enoxaparin sodium Syringe 4000 IU/ 0,4 ml 21
7 Lovenox Enoxaparin sodium Syringe 6000 IU/ 0,4 ml 22
8 Simarc 2 Warfarin Tablet 2 mg 23
IV. Anastetik
1 Sedacum Midazolam Ampul 15 mg/ 3 ml 24
2 Recofol N Propofol Ampul 200 mg/ 20 ml 25
3 Fresofol 1% Propofol Ampul 200 mg/ 20 ml 26

No.
Kemasan/Sediaa Tota
No. Nama Obat Kandungan n Volume/Dosis l
4 Trivam Propofol Ampul 200 mg/ 20 ml 27
5 KTM-100 Ketamin Vial 1000 mg/10 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,
8 Pehacain Epinefrin Ampul L 40 mg/ 2 ml 31
No.
Kemasan/Sediaa Tota
No. Nama Obat Kandungan n Volume/Dosis l
I. Cairan Elektrolit
Konsentrasi Tinggi
1 Otsu Sanlin 3% Natrium Klorida 3% Plastik Bag 500 ml 1
Kalium Klorida
2 Otsu KCl 7,46% 7,46% Plastik Bag 25 ml 2
Magnesium Sulfat
3 Otsu MgSO4 20% 20% Plastik Bag 25 ml 3
Magnesium Sulfat
4 Otsu MgSO4 40% 40% Plastik Bag 25 ml 4
Natrium Bikarbonat
5 Otsu Meylon 84 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
Biosynthetic Human
2 Actrapid HM Penfill 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
 Pen With
5 NovoRapid 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
1 Arixtra sodium Syringe 2.5 mg/ 0.5 ml 16
Parnaparin (LMW
2 Fluxum Heparin Syringe 4250 IU/ 0,4 ml 17
Parnaparin (LMW
3 Fluxum Heparin Syringe 6250 IU/ 0,4 ml 18
4 Inviclot Heparin Natrium Vial 25000 IU/ 5 ml 19
5 Lovenox Enoxaparin sodium Syringe 2000 IU/ 0,4 ml 20
6 Lovenox Enoxaparin sodium Syringe 4000 IU/ 0,4 ml 21
7 Lovenox Enoxaparin sodium Syringe 6000 IU/ 0,4 ml 22
8 Simarc 2 Warfarin Tablet 2 mg 23
IV. Anastetik
1 Sedacum Midazolam Ampul 15 mg/ 3 ml 24
2 Recofol N Propofol Ampul 200 mg/ 20 ml 25
3 Fresofol 1% Propofol Ampul 200 mg/ 20 ml 26

No.
Kemasan/Sediaa Tota
No. Nama Obat Kandungan n Volume/Dosis l
4 Trivam Propofol Ampul 200 mg/ 20 ml 27
 5 KTM-100 Ketamin Vial 1000 mg/10 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,
8 Pehacain Epinefrin Ampul L 40 mg/ 2 ml 31
VI OBAT KEMOTERAPI
1 Zoladex Goserelin Asetat Vial 3,6 mg ; 10,8 mg 64
2 Bleocin Bleomisin Ampul 15 mg 65
10 mg/ 5 ml ; 50
3 Doxorubicin Doxorubicin Vial mg/ 25 ml 66
4 Etopul Etoposid Ampul 100 mg/ 5 ml 67
250 mg/ 1 ml ;
5 Curacil Fluorourasil Vial 500 mg/ 10 ml 68
6 Fluracedyl Fluorourasil Vial 500 mg/ 10 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 mg,
10 Cyclovid Siklofosfamid Vial 1000 mg 73
11 Cisplatin Cisplatin Vial 10 mg, 50 mg 74
12 Vincristin Vincristin Vial 1 mg, 2 mg 75
13 Carcan Carboplatin Vial 150 mg/vial 76
150 mg/ 15 ml ;
14 Carboplatin Carboplatin Vial 450 mg/ 45 ml 77
10 mg/5 ml ; 50
15 Epirubicin Epirubicin Vial mg/ 10 ml 78
16 Paclitaxel Paclitaxel Vial 30 mg/5 ml 79
30 mg/5 ml ;
`17 Anzatax Paclitaxel Vial 150 mg/25 ml 80
18 Paxus Paclitaxel Vial 30 mg/5 ml ; 81
 100 mg/16,67
ml
19 Xeloda Capecitabine Tablet 500 mg 82
20 Hydroxyurea 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/Sediaa Tota
No. Nama Obat Kandungan n Volume/Dosis l
28 Eloxatin Oxaliplatine Vial 50 mg ; 100 mg 88
29 Rexta Oxaliplatine Vial 50 mg 89
30 Oxaliplatin Oxaliplatine Vial 50 mg ; 100 mg 90
40 mg/ 2 ml ;
31 Campto Irinotecan HCl Ampul 100 mg/ 5 ml 91
32 Herceptin Trastuzumab Vial 440 mg/ 20 ml 92
100 mg/10 ml ;
33 Mabhtera Rituximab Vial 500 mg/ 50 ml 93
Disodium
Clodronate
34 Bonefos Tetrahydrate Ampul 300 mg/ 5 ml 94
35 Zometa Asam Zoledronat Vial 4 mg/5 ml 95
36 Bondronat Asam Ibandronat Vial 6 mg/6 ml 96
37 Erbitux Cetuximab Vial 100 mg/ 20 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
1 Myomergin Metilergometrin Ampul 200 mcg/ 1 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/Sediaa Tota
No. Nama Obat Kandungan n Volume/Dosis l
Albumin Serum 20%/ 50 ml ;
3 Human Albumin Normal Vial 20%/ 100 ml 117
Hidroksi Etil Starch
4 Wida HES BM 200.000 Plastik Bag 6% 500 ml 118
Hidroksi Etil Starch
5 Fima Hes BM 200.000 Plastik Bag 6% 500 ml 119
Modified Fluid
6 Gelafusal Gelatine BM 30.000 Plastik Bag 4% 500 ml 120
X. Relaksan Otot dan
Penghambat
Kolinesterase
1 Notrixum Atracurium Besylate Ampul 50 mg/ 5 ml 121
2 Tramus Atracurium 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
3 ATS 1500 Serum Anti Tetanus Ampul 1500 IU/1 ml 125
XII. Hematopoetik

V. Narkotika dan
Psikotropika
1 MST Continuous Morphin Sulfat Tablet 10 mg, 15 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
5 Durogesic Fentanyl Strip Patch 12,5 mcg/ jam 36
6 Durogesic Fentanyl Strip Patch 25 mcg/ jam 37
7 Durogesic Fentanyl Strip Patch 50 mcg/ jam 38
8 Codein Codein HCl Tablet 10 mg, 20 mg 39
Codein
9 Codipront Phenyltoloxamine Kapsul 30 mg 40
Codein
10 Codipront Phenyltoloxamine Sirup/Botol 11,11 mg/ 5ml 41
Codein
Phenyltoloxamine, C 30 mg, G 100
11 Codipront Cum Exp Guaiafenesin Kapsul mg 42
Codein
Phenyltoloxamine, C 11,11 mg, G
12 Codipront Cum Exp Guaiafenesin Sirup/Botol 55,55 mg 43
C 30 mg, P 500
13 Coditam Codein, Paracetamol Tablet mg 44
14 Alprazolam Alprazolam Tablet 0,5 mg, 1 mg 45
Diazepam, D 2 mg, M 500
15 Proneuron Metamizol Tablet mg 46
Mg Trisilicate, Al
Hidroksida,
16 Sanmag Papaverine HCl, Tablet P 30 mg, C 5 mg 47
Chlordiazepokside
HCl, Vit B Comp
Methampyron, M 500 mg, D 2
17 Analsik Diazepam Tablet mg 48
Chlordiazepoxide, Chlor 5 mg, Clid
18 Braxidin Clidinium Bromide Tablet 2,5 mg 49
19 Asabium Clobazam Tablet 10 mg 50
0,5 mg, 1 mg, 2
20 Ativan Lorazepam Tablet 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 ;
28 Stesolid Diazepam Rektal Tube 10 mg/ 2,5 ml 59
D 2 mg, Ant 500
29 Danalgin Diazepam, Antalgin Tablet mg 60