DAFTAR ISI

SAMBUTAN KEPALA RUMAH SAKIT LAVALETTE MALANG.................................................. ii

KATA PENGANTAR............................................................................................................... iii
KEPUTUSAN DIREKTUR........................................................................................................ iv
KETENTUAN UMUM............................................................................................................ vi
KEBIJAKAN AUTOMATIC STOP ORDER................................................................................ xiii
PETUNJUK PENGGUNAAN FORMULARIUM OBAT…………………………………………………........ xv
DAFTAR ISI.......................................................................................................................... xvi
FORMULARIUM RUMAH SAKIT LAVALETTE MALANG......................................................... 1
1. ANALGETIK NON NARKOTIKA, ANTIPIRETIK, ANTIINFLAMASI NON STEROID DAN
ANTIPIRAI..................................................................................................................... 1
1.1 ANALGETIK NON NARKOTIKA, ANTIPIRETIK.......................................................... 1
1.2 ANTIINFLAMASI NON STEROID............................................................................. 2
1.3 ANTIPIRAI.............................................................................................................. 2
2. ANESTETIK................................................................................................................... 2
2.1 ANESTESI UMUM.................................................................................................. 2
2.2 ANESTESI LOKAL.................................................................................................... 3
3. ANTIALERGI, ANTIHISTAMIN DAN ANAFILAKSIS.......................................................... 3
3.1 ANTIALERGI, ANTIHISTAMIN................................................................................. 3
4. ANTIDOT DAN OBAT LAIN UNTUK KERACUNAN.......................................................... 4
4.1 ANTIDOTUM UMUM............................................................................................. 4
4.2 ANTIDOTUM KHUSUS............................................................................................ 4
5. ANTIEPILEPSI DAN ANTIKONVULSI............................................................................... 4
5.1 ANTIEPILEPSI DAN ANTIKONVULSI........................................................................ 4
6. ANTI INFEKSI................................................................................................................. 5
6.1 ANTIBAKTERI.......................................................................................................... 5
6.1.1 BETA LAKTAM.............................................................................................. 5
6.1.2 TETRASIKLIN................................................................................................ 5
6.1.3 KLORAMFENIKOL......................................................................................... 5
6.1.4 COTRIMOXAZOL.......................................................................................... 6
6.1.5 MACROLIDA................................................................................................. 6
6.1.6 AMINOGLIKOSID........................................................................................... 6
6.1.7 KUINOLON.................................................................................................... 6
6.1.8 SEFALOSFORIN ............................................................................................. 6
6.1.9 ANTI BAKTERI LAIN....................................................................................... 7
6.2 ANTIINFEKSI KHUSUS............................................................................................. 7
6.2.1 ANTITUBERKULOSIS..................................................................................... 7
6.3 ANTIFUNGI............................................................................................................. 8
6.4 ANTIPROTOZOA..................................................................................................... 8
6.4.1 ANTIAMUBA DAN ANTIGIARDIASIS............................................................. 8
6.5 ANTI VIRUS............................................................................................................. 8
6.5.1 ANTI HERPES................................................................................................ 8
6.5.2 ANTI HEPATITIS............................................................................................ 9
7. ANTIMIGREN DAN VERTIGO......................................................................................... 9
8. ANTIPARKINSON.......................................................................................................... 9
9. ANTI MIASTENIA GRAVIS.............................................................................................. 9
10. OBAT YANG MEMENGARUHI DARAH........................................................................... 9
 10.1 ANTIANEMI.......................................................................................................... 9
10.2 OBAT YANG MEMENGARUHI KOAGULASI........................................................... 9
10.3 HEMATOPOIETIK................................................................................................. 10
11. ANTISEPTIK DAN DESINFEKTAN.................................................................................... 10
11.1 ANTISEPTIK.......................................................................................................... 10
11.2 DESINFEKTAN...................................................................................................... 10
12. DIURETIK DAN OBAT SALURAN KEMIH......................................................................... 11
12.1 DIURETIK.............................................................................................................. 11
12.2 OBAT UNTUK HIPERTROFI PROSTAT................................................................... 11
12.3 OBAT UNTUK SALURAN KEMIH............................................................................ 11
13. HORMON , OBAT ENDOKRIN LAIN DAN ANTIDIABETIK PARENTERAL.......................... 11
13.1 ANTI DIABETIK ORAL............................................................................................ 11
13.1.1 SULFONIL UREA....................................................................................... 11
13.1.2 BIGUANID................................................................................................. 11
13.1.3 ALFA GLUKOSIDA INHIBITOR.................................................................... 11
13.1.4 DIPEPTIDYL PEPTIDASE-4 (DPP-4) INHIBITOR.......................................... 11
13.1.5 SODIUM GLUCOSE CONTRANSPORTER-2 (SGLT2) INHIBITORS............... 12
13.1.6 THIAZOLIDINEDION................................................................................... 12
13.1.7 ANTIDIABETIK ORAL KOMBINASI.............................................................. 12
13.2 ANTIDIABETIK PARENTERAL................................................................................. 12
13.2.1 Analog Insulin........................................................................................... 12
13.3 HORMON KELAMIN.............................................................................................. 12
13.3.1 OESTROGEN DAN PROGESTERON............................................................ 12
13.3.2 HORMON TIROID DAN ANTITIROID......................................................... 13
13.3.3 HORMON INFERTIL................................................................................... 13
13.4 KORTIKOSTEROID................................................................................................. 13

14. OBAT KARDIOVASKULER.............................................................................................. 13

14.1 ANTIANGINA......................................................................................................... 13
14.2 ANTIARITMIA........................................................................................................ 13
14.3 ANTIHIPERTENSI................................................................................................... 14
14.3.1 ACE INHIBITOR......................................................................................... 14
14.3.2 BETA BLOCKER......................................................................................... 14
14.3.3 KALSIUM ANTAGONIS.............................................................................. 14
14.3.4 ANGIOTENSIN II ANTAGONIS................................................................... 14
14.3.5 ANTIHIPERTENSI PULMONAL & LAIN – LAIN............................................ 15
14.4 GAGAL JANTUNG.................................................................................................. 15
14.5 ANTITROMBOTIK....................................................................................................... 15
14.6 TROMBOLITIK........................................................................................................ 15
14.7 ANTI PENYAKIT JANTUNG REMATIK...........................................................................15
14.8 VASODILATOR....................................................................................................... 15
15. OBAT UNTUK SYOK....................................................................................................... 16
16. ANTIHIPERLIPIDEMIA.................................................................................................... 16
17. OBAT TOPIKAL UNTUK KULIT.............................................................................................. 16
17.1 ANTIBAKTERI......................................................................................................... 16
17.2 ANTIINFEKSI DENGAN KORTIKOSTEROID.............................................................. 17
17.3 ANTIVIRUS................................................................................................................. 17
17.4 ANTIFUNGI............................................................................................................ 17
 17.5 ANTISKABIES.......................................................................................................... 17
17.6 ANTI INFLAMASI DAN ANTIPRURITIK.................................................................... 17
17.7 SEDIAAN ANTI JERAWAT....................................................................................... 18
17.8 EMOLLIENT DAN PELINDUNG KULIT..................................................................... 18
17.9 SEDIAAN TOPIKAL LAINNYA.................................................................................. 18
18. LARUTAN ELEKTROLIT DAN NUTRISI............................................................................. 18
18.1 LARUTAN ELEKTROLIT DAN NUTRISI ORAL........................................................... 18
18.2 LARUTAN ELEKTROLIT DAN NUTRISI PARENTERAL.............................................. 19
19. OBAT MATA.................................................................................................................. 21
19.1 PREPARATE MATA SISTEMIK................................................................................ 21
19.2 PREPARATE MATA TOPIKAL................................................................................. 21
19.2.1 ANESTESI LOKAL MATA............................................................................ 21
19.2.2 ANTIMIKROBA.......................................................................................... 21
19.2.3 ANTIMIROBA DENGAN KORTIKOSTEROID................................................ 21
19.2.4 ANTIINFLAMASI........................................................................................ 21
19.2.5 MIDRIATIK................................................................................................ 21
19.2.6 MIOTIK DAN ANTIGLAUKOMA................................................................. 22
19.2.7 PREPARAT MATA LAINNYA...................................................................... 22
20. OBAT TELINGA, HIDUNG DAN TENGGOROKAN............................................................ 22
20.1 PREPARATE OBAT HIDUNG.................................................................................. 22
20.2 PREPARATE OBAT TELINGA................................................................................. 23
20.3 PREPARAT FLEBITIS DAN FARISES....................................................................... 23
21. OKSITOSIK DAN RELAKSAN UTERUS............................................................................. 23
21.1 OKSITOSIK............................................................................................................ 23
21.2 RELAKSAN UTERUS.............................................................................................. 23
22. PSIKOFARMAKA............................................................................................................ 23
22.1 ANTIANSIETAS DAN ANTIINSOMNIA.................................................................... 23
22.2 HIPNOTIK DAN SEDATIV....................................................................................... 23
22.3 ANTI DEPRESAN DAN ANTI MANIA...................................................................... 23
22.4 ANTIPSIKOTIK....................................................................................................... 24
23. OBAT SALURAN CERNA................................................................................................. 24
23.1 ANTASIDA DAN ANTIULKUS................................................................................. 24
23.2 ANTIEMETIK......................................................................................................... 25
23.3 ANTIHEMOROID.................................................................................................. 25
23.4 ANTISPASMODIK................................................................................................. 26
23.5 OBAT DIARE........................................................................................................ 26
23.6 KATARTIK............................................................................................................. 26
23.7 GIT REGULATION,ANTIFLATULENT,ANTIINFLAMASI............................................ 26
23.8 HEPATOPROTEKTOR............................................................................................. 27
24. OBAT SALURAN PERNAFASAN...................................................................................... 27
24.1 ANTI ASMA........................................................................................................... 27
24.2 PPOK.................................................................................................................... 28
24.3 ANTITUSIF............................................................................................................. 28
24.4 EKSPEKTORAN...................................................................................................... 28
24.5 MUKOLITIK........................................................................................................... 28
24.6 SURFAKTAN.......................................................................................................... 29
24.7 OBAT BATUK, FLU KOMBINASI, DECONGESTAN.................................................. 29
25. VITAMIN DAN MINERAL................................................................................................ 29
26. OBAT PENYAKIT NEUROGENERATIF.............................................................................. 30
27. OBAT YANG MEMPENGARUHI TULANG........................................................................ 31
28. ANTINEOPLASTIK, IMUNOSUPRESAN DAN TERAPI PALIATIF........................................ 31
28.1 IMUNOSUPRESAN................................................................................................ 31
28.2 ANTIHORMON...................................................................................................... 31
28.3 SITOTOKSIK............................................................................................................... 31
28.4 GROWTH COLONY STIMULATING FACTOR (GCSF)............................................... 33
29. ANALGETIK NARKOTIKA................................................................................................ 33
30. PRODUK DARAH DAN PENGGANTI PLASMA................................................................. 33
30.1 EKSPANDER.......................................................................................................... 33
30.2 PRODUK DARAH (DO II)....................................................................................... 33
31. RELAKSAN OTOT PERIFER DAN PENGHAMBAT KOLINESTERASE.................................. 33
32. IMUNOGLOBULIN, SERUM............................................................................................ 34
32.1 IMUNOGLOBULIN................................................................................................. 34
32.2 SERUM.................................................................................................................. 34
33. NOOTROPIK DAN NEUROTONIK/NEUROTROPIK........................................................... 34
34. KONTRASEPSI................................................................................................................ 34
35. ANTELMINTIK................................................................................................................ 34
36. ANTIMALARIA..................................................................................................................... 34
37. OBAT UNTUK GIGI DAN MULUT......................................................................................... 34
38. UROLITIKUM....................................................................................................................... 34
38.1.1 Strobilanthes crispus leaf ext, sonchus arvensis leaf ext........................................34
38.1.2 Lain-lain.................................................................................................................. 34
39. SUPLEMEN DAN TERAPI PENUNJANG................................................................................35
39.1.1. Komposisi echinacea, phyllanthus niruri, zn picolinate............................................35
40. LAMPIRAN 1. FORM PENGUSULAN OBAT FORMULARIUM RS
41. LAMPIRAN 2. FORM PENGUSULAN OBAT DI LUAR FORMULARIUM RS/FORNAS