Formularium Obat Klinik Rawat Jalan Sampoerna Agro
Formularium Obat Klinik Rawat Jalan Sampoerna Agro
KELAS
TERAPI /
SEDIAAN /
NO SUB NAMA GENERIK NAMA DAGANG INDIKASI EFEK SAMPING INTERAKSI
KEKUATAN
KELAS
TERAPI
1 ANALGESIK, ANTI PIRETIK, ANTIINFLAMASI NON STEROID, ANTIPIRAI
1.1 ANALGESIK NON NARKOTIK
Captopril,
Nyeri ringan, nyeri kepala, Diare, grastitis, Ibuprofen
1 Asam Mefenamat Tab.500 mg Generik nyeri gigi, nyerti otot. konstipasi, nyeri perut
Dexamethasone,
Captopril,
Diclofenac,
Digoxin,
Methylprednisolon,
Prednison, Vit K,
Meloxicam, Asam
Pusing, mual, nyeri Mefenamat.
2 Ibuprofen Tab. 400 mg Generik Nyeri, demam. lambung
Syr 100 mg/5 ml Generik
Rheumatoid Arthritis,
Ostheoarthritis, Migran, Captopril
3 Natrium Diclofenac Tab 50 mg Generik Nyeri Akut. Edema,mual,pusing
Gel 20 Gram Megatic
Imatinib,
Carbamazepine,
4 Paracetamol Tab 500 mg Generik Nyeri demam Gangguan hati phenytoin.
Sir. 120 mg/ 5ml Generik
Supp 160 mg Propyletic
Drips 1 Gram / 100 ml Generik
Captopril, Dygoxin,
Glimepirider,
Ibuprofen, Asam
mefenamat, Methyl
Rheumatoid Arthritis, Prednisolone
5 Meloxicam Tab 7,5 mg Generik Ostheoarthritis Nyeri perut, mual, diare
Captopril, Dygoxin,
Glimepirider,
Ibuprofen, Asam
Gastrointestinal, mefenamat, Methyl
Rheumatoid Arthritis, Anorexia, mual, Prednisolone
6 Piroxicam Tab 20 mg Generik Ostheoarthritis konstipasi
Levofloxacine,
7 Antalgin Inj 500 mg / ml Metamidon Nyeri, demam Pusing, mual muntah Glibenclamide
Alprazolam,
Mengantuk, sakit kepala, Phenytoin,
8 Ketorolac Inj 30 mg / ml Generik Nyeri, radang pusing dan mual Carbamazepine
Kombinasi
Metamphiron, Meringankan rasa nyeri Chlorpromazine,
Thyamine hcl, Vit B1, yang berat yang Methotrexate,
Vit B6, Vit B1, disebabkan oleh Neurhitis Agranulositosis, ruam, Allopurinol
9 Trymethylxanthine Myxalgin dan Neuralgia. gatal serta nyeri perut
Kombinasi : Menthol,
Eguinol, Methyl Nyeri otot, nyeri sendi,
10 Salicylate Lespain Cream keseleo, pegal-pegal
1.2 ANTIPIRAI
Menurunkan kadar asam
urat yang berlebih pada Amoxicillin
1 Allopurinol Tab 300 mg Generik Gout Mual
2 ANASTETIK
ANASTETIK UMUM
2.1 & OKSIGEN
1 Lidocain Inj 2% Generik
ANASTETIK UMUM
2.2 & OKSIGEN
Ih,Oksigen dalam
1 Oksigen tabung
ANTI
ALERGI
DAN
OBAT
UNTUK
ANAFILA
3 KSIS
ANTIEPILEPSI - ANTIKONVULSI
DIAZEPAM ENEMA 5 mg / 2.5 ML
FENOBARBITAL TAB 30 mg
MAGNESIUM SULFAT INJ 40% (I.V.)
ANTIINFEKSI
PIRANTEL PAMOAT TAB 250 mg
PIRANTEL PAMOAT SUSP 125 mg / 5 ML
AMOKSISILIN TAB 500 mg
AMOKSISILIN DROPS 100 mg / ML
AMOKSISILIN SIR KERING 125 mg / 5 ML
DOKSISIKLIN KAPS 100 mg
TETRASIKLIN KAPS 500 mg
THIAMFENIKOL KAPS 500 mg
THIAMFENIKOL SUSP 125 mg / 5 ML
KOTRIMOKSAZOL (DEWASA) KOMBINASI TRIMETOPRIM 80 mg TAB 480 mg
KOTRIMOKSAZOL KOMBINASI TIAP 5 ML TRIMETOPRIM 40 mg SUSP 240 mg
ERITROMISIN TAB 500 mg
MAKROLID ERITROMISIN SIR KERING 200 mg / 5 ML
CLINDAMYSIN KAPS 150 mg
CLINDAMYSIN KAPS 300 mg
SPIRAMISIN TAB SAL SELAPUT 500 mg
SIPROFLOKSASIN TAB SAL SELAPUT 500 mg
METRONIDAZOL TAB 500 mg
METRONIDAZOL SUSP 125 mg / 5 ML
METRONIDAZOL INF 5 mg / ML
SEFTRIAKSON 1 GRAM INJEKSI
ASAM PIPEMIDAT KAPS 400 mg
GRISEOFULVIN TAB 125 mg
GRISEOFULVIN TAB 500 mg
KETOKONAZOL TAB 200 mg
NISTATIN SUSP 100,000 IU / ML
PIRIMETAMIN 25 mg
KUININ TAB 250 mg
PRIMAKUIN TAB 15 mg
ASIKLOVIR TAB 400 mg
GENTIAN VIOLET
EKSTRAK PLACENTA GEL+NEOMYCIN SULFAT
SEFOTAKSIM 1 GRAM INJEKSI
CEFIXIME DS 100 MG/5ML
CEFIXIME 100 MG
KLORAMFENICOL 250 MG TAB
CEFADROXIL 500 MG TABLET
LEVOFLOXACIN 500 MG TABLET
AZITHROMYCIN 500 MG
ANTIMIGREN DA NANGTIVERTIGO
PROPRANOLOL TAB 10 mg
ERGOTAMIN TAB 1 mg
FLUNARIZINE 10 MG
BETAHISTINE 6 MG
ANTIPARKINSON
TRIHEKSIFENIDIL TAB 2 mg
DIAGNOSTIK
FLUORESEIN TTS MATA 2,5 mg / ML
OBAT KARDIOVASKULER
ISOSORBID DINITRAT TAB 5 mg
DIGOKSIN TAB 0,25 mg
AMLODIPIN TAB 5 mg
AMLODIPIN TAB 10 mg
KAPTROPRIL TAB 12,5 mg
KAPTROPRIL TAB 25 mg
NIFEDIPIN TAB 10 mg
KANDESARTAN 8 MG
CLOPIDOGREL TAB 75 mg
GEMFIBROZIL 300 MG
SIMVASTATIN TAB SAL SELAPUT 20 mg
VALSARTAN 80 MG
OKSITOSIK
METILERGOMETRIN TAB SAL SELAPUT 0,125 mg
METILERGOMETRIN INJ 0,2 mg / ML
OKSITOSIN INJ 10 IU / ML
PSIKOFARMAKA
HALOPERIDOL TAB 5 mg
KLORPROMAZIN TAB SAL SELAPUT 100 mg
OBAT TAMBAHAN
ANTIHEMOROID SUPPOSITORIA
ANTIHEMOROID TABLET
HEPARIN SODIUM 200 IU/1 GR GEL 20 GR
CM03010001 AMP
CM03010002 AMP
CM03010003 AMP
CM03010004 TAB
CM03010005 TAB
CM03010006 TAB
CM03010007 BTL
CM03010008 VIAL
CM14040005 TAB
CM14040003 TAB
CM14040001 TAB
CM14040004 TAB
CM14040006 BTL
CM14040007 TAB
CM04010001 AMP
CM05010001 TUB
CM05010002 TAB
CM05010003 AMP
CM06010001 TAB
CM06010002 BTL
CM06020001 TAB
CM06020002 BTL
CM06020003 BTL
CM06020004 KAPSUL
CM06020005 KAPSUL
CM06020006 KAPSUL
CM06020007 BTL
CM06020008 TAB
CM06020009 BTL
CM06020010 TAB
CM06020011 BTL
CM06020012 KAPSUL
CM06020013 KAPSUL
CM06020014 TAB
CM06020015 TAB
CM06020016 TAB
CM06020017 BTL
CM06020018 BTL
CM06020019 VIAL
CM06030001 KAPSUL
CM06040001 TAB
CM06040002 TAB
CM06040003 TAB
CM06040004 BTL
CM06050001 KAPSUL
CM06050002 TAB
CM06050003 TAB
CM06060001 TAB
CM06070001 BTL
CM06080001 TUB
CM06090001 VIAL
CM06020022 BTL
CM06020025 TAB
CM06020024 TAB
CM06020020 TAB
CM06020021 TAB
CM06020023 TAB
CM07010001 TAB
CM07010002 TAB
CM23020004 TAB
CM07010004 TAB
CM08010001 TAB
CM09010001 TAB
CM09010002 TAB
CM09010003 AMP
CM09020001 AMP
CM09020002 AMP
CM09010005 TAB
CM01010022
TAB
CM10010001 BTL
CM11010001 LTR
CM11010002 LTR
CM11010003 BTL
CM11010004 BTL
CM12010001 AMP
CM12010002 BTL
CM12010003 BTL
CM13010001 TAB
CM13010002 AMP
CM13010003 TAB
CM14010001 TAB
CM14010002 TAB
CM14010003 TAB
CM14010004 TAB
CM14020001 TAB
CM14030001 TAB
CM14050001 VIAL
CM14060001 VIAL
CM14040008 KP
CM15010001 TAB
CM15020001 TAB
CM15030001 TAB
CM15030002 TAB
CM15030003 TAB
CM15030004 TAB
CM15030005 TAB
CM15030006 TAB
CM15040001 TAB
CM15030008 CAP
CM15050001 TAB
CM15030007 TAB
CM18010001 LBR
CM18010002 TUB
CM18010003 TUB
CM18010004 TUB
CM18010005 TUB
CM18020001 TUB
CM18020002 TUB
CM18020003 TAB
CM18030001 TUB
CM18030002 TUB
CM18030003 TUB
CM18040001 TUB
CM18050001 BTL
CM18050002 BTL
CM18020004 TUB
CM18010006 TUB
CM19010001 BTL
CM20010001 BTL
CM20020001 BTL
CM20020002 TUB
CM20020003 BTL
CM20030001 BTL
CM20030002 BTL
CM20040001 TUB
CM20030003 FLS
CM20020004 FLS
CM20020005 FLS
CM21010001 TAB
CM21010002 AMP
CM21010003 AMP
CM22010001 TAB
CM22010002 TAB
CM23010001 TAB
CM23010002 BTL
CM23010003 KAPSUL
CM23010004 VIAL
CM23010005 BTL
CM23010006 TAB
CM23010007 BTL
CM23010008 TAB
CM23020001 TAB
CM23020002 TAB
CM23020003 BTL
CM23030001 AMP
CM23040001 AMP
CM23040002 TAB
CM23050001 TAB
CM23060001 TAB
CM23060002 SUP
CM23070001 BTL
CM23070002 BTL
CM23010010 AMP
CM23070004 CAP
CM23010009 TAB
CM23070003 TAB
CM23070005 TAB
CM24010001 AMP
CM24010002 BTL
CM24010003 VIAL
CM24010004 BTL
CM24010005 TAB
CM24010006 VIAL
CM24050007 TAB
CM24020001 KAPSUL
CM24030001 TAB
CM24040001 BTL
CM24050001 BTL
CM24050002 TAB
CM24010007 BTL
CM24010008 TAB
CM24050008 BTL
CM24050009 CAP
CM24050003 TAB
CM24050004 BTL
CM24050005 BTL
CM24010009 TAB
CM24040002 BTL
CM24040003 BTL
CM25010001 VIAL
CM25010002 VIAL
CM25010003 VIAL
CM26010001 BTL
CM26010002 BTL
CM26010003 BTL
CM26010005
FLS
CM27010001 TAB
CM27010002 TAB
CM27010003 TAB
CM27010004 TAB
CM27010005 BTL
CM27020001 AMP
CM09010006 TAB
CM28010001 TAB
CM23030002 SUPOS
CM23030003 CAP
CM09010004 TUB
CM29010001 PCS
CM29010002 PCS
CM29010003 PCS
CM29010004 PCS
CM29020001 PCS
CM29020002 PCS
CM29030001 PCS
CM29030002 PCS
CM29030003 PCS
CM29030004 PCS
CM29040001 PCS
CM29040002 PCS
CM29050001 PCS
CM29060001 ROLL
CM29070001 LTR
CM29070002 LTR
CM29080001 ROLL
CM29080002 ROLL
CM29090001 KTK
CM29100001 PCS
CM29110001 PCS
CM29110002 PCS
CM29120001 PCS
CM29130001 PCS
CM29140001 ROLL
CM29140002 ROLL
CM29150001 PCS
CM29160001 PCS
CM29160002 PCS
CM29170001 LBR
CM29180001 PCS
CM29180002 PCS
CM29190001 PCS
CM29200001 PCS
CM29200002 PCS
CM29200003 PCS
CM29200004 PCS
CM29200005 LBR
CM29210001 PCS
CM29220001 PCS
CM29230001 PCS
CM29240001 PCS
CM29250001 BTL
CM29250002 BTL
CM29250003 BTL
CM29260001 PCS
CM29270001 PCS
CM29280001 PCS
CM29290001 LBR
CM29300001 ROLL
CM29310001 LBR
CM29320001 PCS
CM29330001 PCS
CM29340001 BTL
CM29350001 BTL
CM29360001 BTL
CM29360002 BTL
CM29360003 BTL
CM29360004 BTL
CM29360005 BTL
CM29360006 BTL
CM29360007 BTL
CM29370008 BTL
CM30010001 PCS
CM30010002 PCS
CM30020001 SET
CM30030001 PCS
CM30040001 PCS
CM30040002 PCS
CM30050001 PCS
CM30060001 PCS
CM30070001 PCS
CM30070002 PCS
CM30080001 PCS
CM30080002 PCS
CM30090001 PCS
CM30100001 SET
CM30110001 PCS
CM30120001 PCS
CM30130001 PCS
CM30140001 PCS
CM30150001 PCS
CM30160001 PCS
CM30170001 PCS
CM30170002 PCS
CM30170003 LBR
CM30180001 PCS
CM30190001 LBR
CM30190002 LBR
CM30200001 UNIT
CM30200002 UNIT
CM30210001 PCS
CM30210002 PCS
CM30220001 PCS
CM30220002 PCS
CM30230001 UNIT
CM30240001 SET
CM30250001 UNIT
CM30260001 PCS
CM30260002 PCS
CM30270001 UNIT
CM30280001 PCS
CM30280002 PCS
CM30290001 PCS
CM30300001 PCS
CM30310001 PCS
CM30320001 PCS
CM30330001 PCS
CM30340001 PCS
CM30350001 UNIT
CM30360001 UNIT
CM30360002 UNIT
CM30370001 PCS
CM30380001 UNIT
CM30390001 PCS
CM29200007 PCS
CM29200006 PCS
CM29200009 PCS
CM29210002 PCS
CM29220002 PCS
CM29220003 PCS
CM29210003 PCS
CM30010003 PCS
CM30200003 PCS
CD65010002 PCS
CD65010016 PCS
CM29220004 BOX