Lampiran 4.

Kajian Obat Off-label Indikasi

Data Aktual
No.
RM

Nama Obat

Zat Aktif Obat

Ondansetron

Ondansetron

Kalmetason

Dexamethason
phosphat

Ventolin

Salbutamol
sulfat

Pamol

Paracetamol

Luminal
0202
1422

L-bio

0202

L-bio

Fenobarbital
Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.
Lactobacillus

Dosis/
Kekuatan
Sediaan
1x1ml
(4mg/2m
l)
3x 0,5cc
(5mg/ml)
2x1
spray
(2,5 mg)
3x 1/3tab
(500 mg)
3x15 mg
(30 mg)

Kajian
kesesuaia
n dosis

Kajian Off-label Drug

Bentuk
Sediaan

Signa

Injeksi

Informasi
Pasien
Usia
BB

Indikasi

Dosis

Usia

Cara
pemberian

KI

Mualmuntah
biasa

Subdose

Injeksi

Overdose

Nebulize
r

Sesuai

Puyer

Subdose

Subdose

Sesuai

Sesuai

3 th

1x1
sachet

Sachet

1x1

Sachet

2 th

18
kg

13,5

Diagnosa

Obs.
Febris
dengan
diare
akut

GEA

Keluha
n Pasien

Diare
3x,
demam,
mual,
muntah
sesak
nafas

Diare,

Penulis
Resep

Sp.A

Sp. A

acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.

2162

0202
1130

Vometa

Domperidon

Orezinc

Zn sulphate
monohydrate

Pamol

Paracetamol

Ondansetron

Ondansetron

L- Bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus

sachet

demam,
BAB
cair,
muntah

kg
3x1/2 cth
(1mg/ml)
1x1 cth
(20mg/5
ml)
3x1 cth
(120mg/
5ml)
1x1ml
(4mg/2m
l)
2x1
sachet

Sirup

Subdose

Sirup

Sesuai

Sirup

Subdose

Injeksi

Sesuai

Sachet

Sesuai

1 th
4 bln

9,5
kg

GEA

Diare,
demam,
muntah

Sp. A

Mualmuntah
biasa
-

lactis.
Orezinc

Zn sulphate
monohydrate

Narfoz

Ondansetron

L-bio
0066
3210

Kalmetason

0202
0270

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.
Dexamethason
phosphat

Ondansetron

Ondansetron

Codein

Kodein

Naprex

Paracetamol

Pamol

Paracetamol

Ranitidin

Ranitidin

Ondansetron

Ondansetron

1x1 cth
(20mg/5
ml)
1x1 mg
(4mg/2m
l)

1x1
sachet

Sirup

Sesuai

Injeksi

Mualmuntah
biasa

Subdose

Sachet

Sesuai

5 th
9 bln

2x 0,5 cc
(5mg/ml)
1x 2 mg
(4mg/2m
l)
2x 1/2tab
(15 mg)
4x 1
cth
(120mg/
5ml)
3x375
mg
(500mg)
2x1/2tab
(150 mg)
2x1ml

18
kg

Demam
Thypoid

Panas,
mual
muntah,
diare

Sp. A

Injeksi

Overdose

Injeksi

Mualmuntah
biasa

Subdose

Tablet

< 18 th

Sesuai

Sirup

Subdose

Tablet

10

Sesuai

Tablet

10

Sesuai

Injeksi

Mual-

Subdose

9th

35
kg

DHF
(Dengue
haemorra
ghic
Fever)

Demam
,
muntah,
batukbatuk

Sp. A

0202
2390

0080
9191

Dexamethas
on

Dexamethason

Luminal

Fenobarbital

Naprex

Paracetamol

Cefixime

Cefixime

Narfoz

Ondansetron

Rantin

Ranitidine HCl

Kalmetason

Dexamethason
phosphat

Paracetamol

Paracetamol

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.

(4mg/2m
l)
2x 0,5
mg
(5mg/5m
l)
3x15 mg
(30 mg)
4x1 cth
(250mg/
5 ml)
2x30 mg
(200mg)
3x2 mg
(4mg/2m
l)
2x1 ml
(50mg/2
ml)
2x 0,5cc
(5mg/ml)
4x1 cth
(120mg/
5ml)
1x1
sachet

muntah
biasa
Injeksi

Subdose

Tablet

10

Subdose

Sirup

Subdose

Puyer

Subdose

Mualmuntah
biasa

Overdose

4 th

30
kg

Demam
Dengue

Demam
, rewel,
mual

Sp. A

Injeksi

Injeksi

Sesuai

Injeksi

Sesuai

Sirup

Sesuai

Sachet

Sesuai

1 th

12,5
kg

GI akut

Demam
, mual
muntah,
diare

Sp. A

0106
5861

0081
0070

Ondansetron

Ondansetron

Dexamethas
on

Dexamethason

Pamol

Paracetamol

Meptin

Procaterol HCl

Ventolin

Salbutamol
sulfat

Ondansetron

Ondansetron

Domperidon

Domperidon

Pamol

Paracetamol

L-bio

Dumin

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.
Paracetamol

1x1 mg
(4mg/2m
l)
2x 0,3 cc
(5mg/5m
l)
3x1/2 tab
(500mg)
2x1 cth
(25mcg/5
ml)
2x1
sehari
(2,5 mg)
3x1 mg
(4mg/2m
l)
3x1/2 cth
(1mg/ml)
4x 3/4cth
(120mg/
5ml)

1x1
sachet

1x1
suppo

Injeksi

Mualmuntah
biasa

Subdose

Injeksi

Overdose

Tablet

10

Sesuai

Sirup

Sesuai

Sesuai

Mualmuntah
biasa

Sesuai

Subdose

Subdose

4 th

20
kg

Bronkitis

Panas,
batuk,
pilek,
muntah

Sp. A

Nebulize
r

injeksi

Sirup

Sirup

Sachet

Sesuai

Suppo

Sesuai

1 th
5 bln

11
kg

Febris
dengan
GEA

Panas,
batuk,
pilek,
mual
muntah

Sp. A

0195
7780

0102
1820

Ondansetron

Ondansetron

Pamol

Paracetamol

Dexamethas
on

Dexamethason

Ondansetron

Ondansetron

Cefotaxime

Cefotaxim

Pamol

Paracetamol

Ondansetron

Ondansetron

Rantin

Ranitidine HCl

0202
1080

L-bio

Bactricid

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.
Cotrimoxazol

125 mg
2x1 mg
(4mg/2m
l)
3x1 tab
(500 mg)
3x0,5 mg
(0,75mg)
3x1 mg
(4mg/2m
l)
2x500mg
(500mg)
3x1/3 tab
(500mg)
2x1ml
(4mg/2m
l)
2x1ml
(50mg/2
ml)

Injeksi

Mualmuntah
biasa

Overdose

Puyer

10

Overdose

Sesuai

Mualmuntah
biasa

Sesuai

4 th
8 bln

2x1 cth
(240mg/
5ml)

Febris,
Gastritis

Panas,
batuk,
muntah

Sp. A

Injeksi

Injeksi

Subdose

Tablet

10

Sesuai

Injeksi

Mualmuntah
biasa

Subdose

Injeksi

Overdose

3 th
7 bln

2 th
1 bln

1x1
sachet

20
kg

15
kg

10
kg

Vomitus,
dehidrasi

GEA

Demam
, pilek,
muntah

Diare,
muntah

Sp. A

Sp. A

Sachet

Sesuai

Sirup

Sesuai

Interlac

Lactobacillus
reuteri

Ondansetron

Ondansetron

Zirkum kid

Zn sulphate

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.

0110
3522

0199
5522

Paracetamol

Paracetamol

Rantin

Ranitidine HCl

Narfoz

Ondansetron

Bactricid

Cotrimoxazol

L-bio

Lactobacillus
acidophilus,

1x5 tetes
(109CFU
/5 tetes)
2x1ml
(4mg/2m
l)
1x1 cth
(20mg/5
ml)

1x1
sachet

Obat
tetes oral

Sesuai

Injeksi

Mualmuntah
biasa

Overdose

Sirup

Sesuai

Sachet

10

Sesuai

2 th

3x1 cth
(120mg/
5ml)
2x1 ml
(50mg/2
ml)
2x1,5 mg
(4mg/2m
l)
2x5 cc
(240mg/
5ml)
1x1
sachet

11
kg

GEA

Diare,
muntab
er

Sp. A

Sirup

Subdose

Injeksi

Overdose

Injeksi

Mualmuntah
biasa

Overdose

Sesuai

Sesuai

2 th
Sirup

Sachet

11
kg

Faringiti
s akut
bakterial

Batuk,
pilek,
nafas
pakai

Sp. A

Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.
Ondansetron

Ondansetron

Vosedon

Domperidon

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.

0202
0770

Sanmol

Paracetamol

Narfoz

Ondansetron

mulut,
mual

2x1mg
(4mg/2m
l)
3x1/2 cth
(1mg/ml)

1x1
sachet

Injeksi

Mualmuntah
biasa

Overdose

Sirup

Subdose

Sachet

Sesuai

1 th

3x1 cth
(120mg/
5ml)
2x1 mg
(4mg/2m
l)

11
kg

GEA

Muntah,
mual

Sp. A

Sirup

Sesuai

Injeksi

Mualmuntah
biasa

Overdose

Paracetamol

Paracetamol

3x1/5 tab
150 mg

Puyer

Subdose

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.

1x1
sachet

Sachet

Sesuai

0107
8460

0081
0140

L-zinc

Zinc sulphate

Vometa

Domperidon

Narfoz

Ondansetron

Pamol

Paracetamol

Luminal

Fenobarbital

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu

1 th

1x2 cth
(10mg/5
ml)
3x1/2 cth
(1mg/ml)
3x1 mg
(4mg/2m
l)
3x1/5 tab
(500mg)
3x10 mg
(30 mg)
1x1
sachet

10
kg

Diare
akut

Muntab
er,
demam

Sp. A

Sirup

Sesuai

Sirup

Subdose

Injeksi

Mualmuntah
biasa

Overdose

Puyer

10

Sesuai

Subdose

Sesuai

Sachet

9 bln

7 kg

Diare
akut dan
ISPA

Demam
, batuk,
flu,
diare,
sesak,
mual

Sp. A

m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.
Ondansetron

Ondansetron

Cefixime

Cefixime

Cefotaxime

Cefotaxim

Ventolin

Salbutamol
sulfat

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.

0080
9252

0080

Pamol

Paracetamol

Mercotin

Noscapine

Ondansetron

Ondansetron

Praxoin

Paracetamol

3x1/2 cth
(5mg/5m
l)
2x30mg
(200mg)
3x250mg
(500mg)
1x1
spray
(2,5 mg)

1x1
sachet

Sirup

Mualmuntah
biasa

Overdose

Puyer

10

Overdose

Injeksi

Sesuai

Nebulize
r

Sesuai

Sachet

10

Sesuai

1 th
10
bln
3x1/4 tab
(500mg)
2x1 tetes
(10mg/m
l)
2x1mg
(4mg/2m
l)
3x1,5 cth

13
kg

Diare
akut

Diare,
muntah,
lemas,
batuk,
pilek,
demam

Sp. A

Puyer

Sesuai

Obat
tetes oral

Subdose

Injeksi

Sesuai

Sirup

Overdosis

2 th

17

Diare

Demam

Sp. A

Mualmuntah
biasa
-

micronized
Valisanbe

Diazepam

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.

9252

0110
2612

Ondansetron

Ondansetron

Ventolin

Salbutamol
sulfat

Pamol

Paracetamol

Luminal

Fenobarbital

Tempra

Paracetamol

Cefixime

Cefixime

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,

(250mg/
5ml)
3x1,5 mg
(2 mg)

1x1
sachet

2x1mg
(4mg/2m
l)
1x1
spray
(2,5 mg)
3x1/6 tab
(500 mg)
3x10 mg
(30 mg)
4x0,7cc
(80mg/0,
8)
1x1 cth
(100mg/
5ml)
1x1
sachet

Puyer

10

Sachet

L-bio
kg

akut,
ISPA

, mualmuntah,
batuk,
pilek

Subdose

Sesuai

Subdose

Injeksi

Mualmuntah
biasa

Nebulize
r

Sesuai

Puyer

Sesuai

Subdose

10
bln

7 kg

Diare
disentri

Muntah,
demam,
diare

Sp. A

Obat
tetes oral

Sesuai

Sirup

Overdose

Sachet

L-bio

Sesuai

Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.
Narfoz

Ondansetron

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.

Vometa

Domperidon

Ataroc

Procaterol HCl

Erysanbe

Erithromycin

Ondansetron

Ondansetron

0200
5692

2x1 mg
(4mg/2m
l)

Injeksi

1
2 th

1x1
sachet

3x1/2 cth
(1mg/ml)
2x2 ml
(5mcg/m
l)
2x1/2 cth
(200mg/
5ml)
2x1 mg
(4mg/2m

12,5
kg

Diare
akut

Panas,
diare,
muntah,
batuk
pilek

Mualmuntah
biasa

Overdose

Sp. A

Sachet

Sesuai

Sirup

Subdose

Sirup

Subdose

Sirup
kering

Subdose

Injeksi

Mualmuntah

Overdose

l)

L-bio
0202
2412

Orezinc

0040
8552

0202
1740

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.
Zn sulphate
monohydrate

Narfoz

Ondansetron

Pamol

Paracetamol

Vometa

Domperidon

Ondansetron

Ondansetron

Ventolin

Salbutamol
sulfat

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,

1x1
sachet

biasa

Sachet

10

Sesuai

Sesuai

Injeksi

Mualmuntah
biasa

Overdose

Puyer

10

Sesuai

Sirup

Subdose

Injeksi

Mualmuntah
biasa

Overdose

Nebulize
r

Sesuai

Sachet

10

Sesuai

1 th

1x1 cth
(20mg/5
ml)
2x1 mg
(4mg/2m
l)
3x 1/4tab
(500 mg)
3x1/2 cth
(1mg/ml)
2x1 mg
(4mg/2m
l)
2x1
spray
(2,5 mg)
1x1
sachet

Sirup

3 th

1 th

10
kg

12
kg

16
kg

Diare
akut

DBD

Diare
akut dan
bronkitis

Demam
,batuk
pilek,
diare,
muntah

Muntah,
sesak,
batuk,
pilek,
demam

Sp. A

Sp. A

Sp. A
Diare,
batuk,
pilek,
demam,

Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.

0200
0890

Zirkum kid

Zn sulphate

1x1 cth
(20mg/5
ml)

Salbutamol

Salbutamol
sulfat

3x1/3 tab
(2 mg)

Ondansetron

Ondansetron

Ventolin

Salbutamol
sulfat

Meptin

Procaterol HCl

Rhinos
junior

Pseudoephedri
ne HCl,
chlorpheniram
ine maleate

Tempra

Paracetamol

Dumin

Paracetamol

Narfoz

Ondansetron

Kalmetason

Dexamethason
phosphat

3x1 mg
(4mg/2m
l)
1x1
spray
(2,5 mg)
2x1/2 cth
(25mcg/5
ml)
2x1 cth
(15mg/m
l)
4x1 cth
(160mg/
5ml)
1x125
mg
2x1 mg
(4mg/2m
l)
3x0,3 cc
(5mg/ml)

Sirup

muntah,
sesak
nafas

Sesuai

Puyer

Pemberian
tablet
puyer
<2th

Injeksi

Mualmuntah
biasa

Overdose

Nebulize
r

Sesuai

Sirup

Overdose

3th

14
kg

Bronkitis

Panas,
muntah,
batuk,
pilek

Sp. A

Sirup

Pseudo
ephedr
in HCl
(< 6th)

Sirup

Sesuai

Suppo

Subdose

Injeksi

Sesuai

Injeksi

Sesuai

Mualmuntah
biasa
-

Ventolin

Salbutamol
sulfat

2x1
spray
(2,5 mg)

Nebulize
r

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.

1x1
sachet

Sachet

10

0201
4922

0110
8212

Narfoz

Ondansetron

Pamol

Paracetamol

L-bio

Ranitidine

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.
Ranitidine

3x1/3 cth
(5mg/5m
l)
3x1/5 tab
(500 mg)

1 th
2bln

10
kg

GEA,
disentri

Demam
, batuk,
diare 3
hari,
mual
muntah

Sesuai

Sesuai

Mualmuntah
biasa

Sesuai

Sp. A

Sirup

Puyer

10

1x1
sachet

Sachet

10

Sesuai

2x1 ml

Injeksi

Overdose

9 bln

8 kg

GEA

Demam
, mual,
muntah,
BAB
cair

Sp. A

0202
3302

0202
2882

0200
4722

Ondansetron

Ondansetron

Pamol

Paracetamol

Profilas

Ketotifen

Pronicy

Siproheptadin

Ondansetron

Ondansetron

Paracetamol

Paracetamol

Luminal

Fenobarbital

Kalmetason

Dexamethason
phosphat

Ondansetron

Ondansetron

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.

(50mg/2
ml)
2x1mg
(4mg/2m
l)
3x1/3 tab
(500 mg)
1x1/4 tab
1 mg
1x1/8 tab
4 mg
2x1 mg
(4mg/2m
l)
3x125
mg (500
mg)
3x15 mg
(30 mg)
3x0,5 cc
(5mg/ml)
2x1 mg
(4mg/2m
l)
1x1
sachet

Injeksi

Mualmuntah
biasa

Overdose

Puyer

10

Sesuai

Puyer

10

Overdose

Subdose

3 th
5 bln

16
kg

Demam
dengue

Demam
,
muntah,
pilek,
pusing

Sp. A

Injeksi

Mualmuntah
biasa

Subdose

Puyer

10

Sesuai

Subdose

Overdose

Overdose

Sesuai

2 th
Injeksi

Injeksi

Sachet

11

2 th
6 bln

11
kg

13
kg

Demam
dengue

GEA

Panas,
mual,
muncul
bintik
dikaki

BAB
cair,
mual,
muntah

Sp. A

Sp. A

Mualmuntah
biasa
-

Paracetamol

Paracetamol

Ondansetron

Ondansetron

Pamol

Paracetamol

Interlac

Lactobacillus
reuteri

Promuba

Metronidazole

0202
2992

0110
5972

Zinc pro

Zinc

Ondansetron

Ondansetron

Rantin

Ranitidine HCl

Yekaprim

Cotrimoxazol

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,

3x1/3 tab
(500 mg)
2x1 mg
(4mg/2m
l)
4x1 cth
(120mg/
5ml)
1x 5 tetes
(109CFU
/5 tetes)
3x1 cth
(125mg/
5ml)
2x1/2 cth
(20mg/5
ml)
2x1mg
(4mg/2m
l)
2x1ml
(50mg/2
ml)
2x1cth
(240mg/
5ml)
1x1
sachet

Puyer

Sesuai

Injeksi

Mualmuntah
biasa

Overdose

Sirup

Sesuai

Obat
tetes oral

Sesuai

Sirup

Subdose

Sesuai

1 th
10
bln

12
kg

Diare
disentri

Demam
, diare,
mual

Sp. A

Sirup

Injeksi

Mualmuntah
biasa

Overdose

Injeksi

Overdose

Sesuai

Sesuai

Sirup

Sachet

10

1 th
11
bln

11,5
kg

GEA,
dehidrasi

Panas,
batuk,
pilek,
susah
makan,
mual

Sp. A

Lactococcus
lactis.
Pamol

0103
9351

0201
4131

Paracetamol

Valisanbe

Diazepam

Ondansetron

Ondansetron

Pamol

Paracetamol

Inpepsa

Sukralfat

Naprex

Paracetamol

Kalmetason

Dexamethason
phosphat

Dumin

Paracetamol

Ondanstron

Ondansetron

Zirkum kid

Zinc sulphate

Paracetamol

Paracetamol

Profilas

Ketotifen

Pronicy

Siproheptadin

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,

3x125
mg (500
mg)
3x1,5 mg
(2 mg)
2x1 mg
(4mg/2m
l)
3x1/3 tab
(500 mg)
3x1 cth
(500mg/
5ml)
3x1 cth
(250mg/
5ml)
3x0,3 cc
(5mg/ml)
1x125
mg
2x2 mg
(4mg/2m
l)
1x1 cth
(20mg/5
ml)
3x1/5 tab
(500 mg)
1x1/4 tab
1 mg
1x1/8 tab
4 mg
1x1
sachet

Puyer

Sesuai

Subdose

Injeksi

Mualmuntah
biasa

Overdose

Puyer

10

Subdose

Sirup

< 15th

Sirup

Sesuai

Sesuai

3 th

18
kg

Demam
dengue

Panas,
tidak
mau
makan,
mual

Sp. A

Injeksi

Suppo

Subdose

Injeksi

Mualmuntah
biasa

Overdose

Sesuai

Sesuai

Sesuai

Subdose

Sesuai

2 th
Sirup

Puyer

10

Puyer

10

Sachet

9,5
kg

Diare
berulang

Demam
, batuk,
pilek,
muntah

Sp. A

Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.

0081
0210

0202
3190

Interlac

Lactobacillus
reuteri

Kalmetason

Dexamethason
phosphat

Ondansetron

Ondansetron

Mikasin

Amikasin

Pamol

Paracetamol

Zirkum kid

Zn sulphate

Mikasin

Amikasin

Ondansetron

Ondansetron

Dumin

Paracetamol

Paracetamol

Paracetamol

Ondansetron

Ondansetron

1x5 tetes
(109CFU
/5 tetes)
3x0,3 cc
(5mg/ml)
2x1 mg
(4mg/2m
l)
2x125mg
(250mg/
2ml)
4x1/4 tab
(500 mg)
1x1 cth
(20mg/5
ml)
1x125mg
(250mg/
2ml)
2x1 mg
(4mg/2m
l)
1x125
mg
3x1/6 tab
(500 mg)
2x1 mg
(4mg/2m

Obat
tetes oral

Sesuai

Injeksi

Overdose

Injeksi

Mualmuntah
biasa

Overdose

Injeksi

Subdose

Puyer

Overdose

Sirup

Sesuai

Sesuai

10
bln

Diare
sejak 4
hari,
muntah

Injeksi

Injeksi

Mualmuntah
biasa

Overdose

Injeksi

Overdose

Puyer

10

Sesuai

Injeksi

Mual
muntah

10
bln

8 kg

Diare
akut

7,5
kg

Bronchiti
s

Demam
,muntah
, BAB

Sp. A

Sp.A

0108
5992

Kalmetason

Dexamethason
phosphat

Ventolin

Salbutamol
sulfat

Ondansetron

Ondansetron

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.

0198
4092

0110
5471

0110

Paracetamol

Paracetamol

Narfoz

Ondansetron

Tempra

Paracetamol

Ceftriaxone

Ceftriaxone

Narfoz

Ondansetron

Pamol

Paracetamol

l)
3x0,3 cc
(5mg/ml)
2x1
spray
(2,5 mg)
2x1 mg
(4mg/2m
l)

biasa
Injeksi

Nebulize
r

Injeksi

1x1
sachet

Sachet

10

Overdose

Sesuai

Mualmuntah
biasa

Sesuai

Sesuai

lembek

11
bln

3 th
6 bln

3x150
mg (500
mg)
2x1 mg
(4mg/2m
l)
4x1 cth
(160mg/
5ml)
2x500
mg (1g)
2x1
(4mg/2m
l)
3x125

8,8
kg

13
kg

Infeksi
virus

GEA

Demam
, mual

Muntah,
demam,
diare

Sp. A

Sp. A

Puyer

10

Sesuai

Injeksi

Mualmuntah
biasa

Overdose

Sirup

Sesuai

Injeksi

Sesuai

Subdose

Subdose

Injeksi

Puyer

10

3 th

1 th

15
kg

13

ISK

Infeksi

Demam
,
muntah,
perut
sakit

Sp. A

Muntah,

Sp. A

Mualmuntah
biasa
-

7880

0040
8690

0199
8660

0110
6072

Luminal

Fenobarbital

Ondansetron

Ondansetron

Paracetamol

Paracetamol

Ondansetron

Ondansetron

Kalmetason

Dexamethason
phosphat

Pamol

Paracetamol

Luminal

Fenobarbital

Comtusi

Oxomemazine,
guaifenesin

Tempra

Paracetamol

Dumin

Paracetamol

Ondansetron

Ondansetron

Kalmetason

Dexamethason
phosphat

Rantin

Ranitidine HCl

Pamol

Paracetamol

Luminal

Fenobarbital

mg (500
mg)
3x15 mg
(30 mg)
2x1 mg
(4mg/2m
l)
3x1/3 tab
(500 mg)
2x1 mg
(4mg/2m
l)
2x0,3 cc
(5mg/ml)
3x1/4 tab
(500 mg)
3x10 mg
(30 mg)
2x1/2 cth
3x1 cth
(160mg/
5ml)
1x125
mg (125
mg)
1x1 mg
(4mg/2m
l)
3x0,5 cc
(5mg/ml)
1x1ml
(50mg/2
ml)
3x1/5 tab
(500 mg)
3x10 mg

9 bln
Injeksi

Puyer

10

Injeksi

Injeksi

Puyer

10

Sirup

Sirup

3 th

1 th
11
bln

kg

15
kg

11
kg

virus

Demam
dengue

Demam
dengue,
ISPA

tidak
bisa
BAB,
demam

Demam
, mual,
muntah

Demam
,
muntah,
BAK
banyak,
sesak

Sp. A

Subdose

Mualmuntah
biasa

Overdose

Sesuai

Subdose

Mualmuntah
biasa
-

Sesuai

Sesuai

Subdose

Guaife
nesin
(< 6th)

Sesuai

Sesuai

Sp. A

Suppo

Injeksi

Mualmuntah
biasa

Subdose

Injeksi

Overdose

Injeksi

Overdose

Puyer

10

Sesuai

Subdose

1 th
6 bln

9,5
kg

GEA

Mual,
muntah,

Sp. A

0202
3732

Ataroc

Procaterol HCl

Tempra

Paracetamol

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.

Combantrin

Pirantel
pamoat

Narfoz

Ondansetron

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,

(30 mg)
2x1/2 cth
(5mcg/m
l)
4x1 cc
(80mg/0,
8ml)

1x1
sachet

1x 4cc
(25mg/m
l)
2x1 mg
(4mg/2m
l)
1x1
sachet

Sirup

Subdose

Obat
tetes oral

Sesuai

Sachet

Sesuai

Sirup

Subdose

Injeksi

Overdose

Sachet

10

Sesuai

batuk,
pilek,
sakit
perut

3 th
11
bln

13,5
kg

Diare
disentri

Muntah,
diare,
demam,
sakit
perut

Sp. A

Mualmuntah
biasa
-

Bifidobacteriu
m longum,
Lactococcus
lactis.
Yekaprim

Cotrimoxazol

Tempra

Paracetamol

Ondansetron

Ondansetron

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.

0202
4672

0200
1042

Narfoz

Ondansetron

Paracetamol

Paracetamol

Tempra

Paracetamol

L-bio

Lactobacillus
acidophilus,

3x1 cth
(240mg/
5ml)
4x1 cth
(160mg/
5ml)
2x1 mg
(4mg/2m
l)

1x1
sachet

2x1 mg
(4mg/2m
l)
3x1/3 tab
(500 mg)
3x1 cth
(160mg/
5ml)
1x1
sachet

Sirup

Sesuai

Sirup

Sesuai

Injeksi

Mualmuntah
biasa

Sesuai

Sachet

10

Sesuai

Mualmuntah
biasa

Overdose

Subdose

Subdose

Sesuai

1 th
5 bln

Injeksi

Puyer

10

Sirup

Sachet

10

2 th
3 bln

10,6
kg

17
kg

Diare
akut

GEA dan
dehidrasi

Muntah,
batuk,
diare

Diare,
panas,
mual,
batuk

Sp. A

Sp. A

Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.
Yekaprim

Cotrimoxazol

Renalit

Natrium,
kalium,glukos
a,klorida, sitrat

Narfoz
0106
1222

L bio

Narfoz

Ondansetron
Rice starch,
maltodextrin,
Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis
Ondansetron

2x1 tab
(480 mg)
Sukasuka
anak
(200 ml)
2x1 mg
(4mg/2m
l)

Puyer

10

Overdose

Sirup

Sesuai

Mualmuntah
biasa

Subdose

Injeksi

3 th
3 bln

2x1
sachet

2x1 cth
(5mg/5m

13,5
kg

GEA

Demam
, mual,
muntah,
diare

Sp. A

Sachet

10

Sesuai

Sirup

Mualmuntah

Pemberian
secara oral

Paracetamol

Paracetamol

Orezinc

Zn sulphate
monohydrate

Mikasin

Amikasin

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.

0108
5630

0111
1260

Bactricid

Cotrimoxazol

Pamol

Paracetamol

Ondansetron

Ondansetron

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus

l)
3x1 tab
(500 mg)
1x1 cth
(20mg/5
ml)
2x100mg
(250mg/
2ml)

1x1
sachet

biasa
Puyer

10

Overdose

Sirup

Sesuai

Injeksi

Sesuai

Sachet

10

Sesuai

2 th
1 bln
2x1 cth
(240mg/
5ml)
3x1 cth
(120mg/
5ml)
2x1 mg
(4mg/2m
l)
1x1
sachet

<4th

14
kg

GEA

Mual,
muntah,
BAB
cair

Sp. A

Sirup

Sesuai

Sirup

Subdose

Injeksi

Subdose

Sachet

Sesuai

1 th
8 bln

9 kg

GEA dan
OMA

Muntah
sejak
pagi,
diare,
pilek,

Sp. A

Mualmuntah
biasa
-

salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.

0202
5890

Profilas

Ketotifen

2x1 mg
(1mg)

Puyer

Overdose

Rhinos neo

Pseudoephedri
ne HCl

3x5 tetes

Obat
tetes oral

< 6 th

Yekaprim

Cotrimoxazol

Puyer

10

Sesuai

Pamol

Paracetamol

Puyer

10

Sesuai

Otopain

Polymyxin B
Sulfat,
neomycin
sulfat,
fludrocortison
e asetat,
lidokain HCl

Obat
tetes
telinga

Sesuai

Narfoz

Ondansetron

Injeksi

Overdose

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu

Sachet

10

Sesuai

2x1/2 tab
(480 mg)
3x100
mg (500
mg)

3x2 tetes

2x1 mg
(4mg/2m
l)
1x1
sachet

batuk

5 bln

5,7
kg

GEA

Diare
cair
sejak
rabu,
sesak,
mual
muntah

Sp. A

Mualmuntah
biasa
-

m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.

0202
2210

0111
1890

Yekaprim

Cotrimoxazol

Histrine

Cetirizine

Cortidex

Dexametason

Ondansetron

Ondansetron

Mikasin

Amikasin

Pamol

Paracetamol

Valisanbe

Diazepam

Tempra

Paracetamol

Ondansetron

Ondansetron

Dumin

Paracetamol

Pamol

Paracetamol

Tempra

Paracetamol

Yekaprim

Cotrimoxazol

2x1/4 tab
(480 mg)
2x1/12
tab (10
mg)
3x0,3cc
(5mg/5m
l)
2x1mg
(4mg/2m
l)
2x45mg
(250mg/
2ml)
4x1/5 tab
(500 mg)
3x1 mg
(2 mg)
4x1 ml
(80mg/0,
8ml)
2x1 mg
(4mg/2m
l)
1x125
mg (125
mg)
3x1/3 tab
(500 mg)
4x1 cth
(160mg/
5ml)
2x1 cth

puyer

10

Sesuai

< 2 th

injeksi

Overdose

injeksi

Mualmuntah
biasa

Overdose

injeksi

Sesuai

Puyer

10

Subdose

Puyer

10

Subdose

Subdose

Mualmuntah
biasa

Overdose

Sesuai

Sesuai

Demam
,
kejangkejang,
rewel,
mual

Obat
tetes oral

Injeksi

Suppo

Puyer

10

Sirup

Sesuai

Sirup

Sesuai

1 th
10
bln

3 th
11
bln

11
kg

15
kg

Kejang
demam

Demam
dengue

Demam
, mual,
muntah

Sp. A

Sp. A

0202
6110

Narfoz

Ondansetron

Rantin

Ranitidine HCl

Kalmetason

Dexamethason
phosphat

Bactricid

Cotrimoxazol

Vometa

Domperidon

Ondansetron

Ondansetron

Rantin

Ranitidine HCl

0202
5520

L-bio

Orezinc

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.
Zn sulphate
monohydrate

(240mg/
5ml)
2x1 mg
(4mg/2m
l)
2x1ml
(50mg/2
ml)
3x0,3 cc
(5mg/ml)
2x1 cth
(240mg/
5ml)
3x1/2 cth
(1mg/ml)
2x1 mg
(4mg/2m
l)
2x1ml
(50mg/2
ml)

Injeksi

Mualmuntah
biasa

Subdose

Injeksi

Overdose

Injeksi

Sesuai

Sirup

Sesuai

Sirup

Subdose

Mualmuntah
biasa

Overdose

Overdose

Injeksi

Injeksi

1 th
8 bln

2 th
9 bln

1x1
sachet

2x1
sachet
(20mg)

10
kg

20
kg

GEA

GEA

Mual,
muntah,
diare

Diare,
mual,
muntah

Sp. A

Sp. A

Sachet

10

Sesuai

Sachet

10

Sesuai

0202
6901

Narfoz

Ondansetron

Cefotaxime

Cefotaxim

Paracetamol

Paracetamol

Ondansetron

Ondansetron

Interlac

Lactobacillus
reuteri

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.

0109
9801

0201
4131

Pamol

Paracetamol

Zirkum kid

Zinc sulphate

Ondansetron

Ondansetron

Zirkum kid

Zinc sulphate

3x1 mg
(4mg/2m
l)
3x275mg
(500mg)
4x100
mg (500
mg)
3x0,8 mg
(4mg/2m
l)
1x5 tetes
(109CFU
/5 tetes)

1x1
sachet

Injeksi

Mualmuntah
biasa

Sesuai

Puyer

10

Subdose

Puyer

10

Sesuai

Mualmuntah
biasa

Overdose

11
bln

Colic
abdomen

Sp. A

Injeksi

Obat
tetes oral

Sesuai

Sachet

Sesuai

10
bln

3x1/5 tab
(500 mg)
1x1 cth
(20mg/5
ml)
2x0,4 ml
(4mg/2m
l)
1x1 cth
(20mg/5

7,1
kg

Nyeri
perut,
BAB
cair,
mual
muntah

11
kg

Diare
akut

Demam
, mual,
muntah,
batuk,
diare

Sp. A

Puyer

15

Subdose

Sirup

Sesuai

Sesuai

Sesuai

Injeksi

Sirup

2 th
2 bln

9,5
kg

Diare
berulang

Demam
, batuk,

Sp. A

Mualmuntah
biasa
-

0102
7721

Paracetamol

Paracetamol

Profilas

Ketotifen

Pronicy

Siproheptadin

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.

Interlac

Lactobacillus
reuteri

Mikasin

Amikasin

Kalmetason

Dexamethason
phosphat

Ondansetron

Ondansetron

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,

ml)
3x1/5 tab
(500 mg)
1x1/4 tab
(1 mg)
1x1/8 tab
(4 mg)

1x1
sachet

1x5 tetes
(109CFU
/5 tetes)
2x125mg
(250mg/
2ml)
3x0,3 cc
(5mg/ml)
2x1 mg
(4mg/2m
l)
1x1
sachet

Puyer

10

Sesuai

Puyer

10

Sesuai

Subdose

Sesuai

Sachet

10

Obat
tetes oral

Sesuai

Injeksi

Sesuai

Injeksi

Overdose

Injeksi

Overdose

Sachet

Sesuai

pilek,
muntah
8x,
diare

3 th
1 bln

11
kg

Diare
akut

Diare,
BAB
cair,
mual
muntah

Sp. A

Mualmuntah
biasa
-

Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.

0202
6781

0200
9982

Narfoz

Ondansetron

Sukralfat

Sukralfat

Ceftazidime

Ceftazidime

Paracetamol

Paracetamol

Metronidazo
le

Metronidazole

Ceftriaxone

Ceftriaxone

Ondansetron

Ondansetron

Ranitidin

Ranitidine

Pamol

Paracetamol

Tempra

Paracetamol

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus

3x1 mg
(4mg/2m
l)
3x1 cth
(500mg/
5ml)
3x500
mg (1g)
3x150mg
(500 mg)
3x200mg
(500 mg)
2x500mg
(1g)
2x1 mg
(4mg/2m
l)
2x1ml
(50mg/2
ml)
3x1/4 tab
(500 mg)
3x3/4 cth
(160mg/
5ml)
1x1
sachet

Injeksi

Mualmuntah
biasa

Overdosis

Sirup

< 15th

Puyer

10

Overdose

Puyer

10

Sesuai

Overdose

Overdose

Overdose

Puyer

10

Injeksi

4 th
7 bln

13
kg

GEA

Nyeri
perut,
diare,
muntah

Sp. A

Injeksi

Mualmuntah
biasa

Injeksi

Sesuai

Puyer

10

Sesuai

Sirup

Sesuai

Sachet

10

Sesuai

1 th
11
bln

11
kg

GEA

Muntah,
diare

Sp. A

salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.

0202
8130

0198
5412

4x1/2 cth
(1mg/ml)
2x1 mg
(4mg/2m
l)

Domperidon

Domperidon

Ondansetron

Ondansetron

Oralit

Natrium
klorida,
kalium
klorida,
glukosa
anhidrat,
natrium
bikarbonat

Sesering
mungkin
tiap
selesai
muntah

Paracetamol

Paracetamol

3x1/5 tab
(500 mg)

Rhinofed

Pseudoephedri
ne HCl 30 mg,
Terfenadine 40
mg

3x1/5 tab
(70 mg)

Ondansetron

Ondansetron

Naprex

Paracetamol

Narfoz

Ondansetron

Rantin

Ranitidine HCl

2x0,8 cc
(4mg/2m
l)
4x3/4 cth
(250mg/
5ml)
2x1 mg
(4mg/2m
l)
2x1ml

Sirup

Subdose

Injeksi

Mualmuntah
biasa

Overdose

Sachet

10

Sesuai

Sesuai

Puyer

10

1 th
4 bln

10
kg

Vomitus

Muntah,
panas,
batuk,
pilek

Sp. A

Puyer

10

Pseudo
ephedr
in HCl
(< 6th)

Injeksi

Mualmuntah
biasa

Sesuai

Sirup

Sesuai

Injeksi

Subdose

Injeksi

Sesuai

2 th
9 bln

16
kg

Demam
dengue

Demam
tinggi,
mual

Sp. A

Mualmuntah
biasa
-

0109
2742

Tempra

Paracetamol

Cefixim

Cefixim

Kalmetason
Narfoz

Ondansetron

Pamol

Paracetamol

Luminal
0105
9082

Narfoz
Ventolin

Lacto B
0202
2412

0108
7541

Dexamethason
phosphat

Fenobarbital
Ondansetron
Salbutamol
sulfat
Lactobacillus
acidophilus,
Bifidobacteriu
m longum,
Streptococcus
thermophillus,
vit C, vit B.

Orezinc

Zn sulphate
monohydrate

Narfoz

Ondansetron

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,

(50mg/2
ml)
4x3/4 cth
(160mg/
5ml)
2x30 mg
(200mg)
3x0,3 cc
(5mg/ml)
2x1mg
(4mg/2m
l)
3x1/3 tab
(500 mg)
3x15 mg
(30 mg)
2x1mg
(4mg/2m
l)
3x spray
(2,5 mg)

2x1
sachet

1x1 cth
(20mg/5
ml)
3x1 mg
(4mg/2m
l)
1x1
sachet

Sirup

Puyer

10

Injeksi

Injeksi

Puyer

10

Injeksi

Nebulize
r

Sachet

10

1 th
2 bln

2 th
1 bln

1 th
7 bln
Sirup

Injeksi

Sachet

10

3 th

10
kg

15
kg

10
kg

16
kg

GEA

Vomitus,
ISPA

Diare
akut

Diare
akut

Panas,
muntah

Panas,
muntah,
batuk

Demam
, batuk,
pilek,
muntah,
diare
sejak 2
hari

Muntah,
BAB
cair,
diare

Sesuai

Subdose

Overdose

Mualmuntah
biasa

Subdose

Sesuai

Subdose

Mualmuntah
biasa

Subdose

Sesuai

Sesuai

Sesuai

Overdosis

Sesuai

Sp. A

Sp. A

Sp. A

Sp. A

Mualmuntah
biasa
-

Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.
Vometa

Domperidon

Narfoz

Ondansetron

Liprolac

Lactobacillus
acidophilus,
Bifidobacteriu
m longum,
Streptococcus
thermophillus,
Lactobacillus
rhamnosus,
Lactobacillus
bifidum, Vit E,
Vit A, Vit B,
pyridoxine
HCl, thiamin
HCl,
fructooligosak
arida

Vometa

Domperidon

Yekaprim

Cotrimoxazol

Histrine

Cetirizine

0202
3621

3x1/2 cth
(1mg/ml)
2x1 mg
(4mg/2m
l)

Sirup

Subdose

Injeksi

Mualmuntah
biasa

Subdose

2 th

2x1
sachet

3x1/2 cth
(1mg/ml)
2x1/2 tab
(480 mg)
2x1/10
tab (10

11
kg

GEA

Muntah,
diare,
demam

Sp. A

Sachet

10

Sesuai

Sirup

Subdose

10

Sesuai

Subdose

Puyer

mg)

0202
4401

0196
8441

Vitamin B1

Vitamin B1

Paracetamol

Paracetamol

Luminal

Fenobarbital

Ceftriaxone

Ceftriaxone

Ondansetron

Ondansetron

Pamol

Paracetamol

Luminal

Fenobarbital

Profilas

Ketotifen

Pronicy

Siproheptadin

Ventolin

Salbutamol
sulfat

Ondansetron

Ondansetron

Sanmol

Paracetamol

Domperidon

Domperidon

Ataroc

Procaterol HCl

Ondansetron

Ondansetron

2x 10 mg
3x1/5 tab
(500 mg)
3x 10 mg
(30 mg)
2x500
mg (1g)
2x1 mg
(4mg/2m
l)
3x1/3 tab
(500 mg)
3x15 mg
(30 mg)
1x1/4 tab
1 mg
1x1/8 tab
4 mg
2x1
spray
(2,5 mg)
2x1 mg
(4mg/2m
l)
3x1
cth
(120mg/
5ml)
3x1/2 cth
(1mg/ml)
2x1/2 cth
(5mcg/m
l)
1x2 mg
(4mg/2m
l)

10

Anakanak

Sesuai

Subdose

Puyer

Injeksi

Overdose

Injeksi

Mualmuntah
biasa

Overdosis

10

Sesuai

Subdose

Subdose

Subdose

Puyer

10
Puyer

2 th
7 bln

15
kg

Demam
dengue

Demam
, batuk,
pilek,
mual

Sp. A

Nebulize
r

Sesuai

Injeksi

Mualmuntah
biasa

Subdose

Sirup

Sesuai

Sirup

Subdose

Subdose

Mualmuntah
biasa

Sesuai

Sirup

Injeksi

4 th
6 bln

14
kg

Demam
dengue

Demam
, batuk,
muntah

Sp. A

Pamol

Paracetamol

Orezinc

Zn sulphate
monohydrate

Cefspan

Cefixime

Liprolac

Lactobacillus
acidophilus,
Bifidobacteriu
m longum,
Streptococcus
thermophillus,
Lactobacillus
rhamnosus,
Lactobacillus
bifidum, Vit E,
Vit A, Vit B,
pyridoxine
HCl, thiamin
HCl,
fructooligosak
arida

Narfoz

Ondansetron

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,

0110
9111

0201
4891

3x1/3 tab
(500 mg)
1x1 cth
(20mg/5
ml)
2x1/2 cth
(100mg/
5ml)

Puyer

10

Sesuai

Sirup

Sesuai

Sirup

Subdose

Sesuai

Subdose

Sesuai

2 th
6 bln
2x1
sachet

1x1,5 mg
(4mg/2m
l)
1x1
sachet

Sachet

10

Injeksi

Sachet

10

1 th
4 bln

15
kg

10
kg

Diare
akut

Diare
akut

Muntah,
demam,
mual,
diare

Demam
,pergela
ngan
kaki
sakit,
muntah

Sp. A

Sp. A

Mualmuntah
biasa
-

Bifidobacteriu
m longum,
Lactococcus
lactis.
Orezinc

0080
9290

0080
9520

Zn sulphate
monohydrate

Ondansetron

Ondansetron

Bactricid F

Cotrimoxazol

Histrine F

Cetirizine

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.

Ondansetron

Ondansetron

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus

1x1 cth
(20mg/5
ml)
2x0,4 ml
(4mg/2m
l)
2x1/3 tab
(480 mg)
2x1/10
tab (10
mg)

1x1
sachet

3x1 mg
(4mg/2m
l)
1x1
sachet

Sirup

Injeksi

Puyer

Sesuai

Mualmuntah
biasa

Sesuai

Subdose

< 2 th

Sesuai

Overdose

Sesuai

10

Sachet

10

Injeksi

Sachet

10

1 th
9 bln

2 th
7 bln

14
kg

9,5
kg

Intoleran
si
makanan

GEA

Muntah,
diare

Panas,
diare,
mual
muntah

Sp. A

Sp. A

Mualmuntah
biasa
-

salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.

0199
8251

Tempra

Paracetamol

Renalit

Natrium,
kalium,glukos
a,klorida, sitrat

Paracetamol

Paracetamol

Narfoz

Ondansetron

Alostil

Amikasin

Paracetamol

Paracetamol

3x1 cc
(80mg/0,
8ml)
sesuka
anak
(200 ml)
100 mg
(10mg/m
l)
2x1 mg
(4mg/2m
l)
2x75 mg
(500 mg)
3x1/4 tab
(500 mg)
3x15 mg
(30 mg)
4x1 cth
(160mg/
5ml)
2x1/2 tab
(480 mg)
2x1/10
tab (10
mg)

Luminal

Fenobarbital

Tempra

Paracetamol

Yekaprim

Cotrimoxazol

Histrine

Cetirizine

Vitamin B1

Vitamin B1

2x10 mg

Ondansetron

Ondansetron

1 mg

Obat
tetes oral

Sesuai

Sirup

2
botol

Sesuai

Infus

Sesuai

Injeksi

Mualmuntah
biasa

Overdose

Injeksi

Sesuai

Sesuai

Subdose

Sesuai

Sesuai

Subdose

Mual-

Subdose

Puyer

Sirup

Puyer

Injeksi

10

10

3 th
2 bln

12,5
kg

Demam
thypoid

Demam
,muntah
, pilek

Sp. A

Anakanak
-

0080
9581

Narfoz

Ondansetron

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.

Cefspan

Cefixime

Pamol

Paracetamol

Salbutamol
0080
9081

Ventolin
Kalmetason

0202
5751

Salbutamol
sulfat
Salbutamol
sulfat
Dexamethason
phosphat

Ondansetron

Ondansetron

Rantin

Ranitidine HCl

Ondansetron

Ondansetron

(4mg/2m
l)
2x1mg
(4mg/2m
l)

1x1
sachet

2x1/2 cth
(100mg/
5ml)
3x1/3 tab
(500 mg)
3x1/3 tab
2 mg
1x spray
(2,5 mg)
3x0,3 cc
(5mg/ml)
3x1 mg
(4mg/2m
l)
2x1ml
(50mg/2
ml)
3x1 mg
(4mg/2m

Injeksi

muntah
biasa
Mualmuntah
biasa

2 th
10
bln

12
kg

Vomitus
profuse

Timbul
bercak
merah,
demam,
batuk,
mual,
muntah

Overdose

Sesuai

Sachet

10

Sirup

Overdose

Puyer

10

Sesuai

Puyer

15

Subdose

Nebulize
r

Sesuai

Injeksi

Overdose

Injeksi

Mualmuntah
biasa

Overdose

Injeksi

Sesuai

Injeksi

Mualmuntah

Overdose

3 th
5 bln

3 th
5 bln

14
kg

18
kg

ISPA

Demam
dengue

Demam
, mual,
muntah,
nyeri
tenggor
okan

Demam
, mual,
perut
sakit,

Sp. A

Sp. A

Sp. A

Pamol

Paracetamol

Cefspan

Cefixime

l)
3x1/3 tab
(500 mg)
2x1/2 cth
(100mg/
5ml)

biasa
Puyer

10

Sirup

Subdose

Subdose

sesak

Lampiran 5. Kajian Obat Off-label Usia

Data Aktual
No.
RM

0200
0890

0201
0702

Nama Obat

Zat Aktif Obat

Meptin

Procaterol HCl

Rhinos
junior

Pseudoephedri
ne HCl,
chlorpheniram
ine maleate

Tempra

Paracetamol

Dumin

Paracetamol

Narfoz

Ondansetron

Kalmetason

Dexamethason
phosphat

Ventolin

Salbutamol
sulfat

Pamol

Paracetamol

Valisanbe

Diazepam

Profilas

Ketotifen

Pronicy

Siproheptadin

Dosis/
Kekuatan
Sediaan
2x1/2 cth
(25mcg/5
ml)
2x1 cth
(15mg/m
l)
4x1 cth
(160mg/
5ml)
1x125
mg
2x1 mg
(4mg/2m
l)
3x0,3 cc
(5mg/ml)
2x1
spray
(2,5 mg)
4x1/5 tab
(500 mg)
3x1 mg
(2 mg)
1x1/4 tab
1 mg
1x1/4 tab
4 mg

Kajian
kesesuaia
n dosis

Kajian Off-label Drug

Bentuk
Sediaan

Signa

Sirup

Sirup

Sirup

Informasi
Pasien
Usia
BB

3th

14
kg

Diagnosa

Bronkitis

Keluha
n Pasien

Panas,
muntah,
batuk,
pilek

Penulis
Resep

Indikasi

Dosis

Usia

Cara
pemberian

KI

Overdose

Pseudo
ephedr
in HCl
(< 6th)

Sesuai

Subdose

Sesuai

Sp. A

Suppo

Injeksi

Mualmuntah
biasa

Injeksi

Sesuai

Nebulize
r

Sesuai

Puyer

10

Sesuai

Puyer

10

Subdose

Puyer

10

Sesuai

Subdose

1 th
5 bln

9 kg

Kejang
demam
dengue

Demam
,
kejang,
muncul
bintik
merah

Sp. A

0202
3720

0200
8732
0106
4392

Comtusi

Oxomemazine,
guaifenesin

Pamol

Paracetamol

Luminal

Fenobarbital

Bactricid

Cotrimoxazol

Comtusi

Oxomemazine,
guaifenesin

Cefadroxil

Cefadroxil

Ventolin

Salbutamol
sulfat

Kalmetason

Dexamethason
phosphat

Paracetamol

Paracetamol

Comtusi

Oxomemazine,
guaifenesin

Paracetamol

Paracetamol

Valisanbe

Diazepam

Comtusi

Oxomemazine,
guaifenesin

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus

3x1/2 cth
3x1/5 tab
(500 mg)
3x10 mg
(30 mg)
2x5cc
(240mg/
5ml)
3x1/2 cth
2x1 cth
(125mg/
5ml)
2x1
spray
(2,5 mg)
3x0,3 cc
(5mg/ml)
3x1/5 tab
(500 mg)
3x1 cth

Sirup

Guaife
nesin
(< 6th)

Puyer

10

Sesuai

Subdose

Sesuai

Guaife
nesin
(< 6th)

Sesuai

Sirup

1 th
8 bln

Sirup

Sirup

Nebulize
r

Injeksi

Overdose

Puyer

10

Sesuai

Guaife
nesin
(< 6th)

Sesuai

Subdose

Sesuai

8 kg

1 th
10
bln

8 kg

3 th
9 bln

21
kg

Bronchiti
s asiatis

Diare,
rewel,
demam,
muntah,
batuk,
pilek

Demam
dengue

Batuk,
BAB
lembek

Sp. A

Sp. A

Sirup

Puyer

15

Puyer

10

3x1 cth

Sirup

1x1
sachet

Sachet

10

3x1/2 tab
(500 mg)
2x2 mg
(2 mg)

ISPA

Panas,
batuk,
pilek

Sp. A

Guaife
nesin
(< 6th)
-

Sesuai

salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.
Dumin

Paracetamol

Stesolid

Diazepam

Pamol

Paracetamol

Luminal

Fenobarbital

Comtusi

Oxomemazine,
guaifenesin

Tempra
0199
8660

0202
4790

Paracetamol

Dumin

Paracetamol

Ondansetron

Ondansetron

Kalmetason

Dexamethason
phosphat

Rantin

Ranitidine HCl

Pamol

Paracetamol

Luminal

Fenobarbital

1x125
mg
1x5 mg
(10mg/2
ml)
3x1/4 tab
(500 mg)
3x10 mg
(30 mg)
2x1/2 cth
3x1 cth
(160mg/
5ml)
1x125
mg (125
mg)
1x1 mg
(4mg/2m
l)
3x0,5 cc
(5mg/ml)
1x1ml
(50mg/2
ml)
3x1/4 tab
(500 mg)
3x15 mg

Suppo

Subdose

Injeksi

Sesuai

Sesuai

Puyer

10
-

Subdose

Guaife
nesin
(< 6th)

Sesuai

Sesuai

Sirup

Sirup

1
1 th
11
bln

11
kg

Demam
dengue,
ISPA

Demam
,
muntah,
BAK
banyak,
sesak

Sp. A

Suppo

Injeksi

Mualmuntah
biasa

Subdose

Injeksi

Overdose

Injeksi

Overdose

Puyer

10

Subdose

Subdose

3 th

12,7
kg

DHF
( demam

Panas,
tak mau

Sp. A

(30 mg)

0110
9290

0202
5231

0200
1111

0202
8130

Comtusi

Oxomemazine,
guaifenesin

3x1 cth

Sirup

Pamol

Paracetamol

3x175
mg (500
mg)

Puyer

10

Comtusi

Oxomemazine,
guaifenesin

Kalmetason

Dexamethason
phosphat

Pamol

Paracetamol

Profilas

Ketotifen

3x1 cth
3x0,5 cc
(5mg/ml)
3x1/3 tab
(500 mg)
1x1/4 tab
(1 mg)
1x1/4 tab
(10 mg)

dengue)

3 th

16
kg

DHF

makan

Demam
, mual,
muntah

Guaife
nesin
(< 6th)

Sesuai

Guaife
nesin
(< 6th)

Sp. A

Sirup

Injeksi

Overdose

Puyer

10

Sesuai

Subdose

Puyer

10

Sesuai

4 th
1 bln

14
kg

ISPA

Demam
, pilek,
batuk

Sp. A

Histrine

Cetirizine

Comtusi

Oxomemazine,
guaifenesin

3x1 cth

Sirup

Guaife
nesin
(< 6th)

Pamol

Paracetamol

3x1/5 tab
( 500
mg)

Puyer

10

Sesuai

Comtusi

Oxomemazine,
guaifenesin

3x1 cth

Puyer

Guaife
nesin
(< 6th)

Overdose

Overdose

Sesuai

Rantin

Ranitidine HCl

Cortidex

Dexametason

Oralit

Natrium
klorida,
kalium
klorida,
glukosa
anhidrat,

2x1ml
(50mg/2
ml)
3x0,3 cc
(5mg/ml)
Sesering
mungkin
tiap
selesai
muntah

10

Injeksi

Injeksi

Sachet

10

1 th
9 bln

1 th
4 bln

10
kg

10
kg

Demam
dengue

Vomitus

Diare,
tak mau
makan,
muntah,
demam,
pilek

Muntah,
panas,
batuk,
pilek

Sp. A

Sp. A

natrium
bikarbonat

0202
6331

Paracetamol

Paracetamol

3x1/5 tab
(500 mg)

Rhinofed

Pseudoephedri
ne HCl 30 mg,
Terfenadine 40
mg

3x1/5 tab
(70 mg)

Ondansetron

Ondansetron

Ataroc

Procaterol HCl

Profilas

Ketotifen

Bronsolvan

Theophylline

Mucopect

Ambroxol HCl

Rhinofed

Pseudoephedri
ne HCl,
Terfenadine

Colergis

Kalmetason

0202

Betamethason
e,
Dexclorphenir
amine
Dexamethason
phosphat

Aminophilin

Aminophilin

Ventolin

Salbutamol
sulfat

Pamol

Paracetamol

2x0,8 cc
(4mg/2m
l)
3x2 cc
(5mcg/m
l)
2x3/4 cth
0,2mg/m
l
3x1/5 tab
150 mg
3x1/3 tab
(30 mg)
3x1/12
tab 70
mg

Puyer

10

Sesuai

10

Pseudo
ephedr
in HCl
(< 6th)

Injeksi

Mualmuntah
biasa

Sesuai

sirup

Subdose

sirup

Overdose

Subdose

Sesuai

Pseudo
ephedr
in HCl
(< 6th)

Sesuai

Puyer

puyer

15

3 th
9 bln

15
kg

Bronkitis
akut

Sesak,
batuk,
mual,
panas

Sp. A

3x1/3 tab
2x0,3 cc
(5mg/ml)
3cc
(24mg/m
l)
2x1
spray
(2,5 mg)
4x1/5 tab

Injeksi

Sesuai

Injeksi

Subdose

Nebulize
r

Sesuai

Puyer

10

Sesuai

10

9 kg

Kejang

Kejang,

Sp. A

7321

(500 mg)
1x1/4 tab
1 mg
1x1/8 tab
4 mg

Profilas

Ketotifen

Pronicy

Siproheptadin

Comtusi

Oxomemazine,
guaifenesin

Cefadroxil

Cefadroxil

Diazepam

Diazepam

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.

1x1
sachet

Sachet

Profilas

Ketotifen

2x1 mg
(1mg)

Rhinos neo

Pseudoephedri
ne HCl

3x5 tetes

Yekaprim

Cotrimoxazol

Pamol

Paracetamol

Otopain

Polymyxin B
Sulfat,

0111
1260

3x1/2 cth
2x1 cth
(125mg/
5ml)
3x1 mg
(2 mg)

Puyer

10

demam,
batuk

Sesuai

Subdose

Guaife
nesin
(< 6th)

Sirup

Sirup

Sesuai

Puyer

15

Subdose

Sesuai

Puyer

Overdose

Obat
tetes oral

< 6 th

Puyer

10

Sesuai

Puyer

10

Sesuai

Obat
tetes

Sesuai

bln

1 th
8 bln

2x1/2 tab
(480 mg)
3x100
mg (500
mg)
3x2 tetes

demam,
ISPA

9 kg

GEA dan
OMA

Muntah
sejak
pagi,
diare,
pilek,
batuk

Sp. A

neomycin
sulfat,
fludrocortison
e asetat,
lidokain HCl

0105
8351

0081
0002

Narfoz

Ondansetron

Sanmol

Paracetamol

Ataroc

Procaterol HCl

Ryvel drops

Cetirizine
dihidroklorida

Kalmetason

Dexamethason
phosphat

Ventolin

Salbutamol
sulfat

Tempra

Paracetamol

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,

telinga

2x1 mg
(4mg/2m
l)
3x1 cth
(120mg/
5ml)
2x1,5 ml
(5mcg/m
l)
1x0,2ml
(10mg/m
l)
3x0,3cc
(5mg/ml)
2x1
sehari
(2,5 mg)
4x 3,5 cc
(160mg/
5ml)
1x1
sachet

Injeksi

Mualmuntah
biasa

Overdose

Sirup

Sesuai

Sirup

Sesuai

Obat
tetes oral

< 2 th

Injeksi

Overdose

Nebulize
r

Sesuai

Sesuai

Sesuai

1th
1bln

2 bln
Sirup

Sachet

10

12kg

9 kg

Bronkitis

GEA

Batuk,
demam

Demam
, mual,
muntah,
sesak

Sp. A

Sp. A

Lactococcus
lactis.

0201
4131

Cotrimoxaz
ol

Cotrimoxazol

Cetirizin

Cetirizine

Vit B1

Vitamin B1

Naprex

Paracetamol

Profilas

Ketotifen

Histrine

Cetirizine

Cefotaxime

Cefotaxim

Kalmetason
Ventolin
0172
2531

Pamol

Dexamethason
phosphat
Salbutamol
sulfat
Paracetamol

Luminal

Fenobarbital

Tempra

Paracetamol

Cefixim

Cefixim

Profilas

Ketotifen

Histrine

Cetirizine

Ataroc

Procaterol HCl

2x1/2 tab
(480 mg)
2x1/10
tab (10
mg)
2x1 bgks
(100 mg)
3x1/2 cth
(250mg/
5ml)
2x1/4 tab
1 mg
2x1/4 tab
(10 mg)
3x250mg
(500mg)
3x0,3cc
(5mg/ml)
2x spray
(2,5 mg)
3x1/5 tab
(500 mg)
3x10 mg
(30 mg)
4x3/4 cth
(80mg/0,
8ml)
2x35 mg
(200mg)
2x1/5 tab
1 mg
2x1/10
tab (10
mg)
2x1/2 tab
(25 mcg)

Puyer

Sirup

Puyer

8
1 th
5 bln

10
kg

ISPA

Demam
, batuk,
pilek,
muntah

Sp. A

Sesuai

< 2th

Anakanak

Sesuai

Sesuai

< 2 th

Subdose

Injeksi

Injeksi

Overdose

Nebulize
r

Sesuai

Sesuai

Subdose

Subdose

Overdose

Sesuai

< 2 th

Overdose

1 th
Puyer

10

Obat
tetes oral

Puyer

10

10
kg

Bronchiti
s akut

Panas,
muntah,
batuk

Sp. A

Dumin

Paracetamol

Ventolin

Salbutamol
sulfat

Kalmetason

Dexamethason
phosphat

Tempra

Paracetamol

Ceftriaxone

Ceftriaxone

Profilas

Ketotifen

Histrine
0110
6790

0110
6072

Cetirizine

Mucopect

Ambroxol HCl

Aminophilin

Aminophilin

Ventolin

Salbutamol
sulfat

Kalmetason

Dexamethason
phosphat

Tempra

Paracetamol

Mercotin

Noscapine

Cefixim

Cefixim

Profilas

Ketotifen

Histrine

Cetirizine

1x125
mg
2x1
spray
(2,5 mg)
2x 0,3 cc
(5mg/ml)
4x0,9 cc
(80mg/0,
8ml)
2x400
mg (1g)
2x1/4 tab
1 mg
2x1/4 tab
(10 mg)
3x3 mg
(30 mg)
2cc
(24mg/m
l)
2x1
spray
(2,5 mg)
2x0,3 cc
(5mg/ml)
3x1 cc
(80mg/0,
8ml)
2x1 tetes
(10
mg/ml)
2x30 mg
(200mg)
2x1/4 tab
1 mg
2x1/4 tab
(10 mg)

Suppo

Sesuai

Nebulize
r

Sesuai

Injeksi

Overdose

Obat
tetes oral

Sesuai

Injeksi

Overdose

Overdose

Puyer

10
-

< 2 th

Subdose

8 bln

8,5
kg

Bronchiti
s

Batuk,
demam,
pilek

Sp. A

Puyer

10

Injeksi

Overdose

Nebulize
r

Sesuai

Injeksi

Overdose

Sesuai

1 th

9 kg

Demam
thypoid,
ISPA

Demam
, batuk,
pilek,
sesak

Sp. A

Obat
tetes oral

Obat
tetes oral

Sesuai

Puyer

10

Subdose

Overdose

< 2 th

Bactricid

L-bio

Kalmetason
Dumin
0202
5890

L-bio

Yekaprim

Cotrimoxazol
Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.
Dexamethason
phosphat
Paracetamol
Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.
Cotrimoxazol

2x 5 cc
(240mg/
5ml)

Sirup

Sesuai

1x1
sachet

Sachet

10

Sesuai

Injeksi

Overdose

Injeksi

Sesuai

Sesuai

Sesuai

2x0,3 cc
(5mg/ml)
1x125
mg (500
mg)

5 bln

1x1
sachet

Sachet

10

2x1/4 tab

puyer

10

5,7
kg

GEA

Diare
cair
sejak
rabu,
sesak,
mual
muntah

Sp. A

Histrine

Cetirizine

Cortidex

Dexametason

Ondansetron

Ondansetron

Mikasin

Amikasin

Pamol

Paracetamol

Salbutamol

Salbutamol
sulfat

Decolgen

Tiap 5 ml:
Paracetamol
300mg,
phenylpropano
lamine,
chlorpheniram
ine maleate,
asam ascorbat

Cetirizin

Cetirizine

Bactricid F

Cotrimoxazol

Histrine F

Cetirizine

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus

0081
0502

0080
9290

(480 mg)
2x1/12
tab (10
mg)
3x0,3cc
(5mg/5m
l)
2x1mg
(4mg/2m
l)
2x45mg
(250mg/
2ml)
3x1/5 tab
(500 mg)
2x1/3 tab
(2mg)

1x1/4 tab
(10 mg)
2x1/3 tab
(480 mg)
2x1/10
tab (10
mg)
1x1
sachet

< 2 th

injeksi

Overdose

injeksi

Mualmuntah
biasa

Overdose

injeksi

Sesuai

Puyer

15

Sesuai

Puyer

Pemberian
tablet
puyer

< 2 th

Subdose

< 2 th

Sesuai

1 th
3x4 cc

Sirup

Puyer

8
10

Puyer

Sachet

10

1 th
9 bln

10
kg

14
kg

Bronkhit
is

Intoleran
si
makanan

Demam
,batuk,
muntah,
sesak
nafas

Muntah,
diare

Sp. A

Sp. A

salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.

0105
8030

0199
8251

Ondansetron

Ondansetron

Tempra

Paracetamol

Amoxicilin

Amoxicillin

Histrine

Cetirizine

Vitamin B1

Vitamin B1

Paracetamol

Paracetamol

3x1 mg
(4mg/2m
l)
3x3/4 cth
(160mg/
5ml)
3x1 cth
(125mg/
5ml)
2x1/4 tab
(10 mg)

Injeksi

Mualmuntah
biasa

Overdose

Sirup

Subdose

Sirup

Sesuai

Puyer

10

Sesuai

Anakanak

Sesuai

Subdose

Sesuai

Sesuai

Subdose

Mualmuntah

Subdose

2 th

13
kg

Demam
dengue

Demam

Sp. A

2x10 mg
3x1/4 tab
(500 mg)
3x15 mg
(30 mg)
4x1 cth
(160mg/
5ml)
2x1/2 tab
(480 mg)
2x1/10
tab (10
mg)

Luminal

Fenobarbital

Tempra

Paracetamol

Yekaprim

Cotrimoxazol

Histrine

Cetirizine

Vitamin B1

Vitamin B1

2x10 mg

Ondansetron

Ondansetron

1 mg
(4mg/2m

Puyer

Sirup

Puyer

Injeksi

10

10

3 th
2 bln

12,5
kg

Demam
thypoid

Demam
,muntah
, pilek

Sp. A

Anakanak
-

l)

0202
3621

0202
6781

Liprolac

Lactobacillus
acidophilus,
Bifidobacteriu
m longum,
Streptococcus
thermophillus,
Lactobacillus
rhamnosus,
Lactobacillus
bifidum, Vit E,
Vit A, Vit B,
pyridoxine
HCl, thiamin
HCl,
fructooligosak
arida

Vometa

Domperidon

Yekaprim

Cotrimoxazol

Histrine

Cetirizine

Vitamin B1

Vitamin B1

Paracetamol

Paracetamol

Luminal

Fenobarbital

Ceftriaxone

Ceftriaxone

Ondansetron

Ondansetron

Sukralfat

Sukralfat

2x1
sachet

3x1/2 cth
(1mg/ml)
2x1/2 tab
(480 mg)
2x1/10
tab (10
mg)

biasa

Sachet

10

Sirup

Puyer

10

2 th

11
kg

GEA

Muntah,
diare,
demam

Sp. A

2x 10 mg
3x1/5 tab
(500 mg)
3x 10 mg
(30 mg)
2x500
mg (1g)
2x1 mg
(4mg/2m
l)
3x1 cth
(500mg/
5ml)

Puyer

10

Injeksi

Injeksi

Sirup

4 th
7 bln

13
kg

GEA

Nyeri
perut,
diare,

Sp. A

Sesuai

Subdose

Sesuai

Subdose

Anakanak

Sesuai

Subdose

Overdose

Overdosis

< 15th

Mualmuntah
biasa
-

0103
9351

0202
0270

Ceftazidime

Ceftazidime

Paracetamol

Paracetamol

Metronidazo
le

Metronidazole

Ceftriaxone

Ceftriaxone

Ondansetron

Ondansetron

Ranitidin

Ranitidine

Pamol

Paracetamol

Inpepsa

Sukralfat

Naprex

Paracetamol

Kalmetason

Dexamethason
phosphat

Dumin

Paracetamol

Ondanstron

Ondansetron

Codein

Kodein

Naprex

Paracetamol

Pamol

Paracetamol

3x500
mg (1g)
3x150mg
(500 mg)
3x200mg
(500 mg)
2x500mg
(1g)
2x1 mg
(4mg/2m
l)
2x1ml
(50mg/2
ml)
3x1/3 tab
(500 mg)
3x1 cth
(500mg/
5ml)
3x1 cth
(250mg/
5ml)
3x0,3 cc
(5mg/ml)
1x125
mg
2x2 mg
(4mg/2m
l)
2x 1/2tab
(15 mg)
4x 1
cth
(120mg/
5ml)
3x375
mg
(500mg)

Puyer

10

Overdose

Puyer

10

Sesuai

Puyer

10

Overdose

Injeksi

Overdose

Injeksi

Mualmuntah
biasa

Overdose

Injeksi

Sesuai

Puyer

10

Subdose

Sirup

< 15th

Sirup

Sesuai

Sesuai

muntah

3 th

18
kg

Demam
dengue

Panas,
tidak
mau
makan,
mual

Sp. A

Injeksi

Suppo

Subdose

Injeksi

Mualmuntah
biasa

Overdose

Tablet

< 18 th

Sesuai

Sirup

Subdose

Tablet

10

Sesuai

9th

35
kg

DHF
(Dengue
haemorra
ghic
Fever)

Demam
,
muntah,
batukbatuk

Sp. A

Ranitidin

Ranitidin

Ondansetron

Ondansetron

Dexamethas
on

Dexamethason

2x1/2tab
(150 mg)
2x1ml
(4mg/2m
l)
2x 0,5
mg
(5mg/5m
l)

Tablet

10

Sesuai

Injeksi

Mualmuntah
biasa

Subdose

Injeksi

Subdose

Lampiran 6. Kajian Obat Off-label Cara Pemberian

Data Aktual
No.
RM

Nama Obat

Zat Aktif Obat

Dosis/
Kekuatan
Sediaan

L-bio

Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m infantis,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis.

1x1
sachet

Zirkum kid

Zn sulphate

1x1 cth
(20mg/5
ml)

Salbutamol

Salbutamol
sulfat

3x1/3 tab
(2 mg)

Ondansetron

Ondansetron

Ventolin

Salbutamol
sulfat

Paracetamol

Paracetamol

0202
1740

0202
5512

Bentuk
Sediaan

Signa

Sachet

10

Informasi
Pasien
Usia
BB

1 th

3x1 mg
(4mg/2m
l)
1x1
spray
(2,5 mg)
3x0,8 cc
(80mg/0,

Sirup

Kajian
kesesuaia
n dosis

Kajian Off-label Drug

16
kg

Diagnosa

Diare
akut dan
bronkitis

Keluha
n Pasien

Diare,
batuk,
pilek,
demam,
muntah,
sesak
nafas

Penulis
Resep

Indikasi

Dosis

Usia

Cara
pemberian

KI

Sesuai

Sesuai

Sp. A

Puyer

Pemberian
tablet
puyer
<2th

Injeksi

Mualmuntah
biasa

Overdose

Nebulize
r

Sesuai

Sesuai

Obat
tetes oral

7 bln

7,8
kg

Demam
dengue

Demam
, batuk,

Sp. A

8ml)
Salbutamol

Salbutamol
sulfat

2x1/3 tab
2 mg

Puyer

10

L bio

Rice starch,
maltodextrin,
Lactobacillus
acidophilus,
Lactobacillus
casei,
Lactobacillus
salivarius,
Bifidobacteriu
m lactis,
Bifidobacteriu
m longum,
Lactococcus
lactis

2x1
sachet

Sachet

10

0106
1222

0202
8130

Narfoz

Ondansetron

Paracetamol

Paracetamol

Orezinc

Zn sulphate
monohydrate

Mikasin

Amikasin

Pamol

Paracetamol

pilek,
sesak
nafas

3 th
3 bln
2x1 cth
(5mg/5m
l)
3x1 tab
(500 mg)
1x1 cth
(20mg/5
ml)
2x100mg
(250mg/
2ml)
3x 1/5
tab (500
mg)

Salbutamol

Salbutamol
sulfat

2x 1/3
tab
(2mg)

Zirkumkid

Zn sulphate

1x1 cth

13,5
kg

GEA

Demam
, mual,
muntah,
diare

Pemberian
tablet
puyer
<2th

Sesuai

Sp. A

Sirup

Mualmuntah
biasa

Pemberian
secara oral
<4th

Puyer

10

Overdose

Sirup

Sesuai

Injeksi

Sesuai

Tablet

10

Subdose

Sesuai

1 th

Puyer

10

Sirup

9 kg

Disentri,
ISPA

Demam
tinggi,
BAB
cair dan
berlendi
r

Sp. A

Pemberian
tablet
puyer
<2th
-

2x30 mg
(200mg)
3x1/5 tab
(500 mg)

Cefixime

Cefixime

Pamol

Paracetamol

Salbutamol

Salbutamol
sulfat

Decolgen

Tiap 5 ml:
Paracetamol
300mg,
phenylpropano
lamine,
chlorpheniram
ine maleate,
asam ascorbat

3x4 cc

Sirup

Cetirizin

Cetirizine

1x1/4 tab
(10 mg)

Puyer

0081
0502

2x1/3 tab
(2mg)

Puyer

10

Subdose

Puyer

15

Sesuai

Puyer

1 th

10
kg

Bronkhit
is

Demam
,batuk,
muntah,
sesak
nafas

Pemberian
tablet
puyer
<2th

< 2 th

Sp. A