FORMULARIUM OBAT RS KHUSUS PARU PROPINSI SUMSEL

TAHUN 2017

NO NAMA OBAT BENTUK DAN DOSIS

SEDIAAN

I GOL ANTIBIOTIKA, ANTI VIRUS, AMUBA

1 Acyclovir tablet 200 mg

cream, tube 10 gram
2 Amoksisilin 500 mg kaplet 500 mg
syrup
3 Azitromisin tablet 500 mg
4 Ampicillin tablet 250 mg
injeksi ( Phapin injeksi )
5 Asam pipemidat tablet (Urotractin )
6 Cefixime tablet 100 mg
syrup 100 mg
7 Cefadroksil tablet 500 mg
syrup
8 Cefotaxime vial 500 mg
vial 1 gram
9 Ceftriaxone vial 1 gram
10 Ceftazidime vial 1 gram
11 Ciprofloksasin tablet 500 mg
infus 500 mg
12 Cotrimoxazol tablet 480 mg
syrup 240 mg
13 Co Amoxiclave tablet 500 mg
14 Chloramphenicol tube, salep mata
tube, salep kulit
15 Clindamisin kapsul 150 mg
16 Erytromisin tablet 500 mg
syrup 200 mg
17 Gentamisin ampul 40 mg/cc
tube, salep kulit
botol, tetes mata
18 Levofloksasin tablet 500 mg
19 Metronidazol tablet 500 mg
infus 500 mg
20 Meropenem vial 500 mg
vial 1 gram
21 Spiramisin tablet 500 mg
NO NAMA OBAT BENTUK DAN DOSIS
SEDIAAN

22 Tetrasiklin kapsul 500 mg

23 Thiamphenicol kapsul 500 mg

II ANTITUSIVE - EKSPEKTORAN

1 Acetil sistein kapsul 200 mg

2 Codein tablet 10 mg
3 Erdosistein tablet ( Edotin & Vectrin )
syrup ( Erdomex )
4 Ambroxol tablet, syrup
tablet ( Broxal )
syrup ( Broxal )
5 OBH syrup

III ANTI EMETIK

1 Domperidon tablet 10 mg
syrup
3 Ondansetron tablet tablet 8 mg
ampul

IV OBAT JANTUNG , DIABETES

& HIPERTENSI
1 Atorvastatin tablet 20 mg
2 Acarbose tablet 50 mg
3 Acetosal tablet 80 mg ( Miniaspi )
tablet 100 mg ( Aptor )
4 Amiodarone tablet 200 mg
5 Amlodipine tablet 5 mg
tablet 10 mg
6 Apidra Flexpen
7 Bisoprolol tablet 2,5 mg ( Concor )
8 Candesartan tablet 8 mg
9 Captopril tablet 12,5 mg
tablet 25 mg
10 Clopidogrel tablet 75 mg
11 Digoksin tablet 0,25 mg
12 Furosemid tablet 40 mg
ampul 40 mg
13 Fenofibrat tablet 300 mg
NO NAMA OBAT BENTUK DAN DOSIS
SEDIAAN

14 Gemfibrozil 300 mg tablet 300 mg

15 Glibenclamide 5 mg tablet 5 mg
16 Glimepiride tablet 2 mg
tablet 3 mg
17 Gliquidone tablet 30 mg
18 Gliceryl trinitrat tablet 2,5 mg ( Nitrokaf )
tablet 5 mg (Nitrokaf retard Forte )
19 Hydroclortiazide tablet 5 mg
20 Isosorbide tablet 5 mg
21 Lantus Flexpen
22 Metformin tablet 500 mg
23 Micardis tablet 80 mg
24 Novorapid Flexpen
24 Nifedipine tablet
25 Propanolol tablet 10 mg
26 Renax Sericocalix Folium, orthosiponis herba
sonchus folium, plantago folium
27 Simvastatin tablet 20 mg
28 Spironolakton tablet 25 mg
29 Valsartan tablet 80 mg
tablet 80 mg ( Diovan )
tablet 160 mg ( Diovan )

V OBAT MALARIA
Artemisin tablet

VI OBAT RADANG

1 Betametason krim tube

2 Deksametason tablet 0,5 mg
injeksi/ampul 5 mg/ml
3 Kalium diklofenak (Nichoflam) tablet 50 mg
4 Metil Prednisolon tablet 4 mg, 8 mg
injeksi/vial 125 mg
5 Natrium diklofenak tablet 25 mg
6 Prednison ( Lexacort ) tablet 5 mg
NO NAMA OBAT BENTUK DAN DOSIS
SEDIAAN

VII OBAT TIROID

1 PTU tablet 100 mg

2 Thyrozol tablet 10 mg

VIII OBAT TB

1 Ethambutol tablet 500 mg

2 INH tablet 100 mg
tablet 300 mg
3 INHA (INH, Vit B6) tablet 400 mg/10 mg
4 Kanamisin injeksi/vial 1 gr
5 OAT 2 FDC anak tablet R 75/ INH 50
6 OAT 3 FDC tablet R 75/ INH 50/ PZA 150
7 OAT 2 FDC tablet R 150 / INH 150
8 OAT 4 FDC tablet R 150/ INH 75/PZA 400
/ Ethamb 275 mg
9 OAT TAHAP INTENSIF tablet R 450/ INH 300
/ PZA 1500/ ETHAMB 750
10 OAT TAHAP LANJUTAN tablet R 450/ INH 600
11 Pirazinamide tablet 500 mg
12 Rifampisin 300 mg tablet 300 mg
13 Rifampisin 450 mg tablet 450 mg
14 Streptomycin injeksi/vial 1 gr
15 TB Vit syrup syrup/INH 100 mg,Vit B6 10 mg

IX OBAT BRONCHODILATOR

1 Berotec (Fenoterol HBr) inhaler 100 mcg/puff

solution 0,1%
2 Bronsolvan (Theophylin ) tablet 150 mg
3 Bisolvon solution (Bromhexin) Botol 50 ml
4 Combivent nebula (Ipratropium bromidevial/ Ipratropium bromide 0,52 mg
Salbutamol sulphate) Salbutamol sulphate 3,01 mg
5 Salbutamol tablet 2 mg
inhaler 100 µg (Dipsamol)
6 Obucort Swinghaler (Budesonide) inhaler (40 mg), 200 µg/dosis
7 Onbreeze (Indacaterol ) inhaler 150 mcg
8 Pulmicort (Budesonide) respule / 0,25 mg/ml
inhaler

NO NAMA OBAT BENTUK DAN DOSIS

SEDIAAN

9 Seretide (Salmeterol xinafoate, inhaler (25/50 microgram)

Fluticasone propionate) diskus (50/250 microgram)
10 Symbicort Turbuhaler (budesonide/ 80/4,5 µg/dosis
formoterol) 160/4,5 µg/dosis
11 Spiriva (Tiotropium bromide 18 mcg) combopack (Handihaler+10 cap)
refill (30 cap)
12 Teosal (Theophylin, Salbutamol) tablet (Theophylin 130 mg,
Salbutamol 1 mg)
13 Theobron (Theophylin) tablet 130 mg
14 Ventolin nebula (Salbutamol) vial/ 2,5 mg/2,5 ml

X HEMOSTATIK

1 Asam Traneksamat (Lexatrans) tablet 500 mg

2 Asam Traneksamat tablet 500 mg
injeksi/ ampul 100 mg/ml
3 Carbazochrome ( Adona Forte ) tablet 30 mg
4 Phytomenadion tablet 10 mg
injeksi/ ampul 10 mg/ml

XI ANALGETIK - ANTIPIRETIK, VERTIGO

dan ANTI PIRAI
4 Ibuprofen tablet 200 mg
sirup 100 mg/5 ml
5 Ketoprofen tablet 100 mg
6 Meloksikam tablet 15 mg
7 Parasetamol tablet 500 mg
sirup 125 mg/5 ml
infus
8 Tramadol ( Contram ) tablet 50 mg

XII OBAT SAL CERNA

1 Antasida tablet Alluminium Hidroksida 200 mg,
Magnesium Hidroksida 200 mg
2 Stromaag tablet Alluminium Hidroksida 200 mg,

3 Aludona suspensi
Magnesium Hidroksida 200 mg,
Dimetikon 40 mg
tablet Alluminium Hidroksida 200 mg,
Magnesium Hidroksida 200 mg,
Simetikon 20 mg

NO NAMA OBAT BENTUK DAN DOSIS

SEDIAAN

4 Dexanta tablet tablet Alluminium Hidroksida 200 mg,

Magnesium Hidroksida 200 mg,
Simetikon 20 mg
5 Lansoprazole 30 mg kapsul 30 mg
6 Laxadin sirup/5 ml (Phenolphtalein 55 mg,
Paraffin Liquidium 1200 mg,
Glycerin 378 mg)
7 Omeprazole kapsul 20 mg
injeksi
8 Ranitidin tablet 150 mg
injeksi ampul 25 mg/ml
9 Akita tablet (Attapulgite 600 mg,
Pectin 50 mg)
10 Sucralfate Tablet 500 mg (Ulsidex)
Suspensi 500 mg/5 ml (Ulsafate)
11 Hyscopan (Hyoscine N-Butylbromide) tablet 10 mg
12 Papaverin tablet 40 mg
13 Pyrantel Pamoat tablet 125 mg
XIII ANTI EMETIK
1 Domperidon tablet 10 mg
sirup 5 mg/5 ml
2 Ondansetron tablet 4 mg
injeksi ampul 4 mg/2 ml

XIV ANTIFUNGI
1 Fluconazole tablet 150 mg
2 Itrakonazol tablet 100 mg
3 Myconazol cream cream/tube 2% 10 gr
4 Nystatin drops (Nyndia) Botol 100.000 IU/ml
5 Ketokonazol tablet 200 mg
cream/tube 2% 5 gr

XV ANTI HISTAMIN
 1 Cetirizin tablet 10 mg
sirup 5 mg/5 ml
2 Loratadin tablet 10 mg
3 Simzen (Cetirizin) tablet 10 mg

NO NAMA OBAT BENTUK DAN DOSIS

SEDIAAN

XVI ANXIETAS

1 Alprazolam tablet 0,5 mg

2 Clobazam tablet 10 mg
3 Diazepam tablet 2 mg

XVII OBAT INJEKSI

1 Atropin injeksi ampul 0,25 mg/ml

2 Aqua pro injeksi
3 Calcium Glukonat
4 Dipenhydramin
5 Dopamin
6 Dobutamin injeksi
7 Epinefrin injeksi
8 KCl (Kalium Clhorida)
9 Ketorolac injeksi
10 Lidocain injeksi
11 Meylon (Sodium Bicarbonate)
vial 20 ml
injeksi ampul 100 mg/ml
injeksi ampul 10 mg/ml
injeksi ampul 20 mg/ml
injeksi ampul 40 mg/ml
injeksi ampul 50 mg/ml
injeksi ampul 0,1% 1 ml
injeksi vial 0,38% 25 ml
injeksi ampul 30 mg/ml
injeksi ampul 20 mg/ml
injeksi vial 8,4% 25 ml

XVIII CAIRAN INFUS

1 Aminofluid (Electrolytes, Glucose, infus 500 ml

Amino Acids)
2 Dextrose 5 % infus 100 ml
infus 500 ml
3 Dextrose 10 % infus 500 ml
4 Dextrose 40 % infus 500 ml
5 KaEn 1 B (Dextrose, Sodium Chloride) infus 500 ml
6 KaEn 3 A infus 500 ml
7 NaCl 0,9 % infus 100 ml
infus 500 ml
8 NaCl 3% infus 500 ml
9 Ringer Laktat infus 500 ml

NO NAMA OBAT BENTUK DAN DOSIS

SEDIAAN

XIX VITAMIN, MINERAL, ASAM AMINO

DAN HEPATOPROTEKTOR

1 Asam Folat tablet 1 mg

2 Albumin Oral Chana tablet
3 Biocombin (Vit B1,B6,B12) injeksi
4 Calostrum (Suplemen makanan) sirup 100 ml
5 Ezygard ( Echinacea, Vit C,Zinc) tablet
6 Imunvit (Echinacea, black elderberry, tablet
7 Zn picolinate, selenium)
8 Kalsium Laktat tablet 500 mg
9 Ketocid (Suplemen Asam Amino) tablet
10 Potasium Clorida tablet Aspar K, KSR
11 Na Bicarbonat tablet 500 mg
12 Neurodex (Vit B1,B6,B12) tablet
13 Proliver (Silymarin phytosome, tablet
Curcuminoid, Choline bitartrate, vit B6)
14 Supralysin drop
sirup
15 Tablet Fe Sangobion
16 Vit B1 tablet 50 mg
17 Vit B6 tablet 10 mg
18 Vit C tablet 100 mg
19 Zinc tablet
sirup (Zinkid)

XX OBAT FLU & BATUK KOMBINASI

1 Alpara tablet (Parasetamol 500 mg,

CTM 2 mg, Phenylpropanolamine
 HCl 12,5 mg, DMP 15 mg)
2 Flutamol tablet (Parasetamol 500 mg,
CTM 1 mg, Phenylpropanolamine
HCl 15 mg, DMP 15 mg)
sirup/5 ml (Parasetamol 150 mg,
CTM 0,5 mg, Phenylpropanolamine
HCl 3,5 mg, DMP 5 mg)
3 Fludane Plus syrup sirup/5 ml (Parasetamol 125 mg,
CTM 0,5 mg, Phenylpropanolamine
HCl 3,125 mg, GG 30 mg)
4 Ponflu sirup/5 ml (Parasetamol 125 mg,
CTM 0,5 mg, Phenylpropanolamine
HCl 3,125 mg, Guaifenesin 50 mg)
DRAFT FORMULARIUM OBAT RS KHUSUS PARU PROPINSI SUMSEL
TAHUN 2017

NO NAMA OBAT BENTUK DAN DOSIS

SEDIAAN

I GOL ANTIBIOTIKA, ANTI VIRUS, AMUBA

1 Acyclovir tablet 200 mg

cream, tube 10 gram
2 Amoksisilin 500 mg kaplet 500 mg
syrup
3 Azitromisin tablet 500 mg
4 Ampicillin tablet 250 mg
injeksi ( Phapin injeksi )
5 Asam pipemidat tablet (Urotractin )
6 Cefixime tablet 100 mg
syrup 100 mg
7 Cefadroksil tablet 500 mg
syrup
8 Cefotaxime vial 500 mg
vial 1 gram
9 Ceftriaxone vial 1 gram
10 Ceftazidime vial 1 gram
11 Ciprofloksasin tablet 500 mg
infus 500 mg
12 Cotrimoxazol tablet 480 mg
syrup 240 mg
13 Co Amoxiclave tablet 500 mg
14 Chloramphenicol tube, salep mata
tube, salep kulit
15 Clindamisin kapsul 150 mg
16 Erytromisin tablet 500 mg
syrup 200 mg
17 Gentamisin ampul 40 mg/cc
tube, salep kulit
botol, tetes mata
18 Levofloksasin tablet 500 mg
19 Metronidazol tablet 500 mg
infus 500 mg
20 Meropenem vial 500 mg
vial 1 gram
21 Spiramisin tablet 500 mg
22 Tetrasiklin kapsul 500 mg
23 Thiamphenicol kapsul 500 mg

II ANTITUSIVE - EKSPEKTORAN

1 Acetil sistein kapsul 200 mg

2 Codein tablet 10 mg
3 Erdosistein tablet ( Edotin )
syrup ( Erdomex )
4 Ambroxol tablet, syrup
tablet ( Broxal )
syrup ( Broxal )
5 OBH syrup
NO NAMA OBAT BENTUK DAN DOSIS
SEDIAAN

III ANTI EMETIK

1 Domperidon tablet 10 mg
syrup
3 Ondansetron tablet tablet 8 mg
ampul

IV OBAT JANTUNG , DIABETES

& HIPERTENSI
1 Atorvastatin tablet 20 mg
2 Acarbose tablet 50 mg
3 Acetosal tablet 80 mg ( Miniaspi )
tablet 100 mg ( Aptor )
4 Amiodarone tablet 200 mg
5 Amlodipine tablet 5 mg
tablet 10 mg
6 Apidra Flexpen
7 Bisoprolol tablet 2,5 mg ( Concor )
8 Candesartan tablet 8 mg
9 Captopril tablet 12,5 mg
tablet 25 mg
10 Clopidogrel tablet 75 mg
11 Digoksin tablet 0,25 mg
12 Furosemid tablet 40 mg
ampul 40 mg
13 Fenofibrat tablet 300 mg
14 Gemfibrozil 300 mg tablet 300 mg
15 Glibenclamide 5 mg tablet 5 mg
16 Glimepiride tablet 2 mg
tablet 3 mg
17 Gliquidone tablet 30 mg
18 Gliceryl trinitrat tablet 2,5 mg ( Nitrokaf )
tablet 5 mg (Nitrokaf retard Forte )
19 Hydroclortiazide tablet 5 mg
20 Isosorbide tablet 5 mg
21 Lantus Flexpen
22 Metformin tablet 500 mg
23 Micardis tablet 80 mg
24 Novorapid Flexpen
24 Nifedipine tablet
25 Propanolol tablet 10 mg
26 Renax Sericocalix Folium, orthosiponis herba
sonchus folium, plantago folium
27 Simvastatin tablet 20 mg
28 Spironolakton tablet 25 mg
29 Valsartan tablet 80 mg
tablet 80 mg ( Diovan )
tablet 160 mg ( Diovan )

V OBAT MALARIA
Artemisin tablet
NO NAMA OBAT BENTUK DAN DOSIS
SEDIAAN

VI OBAT RADANG

1 Betametason krim tube

2 Deksametason tablet 0,5 mg
injeksi/ampul 5 mg/ml
3 Kalium diklofenak (Nichoftablet 50 mg
4 Metil Prednisolon tablet 4 mg, 8 mg
injeksi/vial 125 mg
5 Natrium diklofenak tablet 25 mg
6 Prednison ( Lexacort ) tablet 5 mg

VII OBAT TIROID

1 PTU tablet 100 mg

2 Thyrozol tablet 10 mg

VIII OBAT TB

1 Ethambutol tablet 500 mg

2 INH tablet 100 mg
tablet 300 mg
3 INHA (INH, Vit B6) tablet 400 mg/10 mg
4 Kanamisin injeksi/vial 1 gr
5 OAT 2 FDC anak tablet R 75/ INH 50
6 OAT 3 FDC tablet R 75/ INH 50/ PZA 150
7 OAT 2 FDC tablet R 150 / INH 150
8 OAT 4 FDC tablet R 150/ INH 75/PZA 400
/ Ethamb 275 mg
9 OAT TAHAP INTENSIF tablet R 450/ INH 300
/ PZA 1500/ ETHAMB 750
10 OAT TAHAP LANJUTAN tablet R 450/ INH 600
11 Pirazinamide tablet 500 mg
12 Rifampisin 300 mg tablet 300 mg
13 Rifampisin 450 mg tablet 450 mg
14 Streptomycin injeksi/vial 1 gr
15 TB Vit syrup syrup/INH 100 mg,Vit B6 10 mg

IX OBAT BRONCHODILATOR

1 Berotec (Fenoterol HBr) inhaler 100 mcg/puff

solution 0,1%
2 Bronsolvan (Theophylin ) tablet 150 mg
3 Bisolvon solution (BromheBotol 50 ml
4 Combivent nebula (Ipratrovial/ Ipratropium bromide 0,52 mg
Salbutamol sulphate) Salbutamol sulphate 3,01 mg
5 Salbutamol tablet 2 mg
inhaler 100 µg (Dipsamol)
6 Obucort Swinghaler (Budeinhaler (40 mg), 200 µg/dosis
7 Onbreeze (Indacaterol ) inhaler 150 mcg
8 Pulmicort (Budesonide) respule / 0,25 mg/ml
inhaler
9 Seretide (Salmeterol xinafinhaler (25/50 microgram)
Fluticasone propionate) diskus (50/250 microgram)

NO NAMA OBAT BENTUK DAN DOSIS

SEDIAAN

10 Symbicort Turbuhaler (bu 80/4,5 µg/dosis

formoterol) 160/4,5 µg/dosis
11 Spiriva (Tiotropium bromi combopack (Handihaler+10 cap)
refill (30 cap)
12 Teosal (Theophylin, Salbutablet (Theophylin 130 mg,
Salbutamol 1 mg)
13 Theobron (Theophylin) tablet 130 mg
14 Ventolin nebula (Salbutamovial/ 2,5 mg/2,5 ml

X HEMOSTATIK

1 Asam Traneksamat (Lexattablet 500 mg

2 Asam Traneksamat tablet 500 mg
injeksi/ ampul 100 mg/ml
3 Carbazochrome ( Adona Forte
tablet) 30 mg
4 Phytomenadion tablet 10 mg
injeksi/ ampul 10 mg/ml

XI ANALGETIK - ANTIPIRETIK, VERTIGO

dan ANTI PIRAI
4 Ibuprofen tablet 200 mg
sirup 100 mg/5 ml
5 Ketoprofen tablet 100 mg
6 Meloksikam tablet 15 mg
7 Parasetamol tablet 500 mg
sirup 125 mg/5 ml
infus
8 Tramadol ( Contram ) tablet 50 mg

XII OBAT SAL CERNA

1 Antasida
2 Stromaag
3 Aludona suspensi
4 Dexanta tablet
5 Lansoprazole 30 mg
6 Laxadin
7 Omeprazole
8 Ranitidin
tablet Alluminium Hidroksida 200 mg,
Magnesium Hidroksida 200 mg
tablet Alluminium Hidroksida 200 mg,
Magnesium Hidroksida 200 mg,
Dimetikon 40 mg
tablet Alluminium Hidroksida 200 mg,
Magnesium Hidroksida 200 mg,
Simetikon 20 mg
tablet Alluminium Hidroksida 200 mg,
Magnesium Hidroksida 200 mg,
Simetikon 20 mg
kapsul 30 mg
sirup/5 ml (Phenolphtalein 55 mg,
Paraffin Liquidium 1200 mg,
Glycerin 378 mg)
kapsul 20 mg
injeksi
tablet 150 mg
injeksi ampul 25 mg/ml
 9 Akita tablet (Attapulgite 600 mg,
Pectin 50 mg)
10 Sucralfate Tablet 500 mg (Ulsidex)
Suspensi 500 mg/5 ml (Ulsafate)

NO NAMA OBAT BENTUK DAN DOSIS

SEDIAAN

11 Hyscopan (Hyoscine N-Butablet 10 mg

12 Papaverin tablet 40 mg
13 Pyrantel Pamoat tablet 125 mg
XIII ANTI EMETIK
1 Domperidon tablet 10 mg
sirup 5 mg/5 ml
2 Ondansetron tablet 4 mg
injeksi ampul 4 mg/2 ml

XIV ANTIFUNGI
1 Fluconazole tablet 150 mg
2 Itrakonazol tablet 100 mg
3 Myconazol cream cream/tube 2% 10 gr
4 Nystatin drops (Nyndia) Botol 100.000 IU/ml
5 Ketokonazol tablet 200 mg
cream/tube 2% 5 gr

XV ANTI HISTAMIN

1 Cetirizin tablet 10 mg
sirup 5 mg/5 ml
2 Loratadin tablet 10 mg
3 Simzen (Cetirizin) tablet 10 mg

XVI ANXIETAS

1 Alprazolam tablet 0,5 mg

2 Clobazam tablet 10 mg
3 Diazepam tablet 2 mg

XVII OBAT INJEKSI

1 Atropin injeksi ampul 0,25 mg/ml

2 Aqua pro injeksi
3 Calcium Glukonat
4 Dipenhydramin
5 Dopamin
6 Dobutamin injeksi
7 Epinefrin injeksi
8 KCl (Kalium Clhorida)
9 Ketorolac injeksi
10 Lidocain injeksi
11 Meylon (Sodium Bicarbonainjeksi vial 8,4% 25 ml
vial 20 ml
injeksi ampul 100 mg/ml
injeksi ampul 10 mg/ml
injeksi ampul 20 mg/ml
injeksi ampul 40 mg/ml
injeksi ampul 50 mg/ml
injeksi ampul 0,1% 1 ml
injeksi vial 0,38% 25 ml
injeksi ampul 30 mg/ml
injeksi ampul 20 mg/ml

XVIII CAIRAN INFUS

1 Aminofluid (Electrolytes, infus 500 ml
Amino Acids)
2 Dextrose 5 % infus 100 ml
infus 500 ml
3 Dextrose 10 % infus 500 ml
4 Dextrose 40 % infus 500 ml
5 KaEn 1 B (Dextrose, Sodi infus 500 ml

NO NAMA OBAT BENTUK DAN DOSIS

SEDIAAN

6 KaEn 3 A infus 500 ml

7 NaCl 0,9 % infus 100 ml
infus 500 ml
8 NaCl 3% infus 500 ml
9 Ringer Laktat infus 500 ml

XIX VITAMIN, MINERAL, ASAM AMINO

DAN HEPATOPROTEKTOR

1 Asam Folat tablet 1 mg

2 Albumin Oral Chana tablet
3 Biocombin (Vit B1,B6,B12injeksi
4 Calostrum (Suplemen maksirup 100 ml
5 Ezygard ( Echinacea, Vit Ctablet
6 Imunvit (Echinacea, black tablet
7 Zn picolinate, selenium)
8 Kalsium Laktat tablet 500 mg
9 Ketocid (Suplemen Asam tablet
10 Potasium Clorida tablet Aspar K, KSR
11 Na Bicarbonat tablet 500 mg
12 Neurodex (Vit B1,B6,B12)tablet
13 Proliver (Silymarin phytostablet
Curcuminoid, Choline bitartrate, vit B6)
14 Supralysin drop
sirup
15 Tablet Fe Sangobion
16 Vit B1 tablet 50 mg
17 Vit B6 tablet 10 mg
18 Vit C tablet 100 mg
19 Zinc tablet
sirup (Zinkid)
XX OBAT FLU & BATUK KOMBINASI

1 Alpara tablet (Parasetamol 500 mg,

CTM 2 mg, Phenylpropanolamine
HCl 12,5 mg, DMP 15 mg)
2 Flutamol tablet (Parasetamol 500 mg,
CTM 1 mg, Phenylpropanolamine
HCl 15 mg, DMP 15 mg)
sirup/5 ml (Parasetamol 150 mg,
CTM 0,5 mg, Phenylpropanolamine
HCl 3,5 mg, DMP 5 mg)
3 Fludane Plus syrup sirup/5 ml (Parasetamol 125 mg,
CTM 0,5 mg, Phenylpropanolamine
HCl 3,125 mg, GG 30 mg)
4 Ponflu sirup/5 ml (Parasetamol 125 mg,
CTM 0,5 mg, Phenylpropanolamine
HCl 3,125 mg, Guaifenesin 50 mg)

Mengetahui Kepala Instalasi Farmasi

Ketua Komite Farmasi dan TeraRS Khusus Paru Propinsi Sumsel

dr.Jh Septa Ekanita, SpP Riana Safitri, Ssi,Apt

dr. Asep Zainudin, Sp PK

NIP 196609112000031001
PROPINSI SUMSEL
Cairan Infus

Aminofluid
Dextrose 5 % infus 100 ml
Dextrose 5 % infus 500 ml
Dextrose 10 %
Dextrose 40 %
NaCl 0,9 % infus 100 ml
NaCl 0,9 % infus 500 ml
Ringer Laktat

Vitamin, Mineral dan Asam Amino

dan Hepatoprotektor
Asam Folat
Biocombin injeksi ( Vit B1,B6,B12)
Colostrum syrup
Ezygard ( Echinacea, Vit C,Zinc)
Imunvit tablet
Kalsium Laktat
Ketocid
KSR ( Potasium Kloride )
Na Bicarbonat
Neurodex
Proliver
Supralysin drop
Supralysin syrup
Vit B1
Vit B 6
Vit C
Zinc tablet
Zinc syrup
 INFORMASI OBAT BULAN FEBRUARI 2016
RS KHUSUS PARU PROPINSI SUMSEL
NAMA OBAT
Acetylsystein 200 mg tablet
Acyclovir 5% cream
Acyclovir 200 mg tablet
Akita ( attapulgite )tablet
Adona Forte ( Carbazochrome )tablet
Alopurinol 100 mg tablet
Alupurinol 300 mg tablet
Alpara tablet
Alprazolam 0,5 mg
Aludona suspensi( Al,Mg,Simeticone)
Ambroxol 30 mg tablet
Ambroxol Syr 15 mg/ml
Aminofilin injeksi
Aminofluid infus
Amlodipin 5 mg tablet
Amlodipin 10 mg tablet
Amoksisilin Syr
Amoxicilin 500 mg tablet
Ampicillin 250 mg tablet
Ampicillin inj (Phapin)
Antasida Doen I tablet
Antasida Doen II susp
Apidar-Solostar Insulin
Atropin 0,25 mg Inj
Aptor tablet ( Acetosal 100 mg )
Aqua Pro Injeksi
Asam Folat tablet
Asam Mefenamat 500 mg tablet
Asam Traneksamat injeksi
Atorvastatin tablet
Berotec Inhaler MDI
Berotec nebula
Bedak salicyl
Betahistin Mesilat 6 mg tablet
Bronsolvan tablet
Betametason krim
Biocombin injeksi ( Vit B1,B6,B12 )
Bisolvon Sol Nebulizer
NAMA OBAT
Broxal tablet ( Ambroxol )
Broxal syrup ( Ambroxol )
Calcium Glukonat inj
Candesartan tablet
Captopril 12,5 tablet
Captopril 25 mg tablet
Cefadroxil 500 mg tablet
Cefadroxil Syr
Cefadroksil Forte syr
Cefixime tablet
Cefixime syrup
Cefotaksim inj 0, 5 gr
Cefotaksim Inj 1 gr
Ceftazidime 1 gr inj
Ceftriakson injeksi
Cetirizin Tab 10 mg
Cetirizin syrup
Chloramphenicol Salep Mata
Ciprofloxacin infus
Ciprofloksasin 500 mg tablet
Clindamisin 150 mg kapsul
Clobazam 10 mg tab
Co- Amoxiclav tablet
Codein 10 mg tab
Colostrum syrup ( Multivit+ lysin )
Combivent nebula
Contram tablet ( Tramadol )
Cotrimoksazol 480 mg
Cotrimoksazol Susp
Concor 2,5 mg ( Bisoprolol )
Deksametason injeksi
Dexametason tablet
Dexanta Tab
Dextrose 5 %
Dextrose 5 % piggy bag
Dextrose 40 %
Dextrose 10 %
Diazepam 2 mg
 NAMA OBAT NAMA OBAT

Diovan 80 mg ( Valsartan 80 mg ) Kanamisin Injeksi 1 gr

Diovan 160 mg ( Valsartan 160 mg ) Ketocid tablet ( Multivit+ As Amino)
Digoksin tablet Ketokonazol 200 mg
Dipenhydramin injeksi Ketokonazol Cream 2%
Dipsamol Inhaler ( Salbutamol ) Ketoprofen 100 mg tab
Domperidon tablet Ketorolac injeksi 30 mg
Domperidon suspensi Kloramfenikol SK
Dopamin injeksi Kloramfenicol SM
Dobutamin injeksi KSR ( Potassium Chloride )
Epinefrin Injeksi Lansoprazole
Eritromisin Syr Lantus Flexpen
Erdomex syrup ( Erdostein ) Laxadin syrup
Eritromisin Tab Levofloksasin 500 mg
Ethambutol 500 mg Lexatrans tablet ( As traneksamat )
Ezygard (Echinacea,Vit C , Zink ) Lexacort ( prednison )
Fenofibrat tablet Lidocain inj 2%
Fluconazole tablet Loratadin 10 mg
Fludane Plus Syrup Meloksikam 15 mg
Flutamol Plus tablet Meptin Swinghaler
Flutamol Syr Meropenem 500 mg Inj
Furosemide Inj Meropenem 1 gr Injeksi
Furosemide Tab Metformin 500 mg tab
Gemfibrozil 300 mg Methyl Prednisolon 8 mg
Gentamisin inj Metil Prednisolon Inj 125 mg
Gentamisin zalf Metronidazol 500 mg
Gentamisin Tetes Mata Metronidazole Infus
Glibenklamide 5 mg Meylon Injeksi
Glimepiride 2 mg tablet Micardis 80 mg tablet
Glimepiride 3 mg tablet Mikonazol krim
Hyscopan ( Hyoscine - N bromide ) Miniaspi
Ibuprofen 200 mg tablet Molafate suspensi
Ibuprofen syrup NaCl Piggy Bag
Imunvit tablet Na Bicarbonat tablet
INH 100 mg tablet Natrim diklofenak
INHA 400 mg tablet NaCl 3 % infus
Isosorbide Dinitrate tablet NaCl 0,9 % 500 ml
Itrakenazol tablet Neurodex tablet
KCl injeksi Nifedipin
KCl infus NovoRapid Flexpen
Kaen IB OBH Sirup 100 ml
K.Diklofenak(Nichoflam) Obucort swinghaler
Kalsium laktat

NAMA OBAT NAMA OBAT

Omeperazol kap 20 mg Seretide 50 inhaler

Onbreeze inhaler Seretide Discus 250
Ondansentron 4 mg Simvastatin 20 mg
Ondansentron 4 inj Simzen 10 mg ( Cetirizin )
Oralit Spiramycin 500 mg
OAT 2 FDC anak ( R 75/ INH 50 ) Spiriva Combo
OAT 3 FDC ( R 75/ INH 50/PZA 150 ) Spiriva Refil
OAT 2 FDC ( R 150 /INH 150 ) Spironolactone 25 mg
OAT 4 FDC ( R150/INH 75/PZA 400/ Streptomicin Injeksi
Ethamb 275 ) Stromaag ( Antasida )
OAT TAHAP INTENSIF (R450/INH 300 / Symbicort 80
PZA 1500 / ETHAMB 750 Symbicort 160
OAT TAHAP LANJUTAN(R 450/ INH 600) Sucralfat syrup
Papaverin 40 mg Supralysin drop (Multivit + Lysin )
Parasetamol syrup Supralysin syrup ( Multivit + lysin)
Parasetamol 500 mg tab TB Vit B6 syrup
Phytomenadion Inj Tetrasiklin
Phytomenadion tab Teosal
Ponflu Theobron
Proliver Kaplet Thiamfenikol 500 mg
Propanolol Thyrozol 10 ( Thiamazole )
PTU 100 mg Ulsafate suspensi ( Sucralfate )
Pulmicort nebula Ulsidex tablet ( Sucralfat )
Pulmicort Turbuhaler Urotractin ( Asam Pipemidat )
Pyrazinamide 500 mg Vectrine 300 mg kaps (Erdostein )
Pyrantel Valsartan 80 mg tablet
Ranitidin 150 mg Valsartan 160 mg tablet
Ranitidin injeksi Vit B1 tab
Renadinac 25 mg Vit B6 tab
Rifampicin 300 mg Vit C tab
Rifampicin 450 mg Ventolin nebula
Ringer Lactat Xylocaine 2% Jelly
Salbutamol inh ( Dipsamol ) Zinc Tablet
Salbutamol 2mg Zinc syrup

Mohon ditulis obat2 slow moving di bawah ini

Loratadin tablet
Vectrin / Erdostein tablet utk mukolitik
Ulsidex tablet
Stromag tablet
Dexanta tablet
Terima ksh atas perhatian dan kerjasama nya.