FORMULARIUM OBAT R.

S KHUSUS PARU 2017

I GOL ANTIBIOTIKA, ANTI

VIRUS, AMUBA

Acyclovir tablet 200 mg

cream, tube 10 gram
Amoksisilin 500 mg kaplet 500 mg
syrup
Azitromisin tablet 500 mg
injeksi
Ampicillin tablet 250 mg
injeksi
Asam pipemidat tablet
Cefixime tablet 100 mg
syrup 100 mg
Cefadroksil tablet 500 mg
syrup
Cefotaxime vial 500 mg
vial 1 gram
Ceftriaxone vial 1 gram
Ceftazidime vial 1 gram
Ciprofloksasin tablet 500 mg
infus 500 mg
Cotrimoxazol tablet 480 mg
syrup 240 mg
Co Amoxiclave tablet 500 mg
Chloramphenicol tube, salep mata
Tetes mata,salf kulit
Clindamisin kapsul 150 mg
 Erytromisin tablet 500 mg
syrup 200 mg
Gentamisin ampul 40 mg/cc
botol, tetes mata
tablet 500 mg
Levofloksasin infus
Metronidazol tablet 500 mg
infus 500 mg
Meropenem vial 500 mg
vial 1 gram
Spiramisin tablet 500 mg
Tetrasiklin kapsul 500 mg
Thiamphenicol kapsul 500 mg

II ANTITUSIVE -
EKSPEKTORAN

kapsul 200 mg
syrup
Acetil sistein injeksi
Codein tablet 10 mg
Erdosistein tablet
syrup
Ambroxol tablet, syrup
tablet
syrup
OBH syrup
III ANTI EMETIK

Domperidon tablet 10 mg
syrup
Ondansetron tablet 4 mg,8 mg
ampul

IV OBAT JANTUNG , DIABETES

& HIPERTENSI
Atorvastatin tablet 20 mg
Acarbose tablet 50 mg
Acetosal tablet 80 mg ( Miniaspi )
tablet 100 mg ( Apto
tablet 80 mg
Amiodarone tablet 200 mg
Amlodipine tablet 5 mg
tablet 10 mg
Apidra Flexpen
Bisoprolol tablet 2,5 mg
Candesartan tablet 8 mg
Captopril tablet 12,5 mg
tablet 25 mg
Clopidogrel tablet 75 mg
Digoksin tablet 0,25 mg
Furosemid tablet 40 mg
ampul 40 mg
Fenofibrat tablet 300 mg
Gemfibrozil 300
mg tablet 300 mg
Glibenclamide tablet 5 mg
Glimepiride tablet 2 mg
 tablet 3 mg
Gliquidone tablet 30 mg
Gliceryl trinitrat tablet 2,5 mg
tablet 5 mg
Hydroclortiazide tablet 5 mg
Isosorbide tablet 5 mg
Lantus Flexpen
Metformin tablet 500 mg
Micardis tablet 80 mg
Novorapid Flexpen
Nifedipine tablet
Propanolol tablet 10 mg
Simvastatin tablet 20 mg
tablet 25 mg
Spironolakton tablet 50 mg
Valsartan tablet 80 mg
tablet 80 mg ( Diovan )
tablet 160 mg ( Diovan )
V OBAT MALARIA
Artemisin tablet

VI OBAT RADANG

Betametason krim tube

Deksametason tablet 0,5 mg
injeksi/ampul 5 mg/ml
 Kalium diklofenak
(Nichoflam) tablet 50 mg
Metil Prednisolon tablet 4 mg, 8 mg
injeksi/vial 125 mg
Natrium diklofenak tablet 25 mg
Prednison tablet 5 mg
Desoxymetason krim

VII
OBAT TIROID
tablet 100 mg
PTU tablet 10 mg
Thyrozol

VIII OBAT TB

Ethambutol tablet 500 mg

INH tablet 100 mg
tablet 300 mg
INHA (INH, Vit
B6) tablet 400 mg/10 mg
 Kanamisin injeksi/vial 1 gr
OAT 2 FDC anak tablet R 75/ INH 50
OAT 3 FDC tablet R 75/ INH 50/ PZA 150
OAT 2 FDC tablet R 150 / INH 150
OAT 4 FDC tablet R 150/ INH 75/PZA 400
/ Ethamb 275 mg
OAT TAHAP tablet R 450/ INH 300
INTENSIF
/ PZA 1500/ ETHAMB 750
OAT TAHAP
LANJUTAN tablet R 450/ INH 600
Pirazinamide tablet 500 mg
Rifampisin tablet 300 mg
tablet 450 mg
tablet 600 mg
Streptomycin injeksi/vial 1 gr
TB Vit syrup syrup/INH 100 mg,Vit B6 10 mg
Metham ( INH + Etam) 200 mg, 500 mg

IX OBAT BRONCHODILATOR

Berotec (Fenoterol HBr) inhaler 100 mcg/puff

solution 0,1%
Bronsolvan (Theophylin ) tablet 150 mg
Bisolvon solution (Bromhexin) Botol 50 ml
Combivent nebula (Ipratropium vial/ Ipratropiumbromide0,52
bromide, mg
Salbutamol sulphate) Salbutamol sulphate 3,01 mg
 Salbutamol
Obucort Swinghaler
Onbreeze (Indacaterol )
Pulmicort (Budesonide)
Seretide (Salmeterol xinafoate, inhaler (25/50 microgram)
Fluticasone propionate)
Symbicort Turbuhaler
(budesonide/
formoterol)
Spiriva (Tiotropium
bromide 18 mcg)
Teosal (Theophylin,
Salbutamol)
Theobron (Theophylin)
Ventolin nebula (Salbutamol)
Bricasma
tablet 2 mg, syrup
inhaler 100 µg (Dipsamol)
inh (40 mg), 200 µg/dosis
inhaler 150 mcg
respule / 0,25 mg/ml
inhaler
diskus (50/250 microgram)
discus 50/100 mcg
80/4,5 µg/dosis
160/4,5 µg/dosis
combopack (Handihaler+10
cap)
refill (30 cap)
tablet (Theophylin 130 mg,
Salbutamol 1 mg)
tablet 130 mg
vial/ 2,5 mg/2,5 ml
Inhaler, injeksi

Meptin swinghaler inhaler

X HEMOSTATIK

Asam Traneksamat (Lexatrans) tablet 500 mg

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

XI ANALGETIK - ANTIPIRETIK, VERTIGO

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

XII OBAT SAL CERNA

Antasida tablet Al (OH)3,

MG(OH)2 200 mg
Stromaag Al (OH)3 200 mg,
Mg(OH)2 200 mg,
Dimetikon 40 mg
Aludona suspensi Al (OH)3,
Mg(OH)2 200 mg,
Simetikon 20 mg
Dexanta Tablet
Suspensi
 Lansoprazole 30 mg kapsul 30 mg
Laxadin sirup
Laxatab Tablet
New Diatab Tablet
Omeprazole kapsul 20 mg
injeksi
Ranitidin tablet 150 mg
injeksi ampul 25 mg/ml
Akita tablet (Attapulgite 600 mg,
Pectin 50 mg)
Sucralfate Tablet 500 mg
Suspensi 500 mg/5 ml
Hyscopan (Hyoscine) tablet 10 mg
Papaverin tablet 40 mg
Pyrantel Pamoat tablet 125 mg

XIII ANTI EMETIK

Domperidon tablet 10 mg
sirup 5 mg/5 ml
Ondansetron tablet 4 mg
injeksi ampul 4 mg/2
ml
Primperan Tablet

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

XV ANTI HISTAMIN

Cetirizin tablet 10 mg
sirup 5 mg/5 ml
Loratadin tablet 10 mg

XVI ANXIETAS

Alprazolam tablet 0,5 mg

Clobazam tablet 10 mg
Diazepam tablet 2 mg

XVII OBAT INJEKSI

injeksi ampul 0,25

Atropin mg/ml
Aqua pro injeksi vial 20 ml
Calcium Glukonat inj ampul 100 mg/ml
 Dipenhydramin inj ampul 10 mg/ml
Dopamin Inj ampul 20 mg/ml
inj ampul 40 mg/ml
Dobutamin injeksi Inj ampul 50 mg/ml
Epinefrin injeksi inj ampul 0,1% 1 ml
KCl (Kalium Clhorida) inj vial 0,38% 25 ml
Ketorolac injeksi inj ampul 30 mg/ml
Lidocain injeksi inj ampul 20 mg/ml
Meylon inj vial 8,4% 25 ml

XVII CAIRAN INFUS

Aminofluid (Electrolytes, Glucose,

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

XVIII VITAMIN, MINERAL, ASAM AMINO

DAN HEPATOPROTEKTOR
Asam Folat
tablet 1 mg
Albumin Oral
Biocombin (Vit B1,B6,B12) Chana tablet
Calostrum (Suplemen makanan)
injeksi
Ezygard ( Echinacea, Vit C,Zinc)
sirup 100 ml
Imunvit (Echinacea, black elderberry,
Zn picolinate, selenium) tablet
Kalsium Laktat
Ketocid tablet
Potasium Clorida
Na Bicarbonat
Neurodex (Vit B1,B6,B12) tablet 500 mg
Proliver tablet

Supralysin tablet Aspar K, KSR

tablet 500 mg
Tablet Fe
tablet
Vit B1
Vit B6 tablet
Vit C
Zinc
drop
CaCo3
sirup
Ketosteril
Plasbumin Sangobion
 tablet 50 mg

tablet 10 mg

tablet 100 mg

tablet
sirup (Zinkid)

tablet
tablet
Infus

XIX. OBAT FLU DAN BATUK KOMBINASI

1 tablet (Parasetamol 500

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

5 Pseudoefedrin Tablet, syrup

XX Daftar Produk Susu Formula dan

ONS

1. Nutren Optimum rasa coklat Kaleng

800 gram

2. Nutren Optimum rasa vanilla Kaleng

 800 gram

3. Nutren Fiber 800 gram Kaleng

4. Nutren Junior 800 gram Kaleng

5. Nutren Diabetik 800 gram Kaleng

6. Peptamen 430 gram Kaleng

7. Peptamen junior 400 gram Kaleng

8. Dianeral rasa coklat 180 Kotak

gram

9. Dianeral rasa vanilla 180 Kotak

gram

10. Nephrisol rasa coklat 185 Kotak

gram

11 Nephrisol rasa vanilla 185 Kotak

gram

12. Ensure Fos Coklat 400 gram Kaleng

13. Ensure Fos Vanilla 1000 Kaleng

gram

14. Entrakid Coklat 185 gram Kotak

15. Entrakid Vanila 185 gram Kotak

16. Nutrican rasa jeruk 245 gram Kotak

17. Nutrican rasa strawberi 245 Kotak

gram
18. Hepatosol rasa vanilla 185 Kotak
gram

19. MCT (Medium Chain Kotak isi 5

Triglyserida) sachet