RSPAD GATOT SOEBROTO

INSTALASI FARMASI

DAFTAR OBAT HIGH ALERT MEDICATION (HAM)

NO KATEGORI NAMA GENERIK SEDIAAN NAMA DAGANG KEKUATAN

Kalium Klorida Injeksi KCL 7,46 % 7,46 % 25 ml

Elektrolit
1 Otsu-Saline 3
Pekat
Natrium Klorida 3 % Infus (3 % Sodium 3 % 500 ml
Chlorine)

NO KATEGORI OBAT SEDIAAN TABLET, CAPSUL DAN KAPLET NAMA DAGANG

Obat
2 LASA / Acarbose 50 mg Acarbose 100 mg Eclid 100 mg
NORUM
Acyclovir 200 mg Acyclovir 400 mg

Aspilet 80 mg
Ascardia 80 mg
Asam Asetil Salisilat Asam Asetil Salisilat Miniaspi 80 mg
80 mg 100 mg Thrombo Aspilet
Cardio Aspirin
Aptor 100 mg

Folavit 400 mg
Asam Folat 400 mcg Asam Folat 1 mg Vitafol 5 mg

Zylorix 100 mg
Allopurinol 100 mg Allopurinol 300 mg
Zylorix 300 mg

Norvask 5 mg
Norvask 10 mg
Tensivask 5 mg
Amlodipine 5 mg Amlodipine 10 mg
Tensivask 10 mg
Divask 5 mg
Divask 10 mg

Abilify 10 mg
Abilify 15 mg
Aripiprazol 10 mg Aripiprazol 15 mg
Zipren 10 mg
Zipren 15 mg

Depakote 250 mg
Asam Valproat 250 Asam Valproat ER Asam Valproat ER
Depakote ER 250 mg
mg 250 mg 500 mg
Depakote ER 500 mg

Lipitor 10 mg
Lipitor 20 mg
Atorvastatin 10 mg Atorvastatin 20 mg Truvaz 10 mg
Truvaz 20 mg
 RSPAD GATOT SOEBROTO
INSTALASI FARMASI

NO KATEGORI OBAT SEDIAAN TABLET, CAPSUL DAN KAPLET NAMA DAGANG

Betaserc 8 mg
Betaserc 24 mg
Merislon 6 mg
Obat LASA
Betahistine 6 mg Betahistine 8 mg Betahistine 24 mg Merislon 12 mg
/ NORUM Mertigo 6 mg
Vertikaf 8 mg
Vertikaf 24 mg

Carvilol 6.25 mg
Carvilol 25 mg
Carvedilol 6.25 mg Carvedilol 25 mg
V-Bloc 6.25 mg
V-Bloc 25 mg

Novexib 100 mg
Celecoxib 100 mg Celecoxib 200 mg
Novexib 200 mg

Sporetik 100 mg
Cefixime 100 mg Cefixime 200 mg
Sporetik 200 mg

Clozapine 25 mg Clozapine 100 mg

Sandimun 25 mg
Cyclosporine 25 mg Cyclosporine 50 mg Cyclosporine 100 mg Sandimun 50 mg
Sandimun 100 mg

Herbesser CD 100 mg
Diltiazem Cl 100 mg Diltiazem Cd 200 mg
Herbesser CD 200 mg

Aldomer 5 mg
Donepezil 5 mg Donepezil 10 mg Aricept eves 10 mg
Aricept 5 mg

Arcoxia 60 mg
Etoricoxib 60 mg Etoricoxib 90 mg
Arcoxia 90 mg

Trolip 100 mg
Fenofibrat 100 mg Fenofibrat 300 mg
Trolip 300 mg

Frego 5 mg
Sinral 10 mg
Flunarizine 5 mg Flunarizin 10 mg
Silum 5 mg
Silum 10 mg

Doxetin 20 mg
Fluoxetine 10 mg Fluxetine 20 mg
 RSPAD GATOT SOEBROTO
INSTALASI FARMASI

NO KATEGORI OBAT SEDIAAN TABLET, CAPSUL, DAN KAPLET NAMA DAGANG

Alpentin 100 mg
Obat LASA Alpentin 300 mg
Gabapentin 100 mg Gabapentin 300 mg
/ NORUM Sipentin 100 mg
Sipentin 300 mg

Amaryl 1 mg
Glimepiride 3 mg Amayrl 2 mg
Glimepiride 1 mg Glimepiride 2 mg
Glimepiride 4 mg Amayrl 3 mg
Amaryl 4 mg

Haloperidol
Haloperidol 0.5 mg Haloperidol 2 mg Haloperidol 5 mg Lodomer 2 mg
Lodomer 5 mg

Tanapres 5 mg
Imidapril 5 mg Imidapril 10 mg
Tanapres 10 mg

Irvask 150 mg
Irvask 300 mg
Irbesartan 150 mg Irbesartan 300 mg
Arprovel 150 mg
Aprovel 300 mg

Farsorbid 5 mg
Isdn 5 mg Isdn 10 mg Farsorbid 10 mg
Cedocard 5 mg

Inha 100 mg
Isoniazid 100 mg Isoniazid 300 mg Isoniazid 400 mg Inha 200 mg
Inha 400 mg

Lamictal 50 mg
Lamotrigin 50 mg Lamotrigin 100 mg
Lamictal 100 mg

Levatiracetam 500
Levatiracetam 250 mg Lexeva 500 mg
mg

Euthyrox 50 mcg
Levotiroksin 100
Levotiroksin 50 mcg Tyrax 0,1 mcg
mcg
Tiavell

Lisinopril 5 mg
Lisinopril 5 mg Lisinopril 10 mg
Lisinopril 10 mg
 RSPAD GATOT SOEBROTO
INSTALASI FARMASI

NO KATEGORI OBAT SEDIAAN TABLET, CAPSUL DAN KAPLET NAMA DAGANG

 RSPAD GATOT SOEBROTO
INSTALASI FARMASI

Glucophage 500
mg
Obat Glucophage xr 500
Metformin 500 mg Metformin 850 mg Metformin 100
LASA / mg
mg
NORUM Glucophage 800
mg
Glumin xr 500 mg

Mesalazine 250 mcg Mesalazine 500 mcg Salofalk 250 mg

Salofalk 500 mg

Medixon 8 mg
Methyl
Methyl Prednisolone 4 Methyl Prednisolone 8 Medixon 4 mg
Prednisolone 16
mg mg Medixon 16 mg
mg
Methylon 16 mg

Mycophenolate Sodium Mycophenolate Sodium

180 mcg 360 mcg

Olanzapine Tab Sal 5 mg Olanzapine Tab Sal 10 Olanzapine 5 mg

mg Olanzapine 10 mg

Kliran 4 mg
Kliran 8 mg
Ondansetron 4 mg Ondansetron 8 mg
Nafros 4 mg
Trovesis 8 mg

Optimax Optimax For G

Ossoral 200 mg Ossoral 800 mg

Prazopump 20 mg
Pantoprazole 20 mg Pantoprazole 40 mg
Prazopump 40 mg

Piracetam 1200
Piracetam 400 mg Piracetam 800 mg
mg

Sifrol 0,125 mg
Sifrol 0,75 mg
Pramipexole Er 0.125 Pramipexole Er
Pramipexole Er 0.75 mg Sifrol 0,375 mg
mg 0.375 mg

Provelyn 50 mg
Provelyn 150 mg
Pregabalin 75 mg Pregabalin 150 mg
Lyrica 50 mg
Lyrica 75 mg

NO KATEGORI SEDIAAN TABLET, CAPSUL, DAN KAPLET NAMA DAGANG

Obat Propranolol 10 mg Propranolol 40 mg
LASA /
 RSPAD GATOT SOEBROTO
INSTALASI FARMASI

NORUM

Quertiapine 100 mg
Quetiapine Xr 300 mg Quetiapine Xr 400 mg
Q-pin xr 200 mg

Rifamtibi 450 mg
Rifampicin 450 mg Rifampicin 600 mg
Rifamtibi 500 mg

Xarelto 10 mg
Xarelto 15 mg
Rivaroxaban 10 mg Rivaroxaban 15 mg
Nostrok 10 mg
Nostrok 15 mg

Risperidone 1 mg
Risperidone 1 mg Risperidone 2 mg
Risperidone 2 mg

Roswin 10 mg
Roswin 20 mg
Roswin 40 mg
Rosuvastatin 40
Rosuvastatin 10 mg Rosuvastatin 20 mg Suvesco 10 mg
mg
Rezart 10 mg
Crestol 10 mg
Nisrol 10 mg

Lasal 2 mg
Salbutamol 2 mg Salbutamol 4 mg
Lasal 4 mg

Rivatio 20 mg
Sildenafil 50 mg Sildenafil 100 mg Vimax 50 mg
Vimax 100 mg

Simvastatin 10 mg Simvastatin 20 mg Esvat 20 mg

Solifenacin Succinate 5 Solifenacin Succinate Vesicare 5 mg

mg 10 mg Vesicare 10 mg

Capriaton 25 mg
Capriaton 100 mg
Spironolactone 25 mg Spironolactone 100 mg
Letonal 25 mg
Letonal 100 mg

Prograv 0,5 mg
Tacrolimus 0.5 mg Tacrolimus 1 mg Prograf 1 mg

NO KATEGORI SEDIAAN TABLET, CAPSUL. DAN KAPSUL NAMA DAGANG

 RSPAD GATOT SOEBROTO
INSTALASI FARMASI

Obat Harnal ocas 0,2 mg

Tamsulosin sr
LASA / Tamsulosin D 0.2 mg Tamsulosin 0.4 mg
0,4 mg
Prostam SR
NORUM Harnal D 0,4 mg

Micardis 40 mg
Micardis 80 mg
Nuzartan 40 mg
Telmisartan 40 mg Telmisartan 80 mg
Nuzartan 80 mg
Tinov 40 mg
Tinov 80 mg

Hytroz 1 mg
Terazosin Hcl 1 mg Terazosin Hcl 2 mg
Hytroz 2 mg

Thyrozol 5 mg
Tyrozol 10 mg
Thiamazole 5 mg Thiamazole 10 mg
Velthrrom 5 mg
Velthrom 10 mg

Migratop 25 mg
Migratop 50 mg
Topiramate 100
Topiramate 25 mg Topiramate 50 mg Topamx 25 mg
mg
Topamax 50 mg
Topamax 100 mg

Valsartan 80 mg Valsartan 160 mg Diovan 160 mg

Vit B Complex
Vitamin B 10 mg Vitamin B 25 mg
tablet

Vitamin E 200 Iu Vitamin E 400 Iu Eturol Caps

NO KATEGORI OBAT SALURAN PERNAPASAN
Pulmicort Resp Pulmicort Resp
- -
Obat LASA/ 0,25/Amp 0,5/Amp
NORUM Ventolin Nebules
Ventolin Inhaler 100 - -
2,5/Amp
NO KATEGORI VASOKONTRIKSI

Epinephrin Injeksi Epinephrin

-
Obat LASA/ Vascon inj 1mg
NORUM Norepinephrin Injeksi Norepinephrin N-Epi 1 mg inj

NO KATEGORI ANTI ARITMIA

Obat LASA/ Amiodaron 50
Amiodaron Injeksi 150 MG / 3ML
NORUM MG/ML
 RSPAD GATOT SOEBROTO
INSTALASI FARMASI

Kendaron 200
Tablet 200 MG
MG
NO KATEGORI ANTI HIPOGLIKEMIK ORAL
1 MG. 2 MG,
Glimepiride Tablet Glimepiride
3 MG, 4 MG
50 MG, 100
Obat LASA/ NORUM Acarbose Tablet Acarbose
MG
500 MG, 850
Metformin Tablet Metformin
MG
NO KATEGORI ANTI HIPOGLIKEMIK ORAL
Diazepam Tablet Valisanbe 2MG, 5 MG
Diazepam Supp stesolid 5 MG, 10 MG
Obat LASA/ NORUM 5 MG/2,5 ,
Diazepam Injeksi Valdimex
10/2,5
Phenobarbital Tablet Sibital 50 MG
NO KATEGORI ANETESI
Obat LASA/ NORUM Injeksi lidocain
anastesi lokal Injeksi pehacain
Injeksi xylocain spray
Injeksi isoflurane
anestesi inhalasi
Injeksi sevoflurane
5 MG / ML
anestesi IV Injeksi Midazolam, Miloz
15 MG/ ML
NO KATEGORI PREPARAT NUTRISI
KABIVEN 1440 ml, 625
Obat LASA/ NORUM KABIVEN PERIPHERAL Bag/Kantong
PERIPHERAL 1 ml
AMINOSTERIL Botol AMINOSTERIL 6%, 10%
NO KATEGORI PENGENCER DARAH
Cilostazol Tablet Cilostazol
Obat LASA/ NORUM
Clopidogrel Tablet Clopidogrel 75 MG
NO KATEGORI OBAT TETES MATA

Cendo Timol 0,5% Md Cendo Timolol 0.5%

Obat LASA/ Cendo Xitrol E.Drop Cendo Xytrol E O

NORUM
Cenfresh Ed 5 Ml Cenfresh Md /Strip

Cendo Fenicol 0,5% Ed Cendo Fenicol E.O 1%

NO KATEGORI OBAT ANTI KONVULSAN
Diazepam Tablet Valisanbe, 2MG, 5 MG

Diazepam Supp stesolid 5 MG, 10 MG

Obat LASA/
NORUM 5 MG/2,5 ,
Diazepam Injeksi Valdimex
10/2,5

Phenobarbital Tablet Sibital 50 MG

NO KATEGORI OBAT KEMOTERAPI

 RSPAD GATOT SOEBROTO
INSTALASI FARMASI

EPIRUbicin DOXORUbici
EPIRUbicin INJEKSI DOXORUbicin INJEKSI
INJEKSI n INJEKSI
leTRAZ 2,5
Obat LASA/ leBREST 2,5 MG leTRAZ 2,5 MG leBREST 2,5 MG
MG
NORUM
NAVELbin 10
VINORELbin 10 MG NAVELbin 10 MG VINORELbin 10 MG
MG
zoMETA 4
zoLTERO 4 MG zoMETA 4 MG zoLTERO 4 MG
MG
 RSPAD GATOT SOEBROTO
INSTALASI FARMASI

NO KATEGORI OBAT INJEKSI

FOSFOMYCIN 1 GR FOSFOMYCIN 2 GR

MEROPENEM 1 GR MEROPENEM 2 GR

cefoTAXIME 1 g ceftriAXONE 1 g ceftiZOXIME 1 g

cefoperazone
cefoperazone 1 g
SULBACTAM 1,5 g
Obat LASA/
ceftaZIDIME 1 g cefaZOLINE 1 g
NORUM
DIPHENHYDRAmine 10 MECOBALAmine 500
mg mcg
LANSOprazole 30
ESOMEprazole 30 mg OMEprazole 40 mg
mg
PANTOprazole 40
mg
METOCLOPRAmide 10
FUROSEmide 20 mg
mg

NO KATEGORI NAMA GENERIK SEDIAAN NAMA DAGANG KEKUATAN

Morfin Injeksi Morfin 100 mg/2 ml

12,5 MU SET,
Fentanyl Transdermal Durogesic
25 MU SET
Fentanyl Injeksi Fentanyl 100MG/2 ml
GOLONGAN
3 Pethidin Injeksi Pethidin 50 mg/ml
NARKOTIKA
Codein Tablet Codein 10 MG, 20 MG
Codein + Paracetamol Tablet Coditam 500 mg
Morfin Sulfat Tablet MST 10 MG, 15 MG

NO KATEGORI NAMA GENERIK SEDIAAN NAMA DAGANG KEKUATAN

Streptokinase, Fibrion
TROMBOLITIK Streptokinase Injeksi
4 (Trombolitik ) 1.500.000
DAN KOAGULAN
Simarc, Notisil
Warfarin Tablet 2 MG
(Koagulan)
Inviclot, lovenox Lovenox 0,2
Heparin Injeksi
(Koagulan) 0,4 0,6

Vasola, Arixtra, 2.5 MG / 0.5

Fondaparinux Injeksi
(Koagulan) ML
NO KATEGORI NAMA GENERIK SEDIAAN NAMA DAGANG KEKUATAN

Insulin Aspart Injeksi Novorapid Flexpen 300 IU / 3 ML

Insulin Aspart 30% +
5 INSULIN Protaminated Insulin Injeksi Novomix 30 Flexpen 100 IU / ML
Aspart 70%
Insulin Determir Injeksi Levemir Flexpen
RSPAD GATOT SOEBROTO
INSTALASI FARMASI

Insulin Glargine Injeksi Lantus 300 IU / 3 ML

Injeksi Ezelin 100 IU/ ML
Insulin Glulisine Injeksi Apidra Solostar 100 IU/ ML
Insulin Lispro Injeksi Humalog Kwik Pen 100 IU/ ML
Insulin Lispro 25 + Insulin Injeksi Humalog Kwik Pen
Lispro Protamine 75% 25

Insulin Lispro 50 + Insulin Injeksi Humalog Kwik Pen

Lispro Suspension 50% 50
 RSPAD GATOT SOEBROTO
INSTALASI FARMASI

NO KATEGORI NAMA GENERIK SEDIAAN NAMA DAGANG KEKUATAN

Tamoxifen tablet Tamoxifen 10 mg
Afatinib tablet Giotrif 40 mg
Anastrozole tablet Bracer Bracer
Taceral 500
Capecitabine tablet Taceral
MG
100 mg dan
Imatinib tablet Imatero
400 mg
6 KEMOTERAPI 30,100 dan 300
Paclitaxel vial Foncopac
mg
100 dan 500
Rituximab vial Rituxixal
mg
150 dan 450
Carboplatin vial Carboplatin
mg
Trastuzumab vial Herzemab 440 mg
Goserelin vial Zoladex 3,6 dan 10,8
NO KATEGORI NAMA GENERIK SEDIAAN NAMA DAGANG KEKUATAN
Hexiol 300/50 Injeksi Hexiol 300/50
Hexiol 350/50 Injeksi Hexiol 350/50
Metacosfar 320/50 Injeksi Metacosfar 320/50
7 OBAT KONTRAS Metacosfar 320/100 Injeksi Metacosfar 320/100
Xolmetras 300/50 Injeksi Xolmetras 300/50
Xolmetras 300/100 Injeksi Xolmetras 300/100
Ultravist 370/100 Injeksi Ultravist 370/100

Jakarta, Juli 2022

KEPALA INSTALASI FARMASI

Dra. Vinsensia Norma Uli Munte, Apt

Kolonel Ckm (K) NRP 11910054120167