Professional Documents
Culture Documents
MODULE PREPARED BY
1. Dr.V.L.M. Raman, MD, Joint Director (Medl), O/o the DME, A.P.
Vijayawada
2. Dr. T.Suryasree, MD, Professor and HOD of Anaesthesia, Siddhartha
Medical College, Vijayawada
3. Dr.P.Anil Kumar, Professor of Paediatrics, Siddhartha Medical College,
Vijayawada
4. Dr.P.S.Usha Rani, Professor of General Medicine, Guntur Medical College,
Guntur
5. Dr.G.Keshava Chandra, Professor of OBG, Siddhartha Medical College,
Vijayawada
6. Dr.S.Sarath Ajay Kumar, Assistant Professor of Psychiatry, Siddhartha
Medical College, Vijayawada
FOREWORD
Health clinics to improve the Health care delivery to the remote areas. To
achieve this objective Mid Level Health Provider (CHO) are appointed to treat
regarding the usage of common drugs, their dosages in treating the day to
day problems. The CHO’s can use the drugs in emergency situations in
Bharat, ICMR and WHO guidelines. Equipping the Health Care Centres with
trained CHO’s will surely improve the Health and wellness in Andhra Pradesh
State.
PLACE: VIJAYAWADA
DATE: 08.08.2023
LIST OF GENERAL MEDICINE DRUGS IN YSR VILLAGE HEALTH CLINICS
To be To be
Over the
prescribed Prescribed Dosage for Side Effects &
S.No Drug Name Uses/ Indications Counter Dosage for Adult Remarks
by MO by Specialist Child Contraindications
Yes/No
Yes/No Doctor
Analgesics, antipyretics, Non sterodial anti inflammatory medicines
S/E-
Acute Chest Pain: a. Gi bleed
b. Reyes syndrome
1. Coronary artery disease Stat dose in Mi/ CVA, c. Peptic ulcers
Acetysalicylic acid 2. Acute Coronary syndrome Brain Stroke
Get Consultaion with
1 (Aspirin) 3.CVA Yes Yes Yes 160-325 mg stat followed by C/I:-
specialist
4. Prosthetic valvular heart 150 mg OD a. Active Peptic ulcer disease
disease & AV shunts
5. Venous thrombo Embolism b. Asprin allergy
& PAD c. Gi bleed & thrombocytoperia
Antidiabetic
S/E: a. Disulfram reaction,
b. Hypoglycemia
Under Consultation of
43 Glibenclamide Type-2 Diabates melltus No Yes yes 2.5 mg - 20 mg - OD c. Heartburn
Specialist Doctor
C/I: a. T1 DM,
b. Chronic liver & renal disease
S/E: Early morning Hypoglycemia,
b. Weight Gain,
c. Disulfram reaction Under Consultation of
44 Glimepride Type-2 Diabetes No Yes yes 1 mg - 8 mg -OD/BD
C/I : a. In chronic liver & Kidney Specialist Doctor
Disease ,
b. Pregnancy
S/E: Lactic acidosis
a. Type II DM
Vit B12 deficeincy Under guuidance of
45 Metformin SR b. Gestational diabetes No Yes yes 500 mg - 2 gm / day - BD
C/I: Chronic Kidney Disease specialist
c.PCOS
b. Chronic Liver disease
Anticonvulsants
3 Amoxicillin oral suspension For infection No Yes Yes 15MG/KG/day-TID Respiratory tract infections for 5-7 days
4 Ciprofloxacin Tablets For infection No Yes Yes 10-20MG/Kg/day- BD Urinary tract infections for 7-10 days
5 Ciprofloxacin Hcl Eye /Ear Drops Eye Antibiotic No Yes Yes 2 drops/3times eye infection for 3-5 days
6 Doxycycline HCL Capsule IP 100 mg For infection No Yes Yes 5MG/KG/day/BD Ricketsial infection for 5-7 days
7 Norfloxacin Tablets 400mg For infection No Yes Yes 400MG/day/BD Urinary tract infections uncomplicated 5-7 days ; complicated 10-14 days
8 Gentamicin lniection IP For infection No Yes Yes 5-7.5MG/Kg/day/OD Urinary tract infections uncomplicated 5-7 days ; complicated 10-14 days
9 Mupirocin Ointment Antibacterial Yes Yes Yes As needed Skin Infection till wound heals
10 Framycetin Sulphate Cream Topical antibacterial No Yes Yes As needed Skin Infection till wound heals
Respiratory and Urinary tract infections for 7
11 Co-trimoxazole Tablets For urine infection NO Yes Yes 6-8mg/kg/day/BD days
ANTIPARASITIC
Amoebiasis- 15mg/kg/day for 14days; giardiasis
1 Metronidazole Tablets 200mg Anti parasitic No Yes Yes 7-15MG/KG/DAY/TID Amoebiasis; Giardiasis
5mg/kg/day for 7days
Amoebiasis- 15mg/kg/day for 14days; giardiasis
2 Metronidazole Tablets 400mg Anti parasitic No Yes Yes 7-15MG/KG/DAY/TID Amoebiasis Giardiasis
5mg/kg/day for 7days
<2YEARS 200MG PO OD: >2YEARS 400MG PO OD one
3 Albendazole Tablets Deworming Yes Yes Yes 200MG/400MG Worm Infections
time
Albendazole Suspension 200 mg/ 5 ml <2YEARS 200MG PO OD: >2YEARS 400MG PO OD one
4 Deworming No Yes Yes 200MG/400MG Worm Infections
in 10ml bottle time
Metronidazole benzoate Oral
5 For Gut Infection No Yes Yes 15-20MG/KG Amoebiasis
Suspention IP 100mg/5ml in 60ml
ANTIFUNGAL
1 Clotrimazole Cream 2% Topical antifungal Yes Yes Yes As needed Fungal skin infections Treatment for 14days
2 Fluconazole Tablets IP 200mg For fungal infection No Yes Yes 6-12mg/kg/day/ OD Fungal skin infections Treatment for 14days
Miconazole Nitrate Cream IP 2% 30gm
3 Topical antifungal No Yes Yes As needed Fungal skin infections Treatment for 14days
tube -Cream
ANTIEMETICS
1 Ondansetron Tablets IP 4 mg For vomitings Yes Yes Yes 0.3MG/KG/DOSE Vomitings 3-4times a day
2 Ondansetron Injection 2ml amp For vomitings Yes Yes Yes 0.3MG/KG/DOSE Vomitings 3-4 times a day
Ondansetron Syrup IP 2mg/5ml in 30
3 For vomitings Yes Yes Yes 0.3MG/KG/DOSE Vomitings 3-4 times a day
ml bottle
4 Domoeridone Tablets IP 10 mg For vomitings No Yes Yes 0.2-0.4MG/KG/DOSE Vomitings 3-4 times a day
5 Domperidone Suspension 30ml For vomitings No Yes Yes 0.2-0.4MG/KG/DOSE Vomitings 3-4 times a day
Non
Tobe Tobe
Prescribed
Prescrib Prescribe
Drug
Sr. NoDrug Name Uses/Indications e d by Specialist Dosage for Children Remarks
(Over the
dbyMO Doctor
counter)
YES/NO YES/NO
YES/ NO
ANTIPYRETIC
1 Paracetamol Tablets 500 mg fever YES YES Yes 15MG/KG/DOSE Fever 6TH HOURLY if fever persists
2 Paracetamol Svrup lP fever YES YES Yes 15MG/KG/DOSE Fever 6TH HOURLY if fever persists
ANTITUSSIVE
1 Salbutamol Sulphate Tablets 2 mg For cough No Yes Yes 0.1MG/KG/dose/ TID Cough with expectoration TILL COUGH SUBSIDES
Salbutamol Sulphate Syrup IP 2 mg / 5
2 For cough YES YES Yes 0.3MG/KG/dose/TID Cough with expectoration TILL COUGH SUBSIDES
ml in 100ml bottle
3 Dextromethorphan oral Syrup 60 ml Dry cough No Yes Yes 1-2MG/KG/DAY/TID Cough TILL COUGH SUBSIDES
ANTIHISTAMINE
2-5 YEARS(4MG) ONCE AT NIGHT: 6-14 YEARS (5MG)
1 Levocetirizine + Montelukast For allergy YES YES Yes 10MG Cough and Cold ONCE AT NIGHT; >14- 10 MG FOR ONCE AT NIGHT / FOR
MONTELEUKAST
6MONTHS-5 YEARS (1.25MG) ONCE DAILY; 6-11YEARS
2 Levocetrizine Syrup 60ml antihistamine YES YES Yes 5MG Cough and Cold
(2.5MG) ONCE DAILY >12YEARS- 5MG ONCE DAILY
Phenaramine Maleate injection 2ml 2-5YEARS 1MG/DOSE 8TH HOURLY; 6-11 2MG/DOSE 8TH
3 For allergy YES YES Yes 0.3MG/KG Cough and Cold
amp HOURLY; >12YEARS -4MG/DOSE 8TH HOURLY
VITAMINS & MINERALS
1 Ascorbic Acid Tablets nutrition NO YES Yes 100-300MG Weakness SCURVY 100-300 MG/DAY BD FOR 14DAYS
2 B Complex multivitamin YES YES Yes 1 TAB Weakness
3 Calcium & D3 Tablets 500ma +250 IU multivitamin YES YES Yes 80MG/KG/DAY/BD Weakness
4 Ferrous ascorbate equivalent to 50 mg nutrition YES YES Yes 4-6 MG/KG/DAY/BD Weakness
3 Dextrose Injection IP 5%w/v in 500ml IV fluid NO YES Yes INFUSION Loose stools/ Vomiting
Sodium Chloride Injection IP 0.9%in
4 IV fluid Yes YES Yes INFUSION Loose stools/ Vomiting
500ml
DISINFECTANT
1 Surgical Spirit Solution BP in 500ml Antiseptic Yes Yes Yes As needed for cleaning of wounds and before injections
Hydrogen Peroxide Solution IP 6% in
2 Disinfectant Yes Yes Yes As needed Cleaning of wounds
200ml
Povidone Iodine Ointment USP 5%,
3 Antiseptic Yes Yes Yes As needed Cleaning of wounds
30gm
ANTISPASMODICS
1 Dicyclomine Hcl Tablets 10 mg For stomach pain NO YES Yes 1MG/KG/DOSE/TID Stomach pains
5-12 YEARS 10MG/DOSE/TID; 6-12 YEARS
2 Hyoscinebutylbromide Tablet 10 mg spasmodic pain NO YES Yes Stomach pains
20MG/DOSE/TID
MISCELLANIOUS
0.01ml/kg 1 in 10,000
1 Adrenaline Injection For shock NO YES Yes Allergic reactions/ Asthama WATCH FOR TACHYCARDIA
dilution
2 Atropine Sulphate Injection For snake bite NO YES Yes 0.1-0.2 MG/KG/DOSE In resuscitation WATCH FOR DRYNESS OF MOUTH
3 Lactulose Solution 100ml For constipation Yes Yes Yes 1-2ML/KG Constipation WATCH FOR DIARRHOEA
4 Salbutamol nebulising solution IP 15 ml Brochodialator NO YES Yes 0.3MG/KG Asthama
Benzyl Benzoate application IP450ml
5 antioxidant Yes Yes Yes As needed Scabies AVOID GOING INTO MOUTH AND EYES
bottle
Silver Sulphadiazie Cream USP
6 Topical ointment Yes Yes Yes As needed Burns
1%W/W
7 Sodium Cromoglycate 2% Eye Drops Eye Infection NO YES Yes 2 DROPS Eye allergy
8 Calamine Lotion 100 ml emolient Yes Yes Yes As needed allergic rash
Gamma Benzene Hexachloride Lotion
9 scabies Yes Yes Yes As needed Scabies AVOID GOING INTO MOUTH AND EYES
1% in 60ml bottle
10 Sodium Chloride Nosal drops nasaldrops Yes Yes Yes 1 DROP Blocked nose
Lignocaine Hydrochloride Gel IP
11 anaesthetic Yes Yes Yes As needed Topical anasthetic
2%W/v in 50gm
LIST OF OBG DRUGS IN YSR VILLAGE HEALTH CLINICS
TO BE
TO BE
OVER THE PRESCRIB SIDE EFFECTS
PRESCRIBED BY
S.NO DRUG NAME USES/INDICATIONS COUNTER ED DOSAGE FOR ADULT AND CONTRA REMARKS
SPECIALIST YES
YES/NO BY MO INDICATIONS
OR NO
YES/NO
Barrier contraception
LATEX
01 MALE CONDOMS Prevent STD EASY TO YES YES YES
ALLERGY
use
Emergency
contraceptive pills 1. 0.75mg 2
1.levonorgesterol tabs 12 hrs
2.morning after apart/ 1.5 mg stat To consult
02 Prevent septic abortions YES YES YES
pill(ethinyl estradiol) 2. 2.5mg BD for 5 days Specialist
3.RU-486 3. 100mg stat
mifeprestone 4.30 mg stat
4.Ulipristal Acetate
Inexpensive
YES
Simple technique To consult
05 COPPER -T NO INSERTI ON yes
Prolonged use No Specialist
BY MO
systemic s/e Reversibility
PREVENT POST 4 TABLETS OF
For induction
DELIVERY BLEEDING 200mcg each To consult
06 TAB. MISOPROSTOL NO YES by specialist
MEDICAL ABORTION pr/sublingual/po after Specialist
consultation
INDUCTION OF LABOR delivery
TO BE
TO BE
OVER THE PRESCRIB SIDE EFFECTS
PRESCRIBED BY
S.NO DRUG NAME USES/INDICATIONS COUNTER ED DOSAGE FOR ADULT AND CONTRA REMARKS
SPECIALIST YES
YES/NO BY MO INDICATIONS
OR NO
YES/NO
Preconceptionally On consultat
5mg once a day
07 folic acid prevent neural tube YES YES yes ion with
morning or evening
defects specialist
C/I: a. Pregnacny
b.Hepatic disorders
c. Hyper sensitivity to drug
d. Urea cycle disorders