NATIONAL LIST OF ESSENTIAL MEDICINES NEPAL - (Fourth Revision) - DEPARTMENT OF DRUG ADMINISTRATION
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Final Draft
NATIONAL LIST OF
ESSENTIAL MEDICINES
NEPAL
(Fourth Revision)
Government of Nepal
MINISTRY OF HEALTH AND POPULATION
DEPARTMENT OF DRUG ADMINISTRATION
2009Draft: National List of Essential Medicines - Nepal, Fourth Revision, 2009
Final Draft
NATIONAL LIST OF ESSENTIAL MEDICINES - NEPAL
Fourth revision, 2009
________________________________________________________________
Generic Name Dosage Form
1. Anaesthetics
1.1 General Anaesthetics and Oxygen
Halothane inhalation
Isoflurane inhalation
Ketamine injection, 50 mg/ml (as hydrochloride) in 10-ml vial
Nitrous oxide inhalation
Oxygen inhalation (medicinal gas)
Thiopental powder for injection, 0.5g, 1.0g (sodium salt) in ampoule
Complementary
Propofol injection, 10mg/ml in 20-ml ampoule
1.2 Local Anaesthetics
Bupivacaine injection, 0.25%, 0.5% (hydrochloride) in vial
Lidocaine (Lignocaine) injection, 1%, 2% (hydrochloride) in vial; injection for
spinal anaesthesia, 5% (hydrochloride) in 2-ml ampoule
to be mixed with 7.5% glucose solution
Lidocaine + epinephrine (adrenaline) injection, lignocaine 2%(hydrochloride) + epinephrine
1:200 000, in vial
Complementary
Ephedrine injection, 30 mg (hydrochloride)/ml in 1-ml ampoule (For
use in spinal anaesthesia during delivery, to prevent
hypotension)
1.3 Preoperative Medication and Sedation for Short-term Procedures
Atropine injection, 1 mg (sulfate) in 1-ml ampoule
Diazepam injection, 5mg/ml in 2-ml ampoule
Morphine injection, 10 mg (sulfate or hydrochloride) in 1-ml
ampoule
2. Analgesics, Antipyretics, Non-Steroidal Anti-inflammatory Medicines (NSAIMs) and
Medicines Used to Treat Gout and Disease-Modifying Agents Used in Rheumatic Disorders
(DMARDs)
2.1. Non-opioids Analgesics & NSAIMs
Ibuprofen tablet, 200 mg, 400 mg
Paracetamol tablet, 500mg; injection, 150 mg/ml; oral liquid, 125
mg/5ml
Complementary
Aspirin tablet, 300 mg
Diclofenac sodium tablet, 50 mg; injection, 25 mg/ml
1Draft: National List of Essential Medicines - Nepal, Fourth Revision, 2009
2.2. Opioid Analgesics
Morphine injection, 10 mg (sulfate or hydrochloride) in 1- ml
ampoule; tablet, 10mg; prolonged release tablet, 10mg,
30mg, 60 mg (sulfate); oral liquid 10 mg/5ml (sulfate)
Pethidine injection, 50mg (hydrochloride) in 1-ml ampoule
2.3 Medicines Used to Treat Gout
Complementary
Allopurinol tablet, 100 mg
Colchicine tablet, 500 mcg
2.4 Disease Modifying Agents Used in Rheumatic Disorders (DMARDs)
Methotrexate tablet, 2.5mg (as sodium salt)
3. Antiallergics and Medicines Used in Anaphylaxis
3.1 Antiallergics
Chlorpheniramine tablet, 4 mg (maleate)
Dexamethasone phosphate injection, 4 mg (as sodium salt) in 1-ml ampoule
Epinephrine (adrenaline) injection, 1mg (as hydrochloride or tartrate) in 1-ml
ampoule
Hydrocortisone powder for injection, 100 mg (as sodium succinate) in vial
Pheniramine injection, 22.75 mg (maleate) /ml
Prednisolone tablet, 5mg
3.2 Medicines Used in Shock
Dopamine injection, 40 mg/ml
Epinephrine (Adrenaline) injection, 1:10 000 in 1-ml ampoule
4. Antidotes and Other Substances Used in Poisonings
4.1 Non-Specific
Charcoal, activated powder; slurry in sorbitol
4.2 Specific
Atropine injection, 1 mg (sulfate) in ampoule; powder for injection
200 mg (sulfate) in vial
Dimercaprol injection in oil, 50 mg/ml in 2-ml ampoule
Naloxone injection, 400 mcg (hydrochloride) in 1-ml ampoule
Pralidoxime injection, 500 mg or 1 g (mesilate, chloride or iodide) in
ampoule
Complementary
Acetylcysteine injection, 200 mg/ml in 10-ml ampoule
Calcium gluconate injection, 100 mg/ml in 10-ml ampoule
Deferoxamine powder for injection, 500 mg (mesilate) in vial
Methylthioninium chloride (Methylene injection, 10 mg/ml in 10-ml ampoule
blue)
Potassium ferric hexacyano-ferrate powder for oral administration
(II).2H2O (Prussian blue)
Sodium calcium edetate injection, 200 mg/ml in 5-ml ampoule
Sodium nitrite injection, 30 mg/ml in 10-ml ampoule
2Draft: National List of Essential Medicines - Nepal, Fourth Revision, 2009
5. Antiepileptics / Anticonvulsants
Carbamazepine tablet, 100 mg, 200 mg; chewable tablet 100 mg, 200 mg
Diazepam injection, 5mg/ml in 2-ml ampoule (intravenous or rectal)
Magnesium sulfate* injection, 500 mg/ml in 2-ml ampoule.
* For use in eclampsia and severe pre-clampsia and not for other convulsant disorders
Phenobarbital tablet, 15 mg, 30 mg
Phenytoin capsule or tablet, 25 mg, 50 mg, 100 mg (sodium salt);
injection, 50 mg /ml (sodium salt) in 5-ml vial
Valproic acid tablet (enteric coated), 200 mg (sodium salt)
Complementary
Paraldehyde injection, 500 mg/ml in 2-ml ampoule
6. Anti-infective Medicines
6.1 Anthelmintics
6.1.1 Intestinal Anthelmintics
Albendazole tablet (chewable), 400 mg
Complementary
Niclosamide tablet (chewable), 500mg
Praziquantel tablet, 150 mg, 600 mg
6.1.2 Antifilarials
Diethylcarbamazine tablet, 50 mg, 100 mg (dihydrogen citrate)
6.2 Antibacterials
6.2.1 Beta-lactum medicines
Amoxicillin capsule or tablet, 250mg, 500mg (as trihydrate);
dispersible tablet 125 mg (as trihydrate)
Ampicillin powder for injection, 500 mg (sodium salt)
Benzathine benzylpenicillin powder for injection, 600 000 IU, 1200 000 IU, 2400 000
IU in vial
Benzylpenicillin (Penicillin G) powder for injection, 300 mg (0.5 million IU), 600 mg (1
million IU) (as sodium or potassium salt) in vial
Cefixime# tablet, 400 mg
#Only listed for single-dose treatment of uncomplicated
ano-genital gonorrhoea
Cefotaxime powder for injection, 1g, 500 mg (as sodium salt) in vial
Cloxacillin capsule, 250 mg, 500 mg; powder for oral liquid, 125 mg
/ 5ml; powder for injection, 500 mg (as sodium salt) in
vial
Phenoxymethylpenicillin (Penicillin V) tablet, 250mg (as potassium salt); powder for oral liquid,
250 mg
Procaine benzylpenicillin powder for injection, 300,000 IU in vial
Complementary
Cefazolin* powder for injection, 1 g (as sodium salt) in vial
*For surgical prophylaxis
Ceftriaxone powder for injection, 250 mg (as sodium salt) in vial
3Draft: National List of Essential Medicines - Nepal, Fourth Revision, 2009
6.2.2 Other Antibacterials
Azithromycin* capsule or tablet 250 mg, 500 mg; oral liquid, 200 mg
/5ml.
*Only listed for single-dose treatment of genital Chlamydia trachomatis and of trachoma.
Chloramphenicol capsule, 250 mg, 500 mg; oral liquid, 125 mg / 5ml (as
palmitate), powder for injection, 1g (as sodium
succinate) in vial
Ciprofloxacin tablet, 250 mg, 500 mg (as hydrochloride)
Doxycycline capsule, 100mg (as hydrochloride)
Gentamicin injection, 10 mg, 40 mg / ml (as sulfate) in 2-ml vial
Metronidazole tablet, 200 mg, 400 mg; injection, 500 mg in 100-ml vial;
oral liquid, 100 mg, 200 mg (as benzoate) / 5ml
Nitrofurantoin tablet, 100 mg
Sulfamethoxazole+Trimethoprim dispersible tablet, 100mg+20 mg, 200 mg+ 40 mg; tablet
400 mg + 80 mg, 800 mg + 160 mg; oral liquid, 200mg
+ 40mg /5ml
Complementary
Erythromycin tablet, 250 mg (stearate); oral liquid, 250 mg / 5ml
(stearate)
Nalidixic acid tablet, 250 mg, 500 mg
6.2.3 Antileprosy Medicines
Clofazimine capsule, 50 mg, 100 mg
Dapsone tablet, 50 mg, 100 mg
Rifampicin capsule or tablet 150 mg, 300 mg
6.2.4 Antitubercular Medicines
Ethambutol tablet, 400 mg (hydrochloride)
Isoniazid tablet, 100 mg, 300 mg
Isoniazid+ethambutol tablet, 150mg + 400mg
Rifampicin capsule or tablet, 150mg, 300mg
Rifampicin+isoniazid tablet, 60 mg+ 30 mg, 150mg + 75 mg
Rifampicin+isoniazid+ethambutol tablet, 150 mg+ 75 mg+275 mg
Rifampicin+isoniazid+pyrazinamide tablet, 60 mg+ 30 mg+150 mg
Rifampicin+isoniazid+pyrazinamide+
ethambutol tablet, 150 mg+ 75 mg + 400 mg + 275 mg
Streptomycin powder for injection, 1 g (as sulfate) in vial
Complementary list: Second-line medicines for the treatment of multi-drug
resistant tuberculosis (MDR-TB) - to be made available
only in specialised centres adhering to standard
treatment protocol.
Cycloserine tablet, 250 mg
Ethionamide tablet, 250 mg
Kanamycin powder for injection 1 g in vial
Ofloxacin tablet, 200 mg
p-aminosalicylic acid (PAS) granules, 4 g in sachet; tablet 500 mg
4Draft: National List of Essential Medicines - Nepal, Fourth Revision, 2009
Pyrazinamide tablet, 400mg
6.3 Antifungal Medicines
Clotrimazole cream, 1%; pessary 100 mg
Fluconazole capsule or tablet, 150 mg
Nystatin lozenge, 100 000 IU
6.4 Antiviral Medicines
6.4.1 Antiherpes Medicines
Aciclovir powder for injection 250 mg (as sodium salt) in vials,
tablet 200 mg
6.4.2 Antiretrovirals
6.4.2.1 Nucleoside/Nucleotide Reverse Transcriptase Inhibitors
Abacavir (ABC) tablet, 300 mg (as sulfate); oral liquid, 100 mg (as
sulfate)/5ml
Didanosine (ddI) enteric coated capsules 250 mg, 400 mg
Lamivudine (3TC) tablet, 150 mg; oral liquid 50 mg/5ml
Stavudine (d4T) capsule, 15 mg, 20 mg, 30 mg; powder for oral liquid, 5
mg/5 ml
Tenofovir disoproxil fumarate (TDF) tablet, 300 mg (equivalent to 245 mg tenofovir disoproxil)
Zidovudine (ZDV or AZT) capsule, 100 mg; tablet 300 mg; oral liquid 50 mg/ 5ml
6.4.2.2 Non-nucleoside Reverse Transcriptase Inhibitors
Efavirenz (EFV or EFZ) capsule, 200 mg; tablet, 600 mg
Nevirapine (NVP) tablet, 200 mg; oral liquid, 50 mg/5ml
6.4.2.3 Protease Inhibitors
Indinavir (IDV) capsule, 400 mg ( as sulfate)
Lopinavir + ritonavir (LPV/r) capsule 200 mg + 50 mg
Nelfinavir (NFV) tablet, 250 mg (as mesilate)
Saquinavir (SQV)+ritonavir oral dosage form, 1g+100 mg
6.4.2.4 Fixed-dose Combination
Lamivudine + stavudine tablet, 150 mg + 30 mg
Stavudine + lamivudine + nevirapine tablet, 30 mg + 150 mg + 200 mg
Zidovudine + lamivudine tablet, 300 mg + 150 mg
Zidovudine + lamivudine + nevirapine tablet, 300 mg + 150 mg + 200 mg
6.5 Antiprotozoal Medicines
6.5.1 Antiamoebic and Antigiardiasis Medicines
Diloxanide tablet, 500 mg (furoate)
Metronidazole tablet, 200mg, 400mg; oral liquid, 200 mg (as benzoate) /
5 ml. Complementary
Tinidazole tablet, 500mg
6.5.2 Antileishmaniasis Medicines
Miltefosine capsule, 50 mg
Complementary
Amphotericin B powder for injection, 50 mg in vial
Sodium stibogluconate injection, 100mg/ml
6.5.3 Antimalarial Medicines
5Draft: National List of Essential Medicines - Nepal, Fourth Revision, 2009
Artesunate injection, ampoules, containing 60 mg anhydrous
artesunic acid with a separate ampoule of 5% sodium
bicarbonate solution; tablet 50 mg
Artemether* oily injection, 80 mg/ml in 1-ml ampoule.
* For use in the management of severe malaria.
Artemether+lumefantrine# tablet, 20 mg+ 120 mg
# Not recommended in the first trimester of pregnancy or in children below 5 kg.
Chloroquine tablet, 150 mg base (as phosphate or sulfate); oral liquid,
50 mg/5ml (as phosphate or sulfate); injection,
40mg/ml in 5-ml ampoule (as phosphate, sulfate or
hydrochloride)
Primaquine tablet, 7.5 mg, 15 mg (as diphosphate)
Sulfadoxine + Pyrimethamine tablet, 500 mg + 25 mg
Complementary
Quinine tablet, 300 mg (as bisulfate or sulfate) injection, 300mg
(as dihydrochloride)/ ml in 2-ml ampoule.
7. Antimigraine Medicines
7.1 For Treatment of Acute Attack
Paracetamol tablet, 500 mg
Ergotamine tablet, 1 mg (tartrate)
7.2 For Prophylaxis
Propranolol tablet 20 mg, 40mg (hydrochloride)
8. Antineoplastic, Immunosuppressives and Medicines Used in Palliative Care
8.1 Immunosuppressive Medicines
Ciclosporin capsule 25 mg
8.2 Cytotoxic Medicines
L-Asparaginase injection, 5 000 IU, 10 000 IU in vial
Calcium folinate (Calcium leucovorin) tablet, 15 mg
Cisplatin powder for injection, 10 mg, 50 mg in vial.
Cyclophosphamide tablet, 25 mg; powder for injection, 200 mg, 500 mg, 1 g
in vial
Cytarabine injection 100 mg, 500 mg in vial
Doxorubicin powder for injection, 10 mg, 50 mg in vial
Etoposide injection 20 mg/ml in 5-ml ampoule
Fluorouracil injection 50 mg/ml in 5-ml, 10-ml ampoule
Granulocyte Colony Stimulating Factor injection, 30 million (GCSF) unit in vial
Hydroxy urea capsule 500 mg
Ifosfamide + Mensa injection, 1g + 200 mg, in vial
Melphalan tablet, 2 mg, 5 mg; powder for injection, 50mg in vial
Mercaptopurine tablet, 50 mg
Methotrexate tablet, 2.5 mg (as sodium salt); powder for injection 15
mg, 50 mg (as sodium salt) in vial
Mitomycin powder for injection, 2mg, 10mg, 20mg in vial
Ondansetron injection, 2 mg/ml in 2-ml, 4-ml vial; tablet 2mg, 4mg
Vincristine powder for injection, 1 mg (sulfate) in vial
Complementary
6Draft: National List of Essential Medicines - Nepal, Fourth Revision, 2009
Bleomycin powder for injection, 15mg (as sulfate) in vial
Carboplatin injection 150 mg, 450 mg in vial
Chlorambucil tablet, 2 mg, 5 mg
Dactinomycin powder for injection, 500 mcg in vial
Daunorubicin powder for injection 20 mg (as hydrochloride) in vial
Dacarbazine powder for injection, 100 mg in vial
Epirubicin injection, 10 mg, 50 mg (hydrochloride) in vial
Interferon injection, 5 million units/ml in vial
Lomustine capsule, 40 mg
Mitoxantrone injection, 2 mg/ml in 10ml ampoule
Vinblastine powder for injection 10 mg (sulfate) in vial
8.3 Hormones and Antihormones
Hydrocortisone powder for injection, 100 mg (as sodium succinate) in vial
Tamoxifen tablet, 20mg (as citrate)
Complementary
Bicalitumide tablet or capsule 50 mg
Dexamethasone phosphate 4 mg /ml (as sodium salt) in 2-ml ampoule
Prednisolone tablet, 5 mg, 10 mg, 20 mg
9. Antiparkinsonism Medicines
Levodopa + Carbidopa tablet, 100 mg + 10 mg, 250 mg + 25 mg
Trihexyphenidyl tablet, 2 mg (hydrochloride)
10. Medicines Affecting the Blood
10.1 Antianaemia Medicines
Ferrous salt (Ferrous sulfate)* tablet, equivalent to 60 mg Iron; oral liquid, equivalent to
25 mg iron/ ml
Ferrous salt (sulfate)*+Folic acid tablet, equivalent to 60 mg Iron+ 400 mcg Folic acid.
Folic acid tablet, 5mg
*Other salts of Iron may be used
Complementay
Iron Dextran injection, equivalent to 50 mg iron/ml in 2-ml ampoule
10.2 Medicines Affecting Coagulation
Heparin sodium injection, 1000 IU / ml, 5000 IU / ml, 20000 IU / ml in 1-
ml ampoule
Phytomenadione injection, 10mg / ml in 5-ml ampoule; tablet 10 mg
Protamine sulfate injection, 10mg/ml in 5-ml ampoule
Warfarin tablet, 5 mg (sodium salt)
Complementary
Acenocoumarol tablet, 1mg
11. Blood Products and Plasma Substitutes
7Draft: National List of Essential Medicines - Nepal, Fourth Revision, 2009
11.1 Plasma Substitutes
Albumin, human injectable solution, 20 or 25%
Polygeline injectable solution, 3.5%
11.2 Plasma Fractions For Specific Use
Factor VIII Concentrate dried concentrate
Factor IX complex dried concentrate
12. Cardiovascular Medicines
12.1 Antianginal Medicines
Atenolol tablet, 50 mg, 100 mg
Glyceryl trinitrate tablet (sublingual), 500 mcg
Verapamil tablet, 40 mg, 80 mg (hydrochloride); injection, 2.5 mg /
ml in 2-ml ampoule
12.2 Antiarrhythmic Medicines
Atenolol tablet 25 mg, 50 mg, 100 mg
Digoxin tablet, 62.5mcg, 250mcg; oral liquid, 50 mcg / ml;
injection, 250 mcg / ml in 2-ml ampoule
Isoprenaline injection, 1 mg (hydrochloride)/ml in vial
Complementary
Disopyramide capsule, 100 mg, 150 mg
Procainamide tablet, 250mg (hydrochloride); injection, 100 mg /ml in
10-ml ampoule
12.3 Antihypertensive
Atenolol tablet, 50 mg, 100 mg
Enalapril tablet, 5 mg, 10 mg, 20 mg
Hydrochlorothiazide tablet, 25 mg, 50 mg
Nifedipine capsule or tablet, 10 mg, 20 mg
Complementary
Prazosin tablet 500 mcg, 1mg (mesilate)
Sodium nitroprusside powder for infusion, 50 mg in ampoule
12.4 Medicines Used in Heart Failure
Digoxin tablet, 62.5 mcg, 250 mcg; oral solution, 50 mcg / ml;
injection, 250 mcg / ml in 2-ml ampoule
Captopril tablet, 12.5 mg, 25 mg
Complemenary
Dobutamine injection 250 mg/ 20ml, 50 mg/ml
12.5 Antithrombotic Medicines
Aspirin tablet, 50mg, 75 mg, 100mg
Streptokinase injection 750 000 IU, 1500 000 IU in vial
12.6 Lipid Lowering Agent
Atorvastatin tablet, 10 mg, 20 mg (as calcium trihydrate)
13. Dermatological Medicines
13.1 Antifungal Medicines
Benzoic acid + Salicylic acid ointment or cream, 6% + 3%
8Draft: National List of Essential Medicines - Nepal, Fourth Revision, 2009
Clotrimazole cream, 1%
Complementary
Selenium sulfide detergent-based suspension, 2%
13.2 Anti-infective Medicines
Povidone iodine solution, 5%
Silver sulfadiazine cream, 0.2%
Complementary
Gentian violet aqueous solution 1%
(Methylrosanilinium chloride)
13.3 Anti-inflammatory and Antipruritic Medicines
Betamethasone ointment or cream, 0.1% (as valerate)
Calamine lotion lotion, 15%
Hydrocortisone ointment or cream, 1% (acetate)
13.4 Medicines Affecting Skin Differentiation and Proliferation
Benzoyl peroxide cream or lotion, 5%
Coal tar solution, topical 5%
13.5 Scabicides and Pediculicides
Lindane cream or lotion, 1%
(Gamma benzene hexachloride)
Complementary
Permethrin lotion 1%, cream 5%
14. Diagnostic Agents
14.1 Ophthalmic Medicines
Fluorescein eye drops, 1%, 2% (sodium salt); injection, 10%,
20% (sodium salt) in 5-ml ampoule
14.2 Radiocontrast Media
Amidotrizoate injection, 140-420 mg iodine/ml (as sodium or meglumine
salt) in 20ml ampoule
Barium sulfate aqueous suspension
Iohexol injection, 140-350 mg iodine/ml in 5-ml, 10-ml ampoule
Complementary
Meglumine iotroxate solution, 5-8 g iodine in 100-250 ml
15. Disinfectants and Antiseptics
15.1 Antiseptics
Chlorhexidine solution, 5% (digluconate) for dilution
Chlorine based compound powder, (0.1% available chlorine) for solution
Gentian violet aqeous solution 1%
(Methylrosanilinium chloride)
Povidone iodine solution, 5%
Rectified spirit liquid
9Draft: National List of Essential Medicines - Nepal, Fourth Revision, 2009
15.2 Disinfectants
Formaldehyde solution, 3%
Glutaraldehyde solution, 2%
Cetrimide solution, 20% for dilution
16. Diuretics
Furosemide tablet, 40 mg; injection, 10 mg/ml in 2-ml ampoule
Hydrochlorothiazide tablet, 25mg, 50mg
Mannitol injectable solution, 10%, 20%
Spironolactone tablet, 25mg, 100mg
Triamterene tablet, 50mg
17. Gastrointestinal Medicines
17.1 Antacids and Other Anti-ulcer Medicines
Dried aluminium hydroxide gel + tablet, 250mg + 250 mg
Magnesium hydroxide
Ranitidine tablet, 150 mg, 300 mg (as hydrochloride); injection 25
mg/ml in 2-ml ampoule
Complementary
Omeprazole tablet, 20 mg
17.2 Antiemetic Medicines
Metoclopramide tablet, 10 mg (hydrochloride); injection,5mg
(hydrochloride)/ml in 2-ml ampoule
Promethazine tablet, 25 mg (theoclate); oral liquid, 5 mg
(hydrochloride)/ 5ml; injection, 25 mg (hydrochloride)
/ ml in 2-ml ampoule
17.3 Anti-inflammatory Medicines
Sulfasalazine tablet, 500 mg
17.4 Laxatives
Magnesium sulfate powder, 500 g
Lactulose solution, 3.35 mg / 5ml
Complementary
Bisacodyl tablet, 10 mg
17.5 Medicines Used in Diarrhoea
17.5.1 Oral Rehydration
Oral rehydration salts* sachet containing:
Dextrose, anhydrous 13.5 g, Sodium chloride 2.6 g,
Potassium chloride 1.5 g, Trisodium citrate dihydrate 2.9
g, appropriate flavour q.s. Dissolved to produce 1 litre,
provides dextrose 75 mEq, sodium 75 mEq or mmol/l,
chloride 65 mEq or mmol/l, potasium 20 mEq or mmol/l,
citrate 10 mmol/l and osmolarity 245 mOsm/l
* In case of cholera a higher concentration of sodium may
be required.
17.5.2 Medicine for Diarrhoea in Children
10Draft: National List of Essential Medicines - Nepal, Fourth Revision, 2009
Zinc sulfate* dispersible tablet, equivalent to Zinc 10 mg, 20 mg
(scored)
* In acute diarrhoea, zinc sulfate should be used as an adjunct to oral rehydration salts
17.6 Antispasmodic Medicines
Hyoscine butylbromide tablet, 10 mg, 20 mg; injection, 20mg/ml in 1-ml ampoule
18. Hormones, Other Endocrine Medicines and Contraceptives
18.1 Adrenal Hormones and Synthetic Substitutes
Dexamethasone tablet, 500 mcg; injection, 4 mg/ml (as sodium phosphate)
in 1-ml ampoule
Hydrocortisone powder for injection, 100 mg (as sodium succinate) in
vial; tablet, 10 mg, 20 mg
Prednisolone tablet, 5 mg, 10 mg
Complementry
Fludrocortisone tablet, 100 mcg (acetate)
18.2 Androgens
Testosterone injection, 200 mg in 1-ml ampoule
18.3 Contraceptives
18.3.1 Oral Harmonal Contraceptives
Ethinylestradiol + Levonorgestrel tablet, 30 mcg +150 mcg
Ethinylestradiol + Norethisterone tablet, 35 mcg + 1.0 mg
Levonorgestrel tablet, 750 mcg (pack of two), 1.5 mg
18.3.2 Injectable Hormonal Contraceptive
Medroxyprogesterone acetate depot injection, 150 mg / ml in 1-ml vial
18.3.3 Intrauterine Devices
Copper-containing devices
Ring pessary
18.3.4 Barrier Methods
Condoms
18.3.5 Implantable Contraceptives
Levonorgestrel-releasing implant Two-rod levonorgeatrel-releasing implant, each rod
containing 75 mg of levonorgestrel (150 mg total)
18.4 Estrogens
Ethinylestradiol tablet, 50 mcg
18.5 Insulins and Other Antidiabetic Agents
Glibenclamide tablet, 2.5mg, 5 mg
Insulin - injection (soluble) injection, 40 IU / ml in 10- ml vial
Intermediate acting insulin injection, 40 IU / ml in 10- ml vial (as compound insulin
zinc suspension or isophane insulin)
Metformin tablet, 500mg (hydrochloride)
Complementary
Glipizide tablet, 2.5 mg, 5 mg
11Draft: National List of Essential Medicines - Nepal, Fourth Revision, 2009
18.6 Ovulation Inducers
Clomifene tablet, 50 mg (citrate)
18.7 Progestogens
Norethisterone tablet, 5 mg
Medroxyprogesterone acetate tablet, 5 mg
18.8 Thyroid Hormones and Antithyroid Medicines
Carbimazole tablet, 5 mg
Levothyroxine tablet, 100 mcg (sodium salt)
Lugol's Iodine oral solution (Iodine 5%+Potassium iodide 10%)
18.9 Posterior Pituitary Hormone
Desmopressin injection, 4 mcg/ml; nasal spray 10 mcg / metered spray
19. Immunologicals
19.1 Diagnostic Agents
Tuberculin, purified protein derivative injection
(PPD)
19.2 Sera and Immunoglobulins
Anti-D immunoglobulin (human) injection, 250 mcg in single dose vial
Antirabies hyperimmune serum injection, 1000 IU in 5-ml ampoule
Polyvenum antisnake serum injection in vial
Tetanus antitoxin injection, 1 000 IU, 3 000 IU in vial
Tetanus immunoglobulin (human) injection, 500 IU in vial
19.3 Vaccines
19.3.1 For Universal Immunization
BCG vaccine
Diphtheria-Tetanus-Pertussis-Hepatitis B vaccine
Diphtheria- Tetanus- Pertussis-
Hepatitis B -Haemophilus type b vaccine
Measles vaccine (live attenuated)
Poliomyelitis (oral) vaccine
Tetanus toxoid (Tetanus vaccine) vaccine
19.3.2 For Specific Groups of Individuals
Hepatitis A vaccine
Hepatitis B vaccine
Influenza vaccine
Japanese Encephalitis SA 14-14-2 strain live attenuated vaccine
Meningococcal vaccine vaccine
Mumps vaccine
Rabies vaccine, freeze-dried vaccine
Rubella vaccine
Typhoid vaccine
Yellow fever vaccine vaccine
20. Muscle Relaxants (Peripherally Acting) and Cholinesterase Inhibitors
12Draft: National List of Essential Medicines - Nepal, Fourth Revision, 2009
Neostigmine tablet, 15 mg (bromide); injection 500 mcg, 2.5 mg
(metilsulfate) in 1-ml ampoule
Pancuronium bromide injection, 2 mg / ml in 2-ml ampoule
Suxamethonium chloride injection, 50mg /ml in 2- ml ampoule
Vecuronium bromide powder for injection 10 mg in vial
21. Ophthalmological, Ear, Nose and Throat Preparations
21.1 Ophthalmological Preparations
21.1.1 Anti-infective Agents
Aciclovir ointment, 3%w/w
Gentamicin solution (eye drops), 0.3%
Complementary
Chloramphenicol applicap 1%
Ciprofloxacin eye/ear drops, 0.3% (as hydrochloride); eye ointment,
0.3%
Tetracycline eye ointment, 1% (hydrochloride)
21.1.2 Anti-inflammatory agents
Prednisolone solution (eye drops), 0.5%
21.1.3 Local Anaesthetics
Lignocaine (Lidocaine) injection, 2%, 4% (topical)
Complementary
Tetracaine solution (eye drops), 0.5%
21.1.4 Miotics and antiglaucoma medicines
Acetazolamide tablet, 250 mg
Pilocarpine solution (eye drops), 2%, 4% (hydrochloride)
Timolol solution (eye drops), 0.5 % (maleate)
21.1.5 Mydriatics
Atropine solution (eye drops), 1% (sulfate)
21.2. Ear, Nose and Throat Preparations
Lignocaine (Lidocaine) topical (viscous), 2%, 4%
Bismuth Iodoform Paraffin solution, 70%
Chloramphenicol ear drops, 5%
Ichthammol + Glycerine ear drop, 10%+5%
Oxymetazoline solution (nasal drops), 0.025%, 0.05%
Sodium bicarbonate + Glycerin ear drops, 1%+5%
21.3 Dental
Clove oil oil
Chlorhexidine solution, 0.2%
Zinc oxide powder
22. Oxytocics and Antioxytocics
22.1 Oxytocics
Methylergometrine tablet, 200mcg (hydrogen maleate); injection, 200mcg 1-
ml ampoule
Oxytocin injection, 5 IU/ml in 2-ml ampoule
13Draft: National List of Essential Medicines - Nepal, Fourth Revision, 2009
Complementary
Misoprostol vaginal or oral tablet, 25 mcg
Mifepristone*-misoprostol tablet, 200mg- 200 mcg
* Combi-pack, containing 1 tablet of mifepristone and 4-tablet of misoprostol. Requires close
medical supervision. Approved for abortion services only in listed sites.
22.2 Anti-oxytocics
Isoxsuprine injection, 5mg/ml
23. Peritoneal Dialysis Solution
Intraperitoneal dialysis solution parenteral solution of appropriate composition
24. Psychotherapeutic Medicines
24.1 Medicines Used in Psychotic Disorders
Chlorpromazine tablet, 50 mg, 100mg (hydrochloride); oral liquid, 25 mg
(hydrochloride) / 5ml; injection, 25 mg (hydrochloride)
/ 5ml in 2-ml ampoule
Fluphenazine injection, 25 mg (decanoate or enantate) in 1-ml ampoule
Haloperidol tablet 2 mg, 5 mg; injection, 5 mg in 1-ml ampoule
Complementary
Thioridazine tablet, 10mg, 25mg, 100mg
24.2 Medicines Used in Mood Disorders
24.2.1 Medicines used in depressive disorders
Amitriptyline tablet, 10 mg, 25 mg, 75mg (hydrochloride)
Fluoxetine capsule or tablet, 20 mg (as hydrochloride)
24.2.2 Medicines Used in Bipolar Disorders
Lithium carbonate capsule or tablet, 300mg
24.3 Medicines Used in Generalised Anxiety and Sleep Disorders
Alprazolam tablet, 0.25 mg, 0.5 mg, 1 mg
Chlordiazepoxide tablet, 10 mg, 25 mg
Diazepam tablet 2 mg, 5 mg
24.4 Medicines Used for Obsessive Compulsive Disorders and Panic Attacks
Clomipramine capsules, 10 mg, 25 mg (hydrochloride)
24.5 Medicines Used in Substance Dependence Programmes
Methadone* concentrate for oral liquid, 5 mg/ml, 10 mg/ml
(hydrochloride), oral liquid, 5 mg/5ml, 10 mg/5 ml
*The medicines should only be used within an established support
25. Medicines Acting on the Respiratory Tract
25.1 Antiasthmatic and Medicines for Chronic Obstructive Pulmonary Disease
Aminophylline Injection, 25 mg/ml
Epinephrine (Adrenaline) injection, 1 mg (as hydrochloride or hydrogen tartrate) in
1-ml ampoule.
Hydrocortisone injection (sodium succinate) 100 mg, 200 mg in vial;
tablet, 10 mg
Ipratropium bromide inhalation, 20 mcg/ dose
14Draft: National List of Essential Medicines - Nepal, Fourth Revision, 2009
Salbutamol tablet, 2 mg, 4 mg (as sulfate); rotacap 200 mcg (as
sulfate) per dose; oral liquid, 2mg (as sulfate)/5ml;
injection 50mcg /ml in 5-ml ampoule
Sodium cromoglicate inhalation (aerosol), 5 mg, 20 mg per dose
Complementary
Beclomethasone inhalation (aerosol), 50mcg (as dipropionate) per dose
Theophylline tablet, 300 mg
26. Solution Correcting Water, Electrolyte and Acid Base Disturbances
26.1 Oral
Oral rehydration salts* sachet containing:
Dextrose, anhydrous 13.5 g, Sodium chloride 2.6 g,
Potassium chloride 1.5 g, Trisodium citrate dihydrate 2.9
g, appropriate flavour q.s. Dissolved to produce 1 litre,
provides Dextrose 75 mEq, sodium 75 mEq or mmol/l,
chloride 65 mEq or mmol/l, potasium 20 mEq o mmol/l,
citrate 10 mmol/l and osmolarity 245 mOsm/l
26.2 Parenteral
Compound solution of Sodium lactate injectable solution
(Ringer's Lactate)
Glucose injectable solution, 5% isotonic, 50% hypertonic
Glucose with Sodium chloride injectable solution, 5% glucose, 0.9% sodium chloride
Potassium chloride injection, 11.2% in 20ml ampoule
Sodium chloride injectable solution, 0.9% isotonic
Sodium bi-carbonate injectable solution 1.4%, 8.4% solution in 10-ml ampoule
26.3 Miscellaneous
Water for injection 5-ml, 10-ml ampoule
Ethyl alcohol injection
Complementary
Disulfiram tablet, 200 mg
27. Vitamins and Minerals
Ascorbic acid tablet, 50mg
Calcium gluconate injection, 100 mg / ml in 10-ml ampoule
Ergocalciferol capsule or tablet, 1.25 mg (50 000 IU) oral solution,
250 mcg/ ml (10000 IU / ml)
Pyridoxine tablet, 25mg (hydrochloride)
Retinol tablet (sugar coated), 10000 IU (5.5mg. capsule, 20000
IU (as palmitate 110 mg; oral oily solution, 100 000 IU/
ml; water miscible injection, 100 000 IU (as palmitate) 55
mg in 2-ml ampoule
Retinol +DL-alpha-tocopherol Retinol (as palmitate)+DL-alpha-tocopherol or tocopheryl
acetate, soft gel capsule, 200 000 IU+ 40 IU, 100 000 IU+
20 IU, 50 000 IU+ 20 IU
Riboflavin tablet, 5 mg
Vitamin B complex tablet containing:
15Draft: National List of Essential Medicines - Nepal, Fourth Revision, 2009
thiamine mononitrate 5 mg, riboflavin 5 mg, pyridoxine
hydrochloride 1.5 mg, nicotinamide 50 mg, calcium
pantothenate 25 mg.
********
LIST OF ESSENTIAL MEDICINES
FOR DISTRICT HOSPITAL, PRIMARY HEALTH CARE CENTRE,
HEALTH POST AND SUB-HEALTH POST
(Note: The main list is for District hospital. Column at right hand side mentions which medicines are listed
below district hospital. PHC: Primary Health Care Centre, HP: Health Post, SHP: Sub-health Post.
"y" in the chart indicates that the medicine is included and (-) indicates the medicine is not included in the list
of essential medicines for that level of health facility. (C) or "complementary" indicates that the medicine is
complementary for that level of health facility.
@ indicates the medicines listed for free health care. y@ means the medicine is listed for free healthcare
service at that level of health facility. (For example. 4.1 Charcoal activated is listed for district hospital, PHC
and HP, but not for SHP. If @ is only in the name of medicine, it means that it is listed for free health care
service at district hospital only, for example, 2.1 Aspirin. )
_____________________________________________________________________________________
Generic name Dosage Form Health facility PHC HP SHP
16Draft: National List of Essential Medicines - Nepal, Fourth Revision, 2009
-------------------------------------------------------------------------------------------------------------------------------------------------------
1. Anaesthetics
1.1 General Anaesthetics and Oxygen
Halothane inhalation - - -
Ketamine injection, 50 mg /ml in 10 ml vial y - -
Oxygen inhalation (medicinal gas) y - -
Thiopental powder for injection, 0.5 g, 1.0 g in ampoule - - -
1.2 Local anaesthetics
Lignocaine@ (lidocaine) injection, 2% in vial y@ y@ y@
Lignocaine + epinephrine Lignocaine 2% (hydrochloride) +
(Lidocaine+adrenaline) epinephrine 1:200 000, in vial - - -
2. Analgesics, Antipyretics, Non-Steroidal Anti-inflammatory Medicines (NSAIMs), Medicines Used to Treat Gout
and Disease-Modifying Agents Used in Rheumatic Disorders (DMARDs)
2.1 Non-opioids and Nonsteroidal Anti-inflammatory Medicines (NSAIMs)
Ibuprofen tablet, 200 mg, 400 mg y y y
Paracetamol@ tablet, 500mg; oral liquid, 125 mg/5ml;
injection, 150 mg/ml y@ y@ y@
Complementary
Aspirin@ 300 mg y y y
Diclofenac sodium tablet, 50 mg y - -
injection, 25 mg in 1-ml vial y y -
2.2 Opioid Analgesics
Pethidine injection, 50mg (hydrochloride) in 1-ml ampoule y - -
2.3 Drugs Used to Treat Gout
Complementary
Allopurinol tablet, 100 mg y - -
Colchicine tablet, 500 mcg y - -
3. Antiallergics and Medicines Used in Anaphylaxis
3.1 Antiallergics
Chlorpheniramine@ tablet, 4 mg (maleate) y@ y@ y@
Epinephrine (adrenaline) injection, 1mg in 1-ml ampoule y y y
Hydrocortisone powder for injection, 100mg (as sodium succinate) y - -
Pheniramine@ injection, 22.75 mg (maleate) /ml y@ y@ y@
Prednisolone tablet, 5mg y - -
3.2 Drugs Used in Shock
Dopamine injection, 40 mg/ml y - -
Epinephrine injection, 1:10 000 in 1-ml ampoule y - -
4. Antidotes and Other Substances Used in Poisonings
4.1 Non-Specific
Charcoal, activated @ powder y@ y@ -
4.2 Specific
Atropine@ injection, 1 mg (sulfate) y@ y@ -
Naloxone injection, 400 mcg in 1-ml ampoule y - -
Pralidoxime injection, 1g or 500mg (mesilate, chloride or iodide)
in ampoule y - -
Complementary
Acetylcysteine injection, 200 mg/ml in 10-ml vial - - -
5. Antiepileptics / Anticonvulsants
17Draft: National List of Essential Medicines - Nepal, Fourth Revision, 2009
Diazepam injection, 5mg/ml in 2-ml (intravenous or rectal) y y -
Carbamazepine tablet, 100 mg, 200 mg y - -
Phenobarbital@ tablet, 15 mg, 30 mg@ y - -
Phenytoin capsule or tablet, 25 mg, 50 mg, 100 mg
injection, 50 mg/ml in 5-ml vial y - -
Magnesium sulphate * @ injection, 50 mg/ml in 2 ml ampoule y@ y@ y@
* For use in eclampsia and severe pre-clampsia and not for other convulsant disorders
6. Anti-infective Medicines
6.1 Anthelmintics
6.1.1 Intestinal Anthelmintics
Albendazole@ tablet (chewable), 400 mg y@ y@ y@
Complementary
Praziquantel tablet, 150 mg, 600 mg - - -
6.1.2 Antifilarials
Diethylcarbamazine tablet,50 mg, 100 mg (dihydrogen citrate) y y y
6.2 Antibacterials
6.2.1 Beta-lactum Medicines
Amoxicillin@ capsule, 500mg (as trihydrate);
dispersible tablet, 125 mg, 250 mg (as trihydrate) y@ y@ y@
Ampicillin powder for injection, 500mg (as sodium salt) in vial y (C) - -
Benzathine benzylpenicillin powder for injection, 1 200 000 IU in vial y(C) - -
Benzylpenicillin injection, 300 mg (0.5 m IU), 600 mg (1 m IU)
(Penicillin G) (as sodium or potassium salt) in vial y - -
Cloxacillin capsule, 250 mg, 500 mg y - -
powder for oral liquid, 125 mg / 5ml y - -
injection, 250 mg, 500 mg (as sodium salt) in vial y - -
Complementary
Cefixime# capsule, 200 mg y(C) - -
#Only listed for single-dose treatment of uncomplicated ano-genital gonorrhoea
6.2.2 Other Antibacterials
Azithromycin* capsule or tablet 250 mg, 500 mg; y(C) y(C) y (C)
oral liquid, 200 mg /5ml. y(C) y(C) y(C)
*Only listed for single-dose treatment of genital Chlamydia trachomatis and trachoma.
Chloramphenicol@ @capsule, 250 mg, 500 mg; y - -
@oral liquid, 125 mg / 5ml (as palmitate), y - -
powder for injection, 1g (as sodium succinate) in vial y - -
Ciprofloxacin @ tablet, 250 mg,@ 500 mg (as hydrochloride) y@ y@ y
Doxycycline capsule, 100mg (as hydrochloride) y y y
Gentamycin@ injection, 10 mg, 40 mg / ml @in 2-ml vial y@ y@ y@
Metronidazole@ @tablet, 200 mg, 400 mg y@ y@ y@
@oral suspension, 200 mg (as benzoate) / 5ml y@ y@ y@
injection, 500 mg in 100-ml vial y(C) - -
Nitrofurantoin tablet, 100 mg y - -
Sulfamethoxazole+Trimethoprim@ dispersible tablet, 100mg+20 mg, 200 mg+ 40 mg;
tablet 400 mg + 80 mg, 800 mg+ 160 mg y@ y@ y@
Complementary
Erythromycin tablet, 250 mg (stearate);
oral suspension, 250 mg / 5ml (stearate) y - -
Nalidixic acid tablet, 250 mg, 500 mg y - -
6.2.3 Antileprosy Medicines
Clofazimine capsule, 50 mg, 100 mg y y -
Dapsone tablet, 50 mg, 100 mg y y -
18Draft: National List of Essential Medicines - Nepal, Fourth Revision, 2009
Rifampicin capsule or tablet 150 mg, 300 mg y y -
6.2.4 Antitubercular Medicines
Ethambutol tablet, 400 mg (hydrochloride) y - -
Isoniazid tablet, 100 mg, 300 mg y - -
Isoniazid+Ethambutol tablet, 150mg + 400mg y - -
Rifampicin capsule or tablet, 150mg, 300mg y - -
Rifampicin+isoniazid tablet, 60 mg+ 30 mg, 150mg + 75 mg y -
-
Rifampicin+isoniazid+ethambutol tablet, 150 mg+ 75 mg+2 75 mg y - -
Rifampicin+isoniazid+pyrazinamide tablet, 60 mg+ 30 mg+150 mg y - -
Rifampicin+isoniazid+pyrazinamide+
ethambutol tablet, 150 mg+ 75 mg + 400 mg + 275 mg y - -
Streptomycin powder for injection, 1 g (as sulfate) in vial y - -
Complementary list: Second-line medicines for the treatment of multi-drug resistant tuberculosis
(MDR-TB) - to be made available only in specialised centres adhering to
standard treatment protocol.
Cycloserine tablet, 250 mg - - -
Ethionamide tablet, 250 mg - - -
Kanamycin powder for injection 1 g in vial - - -
Ofloxacin tablet, 200 mg - - -
p-aminosalicylic acid (PAS) granules, 4 g in sachet; tablet 500 mg - - -
Pyrazinamide tablet, 400mg - - -
6.3 Antifungal Medicines
Clotrimazole cream 1%, pessary 100 mg y(C) - -
Fluconazole capsule or tablet, 150 mg y(C) y(C) -
6.4 Antiprotozoal Medicines
6.4.1 Antiamoebic and Antigiardiasis Medicines
Metronidazole@ tablet, 200mg, 400mg;
oral liquid, 200 mg (as benzoate) / 5 ml. y@ y@ y@
Complementary
Tinidazole tablet, 500mg y - -
6.4.2 Antileishmaniasis Medicines
Miltefosine capsule, 50 mg y - -
Complementary
Amphotericin B powder for injection, 50 mg in vial y - -
Sodium stibogluconate injection, 100mg/ml y - -
6.4.3 Antimalarial Medicines
Artesunate injection, ampoules, containing 60 mg anhydrous
artesunic acid with a separate ampoule of 5% sodium
bicarbonate solution; tablet 50 mg y - -
Artemether* oily injection, 80 mg/ml in 1-ml ampoule. y - -
* For use in the management of severe malaria.
Artemether+lumefantrine# tablet, 20 mg+ 120 mg y - -
# Not recommended in the first trimester of pregnancy or in children below 5 kg.
Chloroquine tablet, 150 mg base (as phosphate or sulfate); oral liquid,
50 mg / 5ml (as phosphate or sulfate); injection, 40mg /ml
in 5- ml ampoule (as phosphate, sulfate or hydrochloride) y - -
Primaquine tablet, 7.5 mg, 15 mg (as diphosphate) y - -
Sulfadoxine + Pyrimethamine tablet, 500 mg + 25 mg y - -
Complementary
Quinine tablet, 300 mg (as bisulfate or sulfate) injection, 300mg
(as dihydrochloride)/ ml in 2-ml ampoule. y - -
7. Medicines Affecting the Blood
7.1 Antianaemia Medicines
19Draft: National List of Essential Medicines - Nepal, Fourth Revision, 2009
Ferrous salt (Ferrous sulfate)* tablet, equivalent to 60 mg Iron; y y y
oral liquid, equivalent to 25 mg iron/ ml y y y
Ferrous salt (sulfate)*+Folic acid@ tablet, equivalent to 60 mg Iron+ 400 mcg Folic acid. y@ y@ y@
Folic acid tablet, 5mg y - -
*Other salts of Iron may be used
7.2 Medicines Affecting Coagulation
Complementary
Phytomenadione injection, 10mg/ml in 5-ml ampoule - - -
8. Blood Products and Plasma Substitutes
Polygeline injectable solution, 3.5% y (C) - -
9. Cardiovascular Medicines
9.1 Antianginal Medicines
Complementary
Glyceryl trinitrate tablet (sublingual), 500 mcg y - -
9.2 Antihypertensive
Amlodipine tablet, 5 mg y y(C) -
Atenolol@ tablet, 50 mg y@ y@ -
Hydrochlorothiazide tablet, 25 mg y y -
Nifedipine capsule or tablet, 10 mg y y -
Complementary
Enalapril tablet, 5 mg y - -
9.3 Medicines Used in Heart Failure
Digoxin tablet, 62.5 mcg, 250 mcg y - -
10. Dermatological Medicines
10.1 Antifungal Medicines
Benzoic acid + Salicylic acid@ ointment or cream, 6% + 3% y@ y@ y
Clotrimazole ointment or cream, 2% y - -
10.2 Anti-infective Medicines
Povidone iodine@ solution, 5% y@ y@ y@
Silver sulfadiazine cream, 0.2% y y -
Complementary
Gentian violet aqueous solution 1% y y y
(methylrosanilinium chloride)
10.3 Anti-inflammatory and Antipruritic Medicines
Betamethasone ointment or cream, 0.1% (as valerate) y - -
Complementary
Calamine lotion@ lotion, 15% y@ y@ y@
Hydrocortisone ointment or cream, 1% (acetate) y - -
10.4 Scabicides and Pediculicides
Lindane@ cream or lotion, 1% y@ y@ y@
(Gamma benzene hexachloride)
Complementary
Permethrin lotion 1%, cream 5% y y y
11. Disinfectants and Antiseptics
11.1 Antiseptics
20Draft: National List of Essential Medicines - Nepal, Fourth Revision, 2009
Chlorhexidine solution, 5% (digluconate) for dilution y y y
Povidone iodine@ solution, 5% y@ y@ y@
Rectified spirit liquid y y y
11.2 Disinfectants
Formaldehyde solution, 3% y - -
Cetrimide solution, 20% for dilution y y y
Complementary
Gentian violet aqueous solution 1% y y y
(methylrosanilinium chloride)
Chlorine base compound powder (0.1% available chlorine) for solution y y y
12. Diuretics
Furosemide@ tablet, 40 mg y@ y -
injection, 10 mg/ml in 2-ml ampoule y y -
Hydrochlorothiazide tablet, 25mg y y -
Mannitol injectable solution, 20% y(C) - -
Complementary
Spironolactone tablet, 25mg y - -
13. Gastrointestinal Medicines
13.1 Antacids and Other Anti-ulcer Medicines
Dried aluminium hydroxide gel + tablet, 250mg +250 mg y@ y@ y@
Magnesium hydroxide@
Ranitidine tablet, 150 mg (as hydrochloride) y y -
Complementary
Omeprazole tablet, 20 mg y - -
13.2 Antiemetic Medicines
Metoclopramide tablet, 10 mg (hydrochloride) y y y
@injection, 5 mg (hydrochloride)/ml in 2-ml ampoule y@ y@ y@
Promethazine@ tablet, 25 mg (as theoclate) y@ y@ y
13.3 Laxatives
Bisacodyl tablet, 10mg y y y
13.4 Medicines used in Diarrhoea
13.4.1 Oral Rehydration
Oral rehydration salts*@ Sachet containing:
Dextrose, anhydrous 13.5 g, Sodium chloride 2.6 g,
Potassium chloride 1.5 g, Trisodium citrate dihydrate
2.9 g, appropriate flavour q.s. Dissolved to produce 1
litre, provides Dextrose 75 mEq, sodium 75 mEq or
mmol/l, chloride 65 mEq or mmol/l, potasium 20 mEq
or mmol/l, citrate 10 mmol/l and osmolarity 245 mOsm/l y@ y@ y@
* In case of cholera a higher concentration of sodium may be required.
13.4.2 Medicine for Diarrhoea in Children
Zinc sulfate dispersible tablet, equivalent to Zinc 20 mg (scored) y y y
13.5 Antispasmodic Medicines
Hyoscine butylbromide @ @tablet, 10 mg, 20 mg; y@ y@ y@
injection, 20mg / ml in 1- ml ampoule y - -
14. Hormones, Other Endocrine Medicines and Contraceptives
14.1 Adrenal Hormones and Synthetic Substitutes
Dexamethasone tablet, 500 mcg y y y
@injection, 4 mg/ml in 1-ml ampoule y@ y@ y
21Draft: National List of Essential Medicines - Nepal, Fourth Revision, 2009
Hydrocortisone powder for injection, 100 mg in vial y - -
Prednisolone tablet, 5 mg, 10 mg y - -
14.2 Contraceptives
14.2.1 Oral Harmonal Contraceptives
Ethinylestradiol + Levonorgestrel tablet, 30 mcg +150 mcg y y y
Ethinylestradiol + Norethisterone tablet, 35 mcg + 1.0 mg y y y
Levonorgestrel tablet, 750 mcg (pack of two), 1.5 mg y y y
14.2.2 Injectable Hormonal Contraceptive
Medroxyprogesterone acetate depot injection, 150 mg / ml in 1-ml vial y y y
14.2.3 Intrauterine Devices
Copper-containing devices y y -
14.2.4 Barrier Methods
Condoms y y y
14.3 Insulins and Other Atidiabetic Agents
Glibenclamide tablet, 2.5mg, 5 mg y - -
Insulin - injection (soluble) injection, 40 IU / ml in 10-ml vial y - -
Metformin tablet, 500 mg (hydrochloride) y - -
15. Immunologicals
15.1 Sera and immunoglobulins
Anti-D immunoglobulin (human) injection, 250 mcg in single dose vial y - -
Antirabies hyperimmune serum injection, 1000 IU in 5-ml ampoule y - -
Polyvenum antisnake serum injection in vial y - -
Tetanus antitoxin injection, 1 000 IU, 3 000 IU in vial y - -
Tetanus immunoglobulin (human) injection, 500 IU in vial y - -
15.2 Vaccines
15.2.1 For universal immunization
BCG (freeze-dried) vaccine y - -
Diphtheria-pertussis-tetanus-Hepatitis B vaccine y - -
Diphtheria-pertussis-tetanus-Hepatitis B vaccine y - -
-Haemophilus influenza b
Measles vaccine (live attenuated) y - -
Poliomyelitis (Oral) vaccine y - -
Tetanus toxoid (Tetanus vaccine) vaccine y - -
15.2.2 For specific groups of individuals
Hepatitis B vaccine vaccine y - -
Influenza vaccine y - -
Japanese Encephalitis SA 14-14-2 strain freeze dried vaccine y - -
Meningococcal vaccine vaccine y - -
Mumps vaccine y - -
Rabies vaccine vaccine y - -
Rubella vaccine y - -
Typhoid vaccine y - -
Yellow fever vaccine vaccine y - -
16. Muscle relaxants (peripherally acting) and cholinesterase inhibitors
Complementary
Neostigmine injection 500 mcg, 2.5 mg in 1-ml ampoule - - -
17. Ophthalmological, ear, nose and throat preparations
17.1 Ophthalmological preparations
17.1.1 Anti-infective agents
Chloramphenicol@ applicap 1% y@ y@ y@
22Draft: National List of Essential Medicines - Nepal, Fourth Revision, 2009
Ciprofloxacin@ eye/ear drpos, 0.3% (hydrochloride) y@ y@ y@
Ciprofloxacin@ eye ointment 0.3% (hydrochloride) y@ y@ -
Complementary
Tetracycline eye ointment, 1% (hydrochloride) y y y
17.1.2 Miotics and Antiglaucoma Medicines
Acetazolamide tablet, 250 mg y - -
17.2. Ear, Nose and Throat Preparations
Bismuth Iodoform Paraffin solution - - -
Chloramphenicol ear drops, 5% y y y
Ichthammol+Glycerine ear drop - - -
Sodium bicarbonate +glycerine ear drop - - -
17.3 Dental
Clove oil@ oil y@ y@ y@
18. Oxytocics and Antioxytocics
18.1 Oxytocics
Methylergometrine tablet, 200mcg (maleate) y y -
injection, 200mcg 1-ml ampoule y y -
Oxytocin@ injection, 5 IU/ml in 1-ml ampoule y@ y@ y@
Complementary
Mesoprostol vaginal or oral tablet, 25 mcg y - -
Mifepristone*+misoprostol tablet, 200mg+ 200 mcg y - -
* Combi-pack, containing 1 tablet of mifepristone and 4 tablets of misoprostol. Requires close
medical supervision. For health facilities approved for abortion services only.
18.2 Anti-oxytocics
Complementary
Isoxsuprine injection, 5mg/ml - - -
19. Psychotherapeutic medicines
Alprazolam@ tablet, 0.25 mg y - -
Amitriptyline tablet,10 mg, 25 mg (hydrochloride) y - -
Chlorpromazine tablet,50 mg (hydrochloride) y - -
injection, 25 mg (hydrochloride)/5ml in 2-ml ampoule y - -
Diazepam tablet 5 mg y - -
20. Medicines Acting on the Respiratory Tract
20.1 Antiasthmatic and Medicines for Chronic Obstructive Pulmonary Disease
Aminophylline tablet, 100 mg y y y@
Epinephrine injection, 1 mg in 1-ml ampoule. y y -
Salbutamol@ tablet, 4 mg @ (as sulfate); y@ y@ y
oral liquid, 2mg (as sulfate)/5ml; y y y
rotacap, 200 mcg (as sulfate) per dose y - -
Complementary
Theophylline Tablet, 300 mg y y y
21. Solution Correcting Water, Electrolyte and Acid Base Disturbances
21.1 Oral
Oral rehydration salts@ Sachet containing:
Dextrose, anhydrous 13.5 g, Sodium chloride 2.6 g,
Potassium chloride 1.5 g, Trisodium citrate dihydrate
2.9 g, appropriate flavour q.s. Dissolved to produce 1
litre, provides Dextrose 75 mEq, sodium 75 mEq or
mmol/l, chloride 65 mEq or mmol/l, potasium 20 mEq
or mmol/l, citrate 10 mmol/l and osmolarity 245 mOsm/l y@ y@ y@
23Draft: National List of Essential Medicines - Nepal, Fourth Revision, 2009
21.2 Parenteral
Compound solution of Sodium lactate injectable solution y@ y@ y@
(Ringer's Lactate)@
Glucose @ injectable solution, 5% isotonic, y y y
50% hypertonic y - -
Glucose with Sodium chloride injectable solution, 5% glucose, 0.9% sodium chloride y - -
Potassium chloride injection, 11.2% in 20ml ampoule y - -
Sodium chloride@ injectable solution, 0.9% isotonic y@ y@ y
Sodium bi-carbonate injection, 1.4%, 8.4% solution y - -
21.3 Miscellaneous
Water for injection 5-ml ampoule y y -
22. Vitamins and Minerals
Calcium gluconate injection, 100 mg / ml in 10-ml ampoule - - -
Pyridoxine tablet, 25mg (hydrochloride) y - -
Retinol +DL-alpha-tocopherol Retinol (as palmitate)+DL-alpha-tocopherol or
tocopheryl acetate, soft gel capsule, 200 000 IU+
40 IU, 100 000 IU+ 20 IU, 50 000 IU+ 20 IU y y y
Vitamin B complex@ tablet containing:
thiamine mononitrate 5 mg, riboflavin 5 mg, pyridoxine
hydrochloride1.5 mg, nicotinamide 50 mg,
calcium pantothenate 25 mg. y@ y@ y@
*******
Index
National List of Essential Medicines
A Amoxicillin 3
Abacavir (ABC) 5 Amphotericin B 6
Acenocoumarol 8 Ampicillin 3
Acetazolamide 13 Anti-D immunoglobulin (human) 12
Acetylcysteine 2 Antirabies hyperimmune serum 12
Acetylsalicylic acid see Aspirin Artemether 6
Aciclovir 5,13 Artesunate 6
Adrenaline see Epinephrine Ascorbic acid 16
Albendazole 3 Aspirin 1,9
Albumin, human 8 Atenolol 8
Allopurinol 2 Atorvastatin 9
Alprazolam 14 Atropine 1,2,13
Aluminium hydroxide gel, dried 10 Azithromycin 3
Amidotrizoate 9
Aminophylline 15 B
Amitriptyline 15 Barium sulfate 9
24Draft: National List of Essential Medicines - Nepal, Fourth Revision, 2009
BCG vaccine 12 Clomipramine 15
Beclomethasone 15 Clotrimazole 5,9
Benzathine benzylpenicillin 3 Clove oil 14
Benzoic acid 9 Cloxacillin 3
Benzoyl peroxide 9 Coal tar 9
Benzylpenicillin 3 Colchicine 2
Betamethasone 9 Compound solution of sodium lactate 15
Bicalitumide 7 Condoms 11
Bisacodyl 10 Copper-containing devices 11
Bismuth Iodoform Paraffin 13 Cromoglicate see Sodium
Bleomycin 7 cromoclicate
Bupivacaine 1 Cyclophosphamide 6
Cycloserine 4
Cytarabine 6
D
C Dacarbazine 7
Calamine lotion 9 Dactinomycin 7
Calcium folinate 6 Dapsone 4
Calcium gluconate 2,16 Daunorubicin 7
Calcium leucovorin Deferoxamine 2
see Calcium folinate Desmopressin 12
Calcium pantothenate see Vitamin B complex Dexamethasone 2,7,11
Captopril 8 Dextrose see Oral Rehydration Salt
Carbamazepine 3 Diazepam 1,3,14
Carbidopa see Levodopa Diclofenac Sodium 1
Carbimazole 12 Didanosine (ddI) 5
Carboplatin 7 Diethylcarbamazine 3
Cefazolin 3 Digoxin 8
Cefixime 3 Diloxanide 5
Cefotaxime 3 Dimercaprol 2
Ceftriaxone 4 Diphtheria-Tetanus-Pertussis-
Cetrimide 10 Hepatitis B vaccine 12
Charcoal, activated 2 Diphtheria-Tetanus-Pertussis-
Chlorambucil 7 Hepatitis B-Haemophilus type b 12
Chloramphenicol 4 Disopyramide 8
Chloramphenicol eye applicap 13 Disulfiram 15
Chloramphenicol ear drop13 DL-alpha-tocopherol 16
Chlordiazepoxide 14 Dobutamine 8
Chlorhexidine solution 10 Dopamine 2
Chlorhexidine gargle 14 Doxorubicin 6
Chlorine based compound 10 Doxycycline 4
Chloroquine 6
Chlorpheniramine 2 E
Chlorpromazine 14 Efavirenz (EFV or EFZ) 5
Ciclosporin 6 Enalapril 8
Ciprofloxacin 4 Ephedrine 1
Ciprofloxacin eye/ear drops 13 Epinephrine 1,2,15
Ciproflpxacin eye ointment 13 Epirubicin 7
Cisplatin 6 Ergocalciferol 16
Clofazimine 4 Ergotamine 6
Clomifene 12 Erythromycin 4
25Draft: National List of Essential Medicines - Nepal, Fourth Revision, 2009
Ethambutol 4 Indinavir (IDV) 5
Ethinylestradiol 12 Influenza vaccine 13
Ethionamide 4 Insulin injection 12
Ethyl alcohol 15 Interferon 7
Etoposide 6 Intermediate acting insulin 12
Intraperitoneal dialysis solution 14
F Iodine see Lugol's iodine and
Factor IX complex 8 Povidone iodine
Factor VIII concentrate 8 Iohexol 9
Ferrous salt 7 Ipratropium bromide 15
Fluconazole 5 Iron Dextran 7
Fludrocortisone 11 Isoflurane 1
Fluorescein 9 Isoniazid 4
Fluorouracil 6 Isoprenaline 8
Fluoxetine 14 Isoxsuprine 14
Fluphenazine 14 J
Flutamide Japanese Encephalitis vaccine 13
Folic acid 7 K
Formaldehyde 10 Kanamicin 5
Furosemide 10 Ketamine 1
G L
Gamma benzene hexachloride Lactulose 10
see Lindane L-Asparaginase 6
Gentian violet 10 Lamivudine (3TC) 5
Gentamicin 4 Levodopa 7
Gentamicin eye drops 13 Levonorgestrel 11
Glibenclamide 12 Levothyroxine 12
Glipizide 12 Lidocaine see Lignocaine
Glucose injectable 15 Lignocaine 1,13
Glutaraldehyde 10 Lindane 9
Glycerine ear drop see Ichthammol or Lithium carbonate 14
Sodium bicarbonate Lomustine 7
Glyceryl trinitrate 8 Lopinavir 5
Granulocyte Colony Stimulating Lugol's iodine 12
Factor 6 Lumefantrine 6
H M
Haloperidol 14 Magnesium hydroxide 10
Halothane 1 Magnesium sulfate injection 3
Heparin sodium 7 Magnesium sulfate powder 10
Hepatitis A vaccine 13 Mannitol 10
Hepatitis B vaccine 13 Measles vaccine 12
Hydrochlorothiazide 8,10 Medroxyprogesterone acetate 11,12
Hydrocortisone 2,7,11 Meglumine iotroxate 9
Hydrocortisone ointment 9 Melphalan 6
Hydroxy urea 6 Meningococcal vaccine 13
Hyoscine butylbromide 11 Mensa 6
I Mercaptopurine 6
Ibuprofen 1 Metformin 12
Ichthammol 14 Methotrexate 2,7
Idoxuridine 6 Methylene blue 2
Ifosfamide 6 Methylergometrine 14
26Draft: National List of Essential Medicines - Nepal, Fourth Revision, 2009
Mifepristone 14 Polygeline 8
Misoprostol 14 Polyvenum antisnake serum 12
Methadone 15 Potassium ferric hexacyano-ferrate
Methylrosanilinium chloride see Prussian blue
see Gentian violet Potassium chloride see Oral Rehydration Salt
Methylthioninium chloride Potassium chloride injection 15
see Methylene blue Povidone Iodine 10
Metoclopramide 10 Pralidoxime 2
Metronidazole 4,5 Praziquantel 3
Miltefosine 5 Prazosin 8
Mitomycin 7 Prednisolone 2,7,11
Mitoxantrone 7 Prednisolone eye drop 13
Morphine 2 Primaquine 6
Mumps vaccine 13 Procainamide 8
N Procaine benzylpenicillin 3
Nalidixic acid 4 Promethazine 10
Naloxone 2 Propofol 1
Nelfinavir (NFV) 5 Propranolol 6
Neostigmine 13 Protamine sulfate 8
Nevirapine (NVP) 5 Pyrazinamide 5
Niclosamide 3 Pyridoxine 16
Nicotinamide see Vitamin B Complex Pyrimethamine see Sulfadoxine
Nifedipine 8 Prussian blue 2
Nitrofurantoin 4 Q
Nitrous oxide 1 Quinine 6
Norethisterone 11,12 R
Nystatin 5 Ring pessary 11
O Ringer's lactate solution see Compound
Ofloxacin 5 solution of sodium lactate
Omeprazole 10 Ritonavir 5
Ondansetron 7 Rabies vaccine 12
Oral rehydration salts 11,15 Ranitidine 10
Oxygen 1 Rectified spirit 10
Oxymetazoline 14 Retinol 16
Oxytocin 14 Riboflavin 16
P Rifampicin 4
Pancuronium bromide 13 Rubella vaccine 13
Para Amino Salicylic Acid (PAS) 5 S
Paracetamol 1,6 Salbutamol 15
Paradehyde 3 Salicylic acid 9
Penicillin G see Benzylpenicillin Saquinavir (SQV) 5
PenicillinV see Phenoxymethylpenicillin Selenium sulfide 9
Permethrin 9 Silver sulfadiazine 9
Pethidine 2 Sodium bicarbonate injection15
Pheniramine 2 Sodium bicarbonate +Glycerine
Phenobarbital 3 ear drop 14
Phenoxymethylpenicillin 3 Sodium calcium edetate 2
Phenytoin 3 Sodium chloride see Oral Rehydration Salt
Phytomenadione 8 Sodium chloride injection15
Pilocarpine 13 Sodium cromoclicate 15
Poliomyelitis vaccine 12 Sodium nitrite 2
27Draft: National List of Essential Medicines - Nepal, Fourth Revision, 2009
Sodium nitroprusside 8 Triamterene 10
Sodium stibogluconate 6 Trihexyphenidyl 7
Spironolactone 10 Trimethoprim see Sulfamethoxazole
Stavudine (d4T) 5 Trisodium citrate see Oral Rehydration Salt
Streptokinase 9 Tuberculin, purified protien derivative
Streptomycin 4 (PPD) injection 12
Sulfadoxine 6 Typhoid vaccine 13
Sulfamethoxazole 4 V
Sulphasalazine 10 Valproic acid 3
Suxamethonium chloride 13 Vecuronium bromide 13
T Verapamil 8
Tamoxifen 7 Vinblastine 7
Tenofovir disoproxil fumarate (TDF) 5 Vincristine 7
Testosterone 11 Vitamin B complex 16
Tetanus antitoxin 12 W
Tetanus immunoglobulin (human) 12 Warfarin 8
Tetanus toxoid 12 Water for injection 15
Tetracaine 13
Tetracyline eye ointment 13 Y
Theophylline 15 Yellow fever vaccine 13
Thiamine see Vitamin B complex Z
Thiopental 1 Zidovudine (ZDV or AZT) 5
Thioridazine 14 Zinc oxide 14
Timolol 13 Zinc sulfate 11
Tinidazole 5
List of Essential Medicines for District Hospital
A Atropine 18
Acetazolamide 23 Azithromycin 18
Acetylcysteine 18 B
Acetylsalicylic acid see Aspirin BCG vaccine 22
Adrenaline see Epinephrine Benzathine benzylpenicillin 18
Albendazole 18 Benzoic acid 20
Allopurinol 17 Benzylpenicillin 18
Alprazolam 23 Betamethasone 21
Aluminium hydroxide gel, dried 21 Bisacodyl 21
Aminophylline 24 Bismuth Iodoform Paraffin 23
Amitriptyline 23 C
Amlodipine 20 Calamine lotion 21
Amoxicillin 18 Calcium gluconate 24
Amphotericin B 19 Calcium pantothenate see Vitamin B complex
Ampicillin 18 Carbamazepine 18
Anti-D immunoglobulin (human) 22 Cefixime 18
Antirabies hyperimmune serum 22 Cetrimide 21
Artemether 20 Charcoal, activated 18
Artesunate 20 Chloramphenicol 19
Aspirin 17 Chloramphenicol eye applicap 23
Atenolol 20 Chloramphenicol ear drop 23
28Draft: National List of Essential Medicines - Nepal, Fourth Revision, 2009
Chlorhexidine solution 21 Glibenclamide 22
Chlorine based compound 21 Glucose injectable 24
Chloroquine 20 Glycerine ear drop see with Ichthammol or
Chlorpheniramine 17 Sodium bicarbonate
Chlorpromazine 23 Glyceryl trinitrate 20
Ciprofloxacin 19 H
Ciprofloxacin eye/ear drops 23 Halothane 17
Ciproflpxacin eye ointment 23 Hepatitis B vaccine 23
Clofazimine 19 Hydrochlorothiazide 20,21
Clotrimazole 19,20 Hydrocortisone 17,22
Clove oil 23 Hydrocortisone ointment 21
Cloxacillin 18 Hyoscine butylbromide 22
Colchicine 17 Ibuprofen 17
Condoms 22 Ichthammol 23
Compound solution of Sodium lactate 24 Ifosfamide 6
Copper-containing devices 22 Influenza vaccine 23
Cycloserine 19 Insulin injection 22
D Iodine see Lugol's iodine and
Dapsone 19 Povidone iodine
Dexamethasone 22 Isoniazid 19
Dextrose see Oral Rehydration Salt Isoxsuprine 23
Diazepam 18,23 J
Diclofenac Sodium 17 Japanese Encephalitis vaccine 23
Diethylcarbamazine 18 K
Digoxin 20 Kanamicin 19
Diphtheria-Tetanus-Pertussis- Ketamine 17
Hepatitis B vaccine 22 L
Diphtheria-Tetanus-Pertussis- Levonorgestrel 22
Hepatitis B-Haemophilus type b 22 Lidocaine see Lignocaine
DL-alpha-tocopherol 24 Lignocaine 17
Dopamine 18 Lindane 21
Doxorubicin Lumefantrine 20
Doxycycline 19 M
E Magnesium hydroxide 21
Enalapril 20 Magnesium sulfate injection 18
Epinephrine 17,18,24 Mannitol 21
Erythromycin 19 Measles vaccine 22
Ethambutol 19 Medroxyprogesterone acetate 22
Ethinylestradiol 22 Meningococcal vaccine 23
Ethionamide 19 Metformin 22
F Methylergometrine 23
Ferrous salt 20 Mifepristone 23
Fluconazole 19 Misoprostol 23
Folic acid 20 Methylrosanilinium chloride
Formaldehyde 21 see Gentian violet
Furosemide 21 Metoclopramide 21
Metronidazole 19
G Miltefosine 19
Gamma Benzene hexachloride Mumps vaccine 23
see Lindane N
Gentian violet 21 Nalidixic acid 19
Gentamicin 19 Naloxone 18
29Draft: National List of Essential Medicines - Nepal, Fourth Revision, 2009
Neostigmine 23 Sodium bicarbonate +Glycerine
Nicotinamide see Vitamin B Complex ear drop 23
Nifedipine 20 Sodium chloride see Oral Rehydration Salt
Nitrofurantoin 19 Sodium chloride injection 24
Norethisterone 22 Sodium stibogluconate 19
O Spironolactone 21
Ofloxacin 19 Streptomycin 19
Omeprazole 21 Sulfadoxine 20
Oral rehydration salts 22,24 Sulfamethoxazole 19
Oxygen 17 T
Oxytocin 23 Tetanus antitoxin 22
P Tetanus immunoglobulin (human) 22
Para Amino Salicylic Acid (PAS) 19 Tetanus toxoid 22
Paracetamol 17 Tetracyline eye ointment 23
Penicillin G see Benzylpenicillin Theophylline 24
Permethrin 21 Thiamine see Vitamin B complex
Pethidine 17 Thiopental 17
Pheniramine 18 Tinidazole 19
Phenobarbital 18 Trimethoprim see Sulfamethoxazole
Phenytoin 18 Trisodium citrate see Oral Rehydration Salt
Phytomenadione 20 Tuberculin, purified protien derivative
Poliomyelitis vaccine 22 (PPD) injection
Polygeline 20 Typhoid vaccine 23
Polyvenum antisnake serum22 V
Potassium chloride see Oral Rehydration Salt Vitamin B complex 24
Potassium chloride injection 24 W
Povidone Iodine 20,21 Water for injection 24
Pralidoxime 18 Y
Praziquantel 18 Yellow fever vaccine 23
Prednisolone 18,22
Primaquine 20 Z
Promethazine 21 Zinc sulfate 22
Pyrazinamide 19
Pyridoxine 24
Pyrimethamine see Sulfadoxine
Q
Quinine 20
R ************************
Ringer's lactate solution see Compound
solution of sodium lactate
Rabies vaccine 23
Ranitidine 21
Rectified spirit 21
Retinol 24
Riboflavin see Vitamin B complex
Rifampicin 19
Rubella vaccine 23
S
Salbutamol 24
Salicylic acid 20
Silver sulfadiazine 20
Sodium bicarbonate injection 24
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