national essential medicines list fourth edition€¦ · n e m l th| 4 edition national essential...

18
NEML | 4 th Edition NATIONAL ESSENTIAL MEDICINES LIST 1 NATIONAL ESSENTIAL MEDICINES LIST FOURTH EDITION How to use the National Essential Medicines List This list contains 321 chemical entities within 30 therapeutic groups. The therapeutic groups are further divided into sub-therapeutic groups followed by the medicines’ chemical entities (generic names). For each chemical entity, the corresponding dosage form and the level of care are stated on the same row. When prescribing the medicines, the prescribers should ensure that the indications are registered with the Drug Control Authority of Malaysia. For prescribers within Ministry of Health (MOH) facilities, the registered indications must also be listed in the MOH Medicines Formulary. Level of care: All health facilities should ensure the availability of the medicines listed for patients is according to the level of care designated by MOH. The main terms used for level of care are explained as below: Level of care Explanation Example U = universal Primary, secondary & tertiary care Health clinic and hospital S = secondary Secondary and tertiary care Major/ minor specialist hospital T = tertiary Tertiary care Major specialist hospital Dosage forms for each chemical entity listed are defined as below: Term Definition Oral dosage form All form of tablets: immediate release and modified release preparation, uncoated or coated, unscored and scored, chewable, dispersible, soluble, crushable, sublingual or others; All form of capsules: hard or soft capsules, modified release preparation, capsule-shaped tablet or caplet or others; All form of granule; Oral powder: preparation that are issued to patient as powder to be taken in or with water or another suitable liquid or others; Oral liquid: oral solutions, syrups, suspensions, emulsions and oral drops or others Injection All form of injections: solutions, suspensions, emulsions including those constituted from powders or solutions or others Topical All form of topical: creams, ointments, lotions, paints or others Eye preparation All form of eye preparation: drops, ointment or others Ear preparation All form of ear preparation: drops, ointment or others Inhalation All form of inhalation Miscellaneous Other forms

Upload: others

Post on 24-Oct-2020

9 views

Category:

Documents


0 download

TRANSCRIPT

  • N E M L | 4th Edition

    NATIONAL ESSENTIAL MEDICINES LIST

    1

    NATIONAL ESSENTIAL MEDICINES LIST FOURTH EDITION

    How to use the National Essential Medicines List

    This list contains 321 chemical entities within 30 therapeutic groups. The therapeutic groups are further divided

    into sub-therapeutic groups followed by the medicines’ chemical entities (generic names). For each chemical

    entity, the corresponding dosage form and the level of care are stated on the same row. When prescribing the

    medicines, the prescribers should ensure that the indications are registered with the Drug Control Authority of

    Malaysia. For prescribers within Ministry of Health (MOH) facilities, the registered indications must also be listed

    in the MOH Medicines Formulary.

    Level of care:

    All health facilities should ensure the availability of the medicines listed for patients is according to the level of

    care designated by MOH. The main terms used for level of care are explained as below:

    Level of care Explanation Example

    U = universal Primary, secondary & tertiary care Health clinic and hospital

    S = secondary Secondary and tertiary care Major/ minor specialist hospital

    T = tertiary Tertiary care Major specialist hospital

    Dosage forms for each chemical entity listed are defined as below:

    Term Definition

    Oral dosage form All form of tablets: immediate release and modified release preparation,

    uncoated or coated, unscored and scored, chewable, dispersible, soluble,

    crushable, sublingual or others;

    All form of capsules: hard or soft capsules, modified release preparation,

    capsule-shaped tablet or caplet or others;

    All form of granule;

    Oral powder: preparation that are issued to patient as powder to be taken in

    or with water or another suitable liquid or others;

    Oral liquid: oral solutions, syrups, suspensions, emulsions and oral drops or

    others

    Injection All form of injections: solutions, suspensions, emulsions including those

    constituted from powders or solutions or others

    Topical All form of topical: creams, ointments, lotions, paints or others

    Eye preparation All form of eye preparation: drops, ointment or others

    Ear preparation All form of ear preparation: drops, ointment or others

    Inhalation All form of inhalation

    Miscellaneous Other forms

  • N E M L | 4th Edition

    NATIONAL ESSENTIAL MEDICINES LIST

    2

    NO CHEMICAL ENTITY DOSAGE FORM LEVEL OF CARE

    1 ANAESTHETICS

    1.1 GENERAL ANAESTHETICS AND OXYGEN

    Isoflurane Inhalation solution S,T

    Ketamine Injection S,T

    Thiopental/ Thiopentone Injection S,T

    Nitrous Oxide Gas S,T

    Medical Oxygen Gas U

    Propofol Injection S,T

    1.2 LOCAL ANAESTHETICS

    Bupivacaine Injection S,T

    Ethyl Chloride Spray (topical) U

    Bupivacaine + Adrenaline/ Epinephrine Injection S,T

    Lignocaine/ Lidocaine Injection U

    Lignocaine/ Lidocaine Spray (oral) U

    Lignocaine/ Lidocaine Topical U

    1.3 PREOPERATIVE MEDICATION AND SEDATION FOR SHORT-TERM PROCEDURES

    Atropine Injection U

    Midazolam Injection S,T

    Midazolam Oral dosage form S,T

    Morphine Oral dosage form S,T

    Morphine Injection S,T

    2 ANALGESICS, ANTIPYRETICS, NON-STEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDS)

    2.1 NON-OPIOIDS AND NSAIDS

    Acetylsalicylic Acid Oral dosage form U

    Diclofenac Oral dosage form U

    Paracetamol Oral dosage form U

    Paracetamol Suppository U

    Paracetamol Injection S,T

    Ibuprofen Oral dosage form U

    Mefenamic Acid Oral dosage form U

    Indomethacin Oral dosage form U

    2.2 OPIOID ANALGESICS

    Dihydrocodeine Oral dosage form U

    Morphine Oral dosage form S,T

    Tramadol Injection S,T

    Tramadol Oral dosage form S,T

    2.3 MEDICINES USED TO TREAT GOUT

    Allopurinol Oral dosage form S,T

    Indomethacine Oral dosage form U

    Colchicine Oral dosage form U

    2.4 DISEASE MODIFYING AGENTS USED IN RHEUMATOID DISORDERS (DMARDS)

    Azathioprine Oral dosage form T

  • N E M L | 4th Edition

    NATIONAL ESSENTIAL MEDICINES LIST

    3

    Hydroxychloroquine Oral dosage form T

    Methotrexate Oral dosage form T

    Penicillamine Oral dosage form T

    Sulfasalazine/ Sulphasalazine Oral dosage form T

    Leflunomide Oral dosage form T

    3 ANTI-ALLERGICS AND MEDICINES USED IN ANAPHYLAXIS

    Adrenaline/Epinephrine Injection U

    Chlorpheniramine Oral dosage form U

    Chlorpheniramine Injection U

    Prednisolone Oral dosage form U

    Triprolidine Hydrochloride + Pseudoephedrine Hydrochloride

    Oral dosage form U

    Hydrocortisone Injection U

    Promethazine Injection U

    Promethazine Oral dosage form U

    Cetirizine Oral dosage form U

    Levocetirizine Oral dosage form T

    Loratadine Oral dosage form U

    4 ANTIDOTES AND OTHER SUBSTANCES USED IN POISONING

    4.1 NON-SPECIFIC

    Charcoal, Activated Oral dosage form U

    4.2 SPECIFIC

    Calcium Gluconate Injection U

    Atropine Injection U

    Flumazenil Injection S,T

    Naloxone Injection U

    Pralidoxime Injection S,T

    Sodium Nitrite Injection T

    Sodium Thiosulphate Injection T

    Acetylcysteine Injection S,T

    Desferrioxamine Methane Sulphonate Injection S,T

    5 ANTICONVULSANTS/ANTIEPILEPTICS

    Carbamazepine Oral dosage form U

    Sodium Valproate Oral dosage form U

    Sodium Valproate Injection S,T

    Diazepam Injection S,T

    Diazepam Rectal Solution S,T

    Clonazepam Oral dosage form S,T

    Magnesium Sulphate Injection S,T

    Phenobarbitone /Phenobarbital Oral dosage form S,T

    Phenobarbitone /Phenobarbital Injection S,T

    Phenytoin Oral dosage form S,T

    Phenytoin Injection S,T

  • N E M L | 4th Edition

    NATIONAL ESSENTIAL MEDICINES LIST

    4

    Lamotrigine Oral dosage form S,T

    Topiramate Oral dosage form S,T

    6 ANTI-INFECTIVE MEDICINES

    6.1 ANTIHELMINTHICS : INTESTINAL ANTIHELMINTICS

    Albendazole Oral dosage form U

    6.1.2 ANTIFILARIALS

    0 0 0

    6.1.3 ANTISCHISTOSOMALS AND OTHER ANTITREMATODE MEDICINES

    0 0 0

    6.2 ANTIBACTERIALS

    6.2.1 BETALACTAM MEDICINES

    Amoxycillin Oral dosage form U

    Ampicillin Injection U

    Ampicillin Oral dosage form U

    Benzathine Penicillin Injection U

    Benzylpenicillin/ Penicillin G Injection S,T

    Cloxacillin Oral dosage form U

    Cloxacillin Injection S,T

    Phenoxymethyl Penicillin/ Penicillin V Oral dosage form U

    Ceftriaxone Injection S,T

    Cefotaxime Injection S,T

    6.2.2 OTHER ANTIBACTERIALS

    Sulphamethoxazole + Trimethoprim Oral dosage form U

    Doxycycline Oral dosage form U

    Erythromycin Oral dosage form U

    Gentamicin Injection S,T

    6.2.3 ANTILEPROSY MEDICINES

    Clofazimine Oral dosage form U (For dermatologist,

    FMS and doctors trained for

    leprosy management)

    Dapsone Oral dosage form U (For dermatologist,

    FMS and doctors trained for

    leprosy management)

    Ofloxacin Oral dosage form T (Designated to spesific facilities

    only)

  • N E M L | 4th Edition

    NATIONAL ESSENTIAL MEDICINES LIST

    5

    Minocyclin Oral dosage form T (Designated to spesific facilities

    only)

    Clarithromycin Oral dosage form T (Designated to spesific facilities

    only)

    Ethionamide Oral dosage form T (Designated to spesific facilities

    only)

    Rifampicin Oral dosage form U

    6.2.4 ANTITUBERCULOSIS MEDICINES

    Ethambutol Oral dosage form U

    Isoniazid Oral dosage form U

    Pyrazinamide Oral dosage form U

    Rifampicin Oral dosage form U

    Streptomycin Injection U

    Cycloserine Oral dosage form U

    Ethionamide Oral dosage form T (Designated to spesific facilities

    only)

    Ofloxacin Oral dosage form T (Designated to spesific facilities

    only)

    Kanamycin Injection T (Designated to spesific facilities

    only)

    Levofloxacin Oral dosage form T (Designated to spesific facilities

    only)

    Levofloxacin Injection T (Designated to spesific facilities

    only)

    Rifampicin, Isoniazid Oral dosage form T (Designated to spesific facilities

    only)

    Rifampicin, Isoniazid, Pyrazinamide Oral dosage form T (Designated to spesific facilities

    only)

    Rifampicin, Isoniazid, Pyrazinamide & Ethambutol Oral dosage form T (Designated to spesific facilities

    only)

    6.3 ANTIFUNGAL MEDICINES

    Clotrimazole Pessary U

    Nystatin Oral dosage form U

  • N E M L | 4th Edition

    NATIONAL ESSENTIAL MEDICINES LIST

    6

    Nystatin Topical U

    Griseofulvin Oral dosage form U

    Fluconazole Oral dosage form S,T

    Fluconazole Injection S,T

    6.4 ANTIVIRAL MEDICINES

    6.4.1 ANTIHERPES MEDICINES

    Acyclovir Oral dosage form S,T

    Acyclovir Injection S,T (Designated to spesific

    facilities only)

    6.4.2 ANTIRETROVIRALS

    6.4.2.1 NUCLEOSIDE/NUCLEOTIDE REVERSE TRANSCRIPTASE INHIBITORS

    Didanosine Oral dosage form S,T (Designated to spesific

    facilities only)

    Lamivudine Oral dosage form S,T (Designated to spesific

    facilities only)

    Zidovudine Oral dosage form S,T (Designated to spesific

    facilities only)

    Zidovudine Injection S,T (Designated to spesific

    facilities only)

    Tenofovir Oral dosage form S,T (Designated to spesific

    facilities only)

    6.4.2.2 NON-NUCLEOSIDE REVERSE TRANSCRIPTASE INHIBITORS

    Efavirenz Oral dosage form S,T (Designated to spesific

    facilities only)

    Stavudine Oral dosage form S,T (Designated to spesific

    facilities only)

  • N E M L | 4th Edition

    NATIONAL ESSENTIAL MEDICINES LIST

    7

    Nevirapine Oral dosage form S,T (Designated to spesific

    facilities only)

    6.4.2.3 PROTEASE INHIBITORS

    Ritonavir Oral dosage form S,T (Designated to spesific

    facilities only)

    6.4.2.4 FIXED-DOSE COMBINATIONS

    Tenofovir, Emtricitabine Oral dosage form S,T (Designated to spesific

    facilities only)

    Stavudine, Lamivudine, Nevirapine Oral dosage form S,T (Designated to spesific

    facilities only)

    Lopinavir, Ritonavir Oral dosage form S,T (Designated to spesific

    facilities only)

    Zidovudine, Lamivudine Oral dosage form S,T (Designated to spesific

    facilities only)

    Abacavir, Lamivudine Oral dosage form S,T (Designated to spesific

    facilities only)

    6.4.3 OTHER ANTIVIRALS

    Ribavirin Oral dosage form S,T (Designated to spesific

    facilities only)

    6.5 ANTIPROTOZOAL MEDICINES

    6.5.1 ANTI-AMOEBIC

    Metronidazole Oral dosage form U

    Metronidazole Injection S,T

    6.5.2 ANTILEISHMANIASIS MEDICINES

    6.5.3 ANTIMALARIAL MEDICINES

    Chloroquine Oral dosage form U (Designated to spesific facilities

    only)

  • N E M L | 4th Edition

    NATIONAL ESSENTIAL MEDICINES LIST

    8

    Primaquine Oral dosage form U (Designated to spesific facilities

    only)

    Sulfadoxine + Pyrimethamine Oral dosage form U(Designated to spesific facilities

    only)

    Quinine Injection U(Designated to spesific facilities

    only)

    Quinine Oral dosage form U(Designated to spesific facilities

    only)

    Artesunate Injection U(Designated to spesific facilities

    only)

    Doxycycline Oral dosage form U

    6.5.4 ANTIPNEUMOCYTOSIS AND ANTITOXOPLASMOSIS MEDICINES

    0 0 0

    7 ANTIMIGRAINE MEDICINES

    7.1 FOR PROPHYLAXIS

    Propranolol Oral dosage form U

    Pizotifen Oral dosage form U

    Flunarizine Oral dosage form U

    7.2 FOR TREATMENT OF ACUTE ATTACK

    Paracetamol Oral dosage form U

    Mefenamic Acid Oral dosage form U

    Naproxen Oral dosage form S,T

    Sumatriptan Oral dosage form S,T

    8 ANTINEOPLASTIC, IMMUNOSUPPRESSIVE AND MEDICINES USE IN PALLIATIVE CARE

    8.1 IMMUNOSUPPRESSIVE MEDICINES

    Azathioprine Oral dosage form T

    Ciclosporin Oral dosage form T

    Ciclosporin Injection T

    8.2 CYTOTOXIC & ADJUVANT MEDICINES

    L-asparaginase Injection T

    Bleomycin Injection T

    Calcium folinate Oral dosage form T

    Calcium folinate Injection T

    Carboplatin Injection T

    Chlorambucil Oral dosage form T

    Cyclophosphamide Oral dosage form T

    Cyclophosphamide Injection T

    Cytarabine Injection T

  • N E M L | 4th Edition

    NATIONAL ESSENTIAL MEDICINES LIST

    9

    Dacarbazine injection T

    Dactinomycin Injection T

    Daunorubicin Injection T

    Docetaxel Injection T

    Doxorubicin Injection T

    Etoposide Oral dosage form T

    Etoposide Injection T

    Fluorouracil Injection T

    Ifosfamide Injection T

    Mercaptopurine Oral dosage form T

    Paclitaxel Injection T

    Procarbazine Oral dosage form T

    Thioguanine Oral dosage form T

    Vinblastine Injection T

    Vincristine Injection T

    8.3 HORMONES AND ANTIHORMONES

    Hydrocortisone Oral dosage form U

    Methylprednisolone Injection T

    Prednisolone Oral dosage form U

    Tamoxifen Oral dosage form T

    8.4 MEDICINES USED IN PALLIATIVE CARE

    Lactulose Oral dosage form T

    Midazolam Oral dosage form S,T

    9 ANTIPARKINSONISM MEDICINES

    Benzhexol Oral dosage form U

    Levodopa + Carbidopa Oral dosage form U

    Levodopa + Benserazide Oral dosage form U

    Selegiline Oral dosage form S,T

    Entacapone Oral dosage form S,T

    Piribedil Oral dosage form S,T

    Ropinirole Oral dosage form ST

    Pramipexole Oral dosage form S,T

    10 MEDICINES AFFECTING THE BLOOD

    10.1 ANTI-ANAEMIA MEDICINES

    Ferrous Oral dosage form U

    Folic Acid Oral dosage form U

    Iron Injection S,T

    Erythropoietin Injection S,T

    10.2 MEDICINES AFFECTING COAGULATION

    Heparin Sodium Injection S,T

    Heparin Sodium + Sodium Chloride

    Injection S,T

    Protamine Sulphate Injection S,T

  • N E M L | 4th Edition

    NATIONAL ESSENTIAL MEDICINES LIST

    10

    Vitamin K1 / Phytomenadione Injection U

    Tranexamic Acid Oral dosage form S,T

    Tranexamic Acid Injection S,T

    Warfarin Oral dosage form U

    10.3 OTHER MEDICINES FOR HAEMOGLOBINOPATHIES

    0 0 0

    11 BLOOD PRODUCTS AND PLASMA SUBSTITUTES

    11.1 PLASMA SUBSTITUTES

    Modified Fluid Gelatin Miscellaneous S,T

    11.2 PLASMA FRACTIONS FOR SPECIFIC USE

    Human Albumin Miscellaneous S,T

    12 CARDIOVASCULAR MEDICINES

    12.1 ANTIANGINAL MEDICINES

    Glyceryl Trinitrate Oral dosage form U

    Glyceryl Trinitrate Injection S,T

    Isosorbide Oral dosage form U

    Isosorbide Injection S,T

    12.2 ANTIARRHYTHMIC MEDICINES

    Digoxin Oral dosage form U

    Lignocaine/ Lidocaine Injection U

    Verapamil Oral dosage form S,T

    Verapamil Injection S,T

    Adrenaline/ Epinephrine Injection U

    Amiodarone Oral dosage form S,T

    Amiodarone Injection S,T

    12.3 ANTIHYPERTENSIVE MEDICINES

    Atenolol Oral dosage form U

    Diltiazem Oral dosage form U

    Captopril Oral dosage form U

    Perindopril Oral dosage form U

    Methyldopa Oral dosage form U

    Propranolol Oral dosage form U

    Propranolol Injection U

    Labetalol Oral dosage form U

    Labetalol Injection U

    Metoprolol Oral dosage form U

    Nifedipine Oral dosage form U

    Prazosin Oral dosage form U

    Enalapril Oral dosage form U

    Telmisartan Oral dosage form S,T

    Amlodipine Oral dosage form S,T

    12.4 MEDICINES USED IN HEART FAILURE

    Digoxin Oral dosage form U

  • N E M L | 4th Edition

    NATIONAL ESSENTIAL MEDICINES LIST

    11

    Dopamine Injection S,T

    12.5 ANTITHROMBOTIC MEDICINES

    Acetylsalicylic Acid Oral dosage form U

    12.6 LIPID-LOWERING AGENTS

    Simvastatin Oral dosage form U

    Atorvastatin Oral dosage form S,T

    Gemfibrozil Oral dosage form U

    13 DERMATOLOGICAL MEDICINES (TOPICAL)

    13.1 ANTIFUNGAL MEDICINES

    Clotrimazole Topical U

    Miconazole Topical U

    13.2 ANTI-INFECTIVE MEDICINES

    Neomycin Topical U

    Potassium Permanganate Miscellaneous U

    Silver Sulphadiazine Topical U

    Fusidic acid/ Sodium Fusidate Topical S,T

    Mupirocin Topical S,T

    13.3 ANTI- INFLAMMATORY AND ANTIPRURITIC MEDICINES

    Betamethasone Topical U

    Calamine Topical U

    Calamine with zinc oxide Topical U

    Hydrocortisone Topical U

    Mometasone Topical S,T

    Clobetasol propionate Topical S,T

    Clobetasone butyrate Topical S,T

    Fusidic acid/ Sodium Fusidate in betamethasone Topical S,T

    Zinc Oxide Topical U

    Crotamiton Topical U

    13.4 MEDICINES AFFECTING SKIN DIFFERENTIATION AND PROLIFERATION

    Benzoyl Peroxide Topical U

    Coal Tar Topical U

    Salicylic Acid Topical U

    Aqueous Cream Topical U

    Cetrimide Topical U

    Selenium sulphide Topical U

    Adapalene Topical S,T

    Paraffin, White Soft Miscellaneous U

    Isotretinoin Oral dosage form S,T

    Acitretin Oral dosage form S,T

    13.5 SCABICIDES AND PEDICULICIDES

    Gamma Benzene Hexachloride Topical U

    Benzyl Benzoate Topical U

    Permethrin Topical U

  • N E M L | 4th Edition

    NATIONAL ESSENTIAL MEDICINES LIST

    12

    14 DIAGNOSTIC AGENTS

    14.1 OPHTHALMIC MEDICINES

    Fluorescein 1 mg Ophthalmic Strip Miscellaneous S,T

    Tropicamide Eye preparation S,T

    14.2 RADIOCONTRAST MEDIA

    Barium Sulphate Suspension Miscellaneous S,T

    15 DISINFECTANTS AND ANTISEPTICS

    15.1 ANTISEPTICS

    Alcohol Miscellaneous U

    Chlorhexidine Gluconate Topical U

    Acriflavine Topical U

    Povidone Iodine Topical U

    15.2 DISINFECTANTS

    Glutaraldehyde Solution Miscellaneous U

    Alcohol Miscellaneous U

    16 DIURETICS

    Frusemide Oral dosage form U

    Frusemide Injection U

    Hydrochlorothiazide Oral dosage form U

    Spironolactone Oral dosage form U

    17 GASTROINTESTINAL MEDICINES

    17.1 ANTACIDS AND OTHER ANTIULCER MEDICINES

    Magnesium Trisillicate Oral dosage form U

    Omeprazole Oral dosage form S,T

    Ranitidine Oral dosage form U

    17.2 ANTIEMETIC MEDICINES

    Metoclopramide Oral dosage form U

    Metoclopramide Injection U

    Prochlorperazine Oral dosage form U

    Prochlorperazine Injection U

    Ondansetron Injection S,T

    Granisetron Oral dosage form S,T

    Granisetron Injection S,T

    17.3 LAXATIVE MEDICINES

    Bisacodyl Oral dosage form U

    Lactulose Oral dosage form T

    17.4 ANTISPASMODIC MEDICINES

    Hyoscine Oral dosage form U

    Hyoscine Injection U

    17.5 MEDICINES USED IN DIARRHOEA

    Diphenoxylate + Atropine Oral dosage form U

    Loperamide Oral dosage form U

    Oral Rehydration Salt Oral dosage form U

  • N E M L | 4th Edition

    NATIONAL ESSENTIAL MEDICINES LIST

    13

    17.6 MEDICINES FOR DIARRHOEA IN CHILDREN

    0 0 0

    18 HORMONES, CONTRACEPTIVES AND OTHER ENDOCRINE MEDICINES

    18.1.1 ADRENAL HORMONES AND SYNTHETIC SUBSTITUTES

    Prednisolone Oral dosage form U

    Dexamethasone Injection U

    Hydrocortisone Injection U

    18.1.2 ANDROGENS

    Testosterone Injection T

    18.2.1 CONTRACEPTIVES

    Desogestrol + Ethinyloestradiol Oral dosage form U

    Norethisterone Enanthate Injection U

    Medroxyprogesterone Acetate Injection U

    Levonorgestrel Oral dosage form U

    18.2.2 BARRIER METHODS

    Copper Miscellaneous S,T

    18.2.3 IMPLANTABLE CONTRACEPTIVES

    0 0 0

    18.3 INSULINS AND OTHER ANTIDIABETIC AGENTS

    Metformin Oral dosage form U

    Gliclazide Oral dosage form U

    Glibenclamide Oral dosage form U

    Insulin Recombinant Synthetic/ Neutral Human short-acting

    Injection U

    Insulin Recombinant Synthetic Human intermediate-acting Injection U

    Insulin Recombinant Synthetic Human pre-mixed Injection U

    18.4 OVULATION INDUCERS

    Clomifene Citrate Oral dosage form S,T

    18.5 PROGESTOGENS

    Medroxyprogesterone Acetate Oral dosage form S,T

    18.6 THYROID HORMONES AND ANTITHYROID MEDICINES

    Carbimazole Oral dosage form U

    L-Thyroxine/ Levothyroxine/ Thyroxine Oral dosage form U

    Propylthiouracil Oral dosage form U

    19 IMMUNOLOGICALS

    19.1 DIAGNOSTICS AGENTS

    Tuberculin, Purified Protein derivative (PPD) Miscellaneous U

    19.1 SERA AND IMMUNOGLOBULINS

    Anti RhD Gamma Globulin Injection S,T (Designated to spesific

    facilities only)

  • N E M L | 4th Edition

    NATIONAL ESSENTIAL MEDICINES LIST

    14

    Botulism Antitoxin Injection S,T (Designated to spesific

    facilities only)

    Diphtheria Antitoxin Injection S,T (Designated to spesific

    facilities only)

    Tetanus Immunoglobin Human Injection S,T (Designated to spesific

    facilities only)

    Antivene Serum (Cobra) Injection S,T (Designated to spesific

    facilities only)

    Antivene Serum (Sea Snake) Injection S,T (Designated to spesific

    facilities only)

    Antivene Malaysian Pit Viper Injection S,T (Designated to spesific

    facilities only)

    Antivene Serum Snake Polyvalent Injection S,T (Designated to spesific

    facilities only)

    Antirabies Immunoglobulin (Human) Injection S,T (Designated to spesific

    facilities only)

    19.2 VACCINES

    BCG Freeze-dried Vaccine Injection S,T (Designated to spesific

    facilities only)

    Diphtheria & Tetanus Vaccine Injection S,T (Designated to spesific

    facilities only)

  • N E M L | 4th Edition

    NATIONAL ESSENTIAL MEDICINES LIST

    15

    Hepatitis B Vaccine Injection S,T (Designated to spesific

    facilities only)

    Measles, Mumps & Rubella Vaccine Live Injection S,T (Designated to spesific

    facilities only)

    Polio Vaccine Injection S,T (Designated to spesific

    facilities only)

    Tetanus Toxoid Injection S,T (Designated to spesific

    facilities only)

    Diphtheria, Tetanus, Acellular Pertussis, Inactivated Polio Virus, Haemophilus Influenza Type B Vaccine [DTaP-IPV- Hib]

    Injection S,T (Designated to spesific

    facilities only)

    Measle's Vaccine (Live attenuated) Injection S,T (Designated to spesific

    facilities only)

    Human papillomavirus vaccine Injection S,T (Designated to spesific

    facilities only)

    Meningococcal vaccine Injection S,T (Designated to spesific

    facilities only)

    Pneumococcal vaccine Injection S,T (Designated to spesific

    facilities only)

    Influenza vaccine Injection S,T (Designated to spesific

    facilities only)

    20 MUSCLE RELAXANTS(PERIPHERALLY ACTING) AND CHOLINESTERASE INHIBITORS

    Neostigmine Injection S,T

    Pancuronium Injection S,T

    Pyridostigmine Oral dosage form S,T

  • N E M L | 4th Edition

    NATIONAL ESSENTIAL MEDICINES LIST

    16

    Suxamethonium Injection S,T

    21 OPHTHALMOLOGICAL PREPARATIONS

    21.1 ANTI- INFECTIVE AGENTS

    Gentamicin Eye preparation U

    Chloramphenicol Eye preparation U

    21.2 ANTI-INFLAMMATORY AGENTS

    Betamethasone Eye preparation S,T

    21.3 LOCAL ANAESTHETICS

    Proparacaine Eye preparation S,T

    21.4 MIOTICS AND ANTIGLAUCOMA MEDICINES

    Acetazolamide Oral dosage form S,T

    Acetazolamide Injection S,T

    Pilocarpine Eye preparation S,T

    Timolol Eye preparation S,T

    21.5 MYDRIATICS

    Atropine Eye preparation S,T

    Phenylepherine Eye preparation S,T

    Homatropine Eye preparation S,T

    Cyclopentolate Eye preparation S,T

    Tropicamide Eye preparation S,T

    21.6 ANTIVIRAL AGENTS

    Acyclovir Eye preparation S,T

    21.7 ANTIFUNGAL AGENTS

    0 0 0

    21.8 OPHTHALMIC LUBRICANTS

    Hypromellose Eye preparation S,T

    21.9 PARASYMPATHOLYTIC OPHTHALMIC DROPS

    0 0 0

    22 OXYTOCICS AND ANTIOXYTOCICS

    22.1 OXYTOCICS

    Oxytocin Injection S,T

    Oxytocin + Ergometrine Maleate Injection S,T

    22.2 ANTIOXYTOCICS (TOCOLYTICS)

    0 0 0

    23 DIALYSIS SOLUTION

    Dialysis Solution Solution S,T

    24 PSYCHOTHERAPEUTIC MEDICINES

    24.1 MEDICINES USED IN PSYCHOTIC DISORDERS

    Chlorpromazine Oral dosage form U

    Chlorpromazine Injection T

    Fluphenazine Injection U

    Flupenthixol Injection U

    Haloperidol Oral dosage form U

  • N E M L | 4th Edition

    NATIONAL ESSENTIAL MEDICINES LIST

    17

    Haloperidol Injection U

    Sulpiride Oral dosage form S,T

    Risperidone Oral dosage form S,T

    24.2 MEDICINES USED IN MOOD DISORDERS

    Fluvoxamine Oral dosage form S,T

    Amitryptiline Oral dosage form U

    Sodium Valproate Oral dosage form U

    Sertraline Oral dosage form S,T

    Lithium Oral dosage form S,T

    24.3 MEDICINES USED IN GENERALIZED ANXIETY AND SLEEP DISORDERS

    Diazepam Oral dosage form U

    Clonazepam Oral dosage form S,T

    24.4 MEDICINES USED FOR OBSESSIVE COMPULSIVE DISORDERS

    0 0 0

    24.5 MEDICINES FOR DISORDERS DUE TO PSYCHOACTIVE SUBSTANCE USE

    Nicotine (replacement therapy) All form U (Restricted to facilities involve

    with smoking ceasation)

    Methadone Oral dosage form U (Restricted to facilities involve with methadone

    replacement therapy)

    25 MEDICINES ACTING ON RESPIRATORY TRACT

    25.1 ANTIASTHMATIC MEDICINES

    Aminophylline Injection U

    Beclomethasone Inhalation U

    Budesonide Inhalation U

    Ipratropium Inhalation U

    Salbutamol Inhalation U

    Salbutamol Oral dosage form U

    Theophylline Oral dosage form U

    Prednisolone Oral dosage form U

    25.2 ANTITUSSIVES

    Diphenhydramine Hydrochloride Oral dosage form U

    Diphenhydramine Hydrochloride + Ammonium Chloride

    Oral dosage form U

    25.3 MUCOLYTICS

    Bromhexine Oral dosage form U

    Bromhexine Injection U

    26 SOLUTION CORRECTING WATER,ELECTROLYTES AND ACID-BASE DISTURBANCES

  • N E M L | 4th Edition

    NATIONAL ESSENTIAL MEDICINES LIST

    18

    26.1 ORAL

    Oral Rehydration Salt Oral dosage form U

    Potassium Chloride Oral dosage form U

    26.2 PARENTERAL

    Dextrose/ Glucose Injection U

    Sodium Lactate Compound (Hartmanns Solution)

    Solution U

    Sodium Bicarbonate Injection U

    Sodium Chloride Injection U

    Sodium Chloride + Dextrose/Glucose Injection U

    26.3 MiscellaneousELLANEOUS

    Water for Injection Injection/Irrigation U

    27 VITAMINS AND MINERALS

    Ascorbic Acid Oral dosage form U

    Calcium Gluconate Injection U

    Pyridoxine Hydrochloride (Vitamin B6)

    Oral dosage form U

    Vitamin B Complex Oral dosage form U

    Cyanocobalamin Injection U

    Vitamin B1, B6, B12 Oral dosage form S,T

    28 EAR NOSE AND THROAT CONDITION

    Chloramphenicol Ear preparation U

    Beclomethasone Nasal spray U

    29 GENITOURINARY/NEPHROLOGY/UROLOGY

    Terazosin Oral dosage form S,T

    Finasteride Oral dosage form S,T

    30 SPECIFIC MEDICINES FOR NEONATAL CARE

    Beractant Intratracheal Injection T