Académique Documents
Professionnel Documents
Culture Documents
REPUBLIC OF UGANDA
2016
Published by the Ministry of Health Uganda
First edition: 1997
Revised: November 2012, December 2016
Any part of this document may be reproduced in any form without the
prior permission of the publisher, provided that this is not for profit
and that due acknowledgement is given.
Any reproduction for profit must be given prior permission from the
Ministry of Health.
Email: ugandaclinicalguidelines@gmail.com
Website: www.health.go.ug
Disclaimer
Every effort has been made to ensure that the information in this
book is accurate, complete, and conforms to the current therapeutic
practice. However, the publisher, editor, and contributors cannot be
held responsible for any errors, omissions, individual patient
responses to recommended therapies, or other consequences that
may arise from its use.
MINISTRY OF HEALTH
REPUBLIC OF UGANDA
2016
Contents
Contents
FOREWORD.............................................................................. 1
PREFACE................................................................................... 3
ACKNOWLEDGEMENTS ............................................................ 5
ABBREVIATIONS ......................................................................13
INTRODUCTION TO EMHSLU 2016 ..........................................17
STRUCTURE OF EMHSLU 2016 .................................................19
COMPOSITION OF THE EMHSLU ..............................................21
CHANGES TO THE EMHSLU 2016 .............................................23
AMENDMENTS ........................................................................31
EMHSLU 2016 i
Contents
Antihelminthics......................................................... 38
Antibacterials ............................................................ 39
Antifungal medicines ................................................ 43
Antiviral medicines ................................................... 44
Antiprotozoal medicines........................................... 47
Antiseptics ................................................................ 58
Disinfectants ............................................................. 58
Anti-infective agents................................................. 67
Anti-infective and anti-inflammatory agents ........... 68
Anti-inflammatory medicines ................................... 68
Antifungal medicines ................................................ 68
Antiviral medicines ................................................... 68
Local anaesthetics .................................................... 69
Miotics and antiglaucoma medicines ....................... 69
Mydriatics ................................................................. 69
Anti-metabolites ....................................................... 70
Lubricants ............................................................. 70
Astringents ........................................................... 70
Oxytocics .................................................................. 70
Anti-oxytocics (tocolytics) ........................................ 70
Oral ........................................................................... 74
Parenteral ................................................................. 74
Miscellaneous ........................................................... 75
Catheters................................................................... 84
Tubes......................................................................... 86
Sutures ...................................................................... 89
Haemostats and Colostomy Bags ............................. 92
Aprons ...................................................................... 92
Bins, waste ................................................................ 92
Bin liners/ Bioharzard bags ....................................... 93
Boots and clogs ......................................................... 93
Caps, masks and other clothing ................................ 94
Safety box ................................................................. 95
Forceps ..................................................................... 95
Needle holders ......................................................... 98
Needles- special biopsy & spinal .............................. 98
Obstetrics & Gynaecology supplies .......................... 98
Laryngoscopes ........................................................ 100
Retractors ............................................................... 100
Scissors for surgical use .......................................... 100
Surgical scalpel blades and handles........................ 101
Other surgical instruments ..................................... 102
Circumcision and Pap Smear Kits ........................... 103
Tubes....................................................................... 115
Others ..................................................................... 115
EMHSLU 2016 ix
Foreword
Foreword
The Ministry of Health elevated the Pharmacy Division to a
Department because of the pharmaceutical sector’s
important contribution to achieving the overall outcomes
and goals related to the health sector. The National Health
Policy, the National Medicines Policy, the Health Sector
Strategic and Investment Plan III, and the National
Pharmaceutical Sector Strategic Plan 2015-2020 emphasize
the promotion of appropriate use of medicines, health and
laboratory supplies.
EMHSLU 2016 1
Foreword
2 EMHSLU 2016
Preface
Preface
The Essential Medicines and Health Supplies List for Uganda
(EMHSLU) 2016 is a list of safe, efficacious, and cost-effective
medicines and health supplies that suit the health care needs
of the majority of the Ugandan population.
The EMHSLU 2016 follows the 2012 edition, and has been
harmonised with the Uganda Clinical Guidelines 2016, so as to
reflect medicines and diagnostic requirements for
management of common conditions affecting the Ugandan
population. The process of update involved consultations from
multiple stakeholders to ensure comprehensive review, and
was based on principles of evidence-based medicine, cost-
effectiveness, and current ministry of health policies.
EMHSLU 2016 3
Preface
Acknowledgements
CONTRIBUTORS
EMHSLU 2016 5
Acknowledgements
Administrative Support
Ms. Rachel Nandelenga (UHSC), Ms. Catherine Namboire (MOH),
Ms. Noeline Namulindwa (MOH), Ms. Annet Namutebi (MOH),
Ms. Esther Naluyiga (MOH), Mr. Daniel Walusagga (UHSC), Mr.
Joseph Sseruwu (UHSC), Ms. Narine Saroyan (UHSC), Ms.
Brandinah Mbabazi (UHSC), Mr. Robert McGregor (CHAI), Ms.
Florence Nampala (MOH), Ms. Edita Katushaberuhanga (MOH),
Mr. Richard Kalyango (MOH)
Morries Seru
Ag. Assistant Commissioner Health Services, Pharmacy
Ministry of Health
12 EMHSLU 2016
Abbreviations
Abbreviations
ACHS Assistant Commissioner of Health Services
ACP AIDS Control Program
ACTH Corticotrophin
AD Autodisable
AFB Acid Fast Bacillus
ALP Alkaline phosphatase
ALT Alanine Aminotransferase
ASOT Anti Streptolysin-O Test
AST Aspartate Aminotransferase
AZT Zidovudine
BCG Bacillus Calmette Guerin
BP British Pharmacopoeia
BPC British Pharmaceutical Codex
BUN Blood Urea Nitrogen
Cal calories
CD Cluster of differentiation
CDC Centers for Disease Control
CDT Carbohydrate Deficient Transferrin
CH Charriere Size = 0.33cm
CHAI Clinton Health Access Initiative
CHS Commissioner of Health Services
CMV Cytomegalovirus
CRP C-reactive protein
CSF Cerebrospinal fluid
CT computed tomography
DHO District Health Officer
DHS Dynamic Hip Screw
DMARDS Disease Modifying Agents for Rheumatoid
Disorders
DMPA Medroxyprogesterone acetate
DNA Deoxyribonucleic Acid
DPT Diphtheria Pertussis Tetanus
EMHSLU 2016 13
Abbreviations
EC Enteric coated
ECG Electrocardiogram
EEG Electroencephalography
EID Emerging infectious diseases
EN European Standards
ESR Erythrocyte Sedimentation Rate
FG French Gauge
FSH Follicle stimulating hormone
Hb Haemoglobin
HBV Hepatitis B Virus
HCV Hepatitis C virus
HDL High Density Lipoprotein
HEPS Coalition for Health Promotion and Social
Development
HIV Human immunodeficiency virus
HMIS Health management information system
HVS High vaginal swab
Ig Immunoglobulin
IM Intramuscular
inf Infusion
INN International Non-proprietary Name
ISO International Organisation for Standadisation
IU International Unit
IUD Intrauterine device
IV Intravenous
JMS Joint Medical Stores
k kilo
l litre
LAM Lipoarabinomannan
LDL Low Density Lipoprotein
LH Luteinizing hormone
LIA Lysine Iron Agar
MCP Malaria Control Program
mEq milliequivalent
14 EMHSLU 2016
Abbreviations
mg milligram
MIC Minimum Inhibitory Concentration
MIO Mortility Indole Ornithine
ml milliliter
mm millimetre
MOH Ministry of Health
MRI Maganetic Resonance Imaging
MTB Mycobacterium tuberculosis
MU Mega Unit=One million (1,000,000) units
NaCl Sodium Chloride
NCD Non-Communicable Diseases
NDA National Drug Authority
NMCP National Malaria Control Program
NSAIM Non-steroidal anti-inflammatory medicines
NTLP National Tuberculosis and Leprosy Program
OPG Orthopantomograph
Pb Lead
PCR Polymerase chain reaction
PGA Polyglycolic acid
PMMA Polymethylmethacrylate
POP Plaster of Paris
PPD Purified Protein Derivative
QA Quality Assuarance
Rh rhesus
RPMT Regional Performance Monitoring Team
RPR Rapid Plasma Reagin
SC Subcutaneous
SR Slow-release
TB tuberculosis
TPHA Treponema Pallidum Haemagglutination Assay
TSH Thyroid stimulating hormone
UBTS Uganda Blood Transfusion Services
UCG Uganda Clincal Guidelines
UCI Uganda Cancer Institute
EMHSLU 2016 15
Abbreviations
16 EMHSLU 2016
Introduction to EMHSLU 2016
EMHSLU 2016 17
Introduction to EMHSLU 2016
Below are the levels used in the list including the highest
professional cadre expected at lower level health facilities.
EMHSLU 2016 19
Structure of EMHSLU 2016
VEN
Vital Essential Necessary Total
LOU
NR 21 21 25 67
RR 15 42 31 88
H 18 11 12 41
HC4 3 2 1 6
HC3 0 0 1 1
Total 59 75 68 201
EMHSLU 2016 21
Composition of the EMHSLU
22 EMHSLU 2016
Changes to the EMHSLU 2016
EMHSLU 2016 23
Changes to the EMHSLU 2016
30 EMHSLU 2016
Amendments
Amendments
Proposals for amendments to the EMHSLU 2016 with relevant
arguments and literature should be sent to:
32 EMHSLU 2016
SECTION A: ESSENTIAL MEDICINES LIST 2016
EMHSLU 2016 33
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Lignocaine
Injection 5% HC4 V
(preservative free)
Lignocaine Gel 2% HC3 N
Lignocaine Ointment 5% HC4 N
Lignocaine Spray 5% HC4 N
Bupivacaine (with 4 ml; 0.50% in
Injection HC4 V
dextrose) dextrose 8.0%
Specialist medicines
Lignocaine + Injection
epinephrine (dental 2% + 1:80 000 HC4 V
(adrenaline) cartridge)
Injection
Lignocaine 2% RR V
(epidural)
Lignocaine + 1% +
Injection NR N
adrenaline 1:2,000,000
Bupivacaine (with
Injection 0.50% RR E
preservative)
Preoperative and peri-operative medication
Atropine Injection 1 mg/ml HC4 E
Diazepam Rectal tube 2 mg/ml HC4 V
Diazepam Injection 5 mg/ml HC4 V
Ephedrine Injection 30 mg/ml HC4 V
Specialist medicines
Droperidol Injection 2.5 mg/ml H N
Fentanyl Injection 50 µg/ml H V
Glycopyrrolate Injection 200 μg/ml RR V
Lorazepam Injection 4 mg/ml H E
Midazolam Injection 2 mg/ml RR V
Phenylephrine Injection 10 mg/ml H V
34 EMHSLU 2016
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Powder for
Remifentanil 1 mg NR V
injection
MEDICINES FOR PAIN AND PALLIATIVE CARE
Non-opioids and non-steroidal anti-inflammatory
drugs (NSAIDS)
Diclofenac Tablet 50 mg HC4 E
Diclofenac Injection 25 mg/ml HC4 V
Ibuprofen Tablet 200 mg HC3 E
Paracetamol Tablet 500 mg HC1 E
Paracetamol Suppository 125 mg HC2 E
Specialist medicines
Mefenamic acid Tablet 500 mg H N
Opioid analgesics
Codeine Tablet 30 mg HC4 E
Morphine Oral solution 10 mg/5ml HC3 E
Morphine
Oral solution 20 mg/ml NR V
(concentrated)
Morphine Injection 10 mg/ml HC4 V
Pethidine Injection 50 mg/ml HC4 V
Tramadol Capsule 50 mg RR N
Tramadol Injection 50 mg/ml RR N
Medicines for other common symptoms in palliative
care
Aciclovir Tablet 200 mg HC4 E
Amitriptyline Tablet 25 mg HC3 V
Bisacodyl Tablet 5 mg HC3 E
Carbamazepine Tablet 100 mg HC3 V
Chlorpromazine Tablet 25 mg HC2 E
EMHSLU 2016 35
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Clonazepam Tablet 2 mg RR E
Dexamethasone Tablet 4 mg HC4 E
Diazepam Tablet 5 mg HC3 V
Fluconazole Capsule 200 mg HC4 E
Fluconazole Suspension 50 mg/ml HC4 E
Haloperidol Tablet 5 mg HC4 E
Haloperidol Injection 5 mg/ml HC4 N
Hyoscine Tablet 20 mg HC4 E
Hyoscine Injection 20 mg/ml H E
Oral
Liquid paraffin 100 ml HC4 N
emulsion
Metoclopramide Injection 5 mg/ml HC4 E
Naloxone Injection 0.4 mg/ml HC4 V
Phenytoin Tablet 100 mg HC2 V
Prednisolone Tablet 5 mg HC3 E
Promethazine Tablet 25 mg HC3 E
Metronidazole Gel 0.75% H N
ANTI-ALLERGICS AND MEDICINES USED IN
ANAPHYLAXIS
Chlorphenamine
Tablet 4 mg HC2 E
maleate
Dexamethasone Tablet 0.5 mg H N
Dexamethasone Injection 4 mg/ml HC4 E
Epinephrine
Injection 1 mg/ml HC2 V
(adrenaline)
Hydrocortisone Powder for
100 mg HC3 V
sodium succinate injection
36 EMHSLU 2016
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Prednisolone Tablet 5 mg HC2 E
Promethazine Tablet 25 mg HC2 E
Promethazine Injection 25 mg/ml HC4 E
Cetirizine Tablet 10 mg H N
ANTIDOTES AND OTHER SUBSTANCES USED IN
POISONING
Non-specific antidotes
Charcoal (activated) Tablet 250 mg HC2 E
Specific antidotes
Acetylcysteine Injection 200 mg/ml H E
Atropine Injection 1 mg/ml HC4 V
Calcium gluconate Injection 10% HC3 V
Naloxone Injection 400 µg/ml H E
Phytomenadione
Injection 10 mg HC4 E
(Vitamin K1)
Specialist medicines
Calcium folinate
Injection 3 mg/ml RR E
(folinic acid)
Desferrioxamine
Powder for
(Desferroxamine) 500 mg NR N
injection
mesilate
Dimercaprol Injection 50 mg/ml NR N
Methionine Tablet 250 mg H N
Methylthioninium
chloride (methylene Injection 10 mg/ml H N
blue)
Penicillamine Tablet 250 mg NR N
Pralidoxime Powder for
1g RR E
mesylate injection
EMHSLU 2016 37
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Benztropine Injection 1 mg/ml H E
Flumazenil Injection 0.1 mg/ml H N
Sodium thiosulphate Injection 250 mg/ml NR N
Protamine Injection 10 mg/ml H E
ANTIEPILEPTICS/ANTICONVULSANTS
Carbamazepine Tablet 200 mg HC3 V
Tablet
Carbamazepine 100 mg HC3 V
(chewable)
Diazepam Injection 5 mg/ml HC4 V
Diazepam Suppository 2.5 mg HC2 V
Diazepam Rectal tube 2 mg/ml HC2 V
Ethosuximide Capsules 250 mg RR E
Magnesium
Injection 500 mg/ml HC3 V
sulphate
Phenobarbital Tablet 30 mg HC2 V
Phenobarbital Injection 200 mg/ml HC4 V
Phenytoin Injection 50 mg/ml RR V
Phenytoin Tablet 100 mg HC2 V
Sodium valproate Tablet (EC) 500 mg RR E
Tablet
Sodium valproate 100 mg HC4 E
(crushable)
Specialist medicines
Lamotrigine Tablet 25 mg RR E
ANTIINFECTIVE MEDICINES
Antihelminthics
Intestinal antihelminthics
Albendazole Tablet 400 mg HC1 V
38 EMHSLU 2016
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Ivermectin Tablet 6 mg HC2 N
Mebendazole Tablet 100 mg HC2 E
Praziquantel tablet 600 mg HC3 E
Niclosamide Tablet 500 mg HC4 N
Antifilarials
Albendazole Tablet 400 mg HC1 V
Ivermectin Tablet 6 mg HC3 E
Antischistosomals and other antitrematode
medicines
Ivermectin Tablet 6 mg HC3 E
Praziquantel Tablet 600 mg HC4 E
Specialist medicines
Diethylcarbamazine
Tablet 50 mg H N
citrate
Antibacterials
Beta-lactam medicines
Amoxicillin Capsule 250 mg HC2 V
Dispersible
Amoxicillin 250 mg HC1 V
tablet
Amoxicillin/
Tablet 250/125 mg RR E
Clavulanic acid
Powder for
Ampicillin 500 mg HC3 V
injection
Benzathine Powder for
2.4 MU HC3 E
penicillin injection
Powder for
Benzylpenicillin 600 mg HC2 V
injection
Cefalexin capsules 250 mg H N
EMHSLU 2016 39
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Cefixime Tablet 200 mg H N
Powder for
Ceftriaxone 1g HC3 V
injection
Cloxacillin Capsules 250 mg HC3 E
Powder for
Cloxacillin 500 mg HC3 E
injection
Phenoxymethyl-
Tablet 250 mg HC2 N
penicillin
Procaine
Powder for
benzylpenicillin 4 MU H N
injection
forte
Specialist Medicines
Cefuroxime Tablet 250 mg RR E
Oral
Cefuroxime 125 mg/5 ml RR N
suspension
Cefuroxime Powder for
500 mg RR E
sodium injection
Powder for
Meropenem 500 mg RR V
injection
Imipenem/ Powder for
500 mg RR E
cilastatin injection
Piperacillin/ Powder for
2 g/250 mg RR E
Tazobactam injection
Other antibacterial medicines
Azithromycin Tablet 250 mg H N
Oral
Azithromycin 200 mg/5ml HC2 E
suspension
Powder for
Chloramphenicol 1g HC4 E
injection
Chloramphenicol Capsule 250 mg H N
40 EMHSLU 2016
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Ciprofloxacin Tablet 500 mg HC2 V
Cotrimoxazole Tablet 120 mg HC2 V
Cotrimoxazole Tablet 480 mg HC2 V
Cotrimoxazole Tablet 960 mg HC2 E
Dapsone Tablet 100 mg HC2 V
Doxycycline Tablet 100 mg HC2 V
Tablet
Erythromycin 250 mg HC3 V
(scored)
Gentamicin Injection 40 mg/ml HC3 V
Metronidazole IV infusion 5 mg/ml HC4 V
Metronidazole Tablet 200 mg HC2 V
Nitrofurantoin Tablet 100 mg HC2 E
Vancomycin Injection 500 mg RR E
Clindamycin Injection 150 mg/ml H E
Specialist medicines
Solution for
Ciprofloxacin 2 mg/ml RR E
IV infusion
Paromomycin
Capsule 250 mg RR N
sulphate
Cotrimoxazole IV infusion 96 mg/ml RR N
Antileprosy medicines
Prednisolone Tablet 5 mg HC3 E
Rifampicin +
Tablet 600 mg + 300
clofazimine + HC3 V
(blister) mg + 100 mg
dapsone
EMHSLU 2016 41
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Rifampicin +
Tablet 450 mg + 150
clofazimine + HC3 V
(blister) mg + 50 mg
dapsone
Rifampicin + Tablet 600 mg + 100
HC3 V
dapsone (blister) mg
Rifampicin + Tablet 450 mg + 50
HC3 V
dapsone (blister) mg
Rifampicin Tablet 150 mg HC3 V
Dapsone Tablet 50 mg HC3 V
Clofazimine Tablet 50 mg HC3 V
Antituberculosis medicines
Ethambutol Tablet 400 mg HC3 E
Ethambutol Tablet 100 mg HC3 E
Isoniazid Tablet 300 mg HC3 V
Tablet
Isoniazid 100 mg HC3 V
(Dispersible)
Pyrazinamide Tablet 400 mg HC3 E
Rifampicin + Dispersible 60 mg + 30
HC3 V
isoniazid tablet mg
Rifampicin + 150 mg + 75
Tablet HC3 V
isoniazid mg
Rifampicin + 300 mg + 150
Tablet HC3 V
isoniazid mg
Rifampicin +
60 mg + 30
isoniazid + Tablet HC3 V
mg + 150 mg
pyrazinamide
Rifampicin +
150 mg + 75
isoniazid + Tablet HC3 V
mg + 275 mg
ethambutol
42 EMHSLU 2016
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Rifampicin +
150 mg + 75
isoniazid +
Tablet mg + 400 mg HC3 V
pyrazinamide +
+ 275 mg
ethambutol
Rifabutin Capsule 150 mg HC3 E
Specialist medicines
Powder for
Amikacin 1g H V
injection
Powder for
Kanamycin 1g H V
injection
Powder for
Capreomycin 1g H V
injection
Bedaquiline Tablet 100 mg H V
Cycloserine Capsule 250 mg H V
250 mg, 125
Ethionamide Tablet H V
mg
Levofloxacin Tablet 250 mg H V
Moxifloxacin Tablet 400 mg H V
Linezolid Tablet 600 mg H V
P-Aminosalicylic
Granules 4g H V
acid
Prothionamide Tablet 250 mg H V
Amoxicillin +
Tablet 875/125 mg H V
Clavulanic Acid
Clofazimine Capsule 100 mg H V
Antifungal medicines
Clotrimazole Pessary 100 mg HC2 V
Fluconazole Tablet 200 mg HC3 V
EMHSLU 2016 43
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Griseofulvin Tablet 500 mg HC3 E
Nystatin Pessary 100,000 IU HC2 N
Oral 100,000
Nystatin HC2 E
suspension IU/ml
Nystatin Tablet 500,000 IU HC3 N
Specialist medicines
Powder for
Amphotericin B 50 mg H V
injection
Oral 50 mg/5 ml
Fluconazole HC4 E
Suspension (35 ml)
2 mg/ml
Fluconazole Injection H V
(100 ml)
Flucytosine Injection 10 mg/ml RR N
Ketoconazole Tablet 200 mg H N
Antiviral medicines
Antiherpes medicines
Aciclovir Tablet 200 mg HC4 E
Antiretrovirals
6.4.2.1 Nucleoside/ Nucleotide reverse transcriptase
inhibitors
Abacavir sulfate Tablet 300 mg HC3 V
Tablet
Abacavir 60 mg HC3 V
(dispersible)
Lamivudine Tablet 150 mg HC3 V
Tenofovir Tablet 300 mg HC3 V
Zidovudine Tablet 300 mg HC3 V
6.4.2.2 Non-nucleoside reverse transcriptase inhibitors
Efavirenz Tablet 600 mg HC3 V
44 EMHSLU 2016
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Efavirenz Capsule 200 mg HC3 V
Nevirapine Suspension 10 mg/ml HC3 V
Nevirapine Tablet 50 mg HC3 V
Nevirapine Tablet 200 mg HC3 V
Etravirine Tablet 100 mg H E
Etravirine Tablet 25 mg H E
6.4.2.3 Protease inhibitors
Atazanavir + 300 mg +
Tablet HC3 V
(ritonavir) (100 mg)
Darunavir + 75 mg +
Tablet H E
(Ritonavir) (100 mg)
Darunavir 600 mg + (100
Tablet H E
(+Ritonavir) mg)
Ritonavir Tablet 25 mg H V
Lopinavir Pellets 40 mg + 10
HC3 V
(+ Ritonavir) /Capsule mg/ml
Lopinavir 100 mg + 25
Tablet HC3 V
(+ ritonavir) mg
Lopinavir 200 mg + 50
Tablet HC3 V
(+ Ritonavir) mg
Ritonavir Tablet 100 mg H E
Saquinavir 500 mg + 100
Tablet H E
(+Ritonavir) mg
6.4.2.4 Fixed dose combinations
Abacavir + Tablet 120 mg + 60
HC3 V
Lamivudine (dispersible) mg
Abacavir + 600 mg + 300
Tablet HC3 V
lamivudine mg
EMHSLU 2016 45
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Tenofovir + 300 mg + 300
Tablet HC3 V
lamivudine mg
Zidovudine + 300 mg + 150
Tablet HC3 V
Lamivudine mg
Zidovudine + 60 mg + 30
Tablet HC3 V
Lamivudine mg
Tenofovir +
300 mg + 300
Lamivudine + Tablet HC2 V
mg + 600 mg
Efavirenz
Zidovudine +
300 mg + 150
Lamivudine + Tablet HC3 V
mg + 200 mg
Nevirapine
Zidovudine +
60 mg + 30
Lamivudine + Tablet HC3 V
mg + 50 mg
Nevirapine
6.4.2.5 Integrase inhibitors
Tablet
Raltegravir 100 mg HC4 E
(chewable)
Raltegravir tablet 400 mg HC4 E
Dolutegravir Tablet 50 mg HC3 V
Antihepatitis medicines
6.4.3.1 Medicines for Hepatitis B
Nucleoside/ Nucleotide reverse transcriptase
inhibitors
Tenofovir disoproxil
Tablet 300 mg HC4 V
fumarate
Entecavir Oral liquid 0.05 mg/ml RR V
46 EMHSLU 2016
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Other antivirals
Specialist medicines
Oseltamivir phosphate Capsule 75 mg RR N
Oseltamivir phosphate Capsule 45 mg RR N
Oseltamivir phosphate Capsule 30 mg RR N
Powder for
Ganciclovir sodium 500 mg RR E
injection
Antiprotozoal medicines
Antiamoebic and antigiardiasis medicines
Metronidazole Tablet 200 mg HC2 V
Tinidazole Tablet 500 mg H N
Antileishmaniasis medicines
Specialist medicines
Sodium stibogluconate Injection 100 mg/ml RR E
Liposomal Powder for
50 mg RR E
Amphotericin B injection
Antimalarial medicines
6.5.3.1 For curative treatment
Artemether Injection 80 mg/ml HC3 E
Artemether + 20 mg + 120
Tablet HC1 V
lumefantrine mg
Artesunate Injection 60 mg/ml HC3 V
Artesunate Suppository 50 mg HC1 V
Artesunate Suppository 200 mg HC1 V
Artesunate + 50 mg + 153
Tablet HC2 E
Amodiaquine mg
Dihydroartemisinin 40 mg + 320
Tablet HC4 E
+ piperaquine mg
EMHSLU 2016 47
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Quinine Injection 300 mg/ml HC3 E
Quinine Tablet 300 mg HC2 E
6.5.3.2 For prophylaxis
Chloroquine Tablet 150 mg HC4 E
Sulphadoxine + 500 mg + 25
Tablet HC2 V
pyrimethamine mg
Mefloquine Tablet 250 mg RR N
Antipneumocystosis and antitoxoplasmosis
medicines
Cotrimoxazole Tablet 480 mg HC4 V
Cotrimoxazole Tablet 960 mg HC3 V
Dapsone Tablet 100 mg H N
Prednisolone Tablet 5 mg HC4 V
Specialist medicines
Pyrimethamine Tablet 25 mg H E
Sulfadiazine Tablet 500 mg H E
Clindamycin Capsule 150 mg H N
Clindamycin Injection 150 mg/ml H E
Pentamidine Powder for
300 mg RR E
isethionate injection
Antitrypanosomal medicines (African
trypanosomiasis)
6.5.5.1 African trypanosomiasis
Specialist medicines
Nifurtimox Tablet 120 mg RR E
Melarsoprol Injection 36 mg/ml RR E
Pentamidine Powder for
200 mg RR E
isethionate injection
48 EMHSLU 2016
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Powder for
Suramin sodium 1g RR E
injection
Eflornithine Injection 200 mg RR E
ANTIMIGRAINE MEDICINES
For treatment of acute attacks
Acetylsalicylic acid Tablet 300 mg HC2 N
Diclofenac Injection 25 mg/ml HC4 V
Ergotamine Tablet 1 mg RR E
Ibuprofen Tablet 200 mg HC3 E
Paracetamol Tablet 500 mg HC1 E
Specialist medicines
Sumatriptan Tablet 50 mg RR N
For prophylaxis
Amitriptyline Tablet 25 mg HC3 V
Propranolol Tablet 20 mg HC4 N
Pizotifen Tablet 0.5 mg RR N
ANTINEOPLASTIC AND IMMUNOSUPPRESSIVE
MEDICINES
Immunosuppressive medicines
Specialist medicines
Powder for
Azathioprine 100 mg NR E
injection
Azathioprine Tablet 50 mg NR V
Cyclosporin Tablet 25 mg NR N
Cyclosporin Capsules 100 mg NR N
Concentrate
Cyclosporin 50 mg/ml NR N
for IV inf
EMHSLU 2016 49
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Cytotoxic and adjuvant medicines
Specialist medicines
Anastrozole Tablet 1 mg RR V
Bicalutamide Tablet 50 mg RR N
Powder for
Bleomycin 15 IU RR V
injection
Calcium folinate
Tablet 15 mg RR E
(folinic acid)
Capecitabine Tablet 500 mg RR N
Calcium folinate
Injection 10 mg/ml NR E
(folinic acid)
Carboplatin Injection 10 mg/ml RR E
Chlorambucil Tablet 2 mg RR E
Cisplatin Injection 1 mg/ml NR V
Powder for
Cyclophosphamide 1g NR V
injection
Cyclophosphamide Capsule 100 mg NR N
Cytarabine Injection 20 mg/ml NR V
Powder for
Dacarbazine 200 mg NR V
injection
Powder For
Dactinomycin 500 µg NR V
Injection
Powder For
Daunorubicin 20 mg NR V
Injection
Docetaxel Infusion 40 mg/ml RR V
Doxorubicin Powder for
50 mg NR V
(adriamycin) injection
Etoposide Injection 20 mg/ml NR V
Filgrastim Injection 300 µg/ml NR V
Fluorouracil Injection 50 mg/ml NR V
50 EMHSLU 2016
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Powder for
Gemcitabine 1g NR V
injection
Goserelin Injection 10.8 mg RR V
Goserelin Injection 3.6 mg RR V
Goserelin Implant 3.6 mg RR V
Hydroxycarbamide
Capsule 500 mg RR E
(hydroxyurea)
Powder for
Ifosfamide-Mesna 1g NR V
injection
L-asparaginase Injection 10,000 IU NR V
Irinotecan Infusion 20 mg/ml NR V
Mercaptopurine Tablet 50 mg NR V
Powder for
Mustine 10 mg NR E
injection
Oxaliplatin Injection 5 mg/ml NR E
Powder for
Paclitaxel 100 mg NR V
injection
Procarbazine Capsule 50 mg NR V
Concentrate
Rituximab 10 mg/ml NR E
for IV inf
Stilboestrol Tablet 5 mg RR E
Thalidomide Capsule 100 mg NR N
Thalidomide Capsule 50 mg NR N
Temozolamide Capsule 250 mg NR V
Thioguanine Tablet 40 mg NR E
Powder for
Vinblastine sulfate 2 mg NR E
injection
Powder for
Vinblastine sulfate 10 mg NR E
injection
Vincristine Injection 1 mg/ml RR V
EMHSLU 2016 51
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Hormones and antihormones
Betamethasone Injection 4 mg/ml HC4 E
Hydrocortisone Powder for
100 mg HC4 V
sodium succinate injection
Prednisolone Tablet 5 mg HC4 E
Specialist medicines
Dexamethasone Tablet 4 mg HC4 E
Dexamethasone Injection 4 mg/ml H E
Tamoxifen Tablet 20 mg NR E
ANTIPARKINSONISM MEDICINES
Specialist
100 mg + 25
Levodopa-carbidopa Tablet RR E
mg
MEDICINES AFFECTING THE BLOOD
Antianaemia medicines
Ferrous sulphate Tablet 200 mg HC2 N
Ferrous sulphate + 200 mg + 500
Tablet HC2 V
folic acid µg
Folic acid Tablet 5 mg HC2 E
Hydroxocobalamin
Injection 1 mg/ml RR E
(vitamin B12)
Medicines affecting coagulation
Enoxaparin Injection 100 mg/ml H N
Heparin Injection 5000 IU/ml H V
Phytomenadione
Injection 1 mg/ml HC3 V
(vitamin K1)
52 EMHSLU 2016
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Phytomenadione
Injection 10 mg/ml HC4 E
(vitamin K1)
Warfarin Tablet 5 mg H V
Specialist medicines
Powder for
Streptokinase 250,000 IU RR V
injection
Tranexamic acid Tablet 500 mg H N
Other medicines for haemoglobinopathies
Hydroxycarbamide
Capsule 500 mg RR E
(hydroxyurea)
BLOOD PRODUCTS OF HUMAN ORIGIN AND PLASMA
SUBSTITUTES
Blood and blood components
Fresh-frozen plasma RR E
Packed red cells HC4 V
Whole blood HC4 V
Platelets RR E
Blood coagulation factors
Specialist medicines
Dried powder
Factor VIII concentrate 1,500 IU NR N
for injection
Factor IX (coagulation
Dried powder
factors II, VII, IX, X) 1,000 IU RR N
for injection
complex concentrate
Plasma substitutes
Dextran 70 IV infusion 6% HC4 N
Polygeline solution IV infusion 3.5% HC4 N
EMHSLU 2016 53
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Specialist medicines
Albumin, human IV infusion 25% H E
CARDIOVASCULAR MEDICINES
Antianginal medicines
Atenolol Tablet 50 mg H V
Glyceryl trinitrate Tablet
500 µg H V
*acute attacks (sublingual)
Acetylsalicylic acid
Tablet 300 mg HC2 V
*acute attacks
Specialist medicines
Isosorbide dinitrate Tablet 30 mg RR N
Antiarrhythmic medicines
Adenosine Injection 3 mg/ml RR E
Atenolol Tablet 50 mg H N
Propranolol Tablet 40 mg HC4 E
Specialist medicines
Amiodarone Tablet 200 mg NR N
Sterile
Amiodarone 50 mg/ml NR E
concentrate
Lignocaine Injection 20 mg/ml RR E
Procainamide Tablet 250 mg RR N
Antihypertensive medicines
Atenolol Tablet 50 mg H N
Bendroflume-
Tablet 5 mg HC3 E
thiazide
Captopril Tablet 25 mg HC4 E
Enalapril Tablet 5 mg HC4 N
Hydralazine Tablet 50 mg H E
54 EMHSLU 2016
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Powder for
Hydralazine 20 mg HC4 V
injection
Losartan Tablet 50 mg H N
Methyldopa Tablet 250 mg HC3 E
Nifedipine Tablet 20 mg HC3 E
Propranolol Tablet 40 mg HC4 E
Specialist medicines
Amlodipine Tablet 10 mg RR E
Candesartan cilexetil Tablet 8 mg NR N
Labetalol Injection 5 mg/ml RR V
Medicines used in heart failure
Digoxin Tablet 62.5 µg HC4 E
Digoxin Tablet 250 µg HC4 E
Digoxin Injection 250 µg/ml H N
Enalapril Tablet 5 mg HC4 V
Captopril Tablet 25 mg H E
Carvedilol Tablet 6.25 mg H E
Lisinopril Tablet 10 mg H E
Specialist medicines
Bisoprolol Tablet RR N
Concentrate
Dobutamine 12.5 mg/ml NR V
for IV inf
Concentrate
Dopamine 40 mg/5ml RR N
for IV inf
Epinephrine
Injection 1 mg/ml HC4 V
(adrenaline)
Norepinephrine
Injection 2 mg/ml RR V
(noradrenaline)
EMHSLU 2016 55
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Antithrombotic medicines
Anti-platelet medicines
Acetylsalicylic acid Tablet 75 mg HC3 E
Specialist medicines
Clopidogrel Tablet 75 mg NR N
Lipid-lowering agents
Atorvastatin Tablet 40 mg H N
DERMATOLOGICAL MEDICINES (Topical)
Antifungal medicines
Benzoic acid +
Ointment 6% + 3% HC2 N
salicylic acid
Clotrimazole Cream 1% HC3 E
Miconazole Cream 2% H N
Anti-infective medicines
Chlorhexidine Cream 5% HC4 N
Cutaneous
Chlorhexidine 2% HC2 N
solution
Impregnated
Framycetin 1% HC3 N
gauze
Iodine Tincture 2% HC2 N
Methylrosanilinium
chloride (gentian Paint 0.50% HC2 E
violet)
Potassium Aqueous 0.01%
HC4 N
permanganate solution (1:10,000)
Silver sulphadiazine Cream 1% HC2 N
56 EMHSLU 2016
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Anti-inflammatory and antipruritic medicines
Cream/
Betamethasone 0.10% HC4 N
ointment
Calamine Lotion 15% HC2 E
Diclofenac Gel 1% RR N
Cream/
Hydrocortisone 1% HC3 N
ointment
Medicines affecting skin differentiation and
proliferation
Lotion/
Benzoylperoxide 5% HC4 N
Cream
Coal tar Solution 5% HC4 N
Podophyllum resin Solution 15% HC4 E
Scabicides and pediculicides
Benzyl benzoate Application 25% HC2 N
Ivermectin Tablet 6 mg HC3 E
Medicines for tungiasis (Jiggers)
Benzyl benzoate Lotion 25% HC2 N
Potassium Aqueous
0.05% HC2 N
permanganate solution
DIAGNOSTIC AGENTS
Ophthalmic medicines
Fluorescein sodium Eye drops 1% HC4 V
Physostigmine Eye drops 0.25% RR N
Rose Bengal Eye drops 1% HC4 N
Cervical cancer screening
Acetic acid Solution 5% HC3 E
EMHSLU 2016 57
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Iodine + potassium
iodide (Lugol’s Solution 2% HC3 E
iodine)
Radiocontrast media (only specialist treatment)
Specialist medicines
Powder in
Barium sulphate 75% RR E
water
Iopromide 370, non-
Injection 100 ml RR N
ionic
Iopromide 370, non-
Injection 50 ml RR N
ionic
Iohexol 350, non-ionic Injection 50 ml RR N
Iohexol 350, non-ionic Injection 100 ml RR N
DISINFECTANTS AND ANTISEPTICS
Antiseptics
Cetrimide + 0.15% +
Solution HC2 N
chlorhexidine 0.015%
Chlorhexidine Solution 0.05% HC2 N
Chlorhexidine
Solution 20% HC2 N
gluconate
Chlorhexidine
Mouthwash 0.20% HC2 N
gluconate
Hydrogen peroxide Solution 6% HC2 N
10% (equiv.
Povidone iodine Solution HC3 N
1% iodine)
Surgical spirit
Solution 70% HC4 N
(ethanol)
Disinfectants
Alcohol hand rub Solution 70% HC2 E
58 EMHSLU 2016
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Calcium or sodium
Solution 5% HC2 E
hypochlorite
Glutaraldehyde Solution 2% H N
DIURETICS
Bendroflume-
Tablet 5 mg HC3 E
thiazide
Furosemide Injection 10 mg/ml HC4 V
Furosemide Tablet 40 mg HC4 E
Spironolactone Tablet 50 mg H N
Specialist medicines
Mannitol IV infusion 20% RR E
GASTROINTESTINAL MEDICINES
Antacids and antiulcer medicines
Magnesium
trisilicate Tablet 370 mg HC2 E
compound, BP
Omeprazole Tablet 20 mg HC3 V
Ranitidine Injection 25 mg/ml H E
Specialist medicines
Rabeprazole Injection 20 mg RR N
Omeprazole Injection 40 mg RR N
Antiemetic medicines
Metoclopramide Tablet 10 mg HC4 E
Metoclopramide Injection 5 mg/ml HC4 E
Chlorpromazine Tablet 25 mg HC3 N
Chlorpromazine Injection 25 mg/ml HC3 E
Promethazine Tablet 25 mg HC2 E
Promethazine Injection 25 mg/ml HC4 V
EMHSLU 2016 59
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Specialist medicines
Domperidone Tablet 10 mg H N
Domperidone Suspension 5 mg/5ml H N
Ondansetron Tablet 4 mg RR E
Ondansetron Injection 2 mg/ml RR E
Granisetron Injection 1 mg/ml RR N
Anti-inflammatory and antihaemorrhoids
medicines
Bismuth subgallate
Suppository 320 mg HC4 N
compound BP
Laxatives
Paediatric
Bisacodyl 5 mg HC3 N
suppository
Bisacodyl Tablet 5 mg HC3 E
3.1-3.7 g/5
Lactulose Solution H N
mL
Oral
Liquid paraffin H N
emulsion
Medicines used in diarrhoea
Oral rehydration
Oral rehydration Oral powder
WHO formula HC1 V
salts for solution
Medicines for diarrhoea
Tablet
Zinc sulphate 20 mg HC1 V
(dispersible)
Codeine Tablet 30 mg HC4 N
60 EMHSLU 2016
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Antispasmodics
Specialist medicines
Hyoscine Injection 20 mg/ml RR N
Propantheline Tablet 15 mg H N
HORMONES, OTHER ENDOCRINE MEDICINES AND
CONTRACEPTIVES
Adrenal hormones and synthetic substitutes
Dexamethasone Tablet 0.5 mg H N
Dexamethasone Injection 4 mg/ml HC4 E
Hydrocortisone Powder for
100 mg H V
sodium succinate injection
Prednisolone Tablet 5 mg H V
Specialist medicines
ACTH Powder for
40 IU RR N
(corticotrophin) injection
Cortisone acetate Tablet 25 mg RR N
Methylpredni- Powder for
500 mg RR N
solone injection
Triamcinolone Injection 40 mg/ml RR N
Androgens
Specialist medicines
Methyltestosterone Tablet 5 mg RR N
Injection
Testosterone enantate 250 mg/ml RR N
(oily)
Contraceptives
Oral hormonal contraceptives
Ethinylestradiol + 30 µg + 150
Tablet HC2 E
levonorgestrel µg
EMHSLU 2016 61
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Ethinylestradiol + 50 µg + 250
Tablet HC2 E
levonorgestrel µg
Ethinylestradiol +
Tablet 50 µg + 1 mg HC2 E
norethisterone
Ethinylestradiol + 30 µg + 300 HC2
Tablet V
norgestrel µg (HC1)
HC2
Levonorgestrel Tablet 750 µg V
(HC1)
Norgestrel Tablet 0.075 mg HC2 V
62 EMHSLU 2016
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Implantable contraceptives
Implant (1
Etonogestrel radiopaque 68 mg HC3 V
rod)
Implant (2
Levonorgestrel 150 mg HC3 E
silicone rods)
Others
Moon beads Beads - HC2 N
Oestrogens
Specialist medicines
Stilboestrol Tablet 5 mg RR E
Insulins and medicines used for diabetes
Biphasic isophane
30% + 70% in
insulin (soluble + Injection HC4 V
100 IU/ml
isophane insulin
Insulin isophane Injection 100 IU/ml HC4 V
Soluble insulin Injection 100 IU/ml HC4 V
Glibenclamide Tablet 5 mg HC4 E
Glimepiride Tablet 2 mg H E
Metformin Tablet 500 mg HC3 V
Pioglitazone Tablet 30 mg RR N
Ovulation inducers
Specialist medicines
Clomifene Tablet 50 mg RR N
Bromocriptine Tablet 2.5 mg RR N
EMHSLU 2016 63
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Progestogens
Specialist medicines
Norethisterone Tablet 5 mg RR E
Thyroid hormones and antithyroid medicines
Carbimazole Tablet 5 mg H V
Levothyroxine
Tablet 100 µg H V
(thyroxine)
Specialist medicines
5% + 10%,
Iodine (I) + potassium 130 mg
Oral solution RR E
iodide (Lugol’s) total
iodine/ml
IMMUNOLOGICALS
Diagnostic agents
Tuberculin purified
protein derivative Injection 100 IU/ml HC4 N
(PPD)
Sera and immunoglobulins
Anti-D
immunoglobulin, Injection 250 µg/ml RR E
human
Anti-Tetanus
immunoglobulin, Injection 500 IU HC4 V
human (TIG)
Anti-Rabies
immunoglobulin, Injection 150 IU/ml H V
human (RIG)
64 EMHSLU 2016
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Purified VERO
Rabies vaccine, cell culture
Injection H V
human diploid ≥2.5 IU/ 0.5
ml
Mixture of 11
Bitis, Naja,
Antivenom sera
Echis and
polyvalent (East and Injection H E
Dendroaspis
Central Africa)
spp in 10 ml
vial
Specialist medicines
Normal immuno-
Injection 16% NR N
globulin, human
Mixture of
Androctonus,
Antiscorpion serum Injection Leiurus and RR N
Buthus spp in
10 ml vial
Vaccines
1.5 mg vial
BCG vaccine
Injection with 1.5 ml HC2 V
(freeze dried)
diluents
Diphtheria,
Tetanus
Diphtheria- Toxoid;
Suspension
pertussis- Borditella HC2 V
for injection
tetanus (DPT) Pertussis
(20-dose vial
(10 ml)
EMHSLU 2016 65
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Diphtheria-
pertussis-tetanus-
hepatitis B-
Injection 2-dose vial HC2 V
haemophilus
influenzae B (DPT
HepB-Hib)
10 x 0.5 ml
Measles vaccine, Powder for
dose vial + HC2 V
live attenuated injection
diluent
Pneumococcal
polysaccharide 0.5 ml/dose
Injection HC2 V
conjugate vaccine in 2 dose vial
(adsorbed)
Poliomyelitis
20-dose vial
vaccine, live Oral solution HC2 V
(2 ml)
attenuated
Poliomyelitis
Injection 0.5 ml HC2 V
vaccine, inactivated
1.5 ml
Rotavirus vaccine, Oral
prefilled oral HC2 V
live attenuated suspension
syringe
Tetanus toxoid Injection ≥40 IU/0.5 ml HC2 V
0.125 ml
Anthrax vaccine Injection antigens)/0.5 RR V
ml dose
Intradermal Single-dose
Hepatitis B vaccine HC4 V
injection vial
Human papilloma
virus vaccine (type 40 μg/ml + 40
Injection HC2 V
16 + type 18 capsid μ/ml
protein)
66 EMHSLU 2016
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Meningococcal
vaccine conjugate Injection 0.5 ml-vial HC4 E
(A+C)
Yellow fever 1,000 LD50
Injection H E
vaccine, live units/0.5 ml
MUSCLE RELAXANTS (PERIPHERALLY-ACTING) AND
CHOLINESTERASE INHIBITORS
Suxamethonium Injection 50 mg/ml HC4 V
Atracurium besilate Injection 10 mg/ml H V
Rocuronium
Injection 10 mg/ml H E
bromide
Specialist medicines
Cisatracurium Injection 2 mg/ml H N
Neostigmine Injection 2.5 mg/ml HC4 E
Neostigmine Tablet 15 mg NR N
Pancuronium
Injection 2 mg/ml HC4 V
bromide
Vecuronium Powder For
10 mg NR V
bromide Injection
OPHTHALMOLOGICAL PREPARATIONS
Anti-infective agents
Eye drops/
Chloramphenicol 0.50% HC2 E
Ointment
Eye/ear
Ciprofloxacin 0.30% HC3 N
drops
Eye/ear
Gentamicin 0.30% HC2 E
drops)
Povidone-iodine Eye drops 5% RR E
EMHSLU 2016 67
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Eye
Tetracycline 1% HC2 V
ointment
Tobramycin Eye drops 0.3% RR E
Anti-infective and anti-inflammatory agents
Dexamethasone +
Topical 0.1% + 0.3% RR E
tobramycin
Hydrocortisone +
1.5% + 0.5% +
oxytetracycline + Eye drops HC4 N
10,000 IU/ml
polymyxin B
Neomycin +
Eye drops 0.5%+0.1% RR E
Betamethasone
Anti-inflammatory medicines
Betamethasone Eye drops 0.10% HC2 E
Dexamethasone Eye drops 0.10% RR E
Hydrocortisone Eye drops 1% HC4 N
Prednisolone Eye drops 0.50% HC4 E
Sodium
Eye drops 2% RR N
chromoglycate
Antifungal medicines
Econazole Eye drops 2% RR N
Eye
Natamycin 5% RR N
ointment
Ophthalmic
Natamycin 5% RR E
suspension
Antiviral medicines
Eye
Aciclovir 3% HC4 E
ointment
Ophthalmic
Ganciclovir 0.15% RR N
gel
68 EMHSLU 2016
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Local anaesthetics
Bupivacaine Injection 0.50% H E
Injection
(powder for
Hyaluronidase 1,500 IU RR E
reconstitu-
tion)
Tetracaine
Eye drops 0.50% H E
(amethocaine)
Tetracaine
Eye drops 1% HC4 N
(amethocaine)
Miotics and antiglaucoma medicines
Acetazolamide Tablet 250 mg RR E
Diethyl-
Tablet 100 mg RR N
carbamazine
Pilocarpine Eye drops 2% RR N
Pilocarpine Eye drops 4% RR N
Pilocarpine,
Injection 0.50% RR E
intracameral
Intraocular
Sodium hyaluronate 12 mg/ml RR N
liquid
Timolol maleate Eye drops 0.25% RR N
Timolol maleate Eye drops 0.50% RR N
Ophthalmic
Tryptan blue 0.06% RR N
solution
Mydriatics
Atropine Eye drops 1% HC4 N
Cyclopentolate Eye drops 1% HC4 N
Phenylephrine Eye drops 10% HC4 N
EMHSLU 2016 69
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Anti-metabolites
Fluorouracil Injection 50 mg/ml RR N
Powder for
Mitomycin 20 mg RR N
injection
Lubricants
Hydroxyethylcellu-
Eye drops 0.44% RR E
lose (artifical tears)
Astringents
Zinc sulphate Eye Drops 0.20% RR N
OXYTOCICS AND ANTI-OXYTOCICS
Oxytocics
Misoprostol Tablet 200 μg HC2 V
Oxytocin Injection 10 IU/ml HC3 V
Anti-oxytocics (tocolytics)
Tablet (sub-
Nifedipine 10 mg HC3 E
lingual)
Salbutamol Injection 0.5 mg/ml H N
PERITONEAL AND HAEMODIALYSIS SOLUTIONS
Specialist medicines
Peritoneal dialysis 2.5%
Solution RR E
solution (glucose)
Peritoneal dialysis 4.25%
Solution RR E
solution (glucose)
Peritoneal dialysis 1.5%
Solution RR E
solution (glucose)
70 EMHSLU 2016
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
32 mEq/L
Liquid concentrate bicarbonate +
Liquid RR E
for haemodialysis 5 mEq/L
acetate
Liquid concentrate
for haemodialysis 33 mEq/l + 4
Liquid RR E
(bicarbonate + mEq/l
acetate)
MEDICINES FOR MENTAL AND BEHAVIOURAL
DISORDERS
Medicines used in psychotic disorders
Benzhexol Tablet 2 mg HC2 V
Chlorpromazine Tablet 25 mg HC2 N
Chlorpromazine Tablet 100 mg HC2 V
Chlorpromazine Injection 25 mg/ml HC4 V
Diazepam Injection 5 mg/ml HC4 V
Diazepam Rectal 2 mg/ml HC3 V
Fluphenazine Injection
25 mg/ml HC4 E
decanoate (oily)
Haloperidol Tablet 5 mg HC4 E
Haloperidol Tablet 10 mg HC4 V
Haloperidol Injection 5 mg/ml HC4 V
Trifluoperazine Tablet 5 mg H E
Specialist medicines
Haloperidol Injection
100 mg/ml RR V
decanoate (oily)
Quetiapine Tablet 100 mg NR E
Methylphenidate Tablet 5 mg RR E
Olanzapine Tablet 10 mg RR N
EMHSLU 2016 71
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Risperidone Tablet 2 mg RR E
Zuclopenthixol Injection
200 mg/ml NR N
decanoate (oily)
Medicines used in mood disorders
Medicines used in depressive disorders
Amitriptyline Tablet 25 mg HC3 V
Imipramine Tablet 25 mg HC4 N
Fluoxetine Capsule 20 mg HC4 V
Medicines used in bipolar disorders
Specialist medicines
Carbamazepine Tablet 200 mg H V
Lithium carbonate Tablet 400 mg NR E
Lamotrigine Tablet 100 mg NR N
Valproate Tablet 500 mg RR E
Medicines for anxiety disorders
Diazepam Tablet 5 mg HC2 V
Fluoxetine Capsule 20 mg HC4 V
Specialist medicines
Alprazolam Tablet 0.5 mg RR N
Clonazepam Tablet 2 mg RR E
Medicines for disorders due to psychoactive
substance use
Specialist medicines
Naltrexone Tablet 50 mg RR E
Buprenorphine Tablet 400 µg NR E
Clonidine Tablet 100 µg NR E
72 EMHSLU 2016
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
Nicotine
replacement Patch 7 mg/24 hrs NR N
therapy
Nicotine
replacement Gum 2 mg NR N
therapy
MEDICINES ACTING ON THE RESPIRATORY TRACT
Antiasthmatic and medicines for chronic
obstructive pulmonary disease
Nebuliser
Salbutamol 5 mg/ml HC4 V
solution
100
Aerosol
Salbutamol µg/metered HC3 V
inhalation
inhalation
Salbutamol Tablet 4 mg HC3 N
Aminophylline Injection 25 mg/ml HC4 N
Aminophylline Tablet 100 mg HC4 N
50
Aerosol µg/metered
Beclomethasone HC4 E
inhalation dose
inhalation
Epinephrine
Injection 1 mg/ml HC4 V
(adrenaline)
12 µg/meterd
Aerosol
Formoterol dose RR N
inhalation
inhalation
Hydrocortisone Powder for
100 mg HC4 V
sodium succinate injection
Ipratropium Nebuliser
250 µg/ml HC4 V
bromide solution
EMHSLU 2016 73
SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
20
Ipratropium Aerosolµg/metered
H E
bromide inhalation
dose
inhalation
Prednisolone Tablet 5 mg HC3 V
SOLUTIONS CORRECTING WATER, ELECTROLYTE AND
ACID-BASE DISTURBANCES
Oral
Oral rehydration Powder for 1 HC2
WHO formula V
salts Litre (HC1)
Powder for 1
ReSoMal WHO formula H E
Litre
Parenteral
Calcium chloride
Injection 10% RR N
(dihydrate)
Calcium gluconate Injection 10% RR E
½ strength in
Darrow’s solution Injection HC3 V
5% glucose
Glucose (Dextrose) IV infusion 5% HC3 V
Glucose (Dextrose) IVinfusion 50% HC3 V
Sterile
Potassium chloride 150 mg/ml H V
concentrate
Sodium bicarbonate IV injection 8.4% RR E
Sodium chloride
IV infusion 0.9% HC3 V
(Normal saline)
Sodium lactate
compound
IV infusion BP formula HC3 E
(Hartmann's/Ringer'
s lactate solution)
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MEDICINE DS STR L C
Miscellaneous
Water for injection Injection 10 ml HC2 V
VITAMINS AND MINERALS
Calcium lactate Tablet 300 mg HC3 N
HC2
Multivitamin Tablet BPC 73 N
(HC1)
Potassium chloride Tablet 600 mg H E
Pyridoxine
Tablet 25 mg HC3 E
(vitamin B6)
Retinol (vitamin A) Capsule 100,000 IU HC2 E
Retinol (vitamin A) Capsule 200,000 IU HC2 V
Thiamine Tablet 100 mg HC4 E
Thiamine Injection 100 mg/ml H E
Vitamin B
15 mg + 1 mg
compound Tablet RR V
+ 1 mg
(B3+B2+B1)
Vitamin B
20 mg + 2 mg
compound (strong) Tablet HC4 N
+ 2 mg + 5 mg
(B5+B6+B2+B1)
Specialist medicines
Ergocalciferol 250 µg
Tablet NR E
(vitamin D2) (10,000 IU)
Hydroxocobalamin
Injection 1 mg/ml H E
(vitamin B12)
EAR, NOSE AND THROAT MEDICINES
Ear preparations
Eye/ear
Betamethasone 0.10% HC3 E
drops
Chloramphenicol Ear drops 5% HC2 E
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MEDICINE DS STR L C
Ciprofloxacin Ear drops 0.3% HC3 N
Clotrimazole Solution 1% HC4 N
Gentamicin Ear drops 0.30% HC4 V
Nasal preparations
50 µg/me-
Beclomethasone Nasal spray H N
tered spray
Ephedrine Nasal drops 1% H E
Lignocaine +
2% +
epinephrine Nasal drops RR N
1:100,000
(adrenaline)
Paediatric
Xylometazoline 0.05% H E
nasal drops
Xylometazoline Nasal drops 0.10% H E
Oropharyngeal preparations
Chlorhexidine Solution 0.2% HC2 N
Hydrogen peroxide Solution 6% HC2 N
24 mg/ml (20
Miconazole Oral gel HC4 N
mg/g)
Povidone-iodine Mouthwash 1% HC3 N
Triamcinolone
Oral paste 0.10% RR N
acetonide
SPECIFIC MEDICINES FOR NEONATAL CARE
Medicines administered to the neonate
7.1%
Chlorhexidine (equivalent to HC2
Gel V
digluconate 4% chlor- (HC1)
hexidine)
76 EMHSLU 2016
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MEDICINE DS STR L C
Eye
Tetracycline 1% HC2 V
ointment
Vitamin K Injection 1 mg/ml HC3 V
Medicines administered to the mother
Dexamethasone Injection 4 mg/ml HC4 V
MEDICINES FOR DISEASES OF JOINTS
Medicines used to treat gout
Allopurinol Tablet 100 mg H E
Colchicine Tablet 500 µg H E
Disease-modifying agents used in rheumatoid
disorders (DMARDS)
Chloroquine
sulphate or Tablet 150 mg RR E
phosphate
Specialist medicines
Methotrexate Tablet 2.5 mg RR E
Methotrexate Injection 50 mg/ml NR E
MEDICINES FOR NEUROSURGICAL USE
For cerebral metabolism/perfusion
Specialist medicines
Cerebrolysin Injection 5 ml NR E
Piracetam Tablet 800 mg NR E
Piracetam Injection 125 mg/ml NR E
NUTRITION
75 kCal + 0.9g
Formula 75 Powder protein per H V
100ml
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SECTION A: ESSENTIAL MEDICINES LIST 2016
MEDICINE DS STR L C
100 kCal +
Formula 100 Powder 2.9g protein H E
per 100ml
30% full fat
milk, 28%
sugar, 15%
Ready to use
vegetable oil, HC2
therapeutic-feeds Paste E
15% peanut (HC1)
(RUTF)
butter, 1.6%
mineral
vitamin mix
Ka, Mg +
Combined mineral other
Powder HC4 E
vitamin mix essential
minerals
Specialist medicines
Amino acids
Injection 10% NR N
(paediatric)
Injection
Fat emulsion 20% NR N
(emulsion)
Injection 80% oil in
Starch emulsion NR N
(emulsion) water
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References
Ministry of Health Uganda. Standards for Newborn Health
Care Services, 2016
http://www.who.int/selection_medicines/en/
NOTES