KELAS TERAPI : OBAT SALURAN CERNA

SUB KELAS TERAPI NAMA OBAT PRINCIPAL SEDIAAN

1a. Antacida
Esomerazole NEXIUM INJ ASTRA ZENECA VIAL
Lansoprazole LANSOPRAZOLE HEXPHARM CAPSUL
PROSOGAN INJ TAKEDA CAPSUL
Omeprazole OMEPRAZOLE CAP INDOFARMA CAPSUL
OMZ INJ FERRON VIAL
Pantoprazole PANTOPRAZOLE INJ OTTO VIAL
Ranitidin REBAMIPID YARINDO TABLET
RANITIDIN TAB DEXA MEDICA TABLET
RANITIDIN INJ HEXPHARM AMPUL
Famotidine FAMOTIDINE INDOFARMA TABLET

1b. GIT Regulator, Antiflatulen & Anti inflammasi

Domperidone DOMPERIDON TAB TABLET
DOMPERIDON SYR BOTOL
Metoclopramide METOCLOPRAMIDE TAB TABLET
Sulfsalazine SALOFALK 500 MG TABLET

1c. Antispasmodik
Chlordiazepoksida + clidinium BRAXIDIN SANBE TABLET
Atropin sulfat ATROPIN SULFAT 0,25% MG/ ML INJ INDOFARMA AMPUL

1d. Antidiare
Attapulgit NEW DIATAB MEDIFARMA TABLET
Kaolin,pectin NEO KAOLANA SUSP SANBE BOTOL
Elektrolit RENALYTE FAHRENHEIT BOTOL

1e. Laxative, Purgative

Bisacodil DULCOLAX TAB BOEHRINGER TABLET
DULCOLAX SUPP 5 SUPPOS
DULCOLAX SUPP 10 SUPPOS
KombinasI LAXADINE SYR GALENIUM BOTOL
YAL COLON TRIPATRIA BOTOL
FLEET ENEMA COMBIPHAR BOTOL

1f. Cholagogues, cholelitholytics & hepatoprotector

ESTAZOR FAHRENHEIT TABLET

1g. Anorectal preparations

BORRAGINOL N SUPP TAKEDA SUPPOS
BORRAGINOL N OINT TUBE

1h. Antiemetics
Metoclopramide METOCLOPRAMIDE TAB GRAHA FARMA AMPUL

1
Domperidone DOMPERIDONE TAB HEXPHARM TABLET
DOMPERIDONE SYR BOTOL
Ondansetron ONDANSETRON 4 MG TAB INDOFARMA TABLET
ONDANSETRON 4 MG INJ AMPUL
ONDASETRON 8 MG TAB TABLET
ONDASETRON 8 MG INJ BERNOFARM AMPUL
Dimenhidrinat DIMENHIDRINATE TAB KIMIA FARMA TABLET

2
KELAS TERAPI : 02. CARDIOVASCULAR & HEMATOPOIETIC SYSTEM

SUB KELAS TERAPI NAMA OBAT PRINCIPAL SEDIAAN

2a. Cardiac Drugs

Amiodaron TIARYT TAB FAHRENHEIT TABLET
TIARYT INJ AMPUL
CORDARONE INJ SANOFI AMPUL
Epinefrine EPINEFRINE ETHICA AMPUL
Digoxin FARGOXIN TAB FAHRENHEIT TABLET
DIGOXIN TAB INDOFARMA TABLET
Dobutamin INODEX DEXA MEDICA AMPUL
Dopamin DOPAMIN INJ 200 MG KIMIA FARMA AMPUL
INDOP FAHRENHEIT AMPUL

2b. Anti anginal drugs

Isosorbid di/mono nitrat FARSORBID 5 FAHRENHEIT TABLET
FARSORBID 10 TABLET
FARSORBID INJ AMPUL
ISOSORBID DINITRAT INDOFARMA TABLET
IMDUR 60 ASTRA ZENECA TABLET
CEDOCARD 5 DARYA VARIA TABLET
CEDOCARD 10 TABLET
CEDOCARD INJ AMPUL
Glyceryl trinitrat NITROKAF RETARD PHARMASOLINDO TABLET
NITROKAF RETARD FORTE TABLET

2c. ACE Inhibitors

captopril CAPTOPRIL 12,5 INDOFARMA TABLET
CAPTOPRIL 25 TABLET
CAPTOPRIL 50 TABLET
Pirindropil BIOPREXUM 5 SERVIER TABLET
BIOPREXUM 10 TABLET
BIOPREXUM PLUS TABLET
Ramipril TENAPRIL 2,5 DEXA MEDICA TABLET
TENAPRIL 5 TABLET

2d. Beta - blockers

Atenolol TENORMIN 50 ASTRA ZENECA TABLET
TENORMIN 100 TABLET
FARNORMIN 50 MG TAB FAHRENHEIT
Bisoprolol BISOPROLOL 5 HEXPARM TABLET
CONCOR 2,5 TABLET
Carvedilol V-BLOK 6,25 KALBE TABLET
Propanolol PROPANOLOL 10 DEXA MEDICA TABLET

2e. Calcium Antagonist

3
Amlodipine AMLODIPINE 5 KIMIA FARMA TABLET
AMLODIPINE 10 TABLET
NORVASK 5 PFIZER TABLET
NORVASK 10 TABLET
Diltiazem DILTIAZEM TAB KIMIA FARMA TABLET
Nifedipine NIFEDIPINE 10 MG KIMIA FARMA TABLET
ADALAT OROS BAYER TABLET
Verapamil VERAPAMIL KIMIA FARMA TABLET
Nicardipine PERDIPINE INJ 10 MG SERUNI AMPUL
TENSILO INJ FAHRENHEIT VIAL
nimodipine NIMOTOP BAYER TABLET / BOTOL
CEREMAX IV DANKOS BOTOL

2f. Angiotensin II Antagonist

Candesartan BLOPRESS 8 TAKEDA TABLET
BLOPRESS 16 TABLET
Irbesartan IRBESARTAN 300 MG LANDSON TABLET
Losartan LOSARTAN 50 MG HEXPARM TABLET
Telmisartan MICARDIS 40 BOEHRINGER TABLET
MICARDIS 80 TABLET

2g. Other Antihypertensives

Clonidin HCl CLONIDINE KIMIA FARMA TABLET
CATAPRES 0,15 BOEHRINGER AMPUL
Terazocin HYTRIN ABBOT TABLET

2h. Diuretics
Furosemide FUROSEMID TAB INDOFARMA TABLET
FUROSEMID INJ AMPUL
HCT HCT 25 MG INDOFARMA TABLET
Manitol INFUSAN M20 SANBE SOFTBAG
Spironolacton SPIRONOLACTON 25 MG DEXA MEDICA TABLET
SPIRONOLACTON 100 MG DEXA MEDICA TABLET

2i. Peripheral Vasodilator & Cerebral activator

Beraprost Na DORNER TAB ASTELLAS TABLET

2j. Vasocontrictors
KCl KSR TAB MERCK TABLET
Nor epinephrine N-EPI INJ NOVELL AMPUL

2k. Dyslipidaemic agents

Atorvastatin ATORVASTATIN 20 MG YARINDO TABLET
ATOFAR 40 FAHRENHEIT TABLET
Simvastatin SIMVASTATIN 10 HEXPHARM TABLET
SIMVASTATIN 20 KIMIA FARMA TABLET
Pravastatin PRAVASTATIN 20 MG NOVELL TABLET
Gemfibrozile GEMFIBROZILE 300 PHAPROS CAPSUL

4
Fenofibrat LIPANTHYL SOLVAY PHARMA TABLET

2l. Haemostatics
Asam traneksamat ASAM TRANEKSAMAT 500 MG INJ AMPUL
ASAM TRANEKSAMAT 250 MG INJ AMPUL
Vitamin K PHYTOMENADION (VIT K) PHAPROS TABLET
Ocreotide SANDOSTATIN INJ SANDOZ AMPUL
Fibrinogen + thrombin activity BERIPLAST COMBISET DEXA MEDICA VIAL
Somatostatin acetat SOMATOSTATIN INJ DEXA MEDICA AMPUL

2m. Anticoagulant, Antiplatelets & Fibrinolytics/Thrombolytics

Asam asetil salisilat ASPILET 80 BAYER TABLET
Cilostazol CILOSTAZOL 100 MG BERNOPHARM TABLET
Clopidogrel CPG TAB KALBE TABLET
CLOPIDOGREL TAB TABLET
Warfarin SIMARC 2 FAHRENHEIT TABLET
Enoxaparine LOVENOX 0,4 MG INJ AVENTIS VIAL
LOVENOX 0,6 MG INJ VIAL
Heparine Na INVICLOT INJ FAHRENHEIT VIAL
Nadroparine FRAXIPARIN 0,3 GLAXO AMPUL
FRAXIPARIN 0,4 GLAXO AMPUL
FRAXIPARIN 0,6 AMPUL
Fondaparinux Na ARIXTRA INJ GLAXO VIAL
Rivaroxaban XARELTO BAYER TABLET
Streptokinase STREPTASE 1,500,000 IU INJ DEXA VIAL
Dabigatran etexilate PRADAXA 110 MG TAB BOEHRINGER TABLET
PRADAXA 75 MG TAB TABLET

2n. Haematopoietic agents

Epoetin A EPREX 4000 UI INJ JANSSEN VIAL
HEMAPO 3000 UI/ML KALBE VIAL
HEMAPO 4000 UI/ML VIAL
Gemcitabine LEUKOKINE INJ NOVELL VIAL
Filgrastim LEUCOGEN INJ KALBE VIAL

5
KELAS TERAPI : 03. RESPIRATORY SYSTEM

SUB KELAS TERAPI NAMA OBAT PRINCIPAL SEDIAAN

3a. Antiasthmatic
Ipratropium Br + Salbutamol COMBIVENT UDV NEBULE BOEHRINGER FL
FARBIVENT NEBULIZER FAHRENHEIT FL
Fluticasone propionat FLIXOTIDE NEBULE GLAXO AMPUL
Budesonide PULMICORT RESPULE 0,25 MG ASTRA ZENECA AMPUL
PULMICORT RESPULE 0,5 MG AMPUL
PULMICORT RESPULE 200 MCG AMPUL
Budesonide formoterol SYMBICORT 160/4,5 UG 120 DOSIS ASTRA ZENECA BOTOL
SYMBICORT 160/4,5 UG 60 DOSIS BOTOL
SYMBICORT 80/4,5 UG 60 DOSIS BOTOL
Indacaterol maleate ONBREZ 300 MG + ALAT NOVARTIS BOTOL
ONBREZ 150 MG + ALAT NOVARTIS BOTOL
Salbutamol SALBUTAMOL 2 MG INDOFARMA TABLET
SALBUTAMOL 4 MG INDOFARMA TABLET
SALBUTAMOL SYRUP INDOFARMA BOTOL
VENTOLIN NEBULES GLAXO AMPUL
VENTOLIN INHALER GLAXO
Tiotropium Br SPIRIVA TAB BOEHRINGER TABLET
SPIRIVA COMBO + ALAT BOEHRINGER TABLET
Salmeterol sinapoat SERETIDE DISKUS 100 BOTOL
SERETIDE 125 INHALER BOTOL
SERETIDE DISKUS 250 GLAXO BOTOL
SERETIDE DISKUS 500 BOTOL
Aminophyllin AMINOPHYLLIN 200 MG TAB INDOFARMA TABLET
AMINOPHYLLIN INJ LUCAS JAYA AMPUL
Terbutalin + Guaiafenesin BRICASMA RESPULES ASTRA ZENECA AMPUL
BRICASMA TURBUHALER ASTRA ZENECA BOTOL
Theophyllin THEOPHYLLIN POWDER POWDER
Fenoterol HBr BEROTEC SOL 0,1 % 50 ML BOEHRINGER BOTOL

3b. Cough & Cold remedies

Ambroxol HCl AMBROXOL TAB INDOFARMA TABLET
AMBROXOL SYR BOTOL
Codein CODEIN 10 MG KIMIA FARMA TABLET
CODEIN 15 MG TABLET
CODEIN 20 MG TABLET
Kombinasi PARATUSIN SYRUP DARYA VARYA BOTOL
PARATUSIN TAB DARYA VARYA TABLET
OBH IKA IKAPHARMINDO BOTOL
N-acetylsistein N-ACETYLCYSTEINE INDOFARMA KAPSUL
N ACE NEBULIZER FAHRENHEIT VIAL
Difenhidramin HCl DIFENHIDRAMIN INJ 10 MG VIAL

6
2c. Nasal Decongestants & Other Nasal preparations
Oksimetazolin HCl ILIADIN 0,05% SPRAY MERCK BOTOL
ILIADIN 0,025% KINDER DROP BOTOL
NaCl AVAMYS NASAL SPRAY GLAXO BOTOL
Triamcinolone Acetonide NASACORT AQ AVENTIS BOTOL

2d. Surfaktan
Beractant SURVANTA ABBOT VIAL

7
KELAS TERAPI : 04. NEUROMUSCULAR SYSTEM

SUB KELAS TERAPI NAMA OBAT PRINCIPAL SEDIAAN

4a. Anxiolytics
Alprazolam ALPRAZOLAM 0,5 MG OTTO TABLET
ALPRAZOLAM 1 MG
Clobazam FRISIUM TAB AVENTIS TABLET
Diazepam DIAZEPAM 2 MG TAB TABLET
STESOLID INJ AMPUL
STESOLID 5 MG RECTAL ACTAVIS SUPPOS
STESOLID 10 MG RECTAL SUPPOS

4b. Hypnotics & sedatives

Midazolam SEDACUM 15 MG INJ DEXA AMPUL

4c. Antidepresants
Amitriptiline AMITRIPTILINE 25 MG TAB INDOFARMA TABLET
Fluoxetine KALXETIN KALBE TABLET

4d. Antipsychotic
Halloperidol HALLOPERIDOL TAB INDOFARMA TABLET
LODOMER INJ MERSI AMPUL
HALDOL INJ JOHNSON AMPUL
Clorpromazine CEPEZET TAB MERSI TABLET
CEPEZET INJ MERSI AMPUL
Risperidone PERSIDAL MERSI TABLET
Trifluoperazine STELAZINE TAB PHAROS TABLET
Olanzapine ZYPREXA TAB ELLY TABLET
Quetipine SEROQUEL ASTRA ZENECA TABLET

4e. Anticonvulsants
Carbamazepin CARBAMAZEPIN 200 MG TABLET
BAMGETOL MERSIFARMA TABLET
Gabapentin GABEXAL 100 SANDOZ TABLET
GABEXAL 300 TABLET
NEURONTIN 300 PFIZER TABLET
Phenytoin Na PHENYTOIN CAP INMARCK CAPSUL
PHENYTOIN INJ AMPUL
KUTOIN CAP MERSIFARMA CAPSUL
Phenobarbital PHENOBARBITAL 30 MG TAB KIMIA FARMA TABLET
PHENOBARBITAL INJ AMPUL
SIBITAL INJ MERSIFARMA AMPUL
Valproic acid IKALEP 300 MG TAB IKAPHARMINDO TABLET
Natrium Valproat DEPAKOTE ER 250 TABLET
DEPAKOTE ER 500 TABLET
DEPAKOTE 500 TABLET

8
 DEPAKOTE 250 TABLET
DEPAKENE SYR BOTOL
Pregabalin LYRICA 50 PFIZER TABLET
LYRICA 75 TABLET

4f. Other CNS drugs & Agents for ADHD

Methylphenidate HCL PROHIPER 10 MG TAB MERSI TABLET

4g. Neurodegeneratives disease drugs

Donepenzil HCL ARICEPT EISAI TABLET

4h. Antiparkinsonian drugs

Trihexyphenidil HEXYMER MERSIFARMA TABLET
Levodopa MADOPAR ROCHE TABLET

4i. Antivertigo
Betahistin BETASERC 8 MG ABBOT TABLET
BETAHISTINE 6 MG TAB TABLET
Dimenhydrinat DIMENHYDRINAT TAB TABLET

4j. Analgetik (Opioid)

Tramadol TRAMADOL 50 MG TABLET
TRAMADOL INJ AMPUL
Fentanyl FENTANYL INJ KIMIA FARMA AMPUL
DUROGESIC 25 MU/LEMBAR KIMIA FARMA LEMBAR
DUROGESIC 12,5 MU/LEMBAR KIMIA FARMA LEMBAR
DUROGESIC 50 MU/LEMBAR KIMIA FARMA LEMBAR
Morphin MST CONTINOUS 10 MG KIMIA FARMA TABLET
MST CONTINOUS 15 MG KIMIA FARMA TABLET
MORPHIN HCL INJ KIMIA FARMA AMPUL
MORPHIN TAB KIMIA FARMA TABLET
Pethidin CLOPEDIN INJ KIMIA FARMA AMPUL

4k. Analgetik (non opioid) & antipiretik

Paracetamol PARACETAMOL TAB TABLET
PARACETAMOL 60 ML SYR BOTOL
PARACETAMOL INF BOTOL

4l. Nonsteroidal Anti-inflammatory Drugs (NSAIDs)

Natrium diclofenac NA DIKLOFENAK 50 MG TABLET
Kalium diclofenac KALIUM DIKLOFENAK 25 MG TAB TABLET
KALIUM DIKLOFENAK 50 MG TAB TABLET
Ketoprofen KETOPROFEN TAB TABLET
PROFENID SUPP SUPPOS
Metampiron ANTALGIN TAB TABLET
NOVALGIN INJ AMPUL
Ibuprofen IBUPROFEN 200 MG TABLET
IBUPROFEN 400 MG TABLET

9
 IBUPROFEN SYR BOTOL
Meloxicam MELOXICAM 7,5 TABLET
MELOXICAM 15 TABLET
MOVICOX INJ
Piroxicam PIROXICAM 10 MG TABLET
PIROXICAM 20 MG TABLET
Asam mefenamat ASAM MEFENAMAT SYR BOTOL
ASAM MEFENAMAT 500 TABLET
Ketorolac KETOROLAC TAB TABLET
KETOROLAC 30 MG INJ AMPUL
KETOROLAC 10 MG INJ AMPUL

4m. Antimigrains preparation

Ergotamin caffein ERICAF TEMPO TABLET

4n. Disease Modifying Anti Rheumatic Drugs (DMARDs)

Methotrexate TEXORATE FAHRENHEIT TABLET

4o. Gout Preparations

Allopurinol ALLOPURINOL 100 MG TABLET
ALLOPURINOL 300 MG TABLET

4p. Muscle relaxants

Atracurium besylate NOTRIXUM 50 MG NOVELL AMPUL

4q. Neuromuscular disorder drugs

Pyridostigmine MESTINON TRANSFARMA TABLET

10
KELAS TERAPI : 05. HORMONES

SUB KELAS TERAPI NAMA OBAT PRINCIPAL SEDIAAN

5a. Estrogen, Progesteron & related synthetics drugs
Allylestrenol ALLYLESTRENOL TAB BERNO TABLET
Dydrogesteron DUPHASTON ABBOT TABLET
Norethisteron NORELUT 5 MG TAB DEXA TABLET
PRIMOLUT N BAYER TABLET
5b. Corticosteroid Hormones
Dexamethason DEXAMETHASON TAB TABLET
Triamcinolon TRIAMCINOLONE TAB NOVELL TABLET
Methylprednisolon METHYLPREDNISOLON 4 MG TAB DEXA TABLET
METHYLPREDNISOLON 8 MG TAB TABLET
METHYLPREDNISOLON 16 MG TAB TABLET
METHYLPREDNISOLON 125 MG INJ VIAL
Prednison PREDNISON TABLET

KELAS TERAPI : 06. CONTRACEPTIC AGENTS

SUB KELAS TERAPI NAMA OBAT PRINCIPAL SEDIAAN

6. Other Contraceptives
NOVA T SCHERING PCS

11
KELAS TERAPI : 07. ANTI INFECTIVES (SYSTEMIC)

SUB KELAS TERAPI NAMA OBAT PRINCIPAL SEDIAAN

7a. Aminoglycosides
Amikasin AMIKACIN 250 MG INJ DEXA VIAL
AMIKACIN 500 MG INJ VIAL
Gentamycin GENTAMYCIN INJ AMPUL
Kanamycin KANAMYCIN 1 GR INJ MEIJI VIAL
7b. Cephalosporins
Cefadroxil CEFADROXIL 500 MG CAP BERNOFARM CAPSUL
CEFADROXIL DS BOTOL
Cefixime CEFIXIME 100 MG DEXA CAPSUL
CEFIXIME 200 MG CAPSUL
CEFIXIME 100 MG SYR BOTOL
Cephalexin CEPHALEXIN TAB INDOFARMA TABLET
Cefotaxime CEFOTAXIME 1 GR INJ DEXA VIAL
Ceftriaxone CEFTRIAXON 1 GR INJ DEXA VIAL
Ceftazidime CEFTAZIDIM 1 GR INJ VIAL
7c. Penicillins
Amoxycillin AMOXICILIN SYR BOTOL
AMOXICILIN 500 MG CAPSUL
AMOXSAN PAED DROP BOTOL
AMOXICILIN INJ BERNOFARM VIAL
Ampicillin AMPICILLIN 500 MG CAPSUL
AMPICILLIN INJ BERNOFARM VIAL
Ampicillin + sulbactam PICYN INJ BERNOFARM VIAL
Benzatin Penicillin BENZATIN PENICILLIN 1,2 MG INJ PHAPROS VIAL
BENZATIN PENICILLIN 2,4 MG INJ VIAL
Amoxycillin + clavulanat CO AMOXYCLAV 625 MG CAP CAPSUL
Sulbenicillin disodium KEDACILLIN 1 GR TAKEDA VIAL
KEDACILLIN 2 GR VIAL
Procain penicillin PROCAIN PENICILLIN INJ MEIJI VIAL
7d. Other Beta Lactam
Meropenem RONEM 0,5 GR INJ PRATAPA VIAL
MEROPENEM 1 GR VIAL
MEROPENEM 0,5 GR INJ VIAL
7e. Chloramphenicol
Chloramphenicol CHLORAMPHENICOL 250 MG CAP CAPSUL
Thiamphenicol THIAMPHENICOL 500 MG CAP CAPSUL
7F. Macrolides
Clarithromycin ORIXAL CAPSUL IFARS TABLET
Azithromycin AZITHROMICIN TABLET
AZITHROMICIN DS SOHO BOTOL
Erythromycin ERYTHROMYCIN 250 MG CAP INDOFARMA CAPSUL
ERYTHROMYCIN 500 MG CAP CAPSUL
ERYTHROMYCIN SYR BOTOL
Spiramycin SPIRAMYCIN 500 MG TAB NOVELL TABLET

12
7g. Quinolones
Ciprofloxacin CIPROFLOXACIN 500 MG BERNOFARM TABLET
CIPROFLOXACIN 200 MG/100 ML INF BOTOL
Levofloxacin LEVOFLOXACIN 500 BERNOFARM TABLET
LEVOFLOXACIN INFUS DEXA BOTOL
Ofloxacin OFLOXACIN 200 MG TAB NOVELL TABLET
OFLOXACIN 400 MG TAB TABLET
Gatifloxaxin GATICIN TAB FAHRENHEIT TABLET
Moxifloxacin AVELOX TAB BAYER TABLET
AVELOX DRIP BOTOL
7h. Tetracyclines
Doxyciclin DOXYCICLIN 100 MG CAP CAPSUL
Tetracyclin TETRACYCLIN 250 CAP CAPSUL
TETRACYCLIN 500 CAP CAPSUL
7i. Other Antibiotics
Clindamycin CLINDAMYCIN 150 MG CAP INDOFARMA CAPSUL
CLINDAMYCIN 300 MG CAP CAPSUL
Lincomycin LINCOMYCIN 250 MG CAP CAPSUL
LINCOMYCIN 500 MG CAP CAPSUL
Vancomycin VANCEP INJ FAHRENHEIT VIAL
Teicoplanin TARGOCID INJ SANOFI VIAL
Mesalazine SALOFALK TAB DARYA VARIA TABLET
Sulfasalazine SULFASALAZINE TAB BERNOFARM TABLET
7j. Antibacterial combinations
Ketoconazol KETOCONAZOL TAB DEXA TABLET
Fluconazol FLUCONAZOL 150 CAP KIMIA FARMA CAPSUL
CRYPTAL DRIP FAHRENHEIT BOTOL
Nystatin NYSTATIN VAG PHAPROS TABLET
Griseofulvin GRISEOFULVIN 125 MG TAB KIMIA FARMA TABLET
Metronidazol METRONIDAZOL 500 TABLET
METRONIDAZOL DRIP BOTOL
Micafungin Na MYCAMINE 50 MG INJ ASTELLAS VIAL
Cotrimoxazol COTRIMOXAZOL TAB INDOFARMA TABLET
COTRIMOXAZOL SYR BOTOL
7k. Antituberculous agents
Ethambutol ETHAMBUTOL 250 MG KIMIA FARMA TABLET
ETHAMBUTOL 500 MG TABLET
INH INH 100 MG KIMIA FARMA TABLET
INH 300 MG TABLET
Rifampicin,INH RIFASTAR TAB INDOFARMA TABLET
RIMACTAZID ADULT 450/ 300 SANDOZ TABLET
RIMACTAZID PAED 75/50 TABLET
RIMCURE TAB TABLET
RIMSTAR 4 FDC TABLET
Pyrazinamid PYRAZINAMID TAB INDOFARMA TABLET
Rifampicin RIFAMPICIN 300 MG INDOFARMA TABLET
RIFAMPICIN 450 MG TABLET
RIFAMPICIN 600 MG TABLET

13
Streptomycin STREPTOMYCIN INJ MEIJI VIAL
7l. Antivirals
Acyclovir ACYCLOVIR 200 MG DEXA TABLET
ACYCLOVIR 400 MG TABLET
Lamivudine HEPLAV KIMIA FARMA TABLET
7m. Anthelmintics
Pyrantel pamoat PYRANTEL PAMOAT KIMIA FARMA TABLET
Mebendazole MEBENDAZOLE 500 TABLET TABLET
7n. Antimalarias
Primaquine PRIMAQUINE PHAPROS TABLET
Quinin QUININE KIMIA FARMA TABLET
Sulfadoxin + pyrimetamine SULFADOXIN + PYRIMETAMINE KIMIA FARMA TABLET
7o. Antiamoebics
Metronidazol METRONIDAZOL 250 MG TAB KIMIA FARMA TABLET
METRONIDAZOL 500 TABLET
METRONIDAZOL DRIP BOTOL

14
KELAS TERAPI : 08. OTHER CHEMOTHERAPEUTICS

SUB KELAS TERAPI NAMA OBAT PRINCIPAL SEDIAAN

8a. Antineoplastics
Docetaxel BREXEL 20 MG INJ KALBE VIAL
BREXEL 80 MG INJ VIAL
DOXETASAN 20 MG/0,5 ML SANBE VIAL
DOXETASAN 80 MG/ 2 ML SANBE VIAL
TAXOTERE INJ DELTA VIAL
Cisplatin CISPLATIN 10 MG IN KALBE VIAL
CISPLATIN 50 MG IN KALBE VIAL
Doxorubin DOXORUBICIN 10 MG INJ KALBE VIAL
DOXORUBICIN 50 MG INJ VIAL
Epirubicin EPIRUBICIN 10 MG INJ KALBE VIAL
RUBISANDIN SANBE VIAL
Methotexate TEXORATE FARHRENHEIT TABLET
Cyclophosphamide CYCLOPHOSPAMIDE 1000 MG INJ KALBE VIAL
ENDOXAN 1000 MG INJ TRANSFARMA VIAL
ENDOXAN 500 MG INJ VIAL
ENDOXAN 200 MG VIAL
5-Fluorouracil CURACIL 250 MG INJ KALBE VIAL
CURACIL 500 MG INJ VIAL
Vincristine sulphate VINCRISTINE KALBE VIAL
8b. Hormonal Chemotherapy
Anastrazole ARIMIDEX 1 MG TAB ASTRA ZANECA TABLET
Tamoxifen TAMOFEN KALBE FARMA TABLET
Leuprorelin TAPROS 3,75 MG INJ TAKEDA VIAL
TAPROS 3M DEPOT TAKEDA VIAL
Bicalutamide CASODEX 50 MG / 150 MG ASTRA ZANECA TABLET

8c. Cytotoxic Chemotherapy

Bleomycin BLEOCIN 15 MG INJ KALBE FARMA VIAL
Carboplatin CARBOPLATIN KALBE FARMA VIAL
Cetuximab ERBITUX MERCK VIAL
Daunorubicin DAUNOCIN NOVELL VIAL
Eritropoetin-Alfa EPREX JOHNSON VIAL
Eritropoetin-Beta RECORMON ROCHE VIAL
Gemcitabine GEMZAR ELLY VIAL
Hidroksi Urea HYDROXYUREA DIPA TABLET
Ifosfamide HOLOXAN TRANSFARMA VIAL
Metotreksat METHOTREXATE KALBE FARMA VIAL
Paclitaxel PAXUS KALBE FARMA VIAL
Rituximab MABTHERA ROCHE VIAL

8d. Growth Colony Stimulating Faktor (GCSF)

Filgrastim LEUCOGEN KALBE VIAL

15
KELAS TERAPI : 09. GENITOURINARY SYSTEM

SUB KELAS TERAPI NAMA OBAT PRINCIPAL SEDIAAN

9a. Preparation for vaginal conditions

Tetrachlordexa oxygen ALBOTHYL OVULA SUPP PHAROS OVULA
Metronidazole METRONIDAZOL 500 TABLET
METRONIDAZOL DRIP BOTOL
9b. Urinary antiseptics
Flavoxate HCl URISPAS TAB INDOFARMA TABLET
9c. Drugs acting on uterus
Methylergometrin POSPARGIN INJ KALBE AMPUL
Oxytocyn INDUXIN KALBE AMPUL
9d. Drugs for Bladder & Prospate disorder
Dutasteride AVODART TAB GLAXO TABLET
Tamsulaosin HARNAL 0,2 MG DISP TAB ASTELLAS TABLET
HARNAL OCAS 0,4 MG TAB TABLET

16
KELAS TERAPI : 10. ENDOCRINES & METABOLIC SYSTEM

SUB KELAS TERAPI NAMA OBAT PRINCIPAL SEDIAAN

10a. Insulins
HUMULIN 30 / 70 ELI LILY PEN
HUMULIN N PEN
HUMULIN R 100 UI ELI LILY PEN
HUMULIN R 40 UI PEN
SANSULIN N SANBE PEN
SANSULIN R PEN
LANTUS AVENTIS PEN
NOVORAPID NOVO NORDISK PEN
NOVOMIX NOVO NORDISK PEN
INSULATARD HMPENFIL NOVO NORDISK PEN
10b. Oral antidiabetics agents
Pioglitazon ACTOS 15 MG TAB TAKEDA TABLET
ACTOS 30 MG TAB
Glimepiride GLIMEPIRIDE 1 MG HEXPHARM TABLET
GLIMEPIRIDE 2 MG TABLET
GLIMEPIRIDE 3 MG TABLET
GLIMEPIRIDE 4 MG TABLET
Glibenclamide GLIBENCLAMIDE 5 MG TAB TABLET
Metformin METFORMIN 500 DEXA MEDICA TABLET
METFORMIN 850 TABLET
Acarbose GLUCOBAY 50 BAYER TABLET
GLUCOBAY 100 TABLET
Sitaglipin JANUVIA 50 MG TAB MERCK TABLET
JANUVIA 100 MG TAB
Glikuidon GLURENORM 30 MG TAB BOEHRINGER TABLET
GLIQUIDONE 30 MG TAB TABLET
10c. Antithyroids
Carbimazole PTU 100 TABLET
Karbimazole NEO MERCAZOLE NICHOLAS TABLET
Thiamazole THYROZOL TAB MERCK TABLET

17
KELAS TERAPI : 11. VITAMINS & MINERALS

SUB KELAS TERAPI NAMA OBAT PRINCIPAL SEDIAAN

11a. Vitamin B Complex / with C

NEUROBION 5000 INJ MERCK AMP
SURBEX T ABBOT TABLET
VIT B1 100 MG TAB KIMIA FARMA TABLET
VIT B1 50 MG TAB KIMIA FARMA TABLET
VIT B1 INJ KIMIA FARMA AMP
VIT B12 TAB KIMIA FARMA TABLET
VIT B12 INJ KIMIA FARMA AMP
VIT B6 10 MG TAB KIMIA FARMA TABLET
VITAMIN B KOMPLEKS KIMIA FARMA TABLET
11b. Vitamin C
VITAMIN C TAB KIMIA FARMA TABLET

11c. Calcium / with Vitamin

CALCII GLUCONAS AMP 10 ML ETHICA AMP
CALCIUM LACTATE KIMIA FARMA TABLET
CAVIT D3 MERCK TABLET
11d. Vitamins & / Mineral
ELKANA SYR SANBE BOTOL
ELKANA CL SYR SANBE BOTOL
11e. Vitamin & Mineral (Pre & Post natal ) Antianemics
FOLIC ACID TABLET
MALTOFER CHEW COMBIPHAR TABLET

18
KELAS TERAPI : 12. NUTRITIONS

SUB KELAS TERAPI NAMA OBAT PRINCIPAL SEDIAAN

12c. Parenteral Nutrition

AMINOFLUID INF 1000 ML OTSUKA KOLF
AMINOFLUID INF 500 ML KOLF
AMINOFUSIN HEPAR 500 ML INF KALBE BOTOL
AMINOFUSIN L 600 INF 500 ML KALBE BOTOL
AMINOLEBAN 500 ML INF OTSUKA BOTOL
AMINOVELL 600 OTSUKA BOTOL
CLINIMIX N9G 15 E 1 LT KALBE PACK
COMBIPLEX PERI 1000 ML COMBIPHAR PACK
FUTROLIT SANBE SOFTBAG
KALBAMIN INF FRESENIUS BOTOL
PAN AMIN G OTSUKA KOLF
TRIOFUSIN 500 ML INF KALBE BOTOL

12d. Electrolytes & Mineral

KSR TAB MERCK TABLET
12e. Supplement & adjuvant therapy
ZIN KID TAB INDOFARMA TABLET

19
KELAS TERAPI : 13. EYE, EAR & MOUTH /THROUT

SUB KELAS TERAPI NAMA OBAT PRINCIPAL SEDIAAN

13a. Eye anti infectives & antiseptics

Chloramphenicol CHLORAMPHENICOL ERLA TUBE
Gentamycin GENOINT ERLA TUBE
Acyclovir CENDO HERVIS EYE OINT CENDO AMPUL
Ofloxavin CENDO FLOXA MNDS CENDO STRIP
13b. Eye Antiseptics with corticosteroid
Tobramycin,dexametason CENDO TOBROSON DROP/MNDS CENDO BOTOL/STRIP
CENDO TROBOSAN MNDS STRIP
Oxytetracyclin OXYTETRACYCLINE KIMIA FARMA TUBE
13c. Mydriatic drugs
Tropikamida CENDO MYDRIATIL CENDO BOTOL
Atropin sulfat CENDO TROPIN CENDO BOTOL
13d. Myotic drug
Pilokarpin CENDO CARPINE CENDO BOTOL
13e. Glaucoma agents
Timolol Maleat ISOTIC ADRETOR 0,25% PRATAPA BOTOL
ISOTIC ADRETOR 0,5% PRATAPA BOTOL
Asetazolamid GLAUCON CENDO BOTOL
Brinzolamide AZOPT ED ALCON BOTOL
13f. Ophtalmic decongestant, Anesthesic, Anti inflammatories
Asam borat, seng sulfat CENDO ASTHENOF DROP CENDO BOTOL
CENDO ASTHENOF MNDS
13g. Other eye preparation
Sodium kromoglikat CENDO CONVER CENDO BOTOL
Natrium, kalium benzalkonium CENDO LYTEERS DROP CENDO BOTOL
Tetracain PANTOCAIN 0,5% 5 cc CENDO BOTOL
CENDO CATARLENT BOTOL
13h. Other ear preparations
OTTOPAIN INTERBAT BOTOL
CARBO GLYCERIN 30 CC BOTOL

13i. Mouth/ Throat preparations

BORAX GLICERIN 10 ML BOTOL
BORAX GLICERIN 30 ML BOTOL

20
KELAS TERAPI : 14. DERMATOLOGICALS

SUB KELAS TERAPI NAMA OBAT PRINCIPAL SEDIAAN

14a. Topical anti infectives

Mupirocin BACTODERM CR IKAPHARMINDO TUBE
BACTODERM OINT IKAPHARMINDO TUBE
Silver sulfadiazid BURNAZIN CR DARYA VARIA TUBE
Miconazol MICONAZOL CR KIMIA FARMA TUBE
Ketoconazole KETOCONAZOL 2 % CR HEXPHARM TUBE
Linda,as usnat SCABIMITE CR GALENIUM TUBE
14b. Topical corticosteroids
Betametason BETAMETASONE KIMIA FARMA TUBE
Des oximetason DESOXIMETHASONE CR DEXA TUBE
Hydrocortison HYDROCORTISON 1% KIMIA FARMA TUBE
HYDROCORTISON 2,5% TUBE
Acid salicyl BEDAK SALICYL KIMIA FARMA POT

14c. Skin Antiseptic & desinfectan

Alkohol ALKOHOL 70% 100 ML BRATACO BOTOL
Etakridin RIVANOL IKAPHARMINDO BOTOL
Kalium permanganat PK CRYSTAL BRATACO GRAM

KELAS TERAPI : 15. ANAESTHETICS LOKAL & GENERAL

SUB KELAS TERAPI NAMA OBAT PRINCIPAL SEDIAAN

Bupivacaine BUPIVACAINE 0,5% INJ BERNO AMPUL

Fenthanyl FENTHANYL INJ KIMIA FARMA CC
Lidocain LIDOCAIN 2% INJ AMPUL
Midazolam SEDACUM 15 MG INJ DEXA AMPUL
Propofol PROANES 1% 20 ML SANBE AMPUL

21
KELAS TERAPI : 16. ALLERGY & IMMUNE SYSTEM

SUB KELAS TERAPI NAMA OBAT PRINCIPAL SEDIAAN

16a. Antihistamine & Antiallergics

Cetirizine CETIRIZINE 10 MG TAB SANBE TABLET
HISTRINE DROP FERRON BOTOL
Chlorpheniramin maleate CTM TABLET
Dexamethasone DEXAMETHASONE INJ AMPUL
Fexofenadine TELFAST SANOFI TABLET
TELFAST OD 120 MG TABLET
Loratadine LORATADIN TABLET
Pseudoefedrin + terfenadin RHINOFED TAB DEXA MEDICA TABLET

16b. Vaccine, antisera & immunologicals

Immunoglobulin TETAGAM P 250 DEXA VIAL
BAYHEP / hyperhep 0,5 INJ DIPA PHARMA VIAL
Vaccin VACC ATS 1500 UI / KUDA BIOFARMA AMPUL
VACC BCG BAYI BIOFARMA AMPUL
VACC CAMPAK BIOFARMA AMPUL
VACC POLIO / TETES BIOFARMA TETES
VACC JERAP TETANUS /TOXOID/ML BIOFARMA ML

KELAS TERAPI : 17. ANTIDOTES , DETOXIFYING AGENTS

SUB KELAS TERAPI NAMA OBAT PRINCIPAL SEDIAAN

Naloxon NOKOBA INJ FAHRENHEIT AMPUL

Mesna MESNA INJ AMPUL
Dexamethasone DEXAMETHASONE INJ AMPUL
Difenhidramine DIFENHIDRAMINE INJ AMPUL
Epinefrine EPINEFRINE INJ ETHICA AMPUL
Calcium Gluconat CALCII GLUCONAS ETHICA AMPUL
Magnesium Sulfat MAGNESIUM SULFATE GRANUL SACHET
Natrium Tiosulfate NATRIUM TIOSULFATE INJ AMPUL
Neostigmin PROSTIGMIN INJ AMPUL
Deferoksamin Metansulfonate DESFERAL NOVARTIS VIAL

22
KELAS TERAPI : 18. INTRAVENOUS & OTHER STERILE SOLUTIONS

SUB KELAS TERAPI NAMA OBAT PRINCIPAL SEDIAAN

Albumin 20 % ALBAPURE 20 % 100 ML DEXA BOTOL

ALBAPURE 20 % 50 ML BOTOL
Albumin 25 % PLASBUMIN 25 % 100 ML DIPA PHARMA BOTOL
PLASBUMIN 25 % 50 ML BOTOL
ALBUMINAR 25 % 100 ML DEXA BOTOL
Plasma Proten Fraction (Human) PLASMANATE DIPA PHARMA BOTOL
Cairan plasma FIMAHES 200 FLEXY KALBE BOTOL
GELOFUSIN INF B BRAUN BOTOL
WIDAHEST WIDATRA BOTOL
Cairan infus INFUSAN D5 + 1/2 NS SFC-SP SANBE SOFTBAG
INFUSAN D5 + 1/4 NS SFC-SP SANBE SOFTBAG
INFUSAN RING AS SANBE SOFTBAG
INFUSAN TRIDEX 27 A SANBE SOFTBAG
INFUSAN TRIDEX 27 B SANBE SOFTBAG
MAGNESIUM SULFAT 20% / 25% OTSUKA AMPUL
MAGNESIUM SULFAT 40% / 25% OTSUKA AMPUL
MEYLON 25 ML OTSUKA KOLF
WATER FOR INJECTION 1000 ML OTSUKA KOLF
WATER FOR INJECTION 25 ML OTSUKA KOLF
WIDA D5 WIDATRA KOLF
WIDA D10 WIDATRA KOLF
WIDA NS WIDATRA KOLF
WIDA NACL WIDATRA KOLF
WIDA RL WIDATRA KOLF
WIDA D5-NS WIDATRA KOLF
WIDA 2A WIDATRA KOLF

23
 AKREDITASI ADVANCED :
16 PELAYANAN
KARS-DEPKES RI
NO.YM 01.10/III/85/09

FORMULARIUM OBAT

PERIODE 2014-2015
 DAFTAR ISI

KELAS TERAPI 01 . GASTROINTESTINAL & HEPATOBILIARY SYSTEM HAL

1a = ANTACID & ANTIULCERANT
1b = GIT REGULATOR, ANTI FLATULENT & ANTI INFLAMASI
1c = ANTISPASMODIC
1d = ANTIDIARE
1e = LAXATIVE, PURGATIVE
1f = CHOLAGOGUES, CHOLELITHOLYTICS & HEPATOPROTECTOR
1g = ANORECTAL PREPARATIONS
1h = ANTIEMETICS

KELAS TERAPI 02. CARDIOVASCULAR & HEMATOPOIETIC SYSTEM

2a = CARDIACS DRUGS
2b = ANTIANGINAL DRUGS
2c = ACE INHIBITORS
2d = BETA BLOCKERS
2e = CALCIUM ANTAGONIST
2f = ANGIOTENSIN II ANTAGONIST
2g = OTHER ANTIHYPERTENSIVES
2h = DIURETICS
2i = PERIPHERAL VASODILATOR & CEREBRAL ACTIVATOR
2j = VASOCONSTRICTORS
2k = DYSLIPIDAEMIC AGENTS
2l = HAEMOSTATICS
2m = ANTICOAGULANT, ANTIPLATELETS & FIBRINOLYTICS/ THROMBOLYTICS
2n = HAEMOTOPOIETIC

KELAS TERAPI 03. RESPIRATORY SYSTEM

3a = ANTIASTHMATICS
3b = COUGH & COLD REMEDIES
3a = NASAL DECONGESTANTS & OTHER NASAL PREPARATIONS
3b = SURFAKTAN

KELAS TERAPI 04. NEUROMUSCULAR SYSTEM

4a = ANXIOLYTICS
4b = HYPNOTICS & SEDATIVES
4c = ANTIDEPRESANTS
4d = ANTIPSYCHOTICS
4e = ANTICONVULSANTS
4f = OTHER CNS DRUGS & AGENTS FOR ADHD
4g = NEURODEGENERATIVES DISEASE DRUGS
4h = ANTIPARKINSONIAN DRUG
4i = ANTIVERTIGO
4j = ANALGETIK (OPIOID)
4k = ANALGETIK (NON OPIOID) & ANTIPIRETIK
4l = NONSTEROIDAL ANTI-INFLAMMATORY DRUGS (NSAID)
4m = ANTIMIGRAINS PREPARATION
 4n = DISEASE MODIFYING ANTI RHEUMATIC DRUGS (DMARDs)
4o = GOUT PREPARATIONS
4p = MUSCLE RELAXANTS
4q = NEUROMUSCULAR DISORDER DRUGS

KELAS TERAPI 05. HORMONES

5a = ANDROGENS & RELATED SYNTHETICS DRUG
5b = ESTROGEN, PROGESTERON & RELATED SYNTHETICS DRUGS
03 = CORTICOSTEROID HORMONES
04 = TROPIC HORMONES & RELATED SYNTHETICS DRUG
05 = OTHER HORMONE RELATED DRUGS

KELAS TERAPI 06. CONTRACEPTIC AGENTS (1)

01 = DEPOT CONTRACEPTIVES
02 = ORAL CONTRACEPTIVES
03 = OTHER CONTRACEPTIVES

KELAS TERAPI 07. ANTIBIOTICS (5)

01 = AMINOGLYCOSIDES
02 = CEPHALOSPORINS
03 = CHLORAMPHENICOL
04 = MACROLIDES
05 = PENICILLINS
06 = QUINOLONES
07 = TETRACYCLINES
08 = ANTIFUNGALS
09 = ANTIBACTERIAL COMBINATIONS
10 = OTHER ANTIBIOTICS

KELAS TERAPI 08. OTHER CHEMOTHERAPEUTICS (2)

01 = ANTITUBERCULOUS AGENTS
02 = ANTHELMINTICS
03 = ANTIVIRALS
04 = ANTINEOPLASTICS
05 = ANTIMALARIAS

KELAS TERAPI 09. GENITOURINARY SYSTEM (1)

01 = PREPARATION FOR VAGINAL CONDITIONS
02 = URINARY ANTISEPTICS
03 = DRUGS ACTING ON UTERUS
04 = OTHER DRUG ACTING ON GENITOURINARY SYSTEM

KELAS TERAPI 10. ENDOCRINES & METABOLIC SYSTEM (2)

01 = INSULINS
02 = ORAL ANTIDIABETICS AGENTS
03 = THYROID PREPARATION
04 = ANTITHYROIDS
05 = ANTIHYPERLIPIDAEMICS AGENTS
 06 = AGENTS AFFECTING BONE METABOLISM

KELAS TERAPI 11. VITAMINS & MINERALS (2)

01 = VITAMIN A, D, E
02 = VITAMIN B COMPLEX / WITH C
03 = VITAMIN B'S WITH C + FOLIC ACID
04 = VITAMIN B'S WITH E
05 = VITAMIN B'S WITH E + FOLIC ACID
06 = FOLIC ACID
07 = VITAMIN C
08 = CALCIUM / WITH VITAMIN
09 = MULTIVITAMIN / WITH MINERAL
09.01 = IMMUNOMODULATOR
09.02 = MULTIVITAMIN, SUPPLEMEN, ANTIOKSIDAN
10 = PAEDIATRICS VITAMIN & MINERAL
11 = ELECTROLYTES & MINERAL
12 = ANTIANEMICS / PRE & POST NATAL VITAMIN

KELAS TERAPI 12. NUTRITIONS (1)

01 = INFANT NUTRITIONAL PRODUCT
02 = ENTERAL / NUTRITIONAL PRODUCT
03 = PARENTERAL NUTRITION
04 = SUPPLEMENT & ADJUVANT THERAPY
05 = ANTIOBESITY AGENTS

KELAS TERAPI 13. EYE, EAR & MOUTH / THROUT (2)

01 = EYE ANTIINFECTIVES & ANTISEPTICS
02 = EYE ANTISEPTICS WITH CORTICOSTEROID
03 = MYDRIATICS DRUGS
04 = MYOTICS DRUG
05 = GLAUCOMA AGENTS
06 = OTHER EYE PREPARATION
07 = EAR ANTIINFECTIVES & ANTISEPTIC
08 = EAR ANTISEPTICS WITH CORTICOSTEROID
09 = MOUTH / THROAT PREPARATIONS

KELAS TERAPI 14. DERMATOLOGICALS (3)

01 = TOPICAL ANTIINFECTIVES
02 = TOPICAL ANTIINFECTIVES WITH CORTICOSTEROID
03 = TOPICAL CORTICOSTEROID
04 = ACNE TREATMENT PREPARAT
05 = ANTISEPTICS & DESINFECTAN
06 = TOPICAL FUNGICIDES & ANTIPARASITES
07 = TOPICAL ANTIVIRAL
08 = SKIN PROTECTIVE
09 = TOPICAL ANTIHISTAMINE / ANTIPRURITIS
10 = TOPICAL ANALGESICS & ANTI INFLAMMATORIES
11 = OTHER DERMATOLOGICALS
KELAS TERAPI 15. ANAESTHETICS LOKAL & GENERAL (1)

KELAS TERAPI 16. ALLERGY &IMMUNE SYSTEM (2)

01 = ANTIHISTAMINE & ANTIALLERGICS
02 = VACCINE, ANTISERA & IMMUNOLOGICALS
03 = IMMUNOSUPRESANT

KELAS TERAPI 17. ANTIDOTES, DETOXIFYING AGENTS (1)

KELAS TERAPI 18. INTRAVENOUS & OTHER STERILE SOLUTIONS (2)

OBAT SALURAN CERNA
NO KLS KELAS TERAPI NAMA OBAT NAMA PABRIK
TERAPI
1 ANTASIDA DAN ANTIULKUS
1 Antasida I

komb: Alumunium Hidroksida 200mg, Dexanta Dexa

Magnesium Hidroksida 150mg
(+simetikon 50mg)

Alumunium Hidroksida 200mg, Antasida DOEN Kimia Farma

Magnesium Hidroksida 200mg

2 Antasida II

komb (per 5ml) :

Alumunium Hidroksida 200mg, Dexanta Dexa
Magnesium Hidroksida 200mg
(+simetikon 50mg)

komb (per 5ml) :

Alumunium Hidroksida 200mg, Antasida DOEN Kimia Farma
Magnesium Hidroksida 200mg

3 Esomeprazole

Esomeprazole Nexium Astra Z

4 Famotidine

Famotidine 20mg Famotidine 20 Indofarma

Famotidine 40mg Famotidine 40 Indofarma

5 Lansoprazole

Lansoprazole Lansoprazole Hexpharm

Loprezol Kimia Farma
 Lansoprazole Prosogan Takeda

6 Omeprazole

Omeprazole Omeprazole Hexpharm

Omeprazole Indofarma

Omeprazole OMZ Ferron

7 Pantoprazole

Pantoprazole Pantoprazole Soho

8 Ranitidine

Ranitidine Ranitidine Dexa

Ranitidine Ranitidine Hexpharm

9 Rebamipide

Rebamipide Rebamipide Yarindo

 10 Sukralfat

Sukralfat Ulsidex Dexa

Ulsicral Ikapharmindo

Sukralfat Ulsicral Ikapharmindo

2 ANTIEMETIK

1 Dimenhidrinat

Dimenhidrinat Dimenhidrinat Kimia Farma

2 Domepridone

Domepridone Domepridone Hexpharm

Domepridone Domepridone Hexpharm

3 Klorpromazin

Klorpromazin Cepezet 100 Mersifarma

4 Ondansentron

Ondansentron Ondansentron Indofarama

Ondansentron Ondansentron Indofarma

Vometraz Dexa

Ondansentron Ondansentron Indofarma

5 komb : Clinidium bromida dan

Chlorodiazepokside

komb : Clinidium bromida 2,5mg dan Braxidin Sanbe

 Chlorodiazepokside 5mg

3 OBAT DIARE

1 Activated attapulgit

Activated attapulgit New diatab Darya varia

2 Komb: attapulgit dan pektin

Komb: attapulgit700mg dan pektin 50mg Molagit Molex Ayus

3 Bismuth subsalisilat

Bismuth subsalisilat Neoadiar Erela

Bismuth subsalisilat Scantoma Tempo

4 Loperamide

Loperamide Gradilex Graha Farma

5 komb: Kaolin dan pektin

komb: Kaolin700mg dan pektin66mg Neo Kaolana Sanbe

4 KATARTIK

1 Bisacodil

Bisacodil Dulcolax tab Boehringer

Bisacodil Dulcolax supp Boehringer

Bisacodil Dulcolax supp Boehringer

2 Lactulose

Lactulose Duphalac Abboth

 3 komb: Gliserin, liq parafin dan
phenoftalein

komb 5ml: Gliserin 1000mg, Laxadine Galenium

liq parafin 1500mg, phenolptalein 75mg

OBAT SALURAN NAFAS

1 ANTI ASMA

1 Aminofiline

Aminofiline Aminofiline Indofarma

Aminofiline Phaminov Phapros

2 Budesonide

Budesonide Obucort swinghaler Otsuka

Budesonide Pulmicort Turbuhaler Astra z

Budesonide Pulmicort respule Astra z

Budesonide Pulmicort respule Astra z

3 komb: budosenide-formoterol

komb: budosenide-formoterol Symbicort Astra z

komb: budosenide-formoterol Symbicort Astra z

4 Fenoterol Hbr

Fenoterol Hbr Berotec MDI Boehringer

5 Fluiticasone Profionate

Fluiticasone Profionate Flixotide nebuls Glaxo

6 komb: Fluiticasone Profionate dan

salmeterol xinafoate

komb: Fluiticasone Profionate50mcg dan Seretide 50 Glaxo

salmeterol xinafoate25mcg

komb: Fluiticasone Profionate100mcg dan Seretide 100 Glaxo

salmeterol xinafoate50mcg

komb: Fluiticasone Profionate500mcg dan Seretide 500 Glaxo

salmeterol xinafoate50mcg
7 Ipratropium Br

Ipratropium Br Atrovent boehringer

8 komb: Ipratropium Br dan salbutamol

komb: Ipratropium Br 0,52mg dan Combivent Boehringer

salbutamol 3,01mg

komb: Ipratropium Br 0,5mg dan Farbivent Pratapa nirmala

salbutamol 2,5mg

9 salbutamol

salbutamol salbutamol Indofarma

salbutamol salbutamol Indofarma

salbutamol Kimia Farma

salbutamol salbutamol Indofarma

salbutamol ventolin inhaler Glaxo

salbutamol Ventolin nebules Glaxo

 10 Theophylin

Theophylin Theophylin Apotik

Theophylin Retaphyl SR Kimia Farma

11 Terbutalin sulfat

Terbutalin sulfat Molasma Molex Ayus

Terbutalin sulfat Relivan Novell

Terbutalin sulfat Bricasma turbuhaler Astra z

12 Terbutalin sulfat dan GG

Terbutalin sulfat1,5mg dan GG 50mg Terasma exp Medikon

2 PPOK

1 Indacaterol

Indacaterol Onbrez breezhaler Novartis

Indacaterol Onbrez breezhaler Novartis

2 Tiotropium Br

Tiotropium Br Spiriva Combo Boehringer

 Tiotropium Br Spiriva Refill Boehringer

3 ANTISTUSIF

1 Kodein (Hcl/Fosfat)

Kodein (Hcl/Fosfat) Kodein (Hcl/Fosfat) Kimia Farma

Kodein (Hcl/Fosfat) Kodein (Hcl/Fosfat) Kimia Farma

Kodein (Hcl/Fosfat) Kodein (Hcl/Fosfat) Kimia Farma

4 EKSPEKTORAN

1 Obat Batuk Hitam

Obat Batuk Hitam O.B.H Ikapharmindo

Obat Batuk Hitam O.B.H Ikapharmindo

2 Ambroxol HCl

Ambroxol HCl Ambroxol HCl Bernofarma

5 SURFAKTAN

1 Beractant

Beractant Survanta Abboth

6 MUKOLITIK

1 N-acetylcysteine

N-acetylcysteine Acetylcysteine Indofarma

N-acetylcysteine N-Ace Pratapa nirmala

 7 LAIN - LAIN

1 Komb:
Difenhidramin hcl,Amonium clhorida,
Na sitrat dan Menthol

Komb tiap 5ml: Difenhidramin hcl 125, Rosadryl Grafindo

Na sitrat 50mg dan Menthol 1mg
Amonium Cl 125mg,

2 Komb: Noscapin, ctm, GG, PCT dan PPA HCl

Komb: Noscapin 10mg, ctm 2mg, GG 50mg, Paratusin Darya Varia

, PCT 500mg dan PPA HCl 15mg

3 Komb: Noscapin, ctm, GG, PCT, succ liq.

dan pseudoephedrin HCL

komb (tiap 5ml): Paratusin Darya Varia

Komb: Noscapin 10mg, ctm 2mg, GG 50mg,
, PCT 500mg, succ liq 125mg dan Pseudo
ephedrin HCl 7,5mg

4 Komb: PCT, Ppa HCl, etil Ephedrin Hcl

CTM, Dextromethrorpan Hbr dan Guaiafenesin

Komb: PCT 325mg, Ppa HCl 12,5mg, Decolsin Darya Varia

CTM 1mg, Dextromethrorpan Hbr 10mg,
etil Ephedrin Hcl 12,5mg dan Guaiafenesin50mg

Komb: PCT 325mg, Ppa HCl 12,5mg, Decolsin Darya Varia

CTM 1mg, Dextromethrorpan Hbr 10mg,
etil Ephedrin Hcl 12,5mg dan Guaiafenesin50mg

Komb Tiap 5ml: PCT 150mg, Ppa HCl 6,25mg, Decolsin Darya Varia
CTM 0,75mg, Dextromethrorpan Hbr 10mg,
etil Ephedrin Hcl 5mg dan Guaiafenesin50mg

VITAMIN DAN MINERAL

1 Asam askorbat
(Vitamin C)

Asam askorbat Vitamin C Kimia Farma

(Vitamin C)

Asam askorbat Vitamin C Apotik

(Vitamin C)

2 Calcitriol

Calcitriol Ostriol Pratapa nirmala

3 Kalsium Laktat

Kalsium Laktat Calcium Laktate Kimia Farma

4 Asam Folat

Asam Folat Starfolat Dexa

Anemolat Phapros

5 Piridoksin HCl (Vitamin B6

Piridoksin HCl (Vitamin B6 Vitamin B6 Kimia Farma

Vit B6 Ikapramindo

6 Tiamin HCl (Vitamin B1)

Tiamin HCl (Vitamin B1) Vitamin B1 Kimia Farma

Vit B1 Phapros

7 Sianokobalamin (Vitamin B12)

Sianokobalamin (Vitamin B12) Vitamin B12 Kimia Farma

8 Vitamin B Complek

Vitamin B Complek Vitamin B Complek Kimia Farma

9 Komb: Ca hydrogen phosphate dihydrate

dan Cholecalciferol

Komb: Ca hydrogen phosphate dihydrate Cavit D3 Merck

dan Cholecalciferol 133 ui

10 Zat besi ( Fe)

Zat besi ( Fe) Maltofer Combiphar

11 komb: Vit B1, Vit B6 dan Vit B12

komb: Vit B1, Vit B6 dan Vit B12 Neurodex Dexa

komb (per ampul) : Vit B1 100mg, Sohobion 5000 Soho

Vit B6 100mg dan Vit B12 5.000mcg

12 komb: vit C, Niasinamida, Kalsium pantotenat

vit. B1, Vit.B2, Vit B6, dan Vit B12

12 komb: vit C 500mg, Niasinamida 100mg, Surbex T Abbot

Kalsium pantotnat 20mg, vit. B1 15mg, Vit.B210mg,
Vit B6 5mg dan Vit B12 4mg

13 komb: Dibasic Ca Posphate, Ca lactate, Vit B,

Vit c dan Vit D3

komb: Dibasic Ca Posphate 200mg, Ca lactate 100mg Elkana Sanbe

Vit b6 20mg, Vit c 25mg, Vit D3 100ui

14 komb: Vit A,Vit B, Vit B2, Vit B6, Vit B12, Vit C,
Vit D, Nicotinamide, Ca pantotenat, Ca gluconate,
Ca hypofosfit, Na hypofosfit dan L-lysine HCl

komb: Vit A 2400ui,Vit B1, Vit B2, Vit B6 Elkana Sanbe

Vit B12, Vit C,Vit D, Nicotinamide 16mg,
Ca gluconate,Ca hypofosfit, Na hypofosfi
L-lysine HCl 200mg dan Ca pantotenat 6mg

15 Komb: Curcuminoid, Vit B1, Vit B2, Vit B6 dan

Vit B12

komb tiap 5ml; Vit B12 1mcg, Curcuminoid 2mg Xanvit Soho
, Vit B1 3mg, Vit B2 1mg, dan Vit B6 1mg

16 komb: Fe fumarat,Vit E, Copper, Mangan, Zinc,

Vit B1, Vit B2, Vit B6 , Vit B12, dan asam folat
 komb: Fe fumarat,Vit E, Copper, Mangan, Zinc, Prenatin Plus Soho
Vit B1, Vit B2, Vit B6 , Vit B12, dan asam folat

OBAT PENYAKIT NEUROGENERATIF

1 Donepezil HCl

Donepezil HCl Aricept Eisai

ANTI NEOPLASTIKUM, IMUNOSUPRESAN DAN TERAPI PALIATIF

1 IMMUNOSUPRESAN

1 Siklosporin

Siklosporin Sandimum Neoral Nova

Sandimum Neoral Nova

2 Mycophenolate Morfetil

Mycophenolate Morfetil Cellcept Roche

3 Everolimus

Everolimus Certican Novartis

Certican Novartis

4 Tacrolimus

Tacrolimus Prograf Astellas

Prograf Astellas
 5 Metotreksat

Metotreksat Texorate Pratafa Nirmala

2 ANTIHORMON

1 Anastrozole

Anastrozole Arimidex Astra z

2 Exemestan

Exemestan Aromasin Pfizer

3 Gosereline Acetate

Gosereline Acetate Zoladex Astra z

Zoladex Astra z

4 Letrozol

Letrozol Femara Novartis

5 Leuprorelin Acetate

Leuprorelin Acetate Tapros 1,88 Takeda

 Endrolin Kalbe Farma
Tapros Takeda

Leuprorelin Acetate Tapros 3M Depot Takeda

6 Medroksi Progesteron Asetat

Medroksi Progesteron Asetat Medroksi Progesteron Apotik

Asetat

7 Tamoxifen

Tamoxifen Tamofen Kalbe Farma

3 SITOSTATIK

1 Asam Ibrandronat

Asam Ibrandronat Brondronat Roche

2 Asam Zoledronat

Asam Zoledronat Zolenic Novel

Zometa Novartis

3 Asparaginase

Asparaginase Leunase Widatra

4 Bevacizumab
 Bevacizumab Avastin Roche

5 Bicalutamide

Bicalutamide Casodex Astra z

6 Bleomisin

Bleomisin Bleocin Kalbe Farma

7 Bortezomib

Bortezomib Velcade Johnson

8 Capecitabine

Capecitabine Xeloda Roche

9 Carboplatin

Carboplatin Carboplatin Kalbe Farma

Carbosin RTUS Combiphar

Carboplatin Kalbe Farma

Carbosin RTUS Combiphar

10 Cefuximab

Cefuximab Erbitux Merck

11 Cisplatin

Cisplatin Cisteen Kimia Farma

Cisplastin Kalbe Kalbe Farma

Cisteen Kimia Farma

Cisplastin Kalbe Kalbe Farma

12 Citarabin

Citarabin DBL Cytarabin Tempo

13 Dakarbazin

Dakarbazin DBL Dacarbazine Tempo

14 Daunorubicin

Daunorubicin Daunocin Novell

15 Disodium Clodronate Tetrahydrate

Disodium Clodronate Tetrahydrate Actabone Actavis

Bonefos Bayer

16 Docetaxel

Docetaxel Brexel Kalbe Farma

Taxotere Aventis
Docetaxel Sanbe
Taceedo 20 Kimia Farma

Brexel Kalbe Farma

Taxotere Aventis
Taceedo 80 Kimia Farma

17 Doksurubisin
 Doksurubisin Doxurubicin Actavis Actavis
Doxurubicin HCl Sanbe
Doxurubicin Kalbe Kalbe Farma

Doksurubisin Doxurubicin Actavis Actavis

Naprodox 50 Kimia Farma
Doxurubicin Kalbe Kalbe Farma

18 Epirubicin

Epirubicin Epirubicin HCl Sanbe

Epirubucin Kalbe Kalbe Farma
4-Epeedo-10 Kimia Farma

Epirubucin Kalbe Kalbe Farma

4-Epeedo-50 Kimia Farma
CATATAN

Tab kunyah

Tab kunyah

syr 100ml
R/ maks: 1 btl/kasus

syr 60ml
R/ maks: 1 btl/kasus

Hanya untuk GERD dengan

Erosive Esophagitis

injeksi 40mg
R/ maks: 40mg/hari
(1vial sehari)

tab

tab

kaps. 30mg:
untuk terapi jangka pendek
pada kasus tukak lambung
tukak duodenum dan refluk
esophagitis
Diberikan 1 jam sebelum makan
R/ maks: 4minggu /kasus

inj. 30mg per vial

untuk pasien UGD atau ranap
dengan riwayat pendarahan
saluran cerna
R/ maks: 1-3 vial/hari
maks. 3 hari

kaps. 20mg
untuk terapi jangka pendek
pada kasus tukak lambung
tukak duodenum dan refluk
esophagitis
Diberikan 1 jam sebelum makan
R/ maks: 4minggu/kasus

inj. 40mg per vial

untuk pasien UGD atau ranap
dengan riwayat pendarahan
saluran cerna
R/ maks: 1-3 vial/hari
maks. 3 hari

hanya untuk rawat inap

inj.40 mg, vial

tab 150mg

inj. 50mg/ 2ml, amp @ 2ml

R/ maks: 4 ampul /hari

tab 100mg
R/ maks: 3tab/hari

Tidak dianjurkan penggunaan

untuk anak-anak
Tab 500mg

syr 500mg/5ml
100ml/btl

tab 50 mg

tab 10mg

Syr 5mg/ 5ml, btl 60ml

tab 100mg

tab 4mg
sediaan tab: hanya utk muntah
pd pemberiaan kemoterapi

tab 8mg
sediaan tab: hanya utk muntah
pd pemberiaan kemoterapi

inj.4mg/2ml, amp. 2ml

sediaan inj: hanya utk mencegah
muntah pd pemberiaan kemoterapi
yg highly emetogenik

tab
tab 600mg

tab

tab 187,125mg

tab 375mg

tab 2mg

syr btl 120ml

R/maks: 1btl/kasus

untuk obstipasi

tab 5mg
R/ maks: 15tab/kasus

supp 5mg
R/ maks: 3supp/kasus

supp 10mg
R/ maks: 3supp/kasus

utk kasus konstipasi jangka

panjang seperti koma hepatikum
dan post operasi jantung

syr. 10gr/15ml, btl 120ml

R/maks 1btl/ kasus
syr btl 60ml
R/maks:1btl/ kasus

tab 200mg

inj 24mg/ml, ampul 10ml

inh.200mcg/puff, tbg
200 dosis
tdk utk serangan asma akut
asma persiten ringan-sedang
R/maks 1tbg/bulan
asma persiten berat
R/ maks 2tbg/bulan
(harus melampirkan hasil pemeriksaan
spirometri)

inh.200mcg/puff, tbg
100dosis
tdk utk serangan asma akut
asma persiten ringan-sedang
R/maks 1tbg/bulan
asma persiten berat
R/ maks 2tbg/bulan
(harus melampirkan hasil pemeriksaan
spirometri)

Resp 0,25mg/ml, resp @2ml

hanya serangan asma akut
R/maks: hari 1, maks, 5resp/hari selanjunya
2 resp/hari

Resp 0,5mg/ml, resp @2ml

hanya serangan asma akut
R/maks: hari 1, maks, 5resp/hari selanjunya
2 resp/hari

inh 80/4,5mcg, tbg @60 dosis

utk maintanance pasien asma > 6th
asma persiten ringan-sedang
R/maks 2tbg/bulan
asma persiten berat
R/ maks 3tbg/bulan
(harus melampirkan hasil pemeriksaan
spirometri)

inh 160/4,5mcg, tbg @60 dosis

utk maintanance pasien asma > 6th
asma persiten ringan-sedang
R/maks 2tbg/bulan
asma persiten berat
R/ maks 3tbg/bulan
(harus melampirkan hasil pemeriksaan
spirometri)

hanya utk serangan asma akut

inh. 100mcg/ puff, tbg 200dosis (10ml)

R/ maks: 1 tbg/bulan

tidak utk maintenance terapi asma

nebuls 0,5mg, @ 2ml

R/ maks: hari 1 maks 5 ampul/ hari
selanjutnya 2 ampul/ hari

tdk diberikan pada kasus asma akut

inh. 50mcg/puff, tbg 120dosis

R/ maks: 1 tbg/bulan

inh. 100mcg/puff, tbg 60dosis

R/ maks: 1 tbg/bulan

inh. 500mcg/puff, tbg 60dosis

R/ maks: 2tbg/bulan
hanya utk asma persisten berat dan PPOk
(harus melampirkan hasil spirometri)

utk pasien PPOK dgn eksaserbasi akut.

tdk utk jangka panjang

inh. 20mcg/puff, tbg 200dosis

R/ maks: 1 tbg/bulan

hanya utk:
a. serangan asma akut
b. bronkospasme yg menyertai PPOK
c. SOPT

nebuls, vial 2,5ml

hari 1 maks: 8vial/ hari selanjutnya
maks: 4vial/ hari. Kasus ICU maks 10vial/ hari

nebuls, vial 2,5ml

hari 1 maks: 8vial/ hari selanjutnya
maks: 4vial/ hari. Kasus ICU maks 10vial/ hari

tab 2mg

tab 4mg

syr. 2mg/5ml, btl 100ml

inh 100mcg/puff, tbg 200 dosis

hanya utk:
a. serangan asma akut
b. bronkospasme yg menyertai PPOK
c. SOPT
asma persiten ringan-sedang, SOPT
R/maks 1tbg/bulan
asma persiten berat dan PPOK
R/ maks 2tbg/bulan
(harus melampirkan hasil pemeriksaan
spirometri)

nebules, vial 2,5mg

hanya utk:
a. serangan asma akut
b. bronkospasme yg menyertai PPOK
c. SOPT
R/ maks: hari 1, maks: 8vial/hari
selanjutnya maks: 4vial/ hari.
kasus ICU maks 10vial/ hari

tab 150mg

kaplet SR 300mg
R/ maks: 30 tab/ bulan

tab 2,5mg

inj. 0,5mg/ml, ampul 1ml

R/ maks: 4ampul/hari

turbu 0,50mg, tbg 200 dosis

hanya utk serangan asma akut dan atau
PPOK
R/ maks: 1tbg/ bulan

Syr. 1,5mg/5ml, btl 50ml

R/ maks: 1btl/kasus

kaps.150mcg/dosis+breezhaler
R/ maks: 1paket/ bln
(1paket berisi 30 kaps dan 1brezzhaler)

kaps.300mcg/dosis+breezhaler
R/ maks: 1paket/ bln
(1paket berisi 30 kaps dan 1brezzhaler)

Spiriva 18mcg/dosis + handihaler

R/ maks: 1kali/ thn

kapsul 18mcg/dosis, refill

R/ maks: 30 tab/ bln

tab. 10mg

tab. 15mg

tab. 20mg

Syr. Btl @100ml

R/ maks: 1btl/ kasus

Syr. Btl @200ml

R/ maks: 1btl/ kasus

tab 30mg

hanya untuk IRDS pada neonatus

inj. 25mg/ml; vial 8ml

kaps.200mg

inj. Nebulizer 300mg/3ml

hanya utk pasien rawat inap dg asma
eksaserbasi akut
R/ maks: 3amp/hari selama 10 hari
R/ Maks: 1btl kasus

tab

Syr. Btl @60ml

R/ maks: 1btl/kasus

kaps

kaps

syr. Btl 60ml

R/ maks: 1btl/ kasus

tab. 50mg
tab. 250mg

hanya utk penyakit ginjal kronik pd level

CKD4 ke atas( pemeriksaan kadar kalsium ion
1,1 - 2,5 mmol)

kaps. Lunak 0,25mcg

R/ maks:
anak-anak 1x1tab maks 30 tab/bln
dewasa 1x2 tab, maks 60 tab/ bln

tab.500mg

tab.400mcg
tab.1mg

tab. 1mg
inj. 100mg/ml amp@ 1ml

tab. 50mg
inj. 100mg/ml, amp @ 1ml

tab. 50mg

tab

tab
R/ maks: 30 tab/ bln

Syr.50mg/50ml, btl 150ml

R/ maks: 1 btl/ kasus

tab
R/ Maks: 30 tab/bln

inj 3ml

R/ Maks: 30 tab/bln

tab. Maks: 30 tab/ bln

syr, btl 60ml

R/ maks: 1btl/ kasus

syr, btl 60ml

R/ maks: 1btl/ kasus
tab
R/ Maks: 30 tab

setelah 6 bulan pengobatan harus

dilakukan evaluasi, bila tdk ada perbaikan
maka pengobatan harus dihentikan

tab 5mg
Dosis 5mg/hari, selama min. 1bln. Dosis
maks: 10mg/ hari

utk kasus transplantasi organ dan penyakit

autoimun

kaps. Lunak 25mg

R/ maks: 5mg/kg/BB

kaps.100mg
R/ maks: 90 kap/bln

hanya utk mencegah reaksi penolakan

pada kasus transplantasi organ

tab 500mg

hanya utk pasien yg telah menjalani transplantasi

ginjal dan mengalami penurunan fungsi ginjal yg dpt
menyebabkan CAN

tab. 0,25mg
tab. 50mg

hanya utk pasien yg telah menjalani transplantasi

ginjal dan mengalami penurunan fungsi ginjal yg dpt
menyebabkan CAN

kaps. 0,5mg
kaps. 1mg
untuk imunosuspresan

tab. 2,5mg

untuk kanker payudara dgn pemeriksaan

reseptor estrogen/ progesteron positif dg
status post menopause

tab. 25mg
R/ Maks: 30 tab/bln

untuk kanker payudara dgn pemeriksaan

reseptor estrogen/ progesteron positif dg
status post menopause

tab. 25mg
R/ Maks: 30 tab/ bln

inj. 3,6mg/vial
a. utk kanker payudara dgn hormonal reseptor
(ER/PR) positif premenopause
R/ maks: 1 vial/ bln
b. utk endometriosis. R/ Maks : 1 vial/bln;
Maks: 6 vial/ kasus

inj. 10.8 mg/ vial

untuk kanker prostat. R/ Maks: 1vial/ 3bln

untuk kanker payudara dgn pemeriksaan

reseptor estrogen/ progesteron positif dg
status post menopause

tab. 2,5mg
R/ Maks: 30 tab/bln

serb. Inj 1,88, vial

utk endometriosis pada pasien dgn BB< 50 kg
R/ Maks: 1 vial/ bln; Maks 6 vial/ kasus
inj. 3,75mg/ vial
a. utk kanker payudara dgn hormonal reseptor
(ER/PR) positif premenopause
R/ maks: 1 vial/ bln
b. utk endometriosis. R/ Maks : 1 vial/bln;
Maks: 6 vial/ kasus

serb. Inj 11.25mg/ vial

a. utk kanker payudara dgn hormonal reseptor
(ER/PR) positif premenopause
b. utk kanker prostat. R/ Maks: 1vial/ 3bln

untuk kanker endometrium

tab. 500mg
R/ Maks: 30 tab/ bln

utk kanker payudara dgn hormonal reseptor

(ER+dan atau PR+) premenopause dan post
menopause

FCT 10mg
R/ Maks: 30 tab/ bln

untuk :
a. hiperkalsemia akibat keganasan
b. Metastase tulang

inj. 6mg/6ml,vial @6ml

R/ Maks: 1 vial/bln

untuk :
a. hiperkalsemia akibat keganasan
b. Metastase tulang

inj. 4mg/ 5ml, vial @5ml

R/ Maks : 1vial/bln

untuk leukemia limfoblastik akut

serb. Inj. 10.000 ui/vial

untuk kanker kolrektal metastatik

inj. 100mg/4ml, vial@4ml
R/ Maks: 12x pemberiaan

untuk kanker prostat diberikan bersama

Goserelin atau Leuprorelin Asetat

tab. 50mg
R/ Maks: 30 tab/bln

untuk squasmous cell carcinoma pd daerah

kepala dan leher, serviks, oesophagus, penis,
testis, kulit, paru, glioma, Non-Hodgkin Limfoma,
plerodesis

serb.inj. 15mg/ amp (sbg. Sulfat)

untuk multiple myeloma yg sudah tdk dpt

diterapi dgn obat multiple myeloma lain(first line)

serbuk inj. 3,5mg

R/ Maks: 1,3mg/m2/dosis, Maksimal 8x pemberian

untuk kanker saluran cerna dan payudara

FCT. 500mg
R/ Maks: 2500mg/m2/hr selama 2 minggu

inj. 150mg/vial, vial @15ml

R.Maks. Tergantung AUC (Area Under the Curve)

inj. 450mg/vial, vial @45ml

R.Maks. Tergantung AUC (Area Under the Curve)

Hanya untuk:
a. Kanker kolorektal metastastik dgn hasil pemeriksaan
KRAS wild type positif (normal)
b. kanker kepala dan leher tipe squamosa dan dikombinasi
dengan kemoterapi atau radiasi

inj 100mg/ vial, vial @20ml

R/ Maks 12x pemberian
serb.inj.10mg/10ml,vial
R/ Maks: infus i.v 100mg/m2/hari dosis tunggal 20mg/
m2/hr 5hari berturut-turut

serb.inj.50mg/50ml,vial
R/ Maks: infus i.v 100mg/m2/hari dosis tunggal 20mg/
m2/hr 5hari berturut-turut

untuk leukemia akut dan limfoma maligna

serb.inj.1000mg, vial @10ml

R/ Maks: 3000mg/m2/hr selama 3hari berturut-turut

untuk melanoma malignan metastatik, sarkoma dan

penyakit Hodgkin

serb. Inj.200mg/20ml

untuk leukemia akut

inj. 200mg, vial

untuk :
a. hiperkalsemia akibat keganasan
b. Metastase tulang

inj.300mg/5ml,vial @5ml
Dosis kumulatif maks 1500mg selama 5hari

untuk kanker kepala dan leher, paru, payudara,

ovarium dan prostat

inj.20mg/ vial, vial @0,5ml

R/ Maks: utk kombinasi: 75mg/m2 setiap 3minggu.
untuk monoterapi: 100mg/m2 setiap minggu

inj.80mg/ vial, vial @2ml

R/ Maks: utk kombinasi: 75mg/m2 setiap 3minggu.
untuk monoterapi: 100mg/m2 setiap minggu
serb.inj.10mg/vial (HCl), vial @5ml
R/ Maks: Dosis kumulatif maksimum (seumur hidup):
500mg/m2

serb.inj.50mg/vial (HCl), vial @25ml

R/ Maks: Dosis kumulatif maksimum (seumur hidup):
500mg/m2

serb.inj.10mg/vial,vial@5ml
dosis kumulatif maks 750mg/m2

serb.inj.50mg/vial,vial@25ml
dosis kumulatif maks 750mg/m2