LISTE DES MÉDICAMENTS ESSENTIELS GÉNÉRIQUES PUBLIÉE PAR L'OMS

 

1. ANAESTHETICS

1.1 General anaesthetics and oxygen

ether, anaesthetic

(1c, 2)

inhalation.

halothane

(2)

inhalation.

ketamine hydrochloride

(2)

injection, 50 mg/ml in 10-ml vial.

nitrous oxide

(2)

inhalation.

oxygen

 

 

inhalation (medicinal gas).

*thiopental sodium

(2)

powder for injection, 0.5 g, 1.0 g in ampoule.

1.2 Local anaesthetics

*bupivacaine hydrochloride

(2, 9)

injection, 0.25%, 0.5% in vial; injection for spinal anaesthesia, 0.5% in 4-ml ampoule to be mixed with 7.5% glucose solution.

*lidocaine hydrochloride

 

injection, 1%, 2% in vial; injection for spinal anaesthesia, 5% in 2-ml ampoule to be mixed with 7.5% glucose solution; topical forms, 2-4%.

*lidocaine hydrochloride + epinephrine

 

injection 1%, 2% + epinephrine 1:200 000 in vial; dental cartridge 2% + epinephrine 1:80 000.

Complementary drug(s)

ephedrine hydrochloride*

(C)

injection, 30 mg/ml in 1-ml ampoule.

*To prevent hypotension in spinal anaesthesia during delivery.

1.3 Preoperative medication and sedation for short-term procedures

atropine sulfate

 

injection, 1 mg in 1-ml ampoule.

chloral hydrate

 

syrup, 200 mg/5 ml.

*diazepam

(1b)

injection, 5 mg/ml in 2-ml ampoule; tablet, 5 mg.

*morphine hydrochloride

(1a)

injection, 10 mg in 1-ml ampoule.

*morphine sulfate

(1a)

injection, 10 mg in 1-ml ampoule.

*promethazine hydrochloride

 

elixir or syrup, 5 mg/5 ml.

2. ANALGESICS, ANTIPYRETICS, NON-STEROIDAL ANTI-INFLAMMATORY DRUGS, DRUGS USED TO TREAT GOUT AND DISEASE MODIFYING ANTI-RHEUMATOID DRUGS (DMARDs)

2.1 Non-opioids and NSAIDs

acetylsalicylic acid

 

tablet, 100-500 mg; suppository, 50-150 mg.

*ibuprofen

 

tablet, 200 mg, 400 mg.

paracetamol

 

tablet, 100-500 mg; suppository, 100 mg; syrup, 125 mg/5 ml.

2.2 Opioid analgesics

*codeine phosphate

(1a)

tablet, 30 mg.

*morphine hydrochloride

(1a)

injection, 10 mg in 1-ml ampoule; oral solution, 10 mg/5 ml..

*morphine sulfate

(1a)

injection, 10 mg in 1-ml ampoule; oral solution, 10 mg/5 ml; tablet, 10 mg.

*pethidine hydrochloride

(A) (1a, 4)

injection, 50 mg in 1-ml ampoule; tablet, 50 mg, 100 mg.

2.3 Drugs used to treat gout

allopurinol

(4)

tablet, 100 mg.

colchicine

(7)

tablet, 500 micrograms.

2.4 Disease modifying anti-rheumatoid drugs (DMARDs)

azathioprine

(2)

tablet, 50 mg.

chloroquine phosphate

(2)

tablet, 100 mg, 150 mg of chloroquine.

chloroquine sulfate

(2)

tablet, 100 mg, 150 mg of chloroquine.

cyclophosphamide

(2)

tablet, 25 mg.

methotrexate sodium

(2)

tablet, 2.5 mg.

penicillamine

(2)

capsule or tablet, 250 mg.

sulfasalazine

(2)

tablet, 500 mg.

3. ANTIALLERGICS AND DRUGS USED IN ANAPHYLAXIS

*chlorphenamine hydrogen maleate

 

tablet, 4 mg; injection, 10 mg in 1-ml ampoule.

*dexamethasone

 

tablet, 500 micrograms, 4 mg.

*dexamethasone disodium phosphate

 

injection, 4 mg of dexamethasone phosphate in 1-ml ampoule.

epinephrine hydrogen tartrate

 

injection, 1 mg of epinephrine in 1-ml ampoule.

epinephrine hydrochloride

 

injection, 1 mg of epinephrine in 1-ml ampoule.

hydrocortisone sodium succinate

 

powder for injection, 100 mg of hydrocortisone in vial.

*prednisolone

 

tablet, 5 mg.

4. ANTIDOTES AND OTHER SUBSTANCES USED IN POISONING

4.1 Non-specific

*charcoal, activated

 

powder.

ipecacuanha

 

syrup, containing 0.14% ipecacuanha alkaloids calculated as emetine.

4.2 Specific

atropine sulfate

 

injection, 1 mg in 1-ml ampoule.

calcium gluconate

(2, 8)

injection, 100 mg in 10-ml ampoule.

deferoxamine mesilate

 

powder for injection, 500 mg in vial.

dimercaprol

(2)

injection in oil, 50 mg/ml in 2-ml ampoule.

*methionine (DL-)

 

tablet, 250 mg.

methylthioninium chloride (methylene blue)

 

injection, 10 mg/ml in 10-ml ampoule.

naloxone hydrochloride

 

injection, 400 micrograms in 1-ml ampoule.

penicillamine

(2)

capsule or tablet, 250 mg.

potassium ferric hexacyano-ferrate(II) (Prussian blue)

 

powder for oral administration.

sodium calcium edetate

(2)

injection, 200 mg/ml in 5-ml ampoule.

sodium nitrite

 

injection, 30 mg/ml in 10-ml ampoule.

sodium thiosulfate

 

injection, 250 mg/ml in 50-ml ampoule.

5. ANTICONVULSANTS/ANTIEPILEPTICS

carbamazepine

(10,11)

scored tablet, 100 mg, 200 mg.

*diazepam

(1b)

injection, 5 mg/ml in 2-ml ampoule (intravenous or rectal).

ethosuximide

 

capsule, 250 mg; syrup, 250 mg/5 ml.

phenobarbital

(1b, 11)

tablet, 15-100 mg; elixir, 15 mg/5 ml.

phenytoin sodium

(7, 11)

capsule or tablet, 25 mg, 50 mg, 100 mg; injection, 50 mg/ml in 5-ml vial.

sodium valproate

(7, 11)

enteric coated tablet, 200 mg, 500 mg.

Complementary drug(s)

*clonazepam

(B) (1b)

scored tablets 500 micrograms.

magnesium sulfate

(C)

injection, 500 mg/ml in 2-ml ampoule; injecton, 5 g/10 ml in ampoule.

6. ANTI-INFECTIVE DRUGS

6.1 Anthelminthics

6.1.1 Intestinal anthelminthics

albendazole

 

chewable tablet, 400 mg.

levamisole hydrochloride

 

tablet, 50 mg of levamisole, 150 mg of levamisole.

*mebendazole

 

chewable tablet, 100 mg, 500 mg.

niclosamide

 

chewable tablet, 500 mg.

praziquantel

 

tablet, 150 mg, 600 mg.

pyrantel embonate

 

chewable tablet 250 mg of pyrantel; oral suspension, 50 mg of pyrantel/ml.

6.1.2 Antifilarials

diethylcarbamazine dihydrogen citrate

 

tablet, 50 mg, 100 mg.

ivermectin

 

scored tablet, 3 mg, 6 mg.

Complementary drug(s)

suramin sodium

(B) (2, 7)

powder for injection, 1 g in vial.

6.1.3 Antischistosomals and anti-trematode drugs

praziquantel

 

tablet, 600 mg.

triclabendazole

 

tablet, 250 mg.

Complementary drug(s)

oxamniquine

(C) (8)

capsule, 250 mg; syrup, 250 mg/5 ml.

6.2 Antibacterials

6.2.1 Beta lactam drugs

*amoxicillin (anhydrous)

(4)

capsule or tablet, 250 mg, 500 mg; powder for oral suspension, 125 mg/5 ml.

ampicillin sodium

 

powder for injection, 500 mg, 1 g, in vial.

benzathine benzylpenicillin

 

powder for injection, 1.44 g of benzylpenicillin (=2.4 million IU) in 5-ml vial.

benzylpenicillin potassium

 

powder for injection, 600 mg (= 1 million IU), 3 g (= 5 million IU) in vial.

benzylpenicillin sodium

 

powder for injection, 600 mg (= 1 million IU), 3 g (= 5 million IU) in vial.

*cloxacillin sodium

 

capsule, 500 mg, 1 g of cloxacillin; powder for oral solution, 125 mg of cloxacillin/5 ml; powder for injection, 500 mg of cloxacillin in vial.

phenoxymethylpenicillin potassium

 

tablet, 250 mg of phenoxymethylpenicillin; powder for oral suspension, 250 mg of phenoxymethylpenicillin/5 ml.

procaine benzylpenicillin

 

powder for injection, 1 g (=1 million IU), 3 g (=3 million IU).

Reserve antibacterials

*amoxicillin + *clavulanic acid

(D)

tablet, 500 mg + 125 mg.

ceftazidime pentahydrate

(D)

powder for injection, 250 mg of ceftazidime in vial.

*ceftriaxone sodium

(D)

powder for injection, 250 mg of ceftriaxone in vial.

imipenem + cilastatin sodium

(D)

powder for injection 250 mg + 250 mg, 500 mg + 500 mg in vial.

6.2.2 Other antibacterials

*chloramphenicol

(7)

capsule, 250 mg.

*chloramphenicol palmitate

(7)

oral suspension, 150 mg of chloramphenicol/5 ml.

*chloramphenicol sodium succinate

(7)

powder for injection, 1 g of chloramphenicol in vial.

*ciprofloxacin hydrochloride

 

tablet 250 of ciprofloxacin.

*doxycycline hyclate

(5, 6)

capsule or tablet, 100 mg of doxycycline.

*erythromycin ethylsuccinate

 

capsule or tablet, 250 mg of erythromycin; powder for oral suspension, 125 mg of erythromycin..

*erythromycin lactobionate

 

powder for injection, 500 mg of erythromycin in vial.

*erythromycin stearate

 

capsule or tablet, 250 mg of erythromycin; powder for oral suspension, 125 mg of erythromycin.

*gentamicin sulfate

(2, 4, 7, 11)

injection, 10 mg, 40 mg of gentamicin/ml in 2-ml vial.

*metronidazole

 

tablet, 200-500 mg; injection, 500 mg in 100-ml vial; suppository, 500 mg, 1 g.

*metronidazole benzoate

 

oral suspension, 200 mg of metronidazole/5 ml.

nalidixic acid

(8)

tablet 250 mg, 500 mg.

nitrofurantoin

(4, 8)

tablet, 100 mg.

spectinomycin hydrochloride

(8)

powder for injection, 2 g of spectinomycin in vial.

*sulfadiazine

(4)

tablet, 500 mg.

*sulfadiazine sodium

(4)

injection, 250 mg in 4-ml ampoule.

*sulfamethoxazole + trimethoprim

(4)

tablet, 100 mg + 20 mg, 400 mg + 80 mg; oral suspension, 200 mg + 40 mg/5 ml; injection, 80 mg + 16 mg/ml in 5-ml and 10-ml ampoules.

trimethoprim

(8)

tablet, 100 mg, 200 mg; injection 20 mg/ml in 5-ml ampoule.

Complementary drug(s)

chloramphenicol sodium succinate

(C)

oily suspension for injection 0.5 g of chloramphenicol/ml in 2-ml ampoule.

clindamycin

(B) (8)

capsule, 150 mg.

clindamycin phosphate

(B) (8)

injection, 150 mg of clindamycin.

Reserve antibacterial

vancomycin hydrochloride

(D)

powder for injection, 250 mg of vancomycin in vial.

6.2.3 Antileprosy drugs

clofazimine

 

capsule, 50 mg, 100 mg.

dapsone

 

tablet, 25 mg, 50 mg, 100 mg.

rifampicin

 

capsule or tablet, 150 mg, 300 mg.

6.2.4 Antituberculosis drugs

ethambutol hydrochloride

(4)

tablet, 100 mg-400 mg.

isoniazid

 

tablet, 100 - 300 mg.

isoniazid + ethambutol hydrochloride

(5)

tablet, 150 mg + 400 mg.

pyrazinamide

 

tablet, 400 mg.

rifampicin

 

capsule or tablet, 150 mg, 300 mg.

rifampicin + isoniazid*

(5)

tablet, 150 mg + 75 mg; 300 mg + 150 mg; 150 mg + 150 mg.

*For intermittent use three times weekly.

rifampicin + isoniazid + pyrazinamide*

(5)

tablet, 150 mg + 75 mg + 400 mg; 150 mg + 150 mg + 500 mg.

*For intermittent use three times weekly.

streptomycin sulfate

(4)

powder for injection, 1 g of streptomycin in vial.

Complementary drug(s)

thioacetazone + isoniazid

(A) (5, 7)

tablet, 50 mg + 100 mg; 150 mg + 300 mg.

6.3 Antifungal drugs

amphotericin B

(4)

powder for injection, 50 mg in vial.

griseofulvin

(8)

capsule or tablet, 125 mg, 250 mg.

*ketoconazole

(2)

tablet, 200 mg; oral suspension, 100 mg/5 ml.

nystatin

 

tablet, 100,000, 500,000 IU; lozenge 100,000 IU; pessary, 100,000 IU.

Complementary drug(s)

flucytosine

(B) (4, 8)

capsule, 250 mg; infusion, 2.5 g in 250 ml.

potassium iodide

(A)

saturated solution.

6.4 Antivirals

6.4.1 Antiherpes

aciclovir

(8)

tablet, 200 mg.

aciclovir sodium

(8)

powder for injection, 250 mg of aciclovir.

6.4.2 Antiretrovirals

zidovudine

(8)

capsules 100 mg, 250 mg; injection, 10 mg/ml in 20-ml vial; oral solution 50 mg/5-ml.

Drugs for treatment of HIV/AIDS include Nucleoside Reverse Transcriptase Inhibitors (NRTIs), Non-Nucleoside Reverse Transcriptase Inhibitors (NNRTIs) and protease inhibitors (PIs). The prototype drug, zidovudine, has been shown to reduce or prevent mother-to-child transmission. THIS IS THE ONLY INDICATION FOR WHICH IT IS INCLUDED HERE. Single drug use with zidovudine, except in pregnancy, is now regarded as obsolete, because of the development of resistance. Triple therapy is beyond the budgets of most national drug programmes and therefore HIV/AIDS treatment policies must be decided at country or institutional level.

6.5 Antiprotozoal drugs

6.5.1 Antiamoebic and antigiardiasis drugs

*diloxanide furoate

 

tablet, 500 mg.

*metronidazole

 

tablet, 200-500 mg; injection, 500 mg in 100-ml vial.

*metronidazole benzoate

 

oral suspension 200 mg of metronidazole/5 ml.

6.5.2 Antileishmaniasis drugs

*meglumine antimonate

 

injection, 30%, equivalent to approximately 8.5% antimony, in 5-ml ampoule.

pentamidine isetionate

(5)

powder for injection, 200 mg, 300 mg in vial.

Complementary drug(s)

amphotericin B

(B) (4)

powder for injection, 50 mg in vial.

6.5.3 Antimalarial drugs

6.5.3.1 For curative treatment

*chloroquine hydrochloride

 

injection 40 mg of chloroquine/ml in 5-ml ampoule.

*chloroquine phosphate

 

tablet 100 mg, 150 mg of chloroquine; syrup, 50 mg of chloroquine/5 ml; injection 40 mg of chloroquine/ml in 5-ml ampoule.

*chloroquine sulfate

 

tablet 100 mg, 150 mg of chloroquine; syrup, 50 mg of chloroquine/5 ml; injection 40 mg of chloroquine/ml in 5 ml ampoule.

primaquine diphosphate

 

tablet, 7.5 mg, 15 mg of primaquine.

*quinine bisulfate

 

tablet, 300 mg.

*quinine dihydrochloride

 

injection, 300 mg/ml in 2-ml ampoule.

*quinine sulfate

 

tablet, 300 mg.

Complementary drug(s)

*doxycycline hyclate*

(B)

capsule or tablet, 100 mg.

*For use only in combination with chloroquine.

mefloquine hydrochloride

(B)

tablet, 250 mg of mefloquine.

*sulfadoxine + pyrimethamine

(B)

tablet, 500 mg + 25 mg.

Reserve antimalarial

artemether

(D)

injection, 80 mg/ml in 1-ml ampoule.

6.5.3.2 For prophylaxis

chloroquine phosphate

 

tablet, 150 mg of chloroquine; syrup, 50 mg of chloroquine/5 ml.

chloroquine sulfate

 

tablet, 150 mg of chloroquine; syrup, 50 mg of chloroquine/5 ml.

mefloquine hydrochloride

 

tablet, 250 mg of mefloquine.

proguanil hydrochloride*

 

tablet, 100 mg.

*For use only in combination with chloroquine.

6.5.4 Anti-pneumocystosis and anti-toxoplasmosis drugs

pentamidine isetionate

(2)

tablet 200 mg, 300 mg.

pyrimethamine

 

tablet, 25 mg.

sulfamethoxazole + trimethoprim

 

injection 80 mg + 16 mg in 5 ml ampoule.

6.5.5. Antitrypanosomal drugs

6.5.5.1 African trypanosomiasis

melarsoprol

(5)

injection, 3.6% solution.

pentamidine isetionate

(5)

powder for injection, 200 mg, 300 mg in vial.

suramin sodium

(5)

powder for injection, 1 g in vial.

Complementary drug(s)

eflornithine hydrochloride

(C)

injection, 200 mg/ml in 100-ml bottles.

6.5.5.2 American trypanosomiasis

benznidazole

(7)

tablet, 100 mg.

nifurtimox

(2, 8)

tablet, 30 mg; 120 mg; 250 mg.

6.6 Insect repellents

diethyltoluamide

 

topical solution, 50%, 75%.

7. ANTIMIGRAINE DRUGS

7.1 For treatment of acute attack

acetylsalicylic acid

 

tablet, 300 - 500 mg.

ergotamine tartrate

(7)

tablet, 1 mg.

paracetamol

 

tablet, 300-500 mg.

7.2 For prophylaxis

*propranolol hydrochloride

 

tablet, 20 mg, 40 mg.

8. ANTINEOPLASTIC AND IMMUNOSUPPRESSIVES DRUGS

8.1 Immunosuppressive drugs

*azathioprine

(2)

tablet, 50 mg.

*azathioprine sodium

(2)

powder for injection, 100 mg of azathioprine in vial.

ciclosporin*

(2)

capsule, 25 mg; concentrate for injection 50 mg/ml in 1-ml ampoule.

*For organ transplantation.

8.2 Cytotoxic drugs

asparaginase

(2)

powder for injection, 10,000 IU in vial.

bleomycin sulfate

(2)

powder for injection, 15 mg of bleomycin in vial.

calcium folinate

(2)

tablet, 15 mg; injection, 3 mg/ml in 10-ml ampoule.

chlormethine hydrochloride

(2)

powder for injection, 10 mg in vial.

cisplatin

(2)

powder for injection, 10 mg, 50 mg in vial.

cyclophosphamide

(2)

tablet, 25 mg; powder for injection, 500 mg in vial.

cytarabine

(2)

powder for injection, 100 mg in vial.

dacarbazine

(2)

powder for injection, 100 mg in vial.

dactinomycin

(2)

powder for injection, 500 micrograms in vial.

*doxorubicin hydrochloride

(2)

powder for injection, 10 mg, 50 mg in vial.

etoposide

(2)

capsule, 100 mg; injection, 20 mg/ml in 5-ml ampoule.

fluorouracil

(2)

injection, 50 mg/ml in 5-ml ampoule.

levamisole hydrochloride

(2)

tablet, 50 mg of levamisole.

mercaptopurine

(2)

tablet, 50 mg.

methotrexate sodium

(2)

tablet, 2.5 mg of methotrexate; powder for injection, 50 mg of methotrexate in vial.

procarbazine hydrochloride

 

capsule, 50 mg of procarbazine.

vinblastine sulfate

(2)

powder for injection, 10 mg in vial.

vincristine sulfate

(2)

powder for injection, 1 mg, 5 mg in vial.

8.3 Hormones and antihormones

*prednisolone

 

tablet, 5 mg.

*prednisolone sodium phosphate

 

powder for injection, 20 mg of prednisolone in vial, 25 mg of prednisolone in vial.

*prednisolone sodium succinate

 

powder for injection, 20 mg of prednisolone in vial, 25 mg of prednisolone in vial.

tamoxifen citrate

 

tablet, 10 mg, 20 mg of tamoxifen.

9. ANTIPARKINSONISM DRUGS

*biperiden hydrochloride

 

tablet, 2 mg.

*biperiden lactate

 

injection, 5 mg in 1-ml ampoule.

levodopa + *carbidopa

(5, 6)

tablet, 100 mg + 10 mg; 250 mg + 25 mg.

10. DRUGS AFFECTING THE BLOOD

10.1 Anti-anaemia drugs

ferrous sulfate

 

tablet, 60 mg Fe; oral solution, 25 mg Fe/1 ml.

ferrous sulfate + sodium folate*

 

tablet equivalent to 60 mg iron + 400 micrograms sodium folate.

*Nutritional supplement for use during pregnancy.

hydroxocobalamin

(2)

injection, 1 mg in 1-ml ampoule.

sodium folate

(2)

injection, 1 mg of folic acid in 1-ml ampoule.

Complementary drug(s)

*iron dextran

(B) (5)

injection, equivalent to 50 mg Fe (as complex of iron (III) hydroxide with dextran)/ml in 2-ml ampoule.

10.2 Drugs affecting coagulation

desmopressin acetate

(8)

injection, 4 micrograms/ml in 1-ml ampoule; nasal spray 10 micrograms/metered dose.

heparin sodium

 

injection, 1000 IU/ml, 5000 IU/ml, 20,000 IU/ml in 1-ml ampoule.

phytomenadione

 

injection, 10 mg/ml in 5-ml ampoule; tablet, 10 mg.

protamine sulfate

 

injection, 10 mg/ml in 5-ml ampoule.

*warfarin sodium

(2, 6)

tablet, 1 mg, 2 mg and 5 mg.

11. BLOOD PRODUCTS AND PLASMA SUBSTITUTES

11.1 Plasma substitutes

*dextran 70

 

injectable solution, 6%.

*polygeline

 

injectable solution, 3.5%.

11.2 Plasma fractions for specific use

All plasma fractions should comply with the WHO Requirements for the Collection, Processing and Quality Control of Blood, Blood Components, and Plasma Derivatives (Revised 1992). WHO Technical Report Series, No. 840, 1994, Annex 2.

albumin, human

(2, 8)

injectable solution, 5%, 25%.

Complementary drug(s)

*factor VIII concentrate

(C) (2, 8)

(dried).

*factor IX complex concentrate (coagulation factors, II, VII, IX, X)

(C) (2, 8)

(dried).

12. CARDIOVASCULAR DRUGS

12.1 Antianginal drugs

*atenolol

 

tablet, 50 mg, 100 mg.

glyceryl trinitrate

 

tablet (sublingual), 500 micrograms.

*isosorbide dinitrate

 

tablet (sublingual), 5 mg.

*verapamil hydrochloride

(10)

tablet, 40 mg, 80 mg.

12.2 Antiarrhythmic drugs

*atenolol

 

tablet, 50 mg, 100 mg.

digoxin

(4, 11)

tablet, 62.5 micrograms, 250 micrograms; oral solution 50 micrograms; injection 250 micrograms/ml in 2-ml ampoule..

lidocaine hydrochloride

 

injection, 20 mg/ml in 5-ml ampoule.

verapamil hydrochloride

(8, 10)

tablet, 40 mg, 80 mg; injection, 2.5 mg/ml in 2-ml ampoule.

Complementary drug(s)

epinephrine hydrochloride

(C)

injection 1 mg of epinephrine in 1-ml ampoule.

isoprenaline hydrochloride

(C)

injection, 20 micrograms/ml.

*procainamide hydrochloride

(B)

tablet, 250 mg, 500 mg; injection, 100 mg/ml in 10-ml ampoule.

*quinidine sulfate

(A) (7)

tablet, 200 mg.

12.3 Antihypertensive drugs

*atenolol

 

tablet, 50 mg, 100 mg.

*captopril

 

scored tablet, 25 mg.

*hydralazine hydrochloride

 

tablet, 25 mg, 50 mg; powder for injection, 20 mg in ampoule.

*hydrochlorothiazide

 

scored tablet, 25 mg.

methyldopa

(7)

tablet, 250 mg.

*nifedipine

(10)

sustained release formulations; tablet 10 mg.

*reserpine

 

tablet, 100 micrograms, 250 micrograms; injection, 1 mg in 1-ml ampoule.

Complementary drug(s)

*doxazosin mesilate

(B)

tablet, 1 mg, 2 mg, 4 mg.

*sodium nitroprusside

(C) (2, 8)

powder for infusion, 50 mg in ampoule.

12.4 Drugs used in heart failure

*captopril

(4, 11)

scored tablet, 25 mg.

*digoxin

(4, 11)

tablet, 62.5 micrograms, 250 micrograms; oral solution, 50 micrograms/ml; injection, 250 micrograms/ml in 2-ml ampoule.

*hydrochlorothiazide

 

tablet, 25 mg, 50 mg.

12.5 Antithrombotic drugs

acetylsalicylic acid

 

tablet, 100 mg.

Complementary drug(s)

streptokinase

(C)

powder for injection, 100,000 IU, 750,000 IU in vial.

12.6 Lipid-lowering agents

lipid-lowering agents*

 

 

*The Committee recognizes the value of lipid-lowering drugs in treating patients with hyperlipidaemia. However, there are many other risk factors for atherosclerosis and its complications including tobacco smoking and inadequately controlled hypertension. Most hyperlipidaemias can be controlled by diet.

HMG-CoA reductase inhibitors, often referred to as "statins" are a family of potent and effective lipid-lowering drugs with a good tolerability profile. Several of them have now been shown to reduce fatal and non-fatal myocardial infarction, stroke, the need for coronary by-pass surgery and all-cause mortality.

13. DERMATOLOGICAL DRUGS (topical)

13.1 Antifungal drugs

benzoic acid + salicylic acid

 

ointment or cream, 6% + 3%.

*miconazole nitrate

 

ointment or cream, 2%.

sodium thiosulfate

 

solution, 15%.

Complementary drug(s)

selenium sulfide

(C)

detergent-based suspension, 2%.

13.2 Anti-infective drugs

*methylrosanilinium chloride (gentian violet)

 

aqueous solution, 0.5%; tincture, 0.5%.

neomycin sulfate + *bacitracin zinc

 

ointment, 5 mg + 500 IU.

*potassium permanganate

 

aqueous solution 1:10 000.

sulfadiazine silver

 

cream, 1%, in 500-g container.

13.3 Anti-inflammatory and antipruritic drugs

*betamethasone valerate

(3)

ointment or cream, 0.1% of betamethasone.

*calamine

 

lotion.

*hydrocortisone acetate

 

ointment or cream, 1%.

13.4 Astringent drugs

aluminium diacetate

 

solution, 13% for dilution.

13.5 Drugs affecting skin differentiation and proliferation

benzoyl peroxide

 

lotion or cream, 5%.

coal tar

 

solution, 5%.

dithranol

 

ointment, 0.1%-2%.

fluorouracil

 

ointment, 5%.

*podophyllum resin

(7)

solution, 10-25%.

salicylic acid

 

solution (topical) 5%.

urea

 

ointment or cream, 10%.

13.6 Scabicides and pediculicides

*benzyl benzoate

 

lotion, 25%.

permethrin

 

cream 5%; lotion 1%.

13.7 Ultraviolet blocking agents

Complementary drugs

broad-spectrum topical sun protection agent with activity against UVA and UVB

(C)

cream, lotion or gel.

14. DIAGNOSTIC AGENTS

14.1 Ophthalmic drugs

fluorescein sodium

 

eye drops, 1%.

*tropicamide

 

eye drops, 0.5%.

14.2 Radiocontrast media

barium sulfate

 

aqueous suspension.

*iopanoic acid

 

tablet, 500 mg.

*meglumine amidotrizoate

 

injection, 140-420 mg iodine/ml in 20-ml ampoule.

*propyliodone

 

oily suspension, 500-600 mg/ml in 20-ml ampoule*.

*This suspension is for administration only into the bronchial tree.

*sodium amidotrizoate

 

injection, 140-420 mg of iodine/ml in 20-ml ampoule.

Complementary drug(s)

*meglumine iotroxate

(C)

solution, 5-8 g iodine in 100-250 ml.

15. DISINFECTANTS AND ANTISEPTICS

15.1 Antiseptics

*chlorhexidine digluconate

 

solution, 5% concentrate for dilution.

*povidone-iodine

 

solution, 10%.

15.2 Disinfectants

*chlorine base compound

 

powder for solution 0.1% available chlorine.

*chloroxylenol

 

solution, 5%.

glutaral

 

solution, 2%.

16. DIURETICS

*amiloride hydrochloride

(4, 7, 8)

tablet, 5 mg.

*furosemide

 

tablet, 40 mg; injection, 10 mg/ml in 2-ml ampoule.

*hydrochlorothiazide

 

tablet, 25 mg, 50 mg.

spironolactone

(8)

tablet, 25 mg.

Complementary drug(s)

*mannitol

(C)

injectable solution, 10%, 20%.

17. GASTROINTESTINAL DRUGS

17.1 Antacids and other antiulcer drugs

aluminium hydroxide

 

tablet, 500 mg; oral suspension, 320 mg/5 ml.

*cimetidine

 

tablet, 200 mg; injection, 200 mg in 2-ml ampoule.

magnesium hydroxide

 

oral suspension, 550 mg of magnesium oxide/10 ml.

17.2 Antiemetic drugs

metoclopramide hydrochloride

 

tablet, 10 mg; injection, 5 mg/ml in 2-ml ampoule.

*promethazine hydrochloride

 

tablet, 10 mg, 25 mg; elixir or syrup, 5 mg/5 ml; injection, 25 mg/ml in 2-ml ampoule.

17.3 Antihaemorrhoidal drugs

*local anaesthetic, astringent and anti-inflammatory drug

 

ointment or suppository.

17.4 Anti-inflammatory drugs

hydrocortisone

 

retention enema.

17.4 Anti-inflammatory drugs

hydrocortisone acetate

 

suppository, 25 mg.

*sulfasalazine

(2)

tablet, 500 mg; suppository 500 mg; retention enema.

17.5 Antispasmodic drugs

*atropine sulfate

 

tablet, 0.6 mg; injection, 1 mg in 1-ml ampoule.

17.6 Laxatives

*senna

 

tablet, 7.5 mg (sennosides) (or traditional dosage forms).

17.7 Drugs used in diarrhoea

17.7.1 Oral rehydration

oral rehydration salts (for glucose-electrolyte solution)

 

powder, 27.9 g/l;

Components to reconstitute 1 litre of glucose-electrolyte solution:

sodium chloride 3.5 g/l;

trisodium citrate dihydrate* 2.9 g/l; potassium chloride 1.5 g/l;

glucose, anhydrous 20.0 g/l.

*Trisodium citrate dihydrate may be replaced by sodium bicarbonate (sodium hydrogen carbonate) 2.5g/l. However, as the stability of this latter formulation is very poor under tropical conditions, it is only recommended when manufactured for immediate use.

17.7.2 Antidiarrhoeal (symptomatic) drugs

*codeine phosphate

(1a)

tablet, 30 mg.

18. HORMONES, OTHER ENDOCRINE DRUGS AND CONTRACEPTIVES

18.1 Adrenal hormones and synthetic substitutes

*dexamethasone

 

tablet 500 micrograms, 4 mg.

*dexamethasone disodium phosphate

 

injection 4 mg of dexamethasone phosphate in 1-ml ampoule.

hydrocortisone sodium succinate

 

powder for injection, 100 mg of hydrocortisone in vial.

*prednisolone

 

tablet 1 mg, 5 mg.

Complementary drug(s)

fludrocortisone acetate

(C)

tablet, 100 micrograms.

18.2 Androgens

Complementary drug

testosterone enantate

(C) (2)

injection, 200 mg in 1-ml ampoule.

18.3 Contraceptives

18.3.1 Hormonal contraceptives

*ethinylestradiol + *levonorgestrel

 

tablets 30 micrograms + 150 micrograms.

*ethinylestradiol + *norethisterone

 

tablet, 35 micrograms + 1.0 mg.

*ethinylestradiol + *levonorgestrel

(C)

50 micrograms + 250 micrograms (pack of four).

*levonorgestrel

(B)

tablets, 30 micrograms.

medroxyprogesterone acetate

(B) (7, 8)

depot injection, 150 mg/ml in 1-ml vial.

norethisterone enantate

(B) (7, 8)

oily solution, 200 mg/ml in 1-ml ampoule.

18.3.2 Intrauterine devices

copper-containing device

 

 

18.3.3 Barrier methods

condoms with or without spermicide (nonoxinol)

 

 

diaphragms with spermicide (nonoxinol)

 

 

18.4 Estrogens

*ethinylestradiol

 

tablet, 10 micrograms, 50 micrograms.

18.5 Insulins and other antidiabetic agents

*glibenclamide

 

tablets, 2.5 mg, 5 mg.

insulin (soluble)

 

injection, 40 IU/ml in 10-ml vial, 100 IU/ml in 10-ml vial.

intermediate-acting insulin (compound insulin zinc suspension)

 

injection, 40 IU of insulin/ml in 10 ml vial; 100 IU of insulin/ml in 10 ml vial.

metformin

 

tablet, 500 mg.

18.6 Ovulation inducers

*clomifene citrate

(2, 8)

tablet, 50 mg.

18.7 Progestogens

norethisterone

 

tablet, 5 mg.

Complementary drug(s)

medroxyprogesterone acetate

(B)

tablet, 5 mg.

18.8 Thyroid hormones and antithyroid drugs

levothyroxine sodium

 

tablet, 50 micrograms, 100 micrograms.

potassium iodide

 

tablet, 60 mg.

*propylthiouracil

 

tablet, 50 mg.

19. IMMUNOLOGICALS

19.1 Diagnostic agents

All tuberculins should comply with the WHO Requirements for Tuberculins (Revised 1985). WHO Technical Report Series, No. 745, 1987, Annex 1.

tuberculin, purified protein derivative (PPD)

 

injection.

19.2 Sera and immunoglobulins*

All plasma fractions should comply with the WHO Requirements for the Collection, Processing and Quality Control of Blood, Blood Components and Plasma Derivatives (Revised 1992). WHO Technical Report Series, No. 840, 1994, Annex 2.

anti-D immunoglobulin (human)

 

injection, 250 micrograms in single-dose vial.

antiscorpion sera

 

injection.

*antitetanus immunoglobulin (human)

 

injection, 500 IU in vial.

antivenom serum

 

injection.

diphtheria antitoxin

 

injection, 10,000 IU, 20,000 IU in vial.

immunoglobulin, human normal

(2)

intramuscular injection.

immunoglobulin, human normal

(2, 8)

intravenous injection.

*rabies immunoglobulin

 

injection, 150 IU/ml.

19.3 Vaccines

19.3.1 For universal immunization

BCG vaccine (dried)

 

injection.

diphtheria-pertussis-tetanus vaccine

 

injection.

diphtheria-tetanus vaccine

 

injection.

hepatitis B vaccine

 

injection.

measles vaccine

 

injection.

measles-mumps-rubella vaccine

 

injection.

poliomyelitis vaccine (inactivated)

 

injection.

poliomyelitis vaccine (live attenuated)

 

oral solution.

tetanus vaccine

 

injection.

tetanus-diphtheria (Td)

 

injection.

19.3.2 For specific groups of individuals

influenza vaccine

 

injection.

meningococcal vaccine

 

injection.

rabies vaccine

 

injection (in cell culture).

rubella vaccine

 

injection.

typhoid vaccine

 

injection.

yellow fever vaccine

 

injection.

20. MUSCLE RELAXANTS (PERIPHERALLY ACTING) AND CHOLINESTERASE INHIBITORS

*alcuronium chloride

(2)

injection, 5 mg/ml in 2-ml ampoule.

*neostigmine bromide

 

tablet, 15 mg.

*neostigmine metilsulfate

 

injection, 500 micrograms in 1-ml ampoule; 2.5 mg in 1-ml ampoule.

pyridostigmine bromide

(2, 8)

tablet, 60 mg; injection, 1 mg in 1-ml ampoule.

suxamethonium chloride

(2)

injection, 50 mg/ml in 2-ml ampoule; powder for injection.

Complementary drug(s)

vecuronium bromide

(C)

powder for injection, 10 mg in vial.

21. OPHTHALMOLOGICAL PREPARATIONS

21.1 Anti-infective agents

*gentamicin sulfate

 

solution (eye drops), 0.3%.

*idoxuridine

 

solution (eye drops), 0.1%; eye ointment, 0.2%.

silver nitrate

 

solution (eye drops), 1%.

*tetracycline hydrochloride

 

eye ointment, 1%.

21.2 Anti-inflammatory agents

*prednisolone sodium phosphate

 

eye drops, 0.5%.

21.3 Local anaesthetics

*tetracaine hydrochloride

 

solution (eye drops), 0.5%.

21.4 Miotics and antiglaucoma drugs

acetazolamide

 

tablet, 250 mg.

*pilocarpine hydrochloride

 

solution (eye drops), 2%, 4%.

*pilocarpine nitrate

 

solution (eye drops), 2%, 4%.

*timolol maleate

 

solution (eye drops), 0.25%, 0.5%.

21.5 Mydriatics

atropine sulfate

 

solution (eye drops), 0.1%; solution 0.5%, 1%.

Complementary drug(s)

epinephrine hydrochloride

(A)

solution (eye drops), 2% of epinephrine.

22. OXYTOCICS AND ANTIOXYTOCICS

22.1 Oxytocics

*ergometrine hydrogen maleate

 

tablet, 200 micrograms; injection, 200 micrograms in 1-ml ampoule.

oxytocin

 

injection, 10 IU in 1-ml ampoule.

22.2 Antioxytocics

*salbutamol sulfate

(2)

tablet, 4 mg of salbutamol; injection, 50 micrograms of salbutamol/ml in 5-ml ampoule.

23. PERITONEAL DIALYSIS SOLUTION

intraperitoneal dialysis solution (of appropriate composition)

 

parenteral solution.

24. PSYCHOTHERAPEUTIC DRUGS

24.1 Drugs used in psychotic disorders

*chlorpromazine hydrochloride

 

tablet, 100 mg; syrup, 25 mg/5ml; injection, 25 mg/ml in 2-ml ampoule.

*fluphenazine decanoate

(5)

injection, 25 mg in 1-ml ampoule.

*fluphenazine enantate

(5)

injection, 25 mg in 1-ml ampoule.

*haloperidol

 

tablet, 2 mg, 5 mg; injection, 5 mg in 1-ml ampoule.

24.2 Drugs used in mood disorders

24.2.1 Drugs used in depressive disorders

*amitriptyline hydrochloride

 

tablet, 25 mg.

24.2.2 Drugs used in bipolar disorders

carbamazepine

(10, 11)

scored tablet, 100 mg, 200 mg.

lithium carbonate

(2, 4)

capsule or tablet, 300 mg.

sodium valproate

(7, 11)

enteric coated tablet, 200 mg, 500 mg.

24.3 Drugs used in generalized anxiety and sleep disorders

*diazepam

(1b)

scored tablet, 2 mg, 5 mg.

24.4 Drugs used for obsessive compulsive disorders and panic attacks

clomipramine hydrochloride

 

capsules, 10 mg, 25 mg.

25. DRUGS ACTING ON THE RESPIRATORY TRACT

25.1 Antiasthmatic drugs

*aminophylline

(2)

injection, 25 mg/ml in 10 ml ampoule.

*beclometasone dipropionate

 

inhalation (aerosol), 50 micrograms per dose; 250 micrograms per dose.

*epinephrine hydrochloride

 

injection, 1 mg of epinephrine in 1-ml ampoule.

*epinephrine hydrogen tartrate

 

injection, 1 mg of epinephrine in 1-ml ampoule.

*ipratropium bromide

 

inhalation, 20 micrograms/metered dose.

*salbutamol sulfate

 

tablet, 2 mg, 4 mg of salbutamol; inhalation (aerosol), 100 micrograms of salbutamol per dose; syrup, 2 mg of salbutamol/5 ml; injection, 50 micrograms of salbutamol/ml in 5-ml ampoule; respirator solution for use in nebulizers, 5 mg of salbutamol/ml.

*theophylline

(10, 11)

tablet, 100 mg, 200 mg.

Complementary drug(s)

*sodium cromoglicate

(B)

inhalation (aerosol), 20 mg per dose.

25.2 Antitussives

*dextromethorphan hydrobromide

(1a)

oral solution, 3.5 mg/5 ml.

26. SOLUTIONS CORRECTING WATER, ELECTROLYTE AND ACID-BASE DISTURBANCES

26.1 Oral

oral rehydration salts (for glucose-electrolyte solution)

 

see section 17.7.1.

potassium chloride

 

powder for solution.

26.2 Parenteral

glucose

 

injectable solution, 5% isotonic, 50% hypertonic.

glucose with sodium chloride

 

injectable solution, 4% glucose, 0.18% sodium chloride (equivalent to Na+ 30 mmol/l, Cl- 30 mmol/l).

potassium chloride

(2)

solution, 11.2% in 20-ml ampoule, (equivalent to K+ 1.5 mmol/ml, Cl- 1.5 mmol/ml).

sodium chloride

 

injectable solution, 0.9% isotonic (equivalent to Na+ 154 mmol/l, Cl- 154 mmol/l); injectable solution, 0.18% (Na+ 30 mmol/l, Cl- 30 mmol/l) + glucose, 4%.

sodium hydrogen carbonate

 

injectable solution, 1.4% isotonic (equivalent to Na+ 167 mmol/l, HCO3- 167 mmol/l); solution, 8.4% in 10-ml ampoule (equivalent to NA+ 1000 mol/l, HCO3- 1000 mol/l).

26.2 Parenteral

*sodium lactate (compound)

 

injectable solution.

26.3 Miscellaneous

water for injection

 

2-ml, 5-ml, 10-ml ampoules.

27. VITAMINS AND MINERALS

ascorbic acid

 

tablet, 50 mg.

*ergocalciferol

 

capsule or tablet, 1.25 mg (50,000 IU); oral solution, 250 micrograms/ml (10,000 IU/ml).

iodine

(8)

iodized oil:

oral solution, 0.5 ml (240 mg of iodine/ml), 1 ml (480 mg iodine/1 ml) in ampoule; injection, 0.5 ml (240 mg of iodine/ml), 1 ml (480 mg iodine/1 ml) in ampoule; solution, 0.57 ml (308 mg iodine) in dispenser bottle;

capsule, 200 mg.

*nicotinamide

 

tablet, 50 mg.

pyridoxine hydrochloride

 

tablet, 25 mg.

*retinol palmitate

 

sugar-coated tablet, 10,000 IU (5.5 mg) of retinol; capsule, 200,000 IU (110 mg) of retinol; oral oily solution 100,000 IU/ml of retinol in multidose dispenser; water-miscible injection 100,000 IU (55 mg) of retinol in 2-ml ampoule.

riboflavin

 

tablet, 5 mg.

*sodium fluoride

 

in any appropriate formulation.

thiamine hydrochloride

 

tablet, 50 mg.

Complementary drug(s)

calcium gluconate

(C), (2, 8)

injection, 100 mg/ml in 10-ml ampoule.