NO.

KELAS TERAPI - OBAT SEDIAAN NAMA OBAT PABRIK

1. ANALGETIK NON NARKOTIK, ANTIPIRETIK, ANTIINFLAMASI NON STEROID

1.1 ANALGETIK NON NARKOTIK DAN ANTIPIRETIK
1. Ibuprofen Tab 400 mg Ibuprofen OGB
Susp. 100mg/5ml, btl 60 Fenris Interbat
ml
2. Metampiron Tab 500 mg Antalgin OGB
Injeksi 500 mg/ml, amp 2 Novalgin Avent
ml Antrain Interbat

3. Paracetamol Tab 500 mg Parasetamol OGB

Biogesic Biomed
Panadol Sterli

Syr 120mg/5ml, btl 60 ml Parasetamol OGB

Ekacetol Bufa
Pacetik Yekatria
Syr 250mg/5ml, btl 60 ml Progesic Metiska
Drops 0,6ml, btl 15ml Sanmol Sanbe
Infus 10mg/ml, vial Paracetamol OGB
100ml Tamoliv Kalbe
Sanmol Sanbe

4. Asam mefenamat Kaps 500 mg Asam Mefenamat OGB

Opistan Otto
Yekapons Yeka

5. Ketorolac Tablet 10 mg Ketorolac OGB

Inj 30 mg/ml, amp 1 ml Ketorolac OGB
Torasic Kalbe

6. Kombinasi : Tablet Sistenol Dexa

Parasetamol 500 mg, asetilsistein 200 mg

7. Kombinasi : Tablet Analsik Sanbe

Metampiron 500 mg, diazepam 2 mg

8. Kombinasi : Tablet Tramifen Otto

Tramadol HCL 37,5 mg, paracetamol 325 mg Patral MBF

9. Kombinasi :
Metamizol 500 mg, vit B1 disulfida 50 mg,
vit B6 10 mg, vit B12 10 mcg, kafeina Tablet Metaneuron Phapr
30mg, klordiazepoksida 2,5 mg, diazepam
1 mg
10. Kombinasi :
Methampyron 250 mg/ml, aminopryne Injeksi15 ml Benodon Berno
50mg/ml, lidocaine HCl 15mg/ml

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NO. KELAS TERAPI - OBAT SEDIAAN NAMA OBAT PABRIK

1.2 ANTI INFLAMASI NON STEROID

1. Diklofenak natrium Tablet 25 mg Natrium diklofenak OGB
Tablet 50 mg Natrium diklofenak OGB
Voltaren Nova
Flamar Sanbe

2. Diklofenak kalium Tablet 25 mg Kalium diklofenak OGB

Kalium diklofenak OGB
Tablet 50 mg Cataflam Nova
Sachet 50mg/900mg Cataflam Fast Nova

3. Ketoprofen Tablet 50 mg Ketoprofen OGB

Kaltrofen OGB
Tablet 100 mg Ketoprofen Kalbe
Pronalges 100 Dexa
Tablet 200 mg Pronalges CR 200 Dexa

4. Meloxicam Tablet 7,5 mg Meloxicam OGB

Tablet 15 mg Meloxicam OGB

5. Piroxicam Tablet 20 mg Piroxicam OGB

6. Dekxketoprofen trometamol Tablet 25 mg Dexketoprofen OGB

Inj 50 mg/2ml Dexketoprofen OGB

7. Celecoxib ( selektif COX-2 ) Kaps 200 mg Celebrex Pfizer

1.3 ANTIPIRAI DAN ANTI REUMATIK

1. Allopurinol Tablet 100 mg Allopurinol OGB
Tablet 300 mg Allopurinol OGB
Reucid Otto

2. Colchicine Tablet, 0,5 mg L - Cisin Lapi

3. Kombinasi :
Glucosamine HCl 500 mg, chondroitin
sulfat 400 mg, vit C 30mg, manganese Kapl Viopor Otto
0,5 mg, Mg 10 mg, selenium 10 mcg, Zn
5 mg

1.4 ANALGETIK NARKOTIK

1. Codein Tablet 15 mg Codein KF

2. Tramadol Kaps 50 m,g Tramadol OGB

Inj 50 mg/ml, amp 2 ml Tramadol OGB

3. Morfin Tablet 10 mg MST Continous Mahakam

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 NO. KELAS TERAPI - OBAT SEDIAAN NAMA OBAT PABRIK

2. ANESTESI
2.1 UMUM
1. Midazolam Inj 5 mg/5 ml Dormicum Roche
Inj. 15 mg/3ml, amp 3 ml Sedacum Dexa

2.2 LOKAL
1. Lidocain HCL Inj 2%, ampl Lidocain OBG

2. Lidocain HCL 20 mg, epinephrine 0,0125 Inj 2% Pehacain Phapros

3. ANTIALERGI DAN ANAFILAKSIS

1. Deksametason Tablet 0,5 mg Dexamethason OGB
Inj 5 mg/ml, ampl 1 ml Dexamethason OGB

2. Difenhidramin HCL 2% Lotion 60 ml Caladine lot Gale

Inj 10 mg/ml, vial 15 ml Diphenhidramine OGB

3. Epinefrin ( adreanalin ) Inj 0,1%, ampl 1 ml Epinephrine OGB

4. Klorfeniramine Tablet 4 mg Chlorpheniramine OGB

5. Mebhidrolin napadisilat Tablet 50 mg Interhistin Interbat

6. Cetirizin HCL Tablet 10 mg Cetirizine OGB

Tablet kunyah 10mg Cetinal Kalbe
Histrin FT Ferron

7. Cyproheptadine HCL Tablet Pronicy Kalbe

8. Loratadine Tablet 10 mg Loratadine OGB

9. Fexofenadine HCL Tablet lepas lambat 120 mg Telfast OD Sanofi

10. Kombinasi : Tablet Dextamine Phapros

Per tab/ kaplet : dexamethasone 0,5 mg , Grafachlor Graha
dexchlorpheniramine maleat 2 mg

11. Kombinasi : Tablet Celestamine Scher

Per tab betamethasone 0,25 mg,
dexchlorpheniramine maleate 2 mg

4. ANTIDOT DAN OBAT LAIN UNTUK KERACUNAN

1. Magnesium sulfat Lar 40% MgSO4 Otsu

2. Calcium glukonat Injeksi 100 mg/ml, ampl 10 ml Calcii Gluconas OGB

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 NO. KELAS TERAPI - OBAT SEDIAAN NAMA OBAT PABRIK

5. ANTIEPILEPSI DAN ANTIKONVULSI

5.1 ANTIEPILEPSI DAN ANTIKONVULSI
1. Diazepam Lar rec.5mg/ml,tube 2,5 ml Stesolid Rectal Actavis
Inj 10 mg/2ml, ampl 2 ml Stesolid Actavis

2. Fenitoin natrium Kapsul 100 mg Phenytoin Ikaphar

3. Fenobarbital Tablet 30 mg Phenobarbital OGB

5.2 ANTI PARKINSON

1. Triheksifenidil 2 mg Tablet Trihexyphenidil OGB
Hexymer Mersi

2. Kombinasi : Tablet Madopar Roche

Levodopa 100 mg, benserazide HCl 25 mg

5.3 ANTINYERI PADA SYARAF

1. Gabapentin Tablet 300 mg Gabapentin OGB

2. Pregabalin Kaps 75 mg Pregabalin OGB

Leptica Dexa

6. ANTIINFEKSI
6.1 ANTELMINTIK
1. Mebendazole Tablet 500mg Vermox Janss

2. Pyrantel Tablet 125 mg (sbg pamoat) Pyrantel OGB

Tablet 250 mg (sbg pamoat) Combantrin Berlic

6.2 ANTIBAKTERI
6.2.1. PENISILLIN
1. Amoxicilin anhidrat Kapsul 250 mg Amoxicillin OGB
Tab scored 500mg Amoxicillin OGB
Syr kering 125mg/5ml, 60ml OGB
Amoxicillin

2. Kombinasi :
Amoksisilin trihidrat 500mg + As. Tablet Co Amoxiclav OGB
Clavulanat 125 mg

6.2.2. TETRASIKLIN
1. Tetrasiklin HCl Kaps 500 mg Tetracycline OGB

2. Doksisiklin Kaps 100 mg (sgb Doxycyclin OGB

hiklat/HCl)

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NO. KELAS TERAPI - OBAT SEDIAAN NAMA OBAT PABRIK

6.2.3. KLORAMFENIKOL
1. Kloramfenikol Susp 125mg/5ml Zenichlor Zenith
(palmitat), btl 60ml

2. Thiamphenicol Kaps 500 mg Thiamphenicol OGB

Phenobiotic Berno
Sir 125 mg/5ml, btl 60 ml Sendicol Coronet

6.2.4 COTRIMOKSAZOLE
1. Cotrimoksazole DOEN 1 ( dewasa ) Tablet Cotrimoxazole OGB
- Kombinasi :
a. Sulfametoksazole 400 mg
b. Trimetoprim 80 mg

2. Cotrimoksazole Tablet Ottoprim Forte Otto

- Kombinasi : Primadex Forte Dexa
a. Sulfametoksazole 800 mg
b. Trimetoprim 160 mg

3. Cotrimoksazole Syrup Yekaprim Yekatria

- Kombinasi :
a. Sulfametoksazole 200mg/5ml
b. Trimetoprim 40mg/5ml

6.2.5. MAKROLIDA
1. Erithromisin Kaps ul 500 mg Erythromycin OGB
Syr 200 mg/5 ml, btl 60 ml Erythromycin OGB
2. Lincomycin
Kapsul 500 mg Lincomycin OGB

3. Azitromycin Kaps 250 mg Zycin Interbat

Kaps 500 mg Azytromycin OGB
Zithrax Kalbe

6.2.6. AMINOGLIKOSIDA
1. Kanamycin Inj 1000 mg/vial Kanamycin OGB

6.2.7. QUINOLON
1. Ciprofloksasin Tablet 500 mg Ciprofloxacin OGB
Baquinor Forte Sanbe
Lar inf. 200 mg/100 ml Ciprofloxacin OGB

2. Levofloxacin Tablet 500 mg Levofloxacin OGB

Cravit Kalbe
Zidalev Ifars

3. Ofloxacin Tablet 200 mg Ofloxacin OGB

Tablet 400 mg Ofloxacin OGB
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NO. KELAS TERAPI - OBAT SEDIAAN NAMA OBAT PABRIK

6.2.8. SEFALOSPORIN
6.2.8.1. Generasi ke-1
1. Sefadroksil Kaps 500 mg Cefadroxil OGB
Cefat Sanbe
Syr kering125mg/5ml,btl 60 Cefadroxil OGB
ml Ethicef Ethica
6.2.8.2. Generasi ke-2
1. Sefuroksim Serbuk inj 1.000 mg/vial Anbacim Sanbe

6.2.8.3. Generasi ke-3

1. Sefotaxim Serbuk inj 1000 mg/vial Cefotaxime OGB
Taxegram Sanbe

2. Sefiksim Kaps 100 mg Cefixime Dexa

Cefspan Kalbe
Cefila Lapi
Syr kering 100mg/ml, botol Cefixime OGB
30ml
3. Seftriakson Serbuk inj 1.000 mg/vial Ceftriaxone OGB

6.2.9. BETA LAKTAM GOLONGAN LAIN

1. Meropenem Vial 1g Meropenem OGB

6.2.10. LAIN-LAIN dan KOMBINASI

1. Clindamcyin Kaps 300 mg Clindamycin OGB

2. Kombinasi : Vial 1,5 g Viccillin-SX 1,5 g Meiji

Sulbactam Na 500 mg, ampicillin 1000 mg

6.3 ANTIINFEKSI KHUSUS

6.3.1. ANTITUBERKULOSIS
1. Ethambutol hycdrocloride Talet 500 mg Ethambutol OGB

2. Isoniazid Tablet 300 mg INH OGB

3. Pyrazinamid Tablet 500 mg Pyrazinamide OGB

4. Rifampicin Kaps 300mg Rifampicin OGB

Kaps 450 mg Rifampicin OGB
Kaps 600 mg Rifampicin OGB

5. Kombinasi : Tablet Pehadoxin Forte Phapros

Isoniazid 400 mg, vit B6 10 mg

6. Kombinasi : Tablet Pro TB 4 Phapros

Rifampicin 150 mg, Isoniazid 75 mg,
Pyrazinamide 400 mg, Ethambuthol HCl 275 mg

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 NO. KELAS TERAPI - OBAT SEDIAAN NAMA OBAT PABRIK

7. Kombinasi : Tablet Pro TB 2 Phapros

Rifampicin 150 mg, Isoniazid 150 mg,

6.4 ANTIFUNGI
1. Ketoconazol Tablet 200 mg Ketokonazole OGB
Ceram 2% 10 gram Ketokonazole OGB

2. Miconazole Cream/ salep 2% 10 gr Miconazole OGB

3. Nystatin Susp 100.000 UI/ml, btl 12 Mycostatin Taisho

ml Kandistatin Metiska

4. Borax glserine Cairan 10%, botol 8 ml Borax Gliceryn Cito

(GOM)

6.5 ANTIPROTOZOA
6.5.1. ANTIAMUBA DAN ANTIGIARDIASIS
1. Metronidazole Tab 500 mg Metronidazole OGB
Syrup 125 mg/ ml,btl 60ml Flagyl Avent
Lar infuse 5 mg/ml,btl 100ml Metronidazole OGB
Metrofusin Kalbe
6.5.2. ANTIMALARIA
1. Kloroquin Tablet 250 mg Chloroquin OGB

6.6 ANTIVIRUS
1. Acyclovir Tab scored 400 mg Acyclovir OGB
Lovires Graha
Cream 5% 5 gram Acyclovir OGB

2. Methisoprinol Tab 500 mg Methisoprinol OGB

Syrup 60 ml Isoprinosine Medi

7. ANTI MIGRAIN
1. Ergotamin + Kafein Tablet 1 mg (tartrat)+100mg Ergotamine coffein KF
Ericaf Tempr
2. Flunarizine Tab 5 mg Flunarizine OGB
Frego Kalbe
Bartolium Nufa
Tab 10 mg Seremig Ifars

8. RELAKSAN OTOT
1. Eperisone HCl Tablet 50 mg Eperison OGB
Myonep Lapi
Myonal Eisai
Eprinoc Sanbe

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 NO. KELAS TERAPI - OBAT SEDIAAN NAMA OBAT PABRIK

9. PEMBENTUK DARAH
a. ANTIANEMIA & VITAMIN MASA HAMIL
1. Kombinasi : Kapsulapl Folapus Mepro
Asam folat 400 mcg, vit B6 6 mg, vit B12
25 mcg

2. Kombinasi :
Vit B1 1,5 mg, vit B2 250 mcg, vit B6 250 mcg,
vit B12 500 mcg, vit C 12,5 mg, nicotinamide 10
mg, Ca pantotenate 1,5 mg, Ca lactate 250 mg, Tab Livron B plex Phapros
Fe glulconate 7,5 mg, folic acid 500 mcg, copper
sulfate 650 mcg, dried liver substance 100 mg

3. Kombinasi :
Vit b12 7,5 mcg, vit C 50 mg, Fe gluconate
250 mg, folic acid 1000 mcg, manganese
Kaps Sangobion Merck
sulfate 200 mcg, copper sulfate 200 mcg,
sorbitol 25 mg

4. Kombinasi :
Natural fish oil 400 mg, evening primrose
oil 100 mg, peppermint oil 3 mg, vitamin E
Kapsul lunak Fetavita Escolab
150 UI, asam folat 200 mcg, soybean oil
26,8 mg

5. Kombinasi :
Vit A 6000ui, vit D 400ui, vit C 100mg, vit
B1 10mg, vit B2 2,5mg, vit B6 15mg, vit
B12 4mcg, Niacinamide 20mg, Calcium
Panthotenate 7,5mg, Folic Acid 1mg, Ferous Darya
Kaps Obimin-AF
Fumarat 90mg, Calcium Lactate 250mg,
Copper (sebagai Copper Sulfate) 0,1mg,
Iodium (sebagai Potassium Iodine) 0,1mg,
Fluoride (sebagai Sodium Fluoride) 1mg

6. Asam Folat Tablet 1 mg Asam Folat OGB

7. Kombinasi : Tablet Tablet Tambah Erela

Ferrous Sulfat 200 mg, folic acid 0,25 mg Darah

8. Ferrous Sulfat capsul Ferrous Sulfat OGB

9. Sianokobalamin (vit B12) Tab 50 mcg Vitamin B12 OGB

Inj 500 mcg/ml, amp 1 ml Vitamin B12 OGB

10. Kombinasi :
Vit B12 15 mcg, vit C 100 mg, Fe fumarat
300 mg, folic acid 2 mg, manganese
sulfate 400 mcg, copper sulfate 400 mcg, Tablet Hemafort Phapr
sorbitol 30 mg, Intrinsic factor 25 mg

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 NO. KELAS TERAPI - OBAT SEDIAAN NAMA OBAT PABRIK

11. Vit E alamiah setara vit E 100 UI Kapsul Lunak Natur E Dava

12. Kombinasi :
Vit.A acetate 5000 iu, vit B1 10 mg, vit B2
3 mg, vit B6 10 mg, vit B12 10 mcg, vit C
50 mg, vit D 400 iu, vit E 10 mg, lysine
HCl 50 mg, niacinamide 15 mg, Ca
pantotenate 3mg, Ca lactate 250 mg, Fe Tablet Kalbe
Vifferon
fumarate 60 mg, folic acid 600 mcg,
manganese Cl 0,5 mg, cupric sulfate 0,3
mg, Mg sulfate 3,5 mg, Zn
sulfate 0,5 mg, Na fluoride 0,5 mg

b. OBAT YANG MEMPENGARUHI KOAGULASI

1. Heparin Na Gel tube 10 g Thrombogel Tungg
Gel tube 15 g Hico Gel Ifars

2. Fitomenadion ( Vit K ) Tab salut 10 mg Vitamin K OGB

Inj 10ml, amp 1 ml Vitamin K OGB

3. Karbazokrome Na sulfonate Amp 50 mg/10 Carbazochrome OGB

Tablet 10 mg Adona (AC-17) Tanabe

4. Asam traneksamat Kaps 500 mg Asam Traneksamat OGB

Kalnex Kalbe
Inj 500mg/5ml, amp Asam Traneksamat OGB
Kalnex Kalbe

10. ANTISEPTIK DAN DESINFEKTAN

10.1 ANTISEPTIK
1. Povidon iodide Obat kumur Betadine Gargle Mahakam
Larutan 10% Betadine Solution Mahakam
Sabun Betadin Skin Mahakam

10.2 DESINFEKTAN
1. Alkohol Larutan 70% Alkohol
Larutan 90% Alkohol
Sachet Alcohol swab

11. DIURETIK
1. Furosemide Tab 40 mg Furosemide OGB
Inj 10 mg/ml, amp 2 ml Lasix Aventis

2. Hidrochlorothiazid (HCT) Tablet 25 mg Hydrochlortiazide OGB

3. Manitol Lar infus 20%, btl 500ml Mannitol Kalbe

4. Spironolakton Tab 100 Spironolakton OGB

9
 NO. KELAS TERAPI - OBAT SEDIAAN NAMA OBAT PABRIK

12. OBAT ENDOKRIN LAIN DAN KONTRASEPTIF

12.1 OBAT HIPOGLIKEMIK
12.1.1. SULFONILUREA
1. Glibenclamide Tab 5 mg Glibenklamid OGB

2. Glimepiride Tab 1mg Glimepiride OGB

Tab 2mg Glimepiride OGB
Tab 3mg Glimepiride OGB

12.1.2. BIGUANID
1. Metformin Tab 500 Metformin OGB
Glucophage Merck
Diaformin XR Otto

12.1.3. TIAZOLIDINEDION
1. Pioglitazone HCl Tab 15 mg Pioglitazone OGB

12.1.4. ALFA GLUKOSIDASE INHIBITOR

1. Acarbose Tab 100 mg Acarbose OGB
Glucobay Bayer
12.2 HORMON KELAMIN
12.2.1 PROGESTERON
1. Noretisterone Tablet 5 mg Primolut N Scher
2. Allylestrenol Tablet 5 mg Premaston Kalbe

12.3 KONTRASEPTIK
1. Kombinasi : Tab 28 Microgynon Bayer
Levonorgestrel 150 mcg, etinilestradiol 130
mcg, placebo

2. Medroksiprogesteron acetat 50 mg, estradiol Vial 0,5 ml Cylofem Tungg

cypionate 10 mg

3. Medroxyprogesterone acetat 50 mg/ml Vial 150 mg/3ml Depo Progestin Harsen

12.4 HORMON TIROID DAN ANTITIROID

1. Propiltiourasil Tablet 100 mg Propiltiourasil OGB

12.5 KORTIKOSTEROID
1. Deksametasone Tab 0,5 mg Dexamethason OGB
Ampl ( Na fosfat ) 5 mg.ml Dexamethason OGB
Indexon Interbat

2. Methylprednison Tab 4 mg Methylprednisolon OGB

Lameson Lapi
Tab 16 mg Methylprednisolon OGB
10
 NO. KELAS TERAPI - OBAT SEDIAAN NAMA OBAT PABRIK

Lameson Lapi
Inj 125 mg/ml, vial Methylprednisolon OGB

3. Prednisone Tab 5 mg Prednisone OGB

4. Triamcinolone acetonide Tablet 4 mg Triamcinolone OGB

Flamicort Dexa

13. OBAT CARDIOVASCULAR

13.1 ANTIANGINA
1. Diltiazem HCl Tab 30 mg Ditilazem OGB

2. Isosorbide dinitrat Tab sub lingual 5 mg ISDN OGB

Cedocard Darva
Farsorbid Fahrenheit

13.2 ANTIARITMIA
1. Epinefrin ( adrenalin ) Inj 0,1%, amp 1 ml Epinephrine OGB

2. Propranolol HCl Tab 10 mg Propanolol OGB

Tab 40 mg Propanolol OGB

3. Amiodarone HCl Tab 200 mg Cordarone Sanofi

13.3 ANTIHIPERTENSI
13.3.1. ACE INHIBITOR
1. Captopril Tab scored 12,5 mg Captopril OGB
Tab scored 25 mg Captopril OGB

2. Lisinopril Tab 10 mg Interpril Interbat

3. Ramipril Tab 2,5 mg Ramipril OGB

13.3.2 BETA BLOCKER

1. Propranolol HCl Tab 10 mg Propranolol OGB

2. Bisoprolol Tab 5 mg Bisoprolol OGB

13.3.3. CA ANTAGONIS
1. Nifedipin Tab 10 mg Nifedipin OGB
Farmalat Fahrenheit

2. Amlodipin besylate Tab 5 mg Amlodipin OGB

Norvask Pfizer
Tab 10 mg Amlodipin OGB
Norvask Pfizer
3. Diltiazem Tab 30 mg Diltiazem OGB
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 NO. KELAS TERAPI - OBAT SEDIAAN NAMA OBAT PABRIK

13.3.4. ANGIOTENSIN II ANTAGONIS

1. Candesartan Tab 8 mg Candesartan OGB
Canderin Dexa
Tab 16mg Candesartan OGB

2. Losartan Tab50 mg Angioten Kalbe

3. Irbesartan Tab 300 mg Irbesartan OGB

13.3.5. ANTIHIPERTENSI LAIN

1. Methyldopa Tablet 250 mg Dopamet Acta

13.4 GAGAL JANTUNG

1. Digoksin Tab 0,25 mg Digoxin OGB

2. Bisoprolol Tab 5 mg Bisoprolol OGB

13.5 ANTITHROMBOTIK
1. Asem asetil salisilat (asetosal) Tab 80 mg Aspilet Medi
Trombo Aspilet Medi
Tab 100 mg Cardio Aspirin Bayer

2. Clopidogrel Tab 75 mg Clopidogrel OGB

CPG Kalbe

14. OBAT SYOK KARDIOGENIK

1. Dopamine hidroklorid Inj40 mg/ml, amp 5 ml Dopamin Kimia Farma

2. Dobutamine HCl Inj 250 mg/vial 5 ml Dobuject Dexa

15. ANTIHIPERLIPIDEMI
1. Simvastatin Tab scored 10 mg Simvastatin OGB
Tab scored 20 mg Simvastatin OGB

2. Atorvastatin Tab 20 Atorvastatin OGB

3. Fenofibrate Tab 100 mg Fenofibrate OGB

Tab 200 mg Fenofibrate OGB

4. Gemfibrozil Kapsul 300 mg Gemfibrozil OGB

Renabrazin Fahrenheit
Kapsul 600 mg Lapibroz Lapi

16. OBAT TOPIKAL UNTUK KULIT

16.1 ANTIINFEKSI
1. Perak sulfadiazine Cream 1%, tube 35 gr Burnazine Dava

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 NO. KELAS TERAPI - OBAT SEDIAAN NAMA OBAT PABRIK

2. Neomycin sulfate 0,5%, placenta extr 10% Cream Bioplacenton Kalbe

3. Gentamycin sulfate 0,1% Salep 5 g Gentamycin OGB

16.2 ANTIINFEKSI DENGAN KORTOKOSTREROID TOPIKAL

1. Tiap gr krim : neomisin sulfat 0,5%, Cream 5 gr Bufacort N Bufa
hidrocortison asetat 1%

2. Betamethasone valerate 1 mg, neomycin Cream 5 gr Mytaderm Glob

sulfate 5mg

16.3 ANTIFUNGI
1. Ketokonazole Cream 2% , 10 gr Ketokonazol OGB
Larutan 2%, 80ml Fungasol SS Guardian

2. Miconazole Cream/ salep 2%, 10 gr Miconazole OGB

16.4 ANALGESIK, ANTIINFLAMASI DAN KORTIKOSTEROID TOPIKAL

1. Hydrocortisone asetat Cream 2,5%,tube 5 gr Hydrocortisone OGB

2. Diklofenak dietilamin Gel 1%, tube 20 gr Voltaren Nova

3. Desonide 0,05% Cream 10 gr Desolex SDM lab

4. Desoximethasone 0,25% Salep 15 gr Inerson Interbat
5. Natrium diklofenak Emulgel 20 g Flamar Sanbe

16.5 ANTISCABIES DAN ANTIPEDIKULOSIS

1. Permethrin Cream 5%, 10 g Scabimite Galenium

16.6 KERATOLITIK DAN KERATOPLASTIK

1. Urea Cream 10%, tube 40 g Carmed SDM Lab

16.7 LAIN-LAIN
1. Bedak salisil Serbuk 2% Talk salicyl Ika

2. Eco-honey, glcerine, propylene glycol, PEG Tulle Sanoskin- Interbat

Melladerm Tulle

3. Oxygen converted into ozone & added to Gel 13 g Sanoskin-oxy Interbat

refine wound

4. Poliscresulen Larutan 5ml Albothyl Pharos

17. LARUTAN ELEKTROLIT DAN NUTRISI

17.1 ORAL
1. K I-aspartate Tab 300 mg Aspar-K Tanabe
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NO. KELAS TERAPI - OBAT SEDIAAN NAMA OBAT PABRIK

2. Garam oralit
Kombinasi :
a. Natrium chloride 0,70 gr
Serbuk 100 g/sachet untuk
b. Kalium chloride 0,30 gr Oralit KF
200 ml air
c. Natrium bikarbonat 0,5 gr
d. Glukosa anhidrat 4 gr

3. Kalium chlorida Tab siap larut 600 mg KSR Merck

4. Kombinasi :
Per sach : Angkak 250 mg, ekstr psidii
folium 250 mg, NaCl 280 mg, KCl10
mg,Sod citrate 290 mg, dextrose 2187 mg,
Bintang 7
vit B11,2 mg, vit B2 sod phosphate 1,3 mg, Sachet Trolit
vit B6 1,3 mg, vit B12 2,4 mcg, zinc
gluconate 2,4mcg, acesulfame-K, sweta,
ponceau 4R Cl16255, flavor

5. Calcium Polystyrene Sulfonat Sachet 5 g Kalitake Dipa

6. Jumlah per sajian :

Energi total 200kkal, Energi dari lemak 65
kkal, lemak total 7g, lemak jenuh 4,5g,
protein 6g, karbohidrat total 28g, serat
pangan (inulin) 0,5mg, gula 5g, laktosa 6g,
natrium 55mg, kalium 350mg, protein 18% ,
Vitamin A 35%, Vitamin C 35%, Vitamin
D3 30%, Vitamin E 35%, Vitamin B1 30%,
Vitamin B2 35%, Niasin 30%, Vitamin B6
Bubuk 185 g Entrakid Kalbe
30%, Vitamin B12 35%, Asam folat 30%,
Asam pantotenat 30%, Kalsium 35%, Besi
40%, Fosfor 40%, Magnesium 30%, Seng
30%, Yodium 20%, Selenium 15% , DHA
14mg, omega 3 (asam linolenat) 35mg,
omega 6 (asam linolenat 189mg, MCT
2,5mg, biotin 4,2mcg, klorida 110mg
(%AKG)

7. Jumlah per sajian :

Energi total 260kkal, Energi dari lemak 70
kkal, lemak total 8g, lemak jenuh 5g, MCT
3g, protein 10g, karbohidrat total 37g, serat
pangan 3g, gula 7g, natrium 125mg, kalium
110mg, protein 18%, Vitamin A 30%,
Vitamin C 35%, Vitamin D3 10%, Vitamin
E 25%, Vitamin B1 55%, Vitamin B2 40%,
Vitamin B3 (Niacin) 25%, Vitamin B6 35%, Bubuk 185 g Entramix Kalbe
Vitamin B12 25%, Asam folat 20%, Asam
pantotenat 20%, Kalsium 20%, Besi 6%,
Fosfor 20%, Magnesium 20%, Seng 30%,
Yodium 20%, Selenium 50 %, Inulin 3g,
biotin 15mcg, klorida 174mg, omega 3
150mg, omega 6 720mg
(%AKG)

14
NO. KELAS TERAPI - OBAT SEDIAAN NAMA OBAT PABRIK

8. Jumlah per sajian :

Energi total 240kkal, Energi dari lemak 15
kkal, lemak total 3g, protein 14g,
karbohidrat total 45g, gula 12g, natrium
100mg, kalium 130mg, Vitamin A 30%,
Vitamin C 10%, Vitamin D3 8%, Vitamin E
Bubuk 185 g Peptisol Kalbe
10%, Vitamin B1 25%, Vitamin B2 25%,
Niasin 20%, Vitamin B6 30%, Vitamin B12
10%, Asam folat 8%, Kalsium 15%, Zat
Besi 5%, Fosfor 20%, Magnesium 15%,
Seng 20%, Yodium 15%, klorida 183mg
(% AKG)

17.2 PARENTERAL
1. Glukosa Infus 5%, btl 500 ml Otsu-D5 Otsu
Infus 5%, piggybag 100 ml Infusan D5 Sanbe
Infus 10%, btl 500 ml Otsu-D10 Otsu
Infus 40%, btl 25ml Otsu
Otsu-D40

2. Kalium chlorida Inj 25 ml/vial KCl Otsu

3. Natrium chlorida Lar infuse 0,9%, btl 500 ml Otsu-NS Otsu

Lar infuse 0,%, btl 1000 ml Otsu-NS Otsu

4. Ringer laktat Lar infuse, btl 500 ml Otsu-RL Otsu

5. Kombinasi :
a. NaCl 3 gr
b. KCl 0,15 gr
Lar infus, btl 500 ml Ring-As Sanbe
c. Ca chloride. 2H2O2,24 gr
d. Na asetat. H2O 1,9 gr

6. Kombinasi :
a. NaCl 2,234 gr
b. KCl 0,75 gr
Lar infuse, btl 500ml KA EN 3A Otsu
c. Na laktat 2,24 gr
d. Dextrose anhidrat 27 g

7. Natrium bicarbonate Inj 8,4%, vial 25 ml Meylon Otsu

8. Larutan nutrisi DOEN I

- Kombinasi :
a. Asam amino 50 gr/L
b. D sorbitol 100 gr/L
Aminofusin L
c. Asam askorbat ( vitamin C ) 0,4 Lar infus, btl 500 ml Kalbe
600
gr/L
d. Inositol 0,5 gr/L
e. Nikotinamida ( niasinamida ) gr/L
f. Piridoksin HCl ( vitamin B6) 0,04
15
 NO. KELAS TERAPI - OBAT SEDIAAN NAMA OBAT PABRIK

gr/L
g. Riboflavin natrium fosfat 2,5 mg/ml
h. Rutosid (rutin) 0,4 gr/L
i. Mineral

9. Kombinasi : infuse per L :

a. Na 100 m EQ, K 18 m EQ
b. Ca 4 m EQ, Mg 6 m EQ
Larutan Infus 500 ml Tutofusin Ops Kalbe
c. Cl 90 m EQ, Asetate 38 m EQ
d. Sorbitol 50 gr

10. Kombinasi : Lar infus 9%, btl 200ml Renxamin Kalbe

Asam amino essential dan non- essential

11. Kombinasi : Larutan infus 500 ml Valamin Sanbe

Asam Amino 2,72%, Sorbitol 5%

12. Kombinasi : infuse per L :

a. Na 100 m EQ, K 18 m EQ
b. Ca 4 m EQ, Mg 6 m EQ
Larutan infus 500 ml Futrolit Sanbe
c. Cl 90 m EQ, Asetate 38 m EQ
Osmolaritas 525 mOsm. Energi: 200kkal

13. Kombinasi : infuse per L :

a. Na 130 m EQ, K 4 m EQ
b. Ca 2,7 m EQ, lactate 20 m EQ
c. Cl 109 m EQ, Maltose 50 gr Larutan infus 500 ml Hydromal Sanbe
Osmolaritas 412 mOsm. Energi:
220kkal

14. Kombinasi : infuse per L :

a. Gelatin polysuccinate 40 g
b. Na acetate trihydrat 3.675 g
c. NaCl 4.59 g
Larutan infuse 500 ml Gelafusal Dexa
d. CaCl dehydrate 0.133 g
e. MgCl hexahydrate 0.203 g
f. NaOH 0.98 g

18. OBAT MATA

18.1 SISTEMIK
1. Vitamin A Tab 6000 UI Vitamin A KF
Vitamin A IPI
18.2 TOPIKAL
18.2.1 ANTIMIKROBA, ANTISEPTIK DAN ANTIINFLAMASI
1. Gentamisin sulfat 0,3% Salep mata Cendo Cendo
Gentamycin
Tetes mata Gentamycin OGB

2. Chloramphenicol Tetes mata 0,5%, 10ml Reco Erela

Salep mata 1%, tube 3,5 g Erlamycetin Erela
16
 NO. KELAS TERAPI - OBAT SEDIAAN NAMA OBAT PABRIK

Chloramphenicol OGB

3. Chloramphenicol 5 mg + dexametason Na Tetes mata 5ml Erlamycetin Plus Erela

fosfat 1 mg

4. Kombinasi :
Vitamin A palmitate 1000 ui, zinc sulfate
0,2 mg, phenylephrine HCl 1,0 mg,
Aesculllinum 0,2 mg, Quinidine sulfate 1,0
mg, phenazonum 1,0 mg, mentol 0.04 mg,
oleum rosae 0,02 mgitamin A palmitate Cendo
Tetes mata, btl 5 ml Cendo
1000 ui, zinc sulfate 0,2 mg, phenylephrine Augentonic
HCl 1,0 mg, Aesculllinum 0,2 mg,
Quinidine
sulfate 1,0 mg, phenazonum 1,0 mg, mentol
0.04 mg, oleum rosae 0,02 mg

5. Kombinasi :
a. Polimiksin sulfat 6000UI
b. Neomisin sulfat 5 mg Tetes mata, btl 5 ml Cendo Xitrol Cendo
c. Deksametason Na fosfat 1,3 mg

6. Kombinasi :
Polimiksin b sulfat 6000 IU, Neomisin sulfat
Tetes mata, btl 5 ml Alletrol Erela
3.5 mg, Deksametason Na fosfat 1 mg

7. Kombinasi :
CaCl2 0,025 g, potassium iodide ,0,025 g,
Tetes mata, btl 5 ml Cendo Catarlent Cendo
sodium thiosulfate 0,025g, thimerosal 0,1 g

18.3 ANESTESI LOKAL

1. Tetracain Tetes mata 2% botol 5 ml Cendo Pantocain Cendo

19. OBAT TELINGA, HIDUNG, DAN TENGGOROKAN

a. ANTIBATERI TOPIKAL
1. Kloramfenikol Tetes telinga 1% Erlamycetine Erela

2. Ofloxacin Tetes telinga 3% Tarivid Kalbe

3. Kombinasi :
a. Polimiksin 500 UI
b. Neomisin 25 mg Btl 8 ml Otopain Interbat
c. Lidokain HCl 200 mg
d. Fludrokortison asetat 5 mg

b. PREPARAT MULUT / TENGGOROKAN

1. Kombinasi : Tab hisap FG troches Meiji
Fradiomycin sulfat 2,5 mg gramicidin-S HCl
1 mg

17
 NO. KELAS TERAPI - OBAT SEDIAAN NAMA OBAT PABRIK

2. Triamcinolone acetinide Salep 0,1%, tube 5 mg Kenalog In Brist

Orabase

20. GENITOURINARIA
20.1 OKSITOSIK DAN RELAKSAN UTERUS
20.1.1 OKSITOSIK
1. Metilergometrin hydrogen Tab salut 0,125mg Methylergometrin Kifa
Inj 0,200 mg/ml, amp 1 ml Bledstop Sanbe
2. Oxytosin Inj 10ui/ml Oxytocin OGB

20.1.2 RELAKSAN UTERUS

1. Magnesium sulfat Inj 20%, 25 ml/vial Otsu-MgSO4 Otsu

20.2 OBAT VAGINAL

1. Metronidazol 500 mg, nistatin 100000 iu Ovula Vagistin Combi

20.3 ANTISEPTIK SALURAN KEMIH

1. Kombinasi :
Hexamine 125 mg, Na salicylate 100 mg,
benzoic acid 25 mg, strobilanthus crispus 25
Tab Nephrolit Nint
mg, sonchus arvensis 100 mg, orthosiphon
stamineus 75 mg, phyllanthus niruri 10 mg

2. Asam pipemidat Kaps 400 mg Urinter Intr

Urotractine Sanbe

20.4 GOLONGAN LAIN UNTUK SALURAN KEMIH

1. Kombinasi :
Asam 3-metil-2-oxovalerat 67 mg, asam 4-
metil 2-oksovalerat 101 mg, asam 2-okso-
3fenilpropionat 68 mg, asam 3-metl-2-
oksobutirat 86 mg, asam 2-hidroksi-4-
Kapsul Ketosteril Fress
metiltiobutirat 59 mg, Llysine monoasetat
105 mg, Ltreonin 53 mg, Ltryptophan 23mg,
L-histidine 38 mg, Ltyrosine 30 mg,nitrogen
total 36 mg, Ca 0,05 g

2. Tamsulosin HCl Kapsulaps 0,4 g Harnal Ocas Aste

21. PSIKOFARMAKA
21.1 ANTIANSIETAS DAN ANTIINSOMNIA
1. Diazepam Tab 2 mg Diazepam OGB
Valisanbe Sanbe
Injeksi 10 mg/2ml Stesolid Actavis

2. Alprazolam Tablet 0,5 Alprazolam OGB

18
 NO. KELAS TERAPI - OBAT SEDIAAN NAMA OBAT PABRIK

Zypraz Kalbe
Frixitas Novel

21.2 ANTIDEPRESI DAN ANTIMANIA

1. Amitriptilin Tab salut 25 mg (HCl) Amitriptilin OGB

21.3 ANTIPSIKOSIS
1. Haloperidol Tab 5 mg Haloperidol OGB

2. Klorpromazin Tab salut 100 mg (HCl) Chlorpromazine OGB

Cepezet Mersi

3. Sulpiride Kaps 50 mg Dogmatil Soho

22. ANTIEMETIKA DAN ANTIVERTIGO

1. Dimenhidrinat Tab 50 mg Dimenhidrinat OGB
Dramamine Pfizer
Antimo Pharos

2. Metoklopramide Tab 10 mg (sbg HCl) Metoklopramid OGB

Sotatic Pratapa
Inj 5 mg/ml, amp 2 ml (sbg HCl)
Sotatic Pratapa

3. Ondansetron Tab 4 mg Ondansetron OGB

Inj 4 mg/2ml, amp Ondansetron OGB
Vomceran Kalbe

4. Domperidone Tab 10 mg Domperidone OGB

Vometa FT Dexa
Syrup 5mg/5ml, btl 60 ml Domperidon OGB
Vometa Dexa
Omedom Mutifa

5. Betahistine mesilat Tab 6 mg Betahistine Nove

Mertigo Dexa
Tab 12 mg Merislon Eisai

6. Kombinasi :
Pyrathiazine chlorotheophylinate 40 mg, Tablet Mediamer B6 Dava
romide 30 mg vit B6 30 mg

23. OBAT SALURAN CERNA

23.1 ANTIULKUS
23.1.1. ANTI INFEKSI SALURA CERNA
1. Paramomycin sulfate Tab 250 mg Gabbryl Erba

2. Sulfasalazine Tab 500 mg Sulcolon Berno

19
NO. KELAS TERAPI - OBAT SEDIAAN NAMA OBAT PABRIK

23.1.2. ANTASIDA
1. Anatasida DOEN 1 Tab Antasida DOEN OGB
Kombinasi :
Aluminium hidroksida 200 mg, Magnesium
hidroksida

2. ANTASIDA DOEN II Susp, btl 60 ml Antasida DOEN OGB

Kombinasi per 5 ml :
Aluminium Hidroksida, Magnesium
hidroksida

3. Kombinasi :
Aluminium hidroksida 200 mg, Magnesium Tablet Dexanta Dexa
hidroksida 200 mg, Simeticone 20 mg Susp 100 ml Dexanta Dexa

4. Kombinasi : Tablet kunyah Polycrol Nicholas

Activated methylpolysiloxane 25 mg, Mg Syrup Polycrol Nicholas
(OH)2 100 mg, AI(OH)3- Mg carbonate gel
kering 275 mg,

5. Kombinasi :
Achtivated methylpolysiloxane 125 mg,
Mg(OH)2 100 mg, AI(OH)3 gel yang di Tab kunyah Polycrol Forte Nicho
kompresi 1.55 g (setara dg AI(OH)3 200
mg)

23.1.3.H2BLOKER
1. Ranitidine Tab 150 mg Ranitidin OGB
Gastridin Interbat
Inj 50 mg/2ml, amp 2 ml Ranitidin OGB
Rantin Kalbe

23.1.4. PENGHAMBAT POMPA PROTON

1. Omeprazole Kaps 20 mg Omeprazole OGB

2. Pantoprazole Inj, vial 40 mg Pumpisel Sanbe

Pranza Kalbe

3. Lanzoprazole Kaps 30 mg Lanzoprazole OGB

Lancid Kalbe
4. Ezomeprazole Inj 40 mg/ml Esomax Otto

23.1.5. ZAT-ZAT PELINDUNG ULKUS

1. Rebamipide Tablet 100 mg Rebamipide Yarindo
Rebamid Lapi

2. Sukralfat Syrup 500 mg/5ml, btl 100 ml dan Inpepsa Fahren

200 ml
Ulsafat Combi
Syrup 500 mg/5ml, btl 120 ml Mucin Otto

20
NO. KELAS TERAPI - OBAT SEDIAAN NAMA OBAT PABRIK

23.1.6. LAIN-LAIN
1. Eksetazaina 5 mg, polimigel 244 mg Tablet Strocain Eisai

23.2 ANTIHEMOROID, PREPARAT PLEBITIS DAN VARISES

1. Antihemoroid DOEN
Kombinasi :
a. Bismuth subgalat 150 mg
b. Hehsaklorefen 2,5 mg
Supp Antihemoroid Kifa
c. Lidokain 10 mg
d. Seng oksida 120 mg
e. Suppositoria ad 2 g

2. Kombinasi :
Policresulen 100 mg, cinchocaine HCl 2,5
Supp Faktu Phar
mg

3. Kombinasi :
Pure lecithin ( PPC 95% ) 100 mg, extr
hippocastani 50 mg, extr citrus complex 65 Kapsulaps Lanaven Lands
mg

4. Ekstrak citrus sinensis yang mengandung

micronized purified flavonoid fraction 500
Tablet 500 mg Ardium Servier
mg setara dengan diosmin 90%, flavonoid
dalam bentuk hesperidin 10%.

23.3 ANTISPASMODIK
1. Atropine sulfat Inj 0,25 mg/ml, amp 1 ml Atropin OGB

2. Kombinasi : Tablet Braxidine Sanbe

Klordiazepokside 5 mg, clidinium HBr 2,5
mg

3. Hiosin-N butyl bromide Tab 10 mg Buscopan Boehr

4. Papaverin Tab 40 mg Papaverin HCl Soho

Inj 40 mg/ml, ampl 1 ml Papaverin Soho/Ethica

5. Kombinasi :
Metamizole Na 500 mg, belladonna extr 10 Tablet Spasminal Hexph
mg, papaverin HCl 25 mg

23.4 OBAT DIARE

1. Loperamide HCl Tab 2 mg Inamid Nufa

2. Activated attapulgite Tab 600 mg New Diatabs Medi

3. Per 15 ml : kaolin 700 mg, pectin 66 mg Susp 60 ml Neo Kaominal Molex

21
NO. KELAS TERAPI - OBAT SEDIAAN NAMA OBAT PABRIK

4. Zinc Tab dispersible Zinc OGB

5. Nifuroxazide Syrup 250mg/ ml, btl 60ml Nifural Medi

23.5 KATARTIK
1. Bisakodil Tab 5 mg Dulcolax Boehr
Suppo 5 mg Dulcolax Boehr
Suppo 10 mg Dulcolax Boehr

2. Paraffin+gliserin+fenolflatalein Susp, btl 60 ml Laxadine Gale

3. Monobasic Na phosphate 19 g, dibasic N Enema 118 ml Fosen Fahr

23.6 ENZIM DIGESTIF

1. Kombinasi :
Amylase 100.000 u, protease 9,000 u, lipase
240 u, desoxycholic acid 30 mg,
Tablet Enzyplex Medif
dimethylpolysiloxane 25 mg, vit B1 10 mg,
vit B25 mg, vit B6 5 mg, vit B12 5uq,
niacinamide 10 mg, Ca pantothenate 5 mg.

23.7 KHOLELITHOLITIK/HEPATOPROTEKTOR
1. Curcimin ( serbuk rhizome curcuma ) Tablet Curcuma Soho

2. Kombinasi : Kaplet Curvit Soho

Tiap kaplet/5 ml syr : kurkumoid 2 mg, vit Syrup Curvit Soho
b1 3 mg, vit B2 2 mg, vit B6 5 mg, vit B12 5
mcg, beta karoten 10 % 4 mg, Ca pantotenat
3 mg, Ca glukonat 300 mg

3. Kombinasi :
Fructus schisandra chinesis 135 mg, lecithin
300 mg, silybum marianum semen 70 mg, Kaplet Hepabalance Binang
curcuminoid 20 mg, vit b6 HCl 2 mg

4. Asam Ursodeoxycholat Kapsulaps 250 mg Urdahex Dankos

23.8 LAIN-LAIN
1. Lactobacillus reuterii Tab kunyah Rillus Kalbe

2. Lactobacillus acidophilus , bifidobacterium Sachet Liprolac Kalbe

Capsul Lacidofil Dexa
Sachet Lacidofil Dexa

3. Megestrol Acetat Syr 40mg/ml, btl 200ml Tracetat Fahrenheit

22
 NO. KELAS TERAPI - OBAT SEDIAAN NAMA OBAT PABRIK

24. OBAT SALURAN NAFAS

24.1 ANTIASMA
24.1.1 Golongan Ksantin
1. Aminofilin Tab scored 200 mg Aminophylin OGB
Inj 24 mg/ml, amp 10 ml Aminopylin OGB

2. Teofillin anhidrat Tablet 125 mg Euphyllin Pharos

Retard Mite

24.1.2 Beta 2-agonis

1. Salbutamol Tab 2 mg Salbutamol OGB
Nebules 2,5 mg, vial Ventolin Glaxo

2. Terbutalin sulfat Tablet 2,5 mg Nairet Otto

inj 0,5 mg/ml Bricasma Astra
Nairet Otto

3. Procaterol HCl hemihyrate Tab 25 mcg Meptin mini Otsu

24.1.3 Kortikosteroid inhalasi

1. Budesonide Respules 0,5 mg/ml x 2 ml Pulmicort Astra
2. Fluticasone propionate Nebules 0,5 mg/ml Flixotide Glaxo

24.1.4 Kombinasi
1. Per 5 ml syr salbutamol sulfate 0.5 mg, Syrup 100 ml Teosal Dexa
theophyline 50 mg

2. Per 2,5 ml UDV Ipratropium bromide 0,5 UDV (Vial Unit Dosis) Combivent Boehr
mg, salbutamol sulfat 2,5 mg 2,5ml

24.2 ANTITUSIF
1. Kodein Tab 10 mg Codein KF
Tab 15 mg Codein KF
Tab 20 mg Codein KF

2. Kombinasi :
Kapsul Codipront KF
Codein 30 mg, feniltoloxamine 10 mg

24.3 ESPEKTORAN
1. Gliserin guaialokat Tab 100 mg Gliserin OGB
guaiakolat

2. Obat batuk hitam (OBH) Syrup, btl 100 ml OBH Ika

3. Tipepidine hibenzale Tab 33,21 mg Asvex Tanabe

4. Kombinasi tiap 5 ml syrup

Syrup 60 ml Allerin Medi
a. GG 50 mg
23
NO. KELAS TERAPI - OBAT SEDIAAN NAMA OBAT PABRIK

b. Na citrate 180 mg
c. Difenhidramin HCl 12,5 mg
d. Fenipropranolamin HCl 12,5 mg
e. Alcohol %5

5. Kombinasi 5 ml syrup
Prometazine-HCl 5 mg, ekstrak ipeka 4 mg,
Syrup, btl 60 ml Zenirex Zeni
gliserilguaiakolat 50 mg

6. Kombinasi tiap 5 ml syrup :

GG 50 mg, klorfeniramin maleat 1 mg Syrup, btl 60 ml Cohistan Exp Biomed

7. Kombinasi tiap 5 ml syrup :

Difenhidramin HCl 13,5 mg, Amonium
Syrup, btl 100 ml Yekadryl Yeka
klorida 131,5 mg, Natrium sitrat 55 mg,
Mentol 0,5 mg, Etanol 5%

24.4 ANTITUSIF-EKSPEKTORAN
1. Kombinasi 5 ml syrup
Tiap 5 ml : dextrometorphan HBr 7,5 mg,
prometazine HCl 5 mg, bromhexin HCl 4 Syr, btl 100 ml Halmezin Coronet
mg, ammonium clorida 44 mg , natrium
sitrat 197 mg
2. Dekstrometorfan HBr 10 mg, difenhidramin
HCl 10 mg, fenilpropanolamin 7,5 mg,
amonium klorida 125 mg, Na-Sitrat 50 mg, Tablet Erphakaf Erlimpex
mentol 0,5 mg/5 ml.

24.5 MUKOLITIK SEKRETOLIK

1. Ambroxol Tab 30 mg Ambroxol OGB
Syr 15mg/5m,l botol 60 ml Ambroxol OGB

2. Bromhexin HCl Tab 8 mg Bisolvon Boehr

Lar 2 mg/ml, btl 50 ml Bisolvon Boehr
Elixir 4 mg/5ml, btl 60 ml Bisolvon Boehr

3. Erdosteine Kaps 300 mg Vestein Kalbe

Vectrine Dexa
4. Asetilsistein Tablet 200 mg Acetylcysteine OGB

24.6 ANTIINFLUENZA
1. Per 5 ml tripolidine HCl 1,25 mg,
pseudoephedrine HCl Syrup Alerfed Guar

2. Tiap 5 ml syr : paracetamol 120 mg, gliseril

guaiakolat 50 mg, kofeina 10 mg, ephedrine
Syr 60 ml Coparcetin Samph
HCL 4 mg, klorfeniramina maleat 1 mg

3. Perkaplet paracetamol 500 mg,

Kaplet Fludane Armo
phenylpropanolamine HCL 12,5 mg,
24
 NO. KELAS TERAPI - OBAT SEDIAAN NAMA OBAT PABRIK

chlorpheniramine maleat 2 mg, guaifenesin

50 mg.

4. Pseudoephedrine 30 mg, terfenadine 40 mg

Tab Rhinofed Dexa
5. Loratadine 5 mg, pseudoefedrin HCl 60 mg
immediate release, pseudoefedrin HCl 60
Kapsul Rhinos SR Dexa
mg sustainedrelease

6. Kombinasi :
Tripolidine HCl 2,5 mg, pseudoefedrin HCl
Tablet Nasafed Medi
60 mg

7. Fenilpropanolamina HCl 15 mg,

klorpfeniramien maleat 2 mg, asetaminofen
Tablet Neozep forte Medi
250 mg, salisilamida 150 mg

8. Pseudoefedrin HCl 60 mg, Tripolidine HCl

Tablet Tremenza Sanbe
2,5 mg

25. VITAMIN, MINERAL DAN SUPLEMEN PENUNJANG

1. Asam askorbat (vitamin C) Tab 50 mg Vitamin C OGB

2. Piridoksin HCl (Vitamin B6) Tablet 25 mg Vitamin B6 OGB

3. Tiamin HCl (Vitamin B1) Tab 100 mg (HCl/Nitrat) Vitamin B1 OGB

4. Calcium laktat Tab 500 mg Calcium laktat OGB

5. Kombinasi :
Alpha-keto isoleucine 76 mg, alpha-
ketoleucine 101 mg, alpha-keto
phenylalanine 68mg, alpha hydroxyl
methionine 59 mg, alpha-keto valine 86 mg, Kaplet Aminefron Dexa
LTryptophan 23 mg, LThreonine 53 mg, L-
histidine 38 mg, LTirosine 30 mg, LLysine
acetate 105 mg, Ca 50 mg

6. Vitamin B complex Tablet Vitamin B OGB

complex

7. Fursultiamine (dan vit B2 5 mg utk tablet) Tablet 50 mg Alinamin F Takeda

Ampl 25 mg/10ml Furamin Mepro

8. Kombinasi :
Per 5 ml syr vit A 5000 iu, vit B1 3 mg, vit
B2 2 mg, vit B6 6 mg, vit B12 5 mcg, vit C
Syrup 100 ml Apialys Lapi
50 mg, vit D 400 iu, nicotinamide 20 mg,
lysine HCl 250 mg, (d)- pantothenol 5 mg,
I-glutamic acid 25 mg pwr 0,6 ml vit A
25
NO. KELAS TERAPI - OBAT SEDIAAN NAMA OBAT PABRIK

2000 iu, vit B1 1 mg, vit B2 1,2 mg, vit b^ 1

mg, vit B12 2 mcg, vit C 30 mg, vit D 400
iu, nicotinamide 10 mg, lysine HCl 25 mg,
(d0-panothenol 5 mg

9. Kombinasi :
Vit B1 15 mg, vit B2 10 mg, vit B6 5 mg,
vit B12 100 iu, vit C 500 mg, vit E 30 mg, Kaplet Becom-C Sanbe
Ca pantothenate 20 mg, niacinamide 50

10. Kombinasi :
Cangkang (kulit) tiram yang memberikan
Kaplet Calc-os Erli
Ca elemental 500 mg, vit D 125 iu

11. Kombinasi :
Retinol 3,5 iu, colecalciferol 220 iu, alfa
tokoferol 11,2 iu, vit C 125 iu,
cocarboxilase tetrahidrat 5,8 mg, tiamin
3510 mg, riboflavin sodium fosfat dihidrat
5,67 mg, piridoxin HCl 5,5 mg, vit B12 Vial Cernevit Kalbe
0,006 mg, folic acid 0,414 mg, dexpantenol
16,15 mg, biotin 0,069 mg, nicotinamid 46
mg, glisin 250 mg, glikoholic acid 140 mg,
soya lecithin 140 mg, NaOH 112,5 mg

12. Kombinasi :
Bonistein (Genistein) 15 mg, Ca elemental Tablet kunyah Hi Bone Actif Otto
(sbg Ca fosfat) 600 mg, vit K1 0,1 mg, vit,
D3 200 iu Kaplet Hi Bone 600 Otto

13. Kombinasi :
Echinacea 250 mg, zinc picolinate
Tablet Imboost Soho
10 mg

14. Kombinasi tiap 5 ml :

Echinacea 250 mg, zinc picolinate
Syrup 60 ml Imboost Soho
5mg

15. Kombinasi :
Echinacea 500 mg, zinc picolinate 10 mg,
Kaplet Imunos Lapi
selenium 15 mcg, vit C 50 mg

16. Kombinasi :
Per 5 ml echinacea 500 mg, zinc picolinate
Syrup 60 ml Imunos Lapi
5 mg, selenium 15 mcg

17. Vitamin E
Kapsul 200 mg Lanturol 200 Landson
18. Kombinasi Per 5 ml:
vit A 5.000 iu , vit B1 3 mg, vit B2 2 mg , Syrup Lysmin Armox
vit B6 1 mg, vit B12 5uq , vit C 50 mg, vit
26
NO. KELAS TERAPI - OBAT SEDIAAN NAMA OBAT PABRIK

D 1.000 iu niacinamide 20 mg , (I ) –lysine

HCL 200 mg

19. Kombinasi :
Vit A 6,000 iu, vit B1 10 mg, vit B2 2,5 mg
vit B6 15 mg, vit B12 4 uq, vit C 100 mg,
vit D 400 iu, niacinamide 20 mg, Ca
pantothenate 7,5 mg, folic acid 0,25 mg, fe Tablet Obimin AF Abbott
fumarate 90 mg, Ca lactate 250 mg, Na.
fluoride 1 mg, iodide 0,1 mg, copper 0,1
mg, dimethylpolisiloxan 20 mg

20. Kombinasi : Kaplet Ossovit Inter

Per kapl ; Ca citate 500 mg, vit D3 200 iu, Syrup Ossovit Inter
vit K1 20 mcg, Mg 100 mg, Zn 5 mg
Per syr : Ca citrate 250 mg, vit D3 100 iu,
Mg 25 mg, Zn 5 mg

21. Kombinasi :
Vit A 4,000 iu, vit B1 3 mg, vit B2 3 mg, vit
B6 2 mg, vit B12 2 uq, vit C 50 mg, vit D
400 iu, vit E 10 mg, nicotinamide 20 mg, Ca
pantothenate 5 mg, folic acid 1 mg, biotin Tablet Pehavral Phapros
100 uq fe fumarate 20 mg, Ca copper,
fluoride, iodide Mg manganese, Zn, drieded
ox bile

22. Kombinasi :
Per 5 ml vit A palmitate 5000 ui, vitamin B1
2 mg, vit B2 2 mg, vit B6 2 mg, vit C 50
Syrup Recovit Global MP
mg, vit D2 400 iu, nicotinamide3 10 mg, Ca
pantothenate 5 mg

23. Kombinasi :
Per 5 ml Ca gluconate 416,6 mg, Ca
hydrogen phosphate 50 mg, vit A 1000 iu,
vit D 200 iu, vit B1 4 mg, vit B2 1,25 mg,
vit B6 Syrup 60 ml Vicalcin Ifars
1,25 mg, vit B12 4 mcg, vit C 50 mg,
niacinamide 16 mg, Ca pantothenate 5 mg,
Llysine HCl 100 mg

24. Kombinasi :
Vit E 30 iu vit C 750 mg, vit B1 15 mg, Vit
B2 15 mg, niacinamide 100 mg, vit B6 25
Tablet Zegavit Kalbe
mg, vit B12 12uq , folic acid 0.4 mg, Ca 20
mg, pantothenic acid 20 mg, Zn 20 mg

25. Kombinasi :
D-ribose 5000mg, L-Carnitine fumarate 500 mg, Sachet Enercore Soho
coenzyme Q10 50 mg, Magnesium 200 mg

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 NO. KELAS TERAPI - OBAT SEDIAAN NAMA OBAT PABRIK

26. Natural Astaxanthin Kapsul 6 mg Asthin Force Soho

Kapsul 4 mg Asthin Force Soho
27. Kombinasi :
Ubidecarenone 100 mg, L-Carnitine 500
mg, vitamin E 100 IU, Asam folat 800 mcg
Kapsul lunak Tonicard Escolab

28. Kombinasi : Kapsul lunak Trobesco Escolab

Nattokinase 22.000 FU/g 50 mg

29. Kombinasi : Capsul Hepamax Kalbe

PPC 95% 150 mg, silymarin phytosome 100
mg, schizandra extr 375 mg, d-a-tocopherol
5 IU

30. Fucoidan Capsul 100 mg Fucohelix Kalbe

Syr 100mg/15ml Fucohelix Kalbe

31. Kombinasi : Tablet Becefort Phapros

Vit B1 15 mg, vit B2 10 mg, vit B6 5 mg,
vit B12 100iu vit C 500 mg, vit E 30 mg, Ca
pantothenate 20 mg

26. LAIN-LAIN
1. Glucosamin Kaplet 250 mg Glucosamin MPL
2. Air untuk injeksi Inj amp 25 ml Aquabidest Otsu

27. PRODUK DARAH DAN PENGGANTI PLASMA

27.1 PENGGANTI PLASMA DAN PLASMA EKSPANDER
1. Albumin serum normal Inj 5% 250 ml Octalbin Kalbe
Inj 25% 100 ml Octalbin Kalbe

2. O-(2-hydroxyethyl)-amylopectin hydrolisate
HES Mtw 200,000 30,0 mg (substitution
degree 0,5-0,55),
Sodium chloride 3,45 g, Potassium chloride
Larutan infus 500 ml Fimahes Kalbe
0,15 g, Calcium chloride 2H2O 0,11 g,
Sodium lactate solution (50%) 2,24g In
water injection

28. ANTIDIABETIK PARENTERAL

1. Insulin glargine Inj 100 IU/ml, penfill 3 ml Lantus Sanofi
Apidra Sanofi

29. VAKSIN, IMUNOGLOBULIN DAN SERUM

29.1 VAKSIN
1. Basil BCG hidup, natrium glutamate, Na Vial, vaksin kering beku + Vaksin BCG Biof
pelarut 4 ml

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 NO. KELAS TERAPI - OBAT SEDIAAN NAMA OBAT PABRIK

2. Toksoid tetanus yang dimurnikan, Al fosfat Vial Vaksin TT Biof

3. Kombinasi :
Purified HBsAg 10mcg, Alumunium
Vial 0,5 ml Euvac Sanofi
Hydroxide Gel (as Al) 0,25 mg, Preservative
: Thimerosal 0.01 w/v%

29.2 IMUNOGLOBULIN
1. Immunoglobulin Anti Tetanus (human Inj 250 IU/amp, 1ml Tetagam Dexa
Tetanus)

29.3 SERUM
1. Anti Bisa Ular (ABU I) Inj, vial 5 ml A.B.U Biof

2. Anti Tetanus (ATS) Inj 1,500 IU/amp, amp 1 A.T.S Biof

ml

30. NOOTROPIK DAN NEUROTONIK

1. Citicoline Tab 500 mg Citicolin OGB
Brainact Kalbe
Inj 250 mg/2ml Beclov Sanbe
Inj 500 mg/4ml Citicolin OGB

2. Mecobalamin Kaps 500 mg Mecobalamin OGB

Lapibal Lapi
Methycobal Eisai
Injeksi 500mcg/ml Mecobalamin OGB

3. Piracetam Kaps 800 mg Piracetam OGB

Inj 3 gr/5ml Piracetam OGB

4. Kombinasi :
ATP 20 mg, vit B1 disulfida 100 mg, vit B6
Tab Bio ATP Phapr
200 mg, vit B12 200 mg, vit E 30 mg

5. Kombinasi :
Per tab vit B1 100 mg, vit B6 200 mg, vit
Tab Neurosanbe Sanbe
B12 200 uq. Per ampl vit B1 100, vit B12
Inj, ampul 3 ml Neurosanbe Sanbe
5000 uq

6. Kombinasi :
Vit B1 50 mg, vit B6 100 mg, vit B12 100 Tablet Neurosanbe Plus Sanbe
mcg, metamizole Na 500 mg

31. LAIN-LAIN
1. Lactose, aspartate 36 mg & silicon dioxide Sachet Diabetasol

29