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February, 2013
Ministry of Public Health Stomatology Dental Hospital Directorate
Hospital Formulary List
Formulary List of Stomatology Dental Hospital
1 Approved by Stomatology Dental Hospital Drug & Therapeutic Committee (DTC)
Formulary List of Stomatology Dental Hospital
ii Approved by Stomatology Dental Hospital Drug & Therapeutic Committee (DTC)
ACRONYMS
mcg microgram
g Gram
IU International Units
mg milligram
ml milliliter
NPH Neutral Protamine Hagedron
IV Intravenous
MU Mega Unit
Formulary List of Stomatology Dental Hospital
1 Approved by Stomatology Dental Hospital Drug & Therapeutic Committee (DTC)
MEDICINES ARE CLASSIFIED ACCORDING TO THE ANATOMO - THERAPEUTIC – CHEMICAL (ATC)
CLASSIFICATION)
A. ALIMENTARY TRACT AND METABOLISM
A01. STOMATOLOGICAL PREPARATIONS
Hydrogen peroxide Topical Solution: 6%
Nystatin Oral topical liquid: 100, 000 IU
Nystatin Oral topical liquid: 200, 000 IU
Povidone-iodine Oral topical Solution: 1%
Sodium hypochlorite Root canal topical solution: 0.5%
Chlorhexidine 0.15% + Sodium fluoride 0.5% in 50ml bottle, oral topical
solution
A07- ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS A07A. INTESTINAL ANTIINFECTIVES
Nystatin Tablet: 100,000 IU
Nystatin Tablet: 500,000 IU
A11. VITAMINS
A11A. MULTIVITAMINS, COMBINATIONS
Multivitamins and calcium Oral tablet
Multivitamins and iron Oral tablet
Multivitamins and trace elements Oral tablet
A11C. VITAMIN A AND D, INCL. COMBINATIONS OF THE TWO
Calcium phosphate + Vitamin D Oral Suspension: 210 mg+350 IU/5 ml
Formulary List of Stomatology Dental Hospital
2 Approved by Stomatology Dental Hospital Drug & Therapeutic Committee (DTC)
A11D. VITAMIN B1, PLAIN AND IN COMBINATION WITH VITAMIN B6 AND B12
Vitamin B1 in combination with vitamin B6 and/or vitamin B12
Tablet: 100 mg + 200 mg+200 mg
Vitamin B1 in combination with vitamin B6 and/or vitamin B12
Ampoule:100 mg+200 mg+200 mg
A11E. VITAMIN B-COMPLEX, INCL. COMBINATIONS
Vitamin B-complex with anabolic steroids Oral Tablet
Vitamin B-complex with minerals Oral Tablet
Vitamin B-complex with vitamin C Oral Tablet
Vitamin B-complex, other combinations Oral Tablet
Vitamin B-complex, plain Oral Tablet
A11G. ASCORBIC ACID (VITAMIN C), INCL. COMBINATIONS
Ascorbic Acid (Vit C) Tablet: 500 mg
Calcium lactate + Calcium carbonate + Ascorbic acid Tablet: 1000 mg+327 mg+500 mg
A11H. OTHER PLAIN VITAMIN PREPARATIONS
Nicotinamide Tablet: 50 mg
Riboflavin (Vit B2) Tablet: 300 mg
A12. MINERAL SUPPLEMENTS
A12A. CALCIUM
Calcium carbonate Tablet: 1.25 mg
Calcium gluconate Injection Ampoule: 10% in 10 ml
Calcium lactate Tablet: 300 mg
Calcium lactate Capsule: 300 mg
Formulary List of Stomatology Dental Hospital
3 Approved by Stomatology Dental Hospital Drug & Therapeutic Committee (DTC)
B. BLOOD AND BLOOD FORMING ORGANS
B02- ANTIHEMORRHAGICS B02A- ANTIFIBRINOLYTICS Tranexamic acid Capsule: 250 mg
B03- ANTIANEMIC PREPARATIONS
B03B. VITAMIN B12 AND FOLIC ACID
Cyanocobalamine (VitB12) Injection Ampoule: 1 mg / ml
Cyanocobalamine (VitB12) Injection Ampoule: 500 mcg / ml
Folic acid (Vit B9) Tablet: 1 mg
Folic acid (Vit B9) Tablet: 5 mg
B05. BLOOD SUBSTITUTES AND PERFUSION SOLUTIONS
B05A. BLOOD AND RELATED PRODUCTS
Plasma substitute Injection Solution: 500 ml
Polygeline Injection Solution: 3.5%
B05B. I.V. SOLUTIONS
Amino acid 10% Injection Solution: 10%/ml in1000 ml
Amino acid 5% Injection Solution: 5%/ml in 1000 ml
Amino acid balanced Injection Solution: 500 ml
Glucose Injection Solution: 5% 500 ml
Glucose Injection Solution: 10% 500 ml
Glucose Injection Solution: 5% 1,000
Glucose Injection Solution: 10% 1,000 ml
Glucose + Sodium chloride Injection Solution:4%+0.18% in 500 ml
Mannitol Injection Solution: 10% /100 ml
Mannitol Injection Solution: 20% /100 ml
Mannitol Injection Solution: 10% /500 ml
Mannitol Injection Solution: 20% /500 ml
Ringer lactate Injection Solution: 500 ml
Formulary List of Stomatology Dental Hospital
4 Approved by Stomatology Dental Hospital Drug & Therapeutic Committee (DTC)
Ringer lactate Injection Solution: 1,000 ml
Sodium chloride Injection Solution: 0. 9% in 500 ml
Sodium chloride Injection Solution: 0. 9% in 1,000 ml
B05C.IRRIGATING SOLUTIONS
Sodium bicarbonate Injection: 1.4% /20 ml
B05X-.I.V. SOLUTION ADDITIVES
Potassium chloride Injection Solution: 11.2% in 20 ml
Potassium chloride Injection Solution: 15% in 20 ml
Potassium chloride Injection Solution: 7.5% in 20 ml
B06-OTHER HEMATOLOGICAL AGENTS
Chymotripsin Tablet: 5,000 IU
Formulary List of Stomatology Dental Hospital
5 Approved by Stomatology Dental Hospital Drug & Therapeutic Committee (DTC)
C-CARDIOVASCULAR SYSTEM
C01- CARDIAC THERAPY
C01C- CARDIAC STIMULANTS EXCL. CARDIAC GLYCOSIDES
Dopamine Injection solution: 40 mg /ml in 5 ml
Vial
Formulary List of Stomatology Dental Hospital
6 Approved by Stomatology Dental Hospital Drug & Therapeutic Committee (DTC)
D- DERMATOLOGICALS
D01- ANTIFUNGALS FOR DERMATOLOGICAL USE
D01B- ANTIFUNGALS FOR SYSTEMIC USE
Griseofulvin Tablet: 125 mg
Griseofulvin Tablet: 250 mg
D02- EMOLLIENTS AND PROTECTIVES
D02A- EMOLLIENTS AND PROTECTIVES
Zinc oxide Ointment: 10%
Zinc oxide Powder: 20%
D03- PREPARATIONS FOR TREATMENT OF WOUNDS AND ULCERS D03B. ENZYMES
Seratiopeptidase Tablet: 10 mg
D05- ANTIPSORIATICS
D05A- ANTIPSORIATICS FOR TOPICAL USE
Ichtyol Topical Cream: 10% in 20 g
D06- ANTIBIOTICS AND CHEMOTHERAPEUTICS FOR DERMATOLOGICAL USE
D06A- ANTIBIOTICS FOR TOPICAL USE
Tetracycline Topical Cream: 3%
D07- CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS
D07A- CORTICOSTEROIDS, PLAIN
Betamethasone Pomade: 0.1% in 15 gr
Dexamethasone Tablet: 0.5 mg
Dexamethasone Injection Ampoule: 4 mg/ml in 2 ml
Formulary List of Stomatology Dental Hospital
7 Approved by Stomatology Dental Hospital Drug & Therapeutic Committee (DTC)
G- GENITO URINARY SYSTEM AND SEX HORMONES
G01- GYNECOLOGICAL ANTIINFECTIVES AND ANTISEPTICS G01A- ANTIINFECTIVES AND ANTISEPTICS, EXCL. COMBINATIONS Clindamycin Vaginal Cream: 2% in 40gr
H- SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS
H02- CORTICOSTEROIDS FOR SYSTEMIC USE
H02A- CORTICOSTEROIDS FOR SYSTEMIC USE, PLAIN
Betamethasone Tablet: 0.5 mg
Betamethasone Injection Ampoule: 4 mg/1 ml in 1 ml
Dexamethasone Tablet: 0.5 mg
Dexamethasone Injection Ampoule: 0.5 mg/in 1ml
Dexamethasone Injection Ampoule: 4 mg/in 2ml
Hydrocortisone acetate Injection Ampoule: 25mg/ ml in 2
mlampoule
Methylprednisolone Tablet: 16mg
Methylprednisolone Injection Ampoule: 40 mg/ml in1 ml
Methylprednisolone Injection Ampoule: 40 mg/ml in 2 ml
Prednisolone Tablet: 5 mg
Triamcinolone Tablet: 4 mg
Triamcinolone Injection Vial: 40 mg/ml in 1 ml
J- ANTIINFECTIVES FOR SYSTEMIC USE
J01- ANTIBACTERIALS FOR SYSTEMIC USE
J01A- TETRACYCLINES
Doxycycline Tablet: 100 mg
Formulary List of Stomatology Dental Hospital
8 Approved by Stomatology Dental Hospital Drug & Therapeutic Committee (DTC)
Doxycycline Capsule: 100 mg
Minocycline Tablet: 50 mg
Minocycline Tablet: 100 mg
Minocycline Tablet: 250 mg
Oxytetracycline Capsule: 250 mg
J01B- AMPHENICOLS
Chloramphenicol Syrup: 125 mg/5ml
Chloramphenicol Capsule: 250 mg
Chloramphenicol Injection Powder: 1 g / vial
J01C- BETA-LACTAM ANTIBACTERIALS, PENICILLINS
Amoxicillin Syrup: 125 mg/5ml
Amoxicillin Capsule: 250 mg
Amoxicillin Capsule: 500 mg
Ampicillin Syrup: 125 mg/5ml
Ampicillin Capsule: 250 mg
Ampicillin Capsule: 500 mg
Ampicillin Injection Vial: 1 g
Ampicillin + Cloxacillin Syrup: 125 mg/5ml
Ampicillin + Cloxacillin Capsule: 250 mg+250 mg
Cloxacillin Syrup: 125 mg/5 ml
Cloxacillin Capsule: 250 mg
Cloxacillin Capsule: 500 mg
Cloxacillin Injection Vial: 500 mg
Penicillin Benzyl Benzathine Injection Vial: 1.2 MU
Penicillin Benzyl Benzathine Injection Vial: 2.4 MU
Penicillin Benzyl (Peni G) Injection Vial: 5 MU
Penicillin benzyl Procaine Injection Vial: 1 ml
Penicillin benzyl Procaine Injection Vial: 2 ml
Penicillin V (Phenoxy methyl Penicillin) Syrup: 250 mg/5ml
Penicillin V (Phenoxy methyl Penicillin) Tablet: 250 mg
Penicillin V (Phenoxy methyl Penicillin) Tablet: 500 mg
Formulary List of Stomatology Dental Hospital
9 Approved by Stomatology Dental Hospital Drug & Therapeutic Committee (DTC)
J01D- OTHER BETA-LACTAM ANTIBACTERIALS
Cefaclor Tablet: 250 mg
Cefaclor Capsule: 500 mg
Cefadroxil Syrup: 125 mg/5ml
Cefadroxi Syrup: 250 mg5ml
Cefadroxil Tablet: 500 mg
Cefadroxil Capsule: 500 mg
Cefalexin Syrup: 125 mg/5ml
Cefalexin Capsule: 250 mg
Cefalexin Capsule: 500 mg
Cefazolin Injection Vial: 1 g
Cefixime Syrup: 100 mg/5ml
Cefixime Syrup: 200 mg/5ml
Cefixime Capsule: 400 mg
Cefotaxime Injection Vial: 500 mg
Cefotaxime Injection Vial: 1 g
Cefradine Syrup: 200 mg/5ml
Cefradine Capsule: 250 mg
Cefradine Capsule: 500 mg
Ceftriaxone Injection Vial: 250 mg
Ceftriaxone Injection Vial: 500 mg
Ceftriaxone InjectionVial: 1 g
J01E- SULFONAMIDES AND TRIMETHOPRIM
Sulfadiazine Tablet: 500 mg
Sulfamethoxazole + Trimethoprim (Cotrimoxazole) Syrup: 200 mg+40 mg/5ml
Sulfamethoxazole + Trimethoprim (Cotrimoxazole) Tablet: 400 mg+80 mg
Sulfamethoxazole + Trimethoprim (Cotrimoxazole) Tablet: 800 mg+160 mg
J01F- MACROLIDES, LINCOSAMIDES AND STREPTOGRAMINS
Azithromycin Syrup: 200 mg/5 ml
Azithromycin Tablet: 250 mg
Azithromycin Capsule: 500 mg
Formulary List of Stomatology Dental Hospital
10 Approved by Stomatology Dental Hospital Drug & Therapeutic Committee (DTC)
Spiramycin Tablet: 500 mg
Clindamycin Capsule: 300 mg
Erythromycin (Base) Syrup: 125 mg /5ml
Erythromycin (Base) Tablet: 200 mg
Erythromycin (Base) Tablet: 400 mg
J01G- AMINOGLYCOSIDE ANTIBACTERIALS
Amikacin Injection Ampoule: 125 mg/ml in 2ml
Amikacin Injection Ampoule: 250 mg/ml in 2ml
Gentamicin Injection Ampoule:10 mg/ml in 2 ml
Gentamicin Injection Ampoule: 20 mg/ml in 2ml
Gentamicin Injection Ampoule: 40 mg/ml in 2ml
Streptomycin Injection Vial: 1 g
J01M- QUINOLONE ANTIBACTERIALS
Ciprofloxacin Tablet: 100 mg
Ciprofloxacin Tablet: 250 mg
Ciprofloxacin Tablet: 500 mg
Ciprofloxacin Tablet: 750 mg
Norfloxacin Tablet: 400 mg
Ofloxacin Tablet: 200 mg
Ofloxacin Tablet: 400 mg
J01X- OTHER ANTIBACTERIALS
Vancomycin Injection Vial: 1 g /10 ml
J02-ANTIMYCOTICS FOR SYSTEMIC USE
J02A- ANTIMYCOTICS FOR SYSTEMIC USE
Fluconazole Tablet: 50 mg
Fluconazole Tablet: 100 mg
Fluconazole Tablet: 150 mg
J05 - ANTIVIRALS FOR SYSTEMIC USE
J05A- DIRECT ACTING ANTIVIRALS
Formulary List of Stomatology Dental Hospital
11 Approved by Stomatology Dental Hospital Drug & Therapeutic Committee (DTC)
Aciclovir Tablet: 200 mg
Aciclovir Tablet: 400 mg
Zidovudine Injection Ampoule: 10 mg/ml
Zidovudine Capsule: 100 mg
Zidovudine Capsule: 250 mg
M- MUSCULO-SKELETAL SYSTEM
M01- ANTIINFLAMMATORY AND ANTIRHEUMATIC PRODUCTS
M01A- ANTIINFLAMMATORY AND ANTIRHEUMATIC PRODUCTS, NON-STEROIDS
Celocoxib Tablet: 100 mg
Celocoxib Capsule: 100 mg
Celocoxib Tablet: 200 mg
Celocoxib Capsule: 200 mg
Diclofenac Injection Ampoule: 25 mg/ml in 3 ml
Diclofenac Tablet: 25 mg
Diclofenac Tablet: 50 mg
Diclofenac Tablet: 100 mg
Flurbiprofen Tablet: 100 mg
Ibuprofen Tablet: 200 mg
Ibuprofen Tablet: 400 mg
Ibuprofen Tablet: 600 mg
Indomethacin Capsule: 25 mg
Indomethacin Tablet: 75 mg
Ketoprofen Tablet: 100 mg
Ketoprofen Tablet: 200 mg
Mefenamic acid Tablet: 250 mg
Mefenamic acid Capsule: 500 mg
Naproxen Tablet: 250 mg
Naproxen Tablet: 500 mg
Nimesulide Tablet: 100 mg
Piroxicam Injection Ampoule: 10 mg/ml in 2 ml
Piroxicam Capsule: 20 mg
Formulary List of Stomatology Dental Hospital
12 Approved by Stomatology Dental Hospital Drug & Therapeutic Committee (DTC)
Tenoxicam Injection Ampoule: 20 mg
Tenoxicam Tablet: 20 mg
M01C-SPECIFIC ANTIRHEUMATIC AGENTS
Methotrexate Tablet: 2.5 mg
M03- MUSCLE RELAXANTS
M03B- MUSCLE RELAXANTS, CENTRALLY ACTING AGENTS
Baclofen Tablet: 10 mg
Methocarbamol Tablet: 500 mg
N- NERVOUS SYSTEM
N01- ANESTHETICS
N01A- ANESTHETICS, GENERAL
Ketamine Injection: 50 mg/ml, in 10 ml vial
N01B- ANESTHETICS, LOCAL Lidocaine Injection Ampoule: 2% in 2 ml
N02- ANALGESICS
N02A- OPIOIDS
Pentazocin Injection Ampoule: 30 mg/ml
Pethidine Injection Ampoule: 50 mg/ml
Pethidine Injection Ampoule: 100 mg/ml
Pethidine Tablet: 100 mg
Tramadol Injection Ampoule:50 mg/ml in 2 ml
Tramadol Tablet: 50 mg
Tramadol Tablet: 100 mg
Formulary List of Stomatology Dental Hospital
13 Approved by Stomatology Dental Hospital Drug & Therapeutic Committee (DTC)
N02B- OTHER ANALGESICS AND ANTIPYRETICS
Acetylsalicylic acid (Aspirin) (ASA) Tablet: 325 mg
Acetylsalicylic acid (Aspirin) (ASA) Tablet: 500 mg
Paracetamol ( acetaminophen ) Injection: 20 mg
Paracetamol ( acetaminophen ) Syrup: 120 mg/5 ml
Paracetamol ( acetaminophen ) Tablet: 325 mg
Paracetamol ( acetaminophen ) Tablet: 500 mg
N03- ANTIEPILEPTICS
Carbamazepine Tablet: 200 mg
Carbamazepine Tablet: 100 mg
Gabapentine Capsule: 100 mg
Gabapentine Capsule: 300 mg
Gabapentine Capsule: 400 mg
Oxcarbazepine Tablet: 300 mg
Phenobarbital Syrup: 15 mg/5ml
Phenobarbital Tablet: 15 mg
Phenobarbital Tablet: 50 mg
Phenobarbital Tablet: 100 mg
N05- PSYCHOLEPTICS
N05B- ANXIOLYTICS
Alprazolam Tablet: 0. 25 mg
Alprazolam Tablet: 0.5 mg
Alprazolam Tablet: 1 mg
Chlordiazepoxide Tablet: 5 mg
Diazepam Tablet: 2 mg
Diazepam Tablet: 5 mg
Diazepam Tablet: 10 mg
Diazepam Injection Ampoule: 5 mg/ml in 2 ml
Oxazepam Tablet: 10 mg
Formulary List of Stomatology Dental Hospital
14 Approved by Stomatology Dental Hospital Drug & Therapeutic Committee (DTC)
P- ANTIPARASITIC PRODUCTS, INSECTICIDES AND REPELLENTS
P01- ANTIPROTOZOALS P01A- AGENTS AGAINST AMOEBIASIS AND OTHER PROTOZOAL DISEASES Metronidazole Suspension: 120 mg/5ml in 100 ml bottle
Metronidazole Suspension: 125 mg/5ml in 100 ml bottle
Metronidazole Syrup: 200 mg/5 ml in 60 ml bottle
Metronidazole Tablet: 200 mg
Metronidazole Tablet: 250 mg
Metronidazole tablet: 400 mg
R- RESPIRATORY SYSTEM
R02- THROAT PREPARATIONS
R02A- THROAT PREPARATIONS Lidocaine Oral topical Spray: 10%
R03- DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES R03D - OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES
Aminophylline Injection Ampoule: 25 mg/ml in 10 ml
Aminophylline Tablet: 100 mg
R06- ANTIHISTAMINES FOR SYSTEMIC USE
R06A- ANTIHISTAMINES FOR SYSTEMIC USE Cetirizine Syrup: 1 mg/ml
Cetirizine Tablet: 10 mg
Diphenhydramine chloride Injection Ampoule: 50 mg/ml
Promethazine Injection Ampoule: 25 mg/ ml in 2 ml
Promethazine Tablet: 25 mg
S- SENSORY ORGANS
Formulary List of Stomatology Dental Hospital
15 Approved by Stomatology Dental Hospital Drug & Therapeutic Committee (DTC)
S01- OPHTHALMOLOGICALS
S01A- EYE ANTIINFECTIVES
Tetracycline Ophthalmologic Cream: 1%
S01X- OTHER OPHTHALMOLOGICALS
Sodium chloride Ophthalmologic drop: 5%
V99. UNCLASSIFIED V99A. DENTAL AND DISPENSARY ITEMS Eugenol Solution
Formacresol Solution
Chlorhexidine +Sodiumfluoride Oral topical solution: 0.15%+ 0.5% in 50 ml bottle
Isopropyl alcohol Liquid
Tri kriasol formalin Solution
Sodium bicarbonate Powder: 20 ml
Glycerin Liquid
"Proposed medicines for additions to the LDL"
1. Titanium dioxid
2. Xanthan
3. Sorbitol
4. Methylparaben
5. Menthol crystal
6. Hydrated silica
7. Sodium lauryl sulphate
8. Methyl salicylate
9. Peppermint oil
10. Sodium saccharin
11. Tetrapotassium phosphate
12. Sodium fluoride
Formulary List of Stomatology Dental Hospital
16 Approved by Stomatology Dental Hospital Drug & Therapeutic Committee (DTC)
13. Eucalyptus oil
14. Tranexamic acid
15. Nacl
16. Strontium chloride
17. Permethol
18. Chlorhexidine alucanat
19. Limcnene
21.Iodoform Solution
22.Alcohol Solution: 75%
23.Alcohol Solution: 96%
24.Chlorine Powder: 0.1%
25.Chlorine Solution: 2.5 mg
26.Chlorine Tablet: 4 mg
APPENDIX A. BODY SURFACE AREA AND MEDICINE DOSAGE
______________________
Body surface area in m2 = √ {height (cm) x weight (kg)}
3600 Thus a child weighing 10 kg and 72 cm long has a body surface area of
√ (10x72/3600) = 0.45
Table A1. Drug Dosage by surface area (m2) of the child
Age or weight of child Surface area ________________________________________________
Neonate (< 1 month) 0.2–0.25 m2 ________________________________________________
Young infant (1–<3 months) 0.25–0.35 m2 ________________________________________________
Child 5–9 kg 0.3–0.45 m2 ________________________________________________
Formulary List of Stomatology Dental Hospital
17 Approved by Stomatology Dental Hospital Drug & Therapeutic Committee (DTC)
Child 10–14 kg 0.45–0.6 m2 ________________________________________________
Child 15–19 kg 0.6–0.8 m2 ________________________________________________
Child 20–24 kg 0.8–0.9 m2 ________________________________________________
Child 25–29 kg 0.9–1.1 m2 ________________________________________________
Child 30–39 kg 1.1–1.3 m2 ________________________________________________
Note: Example if the recommended dose is given as 400 mg/m2 twice per day, then a child in the weight range of 15–19 kg should receive the recommended dose of (0.6–0.8) x 400 = 244–316 mg twice per day
Source: Hospital Care for Children, World Health Organization
Formulary List of Stomatology Dental Hospital
1 Approved by Stomatology Dental Hospital Drug & Therapeutic Committee (DTC)
APPENDIX B. COMPARISON OF PERCENTAGE WITH RATIO, TEMPERATURE,
WEIGHT, VOLUME, LENGTH
با تناسب یصدیسه فیمقا
Length
1 meter = 100 centimeters = 1,000 millimeters 10 millimeters = 1 centimeter
Temperature Conversion
°C x 9/5 + 32 = °F
(°F − 32) x 5/9 = °C
Weight
1 gram = 1,000 milligrams 1 milligram = 1,000 micrograms 1 kilogram = 1,000 grams
1 kilogram = 2.2 pounds 1 pound = 6 ounces
Comparison of Percentage and Ratio
1:100 1:200
= 1g/100mL [10mg/mL] = 500mg/100mL [5mg/mL]
= 1%
= 0.5%
1:1,000 1:5,000
= 100mg/100mL [1mg/mL] = 20mg/100mL [200mcg/mL]
= 0.1%
= 0.02%
1:10,000 = 10mg/100mL [100mcg/mL] = 0.01%
Formulary List of Stomatology Dental Hospital
19 Approved by Stomatology Dental Hospital Drug & Therapeutic Committee (DTC)
Volume
1,000 cubic millimeters = 1 cubic centimeter 1,000 cubic centimeters = 1 cubic decimeter
1,000 cubic decimeters = 1 cubic meter
10 deciliters = 1 liter 1 liter = 1,000 milliliters
10 centiliters = 1 deciliter
1 liter 1,000 milliliters 1 quart / 32 ounces / 2 pints 500 milliliters 1 pint / 16 ounces / 2 cups 240 milliliters 1 cup / 8 ounces 30 milliliters 1 ounce 15 milliliters 1 tablespoon / 3 teaspoons 5 milliliters 15 drops 0.0667 milliliters 1 drop
Source: Simmers, Louise. Diversified Health Occupations (OR Introduction to Health Science
Technology). Delmar, Latest edition.
Formulary List of Stomatology Dental Hospital
1 Approved by Stomatology Dental Hospital Drug & Therapeutic Committee (DTC)
APPENDIX C. WEIGHT PER HEIGHT
Height Estimated Lean Body Weight
(+) or ( - ) 2.3 kg per inch over/under 5 feet tall (+) 50 kg for men or (+) 45.5 kg for women
Imperial / metric Males (kg) Females (kg)
4 ft 8 in / 142 cm 40.8 36.3
4 ft 9 in / 145 cm 43.1 38.6
4 ft 10 in / 147 cm 45.4 40.9
4 ft 11 in / 150 cm 47.7 43.2
5 ft 0 in / 152 cm 50.0 45.5
5 ft 1 in / 155 cm 52.3 47.8
5 ft 2 in / 157 cm 54.6 50.1
5 ft 3 in / 160 cm 56.9 52.4
5 ft 4 in / 163 cm 59.2 54.7
5 ft 5 in / 165 cm 61.5 57.0
5 ft 6 in / 168 cm 63.8 59.3
5 ft 7 in / 170 cm 66.1 61.6
5 ft 8 in / 173 cm 68.4 63.9
5 ft 9 in / 175 cm 70.7 66.2
5 ft 10 in / 178 cm 73.0 68.5
5 ft 11 in / 180 cm 75.3 70.8
6 ft 0 in / 183 cm 77.6 73.1
6 ft 1 in / 185 cm 79.9 75.4
6 ft 2 in / 188 cm 82.2 77.7
6 ft 3 in / 191 cm 84.5 80.0
6 ft 4 in / 193 cm 86.8 82.3
6 ft 5 in / 196 cm 89.1 84.6
6 ft 6 in / 198 cm 91.4 86.9
6 ft 7 in / 201 cm 93.7 89.2
6 ft 8 in / 203 cm 96.0 91.5
Formulary List of Stomatology Dental Hospital
21 Approved by Stomatology Dental Hospital Drug & Therapeutic Committee (DTC)
INDEX
A
Acetylsalicylic acid (Aspirin) (ASA) [N02B]
Aciclovir [J05A]
Alprazolam [N05]
Amikacin [J01G]
Amino acid 10% [B05B]
Amino acid 5% [B05B]
Amino acid balanced [B05B]
Amoxicillin [J01C]
Ampicillin [J01C]
Ampicillin + Cloxacillin [J01C]
Aminophylline [R03D]
Ascorbic Acid (Vit C) [A11G]
Azithromycin [J01F]
B
Baclofen [M03B]
Betamethasone [D07A]
C
Calcium carbonate [A11G]
Calcium gluconate [A12A]
Calcium lactate [A11G]
Calcium lactate + Calcium carbonate + Ascorbic acid [A11G]
Calcium phosphate + Vitamin D [A11C]
Carbamazepine [N03]
Cefaclor [J01D]
Cefadroxil [J01D]
Cefalexin [J01D]
Cefazolin [J01D]
Cefixime [J01D]
Cefotaxime [J01D]
Cefradine [J01D]
Ceftriaxone [J01D]
Celocoxib [M01A]
Cetirizine [R06A ]
Chloramphenicol [J01B]
Chlordiazepoxide [N05B]
Ciprofloxacin [J01M]
Clindamycin [G01A]
Cloxacillin [J01C]
Chymotripsin [B06]
Cyanocobalamine (VitB12) [B03B]
Formulary List of Stomatology Dental Hospital
22 Approved by Stomatology Dental Hospital Drug & Therapeutic Committee (DTC)
D
Dexamethasone [D07A]
Diazepam [N05B]
Diclofenac [M01A]
Diphenhydramine chloride [R06A]
Dopamine [C01C]
Doxycycline [J01A]
E
Erythromycin (Base) [J01F]
Eugenol [V99A]
F
Flurbiprofen [M01A]
Fluconazole [J02A]
Folic acid (Vit B9) [B03B]
Formacresol [V99A.]
G
Gabapentin [N03]
Gentamicin [J01G]
Glucose [B05B]
Griseofulvin [D01B]
H
Hydrocortisone acetate [H02A]
Hydrogen peroxide [A01]
I
Ibuprofen [M01A]
Ichtyol [D05A]
Indomethacin [M01A]
Isopropyl alcohol [V99A]
K
Ketoprofen [M01A]
Ketamine [N01A]
L
Lidocaine [N01B]
Formulary List of Stomatology Dental Hospital
23 Approved by Stomatology Dental Hospital Drug & Therapeutic Committee (DTC)
M
Mannitol [B05B]
Mefenamic acid [M01A]
Methocarbamol [M03B]
Methotrexate [M01C]
Methylprednisolone[H02A]
Metronidazole [P01A]
Minocycline [J01A]
Multivitamins and calcium [A11A]
Multivitamins and iron [A11A]
Multivitamins and trace elements [A11A]
N
Naproxen [M01A]
Nicotinamide [A11H]
Nimesulide [M01A]
Norfloxacin [J01M]
Nystatin [A01]
O
Ofloxacin [J01M]
Oxazepam [N05B]
Oxcarbazepine [N03 ]
Oxytetracycline [J01A]
P
Paracetamol (Acetaminophen) [N02B]
Penicillin Benzyl (Peni G) [J01C]
Penicillin Benzyl Benzedrine [J01C]
Penicillin benzyl Procaine [J01C]
Penicillin V (Phenoxy methyl Penicillin)[J01C]
Pentazocin [N02A ]
Pethidine [N02A]
Phenobarbital [N03]
Piroxicam [M01A]
Plasma substitute [B05A]
Polygeline [B05A]
Potassium chloride [B05]
Povidone-iodine [A01]
Prednisolone [H02A]
Promethazine [R06A]
Formulary List of Stomatology Dental Hospital
24 Approved by Stomatology Dental Hospital Drug & Therapeutic Committee (DTC)
R
Riboflavin (Vit B2) [A11H]
Ringer lactate [B05B]
S
Sodium bicarbonate [B05C]
Sodium chloride [B05B]
Sodium hypochlorite [B05B]
Streptomycin [J01G]
Sulfadiazine [J01E]
Spiramycin [J01F]
Seratiopeptidase [D03B]
Sulfamethoxazole + Trimethoprim (Cotrimoxazole) [J01E]
T
Tenoxicam [M01A]
Tetracycline [D06]
Tramadol [N02A]
Triamcinolone [H02A]
V
Vitamin B-complex with anabolic steroids [A11E]
Vitamin B-complex with minerals [A11E]
Vitamin B-complex with vitamin C [A11E]
Vitamin B-complex, other combinations [A11E]
Vitamin B-complex, plain [A11E]
Vancomycin [J01X]
Z
Zidovudine (AZT) [J05A]
Zinc oxide [D02A]
* Pending approval from the LDL/EDL review committee for addition to the National
Licensed Drug List (LDL)
Paracetamol (Acetaminophen) Injection: 20 mg
Diphenhydramine chloride Injection: 50 mg/ml
Formulary List of Stomatology Dental Hospital
25 Approved by Stomatology Dental Hospital Drug & Therapeutic Committee (DTC)