DRUG FORMULARY OF THEKALAMANSIG MUNICIPAL

HOSPITAL

Essential

2013

Published by:

Cabonegro, Bonafilia Dei J.

Sampal, Sittie Shairah M.

INTRODUCTION

Almost every patient who is admitted to a hospital receives drug therapy. Drug therapy accounts for a substantial percentage of cost to an institution while drugs are lifesaving. They also have the potential to cause morbidity and mortality. The Pharmacyand Therapeutic (P&T) Committee stands as the decision-making body concerning drug use for most institutions.

KALAMANSIG MUNICIPAL HOSPITAL DRUG FORMULARY 2013

The Kalamansig Municipal Hospital Drug Formulary is published by the Pharmacy and Therapeutic Committee, in cooperation with the Department of Pharmacy. Members of the Pharmacy and Therapeutic Committee include:

CHAIRMAN Rosario B. Alcoseba, RPh

VICE CHAIRMAN Idette Lucille S. Urrutia, M.D., DPAFP

MEMBERS Marilen A. Lagasca

Yolanda B. Catubig

Edwina M. Teleron

I- HOSPITAL INFORMATION - INDEX

Medication Use Policies and Other Important Information

A. Objectives and statement of purpose of the formulary

B. Policies formulated by Therapeutic CommitteeC. Information on using the formularyD. Description of the PTCE. Procedures on reporting adverse drug events and

medication errorsF. How to contact the pharmacyG. Pharmacologic Categories of Medicine

I- MEDICATION USE POLICIES AND OTHER IMPORTANT INFORMATION

A. Objectives and statement of purpose of the formulary

General Objectives:

Our institution, Kalamansig Municipal Hospital, will have anadequate medicines and medical supply for the constituent of Kalamansig.

Specific Objectives:

1. To establish a functional Therapeutic Committee for Kalamansig Municipal Hospital

2. To ensure adequate stock level of commonly used medicinesat all times

3. To ensure adequate stock level of intravenous fluids at all times

4. To ensure adequate stock level of emergency medicines at all times.

5. To ensure adequate stock level of medicine supply at all times.

The hospital formulary represents the official listing of drug approved for use at Kalamansig Municipal Hospital. The purpose of the hospital formulary is to ensure the availability

of safe, effective and cost-efficient medications. The hospital formulary is established by the medical staff a described in medical staff policy and procedure. A formulary is subjected to change at any time.

While the purpose of the formulary is to help ensure the availability of medications, at times there may be external factors that impact inventory levels of certain medication. Problems at the level of the pharmaceutical manufacturer or FDA after impact our ability to procure medications. Shortage of important medication are communicated to the medical staff whenever this occur.

B. Policies Formulated by Therapeutic Committee

1. The Therapeutic Committee (T&C) established should meet every 2nd Monday of every other Month.

2. The stock level of common oral medicine is at least five ___prior to purchase.

3. The stock level of common intravenous medicine is at least 50% ampule prior to purchase.

4. The stock level of emergency medicine is at least 10% ampuleprior to purchase except:

Strontium Sulfate (SrSO4) Sodium Bicarbonate ( Na HCO 3)

5. The different department heads may request things needed fortheir department 1st week to 3rd week of each month.

6. The pharmacist will report the stock level of pharmacy stocks during the monthly meeting.

7. The pharmacist will report expirable medicines/medical supplies within 3months prior to expiration date during the monthly meeting.

8. The pharmacist prepares request for purchase of medicines and medical supplies.

9. The pharmacist submits a monthly report of all consumed medicines and medical supplies to the RHU of Sultan Kudarat.

C. Information on Using Formulary

D. Description of the Pharmacy and Therapeutic (P&T) Committee

CHAIRMAN:

1. The chairman is responsible to call a regular meeting and emergency meeting as need arises.

2. The chairman will approve resolutions after deliberation of all the members.

3. The chairman shall check proper implementation of policies formulated.

VICE CHAIRMAN:

In the absence of the chairman, the vice chairman willtake over.

MEMBERS:

1. All members shall attend regular meeting as agreed.2. The member will follow the policies implemented.

3. The member shall suggest medicines and medical supplies to be purchase.

E. Procedures on Reporting Adverse Drug Events and Medication Errors

INCIDENTAL REPORT

Name of patient: MAGONSELIM, JEJE AGE: 23 SEX: F

Address : Hinalaan ROOM: Ward Female

Name of Drug(s): Ampicillin Sodium

Narrative Report:

On the 3rd day of admission, patient complained of itchiness of face and neck;

redness followed. The attending physician was then notified.

Above medicine was discontinued and Diphenhydramine syrup was given p.o

stat as ordered.

*Alert Form for Drug Reaction

* Drug Reaction Evaluation Forum

E. How To Contact The Pharmacy

Kalamansig Municipal Hospital Pharmacy Department

Tel. No.

064-20461

PHARMACOLOGIC CATEGORIES OF MEDICINES

Pages

1 DRUGS ACTING ON THE NERVOUS SYSTEM1.1 ANALGESICS

1.1.1 Non- Opioids1.1.2 Opioid Analgesics

1.2 ANESTHETICS1.2.1 Adjuvants and Oxygen

1.2.1.1 Non- Opioid Analgesics1.2.1.2 Opioid Analgesics1.2.1.3 Anxiolytics1.2.1.4 Oxygen

1.3 ANTICONVULSANTS1.4 ANTI- MIGRAINE1.5 ANTIPYRETIC1.6 PSYCHOPHARMACOLOGIC AGENTS

1.6.1 Anxiolytics1.6.2 Antipsychotics

1.6.2.1 Typical Antipsychotics1.7 ANTI- VERTIGO

2 DRUGS ACTING ON THE MUSCULOSKELETAL SYSTEM AND JOINTS

2.1 NON- STEROIDAL ANTI- INFLAMMATORY DRUGS (NSAIDs)2.1.1 Non- selective COX inhibitors2.1.2 Selective COX inhibitors

2.2 SKELETAL MUSCLE RELAXANTS2.2.1 Spasmolytics

2.3 ANTI- OSTEOPOROSIS DRUGS2.3.1 Vitamines and Minerals

3 ANTI- INFECTIVES3.1 ANTIBACTERIALS

3.1.1 Aminoglycosides3.1.2 Cephalosphorins

1st Generation2nd Generation3rd Generation

3.1.3 Anti- H. pylori3.1.4 Macrolides3.1.5 Nitroimidazoles3.1.6 Penicillin3.1.7 Sulfonamides3.1.8 Tetracyline3.1.9 Anti-Tuberculosis Agents3.1.10 Quinolones

3.2 ANTIFUNGALS3.3 ANTIPARASITICS

3.3.1 Anthelminthics3.3.2 Antiprotozoals

3.3.2.1 Amebecides3.4 ANTIVIRALS

3.4.1 Antiherpes Drugs

4 IMMUNOLOGICALS4.1 SERA AND IMMUNOLOGICALS4.2 VACCINES

5 CARDIOVASCULAR DRUGS5.1 CARDIO- ACTIVE DRUGS

5.1.1 Anti-Anginal Agents5.1.1.1 Beta Adrenoceptor Blockers5.1.1.2 Calcium Channel Blockers

5.2 ANTIHYPERTENSIVES5.2.1 Diuretics5.2.2 Anti- adrenergics

5.2.2.1 Adrenoceptor Blocker5.2.3 Direct Vasodilators5.2.4 Calcium Channel Blockers

5.2.5 Angiotensin- Converting Enzyme Inhibitors5.2.6 Angiotensin-2-receptor Blocker (ARBs)

5.3 DRUGS FOR BLOOD LIPID DISORDERS5.3.1 Hypercholesterolemia

5.4 DRUGS USED IN SHOCK5.4.1 Hemorrhagic/ Hypovolemic Shock

6 DIURETICS

7 RESPIRATORY DRUGS7.1 ANTIASTHMA

7.1.1 For Acute Attack7.1.1.1 Bronchodilators7.1.1.2 Corticosteroids

7.1.2 For Prophylaxis7.1.2.1 Bronchodilators7.1.2.2 Corticosteroids7.1.2.3 Leukotriene Receptor Antagonist

7.2 COUGH SUPPRESSANT7.3 MUCOLYTIC7.4 NASAL DECONGESTANT

8 ANTI- ALLERGIES8.1 H1- RECEPTOR ANTAGONISTS8.2 H2- RECEPTOR ANTAGONISTS8.3 CORTICOSTEROIDS

9 DRUGS AFFECTING THE BLOOD9.1 ANTIANEMICS9.2 ANTIPLATELET DRUGS9.3 ANTIFIBRINOYTIC

10 ANTIDOTES10.1 SPECIFIC ANTIDOTES

11 GASTRO- INTESTINAL DRUGS11.1 ANTICHOLINERGICS11.2 ANTIEMETICS11.3 ANTIMOTILITY11.4 ANTIPEPTIC ULCER DRUGS

11.3.1 Antacids11.3.2 Cytoprotector11.3.3 H2- Receptor11.3.4 Proton Pump (H + K + ATPase) Inhibitors

11.5 LAXATIVES/ CATHARTICS

12 HORMONES AND HORMONE ANTAGONISTS12.1 ADRENAL CORTICOSTEROIDS12.2 POSTERIOR PITUITARY HORMONE12.3 SEX HORMONES AND ANTAGONISTS

12.3.1 Anti- androgens12.3.2 Progestins

12.4 ANTITHYOID DRUGS12.4.1 Adjunct for Crisis States

12.5 OTHER ANTIDIABETIC DRUGS12.5.1 Oral Hypoglycemics

12.5.1.1 Sulfonylureas12.5.1.2 Biguanide

12.6 ANTI- HYPOGLYCEMICS

13 DRUGS ACTING ON THE UTERUS13.1 Oxytocics13.2 Tocolytics

14 SOLUTIONS CORRECTING WATER ELECTROLYTE, ACID- BASE AND CALORIC DISTURBANCES

14.1 REHYDRATION SOLUTIONS

14.1.1 Oral Rehydration Salts14.1.2 Parenteral

14.2 Electrolyte or IV ADDITIVE SOLUTIONS14.3 PARENTERAL NUTRITION

14.3.1 Caloric Medicines

15 VITAMINS AND MINERALS15.1 VITAMINS15.2 MINERALS15.3 VITAMINS AND MINERALS

16 DERMATOLOGICAL AND MUCOUS MEMBRANE16.1 ANTI- INFECTIVES

16.1.1 Antibacterials16.1.2 Antifungals16.1.3 Scabicides

16.2 ANTI- INFLAMMATORY AND ANTIPRURITICS16.3 ANTI- SEBORRHEIC16.4 ANTISEPTICS16.5 EMOLLIENT

17 OPHTHALMOLOGICAL PREPARATION17.1 ANTI- INFECTIVES17.2 DYSFUNCTIONAL TEAR SYNDROME (DRY EYES)

17.2.1 Lubricants

18 EAR PREPARATIONS18.1 ANTI- INFECTIVES AND ANTISEPTICS

19 MOUTH/ THROAT PREPARATIONS

20 TOPICAL NASAL PREPARATIONS20.1 Topical Antibiotics

21 ANTISEPTICS AND DISINFECTANTS

1 DRUGS ACTING ON THE NERVOUS SYSTEM

1.1 ANALGESICS1.1.1 Non- Opioids GENERIC NAME DOSAGE STRENGTH AND

DOSAGE FORMS

1.1.2 Opioid Analgesics

AspirinIbuprofenNaproxenParacetamol

Tramadol

GENERIC NAME DOSAGE STRENGTH ANDDOSAGE FORMS

GENERIC NAME DOSAGE STRENGTH ANDDOSAGE FORMS

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GENERIC NAME DOSAGE STRENGTH ANDDOSAGE FORMS

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