POM With Exemption Requirements Flashcards

To master the 39 drugs in the list

1
Q

Gastro Drugs (Total number and list)

A

Total: 7 Drugs

H2RAs:
1. Cimetidine 200 mg Tablets
2. Ranitidine 150 mg Tablets
3. Famotidine 20 mg Tablets

PPIs:
1. Omeprazole 20 mg Capsule
2. Esomeprazole 20 mg Tablets
3. Pantoprazole 20 mg Tablets

Prokinetic (Dopamine Antagonist):
1. Domperidone

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2
Q

Dermatology Drugs (Total number and list)

A

Total: 7 Drugs

Topical Corticosteroids:
1. Mometasone Furoate 0.1%
2. Betamethasone Valerate or Dipropionate (Not more than 0.1%)
3. Desonide (Not more than 0.05%)
4. Triamcinolone (Not more than 0.05%)

Acne Preparations:
1. Adapalene 1%
2. Azelaic Acid 20%
3. Clindamycin 1%
4. Erythromycin 4%

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3
Q

Respiratory (Total number and list)

A

Total: 10 Drugs

Intranasal Sprays
1. Mometasone Furoate 0.05%
2. Fluticasone Furoate 27.5 mcg
3. Triamcinolone Acetate 55 mcg
4. Beclomethasone 200 mcg
5. Budesonide 200 mcg

Antihistamines
1. Fexofenadine 180 mg Tablet
2. Fexofenadine 6 mg/mL Liquid
3. Levocetirizine 5 mg Tablet
4. Desloratadine 5 mg Tablet
5. Desloratadine 2.5 mg / Pseudoephedrine 120 mg Tablet
6. Ketotifen 2mg

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4
Q

Cough and Cold (Total number and list)

A

Total: 2 Drugs

Mucolytics:
1. Ambroxol 30 mg
2. Bromhexine 8 mg

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5
Q

Mouth-related (Total number and list)

A

Total: 2 Drugs

  1. Triamcinolone acetonide 0.1% Oral Paste
  2. Acyclovir 5%
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6
Q

Antimalarial prophylaxis (Total number and list)

A

Total: 1 Drug

Atovaquone/Proguanil 250/100 mg

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7
Q

Eye Preparations (Total number and list)

A

Total: 4 Drugs
1. Alcaftadine 0.25%
2. Ketotifen 0.25 mg/mL
3. Emedastine 0.05%
4. Olopatadine 0.2%

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8
Q

Antifungal Preparations (Total number and list)

A

Total: 2 Drugs
1. Nystatin 100,000 units/mL
2. Fluconazole 150 mg Capsule

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9
Q

NSAIDs (Total number and list)

A

Total: 1 Drug

Ibuprofen 200 mg Tablet

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10
Q

Hemorrhoid medication (Total number and list)

A

Total: 1 Drug

Ruscogenins and trimebutine

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11
Q

Famotidine (Restrictions)

A

Indication: Heartburn, dyspepsia, acid

Strength/Form: 20 mg Tablets

Dosing: 1 tab QD

Supply: 2 weeks (10 tablets)

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12
Q

Cimetidine (Restrictions)

A

Indication: (a) Heartburn, dyspepsia, acid; (b) Prophylaxis for nocturnal heartburn

Strength/Form: 200 mg Tablets

Dosing: (a) 1 tab QD (b) HALF tab QD

Supply: 2 weeks (10 tablets)

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13
Q

Ranitidine (Restrictions)

A

Indication: Heartburn, dyspepsia, acid

Strength/Form: 150 mg Tablets

Dosing: 1 tab BD

Supply: 2 weeks (20 tablets)

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14
Q

Omeprazole (Restrictions)

A

Indication: Heartburn due to reflux

Strength/Form: 20 mg Capsule

Dosing: 1 cap QD

Supply: 2 weeks (14 capsules, 2 strips)

Minimum age: 18 years old!!!

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15
Q

Esomeprazole (Restrictions)

A

Indication: Heartburn due to reflux

Strength/Form: 20 mg Capsule

Dosing: 1 cap QD

Supply: 2 weeks (14 capsules, 2 strips)

Minimum age: 18 years old!!!

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16
Q

Pantoprazole (Restrictions)

A

Indication: Heartburn due to reflux

Strength/Form: 20 mg Capsule

Dosing: 1 cap QD

Supply: 2 weeks (14 capsules, 2 strips)

Minimum age: 18 years old!!!

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17
Q

Domperidone (Restrictions)

A

Indication: Postprandial nausea, bloating, belching with epigastric discomfort and heartburn

Strength/Form: 10 mg, 1 mg/mL

Max Dosing: 1 tab TDS (30 mg/day) or 10 mL TDS

Supply: 14 days (42 tablets or 4 strips of 10s)

Minimum age: 12 years old

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18
Q

Mometasone Furoate (INC) (Restrictions)

A

Indication: Allergic rhinitis

Strength: 0.05% (50 mcg/actuation)

Dosing: 2 sprays into each nostrils daily (200 mcg/day)

Supply: 3 months (2 bottles of 140D OR 6 bottles of 60D)

Minimum age: 18 years old

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19
Q

Fluticasone Furoate (INC) (Restrictions)

A

Indication: Allergic rhinitis

Strength: 27.5 mcg/actuation

Dosing: 2 sprays into each nostrils daily (110 mcg/day)

Supply: 3 months (3 bottles of 120D OR 6 bottles of 60D)

Minimum age: 18 years old

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20
Q

Triamcinolone Acetate (INC) (Restrictions)

A

Indication: Allergic rhinitis

Strength: 55 mcg/actuation

Dosing: 2 sprays into each nostrils daily (220 mcg/day)

Supply: 3 months (3 bottles of 120D)

Minimum age: 18 years old

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21
Q

Beclomethasone (INC) (Restrictions)

A

Indication: Allergic rhinitis

Dosing: 200 mcg into each nostrils daily

Supply: 3 months

Minimum age: 18 years old

22
Q

Budesonide (INC) (Restrictions)

A

Indication: Allergic rhinitis

Dosing: 200 mcg into each nostrils daily

Supply: 3 months

Minimum age: 18 years old

23
Q

Fexofenadine Tablet (Restrictions)

A

Indication: Allergic rhinitis, Chronic idiopathic urticaria

Dosing: 180 mg/day (Max)

Supply: 10 tablets

Minimum age: 12 years old

24
Q

Fexofenadine Solution (Restrictions)

A

Indication: Allergic rhinitis, Chronic idiopathic urticaria

Strength: 6 mg/mL

Dosing: 60 mg/day (Max: 10 mL/day)

Supply: 150 mL (1 bottle)

Minimum age: 2 years old

25
Q

Levocetirizine (Restrictions)

A

Indication: Allergic rhinitis, Chronic idiopathic urticaria

Strength/Form: 5 mg Tablets or 5 mg/mL Liquid

Dosing: 5 mg/day (Max)

Supply: 10 tablets or 1 bottle

Minimum age: 12 years old

26
Q

Desloratadine (Restrictions)

A

Indication: Allergic rhinitis, Chronic idiopathic urticaria

Strength/Form: 5 mg Tablets or 0.5 mg/mL Liquid

Max Dosing: 5 mg/day (≥ 12 y.o.), 2.5 mg/day (6-11 y.o.), 1.25 mg (2-5 y.o.)

Supply: 2 weeks

Minimum age: 12 years old

27
Q

Desloratadine/Pseudoephedrine (Restrictions)

A

Indication: Allergic rhinitis with nasal congestion

Strength/Form: 2.5 mg / 120 mg Tablets

Dosing: 1 tab BD (Max: 2 tab/day)

Supply: 10 tablets

Minimum age: 12 years old

28
Q

Ketotifen (Oral) (Restrictions)

A

Indication: Allergic rhinitis, Chronic idiopathic urticaria

Strength/Form: 2 mg Tablets or 1mg/5mL liquid

Dosing: 2 mg/day (Max)

Supply: 10 days or 120 mL

Minimum age: 3 years old

29
Q

Mometasone Furoate (Topical) (Restrictions)

A

Indication: Eczema, dermatitis, scalp disorders

Strength: 0.1% (Cream, ointment, gel, lotion)

Dosing (Max): 1x/day

Supply: 15g tube or 30 mL solution

Minimum age: 18 years old

30
Q

Betamethasone Valerate and Dipropionate (Topical) (Restrictions)

A

Indication: Eczema, dermatitis, scalp disorders

Strength: 0.1% (Cream, ointment, gel, lotion)

Dosing (Max): 2x/day

Supply: 15g tube or 30 mL solution

Minimum age: 18 years old

31
Q

Desonide (Topical) (Restrictions)

A

Indication: Eczema redness, swelling, itch

Strength: 0.05% (Cream, lotion)

Dosing (Max): 1x/day

Supply: 15g tube or 60 mL solution

Minimum age: 18 years old

32
Q

Triamcinolone (Topical) (Restrictions)

A

Indication: Eczema, dermatitis, scalp disorders

Strength: 0.1% (Cream, ointment, gel, lotion)

Dosing (Max): 2x/day

Supply: 15g tube or 30 mL solution

Minimum age: 18 years old

33
Q

Adapalene (Restrictions)

A

Indication: Treatment of acne vulgaris

Strength: 0.1%

Maximum daily dose: Apply to affected areas once a day

Maximum supply: 30g

Minimum age: 12 years

34
Q

Azelaic Acid (Restrictions)

A

Indication: Acne vulgaris

Strength: 20%

Dosing: 2x/day

Supply: 30g

Minimum Age: 12 years old

35
Q

Clindamycin (Restrictions)

A

Strength: 1%

Indication: Acne Vulgaris

Dosing: 2x/day (For fixed dosing, 1x/day)

Supply: 30g gel or 30 mL lotion

Minimum age: 12 years old

36
Q

Erythromycin (Restrictions)

A

Strength: 4%

Indication: Acne vulgaris

Dosing: 2x/day

Supply: 30g gel or 30mL lotion

Minimum age: 12 years old

37
Q

Ambroxol (Restrictions)

A

Indication: To clear the chest by thinning the mucus in air passages

Strength/Form: 30 mg Tablet or 30 mg/5mL Liquid

38
Q

Bromhexine (Restrictions)

A

Indication: To clear the chest by thinning the mucus in air passages

Strength: 8 mg Tablet or 4 mg/5 mL Liquid

39
Q

Ibuprofen (Restrictions)

A

Indications: Relief of headache, menstrual pain, backache, muscular and arthritic pain, toothache, and the aches of cold and flu and reduction of fever.

Strength/Form: 200 mg Tablet or 100 mg/5 mL Liquid

Dosing: 1.2g/day

Supply: 10 days (Tablet), 3 days (Liquid)

Minimum age: 12 years (Tablet), 6 months (Liquid)

40
Q

Triamcinolone acetonide Oral Paste (Restrictions)

A

Strength: 0.1% Paste

Indication: Mouth ulcer

41
Q

Acyclovir (Restrictions)

A

Indication: Cold sore

Strength: 5%

Supply: 2g

42
Q

Alcaftadine (Restrictions)

A

Indication: Allergic conjunctivitis with itch

Dosing: 1 drop QD to affected eyes

Strength: 0.25%

Supply: 3mL

Minimum age: 3 years old

43
Q

Emedastine (Restrictions)

A

Indication: Allergic conjunctivitis

Dosing: 1 drop BD to affected eyes

Supply: 5mL

Minimum age: 3 years old

44
Q

Ketotifen Eye Drops (Restrictions)

A

Indication: Allergic conjunctivitis (Itchy and watery eyes)

Strength: 0.25 mg/mL

Dosing: 1 drop BD to affected eyes (Max)

Supply: 10 mL

Minimum age: 3 years old

45
Q

Olopatadine (Restrictions)

A

Indication: Allergic conjunctivitis

Max Strength: 0.2%

Dosing: 1 drop BD for 0.1% eye drops; 1 drop QD for 0.2% eye drops

Supply: 5mL (0.1%), 2.5mL (0.2%)

Minimum age: 3 years old

46
Q

Atovaquone / Proguanil (Restrictions)

A

250mg/100mg

Indication: Malaria prophylaxis

Dosing: 1 tab QD

Max supply is determined by the duration of travel. Prophylaxis should start 1 to 2 days before entering a malaria-endemic area, and be continued daily until 7 days after leaving the area

Minimum age: Adults 18 years and above, with body weight of at least 40kg.

47
Q

Ruscogenins and trimebutine (Restrictions)

A

As a rectal cream not exceeding 0.5g/5.8g per 100g

· Indications: For the symptomatic relief of external and internal haemorrhoids, anal pruritis, anal fissure

· Maximum daily dose: One or two applications per day

· Maximum supply: 20g

· Minimum age: 18 years

· As suppositories not exceeding 10mg/120mg

· Indication: For the symptomatic relief of external and internal haemorrhoids, anal pruritis, anal fissure

· Maximum daily dose: One to two suppositories per day

· Maximum supply: 10 suppositories

· Minimum age: 18 years

48
Q

Nystatin (Restrictions)

A

Strength: 100,000 IU/mL

Indication: Oral candidiasis

Maximum daily dose:
400,000 units for ages ≥ 6 months, 2.4 million units for adults

Supply: 2 weeks

Minimum age: 6 months

49
Q

Fluconazole (Restrictions)

A

Indication: Vaginal Candidiasis

Strength: 150 mg

Dosing: 150 mg/day

Supply: 1 tablet

Minimum age: 16 to 60 years old

50
Q

List the POM with exemption drugs which are not in the NUH Formulary (Total number)

A

Total: 13 drugs

Gastro Meds:
1. Cimetidine
2. Ranitidine

Nasal Sprays for Allergic Rhinitis:
1. Beclomethasone (Formulary only holds INHALERS not sprays)
2. Budesonide (Formulary only holds INHALERS not sprays)
3. Triamcinolone Acetate, Nasacort

Antihistamines for Allergic Rhinitis:
1. Desloratadine
2. Desloratadine / Pseudoephedrine

Dermatologicals:
1. Erythromycin 4% Topical

Eye Drops for Allergic Conjunctivitis:
1. Alcaftadine
2. Emedastine
3. Ketotifen EYE DROPS and TABLETS (Formulary holds 1mg/5mL Syrup)
4. Olopatadine 0.2% eye drops (Formulary holds 0.1%)

Hemorrhoid meds:
1. Ruscogenins and trimebutine