POM With Exemption Requirements Flashcards
To master the 39 drugs in the list
Gastro Drugs (Total number and list)
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
Dermatology Drugs (Total number and list)
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%
Respiratory (Total number and list)
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
Cough and Cold (Total number and list)
Total: 2 Drugs
Mucolytics:
1. Ambroxol 30 mg
2. Bromhexine 8 mg
Mouth-related (Total number and list)
Total: 2 Drugs
- Triamcinolone acetonide 0.1% Oral Paste
- Acyclovir 5%
Antimalarial prophylaxis (Total number and list)
Total: 1 Drug
Atovaquone/Proguanil 250/100 mg
Eye Preparations (Total number and list)
Total: 4 Drugs
1. Alcaftadine 0.25%
2. Ketotifen 0.25 mg/mL
3. Emedastine 0.05%
4. Olopatadine 0.2%
Antifungal Preparations (Total number and list)
Total: 2 Drugs
1. Nystatin 100,000 units/mL
2. Fluconazole 150 mg Capsule
NSAIDs (Total number and list)
Total: 1 Drug
Ibuprofen 200 mg Tablet
Hemorrhoid medication (Total number and list)
Total: 1 Drug
Ruscogenins and trimebutine
Famotidine (Restrictions)
Indication: Heartburn, dyspepsia, acid
Strength/Form: 20 mg Tablets
Dosing: 1 tab QD
Supply: 2 weeks (10 tablets)
Cimetidine (Restrictions)
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)
Ranitidine (Restrictions)
Indication: Heartburn, dyspepsia, acid
Strength/Form: 150 mg Tablets
Dosing: 1 tab BD
Supply: 2 weeks (20 tablets)
Omeprazole (Restrictions)
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!!!
Esomeprazole (Restrictions)
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!!!
Pantoprazole (Restrictions)
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!!!
Domperidone (Restrictions)
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
Mometasone Furoate (INC) (Restrictions)
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
Fluticasone Furoate (INC) (Restrictions)
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
Triamcinolone Acetate (INC) (Restrictions)
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
Beclomethasone (INC) (Restrictions)
Indication: Allergic rhinitis
Dosing: 200 mcg into each nostrils daily
Supply: 3 months
Minimum age: 18 years old
Budesonide (INC) (Restrictions)
Indication: Allergic rhinitis
Dosing: 200 mcg into each nostrils daily
Supply: 3 months
Minimum age: 18 years old
Fexofenadine Tablet (Restrictions)
Indication: Allergic rhinitis, Chronic idiopathic urticaria
Dosing: 180 mg/day (Max)
Supply: 10 tablets
Minimum age: 12 years old
Fexofenadine Solution (Restrictions)
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
Levocetirizine (Restrictions)
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
Desloratadine (Restrictions)
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
Desloratadine/Pseudoephedrine (Restrictions)
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
Ketotifen (Oral) (Restrictions)
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
Mometasone Furoate (Topical) (Restrictions)
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
Betamethasone Valerate and Dipropionate (Topical) (Restrictions)
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
Desonide (Topical) (Restrictions)
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
Triamcinolone (Topical) (Restrictions)
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
Adapalene (Restrictions)
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
Azelaic Acid (Restrictions)
Indication: Acne vulgaris
Strength: 20%
Dosing: 2x/day
Supply: 30g
Minimum Age: 12 years old
Clindamycin (Restrictions)
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
Erythromycin (Restrictions)
Strength: 4%
Indication: Acne vulgaris
Dosing: 2x/day
Supply: 30g gel or 30mL lotion
Minimum age: 12 years old
Ambroxol (Restrictions)
Indication: To clear the chest by thinning the mucus in air passages
Strength/Form: 30 mg Tablet or 30 mg/5mL Liquid
Bromhexine (Restrictions)
Indication: To clear the chest by thinning the mucus in air passages
Strength: 8 mg Tablet or 4 mg/5 mL Liquid
Ibuprofen (Restrictions)
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)
Triamcinolone acetonide Oral Paste (Restrictions)
Strength: 0.1% Paste
Indication: Mouth ulcer
Acyclovir (Restrictions)
Indication: Cold sore
Strength: 5%
Supply: 2g
Alcaftadine (Restrictions)
Indication: Allergic conjunctivitis with itch
Dosing: 1 drop QD to affected eyes
Strength: 0.25%
Supply: 3mL
Minimum age: 3 years old
Emedastine (Restrictions)
Indication: Allergic conjunctivitis
Dosing: 1 drop BD to affected eyes
Supply: 5mL
Minimum age: 3 years old
Ketotifen Eye Drops (Restrictions)
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
Olopatadine (Restrictions)
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
Atovaquone / Proguanil (Restrictions)
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.
Ruscogenins and trimebutine (Restrictions)
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
Nystatin (Restrictions)
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
Fluconazole (Restrictions)
Indication: Vaginal Candidiasis
Strength: 150 mg
Dosing: 150 mg/day
Supply: 1 tablet
Minimum age: 16 to 60 years old
List the POM with exemption drugs which are not in the NUH Formulary (Total number)
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