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1050 Cards in this Set

  • Front
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Alumium Hydroxide
Type: Aluminium-containing antacid
Indications: Dyspepsia, hyperphosphataemia
Dose: 1-2 tablets chewed QDS and bedtimes or PRN
Brands: Alu-cap, Maalox, Mucogel
Magnesium Carbonate
Type: Magnesium-containing antacid
Indications: Dyspepsia
Dose: 10ml TDS in water
Brands: Aromatic Magnesium Carbonate Mixture BP
Magnesium Trisilicate
Type: Magnesium-containing antacid
Indications: Dyspepsia
Dose:
- Tablets: 1-2 PRN
- Liquid: 10ml TDS
Brands: Magnesium Trisilicate Tablets compound BP, Magnesium Trisilicate mixture BP
Hydrotalcite
Type: Aluminium-magnesium complex
Indications: Dyspepsia
Dose: 10ml between meals and at bedtime (CHILD: 5ml between meals and at bedtime)
Brands: Hydrotalcite
Acidex
Type: Alginate
Indications: Dyspepsia
Dose: 10-20ml after meals and at bedtime (CHILD: 5-10ml after meals and at bedtime)
Gastrocote
Type: Alginate
Indications: Dyspepsia
Dose: 5-15ml QDS (after meals and at bedtime)
Gaviscon Advance
Type: Alginate
Indications: Dyspepsia
Dose: 5-10ml after meals and at bedtime (CHILD: 2.5-5ml after meals and at bedtime)
Gaviscon Infant
Type: Alginate
Indications: Dyspepsia
Dose: Look up
Peptac
Type: Alginate
Indications: Dyspepsia
Dose: 10-20ml after meals and at bedtime
Rennie Duo
Type: Alginate
Indications: Dyspepsia
Dose: 10ml after meals & 10ml PRN max 80ml daily
Topal
Type: Alginate
Indications: Dyspepsia
Dose: 1-3 tablets chewed QDS (CHILD: half adult dose)
Atropine Sulphate
Type: Antimuscarinic
Indications: Symptomatic relief of GI disorders characterised by smooth muscle spasm, cycloplegia, pre-medication
Dose: 0.6-1.2mg ON
Dicycloverine Hydrochloride
Type: Antimuscarinic
Indications: Symptomatic relief of GI disorders characterised by smooth muscle spasm
Dose:
- Adult: 10-20mg TDS
- Child: 10mg TDS
- Infant: 5-10mg T-QDS before feeds
Brands: Merbentyl, Kolanticon
Hyoscine
Type: Antimuscarinic
Indications: Symptomatic relief of GI disorders characterised by smooth muscle spasm, bowel colic, excessive repiratory secretions
Dose: Look up
Brands: Buscopan
Propantheline Bromide
Type: Antimuscarinic
Indications: Symptomatic relief of GI disorders characterised by smooth muscle spasm, urinary frequency, gustatory sweating
Dose: 15mg TDS at least 1hr before meals & 30mg ON, max 120mg daily
Brands: Pro-banthine
Alverine Citrate
Type: Antispasmodic
Indications: GI disorders characterised by smooth muscle spasm
Dose: 60-120mg 1-3 times daily
Brands: Spasmonal
Mebeverine Hydrochloride
Type: Antispasmodic
Indications: GI disorders characterised by smooth muscle spasm
Dose: >10 years: 135-150mg TDS preferably 20 mins before meals
Brands: Mebeverine Hydrochloride, Colofac, Colofac MR (200mg BD preferably 20 mins before meals)
Peppermint oil
Type: Antispasmodic
Indications: Relief of abdominal colic and distension, particularly in IBS
Brand doses:
- Colpermin: >15 years: 0.2-0.4ml TDS
- Mintec: >18 years: 0.2-0.4ml TDS
Cimetidine
Type: H2-receptor antagonist
Indications: Benign gastric & duodenal ulcers, reflux oesophagitis, Zollinger-Ellison syndrome
Dose: Mouth: 400mg BD (look up for other conditions)
Brands: Tagamet
Famotidine
Type: H2-receptor antagonist
Indications: Benign gastric & duodenal ulcers, reflux oesophagitis, Zollinger-Ellison syndrome
Dose: ~40mg ON (Look up specific condition)
Brands: Pepcid
Nizatidine
Type: H2-receptor antagonist
Indications: Benign gastric, duodenal and NSAID-induced ulcers, reflux oesophagitis, Zollinger-Ellison syndrome
Dose: 150mg BD for 4-8 weeks
Brands: Axid
Ranitidine
Type: H2-receptor antagonist
Indications: Benign gastric, duodenal and NSAID-induced ulcers, reflux oesophagitis, Zollinger-Ellison syndrome
Dose: Look up under condition
Brands: Zantac
Tripotassium Dicitratobismuthate
Type: Bismuth chelate
Indications: Benign gastric & duodenal ulceration
Dose: 240mg BD or 120mg QDS
Brands: De-Noltab
Sucralfate
Type: Chelate complex
Indications: Benign & duodenal ulceration, prophylaxis of stress ulceration
Dose:
- Ulcers: 2g BD or 1g QDS
- Prophylaxis: 1g six times daily
Brands: Antepsin
Misoprostal
Type: Prostaglandin Analogue
Indications: Benign gastric, duodenal & NSAID-induced ulceration
Dose:
- Ulcers: 800mcg 2-4 times daily
- Prophylaxis: 200mcg 2-4 times daily
Brands: Cytotec
Esomeprazole
Type: Proton-pump inhibitor
Indications: H-pylori duodenal ulcers, NSAID-associated gastric ulcers, GORD, Zollinger-Ellison syndrome
Dose: 20mg OD (Look up under condition)
Brands: Nexium
Lansoprazole
Type: Proton-pump inhibitor
Indications: Benign & H-pylori duodenal ulcers, NSAID-associated gastric ulcers, GORD, Zollinger-Ellison syndrome
Dose: 30mg OM (Look up under condition)
Brands: Zoton
Omeprazole
Type: Proton-pump inhibitor
Indications: Benign & H-pylori duodenal ulcers, NSAID-associated gastric ulcers, GORD, Zollinger-Ellison syndrome
Dose: 20-40mg (Look up under condition)
Brands: Losec
Pantoprazole
Type: Proton-pump inhibitor
Indications: Benign gastric & duodenal ulcers, NSAID-associated gastric ulcers, GORD, Zollinger-Ellison syndrome
Dose: 40mg OD (Look up under condition)
Brands: Protium
Rabeprazole
Type: Proton-pump inhibitor
Indications: Benign gastric & duodenal ulcers, GORD, Zollinger-Ellison syndrome
Dose: 20mg OM (Look up under condition)
Brands: Pariet
Kaolin Light
Type: Adsorbent
Indications: Diarrhoea
Dose: 10-20ml 4 hourly
Codeine Phosphate
Type: Analgesic, antimotility
Indications: Pain, cough suppression, diarrhoea
Dose: 30mg 3-4 times daily
Co-Phenotrope
Type: Anti-motility agent
Indications: rehydration in acute diarrhoea, control of faecal consistancy
Dose: 4 x 2.5/0.025 followed by 2 x 2.5/0.025 every 6 hours until diarhoea controlled
Brands:
Loperamide Hydrochloride
Type: Anti-motility agent
Indications: acute diarrhoea, rehydration in acute diarrhoea, chronic diarrhoea in adults
Dose: Look up under indication
Brands: Imodium, Imodium plus
Balsalazine Sodium
Type: Aminosalicylate
Indications: Mild to moderate ulcerative colitis and maintenance of remission
Dose:
- Acute: 2.25g TDS
- Maintenance: 1.5g BD, adjusted according to response
Brands: Colazide
Mesalzine
Type: Aminosalicylate
Indications: Mild to moderate ulcerative colitis and maintenance of remission
Dose: Look up under preparations
Brands: Asacol, Asacol MR, Ipocol, Mesren MR, Mezavant XL, Pentasa, Salofalk
Olsalazine Sodium
Type: Aminosalicylate
Indications: Mild to moderate ulcerative colitis and maintenance of remission
Dose:
- Acute attack: 1g daily in divided doses after meals increased over 1 week to 3g daily if necessary
- Maintenance: 500mg BD after meals
Brands: Dipentum
Sulfasalazine
Type: Aminosalicylate
Indications: Mild to moderate ulcerative colitis and maintenance of remission, active crohns disease, rheumatoid arthritis
Dose:
- By mouth: acute: 1-2g QDS until remission, reducing to maintenance dose of 500mg QDS
- By rectum: 0.5-1g morning & night after a bowel movement
Brands: Salazopyrin
Beclometasone Dipropionate
Type: Corticosteroid
Indications: acute mild to moderate ulcerative colitis, asthma, allergic and vasomotor rhinitis, oral ulceration
Dose:
- Ulcerative colitis: 5mg OM for 4 weeks max
Brands: Clipper
Budesonide
Type: Corticosteroid
Indications: Mild to moderate crohns disease affecting the ileum or ascending colon, chronic diarrhoea due to collagenous colitis, ulcerative colitis affecting the sigmoid colon and rectum
Dose: Look up under preparations
Brands: Budenfalk, Entocort
Hydrocortisone
Type: Corticosteroid
Indications: Ulcerative colitis, proctitis, proctosigmoiditis
Dose:
- By rectum: 125mg O-BD for 2-3 weeks, then OD on alternate days
Brands: Colifoam
Prednisolone
Type: Corticosteroid
Indications: Ulcerative colitis, Crohn's disease
Dose:
- By mouth: 20-40mg daily, reduce upon remission
- By rectum: Look up under preparations
Brands: Predenema, predfoam, predsol
Adalimumab
Type: Cytokine modulator
Indications: IBD, ankylosing spondylitis, psoriatic arthritis, rheumatoid arthritis
Dose:
- severe active crohn's: 80mg, then 40mg 2 weeks later or 160mg in 4 divided doses 1-2 days then 80mg 2 weeks after initial dose
- maintenance: 40mg on alternate weeks, increased to 40mg weekly if necessary
Infliximab
Type: Cytokine modulator
Indications: IBD, ankylosing spondylitis, psoriatic arthritis, rheumatoid arthritis
Dose: Look up
Sodium Cromoglicate
Type: Cytokine modulator
Indications: Food allergy, asthma, allergic conjunctivitis, allergic rhinitis
Dose: 200mg QDS before meals, increase if necessary to 40mg/kg daily
Brands: Nalcrom
Ispaghula Husk
Type: Bulk-forming laxative
Indications: Constipation, post-operative management of GI surgery
Dose: Look up under preparation
Brands: Fybogel, Fibrelief, Isogel, Ispagel Orange, Regulan
Methylcellulose
Type: Bulk-forming laxative
Indications: Obesity, constipation, bran intolerance
Dose:
- constipation: 1.5-3g BD
- obesity: 1.5g before food
Brands: Celevac
Sterculia
Type: Bulk-forming laxative
Indications: Constipation
Dose: Look up under preparation
Brands: Normacol, Normacol Plus
Bisacodyl
Type: Stimulant laxative
Indications: constipation, before radiological surgery
Dose:
- Constipation: 5-10mg ON by mouth or 10mg OM by rectum
- Radiological procedures: 10-20mg by mouth, 5mg the following morning by rectum
Dantron
Type: Stimulant laxative
Indications: Constipation in terminally ill patients
Dose: Look up under preparations
Brands: Co-danthramer, co-danthrusate
Docusate Sodium
Type: Stimulant laxative
Indications: constipation, abdominal radiological procedures
Dose: Up to 500mg daily in divided doses
Brands: Dioctyl, Docusol, Norgalax Micro-enema
Glycerol
Type: Stimulant laxative
Indications: constipation
Dose: 1 suppository
Senna
Type: Stimulant laxative
Indications: constipation
Dose: Look up under preparations
Brands: Manevac, Senokot
Sodium Picosulfate
Type: Stimulant laxative
Indications: constipation, before abdominal radiological procedures
Dose: 5-10mg ON
Brands: Dulco-lax
Arachis Oil
Type: Faecal Softener
Indications: Faecal impaction
Dose: 130ml as an enema
Brands: Fletcher' Arachis Oil Retention Enema
Lactulose
Type: Osmotic laxative
Indications: constipation, hepatic encepalopathy
Dose: 15ml BD adjusting according to need
Macrogols
Type: Osmotic laxatives
Indications: constipation, faecal impaction
Dose: Look up under preparation
Brands: Idrolax, Movicol, Movicol-Half, Movicol Paediatric Plain
Magnesium Salts
Type: Osmotic laxatives
Indications: constipation, rapid bowel evacuation
Dose: Look up under preparations
Brands: Magnesium hydroxide mixture BP, Liquid Paraffin and Magnesium hydroxide oral emulsion BP, Magnesium Sulphate
Rectal Phosphates
Type: Osmotic laxatives
Indications: constipation, bowel evacuation before procedures
Dose: Look up under preparations
Brands: Carbalax, Fleet Ready-to-use enema, Fletcher's Phosphate enema
Rectal Sodium Citrate
Type: Osmotic laxative
Indications: constipation
Dose: Look up under preparations
Brands: Microlette Micro-enema, Micralax Micro-enema, Relaxit Micro-enema
Ursodeoxycholic acid
Type: Drugs affecting biliary composition & flow
Indications: gallstones, primary biliary cirrhosis
Dose:
- gallstone dissolution: 8-12mg/kg daily ON or BD
- cirrhosis: 10-15mg/kg daily in 2-4 divided doses
Brands: Destolit, Urdox, Ursofalk, Ursogal
Colestyramine
Type: Bile acid sequestrant
Indications: pruritus associated with partial biliary obstruction/cirrhosis, diarrheoa associated with duodenal conditions/surgery
Dose:
- Lipid disorders: 4g daily increased by 4g weekly to 12-24g daily in 1-4 divided doses
- pruritis: 4-8g daily
- diarrheoa: 4g daily initially increased by 4g weekly to 12-24g daily in 1-4 divided doses
Brands:
Pancreatin
Type: Exocrine supplement
Indications: reduced exocrine secretion following pancreatectomy e.t.c.
Dose: Look up under preparations
Brands: Creon 10000, Creon Micro, Nutrizym 10, Pancrex, Pancrex V, Higher strength: Creon 25000, Creon 40000, Nutrizym 22, Pancrease HL
Digoxin
Type: Cardiac glycoside
Indications: heart failure, SVAs and atrial flutter
Dose:
- Rapid digitisation: 1-1.5mg over 24 hours in divided doses
- Maintenance: 62.5-500mcg daily in divided doses
- Emergency loading dose: 0.75-1mg over at least 2 hours
Brands: Lanoxin, Lanoxin-PG
Digitoxin
Type: Cardiac glycoside
Indications: heart failure, SVAs
Dose: 100mcg daily or on alternate days, increase to 200mcg if necessary
Brands:
Enoximone
Type: Phosphodiesterase inhibitor
Indications: congestive heart failure where cardiac output reduced & filling pressure increased
Dose: Look up
Brands: Perfan
Milrinone
Type: Phosphodiesterase inhibitor
Indications: short-term treatment of severe congestive heart failure unresponisve to conventional maintenance therapy, acute heart failure, following heart surgery
Dose: Look up
Brands: Primacor
Bendroflumethiazide
Type: Thiazide
Indications: oedema, hypertension
Dose:
- oedema: 5-10mg OM or on alternate days, maintenance 1-3 times a week
- hypertension: 2.5mg OM
Chlortalidone
Type: Thiazide-related diuretic
Indications: ascites due to cirrhosis in stable patients, oedema due to nephrotic syndrome, hypertension, mild to moderate heart failure, diabetes insipidus
Dose:
- Oedema: up to 50mg OD
- Hypertension: 25mg daily OM, increase to 50mg if necessary
- Heart failure: 20mg OM, increase to 100-200mg daily
Brands: Hygroton
Cyclopenthiazide
Type: Thiazide
Indications: oedema, hypertension, heart failure
Dose:
- heart failure: 250-500mcg OM, increase to 1mg daily if necessary
- oedema: up to 500mcg daily
- hypertension: 250mcg OM, increase to 500mcg if necessary
Brands: Navidrex
Indapamide
Type: Thiazide-related diuretic
Indications: essential hypertension
Dose: 2.5mg OM
Brands: Natrilix, Natrilix SR
Metolazone
Type: Thiazide-related diuretic
Indications: oedema, hypertension
Dose:
- oedema: 5-10mg OM, increase to 20mg if necessary
- hypertension: 5mg OM then on alternate days
Brands: Metenix 5
Xipamide
Type: Thiazide-related diuretic
Indications: oedema, hypertension
Dose:
- oedema: 40mg OM, 80mg in resistant cases, 20mg maintenance
- hypertension: 20mg OM
Brands: Diurexan
Furosemide
Type: Loop diuretic
Indications: oedema, oliguria in chronic renal impairment
Dose: Look up
Brands: Lasix
Bumetanide
Type: Loop diuretic
Indications: oedema
Dose: Look up
Brands: Burinex
Torasemide
Type: Loop diuretic
Indications: oedema, hypertension
Dose:
- oedema: 5mg OM, increased as required to 20mg OM
- hypertension: 2.5mg OM, increased as required to 5mg OM
Brands: Torem
Amiloride
Type: Potassium-sparing diuretic
Indications: oedema, potassium conversion with thiazide and loop diuretics
Dose:
- alone: 10mg OM or 5mg BD
- with other diuretics: 5-10mg OM
Triamterene
Type: Potassium-sparing diuretic
Indications: oedema, potassium conversion with thiazide and loop diuretics
Dose: initially 150-250mg daily, reducing to alternate days after a week
Brands: Dytac
Eplerenone
Type: Aldosterone antagonist
Indications: LV dysfunction with evidence of heart failure, following MI
Dose: 25mg OD increased with 4 weeks to 50mg OD
Brands: Inspra
Spironolactone
Type: Aldosterone antagonist
Indications: oedema & ascitis in cirrhosis of the liver, malignant ascitis, nephorotic syndrome, congestive heart failure, primary hyperaldosteronism
Dose: 100-200mg daily, increased to 400mg if required
Brands: Aldactone
Mannitol
Type: Osmotic diuretic
Indications: cerebral oedema, glaucoma
Dose: Look up under condition
Adenosine
Type: Anti-arrhythmic
Indications: rapid reversion to sinus rhythm of paroxysmal supraventricular tachycardias
Dose: IV injection into central or large peripheral vein, 3mg over 2 seconds, if necessary followed by 6mg after 1-2 mins, then 12mg after another 1-2 mins
Brands: Adenocor
Amiodarone
Type: Anti-arrhythmic
Indications: supraventricular and ventricular arrhythmias
Dose:
- By mouth: 200mg TDS for 1 week reduced to 200mg BD for a further week, maintenance 200mg daily
- IV infusion: 5mg/kg over 20-120 mins
Brands: Cordarone X
Disopyramide
Type: Anti-arrhythmic
Indications: ventricular arrhythmias, after MI, supraventricular arrhythmias
Dose:
- By mouth: 300-800mg daily in divided doses
- By slow IV injection: Look up
Brands: Rythmodan, Rhythodan retard
Flecainide
Type: Anti-arrhythmic
Indications: Tachycardia, arrhythmias
Dose: Look up under route
Brands: Tambocor
Procainamide Hydrochloride
Type: Anti-arrhythmic
Indications: ventricular arrhythmias, especially after an MI, atrial tachycardia
Dose: Look up under route
Brands: Pronestyl
Lidocaine Hydrochloride
Type: Anti-arrhythmic
Indications: ventricular arrhythmias, especially after an MI
Dose: Look up under dose
Brands: Minijet Lignocaine
Mexiletine Hydrochloride
Type: Anti-arrhythmic
Indications: life-threatening ventricular arrhythmias
Dose:
- By mouth: 400mg followed after 2 hours by 200-250mg 3-4 times daily
- By IV injection: 100-250mg at 25mg/min followed by an infusion of 250mg over 1hr, then 125mg/hr for 2 hrs then 500mcg/min
Brands: Mexitil
Propranolol Hydrochloride
Type: Beta blocker
Indications: hypertension, phaeochromocytoma, angina, arrhythmias, anxiety, prophylaxis after MI, migraine prophylaxis
Dose: Look up under condition
Brands: Inderal, Half-Inderal LA, Inderal LA
Acebutolol
Type: Beta blocker
Indications: Hypertension, angina, arrhythmias
Dose:
- Hypertension: 400mg OD or 200mg BD increased to 400mg BD after 2 weeks if necessary
- Angina: 400mg OD or 200mg BD
- Arrhythmias: 0.4-1.2g daily in 2-3 divided doses
Brands: Sectral
Atenolol
Type: Beta blocker
Indications: Hypertension, angina, arrhythmias
Dose:
- Hypertension: 25-50mg OD
- Angina: 100mg daily in 1-2 doses
- Arrhythmias: 50-100mg daily
Brands: Tenormin
Bisoprolol
Type: Beta blocker
Indications: hypertension, angina, mild to moderate heart failure
Dose:
- Hypertension & heart failure: 10mg OD
- Heart failure: 1.25mg OD increasing weekly if tolerated up to 10mg
Brands: Cardicor, Emcor
Carvedilol
Type: Beta blocker
Indications: hypertension, angina, chronic heart failure
Dose: Look up under condition
Brands: Eucardic
Celiprolol
Type: Beta blocker
Indications: mild to moderate hypertension
Dose: 200mg OM, increased to 400mg OM if necessary
Brands: Celectol
Esmolol
Type: Beta blocker
Indications: supraventricular arrhymias, tachycardia, hypertension in the peri-operative period
Dose: IV infusion: 50-2000mcg/kg/min
Brands: Brevibloc
Labetalol
Type: Beta blocker
Indications: hypertension and hypertensive crisis
Dose: Look up under route
Brands: Trandate
Metoprolol Tartrate
Type: Beta blocker
Indications: hypertension, angina, arrhythmias, migraine prophylaxis, hyperthyroidism
Dose: Look up under condition
Brands: Betaloc, Betaloc SA, Lopresor, Lopresor SR
Nadolol
Type: Beta blocker
Indications: hypertension, angina, arrhythmias, migraine prophylaxis, thyrotoxicosis
Dose: Corgard
Brands:
Nebivolol
Type: Beta blocker
Indications: essential hypertension, stable mild to moderate heart failure in patients >70
Dose:
- Hypertension: 5mg OD (2.5mg OD in elderly)
- Heart failure: 1.25mg daily then increased slowly at 1-2 week interval up to 10mg daily
Brands: Nebilet
Oxprenolol Hydrochloride
Type: Beta blocker
Indications: Hypertension, angina, arrhythmias, anxiety symptoms
Dose: Look up under condition
Brands: Trasicor, Slow-Trasicor
Pindolol
Type: Beta blocker
Indications: hypertension, angina
Dose:
- Hypertension: 5mg 2-3 times daily or 15mg OD increased as required upt o 15-30mg daily
- Angina: 2.5-5mg up to TDS
Brands: Visken
Sotalol
Type: Beta blocker
Indications: arrhymias
Dose: Look up under route
Brands: Beta-Cardone, Sotacor
Timolol Maleate
Type: Beta blocker
Indications: Hypertension, Angina, Prophylaxis after an MI, Migraine prophylaxis
Dose: Look up under condition
Brands: Betim
Bosentan
Type: Vasodilator
Indications: pulmonary arterial hypertension, systemic schlerosis with ongoing digital ulcer disease
Dose:
- Hypertension: 62.5mg BD increased after 4 weeks to 125mg BD
- Systemic schlerosis with ongoing digital ulcer disease: 62.5mg BD increased after 4 weeks to 125mg BD
Brands: Tracleer
Hydralazine Hydrochloride
Type: Vasodilator
Indications: moderate to severe hypertension, heart failure, hypertensive crisis
Dose: Look up under route
Brands: Apresoline
Iloprost
Type: Vasodilator
Indications: Primary pulmonary hypertension
Dose: inhale 2.5mcg 1st dose then 5mcg 2nd dose, then 2.5-5mcg 6-9 times a day as tolerated
Brands: Ventavis
Minoxidil
Type: Vasodilator
Indications: severe hypertension
Dose: 5mg daily in 1-2 doses, increased by 5-10mg every 3 or more days, max 100mg daily
Brands: Loniten
Sildenafil
Type: Vasodilator
Indications: pulmonary arterial hypertension, erectile dysfunction
Dose: 20mg TDS
Brands: Revatio, Viagra
Sitaxentan Sodium
Type: Vasodilator
Indications: Pulmonary arterial hypertension
Dose: 100mg OD
Brands: Thelin
Sodium Nitroprusside
Type: Vasodilator
Indications: hypertensive crisis, controlled hypertnesion in anaesthesia, acute or chronic heart failure
Dose: Look up under condition
Clonidine Hydrochloride
Type: Centrally acting antihypertensive
Indications: hypertension, migraine, menopausal flushing
Dose:
- By mouth: 50-100mcg TDS increased every 1-2 days, max 1.2mg daily
- Slow IV injection: 150-300mcg
Brands: Catapres, Dixarit
Methyldopa
Type: Centrally acting antihypertensive
Indications: hypertension
Dose: 250mg 2-3 times daily, increased at intervals of at least 2 days, max 3 g daily (ELDERLY: 125mg BD, max 2g daily)
Brands: Aldomet
Moxonidine
Type: Centrally acting antihypertensive
Indications: mild to moderate essential hypertension
Dose: 200mcg OM increasing if necessary after 3 weeks to 400mcg daily in 1-2 doses
Brands:
Doxazosin
Type: Alpha blocker
Indications: hypertension, benign prostatic hyperplasia
Dose: 1mg OD, increased after 1-2 weeks to 2mg OD and thereafter to 4mg OD if necessary
Brands: Cardura
Indoramin
Type: Alpha blocker
Indications: hypertension, benign prostatic hyperplasia
Dose: 25mg BD, increased by 25-50mg daily at intervals of 2 weeks
Brands: Baratol, Doralese
Prazosin
Type: Alpha blocker
Indications: hypertension, congestive heart failure, Raynaud's syndrome, benign prostatic hyperplasia
Dose: Look up under condition
Brands: Hypovase
Terazosin
Type: Alpha blocker
Indications: mild to moderate hypertension, benign prostatic hyperplasia
Dose: 1mg ON, dose doubled after 7 days if necessary, usual maintenance 2-10mg OD
Brands: Hytrin
Phenoxybenzamine Hydrochloride
Type: Alpha blocker
Indications: hypertensive episodes in phaeochromocytoma
Dose: Look up under preparations
Brands: Dibenyline
Phentolamine Mesilate
Type: Alpha Blocker
Indications: hypertensive episodes due to/diagnosis of phaeochromocytoma
Dose:
- hypertensive episodes: 2-5mg by IV injection, repeated if necessary
- diagnosis of phaeochromocytoma
Brands: Rogitine
Captopril
Type: ACE inhibitor
Indications: hypertension, congestive heart failure, following MI, diabetic nephropathy in IDDM
Dose: Look up under condition
Brands: Captopen
Cilazapril
Type: ACE inhibitor
Indications: essential hypertension, congestive heart failure
Dose:
- hypertension: 1mg OD increased according to response up to 2.5-5mg OD
- heart failure: 500mcg OD increased gradually to 1-2.5mg OD if tolerated
Brands: Vascace
Enalapril Maleate
Type: ACE inhibitor
Indications: hypertension, symptomatic heart failure
Dose:
- hypertension: 5mg OD increased up to maintenance dose of 20mg OD
- Heart failure: 2.5mg OD increased over 2-4 weeks to 10-20mg BD if tolerated
Brands: Innovace
Fosinopril
Type: ACE inhibitor
Indications: hypertension, congestive heart failure
Dose:
- Hypertension: 10mg OD, increased to 40mg if necessary
- Heart failure: 10mg daily, increase to 40mg if tolerated
Brands: Staril
Imidapril Hydrochloride
Type: ACE inhibitor
Indications: essential hypertension
Dose: 5mg daily before food, increase up to 20mg daily if necessary
Brands: Tanatril
Lisinopril
Type: ACE inhibitor
Indications: hypertension, symptomatic heart failure, short term treatment post MI
Dose: Look up under condition
Brands: Carace, Zestril
Moexipril Hydrochloride
Type: ACE inhibitor
Indications: essential hypertension
Dose: 7.5mg OD increased to maintenance dose of 15-30mg OD
Brands: Perdix
Perindopril Erbumine
Type: ACE inhibitor
Indications: hypertension, symptomatic heart failure, prophylaxis of cardiac events after MI or revascularisation in stable CAD
Dose: Look up under condition
Brands: Coversyl
Quinapril
Type: ACE inhibitor
Indications: essential hypertension, congestive heart failure
Dose:
- Hypertension: 10mg OD increased up to a maintenance dose of 20-40mg daily in 1-2 doses
- Heart failure: 2.5mg OD increased gradually to 10-20mg daily in 1-2 doses if tolerated
Brands: Accupro
Ramipril
Type: ACE inhibitor
Indications: mild to moderate hypertension, congestive heart failure, following MI, prevention of MI, stroke, CV death or need of revascularisation procedures
Dose: Look up under conditions
Brands: Tritace
Trandolapril
Type: ACE inhibitor
Indications: mild to moderate hypertension, following MI in patients with LV dysfunction
Dose:
- Hypertension: 500mcg OD increased at intervals of 2-4 weeks, usually 1-2mg OD
- Prophylaxis: 500mcg daily gradualy increased to max 4g daily
Brands: Gopten
Candesartan Cilexetil
Type: Angiotensin-II receptor antagonist
Indications: hypertension, heart failure
Dose:
- Hypertension: 8mg D increased if necessary to max 32mg OD
- Heart failure: 4mg OD increased at intervals of 2 weeks to target dose of 32mg OD
Brands:
Eprosartan
Type: Angiotensin-II receptor antagonist
Indications: Hypertension
Dose: 600mg OD, increased to 800mg OD after 2-3 weeks if necessary
Brands:
Irbesartan
Type: Angiotensin-II receptor antagonist
Indications: hypertension, renal disease in hypertensive NIDDM
Dose:
- Hypertension: 150mg OD increased if necessary to 300mg OD
- Renal disease: 150mg OD increased to 300mg OD if tolerated
Brands: Aprovel
Losartan Potassium
Type: Angiotensin-II receptor antagonist
Indications: hypertension, diabetic nephropathy in NIDDM
Dose: 50mg OD increased if necessary to 100mg OD
Brands: Cozaar
Olmesartan Medoxomil
Type: Angiotensin-II receptor antagonist
Indications: hypertension
Dose: 10mg OD if necessary increase to 20mg OD
Brands:
Telmisartan
Type: Angiotensin-II receptor antagonist
Indications: hypertension
Dose: 40mg OD increased if necessary after at least 4 weeks to 80mg OD
Brands: Micardis
Valsartan
Type: Angiotensin-II receptor antagonist
Indications: hypertension, MI
Dose:
- Hypertension: 80mg OD, increased if necessary up to a max 320mg daily
- MI: 20mg BD increased over several weeks up to 160mg BD if tolerated
Brands: Diovan
Aliskiren
Type: Renin Inhibitor
Indications: essential hypertension
Dose: 150mg OD increased if necessary up to 300mg OD
Brands: Rasilez
Glyceryl Trinitrate
Type: Nitrate
Indications: Prophylaxis and treatment of angina, LVF, anal fissure, extra-vasation
Dose: Look up under preparations
Brands: Coro-Nitro Pump Spray, Glytrin Spray, Nitrolingual Pumpspray, Nitromin, Suscard, Nitrocine, Nitronal, Deponit, Minitran, Nitro-Dur, Percutol, Transiderm-Nitro, Trintek
Isosorbide Dinitrate
Type: Nitrate
Indications: Prophylaxis and treatment of angina, LVF
Dose: Look up under preparation
Brands: Angitak
Isosorbide Mononitrate
Type: Nitrate
Indications: Prophylaxis of angina, adjunct in congestive heart failure
Dose: 20mg 2-3 times daily or 40mg BD, up to 120mg daily in divided doses
Brands: Elantan, Ismo, Chemydur 60XL, Elantan LA, IMdur, Isib 60 XL, Ismo Retard, Isodur, Isotard, Modisal LA, Modisal XL, Monomax, Monomil XL, Monosorb XL 60, Zemon
Amlodipine
Type: Calcium channel blocker
Indications: hypertension, prophylaxis of angina
Dose: 5mg OD
Brands: Istin
Diltiazem Hydrochloride
Type: Calcium channel blocker
Indications: hypertension, prophylaxis and treatment of angina
Dose: 60mg TDS increased if necessary up to 360mg daily
Brands: Tildiem, Adizem-SR, Adizem-XL, Angitil SP, Angitil XL, Calcicard CR, Dilcardia SR, Dilzem SR, Dilzem XL, Slozem, Tildiem LA, Tildiem Retard, Viazem XL, Zemtard
Felodipine
Type: Calcium channel blocker
Indications: Hypertension, prophylaxis of angina
Dose:
- Hypertension: 5mg OM
- Angina: 5mg OM, increased to 10mg if necessary
Brands: Plendil
Isradipine
Type: Calcium channel blocker
Indications: Hypertension
Dose: 2.5mg BD, increased if necessary to 5mg BD after 3-4 weeks
Brands: Prescal
Lacidipine
Type: Calcium channel blocker
Indications: Hypertension
Dose: 2mg OM, increased after 3-4 weeks to 4 or even 6mg OM if necessary
Brands: Motens
Lercanidipine Hydrochloride
Type: Calcium channel blocker
Indications: Mild to moderate hypertension
Dose: 10mg OD, increased if necessary after at least 2 weeks to 20mg daily
Brands: Zanidip
Nicardipine Hydrochloride
Type: Calcium channel blocker
Indications: Prophylaxis of angina, mild to moderate hypertension
Dose: 20mg TDS increased after at least 3 days to 30mg TDS
Brands: Cardene, Cardene SR
Nifedipine
Type: Calcium channel blocker
Indications: Prophylaxis of angina, hypertension, Raynaud's phenomenon
Dose: Look up under preparations
Brands: Adalat, Adalt LA, Adalat Retard, Adipine MR, Adipine XL, Cardilate MR, Coracten SR, Coracten XL, Fortipine LA 40, Hypolar Retard 20, Nifedipress MR, Nifopress Retard, Tensipine MR
Nimodipine
Type: Calcium channel blocker
Indications: prevention & treatment of ischaemic neurological deficits following aneurysal subarachnoid haemorrhage
Dose: Look up under condition
Brands: Nimotop
Nisoldipine
Type: Calcium channel blocker
Indications: prophylaxis of angina, mild to moderate hypertension
Dose: 10mg before breakfast, if necessary increase at intervals of 1 week up to a max 40mg daily
Brands: Syscor MR
Verapamil Hydrochloride
Type: Calcium channel blocker
Indications: supraventricular arrhythmias, angina, hypertension
Dose: Look up under route
Brands: Cordilox, Securon, Half Securon SR, Securon SR, Univer, Verapress MR, Vertab SR 240
Ivabradine
Type: Other anti-anginal
Indications: angina with normal sinus rhythm
Dose: 5mg BD, increased if necessary to 7.5mg BD after 3-4 weeks
Brands: Procoralan
Nicorandil
Type: Other anti-anginal
Indications: prophylaxis and treatment of angina
Dose: 10mg BD, 20mg BD if necessary
Brands:
Cilostazol
Type: Peripheral vasodilator
Indications: intermittent claudication in patients without rest pain and no peripheral tissue necrosis
Dose: 100mg BD
Brands: Pletal
Naftidrofuryl Oxalate
Type: Peripheral vasodilator
Indications: peripheral vascular disease, cerebral vascular disease
Dose:
- peripheral vascular disease: 100-200mg TDS
- cerebral vascular disease: 100mg TDS
Brands: Praxilene
Dobutamine
Type: Inotropic sympathomimetic
Indications: inotropic support in infarction, cardiac surgery, cardiomyopathies, septic shock & cardiogenic shock
Dose: by IV infusion: 2.5-10mcg/kg/minute, adjusted according to response
Dopamine Hydrochloride
Type: Inotropic sympathomimetic
Indications: cardiogenic shock in infarction or cardiac surgery
Dose: by IV infusion: 2-5mcg/kg/minute, adjusted according to response
Brands: Select-A-Jet Dopamine
Dopexamine Hydrochloride
Type: Inotropic sympathomimetic
Indications: inotropic support and vasodilator in exacerbations of chronic heart failure & in heart failure associated with heart surgery
Dose: Look up under dose
Brands: Dopacard
Ephedrine Hydrochloride
Type: Vasoconstrictor sympathomimetic
Indications: reversal of hypotension from spinal or epidural anaesthesia
Dose: By slow IV injection: 3-6mg repeated every 3-4 mins according to response
Metaraminol
Type: Vasoconstrictor sympathomimetic
Indications: acute hypotension, priapism
Dose: by IV infusion: 15-100mg adjusted according to response
Noradrenaline Acid tartrate/ Norepinephrine Bitartrate
Type: Vasoconstrictor sympathomimetic
Indications: acute hypotension, cardiac arrest
Dose: Look up under condition
Brands:
Phenylephrine Hydrochloride
Type: Vasoconstrictor sympathomimetic
Indications: Acute hypotension, priapism
Dose: Look up under route
Adrenaline
Type: Adrenaline
Indications: Cardiac arrest
Dose: Look up under cardiopulmonary resuscitation
Heparin
Type: Coumarin
Indications: DVT, prophylaxis of clotting
Dose: Look up under condition
Brands: Monoparin, Monoparin calcium, Multiparin
Bemiparin Sodium
Type: LMWH
Indications: prophylaxis of clotting
Dose: Look up under condition
Dalteparin Sodium
Type: LMWH
Indications: DVT prophylaxis, treatment of thromboembolic disease in pregnancy
Dose: Look up under preparations
Brands: Fragmin
Enoxaparin Sodium
Type: LMWH
Indications: DVT prophylaxis, treatment of ACS
Dose:
- prophylaxis: 30-40mg
- Pulmonary embolism: 1.5mg/kg OD
- ACS: 1mg/kg BD
Brands: Clexane
Tinzaparin Sodium
Type: LMWH
Indications: DVT prophylaxis, treatment of thromboembolic disease in pregnancy
Dose: Look up under preparations
Brands: Innohep
Danaparoid Sodium
Type: Heparinoid
Indications: DVT prevention in general/orthopedic surgery, thromboembolic disease in patients with history of heparin-induced thrombocytopenia
Dose:
- DVT prophylaxis: 750u BD for 7-10 days before surgery
- Thromboembolic disease: 2500u followed by 400u/hr for 2 hours then 300u/hr for 2 hours then 200u/hr for 5 days
Brands: Orgaran
Bivalirudin
Type: Hirudin
Indications: anticoagulation for patients undergoing percutaneous coronary intervention
Dose: initially by IV injection 750mcg/kg then by IV infusion 1.75mg/kg/hour for up to 4 hours after procedure
Brands: Angiox
Lepirudin
Type: Hirudin
Indications: thromboembolic disease requiring parenteral anticoagulation in patients with heparin-induced thrombocytopenia type II
Dose: initially by slow IV injection 400mcg/kg followed by IV infusion of 150mcg/kg/hr
Brands: Refludan
Epoprostenol
Type: Prostacyclin
Indications: inhibition of platelet aggregation during renal dialysis
Dose: Look up product literature
Brands: Flolan
Fondaparinux Sodium
Type: Synthetic pentasaccharide
Indications: prophylaxis of venous thromboembolism in medical patients immobilised due to acute illness, NSTEMI & STEMI
Dose: Look up under preparation
Brands: Arixtra
Warfarin Sodium
Type: Oral Anticoagulant
Indications: prophylaxis of clotting
Dose: According to INR
Acenocoumarol
Type: Oral anticoagulant
Indications: prophylaxis of clotting
Dose: 4-12mg on 1st day, 4-8mg on 2nd day, maintenance 1-8mg
Brands: Sinthrome
Phenindione
Type: Oral Anticoagulant
Indications: Prophylaxis of clotting
Dose: 200mg on day 1, 100mg on day 2, maintenance 50-150mg daily
Protamine Sulphate
Type: Anti-heparin
Indications: Heparin overdose
Dose: Look up under doses
Brands: Prosulf
Abciximab
Type: Antiplatelet
Indications: prevention of ischaemic cardiac complications in patients undergoing percutaneous coronary intervention, short-term MI prevention in patients with unstable angina not responding to conventional treatment
Dose: Look up under dose
Brands: Reopro
Aspirin 75mg
Type: Antiplatelet
Indications: prophylaxis of cerebrovascular disease or MI
Dose: 75mg OD
Brands: Angettes 75, Caprin, Nu-Seals Aspirin
Clopidogrel
Type: Asprin
Indications: prophylaxis of cerebrovascular disease or MI
Dose:
- prophylaxis: 75mg OD
- ACS: initially 300mg then 75mg daily
Brands: Plavix
Dipyridamole
Type: Antiplatelet
Indications: Thrombosis prophylaxis
Dose: 300-600mg dialy in3-4 divided doses before food
Brands: Persantin, Persantin Retard
Eptifibatide
Type: Antiplatelet
Indications: Prevention of early MI in patients with unstable angina or NSTEMI
Dose: Initially by IV injection 180mcg/kg then by IV infusion 2mcg/kg/min for up to 72 hours
Brands: Integrillin
Tirofiban
Type: Antiplatelet
Indications: Prevention of early MI in patients with unstable angina or NSTEMI
Dose: By IV infusion initially 400ng/kg/min for 30 mins then 100ng/kg/min for at least 48 hours
Brands: Aggrastat
Alteplase
Type: Fibrinolytic
Indications: acute MI, PE, acute ischaemic stroke
Dose: Look up under condition
Brands: Actilyse
Reteplase
Type: Fibrinolytic
Indications: acute MI
Dose: By IV injection (initiated within 12 hours of symptom onset), 10 units over not more than 2 minutes followed after 30 mins by a further 10 units
Brands: Rapilysin
Streptokinase
Type: Fibrinolytic
Indications: acute MI, DVT, PE, acute arterial thromboembolism and central retinal venous or arterial thrombosis
Dose:
- MI: 1500000u over 60 mins
- DVT, PE e.t.c.: 250000u over 30 mins, then 100000u/hr for up to 12-72 hours according to condition
Brands: Streptase
Tenecteplase
Type: Fibrinolytic
Indications: acute MI
Dose: by IV injection over 10 secs, 30-50mg according to body weight
Brands: Metalyse
Urokinase
Type: Fibrinolytic
Indications: DVT, PE, peripheral vascular occlusion
Dose: Look up under condition
Brands: Syner-KINASE
Etamsylate
Type: Antifibrinolytic
Indications: blood loss in menorrhagia
Dose: 500mg QDS during menstruation
Brands: Dicynene
Tranexamic Acid
Type: Antifibrinolytic
Indications: Excessive fibrinolysis
Dose: Look up under route
Brands: Cyklokapron
Colesevelam Hydrochloride
Type: Bile acid sequestrant
Indications: primary hypercholestrerolaemia
Dose:
- Monotherapy: 3.75g daily in 1-2 doses
- In combo with a statin: 2.5-3.75g daily in 1-2 divided doses
Brands: Cholestagel
Colestipol Hydrochloride
Type: Bile acid sequestrant
Indications: hyperlipidaemias,
Dose: 5g 1-2 times daily increased if necessary in monthly intervals to max 30g
Brands: Colestid
Ezetimibe
Type: Lipid uptake inhibitor
Indications: hypercholesterolaemia
Dose: 10mg OD
Brands: Ezetrol
Bezafibrate
Type: Fibrate
Indications: hyperlipidaemias IIa, IIb, III, IV and V
Dose: 200mg TDS (or 400mg OD for MR preparations)
Brands: Bezalip, Bezalip Mono
Ciprofibrate
Type: Fibrate
Indications: hyperlipidaemias IIa, IIb, III and IV
Dose: 100mg daily
Brands: Modalim
Fenofibrate
Type: Fibrate
Indications: hyperlipidaemias IIa, IIb, III, IV and V
Dose: Look up under preparations
Brands: Lipantil, Supralip
Gemfibrozil
Type: Fibrate
Indications: hyperlipidaemias IIa, IIb, III, IV and V
Dose: 1.2g daily in 2 divided doses
Brands: Lopid
Atorvastatin
Type: Statin
Indications: hypercholesterolaemias
Dose: 10mg OD, increased as necessary in 4 week intervals up to 80mg daily
Brands: Lipitor
Fluvastatin
Type: Statin
Indications: hyperlipidaemia and hypercholesterolaemias
Dose: 20-40mg ON, increased as necessary in 4 week intervals up to 80mg daily
Brands: Lescol, Lescol XL
Pravastatin Sodium
Type: Statin
Indications: hyperlipidaemia and hypercholesterolaemias, CVD prophylaxis
Dose:
- Hypercholesterolaemia: 10-40mg ON
- CVD prophylaxis: 40mg ON
- Post-transplant hyperlipidaemia: 20-40mg ON
Brands: Lipostat
Rosuvastatin
Type: Statin
Indications: Hyperchlosterolaemias
Dose: 5-10mg OD increase if necessary at 4 week intervals to 40mg OD
Brands: Crestor
Simvastatin
Type: Statin
Indications: Hyperchlosterolaemias and hyperlipidaemias
Dose:
- Hyperchlosterolaemias: 10-20mg ON
- CVD prophylaxis: 20-40mg ON, increased if necessary to max 80mg ON
Brands: Zocor
Acipimox
Type: Lipid-modulator
Indications: hyperlipidaemias IIb and IV
Dose: 500-750mg daily in divided doses
Brands: Olbetam
Nicotinic acid
Type: Lipid-modulator
Indications: dyslipidaemia
Dose: 375mg ON for 1 week, then 500mg ON for 1 week then 750mg ON for 1 week, the 1g ON for 1 week, increase further at 4 week intervals by 500mg if necessary
Brands: Niaspan
Omega-3-acid Ethyl esters
Type: Omega-3 fatty acid compound
Indications: hypertriglyceridaemias and secondary prevention after an MI
Dose:
- hypertriglyceridaemia: 2g OD, increased if necessary to 4g OD
Brands: Omacor
Omega-3-Marine triglycerides
Type: Omega-3 fatty acid compound
Indications: severe hypertriglyceridaemia
Dose: 5g BD
Brands: Maxepa
Ethanolamine Oleate
Type: Local sclerosant
Indications: scleropathy of varicose veins
Dose: look up under preparation
Sodium tetradecyl Sulphate
Type: Local sclerosant
Indications: scleropathy of varicose veins
Dose: look up under preparation
Brands: Fibro-vein
Bambuterol Hydrochloride
Type: Short-acting beta-2 agonist
Indications: asthma and similar conditions
Dose: 20mg ON if previously on beta-2 agonists, 10mg ON if not
Brands: Bambec
Formeterol Fumarate
Type: Long acting Beta-2 agonist
Indications: reversible airway obstructions
Dose: look up under preparations
Brands: Atimos Modulite, Foradil, Oxis
Salbutamol
Type: Short-acting beta-2 agonist
Indications: asthma and similar conditions, premature labour
Dose: Look up under formulation
Brands: Ventmax SR, Ventolin, Volmax, Airomir, Asmasal Clickhaler, Salamol Easi-breathe
Salmeterol
Type: Long acting Beta-2 agonist
Indications: reversible airway obstructions, COPD
Dose:
- Asthma: 50mcg BD, increased up to 100mcg BD if necessary
- COPD: 50mcg BD
Brands: Serevent
Terbutaline Sulphate
Type: Short-acting beta-2 agonist
Indications: asthma and similar conditions, premature labour
Dose: Look up under formulation
Brands: Bricanyl
Ephedrine Hydrochloride
Type: Adrenoceptor agonist
Indications: reversible airways obstruction
Dose: 15-60mg TDS
Orciprenaline Sulphate
Type: Adrenoceptor agonist
Indications: reversible airways obstruction
Dose: 20mg QDS
Brands: Alupent
Ipratropium Bromide
Type: Antimuscarinic bronchodilator
Indications: reversible airways obstruction, COPD
Dose: Look up under formulation
Brands: Atrovent, Ipratropium steri-neb, Respontin
Tiotropium
Type: Antimuscarinic bronchodilator
Indications: maintenance of COPD
Dose: Look up under preparations
Brands: Spiriva
Theophylline
Type: Bronchodilator
Indications: reversible airways obstruction, acute severe asthma
Dose: Calculate appropriate plasma concentration
Brands: Nuelin SA, Slo-Phyllin, Uniphyllin Continus
Aminophylline
Type: Bronchodilator
Indications: reversible airways obstruction, acute severe asthma
Dose: Look up under preparations (optimum level = 10-20 mg/l)
Brands: Phyllocontin continus
Beclometasone Dipropionate
Type: Corticosteroid
Indications: asthma prophylaxis
Dose: Typically 200-400mcg BD
Brands: AeroBec, AeroBec Forte, Asmabec clickhaler, Beclazone Easi-Breathe, Becodisks, Clenil Modulite, Qvar, Fostair
Budesonide
Type: Corticosteroid
Indications: asthma prophylaxis
Dose: Look up under preparations
Brands: Novolizer, Pulmicort, Symbicort (with formoterol)
Ciclesonide
Type: Corticosteroid
Indications: asthma prophylaxis
Dose: 160 mcg daily, reduced to 80 mcg daily if control maintained
Brands: Alvesco
Fluticasone Propionate
Type: Corticosteroid
Indications: asthma prophylaxis
Dose: Look up under preparations
Brands: Flixotide, Seretide (with salmeterol)
Mometasone Furoate
Type: Corticosteroid
Indications: asthma prophylaxis
Dose: 200-400 mcg ON or BD
Brands: Asmanex
Sodium Cromoglicate
Type: Long acting bronchodilator
Indications: asthma prophylaxis, food allergy, allergic conjuctivits, allergic rhinitis
Dose: 20mg QDS, increased to 8 times daily as necessary
Brands: Intal
Nedocromil Sodium
Type: Long acting bronchodilator
Indications: asthma prophylaxis
Dose: 4mg QDS, reduced to BD if control acheived
Brands: Tilade
Montelukast
Type: Leukotriene receptor antagonist
Indications: asthma prophylaxis, symptomatic relief of allergic rhinitis in asthma patients
Dose:
- asthma prophylaxis: 10mg ON
- allergic rhinitis: 10mg ON
Brands: Singulair
Zafirlukast
Type: Leukotriene receptor antagonist
Indications: asthma prophylaxis
Dose: 20mg BD
Brands: Accolate
Cetirizine Hydrochloride
Type: Non-sedating anithistamine
Indications: symptomatic allergy relief
Dose: 10mg OD or 5mg BD
Desloratidine
Type: Non-sedating anithistamine
Indications: symptomatic allergy relief, chronic idiopathic urticaria
Dose: 5mg OD
Brands: Neoclarityn
Fexofenadine Hydrochloride
Type: Non-sedating anithistamine
Indications: Seasonal allergic rhinitis, chronic idiopathic urticaria
Dose:
- Seasonal allergic rhinitis: 120mg OD
- chronic idiopathic urticaria: 180mg OD
Brands: Telfast
Levocetirizine Hydrochloride
Type: Non-sedating anithistamine
Indications: symptomatic allergy relief, urticaria
Dose: 5mg OD
Brands: Xyzal
Loratidine
Type: Non-sedating anithistamine
Indications: symptomatic allergy relief, chronic idiopathic urticaria
Dose: 10mg OD
Mizolastine
Type: Non-sedating antihistamine
Indications: symptomatic allergy relief, urticaria
Dose: 10mg OD
Brands: Mizollen
Alimemazine Tartrate
Type: Sedating antihistamine
Indications: urticaria, pruritis
Dose: 10mg 2-3 times daily, up to 100mg daily in severe cases
Brands: Vallergan
Chlorphenamine Maleate
Type: Sedating antihistamine
Indications: symptomatic allergy relief, urticaria, emergency treatment of anaphylactic reactions
Dose:
- by mouth: 4mg every 4-6 hours, max 24mg daily
- by IM or IV injection: 10mg over 1 min, repeated if required up to 4 times in 24 hours
Brands: Piriton
Clemastine
Type: Sedating antihistamine
Indications: symptomatic allergy relief, urticaria
Dose: 1mg BD, increased top 6mg daily if required
Brands: Tavegil
Cyproheptadine Hydrochloride
Type: Sedating antihistamine
Indications: symptomatic allergy relief, urticaria, migraine
Dose:
- Allergy: 4mg 3-4 times daily
- migraine: 4mg with a further 4mg every 30 mins as necessary
Brands:
Hydroxyzine Hydrochloride
Type: Sedating Antihistamine
Indications: pruritus, anxiety
Dose:
- Pruritus: 25mg ON increased if necessary to 25mg 3-4 times daily
- Anxiety: 50-100mg QDS
Brands: Atarax, Ucerax
Ketotifen
Type: Sedating Antihistamine
Indications: allergic rhinitis
Dose: 1mg BD increased if necessary to 2mg BD
Brands: Zaditen
Promethazine Hydrochloride
Type: Sedating Antihistamine
Indications: symptomatic allergy relief, urticaria, sedation, motion sickness
Dose: Look up under route
Brands: Phenergan
Omalizumab
Type: allergen immunotherapy
Indications: prophylaxis of allergic asthma
Dose: Consult product literature
Brands: Xolair
Adrenaline
Type: Adrenaline
Indications: emergency treatment of acute analphylaxis, angioedema, cardiopulmonary resuscitation, priapism
Dose: inject single dose of 1mg/ml solution
Brands: Minijet, Anapen, Epipen
Doxapram Hydrochloride
Type: Respiratory Stimulant
Indications: Postoperative respiratory depression, acute respiratory failure
Dose: Look up under condition
Brands: Dopram
Beractant
Type: Pulmonary surfactant
Indications: respiratory distress syndrome in preterm neonates over 700g, prophylaxis of respiratory distress syndrome in preterm neonates < 32 weeks post-menstrual age
Dose: 100mg/kg preferably within 8 hours of birth, may be repeated within 48 hours at intervals of at least 6 hours up to 4 doses
Brands: Survanta
Poractant Alfa
Type: Pulmonary surfactant
Indications: respiratory distress syndrome in preterm neonates over 700g, prophylaxis of respiratory distress syndrome in preterm neonates
Dose: 100-200mg/kg
Brands: Curosurf
Carbocysteine
Type: Mucolytic
Indications: reduction of sputum viscosity
Dose: 2.25g daily in divided doses, then 1.5g daily in divided doses
Erdosteine
Type: Mucolytic
Indications: symptomatic treatment of acute exacerbations of chronic bronchitis
Dose: 300mg BD for up to 10 days
Brands: Erdotin
Mecysteine Hydrochloride
Type: Mucolytic
Indications: reduction of sputum viscosity
Dose: 200mg QDS for 2 days, then 200mg TDS for 6 weeks, then 200mg BD
Brands: Visclair
Dornase Alfa
Type: Mucolytic
Indications: cystic fibrosis with an FVC of 40%
Dose: 2.5mg OD
Brands: Pulmozyme
Codeine Phosphate
Type: Cough suppressant
Indications: dry/painful cough, diarrhoea, pain
Dose:
- cough suppression: 5-10ml 3-4 times daily
Pholcodeine
Type: Cough suppressant
Indications: dry/painful cough
Dose: 5-10ml 3-4 times daily
Brands: Galenphol
Methadone Hydrochloride
Type: Cough suppressant
Indications: cough in terminal disease
Dose: 2.5-5ml every 4-6 hours
Morphine Hydrochloride
Type: Cough suppressant
Indications: cough in terminal disease
Dose: Initially 5mg every 4 hours
Pseudoephedrine Hydrochloride
Type: Systemic nasal docongestants
Indications: nasal congestion
Dose: 60mg 3-4 times daily
Brands: Galpseud, Sudafed
Nitrazepam
Type: Hypnotic
Indications: insomnia
Dose: 5-10mg ON
Flurazepam
Type: Hypnotic
Indications: insomnia
Dose: 15-30mg ON
Brands: Dalmane
Loprazolam
Type: Hypnotic
Indications: insomnia
Dose: 1mg ON, increased to 1.5-2mg if required
Lormetazepam
Type: Hypnotic
Indications: insomnia
Dose: 0.5-1.5mg ON
Temazepam
Type: Hypnotic
Indications: Insomnia
Dose: 10-20mg at bedtime, 30-40mg in exceptional circumstances
Zalepon
Type: Hypnotic
Indications: Insomnia
Dose: 10mg ON for max 2 weeks
Brands: Sonata
Zolpidem Tartrate
Type: Hypnotic
Indications: Insomnia
Dose: 10mg ON
Brands: Stilnoct
Zopiclone
Type: Hypnotic
Indications: Insomnia
Dose: 7.5mg ON
Brands: Zimovane
Chloral Hydrate
Type: Hypnotic
Indications: Insomnia
Dose: Look up under preparation
Brands: Welldorm
Triclofos Sodium
Type: Hypnotic
Indications: Insomnia
Dose: 10-20ml ON
Clomethiazole
Type: Hypnotic
Indications: Insomnia, alcohol withdrawal, restlessness and agitation
Dose:
- Insomnia: 192-384mg ON
- Restlessness: 192mg TDS
- Alcohol withdrawal: 384-768mg intially, repeated if necessary after several hours
Brands: Heminevrin
Sodium Oxybate
Type: Hypnotic
Indications: Narcolepsy with cataplexy
Dose: initally 2.25mg of retiring and repeated 2.5-4 hours later increased according to response in steps if 1.5mg daily
Brands: Xyrem
Melatonin
Type: Hypnotic
Indications: Insomnia
Dose: 2mg OD
Brands: Circadin
Diazepam
Type: Anxiolytic
Indications: anxiety/insomnia, acute alcohol withdrawal, status epilepticus, febrile convulsions, muscle spasm
Dose: Look up under route
Alprazolam
Type: Anxiolytic
Indications: anxiety
Dose: 250-500mcg TDS increased if necessary to 3mg daily
Chlordiazepoxide Hydrochloride
Type: Anxiolytic
Indications: Anxiety
Dose: 10mg TDS
Lorazepam
Type: Anxiolytic
Indications: anxiety, insomnia, status epilepticus
Dose: 1-4mg daily in divided doses
Oxazepam
Type: Anxiolytic
Indications: Anxiety, insomnia
Dose:
- Anxiety: 15-30mg 3-4 times daily
- Insomnia: 15-25mg ON
Buspirone
Type: Anxiolytic
Indications: Anxiety
Dose: 5mg 2-3 times daily
Brands: Buspar
Meprobamate
Type: Anxiolytic
Indications: Anxiety
Dose: 400mg 3-4 times daily
Barbiturates
Type: Barbiturate
Indications: Severe insomnia in patients already taking barbiturates
Dose: Look up under preparations
Brands: Sodium Amytal, Soneryl, Seconal Sodium, Tuinal
Benperidol
Type: Antipsychotic
Indications: Control of deviant antisocial sexual behaviour
Dose: 0.25-1.5mg daily
Brands: Anquil
Chlorpromazine Hydrochloride
Type: Antipsychotic
Indications: Schizophrenia and other psychoses
Dose: Look up under route
Brands: Largactil
Flupentixol
Type: Antipsychotic
Indications: Schizophrenia and other psychoses, depression
Dose: 3-9mg BD
Brands: Depixol
Haloperidol
Type: Antipsychotic
Indications: Schizophrenia and other psychoses, agitation, restlessness, intractable hiccup
Dose: Look up under condition
Brands: Dozic, Haldol, Serenace
Levomepromazine
Type: Antipsychotic
Indications: Schizophrenia
Dose: Intially 25-50mg daily in divided doses, increased as necessary
Brands: Nozinan
Pericyazine
Type: Antipsychotic
Indications: Schizophrenia and other psychoses
Dose: Initially 75mg daily in divided doses increased at weekly intervals by steps of 25mg according to response
Brands: Neulactil
Perphenazine
Type: Antipsychotic/antiemetic
Indications: Schizophrenia and other psychoses
Dose: 4mg TDS adjusted according to response
Brands: Fentazin
Pimozide
Type: Antipsychotic
Indications: Schizophrenia, Monosymptomatic hypochondriacal psychosis
Dose:
- Schizophrenia: 2mg daily, increased according to response in steps of 2-4mg at intervals of not less than 1 week
- Monosymptomatic hypochondriacal psychosis: 4mg daily, increased according to response in steps of 2-4mg at intervals of not less than 1 week
Brands: Orap
Prochlorperazine
Type: Antipsychotic/ Antiemetic
Indications: Schizophrenia
Dose: Look up under route
Promazine Hydrochloride
Type: Antipsychotic
Indications: Psychomotor agitation, agitation and restlessness in the elderly
Dose:
- Psychomotor agitation: 100-200mg QDS
- agitation and restlessness in the elderly: 25-50mg QDS
Sulpiride
Type: Antipsychotic
Indications: Schizophrenia
Dose: 200-400mg BD
Brands: Dolmatil, Sulpor
Trifluoperazine
Type: Antipsychotic
Indications: Schizophrenia and other psychoses, severe anxiety
Dose:
- Schizophrenia and other psychoses: 5mg BD, increased by 5mg after 1 week then at 3 days intervals according to response
- severe anxiety: 2-4mg daily in divided doses, increased if necessary to 6mg daily
Brands: Stelazine
Zuclopenthixol Acetate
Type: Antipsychotic
Indications: short-term management of acute psychosis, mania, or exacerbations of chronic psychosis
Dose: 50-150mg by deep IM injection into the gluteal muscle or lateral thigh
Brands: Clopixol acuphase
Zuclopenthixol
Type: Antipsychotic
Indications: schizophrenia and other psychoses
Dose: 20-30mg daily in divided doses, increased to 150mg daily if necessary
Brands: Clopixol
Amisulpride
Type: Atypical antipsychotic
Indications: schizophrenia
Dose: 200-400mg BD
Brands: Solian
Aripiprazole
Type: Atypical antipsychotic
Indications: schizophrenia, mania
Dose: Look up under condition
Brands: Abilify
Clozapine
Type: Atypical antipsychotic
Indications: schizophrenia
Dose: Look up under condition
Brands: Clozaril
Olanzapine
Type: Atypical antipsychotic
Indications: schizophrenia, monotherapy for mania
Dose: Look up under condition
Brands: Zyprexa
Paliperidone
Type: Atypical antipsychotic
Indications: schizophrenia
Dose: 6mg OM
Brands: Invega
Quetiapine
Type: Atypical antipsychotic
Indications: schizophrenia, mania, mood stabilisers
Dose:
- schizophrenia: 25mg BD on day 1, 50mg BD on day 2, 100mg BD on day 3, 150mg BD on day 4, then adjusted according to response
- Mania: 50mg BD on day 1, 100mg BD on day 2, 150mg BD on day 3, 200mg BD on day 4, then adjusted according to response
Brands: Seroquel
Risperidone
Type: Atypical antipsychotic
Indications: acute and chronic psychoses, mania
Dose: Look up under condition
Brands: Risperdal
Sertindole
Type: Atypical antipsychotic
Indications: schizophrenia
Dose: 4mg daily increased in steps of 4mg at 4-5 day intervals
Brands: Serdolect
Zotepine
Type: Atypical antipsychotic
Indications: schizophrenia
Dose: 25mg TDS increased according to response at intervals of 4 days to max 100mg TDS
Brands: Zoleptil
Valproic acid
Type: Antimanic
Indications: manic episodes associated with bipolar disorder
Dose: 750mg daily in 2-3 divided doses, increased according to response
Brands: Depakote, Convulex
Lithium
Type: Antimanic
Indications: Treatment and prophylaxis of mania, bipolar disorder and recurrent depression
Dose: Look up under preparation
Brands: Camcolit, Liskonum, Priadel
Lithium citrate
Type: Antimanic
Indications: Treatment and prophylaxis of mania, bipolar disorder and recurrent depression
Dose: Look up under preparation
Brands: Li-Liquid, Priadel
Amitriptyline Hydrochloride
Type: Tricyclic antidepressant
Indications: depressive illness, neuropathic pain, migraine prophylaxis
Dose:
- Depression: 75mg daily in divided doses or ON, increased as necessary up to 200mg
- Neuropathic pain: 10-25mg ON increased as necessary up to 75mg
- Migraine prophylaxis: 10mg ON, increased as necessary up to 75mg
Brands: Triptafen (with perphenazine), Triptafen-M (with perphenazine)
Clomipramine Hydrochloride
Type: Tricyclic antidepressant
Indications: depressive illness
Dose: 10mg OD, increased as necessary up to 30-150mg daily in divided doses or ON
Brands: Anafranil, Anafranil SR
Dosulepin Hydrochloride
Type: Tricyclic antidepressant
Indications: Depression
Dose: 75mg daily in divided doses or ON, increased gradually as necessary up to 150mg daily
Brands: Prothiaden
Doxepin
Type: Tricyclic antidepressant
Indications: Depression, pruritis in eczema
Dose: 75mg daily in divided doses or ON, adjusted according to response
Brands: Sinepin
Imipramine Hydrochloride
Type: Tricyclic antidepressant
Indications: Depression
Dose: 75mg daily in divided doses or ON, increased gradually as necessary up to 150-200mg daily
Lofepramine
Type: Tricyclic antidepressant
Indications: Depression
Dose: 140-210mg daily in divided doses
Nortriptyline
Type: Tricyclic antidepressant
Indications: Depression, neuropathic pain
Dose:
- Depression: Low dose initially, increased up to 75-100mg as necessary
- Neuropathic pain: 10-25mg ON increased as necessary up to 75mg
Brands: Allegron
Trimipramine
Type: Tricyclic antidepressant
Indications: Depression
Dose: 50-75mg daily in divided doses or ON, increased as necessary up to 150-300mg daily
Brands: Surmontil
Mianserin Hydrochloride
Type: Tricyclic-related antidepressant
Indications: Depression
Dose: 30-40mg in divided doses or ON, increased as necessary up to 30-90mg daily
Trazodone Hydrochloride
Type: Tricyclic-related antidepressant
Indications: Depression, anxiety
Dose:
- Depression: 150mg daily in divided doses or ON, increased as necessary up to 300mg
- Anxiety: 75mg daily increased as necessary up to 300mg
Brands: Molipaxin
Phenelzine
Type: Monoamine-oxidase inhibitor
Indications: Depression
Dose: 15mg TDS, increased as necessary to QDS after 2 weeks
Brands: Nardil
Isocarboxazid
Type: Monoamine-oxidase inhibitor
Indications: Depression
Dose: 30mg daily (maintenance 10-20mg daily)
Tranylcypromine
Type: Monoamine-oxidase inhibitor
Indications: Depression
Dose: 10mg BD not later than 3pm, increasing the 2nd daily daily dose to 20mg after 1 week if necessary
Brands:
Moclobemide
Type: Monoamine-oxidase inhibitor
Indications: Depression, social anxiety disorder
Dose:
- Depression: 300mg daily in divided doses after food, adjusted according to response
- Social anxiety disorder: 300mg daily, increased on the fourth day to to 600mg daily in 2 divided doses
Brands: Manerix
Citalopram
Type: Selective Serotonin Reuptake inhibitor
Indications: Depression, panic disorder
Dose:
- Depression: 20mg OD increased if necessary in steps of 20mg daily at intervals of 3-4 weeks
- Panic disorder: 10mg daily increased as necessary in steps of 10mg daily
Brands: Cipramil
Escitalopram
Type: Selective Serotonin Reuptake inhibitor
Indications: Depression, social anxiety disorder, panic disorder
Dose: Look up under age, typically 10mg OD
Brands:
Fluoxetine
Type: Selective Serotonin Reuptake inhibitor
Indications: Major depression, Bulimia nervosa, Obsessive-compulsive disorder
Dose:
- Depression: 20mg OD
- Bulimia nervosa: 60mg OD
- OCD: 20mg OD
Brands: Prozac
Fluvoxamine Maleate
Type: Selective Serotonin Reuptake inhibitor
Indications: Depression, obsessive compulsive disorder
Dose:
- Depression: 50-100mg ON, increased to 300mg if necessary
- OCD: 50mg ON increased if necessary to max 300mg
Brands: Faverin
Paroxetine
Type: Selective Serotonin Reuptake inhibitor
Indications: major depression, obsessive compulsive disorder, social anxiety disorder, post-traumatic stress disorder, general anxiety disorder
Dose:
- major depression, social anxiety disorder, post-traumatic stress disorder, general anxiety disorder: 20mg OM
- OCD: 20mg OM, increased gradually in steps of 10mg to usual dose of 40mg daily
- Panic disorder: 10mg OM, increased gradually in steps of 10mg to usual dose of 40mg daily
Brands: Seroxat
Sertraline
Type: Selective Serotonin Reuptake inhibitor
Indications: depression, obsessive compulsive disorder, post-traumatic stress disorder in women
Dose: Look up under condition
Brands: Lustral
Duloxetine
Type: Atypical antidepressant
Indications: major depression, diabetic neuropathy, stress urinary incontinence
Dose: 60mg OD
Brands: Cymbalta
Flupentixol
Type: Atypical antidepressant
Indications: depression, psychoses
Dose: 1mg OM, increased after 1 week to 2mg if necessary
Brands: Fluanxol
Mirtazapine
Type: Atypical antidepressant
Indications: Major depression
Dose: 15mg ON increased within 2-4 weeks according to response
Brands: Zispin Soltab
Reboxetine
Type: Atypical antidepressant
Indications: Major depression
Dose: 4mg BD increased if necessary after 3-4 weeks to 10mg daily in divided doses
Brands: Edronax
Tryptophan
Type: Atypical antidepressant
Indications: depression
Dose: 1g TDS
Brands: Optimax
Venlafaxine
Type: Atypical antidepressant
Indications: Major depression, general anxiety disorder
Dose:
- Depression: 75mg daily in 2 divided doses increased if necessary to 150mg daily
- general anxiety disorder: Look up under preparations
Brands: Efexor, Efexor XL
Atomoxetine
Type: CNS stimulant
Indications: ADHD
Dose: 40mg daily for 7 days then increased according to response to usual maintenance dose of 80mg daily
Brands: Strattera
Dexamfetamine Sulphate
Type: CNS stimulant
Indications: narcolepsy, refractory ADHD
Dose:
- Narcolepsy: 10mg daily in divided doses increased by 10mg at 1 week intervals up to a max of 60mg daily
- Refractory ADHD: 2.5mg daily in 2-3 divided doses increased by 2.5mg at 1 week intervals
Brands: Dexedrine
Methylphenidate Hydrochloride
Type: CNS stimulant
Indications: narcolepsy, ADHD
Dose:
- ADHD: 2.5mg BD increased if necessary at weekly intervals by 2.5mg (max 1.4mg/kg daily)
- Narcolepsy: 10-60mg daily in divided doses before meals
Brands: Concerta XL, Ritalin, Equasym XL, Medikinet XL
Modafinil
Type: CNS stimulant
Indications: narcolepsy, obstructive sleep apnoea syndrome, and chronic shift work disorder
Dose:
- narcolepsy & obstructive sleep apnoea syndrome: 200mg daily either in 2 divided doses in the morning or OM
- chronic shift work disorder: 200mg taken before the start of the work shift
Brands: Provigil
Orlistat
Type: Lipase inhibitor
Indications: Obesity
Dose: 120mg immediately before, during or up to 1 hour after each main meal
Brands: Xenical
Rimonabant
Type: Centrally-acting appetite suppressant
Indications: Obesity
Dose: 20mg daily before breakfast
Brands: Acomplia
Sibutramine Hydrochloride
Type: Centrally acting appetite suppressant
Indications: Obesity
Dose: 10mg OM, increased if weight loss less than 2kg after 4 weeks to 15mg OM, if weight loss still less than 2kg after 4 weeks, discontinue
Brands: Reductil
Cinnarizine
Type: Antihistamine
Indications: vestibular disorders, motion sickness
Dose:
- Vestibular disorders: 30mg TDS
- Motion sickness: 30mg 2 hours before travel then 15mg every 8 hours during journey if necessary
Brands: Stugeron, Arlevert (with dimenhydrinate)
Cyclizine
Type: Antihistamine
Indications: nausea, vomiting, vertigo, motion sickness, labyrinthine disorders
Dose: 50mg up to TDS
Brands: Valoid
Promethazine Teoclate
Type: Antihistamine
Indications: nausea, vomiting, motion sickness, labyrinthine disorders
Dose: 25-75mg daily
Brands: Avomine
Domperidone
Type: Antiemetic
Indications: nausea and vomiting, dyspepsia, GI reflux
Dose: 10-20mg 3-4 times daily
Brands: Motilium
Metoclopramide hydrochloride
Type: Antiemetic
Indications: Nausea and vomiting, GI disorders, migraine
Dose: 10mg TDS
Brands: Maxolon, Maxolon High dose, Maxolon SR
Dolasetron Mesilate
Type: 5HT3 antagonist
Indications: Nausea and vomiting caused by cytotoxic chemotherapy, post-op nausea and vomiting
Dose: Look up under indication
Brands: Anzemet
Granisetron
Type: 5HT3 antagonist
Indications: Nausea and vomiting caused by cytotoxic chemotherapy, post-op nausea and vomiting
Dose: Look up under indication
Brands: Kytril
Ondansetron
Type: 5HT3 antagonist
Indications: Emetogenic emergencies, post-op nausea and vomiting
Dose: Look up under indication
Brands: Zofran
Palonosetron
Type: 5HT3 antagonist
Indications: Prevention of nausea and vomiting induced by moderately and severly emetogenic chemotherapy
Dose: 250mcg by IV injection as a single dose 30 mins before treatment
Brands: Aloxi
Tropisetron
Type: 5HT3 antagonist
Indications: Nausea and vomiting caused by cytotoxic chemotherapy, post-op nausea and vomiting
Dose: Look up under indication
Brands: Navoban
Aprepitant
Type: Neurokinin receptor antagonist
Indications: adjunct to dexamethasone and a 5HT3 antagonist in preventing nausea and vomiting associated with emetogenic chemotherapy
Dose: 125mg 1 hour before chemotherapy
Brands: Emend
Fosaprepitant
Type: Neurokinin receptor antagonist
Indications: adjunct to dexamethasone and a 5HT3 antagonist in preventing nausea and vomiting associated with emetogenic chemotherapy
Dose: 115mg over 15 mins 30 mins before chemotherapy
Brands:
Nabilone
Type: Cannabinoid
Indications: nausea and vomiting associated with emetogenic chemotherapy
Dose: 1mg BD increased if necessary to 2mg BD
Hyoscine Hydrobromide
Type: Antiemetic
Indications: Motion sickness, excessive respiratory secretions
Dose: 150-300mcg up to 30 mins before start of journey repeated every 6 hours if necessary
Brands: Joy Rides, Kwells, Scopoderm TTS
Betahistine Dihydrochloride
Type: Antiemetic
Indications: vertigo, tinnitus and hearing loss associated with Meniere's disease
Dose: 16mg TDS, increased to 24-48mg daily as necessary
Brands: Serc
Paracetamol
Type: Non-opioid analgesic
Indications: mild to moderate pain, pyrexia
Dose: Look up under route
Brands: Perfalgan, Co-codamol, Codipar, Kapake, Solpadol, Tylex, Paradote, Co-dydramol, Remedeine, Midrid
Nefopam Hydrochloride
Type: Non-opioid analgesic
Indications: Moderate pain
Dose: 60mg TDS, adjusted according to response
Brands: Acupan
Buprenorphine
Type: Opioid analgesic
Indications: moderate to severe pain
Dose: Look under route
Brands: Temgesic, BuTrans, Transtec
Diamorphine Hydrochloride
Type: Opioid analgesic
Indications: acute pain, acute pulmonary oedema
Dose: Look up under indication
Dihydrocodeine Tartrate
Type: Opioid analgesic
Indications: moderate to severe pain
Dose: 30mg every 4-6 hours when necessary
Brands: DF 118 Forte, DHC continus
Dipapanone Hydrochloride
Type: Opioid analgesic
Indications: moderate to severe pain
Dose: 10mg gradually increased to 30mg every 6 hours
Brands: Diconal
Fentanyl
Type: Opioid analgesic
Indications: moderate to severe pain
Dose: Look up under preparations
Brands: Actiq, Durogesic DTrans, IONSYS
Hydromorphone Hydrochloride
Type: Opioid analgesic
Indications: severe pain in cancer
Dose: 1.3mg every 4 hours
Brands: Palladone, Palladone SR
Meptazinol
Type: Opioid analgesic
Indications: moderate to severe pain, peri-operative analgesia
Dose:
- By mouth: 200mg every 3-6 hours as required
- By IM injection: 75-100mg every 2-4 hours if necessary
- By slow IV injection: 50-100mg every 2-4 hours if necessary
Brands: Meptid
Methadone Hydrochloride
Type: Opioid analgesic
Indications: severe pain, cough in terminal disease, adjunct in treatment of opioid dependence
Dose: 5-10mg every 6-8 hours, adjusted according to response
Oxycodone Hydrochloride
Type: Opioid analgesic
Indications: moderate to severe pain in patients with cancer, postoperative pain, severe pain
Dose: Look up under route
Brands: OxyNorm, OxyContin
Papaveretum
Type: Opioid analgesic
Indications: enhancement of analgesia, severe chronic pain
Dose: 7.7-15.4mg repeated every 4 hours if necessary
Pentazocine
Type: Opioid analgesic
Indications: moderate to severe pain
Dose: Look up under route
Pethidine Hydrochloride
Type: Opioid analgesic
Indications: moderate to severe pain, obstetric analgesia, peri-operative analgesia
Dose: Look up under indication
Brands: Pamergan P100
Tramadol Hydrochloride
Type: Opioid analgesic
Indications: moderate to severe pain
Dose: 50-100mg every 4 hours up to 4 times a day
Brands: Zamadol, Zydol, Dromadol SR, Larapam SR, Mabron, Tradorec XL, Zamadol 24hr, Zamadol SR, Zydol SR, Zydol XL, Tramacet (with paracetamol)
Tolfenamic acid
Type: Antimigraine drug
Indications: Acute migraine
Dose: 200mg at onset repeated once after 1-2 hours if necessary
Brands: Clotam
Almotriptan
Type: 5HT1 agonist
Indications: Acute migraine
Dose: 12.5mg as soon as possible after onset repeated 2 hours after migraine recurs
Brands: Almogran
Eletriptan
Type: 5HT1 agonist
Indications: Acute migraine
Dose: 40mg repeated after 2 hours if migraine recurs
Brands: Relpax
Frovatriptan
Type: 5HT1 agonist
Indications: Acute migraine
Dose: 2.5mg ASAP repeated after 2 hours if migraine recurs
Brands: Migard
Naratriptan
Type: 5HT1 Agonist
Indications: Acute Migraine
Dose: 2.5mg repeated after at least 4 hours if migraine recurs
Brands: Naramig
Rizatriptan
Type: 5HT1 Agonist
Indications: Acute Migraine
Dose: 10mg as soon as possible after onset repeated after 2 hours if migraine recurs
Brands: Maxalt
Sumatriptan
Type: 5HT1 Agonist
Indications: Acute Migraine, cluster headache
Dose: 50mg repeated after at least 2 hours if migraine recurs
Brands: Imigran, Imigran RADIS
Zolmitriptan
Type: 5HT1 Agonist
Indications: Acute Migraine
Dose: 2.5mg repeated after at least 2 hours if migraine recurs
Brands: Zomig
Ergotamine Tartrate
Type: Ergot alkaloid
Indications: Acute Migraine and migraine variants unresponsive to analgesics
Dose: Look up under preparations
Brands: Cafergot, Migril
Pizotifen
Type: Antimigraine drug
Indications: Prevention of vascular headaches
Dose: 500mcg ON increased gradually to usual dose of 1.5mg ON or in 3 divided doses
Brands: Sanomigran
Clonidine Hydrochloride
Type: Antimigraine drug
Indications: prevention of recurrent migraine, vascular headache, menopausal flushing, hypertension
Dose: 50mcg BD, increased after 2 weeks to 75mcg BD PRN
Brands: Dixarit, Catapres
Methysergide
Type: Antimigraine drug
Indications: Prevention of vascular headaches, diarrhoea associated with carcinoid syndrome
Dose:
- Headaches: 1mg ON, increased gradually over about 2 weeks to 1-2 mg TDS with food
- Diarrhoea: 12-20mg daily
Brands: Deseril
Carbamazepine
Type: Antiepileptic
Indications: partial and secondary generalised tonic-clonic seizures, primary generalised tonic-clonic seizures, trigeminal neuralgia, prophylaxis of bipolar disorder unresponsive to lithium
Dose: 100-200mg 1-2 times daily, increased slowly to usual dose of 0.4-1.2g daily in divided doses
Brands: Tegretol, Tegretol Retard, Carbagen SR
Oxcarbazepine
Type: Antiepileptic
Indications: Monotherapy & adjunctive treatment of partial seizures with or without secondarily generalised tonic-clonic seizures, trigeminal neuralgia
Dose: 300mg BD increased according to response in steps of up to 600mg at weekly intervals
Brands: Trileptal
Ethosuximide
Type: Antiepileptic
Indications: absence seizures
Dose: 500mg daily, increased by 250mg at intervals of 4-7 days to usual dose of 1-1.5g daily
Brands: Emeside, Zarontin
Gabapentin
Type: Antiepileptic
Indications: partial seizures with or without secondary generalisation, peripheral neuropathic pain, trigeminal neuralgia
Dose: Look up under condition
Brands: Neurontin
Pregabalin
Type: Antiepileptic
Indications: partial seizures with or without secondary generalisation, peripheral and central neuropathic pain, general anxiety disorder
Dose: Look up under condition
Brands: Lyrica
Lamotrigine
Type: Antiepileptic
Indications: partial seizures and primary and secondarily generalised tonic-clonic seizures, seizure associated with Lennox-Gastaut syndrome, trigeminal neuralgia
Dose: Look up under condition
Brands: Lamictal
Levetiracetam
Type: Antiepileptic
Indications: partial seizures with or without secondary generalisation, myoclonic seizures and primarily generalised tonic-clonic seizures
Dose: Look up under condition
Brands: Keppra
Phenobarbital
Type: Antiepileptic
Indications: all forms of epilepsy except absence seizures, status epilepticus
Dose: 60-180mg ON
Primidone
Type: Antiepileptic
Indications: all forms of epilepsy except absence seizures, essential tremor
Dose:
- Epilepsy: 125mg daily at bedtime, increased by 125mg every 3 days to 500mg daily in 2 divided doses, then increased according to response
- Essential tremor: 62.5mg daily increased gradually over 2-3 weeks according to response
Brands: Mysoline
Phenytoin
Type: Antiepileptic
Indications: all forms of epilepsy except absence seizures, status epilepticus, trigeminal neuralgia if carbamazepine inappropriate
Dose: 3-4mg/kg daily or 150-300mg daily increased gradually as necessary
Brands: Epanutin
Rufinamide
Type: Antiepileptic
Indications: seizures in Lennox-Gastaut syndrome
Dose: 200mg BD increased according to response in steps of 200mg at intervals of not less than 2 days
Brands: Inovelon
Tiagabine
Type: Antiepileptic
Indications: partial seizures with or without secondary generalisation not satisfactorally controlled with other antiepileptics
Dose: 5mg BD for 1 week, then increased at week intervals in steps of 5-10mg, usual maintenance dose 30-45mg daily
Brands: Gabitril
Topiramate
Type: Antiepileptic
Indications: generalised tonic-clonic seizures or partial seizures with or without secondary generalisation, seizures in Lennox-Gastaut syndrome, migraine prophylaxis
Dose: Look up under indication
Brands: Topamax
Sodium Valproate
Type: Antiepileptic
Indications: all forms of epilepsy
Dose: 600mg daily in 2 divided doses, increased by 200mg daily every 3 days to max 2.5g daily
Brands: Epilim, Epilim Chrono, Episenta, Epilim Intravenous, Convulex, Depakote
Vigabatrin
Type: Antiepileptic
Indications: partial seizures with or without secondary generalisation not satisfactorily controlled with other antiepileptics, infantile spasms
Dose: 1g daily in single or divided doses then increased according to response on steps of 500mg at weekly intervals max 3g daily
Brands: Sabril
Zonisamide
Type: Antiepileptic
Indications: refractory partial seizures with or without secondary generalisation
Dose: 50mg daily in 2 divided doses, increased after 7 days to 100mg daily in 2 divided doses, then increased if necessary by 100mg every 7 days
Brands:
Clobazam
Type: Antiepileptic
Indications: epilepsy, anxiety
Dose:
- Epilepsy: 20-30mg daily
- Anxiety: 20-30mg daily in divided doses or as a single dose at bedtime
Brands: Clobazam
Clonazepam
Type: Antiepileptic
Indications: all epilepsy forms, myoclonus, status epilepticus
Dose: 1mg ON for 4 nights, increased according to response over 2-4 weeks to usual maintenance dose of 4-8mg ON
Brands: Rivotril
Fosphenytoin Sodium
Type: Antiepileptic
Indications: status epilepticus, seizure associated with neurosurgery or head injury
Dose: Look up under indication
Brands: Pro-epanutin
Midazolam
Type: Antiepileptic
Indications: status epilepticus
Dose: 10mg by buccal administration repeated if necessary
Paraldehyde
Type: Antiepileptic
Indications: status epilepticus
Dose: 20ml rectally
Apomorphine Hydrochloride
Type: Dopamine receptor antagonist
Indications: refractory motor fluctuations in Parkinsons
Dose: 3-30mg daily in divided doses
Brands: APO-go
Bromocriptine
Type: Dopamine Receptor antagonist
Indications: parkinsonism, endocrine disorders
Dose: 1st week 1-1.25mg ON, 2nd week 2-2.5mg ON, 3rd week 2.5mg BD, 4th week 2.5mg TDS then increasing by 2.5mg every 3-14 days according to response to a usual range of 10-40mg daily
Cabergoline
Type: Dopamine Receptor antagonist
Indications: parkinsonism, endocrine disorders
Dose: 1mg OD, increased by increments of 0.5-1mg at 7 or 14 day intervals, usual range 2-6mg daily
Brands: Cabaser
Pergolide
Type: Dopamine Receptor antagonist
Indications: parkinsonism
Dose: 50mcg ON on day 1, then 50mcg BD on days 2-4, then increased by 100-250mcg daily every 3-4 days in 3 divided doses up to a daily dose of 1.5mg at day 28, after day 30, further increases of up to 250mcg twice a week, max 5mg daily
Brands: Celance
Pramipexole
Type: Dopamine Receptor antagonist
Indications: Parkinson's, moderate to severe restless legs syndrome
Dose:
- Parkinsons: 88mcg TDS, doubled every 5-7 days if tolerated to 350mcg TDS, further increased if necessary by 180mcg TDS at weekly intervals
- restless legs syndrome: 88mcg OD 2-3 hours before bedtime, double every 4-7 days if necessary to 350mcg daily
Brands: Mirapexin
Ropinirole
Type: Dopamine Receptor antagonist
Indications: Parkinson's, moderate to severe restless legs syndrome
Dose: Look up under preparations
Brands: Adartrel, Requip, Requip XL
Rogtigotine
Type: Dopamine Receptor Antagonist
Indications: Parkinson's
Dose: 2mg/24hrs patch, increased in steps of 2mg/24hrs at weekly intervals if required, max 8mg/24hrs
Brands: Neupro
Co-Beneldopa
Type: Dopaminergic drug
Indications: Parkinsonism
Dose: Look up under preparations
Brands: Madopar, Madopar CR
Co-Careldopa
Type: Dopaminergic drug
Indications: Parkinsonism
Dose: 100mg TDS, increased by 50-100mg daily or on alternate days according to response, up to 800mg daily in divided doses (alternative regimes available)
Brands: Sinemet, Duodopa, Caramet CR, Half Sinemet CR, Sinemet CR, Stalevo
Rasagiline
Type: MAO-B inhibitor
Indications: Parkinsons
Dose: 1mg OD
Brands: Azilect
Selegiline Hydrochloride
Type: MAO-B inhibitor
Indications: Parkinsons
Dose: 10mg OM, or 5mg at breakfast and midday
Brands: Eldepryl
Entacapone
Type: Catechol-o-methyltransferase inhibitor
Indications: Parkinsons
Dose: 200mg with each dose of levodopa with dopa-decarboxylase inhibitor
Brands: Comtess
Tolcapone
Type: Catechol-o-methyltransferase inhibitor
Indications: Parkinsons
Dose: 100mg TDS, leaving 6 hours between each dose
Brands: Tasmar
Amantadine Hydrochloride
Type: Weak dopamine agonist
Indications: Parkinsons, antiviral
Dose:
- Parkinson's: 100mg OD increased after one week to 100mg BD
- Post-herpetic neuralgia: 100mg BD for 14 days, continued for a further 14 days if necessary
Brands: Symmetrel, Lysovir
Benzatropine Mesilate
Type: Antimuscarinic
Indications: acute dystonic reactions, drug-induced extrapyramidal symptoms
Dose: 1-2mg by IM or IV injection, repeated if symptoms appear, max 6 mg daily
Orphenadrine Hydrochloride
Type: Antimuscarinic
Indications: parkinsonism, drug-induced extrapyramidal symptoms
Dose: 150mg daily in divided doses, increased gradually in steps of 50mg every 2-3 days according to response
Brands: Biorphen, Disipal
Procyclidine Hydrochloride
Type: Antimuscarinic
Indications: parkinsonism, drug-induced extrapyramidal symptoms
Dose: Look up under route
Brands: Arpicolin, Kemadrin
Trihexyphenidyl Hydrochloride
Type: Antimuscarinic
Indications: parkinsonism, drug-induced extrapyramidal symptoms
Dose: 1mg OD, increased gradually, usual maintenance dose 5-15mg daily in 3-4 divided doses
Brands: Broflex
Piracetam
Type: Anti-spasmodic
Indications: cortical myoclonus
Dose: 7.2g daily in 2-3 divided doses, increased according to response by 4.8g every 3-4 days to max 20g daily
Brands: Nootropil
Riluzole
Type: Anti-spasmodic
Indications: to extend life in patients with amyotrophic lateral sclerosis
Dose: 50mg BD
Brands: Rilutek
Tetrabenazine
Type: Anti-spasmodic
Indications: Movement disorders, moderate to severe tardive dyskinesia
Dose:
- Movement disorders: 12.5mg BD increased gradually to 12.5-25mg TDS
- moderate to severe tardive dyskinesia: 12.5mg daily gradually increased according to response
Brands: Xenazine 25
Botulinum Toxin Type A
Type: Anti-spasmodic
Indications: Focal spasticity
Dose: Consult product literature
Brands: Botox, Dysport, Vistabel, Xeomin
Botulinum Toxin Type B
Type: Anti-spasmodic
Indications: spasmodic torticollis
Dose: 5000-10000 units by IM injection divided between 2-4 most affected muscles, adjust dose and frequency according to response
Brands: NeuroBloc
Acamprosate Calcium
Type: Abstinence drug
Indications: maintenance of abstinence in alcohol dependance
Dose: 666mg TDS
Brands: Campral EC
Disulfiram
Type: Abstinence drug
Indications: Chronic alcohol dependance
Dose: 800mg as a single dose on day 1, reducing over 5 days to 100-200mg daily
Brands: Antabuse
Bupropion Hydrochloride
Type: Antidepressant
Indications: Smoking cessation
Dose: Start 1-2 weeks before target stop date, initially 150mg daily for 6 days then 150mg BD, discontinue if abstinence not acheived within 7 weeks
Brands: Zyban
Nicotine
Type: Nicotine Replacement Therapy
Indications: Smoking cessation
Dose: Look up under preparations
Brands: Nicopass, Nicopatch, Nicorette, Nicotinelle, NiQuitin
Varenicline
Type: Selective nicotine receptor partial agonist
Indications: Smoking cessation
Dose: Start 1-2 weeks before target stop date, intially 500mcg OD for 3 days, then 500mcg BD for 4 days, then 1mg BD for 11 weeks
Brands: Champix
Lofexidine Hydrochloride
Type: Alpha-adrenergic agonist
Indications: Opioid withdrawal
Dose: 800mcg daily in divided doses, increased as necessary in steps of 400-800mcg daily to max 2.4mg daily in divided doses
Brands: BritLofex
Naltrexone Hydrochloride
Type: Opioid antagonist
Indications: Opioid dependance
Dose: 25mg then 50mg OD
Brands: Nalorex, Opizone
Donezipil Hydrochloride
Type: Reversible AChE inhibitor
Indications: mild to moderate dementia in Alzheimer's
Dose: 5mg ON, increased if necessaryafter 1 month to 10mg
Brands: Aricept, Aricept Evess
Galantamine
Type: Anti-dementia drug
Indications: mild to moderate dementia in Alzheimer’s disease
Dose: Initially 4 mg twice daily for 4 weeks increased to 8 mg twice daily for 4 weeks; maintenance 8–12 mg twice daily
Brands:Reminyl XL
Memantine Hydrochloride
Type: Anti-dementia drug
Indications: mild to moderate dementia in Alzheimer’s disease
Dose: Initially 5 mg in the morning, increased in steps of 5 mg at weekly intervals, up to max. 10 mg twice daily; doses over 5 mg given in 2 divided doses
Brands: Ebixa
Rivastigmine
Type: Anti-dementia drug
Indications: mild to moderate dementia in Alzheimer’s disease or in Parkinson’s disease
Dose: Look up under preparations
Brands: Exelon
Benzylpenicillin
Type: Penicillin antibiotic
Indications: throat infections, otitis media, endocarditis, meningococcal disease, pneumonia, cellulitis, anthrax; prophylaxis in limb amputation
Dose: Look up under route
Brands: Crystapen
Phenoxymethylpenicillin
Type: Penicillin antibiotic
Indications: oral infections; tonsillitis, otitis media, erysipelas, cellulitis; group A streptococcal infection, rheumatic fever and pneumococcal infection prophylaxis
Dose: 500 mg every 6 hours increased up to 1 g every 6 hours in severe infections
Flucloxacillin
Type: Penicillinase-resistant penicillin
Indications: infections due to beta-lactamase-producing staphylococci including otitis externa; adjunct in pneumonia, impetigo, cellulitis, osteomyelitis and in staphylococcal endocarditis
Dose: Look up under route
Brands: Floxapen
Temocillin
Type: Penicillinase-resistant penicillin
Indications:septicaemia, urinary-tract infections, lower respiratory-tract infections caused by susceptible Gram-negative bacteria
Dose:
- By intramuscular injection or by intravenous injection over 3–4 minutes, or by intravenous infusion, adult and child over 12 years (body-weight over 45 kg), 1–2 g every 12 hours
- Uncomplicated urinary-tract infections: adult and child over 12 years (body-weight over 45 kg), 1 g daily as a single daily dose or in divided doses
Brands: Negaban
Amoxicillin
Type: Broad-spectrum penicillin
Indications: oral infections , also endocarditis treatment, anthrax; adjunct in listerial meningitis; Helicobacter pylori eradication
Dose: Look up under course
Brands: Amoxil
Ampicillin
Type: Broad-spectrum penicillin
Indications: urinary-tract infections, otitis media, sinusitis, oral infections, bronchitis, uncomplicated community-acquired pneumonia, Haemophilus influenzae infections, invasive salmonellosis; listerial meningitis
Dose: Look up under route
Brands: Penbritin
Co-Amoxiclav
Type: Broad-spectrum penicillin
Indications: infections due to beta-lactamase-producing strains (where amoxicillin alone not appropriate) including respiratory-tract infections, genito-urinary and abdominal infections, cellulitis, animal bites, severe dental infection with spreading cellulitis
Dose: 250 mg every 8 hours, dose doubled in severe infections
Brands: Augmentin, Augmentin-Duo
Co-Fluanmpicil
Type: Broad-spectrum penicillin
Indications: mixed infections involving beta-lactamase-producing staphylococci
Dose: 250/250 every 6 hours, dose doubled in severe infections
Brands: Magnapen
Piperacillin
Type: Antipseudomonal penicillin
Indications: Lower respiratory-tract, urinary-tract, intra-abdominal and skin infections, and septicaemia, Complicated appendicitis, Infections in neutropenic patients
Dose: Look up under conditions
Brands: Tazocin
Ticarcillin
Type: Antipseudomonal penicillin
Indications: infections due to Pseudomonas and Proteus spp
Dose: 3.2 g every 6–8 hours increased to every 4 hours in more severe infections
Brands: Timentin
Pivmecillinam Hydrochloride
Type: Mecillinam
Indications: Acute uncomplicated cystitis, Chronic or recurrent bacteriuria, Salmonellosis, UTIs
Dose: Look up under condition
Brands: Selexid
Cefaclor
Type: Cephalosporin
Indications: infections due to sensitive Gram-positive and Gram-negative bacteria
Dose: 250 mg every 8 hours, doubled for severe infections
Brands: Distaclor, Distaclor MR
Cefadroxil
Type: Cephalosporin
Indications: infections due to sensitive Gram-positive and Gram-negative bacteria
Dose: Patients over 40 kg, 0.5–1 g twice daily; skin, soft tissue, and simple urinary-tract infections, 1 g daily
Brands: Baxan
Cefalexin
Type: Cephalosporin
Indications: infections due to sensitive Gram-positive and Gram-negative bacteria
Dose: 250 mg every 6 hours or 500 mg every 8–12 hours increased to 1–1.5 g every 6–8 hours for severe infections
Brands: Ceporex, Keflex
Cefixime
Type: Cephalosporin
Indications: acute infections due to sensitive Gram-positive and Gram-negative bacteria, gonorrhoea
Dose:
- 200–400 mg daily in 1–2 divided doses
- gonorrhoea: 400 mg as a single dose
Brands: Suprax
Cefotaxime
Type: Cephalosporin
Indications: infections due to sensitive Gram-positive and Gram-negative bacteria, gonorrhoea; surgical prophylaxis; Haemophilus epiglottitis and meningitis
Dose: Look up under condition
Cefpodoxime
Type: Cephalosporin
Indications: respiratory-tract infections, Skin and soft-tissue infections, uncomplicated UTIs, Uncomplicated gonorrhoea
Dose: Look up under condition
Brands: Orelox
Cefradine
Type: Cephalosporin
Indications: infections due to sensitive Gram-positive and Gram-negative bacteria
Dose: 250–500 mg every 6 hours or 0.5–1 g every 12 hours; up to 1 g every 6 hours in severe infections
Brands: Velosef
Ceftazidime
Type: Cephalosporin
Indications: infections due to sensitive Gram-positive and Gram-negative bacteria
Dose: 1 g every 8 hours or 2 g every 12 hours; 2 g every 8–12 hours or 3 g every 12 hours in severe infections; single doses over 1 g intravenous route only
Brands: Fortum, Kefadim
Ceftriaxone
Type: Cephalosporin
Indications: infections due to sensitive Gram-positive and Gram-negative bacteria, surgical prophylaxis; prophylaxis of meningococcal meningitis
Dose: Look up under condition
Brands: Rocephin
Cefuroxime
Type: Cephalosporin
Indications: infections due to sensitive Gram-positive and Gram-negative bacteria, surgical prophylaxis; more active against Haemophilus influenzae and Neisseria gonorrhoeae; Lyme disease
Dose: Look up under condition
Brands: Zinacef, Zinnat
Clindamycin
Type: Macrolide antibiotic
Indications: staphylococcal bone and joint infections, peritonitis; falciparum malaria
Dose: 150–300 mg every 6 hours; up to 450 mg every 6 hours in severe infections
Brands: Dalacin C
Erythromycin
Type: Macrolide antibiotic
Indications: susceptible infections in patients with penicillin hypersensitivity; oral infections; campylobacter enteritis, syphilis, non-gonococcal urethritis, respiratory-tract infections (including Legionnaires’), skin infections; chronic prostatitis; prophylaxis of diphtheria, group A streptococcal infection, and whooping cough; acne vulgaris and rosacea
Dose: 250–500 mg every 6 hours or 0.5–1 g every 12 hours; up to 4 g daily in severe infections
Brands: Erymax, Erythrocin, Erythroped, Erythroped A
Azithromycin
Type: Macrolide antibiotic
Indications: respiratory-tract infections; otitis media; skin and soft-tissue infections; uncomplicated genital chlamydial infections and non-gonococcal urethritis; mild or moderate typhoid due to multiple-antibacterial-resistant organisms; prophylaxis of group A streptococcal infection
Dose: 500 mg once daily for 3 days or 500 mg on first day then 250 mg once daily for 4 days
Brands: Zithromax
Clarithromycin
Type: Macrolide antibiotic
Indications: respiratory-tract infections, mild to moderate skin and soft tissue infections, otitis media; Helicobacter pylori eradication
Dose: 250 mg every 12 hours for 7 days, increased in severe infections to 500 mg every 12 hours for up to 14 days
Brands: Clarosip, Klaricid, Klaricid XL
Telithromycin
Type: Macrolide antibiotic
Indications: beta-haemolytic streptococcal pharyngitis and tonsillitis, sinusitis, community-acquired pneumonia, and exacerbations of chronic bronchitis if caused by organisms resistant to beta-lactam antibacterials and other macrolides, or if conventional treatment is contra-indicated
Dose: 800 mg once daily for 5 days for sinusitis or exacerbation of chronic bronchitis or for 7–10 days in community-acquired pneumonia
Brands: Ketek
Metronidazole
Type: Antimicrobial
Indications: Anaerobic infections, Leg ulcers and pressure sores, Bacterial vaginosis, Pelvic inflammatory disease, Acute ulcerative gingivitis, Acute oral infections, Surgical prophylaxis
Dose: Look up under condition
Brands: Flagyl, Flagyl S, Metrolyl
Tinidazole
Type: Antimicrobial
Indications: Anaerobic infections, Bacterial vaginosis and acute ulcerative gingivitis, Abdominal surgery prophylaxis
Dose:
- Anaerobic infections: 2g initially, followed by 1g daily or 500 mg twice daily, usually for 5–6 days
- Bacterial vaginosis and acute ulcerative gingivitis: a single 2-g dose
- Abdominal surgery prophylaxis: single 2-g dose approximately 12 hours before surgery
Brands: Fasigyn
Aztreonam
Type: Other beta-lactam antibiotic
Indications: Gram-negative infections including Pseudomonas aeruginosa, Haemophilus influenzae, and Neisseria meningitidis
Dose: Look up under condition
Brands: Azactam
Imipenem with Cilastatin
Type: Other beta-lactam antibiotic
Indications: aerobic and anaerobic Gram-positive and Gram-negative infections; surgical prophylaxis; hospital-acquired septicaemia
Dose:
- IV infusion: 1–2 g daily (in 3–4 divided doses); less sensitive organisms, up to 50 mg/kg daily (max. 4 g daily) in 3–4 divided doses
Brands: Primaxin
Meropenem
Type: Other beta-lactam antibiotic
Indications: aerobic and anaerobic Gram-positive and Gram-negative infections
Dose:
- By IV injection: 500 mg every 8 hours, dose doubled in hospital-acquired pneumonia, peritonitis, septicaemia and infections in neutropenic patients
Brands: Meronem
Ertapenem
Type: Other beta-lactam antibiotic
Indications: abdominal infections; acute gynaecological infections; community-acquired pneumonia; diabetic foot infections of the skin and soft-tissue; prophylaxis for colorectal surgery
Dose: 1 g once daily
Brands: Invanz
Tetracycline
Type: Tetracycline antibiotic
Indications: chlamydia, rickettsia, brucella, Borrelia burgdorferi, respiratory and genital mycoplasma infections, in acne, in destructive (refractory) periodontal disease, in exacerbations of chronic bronchitis, leptospirosis in penicillin hypersensitivity, acne vulgaris, rosacea
Dose: 250 mg every 6 hours, increased in severe infections to 500 mg every 6–8 hours
Demeclocycline Hydrochloride
Type: Tetracycline antibiotic
Indications: chlamydia, rickettsia, brucella, Borrelia burgdorferi, respiratory and genital mycoplasma infections, in acne, in destructive (refractory) periodontal disease, in exacerbations of chronic bronchitis, leptospirosis in penicillin hypersensitivity, inappropriate secretion of antidiuretic hormone
Dose: 150 mg every 6 hours or 300 mg every 12 hours
Brands: Ledermycin
Doxycycline
Type: Tetracycline antibiotic
Indications: chlamydia, rickettsia, brucella, Borrelia burgdorferi, respiratory and genital mycoplasma infections, in acne, in destructive (refractory) periodontal disease, in exacerbations of chronic bronchitis, leptospirosis in penicillin hypersensitivity, chronic prostatitis; sinusitis, syphilis, pelvic inflammatory disease, treatment and prophylaxis of anthrax, malaria treatment and prophylaxis, recurrent aphthous ulceration, adjunct to gingival scaling and root planing for periodontitis, oral herpes simplex, acne vulgaris, rosacea
Dose: Look up under condition
Brands: Vibramycin, Vibramycin D
Lymecycline
Type: Tetracycline antibiotic
Indications: chlamydia, rickettsia, brucella, Borrelia burgdorferi, respiratory and genital mycoplasma infections, in acne, in destructive (refractory) periodontal disease, in exacerbations of chronic bronchitis, leptospirosis in penicillin hypersensitivity
Dose:
- 408 mg every 12 hours, increased to 1.224–1.632 g daily in severe infections
- Acne: 408 mg daily for at least 8 weeks
Brands: Tetralysal 300
Minocycline
Type: Tetracycline antibiotic
Indications: chlamydia, rickettsia, brucella, Borrelia burgdorferi, respiratory and genital mycoplasma infections, in acne, in destructive (refractory) periodontal disease, in exacerbations of chronic bronchitis, leptospirosis in penicillin hypersensitivity, meningococcal carrier state; acne vulgaris
Dose: 100 mg BD
Oxytetracycline
Type: Tetracycline antibiotic
Indications: chlamydia, rickettsia, brucella, Borrelia burgdorferi, respiratory and genital mycoplasma infections, in acne, in destructive (refractory) periodontal disease, in exacerbations of chronic bronchitis, leptospirosis in penicillin hypersensitivity, acne vulgaris, rosacea
Dose: 250–500 mg every 6 hours
Tigecycline
Type: Tetracycline antibiotic
Indications: complicated intra-abdominal infections; complicated skin and soft-tissue infections
Dose: 100 mg, then 50 mg every 12 hours for 5–14 days
Brands: Tygacil
Gentamicin
Type: Aminoglycoside antibiotic
Indications: septicaemia and neonatal sepsis; meningitis and other CNS infections; biliary-tract infection, acute pyelonephritis or prostatitis, endocarditis; pneumonia in hospital patients, adjunct in listerial meningitis
Dose: look up under regimes
Brands: Cidomycin, Genticin
Amikacin
Type: Aminoglycoside antibiotic
Indications: serious Gram-negative infections resistant to gentamicin
Dose: 15 mg/kg daily in 2 divided doses, increased to 22.5 mg/kg daily in 3 divided doses in severe infections; max. 1.5 g daily for up to 10 days
Brands: Amikin
Neomycin Sulphate
Type: Aminoglycoside antibiotic
Indications: bowel sterilisation before surgery, hepatic coma
Dose:
- pre-operative bowel sterilisation: 1 g every hour for 4 hours, then 1 g every 4 hours for 2–3 days
- Hepatic coma: up to 4 g daily in divided doses usually for 5–7 days
Tobramycin
Type: Aminoglycoside antibiotic
Indications: septicaemia and neonatal sepsis; meningitis and other CNS infections; biliary-tract infection, acute pyelonephritis or prostatitis, endocarditis; pneumonia in hospital patients, adjunct in listerial meningitis
Dose: Look up under condition
Brands: Tobi
Erythromycin
Type: Macrolide antibiotic
Indications: susceptible infections in patients with penicillin hypersensitivity; oral infections (see notes above); campylobacter enteritis, syphilis, non-gonococcal urethritis, respiratory-tract infections (including Legionnaires’ disease), skin infections; chronic prostatitis; prophylaxis of diphtheria, group A streptococcal infection, and whooping cough; acne vulgaris and rosacea
Dose: Look up under route
Brands: Erymax, Erythrocin, Erythroped, Erythroped A
Azithromycin
Type: Macrolide antibiotic
Indications: respiratory-tract infections; otitis media; skin and soft-tissue infections; uncomplicated genital chlamydial infections and non-gonococcal urethritis; mild or moderate typhoid due to multiple-antibacterial-resistant organisms [unlicensed indication]; prophylaxis of group A streptococcal infection
Dose: 500 mg once daily for 3 days or 500 mg on first day then 250 mg once daily for 4 days
Brands: Zithromax
Clarithromycin
Type: Macrolide antibiotic
Indications: respiratory-tract infections, mild to moderate skin and soft tissue infections, otitis media; Helicobacter pylori eradication
Dose: 250 mg every 12 hours for 7 days, increased in severe infections to 500 mg every 12 hours for up to 14 days
Brands: Clarosip, Klaricid, Klaricid XL
Telithromycin
Type: Macrolide antibiotic
Indications: beta-haemolytic streptococcal pharyngitis and tonsillitis, sinusitis, community-acquired pneumonia, and exacerbations of chronic bronchitis if caused by organisms resistant to beta-lactam antibacterials and other macrolides, or if conventional treatment is contra-indicated
Dose:
- 800 mg once daily for 5 days for sinusitis or exacerbation of chronic bronchitis or for 7–10 days in community-acquired pneumonia
- Tonsillitis or pharyngitis caused by Streptococcus pyogenes: 800 mg once daily for 5 days
Brands: Ketek
Clindamycin
Type: Antibiotic
Indications: staphylococcal joint and bone infections e.g. osteomyelitis, intra-abdominal sepsis; alternative to macrolides for erysipelas or cellulitis in penicillin-allergic patients, infections associated with (MRSA) in bronchiectasis, bone & joint infections, and skin & soft-tissue infections
Dose: 150–300 mg every 6 hours; up to 450 mg every 6 hours in severe infections
Brands: Dalacin C
Chloramphenicol
Type: Antibiotic
Indications: Haemophilus influenzae infections, typhoid fever
Dose: 50 mg/kg daily in 4 divided doses
Brands: Kemicetine
Fusidic acid
Type: Antibacterial
Indications: infections caused by penicillin-resistant staphylococci, especially osteomyelitis, staphylococcal endocarditis
Dose: Look up under preparations
Brands: Fucidin
Vancomycin
Type: Glycopeptide antibiotic
Indications: aerobic and anaerobic Gram-positive bacteria including multi-resistant staphylococci
Dose: 125 mg every 6 hours for 7–10 days
Brands: Vancocin
Teicoplanin
Type: Glycopeptide antibiotic
Indications: potentially serious Gram-positive infections including endocarditis, dialysis-associated peritonitis, and serious infections due to Staphylococcus aureus; prophylaxis in orthopaedic surgery at risk of infection with Gram-positive organisms
Dose: Look up under route
Brands: Targocid
Daptomycin
Type: lipopeptide antibacterial
Indications: complicated skin and soft-tissue infections caused by Gram-positive bacteria, Right-sided endocarditis caused by Staphylococcus aureus
Dose: Look up under condition
Brands: Cubicin
Linezolid
Type: oxazolidinone antibacterial
Indications: pneumonia, complicated skin and soft-tissue infections caused by Gram-positive bacteria (initiated under expert supervision)
Dose: 600 mg every 12 hours usually for 10–14 days
Brands: Zyvox
Quinupristin and dalfopristin
Type: streptogramin antibiotics
Indications: serious Gram-positive infections where no alternative antibacterial is suitable including hospital-acquired pneumonia, skin and soft-tissue infections, infections due to vancomycin-resistant Enterococcus faecium
Dose: 7.5 mg/kg every 8 hours for 7 days in skin and soft-tissue infections; for 10 days in hospital-acquired pneumonia; duration of treatment in E. faecium infection depends on site of infection
Brands: Synercid
Colistin
Type: polymyxin antibiotic
Indications: bowel sterilisation regimens in neutropenic patients
Dose: 1.5–3 million units every 8 hours
Brands: Colomycin, Promixin
Co-trimoxazole
Type: Combination antibiotic
Indications: Pneumocystis jiroveci (Pneumocystis carinii) pneumonia; toxoplasmosis and nocardiasis
Dose: Look up under route
Brands: Septrin
Sulphadiazine
Type: Sulphonamide antibiotic
Indications: prevention of rheumatic fever recurrence, toxoplasmosis
Dose: 1 g daily
Trimethoprim
Type: Antibiotic
Indications: urinary-tract infections, acute and chronic bronchitis; pneumocystis pneumonia
Dose:
- Acute infections: 200 mg every 12 hours
- Chronic infections and prophylaxis: 100 mg at night
Capreomycin
Type: Antituberculosis drug
Indications: tuberculosis resistant to first-line drugs
Dose: 1 g daily (not more than 20 mg/kg) for 2–4 months, then 1 g 2–3 times each week
Brands: Capastat
Cycloserine
Type: Antituberculosis drug
Indications: tuberculosis resistant to first-line drugs
Dose: 250 mg every 12 hours for 2 weeks increased according to blood concentration and response to max. 500 mg every 12 hours
Ethambutol Hydrochloride
Type: Antituberculosis drug
Indications: tuberculosis
Dose: ‘Peak’ concentration (2–2.5 hours after dose) should be 2–6 mg/litre (7–22 micromol/litre); ‘trough’ (pre-dose) concentration should be less than 1 mg/litre (4 mcmol/litre)
Isoniazid
Type: Antituberculosis drug
Indications: tuberculosis
Dose: 15 mg/kg (max. 900 mg) 3 times a week
Pyrazinamide
Type: Antituberculosis drug
Indications: tuberculosis
Dose: under 50 kg 2 g 3 times a week, 50 kg and over 2.5 g 3 times a week
Rifabutin
Type: Antituberculosis drug
Indications: Prophylaxis of Mycobacterium avium complex infections in immunosuppressed patients with low CD4 count, non-tuberculous mycobacterial disease, pulmonary tuberculosis
Dose: Look up under condition
Brands: Mycobutin
Rifampicin
Type: Antituberculosis drug
Indications: Brucellosis, legionnaires’ disease, endocarditis and serious staphylococcal infections, Tuberculosis, Leprosy, Prophylaxis of meningococcal meningitis and Haemophilus influenzae (type b) infection
Dose: Look up under condition
Brands: Rifadin, Rimactane
Streptomycin
Type: Antituberculosis drug
Indications: tuberculosis, adjunct to doxycycline in brucellosis; enterococcal endocarditis
Dose: 15 mg/kg (max. 1 g) daily
Isoniazid
Type: Antituberculosis drug
Indications: tuberculosis
Dose: 15 mg/kg (max. 900 mg) 3 times a week
Pyrazinamide
Type: Antituberculosis drug
Indications: tuberculosis
Dose: under 50 kg 2 g 3 times a week, 50 kg and over 2.5 g 3 times a week
Rifabutin
Type: Antituberculosis drug
Indications: Prophylaxis of Mycobacterium avium complex infections in immunosuppressed patients with low CD4 count, non-tuberculous mycobacterial disease, pulmonary tuberculosis
Dose: Look up under condition
Brands: Mycobutin
Rifampicin
Type: Antituberculosis drug
Indications: Brucellosis, legionnaires’ disease, endocarditis and serious staphylococcal infections, Tuberculosis, Leprosy, Prophylaxis of meningococcal meningitis and Haemophilus influenzae (type b) infection
Dose: Look up under condition
Brands: Rifadin, Rimactane
Streptomycin
Type: Antituberculosis drug
Indications: tuberculosis, adjunct to doxycycline in brucellosis; enterococcal endocarditis
Dose: 15 mg/kg (max. 1 g) daily
Dapsone
Type: Antileprotic
Indications: leprosy, dermatitis herpetiformis; Pneumocystis jiroveci (Pneumocystis carinii) pneumonia
Dose:
- Leprosy, 1–2 mg/kg daily
Clofazimine
Type: Antileprotic
Indications: leprosy
Dose: 300 mg once-monthly, supervised, and 50 mg daily (or 100 mg on alternate days)
Metronidazole
Type: Antibiotic
Indications: Anaerobic infections, Leg ulcers and pressure sores, Bacterial vaginosis, Pelvic inflammatory disease, Acute ulcerative gingivitis, Acute oral infections, Surgical prophylaxis
Dose: Look up under condition
Brands: Flagyl, Flagyl S, Metrolyl
Tinidazole
Type: Antibiotic
Indications: Anaerobic infections, Bacterial vaginosis and acute ulcerative gingivitis, Abdominal surgery prophylaxis
Dose: Look up under condition
Brands: Fasigyn
Ciprofloxacin
Type: Quinolone antibiotic
Indications: Most infections
Dose: Look up under conditions
Brands: Ciproxin
Levofloxacin
Type: Quinolone antibiotic
Indications: acute sinusitis, Exacerbation of chronic bronchitis,
Community-acquired pneumonia,
Urinary-tract infections,
Chronic prostatitis, Skin and soft tissue infections,
Dose: Look up under conditions
Brands: Tavanic
Moxifloxacin
Type: Quinolone antibiotic
Indications: sinusitis, community-acquired pneumonia, or exacerbations of chronic bronchitis which have failed to respond to other antibacterials or for patients who cannot be treated with other antibacterials
Dose: 400 mg once daily for 10 days in community-acquired pneumonia, for 5–10 days in exacerbation of chronic bronchitis, for 7 days in sinusitis
Brands: Avelox
Nalidixic Acid
Type: Quinolone antibiotic
Indications: urinary-tract infections
Dose: 900 mg every 6 hours for 7 days, reduced in chronic infections to 600 mg every 6 hours
Brands: Uriben
Norfloxacin
Type: Quinolone antibiotic
Indications: Urinary-tract infections, Chronic relapsing urinary-tract infections, Chronic prostatitis
Dose:
- Urinary-tract infections: 400 mg twice daily for 7–10 days (for 3 days in uncomplicated lower urinary-tract infections)
- Chronic relapsing urinary-tract infections: 400 mg twice daily for up to 12 weeks; may be reduced to 400 mg once daily if adequate suppression within first 4 weeks
- Chronic prostatitis: 400 mg twice daily for 28 days
Brands: Utinor
Ofloxacin
Type: Quinolone antibiotic
Indications: urinary-tract infections, Chronic prostatitis, Lower respiratory-tract infections, Skin and soft-tissue infections, Uncomplicated gonorrhoea, Uncomplicated genital chlamydial infection, non-gonococcal urethritis,
Pelvic inflammatory disease
Dose: Look up under conditions
Brands: Tarivid
Nitrofurantoin
Type: Antibiotic
Indications: urinary-tract infections
Dose:
- Acute uncomplicated: 50 mg every 6 hours with food for 3–7 days; child over 3 months, 3 mg/kg daily in 4 divided doses
- Severe chronic recurrent: 100 mg every 6 hours with food for 7 days (dose reduced or discontinued if severe nausea)
- Prophylaxis: 50–100 mg at night; child over 3 months, 1 mg/kg at night
Brands: Furadantin, Macrobid, Macrodantin
Methenamin Hippurate
Type: Antibiotic
Indications: prophylaxis and long-term treatment of chronic or recurrent lower urinary-tract infections
Dose: 1 g every 12 hours
Brands: Hiprex
Amphotericin
Type: Antifungal
Indications: Oral and perioral infections
Dose: Allow 1 lozenge to dissolve slowly in the mouth 4 times daily for 10–15 days (continued for 48 hours after lesions have resolved); increase to 8 daily if infection severe
Brands: Fungizone
Anidulafungin
Type: Antifungal
Indications: invasive candidiasis
Dose: 200 mg on first day then 100 mg once daily
Brands: Ecalta
Caspofungin
Type: Antifungal
Indications: invasive aspergillosis either unresponsive to amphotericin or itraconazole or in patients intolerant of amphotericin or itraconazole; invasive candidiasis; empirical treatment of systemic fungal infections in patients with neutropenia
Dose: 70 mg on first day then 50 mg once daily
Brands: Cancidas
Fluconazole
Type: Antifungal
Indications: Vaginal candidiasis, Mucosal candidiasis (except genital), Tinea pedis, corporis, cruris, pityriasis versicolor, and dermal candidiasis, Invasive candidal infections (including candidaemia and disseminated candidiasis) and cryptococcal infections (including meningitis), Prevention of relapse of cryptococcal meningitis in AIDS patients after completion of primary therapy, Prevention of fungal infections in immunocompromised patients
Dose: Look up under condition
Brands: Diflucan
Flucytosine
Type: Antifungal
Indications: systemic yeast and fungal infections; adjunct to amphotericin in cryptococcal meningitis, adjunct to amphotericin in severe systemic candidiasis and in other severe or long-standing infections
Dose: 200 mg/kg daily in 4 divided doses usually for not more than 7 days
Brands: Ancotil
Griseofulvin
Type: Antifungal
Indications: dermatophyte infections of the skin, scalp, hair and nails where topical therapy has failed or is inappropriate
Dose:
- Dermatophyte infections: 500 mg once daily or in divided doses; in severe infection dose may be doubled, reducing when response occurs
- Tinea capitis caused by Trichophyton tonsurans: 1 g once daily or in divided doses
Itraconazole
Type: Antifungal
Indications: oropharyngeal candidiasis, Vulvovaginal candidiasis, Pityriasis versicolor, Tinea corporis and tinea cruris,
Tinea pedis and tinea manuum,
Onychomycosis, Histoplasmosis,
Systemic aspergillosis, candidiasis and cryptococcosis including cryptococcal meningitis where other antifungal drugs inappropriate or ineffective, Maintenance in AIDS patients to prevent relapse of underlying fungal infection and prophylaxis in neutropenia when standard therapy inappropriate,
Prophylaxis in patients with haematological malignancy or undergoing bone-marrow transplant
Dose: Look up under condition
Brands: Sporanox
Ketoconazole
Type: Antifungal
Indications: dermatophytoses and Malassezia folliculitis either resistant to fluconazole, terbinafine, or itraconazole or in patients intolerant of these antifungals; chronic mucocutaneous, cutaneous, and oropharyngeal candidiasis either resistant to fluconazole or itraconazole or in patients intolerant of these antifungals
Dose: 200 mg OD, increased if response inadequate to 400 mg OD; continued until symptoms have cleared and cultures negative
Brands: Nizoral
Nystatin
Type: Antifungal
Indications: candidiasis; oral infection, skin infection
Dose: Look up under condition
Brands: Nystan
Posaconazole
Type: Antifungal
Indications: invasive aspergillosis either unresponsive to, or in patients intolerant of, amphotericin or itraconazole; fusariosis either unresponsive to, or in patients intolerant of, amphotericin; chromoblastomycosis and mycetoma either unresponsive to, or in patients intolerant of, itraconazole; coccidioidomycosis either unresponsive to, or in patients intolerant of, amphotericin, itraconazole, or fluconazole
Dose: Look up under condition
Brands: Noxafil
Terbinafine
Type: Antifungal
Indications: dermatophyte infections of the nails, ringworm infections (including tinea pedis, cruris, and corporis) where oral therapy appropriate (due to site, severity or extent)
Dose: 250 mg daily usually for 2–6 weeks in tinea pedis, 2–4 weeks in tinea cruris, 4 weeks in tinea corporis, 6 weeks–3 months in nail infections (occasionally longer in toenail infections); child [unlicensed] usually for 4 weeks, tinea capitis, over 1 year, body-weight 10–20 kg, 62.5 mg once daily; body-weight 20–40 kg, 125 mg once daily; body-weight over 40 kg, 250 mg once daily
Brands: Lamisil
Voriconazole
Type: Antifungal
Indications: invasive aspergillosis; serious infections caused by Scedosporium spp., Fusarium spp., or invasive fluconazole-resistant Candida spp. (including C. krusei)
Dose: 400 mg every 12 hours for 2 doses then 200 mg every 12 hours, increased if necessary to 300 mg every 12 hours; body-weight under 40 kg, 200 mg every 12 hours for 2 doses then 100 mg every 12 hours, increased if necessary to 150 mg every 12 hours; child 2–12 years, (oral suspension recommended) 200 mg every 12 hours
Brands: Vfend
Abacavir
Type: Nucleoside reverse transcriptase inhibitor
Indications: HIV infection
Dose: 600 mg daily in 1–2 divided doses
Brands: Ziagen
Didanosine
Type: Nucleoside reverse transcriptase inhibitor
Indications: HIV infection
Dose: under 60 kg 250 mg daily in 1–2 divided doses, 60 kg and over 400 mg daily in 1–2 divided doses
Brands: Videx
Emtricitabine
Type: Nucleoside reverse transcriptase inhibitor
Indications: HIV infection
Dose: 200 mg once daily
Brands: Emtriva
Lamivudine
Type: Nucleoside reverse transcriptase inhibitor
Indications: HIV infection
Dose: Look up under brand
Brands: Epivir, Zeffix
Stavudine
Type: Nucleoside reverse transcriptase inhibitor
Indications: HIV infection
Dose: under 60 kg, 30 mg every 12 hours preferably at least 1 hour before food; 60 kg and over, 40 mg every 12 hours
Brands: Zerit
Tenofovir Disoproxil
Type: Nucleoside reverse transcriptase inhibitor
Indications: HIV infection
Dose: 245 mg once daily
Brands: Viread
Zidovudine
Type: Nucleoside reverse transcriptase inhibitor
Indications: HIV infection; prevention of maternal-fetal HIV transmission
Dose: 500–600 mg daily in 2–3 divided doses
Brands: Retrovir
Amprenavir
Type: Protease inhibitor
Indications: HIV infection
Dose: 1.2 g every 12 hours
Brands: Agenerase
Atazanavir
Type: Protease inhibitor
Indications: HIV infection
Dose: 300 mg once daily with ritonavir 100 mg once daily
Brands: Reyataz
Darunavir
Type: Protease inhibitor
Indications: HIV infection
Dose: 600 mg twice daily
Brands: Prezista
Fosamprenavir
Type: Protease inhibitor
Indications: HIV infection
Dose: 700 mg twice daily
Brands: Telzir
Indinavir
Type: Protease inhibitor
Indications: HIV infection
Dose: 800 mg every 8 hours
Brands: Crixivan
Lopinavir with Ritonavir
Type: Protease inhibitors
Indications: HIV infection
Dose: 400mg tablets twice daily
Brands: Kaletra
Nelfinavir
Type: Protease inhibitor
Indications: HIV infection
Dose: 1.25 g twice daily or 750 mg 3 times daily
Brands: Viracept
Ritonavir
Type: Protease inhibitor
Indications: HIV infection, potentiation of other protease inhibitors
Dose: Initially 300 mg every 12 hours for 3 days, increased in steps of 100 mg every 12 hours over not longer than 14 days to 600 mg every 12 hours
Brands: Norvir
Saquinavir
Type: Protease inhibitor
Indications: HIV infection
Dose: 1 g every 12 hours
Brands: Invirase
Tipranavir
Type: Protease inhibitor
Indications: HIV infection resistant to other protease inhibitors, in combination with other antiretroviral drugs in patients previously treated with antiretrovirals
Dose: With low-dose ritonavir, 500 mg twice daily
Brands: Aptivus
Efavirenz
Type: Non-nucleoside reverse transcriptase inhibitor
Indications: HIV infection
Dose: Look up under weight
Brands: Sustiva
Nevirapine
Type: Non-nucleoside reverse transcriptase inhibitor
Indications: HIV infection
Dose: Look up under weight
Brands: Viramune
Envirtide
Type: Antiretroviral
Indications: HIV infection
Dose: 90 mg twice daily
Brands: Fuzeon
Maraviroc
Type: Antiretroviral
Indications: CCR5-tropic HIV infection
Dose: 300 mg twice daily
Brands: Celsentri
Raltegravir
Type: Antiretroviral
Indications: HIV infection
Dose: 400 mg twice daily
Brands: Isentress
Aciclovir
Type: Antiviral
Indications: herpes simplex and varicella–zoster
Dose: Look up under condition
Brands: Zovirax
Famciclovir
Type: Antiviral
Indications: herpes zoster, acute genital herpes simplex and suppression of recurrent genital herpes
Dose: Look up under condition
Brands: Famvir
Inosine Pranobex
Type: Antiviral
Indications: Mucocutaneous herpes simplex, Adjunctive treatment of genital warts, Subacute sclerosing panencephalitis
Dose:
- Mucocutaneous herpes simplex: 1 g 4 times daily for 7–14 days
- Adjunctive treatment of genital warts: 1 g 3 times daily for 14–28 days
- Subacute sclerosing panencephalitis: 50–100 mg/kg daily in 6 divided doses
Brands: Imunovir
Valaciclovir
Type: Antiviral
Indications: herpes zoster; treatment of initial and suppression of recurrent herpes simplex infections of skin and mucous membranes including initial and recurrent genital herpes; reduction of transmission of genital herpes; prevention of cytomegalovirus disease following renal transplantation
Dose: Look up under condition
Brands: Valtrex
Cidofovir
Type: Antiviral
Indications: cytomegalovirus retinitis in AIDS patients for whom other drugs are inappropriate
Dose: initially 5 mg/kg once weekly for 2 weeks, maintenance; 5 mg/kg once every 2 weeks
Brands: Vistide
Ganciclovir
Type: Antiviral
Indications: life-threatening or sight-threatening cytomegalovirus infections in immunocompromised patients only; prevention of cytomegalovirus disease during immunosuppressive therapy following organ transplantation; local treatment of CMV retinitis
Dose: 5 mg/kg every 12 hours for 14–21 days for treatment or for 7–14 days for prevention; maintenance (for patients at risk of relapse of retinitis) 6 mg/kg daily on 5 days per week or 5 mg/kg daily until adequate recovery of immunity; if retinitis progresses initial induction treatment may be repeated
Brands: Cymevene
Foscarnet
Type: Antiviral
Indications: cytomegalovirus retinitis in AIDS patients; mucocutaneous herpes simplex virus infections unresponsive to aciclovir in immunocompromised patients
Dose:
- CMV retinitis: by IV infusion, induction 60 mg/kg every 8 hours for 2–3 weeks then maintenance, 60 mg/kg daily, increased to 90–120 mg/kg if tolerated; if retinitis progresses on maintenance dose, repeat induction regimen
- Mucocutaneous herpes simplex infection: by intravenous infusion, 40 mg/kg every 8 hours for 2–3 weeks or until lesions heal
Brands: Foscavir
Valganciclovir
Type: Antiviral
Indications: induction and maintenance treatment of cytomegalovirus retinitis in AIDS patients; prevention of cytomegalovirus disease following solid organ transplantation from a cytomegalovirus-positive donor
Dose:
- CMV retinitis: induction, 900 mg twice daily for 21 days then 900 mg once daily; induction regimen may be repeated if retinitis progresses
- Prevention of cytomegalovirus disease following solid organ transplantation (starting within 10 days of transplantation): 900 mg once daily for 100 days
Brands: Valcyte
Adefovir Dipivoxil
Type: Antiviral
Indications: chronic hepatitis B infection with either compensated liver disease with evidence of viral replication, and histologically documented active liver inflammation and fibrosis or decompensated liver disease
Dose: 10 mg once daily
Brands: Hepsera
Entecavir
Type: Antiviral
Indications: chronic hepatitis B infection with compensated liver disease, evidence of viral replication, and histologically documented active liver inflammation or fibrosis
Dose: 500 micrograms once daily
Brands: Baraclude
Telbivudine
Type: Antiviral
Indications: chronic hepatitis B infection with compensated liver disease, evidence of viral replication, and histologically documented active liver inflammation or fibrosis
Dose: 600 mg once daily
Brands: Sebivo
Oseltamivir
Type: Antiviral
Indications: influenza if started within a few hours of the onset of symptoms
Dose: 75 mg every 12 hours for 5 days
Brands: Tamiflu
Zanamivir
Type: Antiviral
Indications: influenza if started within a few hours of the onset of symptoms
Dose: Look up under situation
Brands: Relenza
Palivizumab
Type: Antiviral
Indications: chronic hepatitis C infection, Lassa fever
Dose: 15 mg/kg once a month during season of RSV risk
Brands: Synagis
Ribavirin
Type: Antiviral
Indications: preventing serious lower respiratory-tract disease caused by respiratory syncytial virus in children at high risk of the disease
Dose: Look up under preparation
Brands: Copegus, Rebetol, Virazole
Artemether with lumefantrine
Type: Antimalarial
Indications: acute uncomplicated falciparum malaria
Dose: Look up under malaria treatment notes
Brands: Riamet
Chloroquine
Type: Antimalarial
Indications: chemoprophylaxis and treatment of malaria; rheumatoid arthritis and lupus erythematosus
Dose: started 1 week before entering endemic area and continued for 4 weeks after leaving, 300 mg once weekly
Brands: Avloclor, Malarivon, Nivaquine
Mefloquine
Type: Antimalarial
Indications: chemoprophylaxis of malaria, treatment of malaria
Dose: started 2½ weeks before entering endemic area and continued for 4 weeks after leaving, adult and child body-weight over 45 kg, 250 mg once weekly; body-weight 6–16 kg, 62.5 mg once weekly; body-weight 16–25 kg, 125 mg once weekly; body-weight 25–45 kg, 187.5 mg once weekly
Brands: Lariam
Primaquine
Type: Antimalarial
Indications: Plasmodium vivax and P. ovale malaria (eradication of liver stages)
Dose: Look up under malaria treatment notes
Proguanil
Type: Antimalarial
Indications: chemoprophylaxis of malaria
Dose: started 1 week before entering endemic area and continued for 4 weeks after leaving, 200 mg once daily
Brands: Paludrine
Pyrimethamine with Sulfadoxine
Type: Antimalarial
Indications: malaria
Dose: Look up under malaria notes
Quinine
Type: Antimalarial
Indications: falciparum malaria; nocturnal leg cramps
Dose: Look up under malaria notes
- nocturnal leg cramps: 200-300mg ON
Diloxanide Furoate
Type: Amoebicide
Indications: chronic amoebiasis and as adjunct to metronidazole or tinidazole in acute amoebiasis
Dose: 500 mg every 8 hours for 10 days
Brands: Diloxanide
Mepacrine
Type: Antigiardial
Indications: giardiasis; discoid lupus erythematosus
Dose:
- giardiasis: 100 mg every 8 hours for 5–7 days
Sodium stibogluconate
Type: Leishmaniacide
Indications: leishmaniasis
Dose: 20 mg/kg daily (max. 850 mg) by intramuscular or intravenous injection for 28 days in visceral leishmaniasis and for 20 days in cutaneous infection
Brands: Pentostam
Atovaquone
Type: Antiprotozoal
Indications: treatment of mild to moderate Pneumocystis jiroveci (Pneumocystis carinii) pneumonia in patients intolerant of co-trimoxazole
Dose: 750 mg twice daily with food
Brands: Wellvone
Pentamidine Isetionate
Type: Antiprotozoal
Indications: Pneumocystis jiroveci (Pneumocystis carinii) pneumonia, Visceral leishmaniasis, Cutaneous leishmaniasis, Trypanosomiasis
Dose: Look up under condition
Brands: Pentacarinat
Mebendazole
Type: Anthelmintic
Indications: threadworm, roundworm, whipworm, and hookworm infections
Dose: Look up under worm type
Brands: Vermox
Piperazine
Type: Anthelmintic
Indications: threadworm and roundworm infections
Dose: Threadworms, stirred into milk or water, adult and child over 6 years, content of 1 sachet as a single dose (bedtime in adults or morning in children), repeated after 14 days
Brands: Pripsen
Insulin
Type: Short-acting insulin
Indications: diabetes mellitus; diabetic ketoacidosi
Dose: According to requirements
Brands: Hypurin, Actrapid, Humulin S, Insuman Rapid
Insulin Aspart
Type: Short-acting insulin
Indications: diabetes mellitus
Dose: According to requirements
Brands: NovoRapid
Insulin Glulisine
Type: Short-acting insulin
Indications: diabetes mellitus
Dose: According to requirements
Brands: Apidra
Insulin Lispro
Type: Short-acting insulin
Indications: diabetes mellitus
Dose: According to requirements
Brands: Humalog
Insulin Detemir
Type: Long-acting insulin
Indications: diabetes mellitus
Dose: according to requirements
Brands: Levemir
Insulin Glargine
Type: Long-acting insulin
Indications: diabetes mellitus
Dose: according to requirements
Brands: Lantus
Insulin Zinc Suspension
Type: Long-acting insulin
Indications: diabetes mellitus
Dose: according to requirements
Brands: Hypurin Bovine Lente
Isophane Insulin
Type: intermediate acting insulin
Indications: diabetes mellitus
Dose: according to requirements
Brands: Hypurin Bovine Isophane, Hypurin Porcine Isophane, Insulatard, Humulin I, Insuman Basal
Protamine Zinc Insulin
Type: Long-acting insulin
Indications: diabetes mellitus
Dose: according to requirements
Brands: Hypurin Bovine Protamine Zinc
Biphasic insulin aspart
Type: Biphasic insulin
Indications: diabetes mellitus
Dose: according to requirements
Brands: NovoMix 30
Biphasic insulin Lispro
Type: Biphasic insulin
Indications: diabetes mellitus
Dose: according to requirements
Brands: Humalog Mix25, Humalog Mix50
Biphasic Isophane Insulin
Type: Biphasic insulin
Indications: diabetes mellitus
Dose: according to requirements
Brands: Hypurin Porcine 30/70 Mix, Mixtard 30, Humulin M3, Insuman, Comb 15, Insuman Comb 25, Insuman Comb 50
Chlorpropamide
Type: Sulphonylurea
Indications: type 2 diabetes mellitus
Dose: Initially 250 mg daily with breakfast, adjusted according to response; max. 500 mg daily
Glibenclamide
Type: Sulphonylurea
Indications: type 2 diabetes mellitus
Dose: 5 mg daily with or immediately after breakfast, dose adjusted according to response
Brands: Euglucon
Gliclazide
Type: Sulphonylurea
Indications: type 2 diabetes mellitus
Dose: 40–80 mg daily, adjusted according to response; up to 160 mg as a single dose, with breakfast; higher doses divided; max. 320 mg daily
Brands: Diamicron, Diamicron MR
Glimepiride
Type: Sulphonylurea
Indications: type 2 diabetes mellitus
Dose: Initially 1 mg daily, adjusted according to response in 1-mg steps at 1–2 week intervals; usual max. 4 mg daily
Brands: Amaryl
Glipizide
Type: Sulphonylurea
Indications: type 2 diabetes mellitus
Dose: Initially 2.5–5 mg daily shortly before breakfast or lunch, adjusted according to response; max. 20 mg daily; up to 15 mg may be given as a single dose; higher doses divided
Brands: Glibenese, Minodiab
Tolbutamide
Type: Sulphonylurea
Indications: type 2 diabetes mellitus
Dose: 0.5–1.5 g (max. 2 g) daily in divided doses with or immediately after meals or as a single dose with or immediately after breakfast
Metformin Hydrochloride
Type: Biguanide
Indications: diabetes mellitus, polycystic ovary syndrome
Dose:
- Diabetes mellitus: adult and child over 10 years initially 500 mg with breakfast for at least 1 week then 500 mg with breakfast and evening meal for at least 1 week then 500 mg with breakfast, lunch and evening meal; usual max. 2 g daily in divided doses
- Polycystic ovary syndrome [unlicensed]: initially 500 mg with breakfast for 1 week, then 500 mg with breakfast and evening meal for 1 week, then 1.5–1.7 g daily in 2–3 divided doses
Brands: Glucophage, Glucophage SR
Acarbose
Type: antidiabetic
Indications: diabetes mellitus inadequately controlled by diet or by diet with oral antidiabetic drugs
Dose: 50 mg daily increased to 50 mg 3 times daily, then increased if necessary after 6–8 weeks to 100 mg 3 times daily; max. 200 mg 3 times daily
Brands: Glucobay
Exenatide
Type: Antidiabetic
Indications: type 2 diabetes mellitus in combination with metformin or sulphonylurea (or with both) when metformin or a sulphonylurea or both inadequate
Dose: 5 micrograms twice daily within 1 hour before 2 main meals (at least 6 hours apart), increased if necessary after at least 1 month to max. 10 micrograms twice daily
Brands: Byetta
Nateglinide
Type: Antidiabetic
Indications: type 2 diabetes mellitus in combination with metformin
Dose: 60 mg 3 times daily within 30 minutes before main meals, adjusted according to response up to max. 180 mg 3 times daily
Brands: Starlix
Pioglitazone
Type: Antidiabetic
Indications: type 2 diabetes mellitus
Dose: 15–30 mg once daily increased to 45 mg once daily according to response
Brands: Actos
Repaglinide
Type: Antidiabetic
Indications: type 2 diabetes mellitus
Dose: 500 micrograms within 30 minutes before main meals (1 mg if transferring from another oral hypoglycaemic), adjusted according to response at intervals of 1–2 weeks; up to 4 mg may be given as a single dose, max. 16 mg daily
Brands: Prandin
Rosiglitazone
Type: Antidiabetic
Indications: type 2 diabetes mellitus
Dose: 4 mg daily; may be increased after 8 weeks to 8 mg daily (in 1–2 divided doses) according to response
Brands: Avandia
Sitagliptin
Type: Antidiabetic
Indications: type 2 diabetes mellitus
Dose: 100 mg once daily
Brands: Januvia
Vildagliptin
Type: Antidiabetic
Indications: type 2 diabetes mellitus
Dose: 50 mg twice daily; in combination with a sulphonylurea, 50 mg daily in the morning
Brands: Galvus
Glucagon
Type: Antidiabetic
Indications: hypoglycaemia
Dose: 1 mg
Brands: GlucaGen HypoKit
Diazoxide
Type: Antidiabetic
Indications: chronic intractable hypoglycaemia
Dose: 5 mg/kg daily in 2–3 divided doses
Brands: Eudemine
Levothyroxine sodium
Type: Thyroid hormone
Indications: hypothyroidism
Dose: initially 50–100 micrograms once daily, preferably before breakfast, adjusted in steps of 25–50 micrograms every 3–4 weeks according to response (usual maintenance dose 100–200 micrograms once daily); in cardiac disease, severe hypothyroidism, and patients over 50 years, initially 25 micrograms once daily, adjusted in steps of 25 micrograms every 4 weeks according to response; usual maintenance dose 50–200 micrograms once daily
Liothyronine Sodium
Type: Thyroid hormone
Indications: severe hypothyroid states
Dose: initially 10–20 micrograms daily gradually increased to 60 micrograms daily in 2–3 divided doses
Brands: Triiodothyronine
Carbimazole
Type: Antithyroid
Indications: hyperthyroidism
Dose: 15 to 40 mg daily
Brands: Neo-Mercazole
Iodine and Iodide
Type: Antithyroid
Indications: pre-operative thyrotoxicosis
Dose: 0.1–0.3 mL 3 times daily well diluted with milk or water
Brands: Aqueous Iodine Oral Solution
Propylthiouracil
Type: Antithyroid
Indications: hyperthyroidism
Dose: 200 to 400 mg daily until euthyroid
Fludrocortisone Acetate
Type: Mineralocorticoid
Indications: mineralocorticoid replacement in adrenocortical insufficiency
Dose: 50–300 micrograms daily
Brands: Florinef
Betamethasone
Type: Glucocorticoid
Indications: suppression of inflammatory and allergic disorders; congenital adrenal hyperplasia
Dose: 0.5–5 mg daily
Brands: Betnelan, Betnesol
Cortisone Acetate
Type: Glucocorticoid
Indications: Glucocorticoid replacement therapy
Dose: 25–37.5 mg daily in divided doses
Deflazacort
Type: Glucocorticoid
Indications: suppression of inflammatory and allergic disorders
Dose: Usual maintenance 3–18 mg daily (acute disorders, initially up to 120 mg daily)
Brands: Calcort
Triamcinolone
Type: Glucocorticoid
Indications: suppression of inflammatory and allergic disorders; see also notes above; rheumatic disease,
Dose: Look up under condition
Brands: Kenalog Intra-articular/Intramuscular
Conjugated oestrogens with progestogen
Type: Oestrogens
Indications: HRT
Dose: Look up under preparation
Brands: Premique, Prempak-C
Estradiol with progestogen
Type: Oestrogens
Indications: HRT
Dose: Look up under preparations
Brands: Angeliq, Climagest, Climesse, Clinorette, Cyclo-Progynova' Elleste-Duet, Estracombi Evorel, Femapak, Femoston, FemSeven Conti
, FemSeven Sequi, Indivina, Kliofem, Kliovance, Novofem, Nuvelle, Tridestra, Trisequens
Conjugated oestrogens
Type: Oestrogens
Indications: HRT
Dose: Look up under preparation
Brands: Premarin
Estradiol
Type: Oestrogen
Indications: HRT
Dose: Look up under preparations
Brands:Bedol, Climaval, Elleste-Solo, Elleste Solo MX, Estraderm MX, Estraderm TTS, Estradot, Evorel, Fematrix, FemSeven, Oestrogel, Progynova, Progynova TS, Sandrena, Zumenon
Estradiol, estriol and estrone
Type: Oestrogens
Indications: HRT
Dose: Look up under preparation
Brands: Hormonin
Estriol
Type: Oestrogens
Indications: HRT
Dose: 0.5–3 mg daily, as single dose, for up to 1 month, then 0.5–1 mg daily until restoration of epithelial integrity
Brands: Ovestin
Estropipate
Type: Oestrogen
Indications: HRT
Dose: 1.5 mg daily continuously (with cyclical progestogen for 10–13 days of each cycle in women with a uterus); up to 3 mg daily (in single or divided doses) for vasomotor symptoms and menopausal vaginitis
Brands: Harmogen
Tibolone
Type: HRT
Indications: short-term treatment of symptoms of oestrogen deficiency (including women being treated with gonadotrophin releasing hormone analogues); osteoporosis prophylaxis in women at risk of fractures (second-line)
Dose: 2.5 mg daily
Brands: Livial
Ethinylestradiol
Type: HRT
Indications: short-term treatment of symptoms of oestrogen deficiency, for osteoporosis prophylaxis if other drugs cannot be used and for the treatment of female hypogonadism and menstrual disorders
Dose:
- Menopausal symptoms and osteoporosis prophylaxis: (with progestogen for 12–14 days per cycle in women with intact uterus), 10–50 micrograms daily for 21 days, repeated after 7-day tablet-free period
- Female hypogonadism: 10–50 micrograms daily, usually on cyclical basis; initial oestrogen therapy should be followed by combined oestrogen and progestogen therapy
- Menstrual disorders: 20–50 micrograms daily from day 5 to 25 of each cycle, with progestogen added either throughout the cycle or from day 15 to 25
Raloxifene
Type: HRT
Indications: treatment and prevention of postmenopausal osteoporosis
Dose: 60 mg once daily
Brands: Evista
Medroxyprogesterone Acetate
Type: Progestogen
Indications: Mild to moderate endometriosis, Progestogenic opposition of oestrogen HRT,
Dose:
- Mild to moderate endometriosis: 10 mg 3 times daily for 90 consecutive days, beginning on day 1 of cycle
- Progestogenic opposition of oestrogen HRT: 10 mg daily for the last 14 days of each 28-day oestrogen HRT cycle
Brands: Provera, Climanor
Norethisterone
Type: Progestogen
Indications: Endometriosis,
Dysfunctional uterine bleeding, menorrhagia, Dysmenorrhoea,
Premenstrual syndrome, postponement of menstruation,
Dose: Look up under condition
Brands: Primolut N, Utovlan
Progesterone
Type: Progestogen
Indications: infertility due to inadequate luteal phase, premenstrual syndrome and post-natal depression, dysfunctional uterine bleeding, Progestogenic opposition of oestrogen HRT
Dose: Look up under preparations
Brands: Crinone, Cyclogest, Gestone, Utrogestan
Testosterone
Type: Male sex hormone
Indications: Androgen deficiency, Hypogonadism, Breast cancer, Delayed puberty, adjunct to oestrogen replacement therapy,
Dose: Look up under preparations
Brands: Restandol Testocaps, Striant SR, Nebido, Sustanon 100, Sustanon 250, Virormone, Intrinsa, Testim, Testogel, Tostran
Mesterolone
Type: Male sex hormone
Indications: Androgen deficiency and male infertility associated with hypogonadism
Dose: 25 mg 3–4 times daily for several months, reduced to 50–75 mg daily in divided doses for maintenance
Brands: Pro-Viron
Cyproterone acetate
Type: Anti-androgen
Indications: severe hypersexuality and sexual deviation in the male, prostate cancer
Dose: 50 mg twice daily after food
Brands: Androcur
Dutasteride
Type: Anti-androgen
Indications: benign prostatic hyperplasia
Dose: 500 micrograms daily
Brands: Avodart
Finasteride
Type: Anti-androgen
Indications: benign prostatic hyperplasia; male-pattern baldness in men
Dose: 5 mg daily, review treatment after 6 months
Brands: Proscar
Nandrolone
Type: Anabolic steroid
Indications: osteoporosis in postmenopausal women
Dose: 50 mg every 3 weeks
Brands: Deca-Durabolin
Clomiphene Citrate
Type: Anti-oestrogen
Indications: anovulatory infertility
Dose: 50 mg daily for 5 days, starting within about 5 days of onset of menstruation (preferably on 2nd day) or at any time (normally preceded by a progestogen-induced withdrawal bleed) if cycles have ceased; second course of 100 mg daily for 5 days may be given in absence of ovulation; most patients who are going to respond will do so to first course; 3 courses should constitute adequate therapeutic trial
Brands: Clomid
Tetracosactide
Type: Corticotrophin
Indications: used to test adrenocortical function
Dose: Look up under preparation
Brands: Synacthen, Synacthen Depot
Chorionic Gonadotrophin
Type: Gonadotrophin
Indications: infertility in women with proven hypopituitarism or who have not responded to clomifene, or in superovulation treatment for assisted conception
Dose: according to patient’s response
Brands: Choragon, Pregnyl
Choriogonadotropin Alfa
Type: Gonadotrophin
Indications: infertility in women with proven hypopituitarism or who have not responded to clomifene, or in superovulation treatment for assisted conception
Dose: according to patient’s response
Brands: Ovitrelle
Follitropin Alfa and Beta
Type: Gonadotrophin
Indications: infertility in women with proven hypopituitarism or who have not responded to clomifene, or in superovulation treatment for assisted conception
Dose: according to patient’s response
Human Menopausal Gonadotrophins
Type: Gonadotrophin
Indications: infertility in women with proven hypopituitarism or who have not responded to clomifene, or in superovulation treatment for assisted conception
Dose: according to patient’s response
Brands: Menotrophin, Urofollitropin
Lutropin Alfa
Type: Gonadotrophin
Indications: in conjunction with follicle-stimulating hormone, according to response
Dose: according to patient’s response
Brands: Luveris
Somatropin
Type: Growth Hormone
Indications: Gonadal dysgenesis (Turner’s syndrome), Deficiency of growth hormone in children, Growth disturbance in short children born small for gestational age whose growth has not caught up by 4 years or later, Prader-Willi syndrome, Chronic renal insufficiency in children (renal function decreased to less than 50%), Adult growth hormone deficiency, by subcutaneous injection
Dose: Look up under condition
Brands: Genotropin, Humatrope, Norditropin, NutropinAq, Omnitrope, Saizen, Zomacton
Pegvisomant
Type: Growth hormone receptor antagonist
Indications: acromegaly in patients with inadequate response to surgery, radiation, or both, and to treatment with somatostatin analogues
Dose: initially 80 mg, then 10 mg daily, increased in steps of 5 mg daily according to response; max. 30 mg daily
Brands: Somavert
Thyrotrophin
Type: thyroid stimulating hormone
Indications: detection of thyroid remnants and thyroid cancer in post-thyroidectomy patients
Dose: 900 micrograms every 24 hours for 2 doses
Brands: Thyrogen
Gonadorelin
Type: Hypothalamic hormone
Indications: assessment of pituitary function
Dose: 100 micrograms
Brands: HRF
Protirelin
Type: Hypothalamic hormone
Indications: assessment of thyroid function and thyroid stimulating hormone reserve
Dose: 200 micrograms
Vasopressin
Type: Posterior pituitary hormone
Indications: pituitary diabetes insipidus; bleeding from oesophageal varices
Dose: 5–20 units every four hours
Desmopressin
Type: Posterior pituitary hormone
Indications: Diabetes insipidus, Primary nocturnal enuresis, Postoperative polyuria or polydipsia, Polyuria or polydipsia after hypophysectomy, Nocturia associated with multiple sclerosis, Mild to moderate haemophilia and von Willebrand’s disease, Fibrinolytic response testing, Lumbar-puncture-associated headache
Dose: Look up under condition
Brands: DDAVP, Desmotabs, DesmoMelt, Desmospray, Octim
Terlipressin
Type: Posterior pituitary hormone
Indications: bleeding from oesophageal varices
Dose: 2 mg followed by 1 or 2 mg every 4 to 6 hours until bleeding is controlled, for up to 72 hours
Brands: Glypressin
Calcitonin
Type: Drug affecting bone metabolism
Indications: Hypercalcaemia of malignancy, Paget’s disease of bone, Postmenopausal osteoporosis to reduce risk of vertebral fractures, Prevention of acute bone loss due to sudden immobility
Dose: Look up under condition
Brands: Miacalcic
Parathyroid hormone
Type: Drug affecting bone metabolism
Indications: osteoporosis in postmenopausal women at high risk of fractures
Dose: 100 micrograms daily, max. duration of treatment 24 months
Brands: Preotact
Teriparatide
Type: Drug affecting bone metabolism
Indications: treatment of osteoporosis in postmenopausal women and in men at increased risk of fractures; treatment of corticosteroid-induced osteoporosis
Dose: 20 micrograms daily; max. duration of treatment 18 months (course not to be repeated)
Brands: Forsteo
Alendronic acid
Type: Bisphosphonate
Indications: postmenopausal osteoporosis and osteoporosis
Dose:
- Treatment of postmenopausal osteoporosis and osteoporosis in men: 10 mg daily or (in postmenopausal osteoporosis) 70 mg once weekly
- Prevention of postmenopausal osteoporosis: 5 mg daily
- Prevention and treatment of corticosteroid-induced osteoporosis: 5 mg daily (postmenopausal women not receiving hormone replacement therapy, 10 mg daily)
Brands: Fosamax, Fosamax Once Weekly
Disodium Etidronate
Type: Bisphosphonate
Indications: Paget’s disease of bone
Dose: 5 mg/kg as a single daily dose for up to 6 months; doses above 10 mg/kg daily for up to 3 months may be used with caution but doses above 20 mg/kg daily are not recommended; after interval of not less than 3 months may be repeated where evidence of reactivation—including biochemical indices (avoid premature retreatment)
Brands: Didronel
Disodium Pamidronate
Type: Bisphosphonate
Indications: Hypercalcaemia of malignancy, Osteolytic lesions and bone pain in bone metastases associated with breast cancer or multiple myeloma, Paget’s disease of bone
Dose: Look up under condition
Brands: Aredia Dry Powde
Ibandronic Acid
Type: Bisphosphonate
Indications: Reduction of bone damage in bone metastases in breast cancer, Hypercalcaemia of malignancy, Treatment of postmenopausal osteoporosis
Dose: Look up under condition
Brands: Bondronat
Risedronate Sodium
Type: Bisphosphonate
Indications: Paget’s disease of bone, postmenopausal osteoporosis, Prevention of osteoporosis
Dose:
- Paget’s disease of bone: 30 mg daily for 2 months; may be repeated if necessary after at least 2 months
- Treatment of postmenopausal osteoporosis to reduce risk of vertebral or hip fractures: 5 mg daily or 35 mg once weekly
- Prevention of osteoporosis (including corticosteroid-induced osteoporosis) in postmenopausal women: 5 mg daily
Brands: Actonel, Actonel Once a Week
Sodium Clodronate
Type: Bisphosphonate
Indications: Osteolytic lesions, hypercalcaemia and bone pain associated with skeletal metastases in patients with breast cancer or multiple myeloma
Dose: 300 mg daily for max. 7–10 days or by single-dose infusion of 1.5 g
Brands: Bonefos, Loron
Tiludronic Acid
Type: Bisphosphonate
Indications: Paget’s disease of bone
Dose: 400 mg daily as a single dose for 12 weeks; may be repeated if necessary after 6 months
Brands: Skelid
Zoledronic Acid
Type: Bisphosphonate
Indications: Treatment of Paget’s disease of bone
Dose: Look up under preparations
Brands: Aclasta, Zometa
Strontium ranelate
Type: Drug affecting bone metabolism
Indications: treatment of postmenopausal osteoporosis to reduce risk of vertebral and hip fractures
Dose: 2 g once daily in water, preferably at bedtime
Brands: Protelos
Quinagolide
Type: dopaminergic drug
Indications: Hyperprolactinaemia
Dose: 25 micrograms at bedtime for 3 days; increased at intervals of 3 days in steps of 25 micrograms to usual maintenance dose of 75–150 micrograms daily; for doses higher than 300 micrograms daily increase in steps of 75–150 micrograms at intervals of not less than 4 weeks
Brands: Norprolac
Cetrorelix
Type: Gonadotrophin altering drugs
Indications: adjunct in the treatment of female infertility
Dose: either 250 micrograms in the morning, starting on day 5 or 6 of ovarian stimulation with gonadotrophins (or each evening starting on day 5 of ovarian stimulation); continue throughout administration of gonadotrophin including day of ovulation induction (or evening before ovulation induction)

or 3 mg on day 7 of ovarian stimulation with gonadotrophins; if ovulation induction not possible on day 5 after 3-mg dose, additional 250 micrograms once daily until day of ovulation induction
Brands: Cetrotide
Danazol
Type: Pituitary gonadotrophin inhibitor
Indications: Endometriosis, Severe pain and tenderness in benign fibrocystic breast disease not responding to other treatment, Hereditary angioedema
Dose:
- Endometriosis: 200–800 mg daily in up to 4 divided doses, adjusted to achieve amenorrhoea, usually for 3–6 months
- Severe pain and tenderness in benign fibrocystic breast disease : 300 mg daily in divided doses usually for 3–6 months
- Hereditary angioedema [unlicensed indication], initially 200 mg 2–3 times daily, then reduced according to response
Brands: Danol
Ganirelix
Type: Gonadotrophin altering drugs
Indications: adjunct in the treatment of female infertility
Dose: 250 micrograms in the morning (or each afternoon) starting on day 6 of ovarian stimulation with gonadotrophins; continue throughout administration of gonadotrophins including day of ovulation induction (if administering in afternoon, give last dose in afternoon before ovulation induction)
Brands: Orgalutran
Gestrinone
Type: Gonadotrophin altering drugs
Indications: endometriosis
Dose: 2.5 mg twice weekly starting on first day of cycle with second dose 3 days later, repeated on same two days preferably at same time each week
Brands: Dimetriose
Buserelin
Type: Gonadorelin analogue
Indications: Endometriosis, Pituitary desensitisation before induction of ovulation by gonadotrophins for in vitro fertilisation, prostate cancer
Dose: Look up under condition
Brands: Suprecur
Goserelin
Type: Gonadorelin analogue
Indications: Endometriosis, Endometrial thinning before intra-uterine surgery, Before surgery in women who have anaemia due to uterine fibroids, Pituitary desensitisation before induction of ovulation by gonadotrophins for in vitro fertilisation (under specialist supervision), after exclusion of pregnancy,
Dose: Look up under condition
Leuprorelin Acetate
Type: Gonadorelin analogue
Indications: Endometriosis, Endometrial thinning before intra-uterine surgery, Reduction of size of uterine fibroids and of associated bleeding before surgery
Dose: Look up under condition
Nafarelin
Type: Gonadorelin analogue
Indications: Endometriosis, Pituitary desensitisation before induction of ovulation by gonadotrophins for in vitro fertilisation
Dose: Look up under condition
Brands: Synarel
Triptorelin
Type: Gonadorelin analogue
Indications: endometriosis, precocious puberty, reduction in size of uterine fibroids; advanced prostate cancer
Dose: Look up under preparation
Brands: Decapeptyl SR, Gonapeptyl Depot
Metyrapone
Type: Endocrine drugs
Indications: Differential diagnosis of ACTH-dependent Cushing’s syndrome, Management of Cushing’s syndrome, Resistant oedema due to increased aldosterone secretion in cirrhosis, nephrotic syndrome, and congestive heart failure
Dose:
- Differential diagnosis of ACTH-dependent Cushing’s syndrome: 750 mg every 4 hours for 6 doses; child 15 mg/kg (minimum 250 mg) every 4 hours for 6 doses
- Management of Cushing’s syndrome: range 0.25–6 g daily, tailored to cortisol production;
- Resistant oedema due to increased aldosterone secretion in cirrhosis, nephrotic syndrome, and congestive heart failure (with glucocorticoid replacement therapy) 3 g daily in divided doses
Brands: Metopirone
Trilostane
Type: Endocrine drugs
Indications: Adrenal cortical hyperfunction, Postmenopausal breast cancer
Dose:
- Adrenal cortical hyperfunction: 240 mg daily in divided doses for at least 3 days then tailored according to response with regular monitoring of plasma electrolytes and circulating corticosteroids (both mineralocorticoid and glucocorticoid replacement therapy may be needed); usual dose: 120–480 mg daily (may be increased to 960 mg)
- Postmenopausal breast cancer (with glucocorticoid replacement therapy) following relapse to initial oestrogen receptor antagonist therapy: initially 240 mg daily increased every 3 days in steps of 240 mg to a maintenance dose of 960 mg daily (720 mg daily if not tolerated)
Brands: Modrenal
Mecasermin
Type: Somatomedin
Indications: growth failure in children and adolescents with severe primary insulin-like growth factor-I deficiency
Dose: initially 40 micrograms/kg twice daily for 1 week, if tolerated increase dose in steps of 40 micrograms/kg to max. 120 micrograms/kg twice daily; discontinue if no response within 1 year
Brands: Increlex
Carbetocin
Type: Oxytocics
Indications: prevention of uterine atony after caesarean section
Dose: single dose of 100 micrograms, as soon as possible after delivery, preferably before removal of placenta
Brands: Pabal
Carboprost
Type: Prostaglandin
Indications: postpartum haemorrhage due to uterine atony in patients unresponsive to ergometrine and oxytocin
Dose: 250 micrograms repeated if necessary at intervals of 1½ hours (in severe cases the interval may be reduced but should not be less than 15 minutes); total dose should not exceed 2 mg (8 doses)
Brands: Hemabate
Dinoprostone
Type: Prostaglandin
Indications: cervical ripening and induction of labour at term
Dose: Look up under preparations
Brands: Propess, Prostin E2
Ergometrine Maleate
Type: Prostaglandin
Indications: to minimise blood loss from the placental site
Dose: 250–500 micrograms by intravenous injection
Brands:
Gemeprost
Type: Prostaglandin
Indications: cervical ripening prior to first trimester surgical abortion, Second trimester abortion, Second trimester intra-uterine death
Dose:
- cervical ripening prior to first trimester surgical abortion: 1 mg inserted into posterior fornix 3 hours before surgery
- Second trimester abortion: 1 mg inserted into posterior fornix every 3 hours for max. of 5 administrations; second course may begin 24 hours after start of treatment (if treatment fails pregnancy should be terminated by another method)
- Second trimester intra-uterine death: 1 mg inserted into posterior fornix every 3 hours for max. of 5 administrations only; monitor for coagulopathy
Oxytocin
Type: Oxytocin
Indications: Induction of labour for medical reasons or stimulation of labour in hypotonic uterine inertia, Caesarean section, Prevention of postpartum haemorrhage, after delivery of placenta, Incomplete, inevitable, or missed abortion
Dose: Look up under use
Brands: Syntocinon
Alprostadil
Type: Prostaglandin
Indications: congenital heart defects in neonates prior to corrective surgery; erectile dysfunction
Dose: initially 10 nanograms/kg/minute, adjusted according to response in steps of 5–10 nanograms/kg/minute; max. 100 nanograms/kg/minute
Brands: Prostin VR
Indometacin
Type: Prostaglandin synthesis inhibitor
Indications: patent ductus arteriosus in premature babies (under specialist supervision in neonatal intensive care unit); uncomplicated premature labour [unlicensed indication], rheumatoid disease
Dose: Look up under condition
Brands: Indocid PDA
Mifepristone
Type: Antiprogestogenic steroid
Indications: Medical termination of intra-uterine pregnancy
Dose: Look up under use
Brands: Mifegyne
Atosiban
Type: Myometrial relaxant
Indications: uncomplicated premature labour
Dose: initially 6.75 mg over 1 minute, then by intravenous infusion 18 mg/hour for 3 hours, then 6 mg/hour for up to 45 hours; max. duration of treatment 48 hours
Brands: Tractocile
Ritodrine Hydrochloride
Type: Myometrial relaxant
Indications: uncomplicated premature labour
Dose: initially 50 micrograms/minute, increased gradually according to response by 50 micrograms/minute every 10 minutes until contractions stop or maternal heart rate reaches 140 beats per minute; continue for 12–48 hours after contractions cease (usual rate 150–350 micrograms/minute); max. rate 350 micrograms/minute; or by intramuscular injection, 10 mg every 3–8 hours continued for 12–48 hours after contractions have ceased; then by mouth (but see notes above), 10 mg 30 minutes before termination of intravenous infusion, repeated every 2 hours for 24 hours, followed by 10–20 mg every 4–6 hours, max. oral dose 120 mg daily
Brands: Yutopar
Levonorgestrel
Type: Emergency contraceptive
Indications: emergency contraception
Dose: 1.5 mg as a single dose as soon as possible after coitus (preferably within 12 hours but no later than after 72 hours)
Brands: Levonelle One Step,
Levonelle 1500
Alfuzosin Hydrochloride
Type: Alpha-blocker
Indications: benign prostatic hyperplasia
Dose: 2.5 mg 3 times daily, max. 10 mg daily
Brands: Xatral
Tamsulosin Hydrochloride
Type: Alpha-blocker
Indications: benign prostatic hyperplasia
Dose: 400 micrograms daily as a single dose
Brands: Flomaxtra XL
Bethanechol Chloride
Type: Parasympathomimetic
Indications: urinary retention
Dose: 10–25 mg 3–4 times daily half an hour before food
Brands: Myotonine
Distigmine Bromide
Type: Parasympathomimetic
Indications: postoperative urinary retention, neurogenic bladder; myasthenia gravis
Dose:
- Urinary retention: 5 mg daily, half an hour before breakfast
- Neurogenic bladder: 5 mg daily or on alternate days, half an hour before breakfast
- Myasthenia gravis: Initially 5 mg daily half an hour before breakfast, increased at intervals of 3–4 days if necessary to a max. of 20 mg daily
Brands: Ubretid
Darifenacin
Type: Antimuscarinic
Indications: urinary frequency, urgency, and incontinence
Dose: 7.5 mg once daily, increased if necessary after 2 weeks to 15 mg once daily
Brands: Emselex
Fesoterodine
Type: Antimuscarinic
Indications: urinary frequency, urgency, and urge incontinence
Dose: 4 mg once daily, increased if necessary to max. 8 mg once daily; assess for benefit after 8 weeks
Brands: Toviaz
Flavoxate Hydrochloride
Type: Antimuscarinic
Indications: urinary frequency and incontinence, dysuria, urgency; bladder spasms due to catheterisation, cytoscopy, or surgery
Dose: 200 mg 3 times daily
Brands: Urispas 200
Oxybutynin Hydrochloride
Type: Antimuscarinic
Indications: urinary frequency, urgency and incontinence, neurogenic bladder instability, and nocturnal enuresis associated with overactive bladder
Dose: initially 5 mg 2–3 times daily, increased if necessary to max. 5 mg 4 times daily
Brands: Cystrin, Ditropan, Lyrinel XL, Kentera
Propantheline Bromide
Type: Antimuscarinic
Indications: adult enuresis
Dose: Initially 15 mg 3 times daily at least one hour before food and 30 mg at bedtime, subsequently adjusted according to response (max. 120 mg daily)
Propiverine Hydrochloride
Type: Antimuscarinic
Indications: urinary frequency, urgency and incontinence; neurogenic bladder instability
Dose: 15 mg 1–3 times daily, increased if necessary to max. 15 mg 4 times daily
Brands: Detrunorm, Detrunorm XL
Solifenacin Succinate
Type: Antimuscarinic
Indications: urinary frequency, urgency and urge incontinence
Dose: 5 mg daily, increased if necessary to 10 mg once daily
Brands: Vesicare
Tolterodine Tartrate
Type: Antimuscarinic
Indications: urinary frequency, urgency and incontinence
Dose: 2 mg twice daily; reduce to 1 mg twice daily if necessary to minimise side-effects
Brands: Detrusitol, Detrusitol XL
Trospium Chloride
Type: Antimuscarinic
Indications: urinary frequency, urgency and incontinence
Dose: 20 mg twice daily before food
Brands: Regurin
Potassium Citrate
Type: Urine alkalinisor
Indications: relief of discomfort in mild urinary-tract infections; alkalinisation of urine
Dose: 10 mL 3 times daily well diluted with water
Brands: Potassium Citrate Mixture BP
Sodium Bicarbonate
Type: Urine alkalinisor
Indications: relief of discomfort in mild urinary-tract infections; alkalinisation of urine
Dose: 3 g in water every 2 hours until urinary pH exceeds 7; maintenance of alkaline urine 5–10 g daily
Sodium Citrate
Type: Urine alkalinisor
Indications: relief of discomfort in mild urinary-tract infections
Rowatinex
Type: Drug for urinary disorders
Indications: urolithiasis for the expulsion of calculi
Dose: 1–2 capsules 3–4 times daily before food
Alprostadil
Type: Prostaglandin
Indications: erectile dysfunction (including aid to diagnosis); neonatal congenital heart defects
Dose: Look up under preparations
Brands: Caverject, Viridal Duo, MUSE
Sildenafil
Type: Phosphodiesterase type-5 inhibitor
Indications: erectile dysfunction; pulmonary hypertension
Dose: initially 50 mg approx. 1 hour before sexual activity, subsequent doses adjusted according to response to 25–100 mg as a single dose as needed; max. 1 dose in 24 hours
Brands: Viagra, Revatio
Tadalafil
Type: Phosphodiesterase type-5 inhibitor
Indications: erectile dysfunction
Dose: initially 10 mg at least 30 minutes before sexual activity, subsequent doses adjusted according to response to 20 mg as a single dose; max. 1 dose in 24 hours (but daily use not recommended)
Brands: Cialis
Vardenafil
Type: Phosphodiesterase type-5 inhibitor
Indications: erectile dysfunction
Dose: initially 10 mg (elderly and patients on alpha-blocker therapy 5 mg) approx. 25–60 minutes before sexual activity, subsequent doses adjusted according to response up to max. 20 mg as a single dose; max. 1 dose in 24 hours
Brands: Levitra
Dexrazoxane
Type: Iron chelator
Indications: Anthracycline-induced cardiotoxicity, Anthracycline extravasation
Dose: Look up under preparations
Brands: Cardioxane, Savene
Calcium Folinate
Type: Drug for cytotoxic-induced side-effects
Indications: Prevention of methotrexate-induced adverse effects, Suspected methotrexate overdosage, Adjunct to fluorouracil in colorectal cancer,
Dose: Look up under condition
Brands:
Calcium Levofolinate
Type: Drug for cytotoxic-induced side-effects
Indications: Prevention of methotrexate-induced adverse effects, Suspected methotrexate overdosage, Adjunct to fluorouracil in colorectal cancer,
Dose: Look up under condition
Brands: Isovorin
Disodium Folinate
Type: Drug for cytotoxic-induced side-effects
Indications: As an antidote to methotrexate, Adjunct to fluorouracil in colorectal cancer
Dose: Look up under calcium folinate
Brands: Sodiofolin
Palifermin
Type: Human keratinocyte growth factor
Indications: oral mucositis in patients with haematological malignancies receiving myeloablative therapy with autologous haematopoietic stem-cell support
Dose: 60 micrograms/kg once daily for 3 doses (third dose given 24–48 hours before myeloablative therapy) then 3 further doses at least 24 hours after myeloablative therapy, starting on same day as (but after) stem-cell infusion
Brands: Kepivance
Mesna
Type: Drug for cytotoxic-induced side-effects
Indications: Urothelial toxicity
Dose: Doses calculated according to oxazaphosphorine (cyclophosphamide or ifosfamide) treatment
Brands: Uromitexan
Busulfan
Type: Alkylating drug
Indications: chronic myeloid leukaemia
Dose: 60 micrograms/kg daily (max. 4 mg); maintenance, usually 0.5–2 mg daily
Brands: Busilvex, Myleran
Carmustine
Type: Alkylating drug
Indications: multiple myeloma, non-Hodgkin’s lymphomas, and brain tumours
Brands: Gliadel
Chlorambucil
Type: Alkylating drug
Indications: chronic lymphocytic leukaemia, non-Hodgkin’s lymphoma, Hodgkin’s disease, and Waldenstrom’s macroglobulinaemia
Dose:
- Hodgkin’s disease: used alone, 200 micrograms/kg daily for 4–8 weeks
- Non-Hodgkin’s lymphoma, used alone: initially 100–200 micrograms/kg daily for 4–8 weeks then dose reduced or given intermittently
- Chronic lymphocytic leukaemia: initially 150 micrograms/kg daily until leucocyte count sufficiently reduced; maintenance (started 4 weeks after end of first course) 100 micrograms/kg daily
- Waldenstrom’s macroglobulinaemia: 6–12 mg daily until leucopenia occurs, then reduce to 2–8 mg daily
Brands: Leukeran
Cyclophosphamide
Type: Alkylating drug
Indications: chronic lymphocytic leukaemia, the lymphomas, soft-tissue and osteogenic sarcoma, and solid tumours, rheumatoid arthritis
Dose: Look up under condition
Brands: Endoxana
Estramustine Phosphate
Type: Alkylating drug
Indications: prostate cancer
Dose: 0.14–1.4 g daily in divided doses (usual initial dose 560 mg daily)
Brands: Estracyt
Ifosfamide
Type: Alkylating drug
Indications: chronic lymphocytic leukaemia, the lymphomas, soft-tissue and osteogenic sarcoma, and solid tumour
Brands: Mitoxana
Losmustine
Type: Alkylating drug
Indications: Hodgkin’s disease resistant to conventional therapy, malignant melanoma and certain solid tumours
Dose: Used alone, 120–130 mg/m2 body-surface every 6–8 weeks
Melphalan
Type: Alkylating drug
Indications: multiple myeloma, advanced ovarian adenocarcinoma, advanced breast cancer, childhood neuroblastoma, and polycythaemia vera
Dose:
- multiple myeloma: dose may vary according to regimen; typical dose 150 micrograms/kg daily for 4 days, repeated every 6 weeks
- Ovarian adenocarcinoma: 200 micrograms/kg daily for 5 days, repeated every 4–8 weeks
- Advanced breast cancer: 150 micrograms/kg daily for 5 days, repeated every 6 weeks
- Polycythaemia vera: initially, 6–10 mg daily reduced after 5–7 days to 2–4 mg daily until satisfactory response then further reduce to 2–6 mg per week
Brands: Alkeran
Thiotepa
Type: Alkylating drug
Indications: malignant effusions or bladder cancer
Treosulfan
Type: Alkylating drug
Indications: chronic myeloid leukaemia
Dose: Consult product literature
Bleomycin
Type: Anthracyclines
Indications: squamous cell carcinoma
Dactinomycin
Type: Anthracyclines
Indications: paediatric cancers
Brands: Cosmegen Lyovac
Daunorubicin
Type: Anthracyclines
Indications: acute leukaemias
Doxorubicin Hydrochloride
Type: Anthracycline
Indications: acute leukaemias, Hodgkin’s and non-Hodgkin’s lymphomas, paediatric malignancies and some solid tumours
Brands: Caelyx, Myocet
Epirubicin Hydrochloride
Type: Anthracycline
Indications: breast cancer
Brands: Pharmorubicin Rapid Dissolution, Pharmorubicin Solution for Injection
Idarubicin Hydrochloride
Type: Anthracycline
Indications: haematological malignancies
Dose:
- acute non-lymphocytic leukaemia, monotherapy: 30 mg/m2 daily for 3 days or in combination therapy, 15–30 mg/m2 daily for 3 days
-Advanced breast cancer, monotherapy: 45 mg/m2 as a single dose or 15 mg/m2 daily for 3 consecutive days; repeat every 3–4 weeks
Brands: Zavedos
Mitomycin
Type: Anthracycline
Indications: upper gastro-intestinal and breast cancers and by bladder instillation for superficial bladder tumours
Brands: Mitomycin C Kyowa
Mitoxantrone
Type: Anthracycline
Indications: metastatic breast cancer, non-Hodgkin’s lymphoma and adult non-lymphocytic leukaemia
Brands: Onkotrone
Capecitabine
Type: Antimetabolite
Indications: advanced colon cancer following surgery, for monotherapy or combination therapy of metastatic colorectal cancer, and for first-line treatment of advanced gastric cancer in combination with a platinum-based regimen
Dose: Look up under condition
Brands: Xeloda
Cladribine
Type: Antimetabolite
Indications: hairy cell leukaemia, chronic lymphocytic leukaemia in patients who have failed to respond to standard regimens containing an alkylating agent
Brands: Leustat, Litak
Clofarabine
Type: Antimetabolite
Indications: acute lymphoblastic leukaemia in patients aged 1 to 21 years who have relapsed or are refractory after receiving at least two previous regimens
Brands: Evoltra
Cytarabine
Type: Antimetabolite
Indications: induction of remission of acute myeloblastic leukaemia, lymphomatous meningitis
Brands: DepoCyte
Fludarabine Phosphate
Type: Antimetabolite
Indications: advanced B-cell chronic lymphocytic leukaemia (CLL) or after first-line treatment in patients with sufficient bone-marrow reserves
Dose: 40 mg/m2 for 5 days every 28 days usually for 6 cycles
Brands: Fludara
Fluorouracil
Type: Antimetabolite
Indications: solid tumours, including gastro-intestinal tract cancers and breast cancer, advanced colorectal cancer, malignant and pre-malignant skin lesions
Dose: maintenance 15 mg/kg weekly; max. in one day 1 g
Brands: Fluorouracil
Gemcitabine
Type: Antimetabolite
Indications: locally advanced or metastatic non-small cell lung cancer, locally advanced or metastatic pancreatic cancer, advanced bladder cancer, metastatic breast cancer which has relapsed after previous chemotherapy including an anthracycline
Brands: Gemzar
Mercaptopurine
Type: Antimetabolite
Indications: acute leukaemias and chronic myeloid leukaemia; inflammatory bowel disease
Dose: Initially 2.5 mg/kg daily
Brands: Puri-Nethol
Methotrexate
Type: Antimetabolite
Indications: maintenance therapy for childhood acute lymphoblastic leukaemia, choriocarcinoma, non-Hodgkin’s lymphoma, solid tumours. CNS prophylaxis of childhood acute lymphoblastic leukaemia, and as a therapy for established meningeal cancer or lymphoma, rheumatoid arthritis, psoriasis
Dose: Look up under condition
Brands: Maxtrex
Nelarabine
Type: Antimetabolite
Indications: T-cell acute lymphoblastic leukaemia and T-cell lymphoblastic lymphoma in patients who have relapsed or who are refractory after receiving at least two previous regimens
Brands: Atriance
Pemetrexed
Type: Antimetabolite
Indications: unresectable malignant pleural mesothelioma which has not previously been treated with chemotherapy
Brands: Alimta
Raltitrexed
Type: Antimetabolite
Indications: advanced colorectal cancer when fluorouracil and folinic acid cannot be used
Brands: Tomudex
Tegafur with uracil
Type: Antimetabolite
Indications: metastatic colorectal cancer
Dose: tegafur 300 mg/m2 (with uracil 672 mg/m2) daily in 3 divided doses for 28 days; subsequent courses repeated after 7-day interval; for dose adjustment due to toxicity, consult product literature
Brands: Uftoral
Tioguanine
Type: Antimetabolite
Indications: acute leukaemias and chronic myeloid leukaemia
Dose: 100–200 mg/m2 daily
Brands: Lanvis
Etoposide
Type: Immunosupressant
Indications: small cell carcinoma of the bronchus, the lymphomas, and testicular cancer
Dose: 120–240 mg/m2 daily for 5 days
Brands: Etopophos, Vepesid
Vinblastine Sulphate
Type: Vinca alkaloid
Indications: leukaemias, lymphomas, and some solid tumours
Brands: Velbe
Vincristine Sulphate
Type: Vinca alkaloid
Indications: leukaemias, lymphomas, and some solid tumours
Brands: Oncovin
Vindesine Sulphate
Type: Vinca alkaloid
Indications: leukaemias, lymphomas, and some solid tumours
Brands: Eldisine
Vinorelbine
Type: Vinca alkaloid
Indications: advanced breast cancer
Dose: 60 mg/m2 once weekly for 3 weeks, increased if tolerated to 80 mg/m2 once weekly; max. 160 mg once weekly
Brands: Navelbine
Amsacrine
Type: Antineoplastic
Indications: acute myeloid leukaemia
Brands: Amsidine
Arsenic trioxide
Type: Antineoplastic
Indications: acute promyelocytic leukaemia in patients who have relapsed or failed to respond to previous treatment with a retinoid and chemotherapy.
Brands: Trisenox
Bevacizumab
Type: Antineoplastic
Indications: metastatic colorectal cancer in combination with fluoropyrimidine-based chemotherapy, first-line treatment of metastatic breast cancer in combination with paclitaxel and for advanced or metastatic renal cell carcinoma in combination with interferon alfa-2a
Brands: Avastin
Bexarotene
Type: Antineoplastic
Indications: skin manifestations of cutaneous T-cell lymphoma refractory to previous systemic treatment
Dose: Initially 300 mg/m2 daily as a single dose with a meal; adjust dose according to response
Brands: Targretin
Bortezomib
Type: Antineoplastic
Indications: multiple myeloma which has progressed despite the use of at least one therapy, and where the patient has already had bone-marrow transplantation or cannot have it
Brands: Velcade
Cetuximab
Type: Antineoplastic
Indications: metastatic colorectal cancer in patients with tumours expressing epidermal growth factor receptor in whom previous chemotherapy, that has included irinotecan, has failed, locally advanced squamous cell cancer of the head and neck
Brands: Erbitux
Crisantaspase
Type: Antineoplastic
Indications: acute lymphoblastic leukaemia
Brands: Erwinase
Dacarbazine
Type: Antineoplastic
Indications: metastatic melanoma and, in combination therapy, soft tissue sarcomas, Hodgkin’s disease
Temozolomide
Type: Antineoplastic
Indications: initial treatment of glioblastoma multiforme (in combination with radiotherapy) and for second-line treatment of malignant glioma.
Brands: Temodal
Hydroxycarbamide
Type: Antineoplastic
Indications: chronic myeloid leukaemia
Dose: 20–30 mg/kg daily or 80 mg/kg every third day
Brands: Hydrea
Mitotane
Type: Antineoplastic
Indications: advanced or inoperable adrenocortical carcinoma
Dose: initially 2–3 g daily, (up to 6 g daily in severe illness) in 2–3 divided doses, adjusted according to plasma-mitotane concentration; reduce dose or interrupt treatment if signs of toxicity; discontinue if inadequate response after 3 months
Brands: Lysodren
Panitumumab
Type: Antineoplastic
Indications: metastatic colorectal cancer with non-mutated KRAS gene after failure of fluoropyrimidine-, oxaliplatin-, and irinotecan-containing chemotherapy regimens
Brands: Vectibix
Pentostatin
Type: Antineoplastic
Indications: hairy cell leukaemia
Brands: Nipent
Carboplatin
Type: Antineoplastic
Indications: advanced ovarian cancer and lung cancer
Brands: Paraplatin
Cisplatin
Type: Antineoplastic
Indications: testicular, lung, cervical, bladder, head and neck, and ovarian cancer
Oxaliplatin
Type: Antineoplastic
Indications: metastatic colorectal cancer and as adjuvant treatment of colon cancer after resection of the primary tumour
Brands: Eloxatin
Porfimer sodium
Type: Antineoplastic
Indications: photodynamic therapy of non-small cell lung cancer and obstructing oesophageal cancer
Brands: Photofrin
Temoporfin
Type: Antineoplastic
Indications: advanced head and neck squamous cell carcinoma refractory to, or unsuitable for, other treatments
Brands: Foscan
Procarbazine
Type: Antineoplastic
Indications: Hodgkin’s disease
Dose: Used alone, initially 50 mg daily, increased by 50 mg daily to 250–300 mg daily in divided doses; maintenance (on remission) 50–150 mg daily to cumulative total of at least 6 g
Dasatinib
Type: Antineoplastic
Indications: chronic myeloid leukaemia in those who have resistance to or intolerance of previous therapy, including imatinib, acute lymphoblastic leukaemia in those who have resistance to or intolerance of previous therapy
Dose:
- Chronic phase chronic myeloid leukaemia: adult over 18 years 100 mg once daily, increased if necessary to max. 140 mg once daily
- Accelerated and blast phase chronic myeloid leukaemia: adult over 18 years 70 mg twice daily, increased if necessary to max. 100 mg twice daily
- Acute lymphoblastic leukaemia: adult over 18 years 70 mg twice daily increased if necessary to max. 100 mg twice daily
Brands: Sprycel
Erlotinib
Type: Antineoplastic
Indications: metastatic pancreatic cancer
Dose:
- Non-small cell lung cancer: 150 mg once daily
- Pancreatic cancer: 100 mg once daily in combination with gemcitabine
Brands: Tarceva
Imatinib
Type: Antineoplastic
Indications: newly diagnosed chronic myeloid leukaemia where bone marrow transplantation is not considered first-line treatment, and for chronic myeloid leukaemia in chronic phase after failure of interferon alfa, or in accelerated phase, or in blast crisis
Dose: Look up under conditions
Brands: Glivec
Nilotinib
Type: Antineoplastic
Indications: chronic myeloid leukaemia in those who have resistance to or intolerance of previous therapy, including imatinib
Dose: 400 mg twice daily
Brands: Tasigna
Sorafenib
Type: Antineoplastic
Indications: advanced renal cell carcinoma when treatment with interferon alfa or interleukin-2 has failed or is contra-indicated, hepatocellular carcinoma
Dose: 400 mg twice daily
Brands: Nexavar
Sunitinib
Type: Antineoplastic
Indications: advanced or metastatic renal cell carcinoma, unresectable or metastatic malignant gastro-intestinal stromal tumours (GIST) after failure of imatinib
Dose: 50 mg daily for 4 weeks, followed by a 2-week treatment-free period to complete 6-week cycle; adjust dose in steps of 12.5 mg according to tolerability; dose range 25–75 mg daily
Brands: Sutent
Paclitaxel
Type: Antineoplastic
Indications: ovarian cancer
Brands: Taxol
Docetaxel
Type: Antineoplastic
Indications: locally advanced or metastatic breast cancer and non-small cell lung cancer resistant to other cytotoxic drugs, hormone-resistant prostate cancer, for use with other cytotoxic drugs for gastric adenocarcinoma and head and neck cancer, and for adjuvant treatment of operable node-positive breast cancer
Brands: Taxotere
Irinotecan Hydrochloride
Type: Antineoplastic
Indications: metastatic colorectal cancer in combination with fluorouracil and folinic acid or as monotherapy when treatment containing fluorouracil has failed. epidermal growth factor receptor-expressing metastatic colorectal cancer after failure of chemotherapy that has included irinotecan. metastatic carcinoma of the colon or rectum
Brands: Campto
Topotecan
Type: Antineoplastic
Indications: metastatic ovarian cancer when first-line or subsequent therapy has failed
Brands: Hycamtin
Trabectedin
Type: Antineoplastic
Indications: advanced soft tissue sarcoma when treatment with anthracyclines and ifosfamide has failed or is contra-indicated
Brands: Yondelis
Trastuzumab
Type: Antineoplastic
Indications: breast cancer
Brands: Herceptin
Tretinoin
Type: Antineoplastic
Indications: induction of remission in acute promyelocytic leukaemia, acne, photodamage
Dose: Look up under condition
Brands: Vesanoid
Azathioprine
Type: Antiproliferative immunosuppressant
Indications: transplant recipients and it is also used to treat a number of auto-immune conditions, rheumatoid arthritis
Dose: Look up under condition
Brands: Imuran
Mycophenolate mofetil
Type: Antiproliferative immunosuppressant
Indications: prophylaxis of acute rejection in renal, hepatic or cardiac transplantation when used in combination with ciclosporin and corticosteroids
Dose: Look up under transplant type
Brands: CellCept, Myfortic
Basiliximab
Type: Immunosuppressant
Indications: prophylaxis of acute rejection in allogenic renal transplantation
Dose: 20 mg within 2 hours before transplant surgery and 20 mg 4 days after surgery; withhold second dose if severe hypersensitivity or graft loss occurs
Brands: Simulect
Ciclosporin
Type: Immunosuppressant
Indications: prevention of graft rejection following bone marrow, kidney, liver, pancreas, heart, lung, and heart-lung transplantation, and for prophylaxis and treatment of graft-versus-host disease, rheumatoid arthritis, atopic dermatitis and psoriasis
Dose: Look up under use
Brands: Neoral, Sandimmun
Daclizumab
Type: Immunosuppressant
Indications: prophylaxis of acute rejection in allogenic renal transplantation
Dose: 1 mg/kg within the 24-hour period before transplantation, then 1 mg/kg every 14 days for a total of 5 doses
Brands: Zenapax
Sirolimus
Type: Immunosuppressant
Indications: renal transplantation
Dose: Initially 6 mg, after surgery, then 2 mg once daily (dose adjusted according to blood-sirolimus concentration) in combination with ciclosporin and corticosteroid for 2–3 months (sirolimus given 4 hours after ciclosporin); ciclosporin should then be withdrawn over 4–8 weeks (if not possible, sirolimus should be discontinued and an alternate immunosuppressive regimen used)
Brands: Rapamune
Tacrolimus
Type: Immunosuppressant
Indications: prophylaxis of organ rejection in liver, kidney, and heart allograft recipients and allograft rejection resistant to conventional immunosuppressive regimens, see also notes above; moderate to severe atopic eczema
Dose: Look up under condition
Brands: Prograf, Advagraf
Alemtuzumab
Type: Immunosuppressant
Indications: chronic lymphocytic leukaemia which has failed to respond to treatment with an alkylating drug, or which has remitted for only a short period (less than 6 months) following fludarabine treatment
Brands: MabCampath
Rituximab
Type: Immunosuppressant
Indications: chemotherapy-resistant or relapsed stage III–IV follicular non-Hodgkin’s lymphoma and, in combination with other chemotherapy, for previously untreated stage III-IV follicular lymphoma
Brands: MabThera
Interferon alfa
Type: Immunomodulator
Indications: chronic hepatitis B, and chronic hepatitis C ideally in combination with ribavirin
Brands: IntronA, Roferon-A
Peginterferon Alfa
Type: Immunomodulator
Indications: chronic hepatitis B, and chronic hepatitis C ideally in combination with ribavirin
Brands: Pegasys, ViraferonPeg
Interferon beta
Type: Immunomodulator
Indications: relapsing, remitting multiple sclerosis
Aldesleukin
Type: Immunomodulator
Indications: metastatic renal cell carcinoma
Brands: Proleukin
BCG bladder instillation
Type: Immunomodulator
Indications: primary or recurrent bladder carcinoma and for the prevention of recurrence following transurethral resection, BCG immunisation
Brands: ImmuCyst, OncoTICE
Glatiramer acetate
Type: Immunosuppressant
Indications: reducing the frequency of relapses in ambulatory patients with relapsing-remitting multiple sclerosis who have had at least 2 clinical relapses in the past 2 years
Dose: 20 mg daily
Brands: Copaxone
Lenalidomide
Type: Immunosuppressant
Indications: multiple myeloma in patients who have received at least one previous therapy
Dose: 25 mg once daily for 21 consecutive days of a 28-day cycle
Brands: Revlimid
Thalidomide
Type: Immunosuppressant
Indications: refractory myeloma and can delay progression of early disease
Natalizumab
Type: Immunosuppressant
Indications: highly active relapsing-remitting multiple sclerosis despite treatment with interferon beta or those with rapidly evolving severe relapsing-remitting multiple sclerosis
Dose: 300 mg once every 4 weeks; discontinue if no response after 6 months
Brands: Tysabri
Diethylstilbestrol
Type: Sex hormone
Indications: prostate cancer, Breast cancer
Dose:
- Breast cancer: 10–20 mg daily
- Prostate cancer: 1–3 mg daily
Ethinylestradiol
Type: Sex hormone
Indications: prostate cancer
Dose: 0.15–1.5 mg daily
Megestrol
Type: Sex hormone
Indications: endometrial cancer, Breast cancer
Dose:
- Breast cancer: 160 mg daily in single or divided doses
- Endometrial cancer: 40–320 mg daily in divided doses
Brands: Megace
Anastrozole
Type: Hormone antagonist
Indications: oestrogen-receptor-positive early invasive breast cancer in postmenopausal women; adjuvant treatment of oestrogen-receptor-positive early breast cancer in postmenopausal women following 2–3 years of tamoxifen therapy; advanced breast cancer in postmenopausal women which is oestrogen-receptor-positive or responsive to tamoxifen
Dose: 1 mg daily
Brands: Arimidex
Exemestane
Type: Hormone antagonist
Indications: oestrogen-receptor-positive early breast cancer in postmenopausal women following 2–3 years of tamoxifen therapy; advanced breast cancer in postmenopausal women in whom anti-oestrogen therapy has failed
Dose: 25 mg daily
Brands: Aromasin
Fulvestrant
Type: Hormone antagonist
Indications: oestrogen-receptor-positive metastatic or locally advanced breast cancer in postmenopausal women in whom disease progresses or relapses while on, or after, other anti-oestrogen therapy
Dose: 250 mg into gluteal muscle every 4 weeks
Brands: Faslodex
Letrozole
Type: Hormone antagonist
Indications: oestrogen-receptor-positive early breast cancer in postmenopausal women; advanced breast cancer in postmenopausal women (including those in whom other anti-oestrogen therapy has failed); early invasive breast cancer in postmenopausal women after standard adjuvant tamoxifen therapy; pre-operative treatment in postmenopausal women with localised hormone-receptor-positive breast cancer to allow subsequent breast conserving surgery
Dose: 2.5 mg daily
Brands: Femara
Tamoxifen
Type: Hormone antagonist
Indications: Breast cancer, novulatory infertility
Dose:
- Breast cancer: 20 mg daily
- Anovulatory infertility, 20 mg daily on days 2, 3, 4 and 5 of cycle; if necessary the daily dose may be increased to 40 mg then 80 mg for subsequent courses; if cycles irregular, start initial course on any day, with subsequent course starting 45 days later or on day 2 of cycle if menstruation occurs
Brands: Nolvadex-D
Toremifene
Type: Hormone antagonist
Indications: hormone-dependent metastatic breast cancer in postmenopausal women
Dose: 60 mg daily
Brands: Fareston
Bicalutamide
Type: Hormone antagonist
Indications: locally advanced prostate cancer at high risk of disease progression, either alone or as adjuvant treatment to prostatectomy or radiotherapy; locally advanced, non-metastatic prostate cancer when surgical castration or other medical intervention inappropriate; advanced prostate cancer in combination with gonadorelin analogue or surgical castration
Dose:
- Locally advanced prostate cancer at high risk of disease progression: 150 mg once daily
- Locally advanced, non-metastatic prostate cancer when surgical castration or other medical intervention inappropriate: 150 mg once daily
- Advanced prostate cancer, in combination with gonadorelin analogue or surgical castration: 50 mg once daily (started at the same time as surgical castration or at least 3 days before gonadorelin therapy
Brands: Casodex
Flutamide
Type: Hormone antagonist
Indications: advanced prostate cancer
Dose: 250 mg 3 times daily
Brands: Drogenil
Lanreotide
Type: Hormone antagonist
Indications: neuroendocrine (particularly carcinoid) tumours and acromegaly, thyroid tumours
Dose: Look up under preparations
Brands: Somatuline LA, Somatuline Autogel
Octreotide
Type: Hormone antagonist
Indications: neuroendocrine (particularly carcinoid) tumours and acromegaly, complications following pancreatic surgery
Dose: Look up under use
Brands: Sandostatin Lar
Ferrous Sulphate
Type: Iron supplement
Indications: iron-deficiency anaemia
Dose: Look up under preparations
Brands: Ironorm Drops, Feospan, Ferrograd
Ferrous Fumarate
Type: Iron supplement
Indications: iron-deficiency anaemia
Dose: Look up under preparations
Brands: Fersaday, Fersamal, Galfer
Ferrous Gluconate
Type: Iron supplement
Indications: iron-deficiency anaemia
Dose: Prophylactic, 600mg daily before food; therapeutic, 800–1200mg daily in divided doses before food
Polysaccharide-Iron Complex
Type: Iron supplement
Indications: iron-deficiency anaemia
Dose: Prophylactic, 50mg daily; therapeutic, 100mg 1–2 times daily
Brands: Niferex
Sodium Feredetate
Type: Iron supplement
Indications: iron-deficiency anaemia
Dose: Therapeutic, 27.5mg increasing gradually to 55mg 3 times daily
Brands: Sytron
Iron dextran
Type: Iron supplement
Indications: iron-deficiency anaemia, patients with chronic renal failure who are receiving haemodialysis
Dose: consult product literature
Brands: CosmoFer
Iron Sucrose
Type: Iron supplement
Indications: iron-deficiency anaemia, patients with chronic renal failure who are receiving haemodialysis
Dose: consult product literature
Brands: Venofer
Hydroxocobalamin
Type: Form of vitamin B12
Indications: pernicious anaemia and other macrocytic anaemias wit or without neurological involvement, Prophylaxis of macrocytic anaemias associated with vitamin B12 deficiency, Tobacco amblyopia and Leber’s optic atrophy
Dose: Look up under condition
Cyanocobalamin
Type: Form of vitamin B12
Indications: vitamin B12 deficiency of dietary origin
Dose:
- By mouth: 50–150 micrograms or more daily taken between meals
- By intramuscular injection, initially 1 mg repeated 10 times at intervals of 2–3 days, maintenance 1 mg every month
Folic Acid
Type: Haemological supplement
Indications: Folate-deficient megaloblastic anaemia, Prevention of neural tube defects, by mouth, Prevention of methotrexate-induced side-effects in rheumatic disease, Prophylaxis in chronic haemolytic states, Prophylaxis of folate deficiency in dialysis
Dose: Look up under condition
Darbepoetin Alfa
Type: Erythropoetin
Indications: Symptomatic anaemia associated with chronic renal failure, Symptomatic anaemia in adults with non-myeloid malignancies receiving chemotherapy
Dose: Look up under condition
Brands: Aranesp
Epoetin Alfa, Beta and Delta
Type: Erythropoetins
Indications: Various forms of anaemia
Dose: Look up under preparations
Brands:
- Alfa: Binocrit, Eprex
- Beta: NeoRecormon
- Delta: Dynepo
Methoxy Polyethylene Glycol Epoetin
Type: Erythropoetin
Indications: Symptomatic anaemia associated with chronic kidney disease
Dose: Look up under epoetin treatment status
Brands: Mircera
Deferasirox
Type: Iron chelator
Indications: chronic iron overload
Dose: initially 10–30 mg/kg once daily according to serum-ferritin concentration and amount of transfused blood (consult product literature); maintenance, adjust dose every 3–6 months in steps of 5–10 mg/kg according to serum-ferritin concentration
Brands: Exjade
Deferiprone
Type: Iron chelator
Indications: chronic iron overload
Dose: 25 mg/kg 3 times daily
Brands: Ferriprox
Desferrioxamine Mesilate
Type: Iron chelator
Indications: chronic iron overload, iron poisoning, aluminium overload
Dose: Look up under overload type
Brands: Desferal
Eculizumab
Type: Recombinant monoclonal antibody
Indications: Paroxysmal nocturnal haemoglobinuria
Dose: initially 600 mg once a week for 4 weeks, then 900 mg on week 5; maintenance, 900 mg once every 12–16 days by IV infusion
Brands: Soliris
Anagrelide
Type: Platelet formation inhibitor
Indications: essential thrombocythaemia in patients at risk of thrombo-haemorrhagic events who have not responded adequately to other drugs or who cannot tolerate other drugs
Dose: Initially 500 micrograms twice daily adjusted according to response in steps of 500 micrograms daily at weekly intervals to max. 10 mg daily (max. single dose 2.5 mg); usual dose range 1–3 mg daily in divided doses
Brands: Xagrid
Filgrastim
Type: Unglycosylated rhG-CSF
Indications: reduction in duration of neutropenia and incidence of febrile neutropenia in cytotoxic chemotherapy for malignancy (except chronic myeloid leukaemia and myelodysplastic syndromes); reduction in duration of neutropenia (and associated sequelae) in myeloablative therapy followed by bone-marrow transplantation; mobilisation of peripheral blood progenitor cells for harvesting and subsequent autologous or allogeneic infusion; severe congenital neutropenia, cyclic neutropenia, or idiopathic neutropenia and history of severe or recurrent infections (distinguish carefully from other haematological disorders, consult product literature); persistent neutropenia in advanced HIV infection
Dose: Look up under condition
Brands: Neupogen
Lenograstim
Type: Glycosylated rhG-CSF
Indications: reduction in the duration of neutropenia and associated complications following bone-marrow transplantation for non-myeloid malignancy or following treatment with cytotoxic chemotherapy associated with a significant incidence of febrile neutropenia; mobilisation of peripheral blood progenitor cells for harvesting and subsequent infusion
Dose: Look up under condition
Brands: Granocyte
Pegfilgrastim
Type: Glycosylated rhG-CSF
Indications: reduction in duration of neutropenia and incidence of febrile neutropenia in cytotoxic chemotherapy for malignancy (except chronic myeloid leukaemia and myelodysplastic syndromes)
Dose: 6 mg (0.6 mL) for each chemotherapy cycle, starting 24 hours after chemotherapy
Brands: Neulasta
Potassium Chloride
Type: Oral potassium
Indications: potassium depletion
Dose: 2 to 4 g (approx. 25 to 50 mmol) daily (in divided doses) by mouth are suitable in patients taking a normal diet
Brands: Kay-Cee-L, Kloref, Sando-K, Slow-K
Polystyrene Sulphonate Resins
Type: Sulphonate Resin
Indications: hyperkalaemia associated with anuria or severe oliguria, and in dialysis patients
Dose: 15 g 3–4 times daily in water (not fruit squash which has a high potassium content) or as a paste
Brands: Calcium Resonium, Resonium A
Oral Rehydration Salts
Type: Oral Rehydration Salts
Indications: fluid and electrolyte loss in diarrhoea
Dose: According to fluid loss, usually 200–400 mL solution after every loose motion
Brands: Dioralyte, Dioralyte Relief, Electrolade, Rapolyte
Potassium Bicarbonate
Type: Oral bicarbonate
Indications: hyperchloraemic acidosis associated with potassium deficiency
Cinacalcet
Type: Antithyroid drug
Indications: Secondary hyperparathyroidism in patients with end-stage renal disease on dialysis, Hypercalcaemia of parathyroid carcinoma
Dose:
- Secondary hyperparathyroidism: adult over 18 years, 30 mg once daily, adjusted every 2–4 weeks to max. 180 mg daily
- Hypercalcaemia of parathyroid carcinoma: adult over 18 years, initially 30 mg twice daily, adjusted every 2–4 weeks according to response up to max. 90 mg 4 times daily
Brands: Mimpara
Lanthanum
Type: Phosphate-binding agent
Indications: hyperphosphataemia in patients on haemodialysis or continuous ambulatory peritoneal dialysis (CAPD)
Dose: initially 750 mg daily in divided doses chewed with or immediately after meals, adjusted according to plasma-phosphate concentration every 2–3 weeks (usual dose range 1.5–3 g daily in divided doses)
Brands: Fosrenol
Sevelamer
Type: Phosphate-binding agent
Indications: hyperphosphataemia in patients on haemodialysis or peritoneal dialysis
Dose: initially 2.4–4.8 g daily in 3 divided doses with meals, then adjusted according to plasma-phosphate concentration (usual dose range 2.4–12 g daily in 3 divided doses)
Brands: Renagel
Zinc Sulphate
Type: Zinc supplement
Indications: zinc deficiency or supplementation in zinc-losing conditions
Dose: Look up under preparations
Brands: Solvazinc
Selenium
Type: Selenium supplement
Indications: selenium deficiency
Dose: 100–500 micrograms daily
Brands: Selenase
Vitamin A
Type: Vitamin
Indications: Vitamin A deficiency
Dose: Look up under preparations
Brands: Halibut-liver Oil, Vitamins A and D, Halycitrol, Healthy Start Children’s Vitamin Drops
Thiamine
Type: Vitamin B
Indications: Wernicke’s encephalopathy and Korsakoff’s psychosis, especially as seen in chronic alcoholism
Dose: Mild chronic deficiency, 10–25 mg daily; severe deficiency, 200–300 mg daily
Brands: Pabrinex
Pyridoxine Hydrochloride
Type: Vitamin B
Indications: Deficiency states, Isoniazid neuropathy, Idiopathic sideroblastic anaemia, Premenstrual syndrome,
Dose:
- Deficiency states: 20–50 mg up to 3 times daily
- Isoniazid neuropathy: prophylaxis 10 mg daily [or 20 mg daily if suitable product not available]; therapeutic, 50 mg three times daily
- Idiopathic sideroblastic anaemia: 100–400 mg daily in divided doses
- Premenstrual syndrome: 50–100 mg daily
Nicotinamide
Type: Vitamin B
Indications: acne vulgaris, Deficiency of the B vitamins,
Dose: Look up under preparation
Brands: Nicam
Vitamin B Tablets, Compound
Type: Vitamin B
Indications: Vitamin B deficiency
Dose: Prophylactic, 1–2 tablets daily
Potassium aminobenzoate
Type: Vitamin B
Indications: Peyronie’s disease, scleroderma
Dose: 12 g daily in divided doses after food
Brands: Potaba
Ascorbic acid
Type: Vitamin C
Indications: scurvy, Vitamin C deficiency
Dose: Prophylactic, 25–75 mg daily; therapeutic, not less than 250 mg daily in divided doses
Ergocalciferol
Type: Vitamin D
Indications: Vitamin D deficiency caused by intestinal malabsorption or chronic liver disease
Dose: 1 mg (40 000 units) daily
Alfacalcidol
Type: Vitamin D
Indications: vitamin D deficiency
Dose: initially 1 microgram daily (elderly 500 nanograms), adjusted to avoid hypercalcaemia; maintenance, usually 0.25–1 microgram daily
Brands: One-Alpha
Calcitriol
Type: Vitamin D
Indications: renal osteodystrophy, Established postmenopausal osteoporosis, Moderate to severe secondary hyperparathyroidism in dialysis patients
Dose: Look up under preparations
Brands: Rocaltrol, Calcijex
Colecalciferol
Type: Vitamin D
Indications: vitamin D deficiency
Dose: Look up under preparations
Brands: Adcal-D3, Cacit D3, Calceos, Calcichew-D3, Calcichew-D3 Forte, Calfovit D3, Natecal D3
Dihydrotachychysterol
Type: Vitamin D
Indications: Acute, chronic, and latent forms of hypocalcaemic tetany due to hypoparathyroidism
Dose: Consult product literature
Brands: AT 10
Paricalcitol
Type: Vitamin D
Indications: secondary hyperparathyroidism associated with chronic renal failure in patients on haemodialysis
Dose: Consult product literature
Brands: Zemplar
Alpha Tocopheryl Acetate
Type: Vitamin E
Indications: Vitamin E malabsorption
Dose:
- Malabsorption in cystic fibrosis: 100–200 mg daily
- Malabsorption in abetalipoproteinaemia: 50–100 mg/kg daily
Brands: Vitamin E Suspension
Menadiol Sodium Phosphate
Type: Vitamin K
Indications: vitamin K deficiency in malabsorption syndromes
Dose: 10–40 mg daily, adjusted as necessary
Alkaline Gentian
Type: Bitters and tonics
Indications: loss of appetite
Dose: 10 mL 3 times daily in water before meals
Brands: Gentian Mixture, Alkaline, BP
Penicillamine
Type: Immunomodulator
Indications: Severe active rheumatoid arthritis, Wilson’s disease, autoimmune hepatitis, and cystinuria
Dose: Look up under condition
Brands: Distamine
Trientine Dihydrochloride
Type: Drug used in metabolic disorders
Indications: Wilson’s disease in patients intolerant of penicillamine
Dose: 1.2–2.4 g daily in 2–4 divided doses before food
Zinc Acetate
Type: Drug used in metabolic disorders
Indications: Wilson’s disease
Dose: 50 mg 3 times daily (max. 50 mg 5 times daily), adjusted according to response
Brands: Wilzin
Carnitine
Type: Drug used in metabolic disorders
Indications: primary and secondary carnitine deficiency
Dose:
- Primary deficiency: by mouth, up to 200 mg/kg daily in 2–4 divided doses; higher doses of up to 400 mg/kg daily occasionally required; by intravenous injection over 2–3 minutes, up to 100 mg/kg daily in 3–4 divided doses
- Secondary deficiency: by intravenous injection over 2–3 minutes, 20 mg/kg after each dialysis session (dosage adjusted according to carnitine concentration); maintenance, by mouth, 1 g daily
Brands: Carnitor
Agalsidase alfa and beta
Type: Enzyme replacement therapy
Indications: Fabry’s disease
Dose: Look up under preparations
Brands: Fabrazyme, Replagal
Imiglucerase
Type: Enzyme replacement therapy
Indications: non-neurological manifestations of type I or type III Gaucher’s disease
Dose: By intravenous infusion, initially 60 units/kg once every 2 weeks (2.5 units/kg 3 times a week or 15 units/kg once every 2 weeks may improve haematological parameters and organomegaly, but not bone parameters); maintenance, adjust dose according to response
Brands: Cerezyme
Miglustat
Type: Glucosylceramide synthase inhibitor
Indications: mild to moderate type I Gaucher’s disease
Dose: 100 mg 3 times daily; reduced if not tolerated to 100 mg 1–2 times daily
Brands: Zavesca
Galsulfase
Type: Enzyme replacement therapy
Indications: mucopolysaccharidosis VI
Dose: 1 mg/kg once weekly
Brands: Naglazyme
Idursulfase
Type: Enzyme replacement therapy
Indications: mucopolysaccharidosis II
Dose: 500 micrograms/kg once weekly
Brands: Elaprase
Laronidase
Type: Enzyme replacement therapy
Indications: non-neurological manifestations of mucopolysaccharidosis I
Dose: 100 units/kg once weekl
Brands: Aldurazyme
Mercaptamine
Type: Drug used in metabolic disorders
Indications: nephropathic cystinosis
Dose: Initial doses should be one-sixth to one-quarter of the expected maintenance dose, increased gradually over 4–6 weeks. Maintenance: 2 g daily in 4 divided doses
Brands: Cystagon
Alglucosidase alfa
Type: Enzyme replacement therapy
Indications: Pompe disease
Dose: 20 mg/kg every 2 weeks
Brands: Myozyme
Nitisinone
Type: Drug used in metabolic disorders
Indications: hereditary tyrosinaemia type I
Dose: initially 500 micrograms/kg twice daily, adjusted according to response; max. 2 mg/kg daily
Brands: Orfadin
Carglumic acid
Type: Drug used in metabolic disorders
Indications: hyperammonaemia due to N-acetylglutamate synthase deficiency
Dose: initially 100 mg/kg daily in 2–4 divided doses immediately before food (max. 250 mg/kg daily), adjusted according to plasma–ammonia concentration; maintenance 10–100 mg/kg daily in 2–4 divided doses
Brands: Carbaglu
Sodium phenylbutyrate
Type: Drug used in metabolic disorders
Indications: adjunct in long-term treatment of urea cycle disorders
Dose: 9.9–13 g/m2 daily in divided doses with meals (max. 20 g daily)
Brands: Ammonaps
Betaine
Type: Drug used in metabolic disorders
Indications: adjunctive treatment of homocystinuria
Dose: 3 g twice daily; max. 20 g/day
Brands: Cystadane
Haem arginate
Type: Haem replacement therapy
Indications: acute porphyrias (acute intermittent porphyria, porphyria variegata, hereditary coproporphyria)
Dose: 3 mg/kg once daily
Brands: Normosang
Aceclofenac
Type: NSAID
Indications: pain and inflammation in rheumatoid arthritis, osteoarthritis and ankylosing spondylitis
Dose: 100 mg twice daily
Brands: Preservex
Acemetacin
Type: NSAID
Indications: pain and inflammation in rheumatic disease and other musculoskeletal disorders; post-operative analgesia
Dose: 120 mg daily in divided doses with food, increased if necessary to 180 mg daily
Brands: Emflex
Azapropazone
Type: NSAID
Indications: Look up under CSM restrictions
Dose:
- Rheumatoid arthritis and ankylosing spondylitis: 1.2 g daily in 2 or 4 divided doses; elderly over 60 years, 300 mg twice daily
- Acute gout: 1.8 g daily in divided doses until acute symptoms subside (usually by day 4) then 1.2 g daily in divided doses until symptoms resolve—consider alternative therapy if symptoms persist
Brands: Rheumox
Celecoxib
Type: NSAID
Indications: pain and inflammation in osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis
Dose:
- Osteoarthritis: 200 mg daily in 1–2 divided doses, increased if necessary to max. 200 mg twice daily
- Rheumatoid arthritis: 100 mg twice daily, increased if necessary to 200 mg twice daily
- Ankylosing spondylitis: 200 mg daily in 1–2 divided doses, increased if necessary to max. 400 mg daily in 1–2 divided doses
Brands: Celebrex
Dexibuprofen
Type: NSAID
Indications: pain and inflammation associated with osteoarthritis and other musculoskeletal disorders; mild to moderate pain and inflammation including dysmenorrhoea and dental pain
Dose: 600–900 mg daily in up to 3 divided doses; increased if necessary to max. 1.2 g daily (900 mg daily for dysmenorrhoea); max. single dose 400 mg (300 mg for dysmenorrhoea)
Brands: Seractil
Dexketoprofen
Type: NSAID
Indications: short-term treatment of mild to moderate pain including dysmenorrhoea
Dose: 12.5 mg every 4–6 hours or 25 mg every 8 hours; max. 75 mg daily
Brands: Keral
Diclofenac Sodium
Type: NSAID
Indications: pain and inflammation in rheumatic disease (including juvenile idiopathic arthritis) and other musculoskeletal disorders; acute gout; postoperative pain
Dose: 75–150 mg daily in 2–3 divided doses
Brands: Dyloject, Voltarol, Voltarol Rapid, Diclomax SR, Diclomax Retard, Motifene 75 mg, Voltarol 75 mg SR, Voltarol Retard, Arthrotec
Etodolac
Type: NSAID
Indications: pain and inflammation in rheumatoid arthritis and osteoarthritis
Dose: 600 mg daily in 1–2 divided doses
Brands: Etopan XL, Lodine SR
Etoricoxib
Type: NSAID
Indications: pain and inflammation in osteoarthritis and in rheumatoid arthritis; acute gout
Dose:
- Osteoarthritis: 30 mg once daily, increased if necessary to 60 mg once daily
- Rheumatoid arthritis: 90 mg once daily
- Acute gout: 120 mg once daily for max. 8 days
Brands: Arcoxia
Fenbufen
Type: NSAID
Indications: pain and inflammation in rheumatic disease and other musculoskeletal disorders
Dose: 300 mg in the morning and 600 mg at bed-time or 450 mg twice daily
Brands: Lederfen
Fenoprofen
Type: NSAID
Indications: pain and inflammation in rheumatic disease and other musculoskeletal disorders; mild to moderate pain
Dose: 300–600 mg 3–4 times daily with food; max. 3 g daily
Brands: Fenopron
Flurbiprofen
Type: NSAID
Indications: pain and inflammation in rheumatic disease and other musculoskeletal disorders; mild to moderate pain including dysmenorrhoea; migraine; postoperative analgesia; sore throat
Dose:
- 150–200 mg daily in 2–4 divided doses, increased in acute conditions to 300 mg daily
- Dysmenorrhoea: initially 100 mg, then 50–100 mg every 4–6 hours; max. 300 mg daily
Brands: Froben, Froben SR, Strefen
Ibuprofen
Type: NSAID
Indications: pain and inflammation in rheumatic disease (including juvenile idiopathic arthritis) and other musculoskeletal disorders; mild to moderate pain including dysmenorrhoea; postoperative analgesia; migraine; dental pain; fever and pain in children; post-immunisation pyrexia
Dose: initially 300–400 mg 3–4 times daily; increased if necessary to max. 2.4 g daily; maintenance dose of 0.6–1.2 g daily may be adequate
Brands: Brufen, Brufen Retard, Fenbid
Ketoprofen
Type: NSAID
Indications: pain and mild inflammation in rheumatic disease and other musculoskeletal disorders, and after orthopaedic surgery; acute gout; dysmenorrhoea
Dose:
- rheumatic disease: 100–200 mg daily in 2–4 divided doses
- Pain and dysmenorrhoea: 50 mg up to 3 times daily
Brands: Orudis, Oruvail,
Mefenamic Acid
Type: NSAID
Indications: pain and inflammation in rheumatoid arthritis and osteoarthritis; postoperative pain; mild to moderate pain; dysmenorrhoea and menorrhagia
Dose: 500 mg 3 times daily
Brands: Ponstan
Meloxicam
Type: NSAID
Indications: pain and inflammation in rheumatic disease; exacerbation of osteoarthritis (short-term); ankylosing spondylitis
Dose:
- osteoarthritis: 7.5 mg daily, increased if necessary to max. 15 mg once daily
- Rheumatoid arthritis, ankylosing spondylitis: 15 mg once daily, may be reduced to 7.5 mg daily
Brands: Mobic
Nabumetone
Type: NSAID
Indications: pain and inflammation in osteoarthritis and rheumatoid arthritis
Dose: 1 g at night; severe or persistent symptoms 0.5–1 g in morning and 1 g at night
Brands: Relifex
Naproxen
Type: NSAID
Indications: pain and inflammation in rheumatic disease (including juvenile idiopathic arthritis) and other musculoskeletal disorders; dysmenorrhoea; acute gout
Dose:
- Rheumatic disease: 0.5–1 g daily in 1–2 divided doses; child 2–18 years, juvenile idiopathic arthritis, 5 mg/kg twice daily (max. 1 g daily)
- Acute musculoskeletal disorders and dysmenorrhoea, 500 mg initially, then 250 mg every 6–8 hours as required; max. dose after first day 1.25 g daily
- Acute gout: 750 mg initially, then 250 mg every 8 hours until attack has passed
Brands: Naprosyn, Synflex, Napratec
Piroxicam
Type: NSAID
Indications: pain and inflammation in rheumatic disease (including juvenile idiopathic arthritis) and other musculoskeletal disorders; acute gout
Dose:
- rheumatic disease: initially 20 mg daily, increased if necessary to 30 mg daily in single or divided doses; child (over 6 years), juvenile idiopathic arthritis, under 15 kg, 5 mg daily; 16–25 kg, 10 mg; 26–45 kg, 15 mg; over 46 kg, 20 mg
- Acute musculoskeletal disorders: 40 mg daily in single or divided doses for 2 days, then 20 mg daily for 7–14 days
- Acute gout: 40 mg initially, then 40 mg daily in single or divided doses for 4–6 days
Brands: Brexidol, Feldene
Sulindac
Type: NSAID
Indications: pain and inflammation in rheumatic disease and other musculoskeletal disorders; acute gout
Dose: 200 mg twice daily (may be reduced according to response); max. 400 mg daily; acute gout should respond within 7 days; limit treatment of peri-articular disorders to 7–10 days
Brands: Clinoril
Tenoxicam
Type: NSAID
Indications: pain and inflammation in rheumatic disease and other musculoskeletal disorders
Dose:
- Rheumatic disease: 20 mg daily
- Acute musculoskeletal disorders: 20 mg daily for 7 days (max. 14 days)
Brands: Mobiflex
Tiaprofenic Acid
Type: NSAID
Indications: pain and inflammation in rheumatic disease and other musculoskeletal disorders
Dose: 300 mg twice daily
Brands: Surgam
Sodium aurothiomalate
Type: Gold
Indications: active progressive rheumatoid arthritis, juvenile idiopathic arthritis
Dose: test dose of 10 mg must be given followed by doses of 50 mg at weekly intervals until there is definite evidence of remission. Benefit is not to be expected until about 300–500 mg has been given; it should be discontinued if there is no remission after 1 g has been given.
Brands: Myocrisin
Auranofin
Type: Gold
Indications: active progressive rheumatoid arthritis
Dose: 6 mg daily (initially in 2 divided doses then if tolerated as single dose), if response inadequate after 6 months, increase to 9 mg daily (in 3 divided doses), discontinue if no response after a further 3 months
Brands: Ridaura
Leflunomide
Type: DMARD
Indications: moderate to severe active rheumatoid arthritis; active psoriatic arthritis
Dose: Arava
- Rheumatoid arthritis: initially 100 mg once daily for 3 days, then 10–20 mg once daily
- Psoriatic arthritis: initially 100 mg once daily for 3 days, then 20 mg once daily
Brands:
Abatacept
Type: Cytokine Modulator
Indications: severe active rheumatoid arthritis in combination with methotrexate, in patients unresponsive or intolerant to other disease-modifying antirheumatic drugs
Dose: body-weight less than 60 kg, 500 mg, repeated 2 weeks and 4 weeks after initial infusion, then every 4 weeks; body-weight 60–100 kg, 750 mg repeated 2 weeks and 4 weeks after initial infusion, then every 4 weeks; body-weight over 100 kg, 1 g repeated 2 weeks and 4 weeks after initial infusion, then every 4 weeks
Brands: Orencia
Anakinra
Type: Cytokine Modulator
Indications: rheumatoid arthritis which has not responded to methotrexate alone
Dose: 100 mg once daily
Brands: Kineret
Etanercept
Type: Cytokine Modulator
Indications: severe, active and progressive rheumatoid arthritis in patients not previously treated with methotrexate; psoriasis
Dose: Look up under condition
Brands: Enbrel
Colchicine
Type: Anti-mitotic
Indications: acute gout, short-term prophylaxis during initial therapy with allopurinol and uricosuric drugs; prophylaxis of familial Mediterranean fever (recurrent polyserositis)
Dose:
- Treatment of gout: 500 micrograms 2–4 times daily until symptoms relieved, max. 6 mg per course; course not to be repeated within 3 days
- Prevention of gout attacks during initial treatment with allopurinol or uricosuric drugs: 500 micrograms twice daily
- Prophylaxis of familial Mediterranean fever [unlicensed]: 0.5–2 mg daily
Allopurinol
Type: Xanthine-oxidase inhibitor
Indications: prophylaxis of gout and of uric acid and calcium oxalate renal stones; prophylaxis of hyperuricaemia associated with cancer chemotherapy
Dose: Initially 100 mg daily, preferably after food, then adjusted according to plasma or urinary uric acid concentration; usual maintenance dose in mild conditions 100–200 mg daily, in moderately severe conditions 300–600 mg daily, in severe conditions 700–900 mg daily; doses over 300 mg daily given in divided doses; child under 15 years, (in neoplastic conditions, enzyme disorders) 10–20 mg/kg daily (max. 400 mg daily)
Brands: Zyloric
Probenecid
Type: Uricosuric
Indications: prevention of nephrotoxicity associated with cidofovir
Dose: See with cidofovir
Sulfinpyrazone
Type: Uricosuric
Indications: gout prophylaxis, hyperuricaemia
Dose: Initially 100–200 mg daily with food (or milk) increasing over 2–3 weeks to 600 mg daily (rarely 800 mg daily), continued until serum uric acid concentration normal then reduced for maintenance (maintenance dose may be as low as 200 mg daily)
Brands: Anturan
Rasburicase
Type: Anti-hyperuricaemic
Indications: prophylaxis and treatment of acute hyperuricaemia with initial chemotherapy for haematological malignancy
Dose: 200 micrograms/kg once daily for up to 7 days according to plasma-uric acid concentration
Brands: Fasturtec
Glucosamine
Type: Anti-rheumatic
Indications: symptomatic relief of mild to moderate osteoarthritis of the knee
Dose: 1.25 g once daily; review treatment if no benefit after 2–3 months
Brands: Alateris
Neostigmine
Type: Anticholinesterase
Indications: myasthenia gravis, Reversal of non-depolarising neuromuscular blockade
Dose: Look up under condition
Brands: Robinul-Neostigmine
Edrophonium Chloride
Type: Anticholinesterase
Indications: Diagnosis of myasthenia gravis, Detection of overdosage or underdosage of cholinergic drugs, reversal of non-depolarising neuromuscular blockade and diagnosis of dual block
Dose: Look up under reason for use
Pyridostigmine Bromide
Type: Anticholinesterase
Indications: myasthenia gravis
Dose: 30–120 mg at suitable intervals throughout day, total daily dose 0.3–1.2 g (but see also notes above); neonate 5–10 mg every 4 hours, 30–60 minutes before feeds
Brands: Mestinon
Baclofen
Type: Skeletal muscle relaxants
Indications: chronic severe spasticity resulting from disorders such as multiple sclerosis or traumatic partial section of spinal cord
Dose: 5 mg 3 times daily, preferably with or after food, gradually increased; max. 100 mg daily (discontinue if no benefit within 6 weeks)
Brands: Lioresal
Dantrolene Sodium
Type: Skeletal muscle relaxants
Indications: chronic severe spasticity of voluntary muscle; malignant hyperthermia
Dose: Look up under condition
Brands: Dantrium
Tizanidine
Type: Skeletal muscle relaxants
Indications: spasticity associated with multiple sclerosis or spinal cord injury or disease
Dose: initially 2 mg daily as a single dose increased according to response at intervals of at least 3–4 days in steps of 2 mg daily (and given in divided doses) usually up to 24 mg daily in 3–4 divided doses; max. 36 mg daily
Brands: Zanaflex
Hyaluronidase
Type: Enzyme
Indications: enhance permeation of subcutaneous or intramuscular injections, local anaesthetics and subcutaneous infusions; promote resorption of excess fluids and blood
Dose:
- With subcutaneous or intramuscular injection: 1500 units dissolved directly in solution to be injected (ensure compatibility)
- With local anaesthetics: 1500 units mixed with local anaesthetic solution (ophthalmology, 15 units/mL)
- Hypodermoclysis: 1500 units dissolved in 1 mL water for injections or 0.9% sodium chloride injection, administered before start of 500–1000 mL infusion fluid
- Extravasation or haematoma: 1500 units dissolved in 1 mL water for injections or 0.9% sodium chloride injection, infiltrated into affected area (as soon as possible after extravasation)
Brands: Hyalase
Capsaicin
Type: Rubefacient
Indications: symptomatic relief of osteoarthritis
Brands: Zacin, Axsain
Chloramphenicol
Type: Ocular antibacterial
Indications: superficial eye infections
Dose: Apply 1 drop at least every 2 hours then reduce frequency as infection is controlled and continue for 48 hours after healing
Brands: Chloromycetin, Minims Chloramphenicol
Ciprofloxacin
Type: Ocular antibacterial
Indications: superficial bacterial infections, corneal ulcers
Dose:
- Superficial bacterial infection: Apply 1 drop at least every 2 hours then reduce frequency as infection is controlled and continue for 48 hours after healing
- Corneal ulcer, apply eye drops throughout day and night, day 1 apply every 15 minutes for 6 hours then every 30 minutes, day 2 apply every hour, days 3–14 apply every 4 hours (max. duration of treatment 21 days). Apply eye ointment throughout day and night; apply 1.25 cm ointment every 1-2 hours for 2 days then every 4 hours for next 12 days
Brands: Ciloxan
Fusidic acid
Type: Ocular antibacterial
Indications: staphylococcal infections
Dose: Apply twice daily
Brands: Fucithalmic
Antazoline Sulphate
Type: Ocular anti-inflammatory
Indications: allergic conjunctivitis
Dose: apply 2–3 times daily
Brands: Otrivine-Antistin
Azelastine Hydrochloride
Type: Ocular anti-inflammatory
Indications: allergic conjunctivitis
Dose:
- Seasonal allergic conjunctivitis: apply twice daily, increased if necessary to 4 times daily
- Perennial conjunctivitis: apply twice daily, increased if necessary to 4 times daily; max. duration of treatment 6 weeks
Brands: Optilast
Emedastine
Type: Ocular anti-inflammatory
Indications: seasonal allergic conjunctivitis
Dose: Apply BD
Brands: Emadine
Epinastine Hydrochloride
Type: Ocular anti-inflammatory
Indications: seasonal allergic conjunctivitis
Dose: apply twice daily; max. duration of treatment 8 weeks
Brands: Relestat
Ketotifen
Type: Ocular anti-inflammatory
Indications: seasonal allergic conjunctivitis
Dose: Apply BD
Brands: Zaditen
Lodoxamide
Type: Ocular anti-inflammatory
Indications: allergic conjunctivitis
Dose: apply 4 times daily
Brands: Alomide
Nedocromil Sodium
Type: Ocular anti-inflammatory
Indications: allergic conjunctivitis; seasonal keratoconjunctivitis
Dose:
- Seasonal and perennial conjunctivitis: apply twice daily increased if necessary to 4 times daily; max. 12 weeks treatment for seasonal allergic conjunctivitis
- Seasonal keratoconjunctivitis: apply 4 times daily
Brands: Rapitil
Olopatadine
Type: Ocular anti-inflammatory
Indications: seasonal allergic conjunctivitis
Dose: apply twice daily; max. duration of treatment 4 months
Brands: Opatanol
Sodium cromoglycate
Type: Ocular anti-inflammatory
Indications: allergic conjunctivitis; seasonal keratoconjunctivitis
Dose: apply QDS
Cyclopentolate
Type: Mydriatic
Indications: facilitation of examination of the fundus of the eye
Brands: Mydrilate, Minims
Homatropine Hydrobromide
Type: Cycloplegic
Indications: anterior segment inflammation
Tropicamide
Type: Mydriatic
Indications: facilitation of examination of the fundus of the eye
Brands: Mydriacyl, Minims
Betaxolol Hydrochloride
Type: Beta-blocker
Indications: primary open-angle glaucoma
Dose: Apply BD
Brands: Betoptic
Carteolol Hydrochloride
Type: Beta-blocker
Indications: primary open-angle glaucoma
Dose: Apply BD
Brands: Teoptic
Levobunolol Hydrochloride
Type: Beta-blocker
Indications: primary open-angle glaucoma
Dose: Apply once or twice daily
Brands: Betagan
Metipranolol
Type: Beta-blocker
Indications: primary open-angle glaucoma
Dose: Apply twice daily
Brands: Minims
Timolol Maleate
Type: Beta-blocker
Indications: primary open-angle glaucoma
Dose: Apply twice daily
Brands: Timoptol, Nyogel, Timoptol-LA
Bimatoprost
Type: Prostaglandin analogue
Indications: raised intra-ocular pressure in open-angle glaucoma; ocular hypertension
Dose: Apply once daily, preferably in the evening
Brands: Lumigan, Ganfort
Latanoprost
Type: Prostaglandin analogue
Indications: raised intra-ocular pressure in open-angle glaucoma; ocular hypertension
Dose: Apply once daily, preferably in the evening
Brands: Xalatan, Xalacom
Travoprost
Type: Prostaglandin analogue
Indications: raised intra-ocular pressure in open-angle glaucoma; ocular hypertension
Dose: Apply once daily, preferably in the evening
Brands: Travatan, DuoTrav
Brimonidine Tartrate
Type: Sympathomimetic
Indications: reduction of intra-ocular pressure in open-angle glaucoma or ocular hypertension in patients for whom beta-blockers are inappropriate; it may also be used as adjunctive therapy when intra-ocular pressure is inadequately controlled by other antiglaucoma therapy
Dose: Apply twice daily
Brands: Alphagan, Combigan
Dipivefrine Hydrochloride
Type: Sympathomimetic
Indications: Glaucoma
Dose: Apply twice daily
Brands: Propine
Brinzolamide
Type: Carbonic anhydrase inhibitor
Indications: adjunct to beta-blockers or used alone in raised intra-ocular pressure in ocular hypertension and in open-angle glaucoma if beta-blocker alone inadequate or inappropriate
Dose: Apply twice daily increased to 3 times daily if necessary
Brands: Azopt
Dorzolamide
Type: Carbonic anhydrase inhibitor
Indications: raised intra-ocular pressure in ocular hypertension, open-angle glaucoma, pseudo-exfoliative glaucoma either as adjunct to beta-blocker or used alone in patients unresponsive to beta-blockers or if beta-blockers contra-indicated
Dose:
- Used alone: apply 3 times daily
- With topical beta-blocker: apply twice daily
Brands: Trusopt, Cosopt
Pilocarpine
Type: Miotic
Indications: management of raised intra-ocular pressure
Dose: Apply up to 4 times daily
Brands: Pilogel, Minims
Oxybuprocaine Hydrochloride
Type: Ocular anaethetic
Indications: local anaesthetic
Brands: Minims
Proxymetacaine Hydrochloride
Type: Ocular anaethetic
Indications: local anaesthetic
Brands: Minims
Tetracaine Hydrochloride
Type: Ocular anaethetic
Indications: local anaesthetic
Brands: Minims
Acetylcysteine
Type: Mucolytic
Indications: tear deficiency, impaired or abnormal mucus production
Dose: Apply 3–4 times daily
Brands: Ilube
Carbomers
Type: Artificial Tears
Indications: dry eyes including keratoconjunctivitis sicca, unstable tear film
Dose: Apply 3–4 times daily or as required
Brands: GelTears, Liposic, Liquivisc, Viscotears
Carmellose Sodium
Type: Ocular lubricant
Indications: dry eye conditions
Dose: Apply as required
Brands: Celluvisc
Hydroxyethylcellulose
Type: Artificial Tears
Indications: tear deficiency
Brands: Minims
Hypromellose
Type: Artificial Tears
Indications: tear deficiency
Brands: Isopto Alkaline, Isopto Plain, Tears Naturale, Artelac SDU
Liquid Paraffin
Type: Ocular lubricant
Indications: dry eye conditions
Brands: Lacri-Lube, Lubri-Tears
Yellow Soft Paraffin
Type: Ocular lubricant
Indications: dry eye conditions
Brands: Simple Eye Ointment
Polyvinyl Alcohol
Type: Artificial Tears
Indications: tear deficiency
Brands: Liquifilm Tears, Sno Tears
Povidone
Type: Ocular Lubricant
Indications: dry eye conditions
Dose: Apply 4 times daily or as required
Brands: Oculotect
Sodium Hyaluronate
Type: Ocular Lubricant
Indications: dry eye conditions
Dose: Apply 3 times daily or as required
Brands: Hycosan
Fluorescein sodium
Type: Ocular diagnostic preparation
Indications: detection of lesions and foreign bodies
Brands: Minims
Acetylcholine
Type: Alpha2-adrenoreceptor agonist
Indications: cataract surgery, penetrating keratoplasty, iridectomy, and other anterior segment surgery requiring rapid complete miosis
Brands: Miochol-E
Apraclonidine
Type: Alpha2-adrenoreceptor agonist
Indications: control of intra-ocular pressure
Dose: apply 1 drop 3 times daily usually for max. 1 month
Brands: Iopidine
Pegaptanib Sodium
Type: Vascular endothelial growth factor inhibitors
Indications: neovascular (wet) age-related macular degeneration
Dose: 300 micrograms once every 6 weeks into the affected eye
Brands: Macugen
Ranibizumab
Type: Vascular endothelial growth factor inhibitors
Indications: neovascular (wet) age-related macular degeneration
Dose: initially 500 micrograms once a month for 3 months into the affected eye, thereafter monitor visual acuity once a month; if necessary subsequent doses may be given at least 1 month apart
Brands: Lucentis
Verteporfin
Type: Ocular photodynamic therapy
Indications: age-related macular degeneration associated with predominantly classic subfoveal choroidal neovascularisation or with pathological myopia
Dose: By intravenous infusion over 10 minutes, 6 mg/m2
Brands: Visudyne
Aluminium Acetate
Type: Astringent preparation
Indications: inflammation in otitis externa
Dose: Insert into meatus or apply on a ribbon gauze dressing or sponge wick which should be kept saturated with the ear drops
Clioquinol
Type: Anti-infective preparation
Indications: mild bacterial or fungal infections in otitis externa
Brands: Locorten-Vioform
Clotrimazole
Type: Anti-infective preparation
Indications: fungal infection in otitis externa
Brands: Canesten
Framycetin Sulphate
Type: Anti-infective preparation
Indications: bacterial infection in otitis externa
Brands: Sofradex
Flunisolide
Type: Corticosteroid
Indications: prophylaxis and treatment of allergic rhinitis
Dose: 50 micrograms (2 sprays) into each nostril twice daily, increased if necessary to max. 3 times daily then reduced for maintenance
Brands: Syntaris
Xylometazoline Hydrochloride
Type: Sympathomimetic
Indications: nasal congestion
Dose: Look up under formulation
Brands: Otradrops, Otrivine, Tixycolds, Otraspray
Benzydamine Hydrochloride
Type: Anti-inflammatory
Indications: painful inflammatory conditions of oropharynx
Dose: Look up under preparation
Brands: Difflam
Miconazole
Type: Antifungal
Indications: Prevention and treatment of oral and intestinal fungal infections
Dose: Look up under preparation
Brands: Daktarin, Loramyc
Chlorhexidine Gluconate
Type: Oral anti-infective
Indications: Oral hygiene and plaque inhibition, oral candidiasis, gingivitis, and management of aphthous ulcers, Denture stomatitis
Dose: Look up under preparations
Brands: Chlorohex, Corsodyl, Eludril
Hexetidine
Type: Oral anti-infective
Indications: oral hygiene
Brands: Oraldene
Hydrogen Peroxide
Type: Oral anti-infective
Indications: acute ulcerative gingivitis (Vincent’s infection), oral hygeine
Dose: Rinse the mouth for 2–3 minutes with 15 mL diluted in half a tumblerful of warm water 2–3 times daily
Brands: Peroxyl
Thymol
Type: Oral anti-infective
Indications: oral hygiene
Dose: Dissolve 1 tablet in a tumblerful of warm water and use as a mouthwash
Brands: Mouthwash Solution-tablets
Cromamiton
Type: Antipruritic
Indications: pruritus
Dose: apply 2–3 times daily
Brands: Eurax
Alclometasone Diproprionate
Type: Topical corticosteroid
Indications: inflammatory skin disorders such as eczemas
Dose: Apply thinly 1–2 times daily
Brands: Modrasone
Clobetasol Proprionate
Type: Topical corticosteroid
Indications: short-term treatment only of severe resistant inflammatory skin disorders such as recalcitrant eczemas unresponsive to less potent corticosteroids; psoriasis
Dose: Apply thinly 1–2 times daily for up to 4 weeks; max. 50 g of 0.05% preparation per week
Brands: Clarelux, Dermovate, Etrivex
Clobetasone Butyrate
Type: Topical corticosteroid
Indications: eczemas and dermatitis of all types; maintenance between courses of more potent corticosteroids
Dose: Apply thinly 1–2 times daily
Brands: Eumovate, Trimovate
Diflucortolone Valerate
Type: Topical corticosteroid
Indications: severe inflammatory skin disorders such as eczemas unresponsive to less potent corticosteroids; high strength (0.3%), short-term treatment of severe exacerbations; psoriasis
Dose: Apply thinly 1–2 times daily for up to 4 weeks (0.1% preparations) or 2 weeks (0.3% preparations), reducing strength as condition responds; max. 60 g of 0.3% per week
Brands: Nerisone, Nerisone Forte
Fludroxycortide
Type: Topical corticosteroid
Indications: inflammatory skin disorders such as eczemas
Dose: Apply thinly 1–2 times daily
Brands: Haelan
Fluocinolone Acetonide
Type: Topical corticosteroid
Indications: inflammatory skin disorders such as eczemas; psoriasis
Dose: Apply thinly 1–2 times daily, reducing strength as condition responds
Brands: Synalar, Synalar C, Synalar N
Fluocinonide
Type: Topical corticosteroid
Indications: severe inflammatory skin disorders such as eczemas unresponsive to less potent corticosteroids; psoriasis
Dose: Apply thinly 1–2 times daily
Brands: Metosyn
Fluocortolone
Type: Topical corticosteroid
Indications: severe inflammatory skin disorders such as eczemas unresponsive to less potent corticosteroids; psoriasis
Dose: Apply thinly 1–2 times daily, reducing strength as condition responds
Brands: Ultralanum Plain
Ichthammol
Type: Anti-pruritic
Indications: chronic lichenified eczema
Dose: Apply 1–3 times daily
Calcipotriol
Type: Vitamin D
Indications: plaque psoriasis
Dose: Cream or ointment apply once or twice daily; max. 100 g weekly
Brands: Dovonex, Dovobet
Tacalcitol
Type: Vitamin D
Indications: plaque psoriasis
Dose: apply once daily preferably at bedtime; max. 10 g ointment or 10 mL lotion daily
Brands: Curatoderm
Tazarotene
Type: Topical preparation for psoriasis
Indications: mild to moderate plaque psoriasis affecting up to 10% of skin area
Dose: Apply once daily in the evening usually for up to 12 weeks
Brands: Zorac
Tars
Type: Topical preparation for psoriasis
Indications: psoriasis and occasionally chronic atopic eczema
Dose: Apply 1–3 times daily starting with low-strength preparations
Brands: Calamine and Coal Tar Ointment, BP, Coal Tar and Salicylic Acid Ointment, BP, Coal Tar Paste, BP, Zinc and Coal Tar Paste, BP, Carbo-Dome, Clinitar, Cocois, Exorex, Psoriderm, Sebco, Pinetarsol, Polytar Emollient, Alphosyl HC
Dithranol
Type: Topical preparation for psoriasis
Indications: subacute and chronic psoriasis
Dose: should be applied to chronic extensor plaques only, carefully avoiding normal skin. Dithranol is not generally suitable for widespread small lesions nor should it be used in the flexures or on the face. Treatment should be started with a low concentration such as dithranol 0.1%, and the strength increased gradually every few days up to 3%, according to tolerance
Brands: Dithrocream, Micanol, Psorin
Salicylic acid
Type: Topical preparation for psoriasis
Indications: hyperkeratotic skin disorders; acne; warts and calluses; scalp conditions; fungal nail infections
Dose: Look up under conditions
Brands: Zinc and Salicylic Acid Paste, BP
Acitretin
Type: Topical preparation for psoriasis
Indications: severe extensive psoriasis resistant to other forms of therapy; palmoplantar pustular psoriasis; severe congenital ichthyosis; severe Darier’s disease (keratosis follicularis)
Dose: Under expert supervision, initially 25–30 mg daily (Darier’s disease 10 mg daily) for 2–4 weeks, then adjusted according to response, usual range 25–50 mg daily; up to 75 mg daily for short periods in psoriasis and ichthyosis
Brands: Neotigason
Pimecrolimus
Type: Immunomodulator
Indications: short-term treatment of mild to moderate atopic eczema (including flares) when topical corticosteroids cannot be used
Dose: Apply twice daily until symptoms resolve (stop treatment if eczema worsens or no response after 6 weeks)
Brands: Elidel
Benzoyl peroxide
Type: Topical preparation for acne
Indications: acne vulgaris
Dose: Apply 1–2 times daily preferably after washing with soap and water, start treatment with lower-strength preparations
Brands: Acnecide, Brevoxyl, PanOxyl, Duac Once Daily, Quinoderm
Azelaic acid
Type: Topical preparation for acne
Indications: Facial acne vulgaris, Papulopustular rosacea, acne vulgaris
Dose: Look up under preparations
Brands: Finacea, Skinoren
Adapalene
Type: Topical retinoid-like drug
Indications: mild to moderate acne
Dose: Apply thinly once daily before retiring
Brands: Differin
Co-cyprindiol
Type: Anti-androgen
Indications: severe acne in women refractory to prolonged oral antibacterial therapy; moderately severe hirsutism
Dose: 1 tablet daily for 21 days starting on day 1 of menstrual cycle and repeated after a 7-day interval, usually for several months; withdraw 3–4 months after acne or hirsutism completely resolved (repeat courses may be given if recurrence); long-term treatment may be necessary for severe symptoms
Brands: Dianette
Formaldehyde
Type: Topical wart treatment
Indications: warts, particularly plantar warts
Dose: Apply twice daily
Brands: Veracur
Gluteraldehyde
Type: Topical wart treatment
Indications: warts, particularly plantar warts
Dose: Apply twice daily
Brands: Glutarol
Silver Nitrate
Type: Topical wart preparation
Indications: warts, verrucas, umbilical granulomas, over-granulating tissue, cauterisation
Dose:
- Common warts and verrucas: apply moistened caustic pencil tip for 1–2 minutes; repeat after 24 hours up to max. 3 applications for warts or max. 6 applications for verrucas
- Umbilical granulomas: apply moistened caustic pencil tip (usually containing silver nitrate 40%) for 1–2 minutes while protecting surrounding skin with soft paraffin
Brands: AVOCA
Imiquimod
Type: Topical wart preparation
Indications: Warts, Superficial basal cell carcinoma, Actinic keratosis
Dose:
- Warts (external genital and perianal): apply thinly 3 times a week at night until lesions resolve (max. 16 weeks)
- Superficial basal cell carcinoma: apply to lesion (and 1 cm beyond it) on 5 days each week for 6 weeks; assess response 12 weeks after completing treatment
- Actinic keratosis: apply to lesion 3 times a week for 4 weeks; assess response after a 4 week treatment-free interval; repeat 4-week course if lesions persist; max. 2 courses
Brands: Aldara
Podophyllum
Type: Topical wart preparation
Indications: External genital warts, Condylomata acuminata affecting the penis or the female external genitalia,
Dose: Look up under preparations
Brands: Condyline, Warticon
Eflornithine
Type: Antiprotozoal
Indications: Hirsutism
Dose: Apply thinly twice daily
Brands: Vaniqa
Minoxidil
Type: Follicle Stimulator
Indications: androgenetic alopecia (men and women)
Dose: Apply 1 mL twice daily to dry hair and scalp (discontinue if no improvement after 1 year); 5% strength for use in men only
Brands: Regaine
Polymyxins
Type: Topical antibacterial
Indications: bacterial skin infections
Dose: Apply twice daily or more frequently if required
Brands: Polyfax
Retapamulin
Type: Topical antibacterial
Indications: superficial bacterial skin infections
Dose: apply thinly twice daily for 5 days; review treatment if no response within 2–3 days
Brands: Altargo
Silver sulphadiazine
Type: Topical antibacterial
Indications: prophylaxis and treatment of infection in burn wounds; as an adjunct to short-term treatment of infection in leg ulcers and pressure sores; as an adjunct to prophylaxis of infection in skin graft donor sites and extensive abrasions; for conservative management of finger-tip injuries
Dose:
- Burns: apply daily or more frequently if very exudative
- leg ulcers or pressure sores: apply daily or on alternate days (not recommended if ulcer very exudative)
- finger-tip injuries: apply every 2–3 days
Brands: Flamazine
Mupirocin
Type: Topical antibacterial
Indications: bacterial skin infections
Dose: apply up to 3 times daily for up to 10 days
Brands: Bactroban
Amorolfine
Type: Topical Antifungal
Indications: Fungal nail infections
Dose: apply to infected nails 1–2 times weekly after filing and cleansing; allow to dry (approx. 3 minutes); treat finger nails for 6 months, toe nails for 9–12 months (review at intervals of 3 months); avoid nail varnish or artificial nails during treatment
Brands: Loceryl
Benzoic Acid
Type: Topical Antifungal
Indications: ringworm (tinea)
Dose: Apply twice daily
Sulconazole Nitrate
Type: Topical Antifungal
Indications: fungal skin infections
Dose: Apply 1–2 times daily continuing for 2–3 weeks after lesions have healed
Brands: Exelderm
Tioconazole
Type: Topical Antifungal
Indications: fungal nail infections
Dose: Apply to nails and surrounding skin twice daily usually for up to 6 months (may be extended to 12 months)
Brands: Trosyl
Undecenoates
Type: Topical Antifungal
Indications: athlete’s foot
Dose: apply twice daily continuing for 7 days after lesions have healed
Brands: Mycota
Penciclovir
Type: Topical Antiviral
Indications: herpes labialis
Dose: apply to lesions every 2 hours during waking hours for 4 days, starting at first sign of attack
Brands: Vectavir
Idoxuridine In Dimethyl Sulfoxide
Type: Topical Antiviral
Indications: herpes simplex and herpes zoster infection but of little value
Dose: Apply to lesions 4 times daily for 4 days, starting at first sign of attack
Brands: Herpid
Benzyl benzoate
Type: Parasiticidal
Indications: scabies
Dose: Apply over the whole body; repeat without bathing on the following day and wash off 24 hours later; a third application may be required in some cases
Dimeticone
Type: Parasiticidal
Indications: head lice
Dose: Rub into dry hair and scalp, allow to dry naturally, shampoo after minimum 8 hours (or overnight); repeat application after 7 days
Brands: Hedrin
Malathion
Type: Parasiticidal
Indications: scabies, head lice and crab lice
Dose:
- Head lice: rub 0.5% preparation into dry hair and scalp, allow to dry naturally, remove by washing after 12 hours; repeat application after 7 days
- Crab lice: apply 0.5% aqueous preparation over whole body, allow to dry naturally, wash off after 12 hours or overnight; repeat application after 7 days
- Scabies: apply 0.5% preparation over whole body, and wash off after 24 hours; if hands are washed with soap within 24 hours, they should be retreated; repeat application after 7 days
Brands:Derbac-M, Prioderm, Quellada M
Permethrin
Type: Parasiticidal
Indications: scabies and crab lice
Dose:
- Scabies: apply 5% preparation over whole body and wash off after 8–12 hours. Larger patients may require up to two 30-g packs for adequate treatment
- Crab lice: apply 5% cream over whole body, allow to dry naturally and wash off after 12 hours or after leaving on overnight; repeat application after 7 days
Brands: Lyclear
Phenothrin
Type: Parasiticidal
Indications: head lice and crab lice
Dose: Look up under preparation
Brands: Full Marks
Becaplermin
Type: Recombinant human platelet-derived growth factor
Indications: full-thickness, neuropathic, diabetic ulcers
Dose: apply thin layer daily and cover with gauze dressing moistened with physiological saline; max. duration of treatment 20 weeks (reassess if no healing after first 10 weeks)
Brands: Regranex
Glycopyrronium Bromide
Type: Antiperspirant
Indications: iontophoretic treatment of hyperhidrosis, drying secretions, reversal of excessive bradycardia; with neostigmine for reversal of non-depolarising neuromuscular block
Dose: Look up under indication
Brands: Robinul
Thiopental sodium
Type: Intravenous anaesthetic
Indications: induction of general anaesthesia; anaesthesia of short duration; reduction of raised intracranial pressure if ventilation controlled; status epilepticus
Dose: Look up under use
Etomidate
Type: Intravenous anaesthetic
Indications: induction of anaesthesia
Dose: Look up under preparations
Brands: Etomidate-Lipuro, Hypnomidate
Ketamine
Type: Intravenous Anaesthetic
Indications: induction and maintenance of anaesthesia (but rarely used)
Dose: Look up under route
Brands: Ketalar
Propofol
Type: Intravenous Anaesthetic
Indications: Induction and maintenance of anaesthesia, Sedation of ventilated patients in intensive care, Sedation for surgical and diagnostic procedures,
Dose: Look up under use
Brands: Diprivan
Desflurane
Type: Volatile liquid anaesthetic
Indications: Induction and maintenance of anaesthesia
Dose:
- Induction of anaesthesia: by inhalation through specifically calibrated vaporiser: 4–11%
- Maintenance of anaesthesia by inhalation through specifically calibrated vaporiser: 2–6% in nitrous oxide; 2.5–8.5% in oxygen or oxygen-enriched air
Brands: Suprane
Halothane
Type: Volatile liquid anaesthetic
Indications: Induction and maintenance of anaesthesia
Dose:
- Induction of anaesthesia using specifically calibrated vaporiser, in oxygen or nitrous oxide–oxygen: adult increased gradually to 2–4%; child 1.5–2%
- Maintenance of anaesthesia using specifically calibrated vaporiser, in oxygen or NO or O2: 0.5–2%
Isoflurane
Type: Volatile liquid anaesthetic
Indications: Induction and maintenance of anaesthesia
Dose:
- Induction of anaesthesia using specifically calibrated vaporiser, in oxygen or nitrous oxide–oxygen: increased gradually from 0.5% to 3%
- Maintenance of anaesthesia using specifically calibrated vaporiser: 1–2.5% in nitrous oxide–oxygen; an additional 0.5–1% may be required when given with oxygen alone; caesarean section, 0.5–0.75% in nitrous oxide–oxygen
Brands: AErrane
Sevoflurane
Type: Volatile liquid anaesthetic
Indications: Induction and maintenance of anaesthesia
Dose:
- Induction of anaesthesia using a specifically calibrated vaporiser, in oxygen or nitrous oxide–oxygen, adjusted according to response: up to 5%
- Maintenance of anaesthesia using a specifically calibrated vaporiser, in oxygen or nitrous oxide–oxygen: adjusted according to response, 0.5–3%
Nitrous oxide
Type: Inhalational anaesthetic
Indications: maintenance of anaesthesia and, in sub-anaesthetic concentrations, analgesia
Dose:
- Maintenance of light anaesthesia (using suitable anaesthetic apparatus), up to 66% in oxygen
- Analgesia, up to 50% in oxygen, according to the patient’s needs
Ketorolac Trometamol
Type: Non-opioid analgesic
Indications: short-term management of moderate to severe acute postoperative pain only
Dose: 10 mg every 4–6 hours (elderly every 6–8 hours) as required; max. 40 mg daily; max. duration of treatment 7 days
Brands: Toradol
Parecoxib
Type: Non-opioid analgesic
Indications: short-term management of acute postoperative pain
Dose: initially 40 mg, then 20–40 mg every 6–12 hours when required; max. 80 mg daily
Brands: Dynastat
Alfentanil
Type: Opioid analgesic
Indications: analgesia especially during short operative procedure and outpatient surgery; enhancement of anaesthesia; analgesia and suppression of respiratory activity in patients receiving intensive care, with assisted ventilation, for up to 4 days
Dose: Look up under route
Brands: Rapifen
Remifentanil
Type: Opioid analgesic
Indications: supplementation of general anaesthesia during induction and analgesia during maintenance of anaesthesia (consult product literature for use in patients undergoing cardiac surgery); analgesia and sedation in ventilated, intensive care patients
Dose: Look up under use
Brands: Ultiva
Atracurium Besilate
Type: Non-depolarising neuromuscular blocking drug
Indications: neuromuscular blockade (short to intermediate duration) for surgery or during intensive care
Dose: initially 300–600 micrograms/kg; maintenance, by intravenous injection, 100–200 micrograms/kg as required or by intravenous infusion, 5–10 micrograms/kg/minute (300–600 micrograms/kg/hour)
Brands: Tracrium
Cisatracurium
Type: Non-depolarising neuromuscular blocking drug
Indications: neuromuscular blockade (intermediate duration) for surgery or during intensive care
Dose: Look up under use
Brands: Nimbex
Mivacurium
Type: Non-depolarising neuromuscular blocking drug
Indications: neuromuscular blockade (short duration) for surgery
Dose: Look up under route
Brands: Mivacron
Pancuronium Bromide
Type: Non-depolarising neuromuscular blocking drug
Indications: neuromuscular blockade (long duration) for surgery or during intensive care
Dose: Look up under use
Rocuronium Bromide
Type: Non-depolarising neuromuscular blocking drug
Indications: neuromuscular blockade (intermediate duration) for surgery or during intensive care
Dose: Look up under use
Brands: Esmeron
Vecuronium Bromide
Type: Non-depolarising neuromuscular blocking drug
Indications: neuromuscular blockade (intermediate duration) for surgery
Dose: Look up under route
Brands: Norcuron
Suxamethonium
Type: Depolarising neuromuscular blocking drug
Indications: neuromuscular blockade (rapid onset, short duration)
Dose: Look up under route
Brands: Anectine
Flumazenil
Type: Benzodiazepine antagonist
Indications: reversal of sedative effects of benzodiazepines in anaesthetic, intensive care, and diagnostic procedures
Dose: Look up under route
Brands: Anexate
Naloxone Hydrochloride
Type: Opioid antagonist
Indications: reversal of opioid-induced respiratory depression; reversal of neonatal respiratory depression resulting from opioid administration to mother during labour; overdosage with opioids
Dose: 100–200 micrograms (1.5–3 micrograms/kg); if response inadequate, give subsequent dose of 100 micrograms every 2 minutes