NATIONAL LIST of ESSENTIAL MEDICINES 2008

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tion of Government Regulation Number 38 year 2007 on the coordination of theance between the Central Government and the Provincial Government and other regionalments in order to synchronize its health management in the country. So, as with medicineement organizations, each city has got organizational structures and their own medicineement policies. This would open up basic differences in each city in carrying out medicineement.cle of medicine distribution is started at the time a medicine is delivered from the factory ortor, and it ends at the time medicine consumption reports are handed in to the logisticsfective medicine distribution should have a system design and sound management suchstant medicine supply, taking care of the quality of medicines at the time of distributions, minimizing medicines which are unused because of spoilage or being expired, withplanning in accordance with each province's medicine needs, use of inventory recordsare accurate, rationalization of medicine depots, and supply of information to estimatee needs.ecentralization in place it is hoped that state government or city or provinces canntly supply respective individual medicine needs. The central government, in this matter,istry of Health only lends back-up support when city or province cannot fully supply thee needs. The NLEM is a base for planning and supply or logistics of medicines in locality/province) and central government.ement and use of specialists' medicines for certain situations, the government c.q.rate General of Pharmaceutical Services and Medical Devices, Ministry of Health canthese through special channels (special access scheme) in accordance with The Decreeter of Health Number: 1379.A/Menkes/SK/XI/2002.unication, Information and Education (CIE)essential medicines are a pre-requisite to improve the use of medicines and rationalbing by health providers. CIE for health providers and the public in general to increasel use of medicines and be maintained continuously should use the following links:overnmental organizations/private institutions.elated professional organization.urriculum of education for health providers.ther possible channels.isted medicine in NLEM must be accompanied by accurate information that is objectivederstandable by health providers. This information covers indication, contraindication,ow to use, caution remarks, side-effects, medicine interaction, and dosage forms oftions.rch and Developmentch and development should be done to support the selection process and improvement ofEM. Research and development are done in line with medical science and technology injects of medicine, pharmacy, epidemiology, and education. The outcome or result ofh and development are utilized as inputs in the revision process and improvement ofperiodically.6. Monitoring and EvaluationMonitoring and evaluation are done to support the sthrough mechanism and output evaluation of potentisolutions. This can be achieved through co-ordination,application of the NLEM by the Ministry of Health. Monfitting to functions and levels.7. NLEM RevisionsNLEM has to be revised and perfected periodically. Revadvancement of knowledge, but also for practical reashealth providers and the health service facilities.Perfection of NLEM is done continuously with input of shealth research, whether governmental or private, cPharmaceutical Services and Medical Devices, Ministrrevisions are done periodically every 3 (three) years.8. Quality ControlTotal medicine quality control covers the phases of prpractices, monitoring of medicine quality in the distribelements in applying the essential medicines concept.9. Antibiotics ResistanceAntibiotic resistance will increase, especially with frelatively inexpensive. This condition is dangerous,sensitive antibiotics that are potential in fighting infectiorecurring. The reason is because of irrational use of apatients.In overcoming the problem of antibiotic resistance it takea. Conducting surveillance of microbe resistance sobtained.b. Surveillance of antibiotic useSurveillance of antibiotic use is done by researchcenters, province or district health offices andinstitutions.c. Containing antibiotic use by health providers bgradually, fitting to the conditions of patients aantibiotics from the start, and reserving other anuse.d. To provide communication, information and educwhether they be health workers, patients or tantibiotics rationally and the danger, caused by irrtial Medicines 200856
d Medicinesns in the form of money or medicines from another country, private organizations, or othertional bodies can support the public health services in a country that needs it. In itson, medicines donation must fulfill the requirements as described in WHO Guidelines fores Donations 1999. Health services being used must fulfill a certain existing applicablees/standards. This guideline covers general principles about selection of medicines,of medicines, shelf life, packaging and labeling, information and management.ain principles of donated medicines are:onated medicines must provide maximum usefulness to recipient country.nderstand the needs and respecting the authority of recipient country.oes not use double standards for the quality of donated medicines.ffective communication between donor country and recipient country.d medicines are best received when they are in accordance with NLEM. In order fores supply and health logistics can help the operations of health workers, the types ofes and health logistics must coincide with the disease patterns in Indonesia.dicines which are not marketed in Indonesia acceptance must follow a special channell access scheme), in accordance with the existing applicable rule.sts and Format of NLEMhe National Essential Medicine list is used as the basis for all units of (governmental)ealth services.ne type if medicines can be used in several forms of preparations and one form ofreparation can consist of a few dosage forms.the NLEM, medicines are categorized according to class, subclass and sometimes sububclasstherapy, which are in alphabetical order.clatureedicine names are written according to the last edition of Indonesian Pharmacopoeia. If itoes not appear in the Indonesian Pharmacopoeia then generic names are used.edicines which are commonly used and do not have an INN (International NonroprietaryName) are written with common names, for example 'oral rehydration salt'.ombination medicines which do not have a generic name are given agreed names whichre generic names for combinations and each is written with the effective ingredients,llowed with dosage of each component.or some items which need a synonym are written within brackets.atory Noteseywords) Dosage FormsDosage forms or preparations are forms of medicines according to the productionprocess in the form of usage, for example: capsule, enteric coated tablet, intravenousinjection etc.7tial Medicines 20088(2) Dosage strengthStrength of preparation is the content or permade preparations. For dosage strength inare written down within brackets, for(hydrochloride). As for dosages of effective(which are written within brackets) would bchloroquine tablet 150 mg (as phosphate).(3) PackagingPackaging is the smallest container that con(4) Package Sizeb. Other NotesPackage Size is the total number of preparastandard packaging, for example 100 vials.(1) Information in restricted columns are meanotes:(a) Monitoring of side-effects.(b) Limitation of indications.(c) Only for certain cases.(d) Tight screening is required or medical(e) Nature or medicine mechanism of acti(f) Special treatment required.(g) Special facilities needed.(h) Combination with other medicine need(i) Required for certain areas, like endem(j) Uses in accordance with existing heal(2) Writing of technical terms or foreign languag(3) National Medicines Lists are medicine lists t(4) NLEM for Public Health Center (primary heac. Abbreviationscap : capsulecapl : capletg : grami.a. injection/inj : intraartherial injectionsi.c. injection/inj : intracutaneous injectioninfiltr injection/inj : infiltrated injectioninfusion sol : infusion solutioninj : injectioni.m. injection/inj : intramuscular injectioni.t. injection/inj : intrathecal injectionIU : international uniti.v. injection/inj : intravenous injectionliq : liquidmcg : microgrammg : miligram
Page 1 and 2: 651.1IndPNATIONAL LIST of ESSENTIAL
Page 3 and 4: MINISTRY of HEALTHREPUBLIC of INDON
Page 5 and 6: THE MINISTER OF HEALTHOF THE REPUBL
Page 7 and 8: CHAPTER IINTRODUCTION
Page 9: TATEMENTS OF EVIDENCEc. Hospital Fo
Page 13 and 14: (d)(e)Signing a letter of consent,
Page 15 and 16: tological Medicinesedicines were de
Page 17 and 18: CHAPTER IIAL LIST OF ESSENTIAL MEDI
Page 19 and 20: EUTICNERICINN)DOSAGE FORMRESTRICTIO
Page 39 and 40: CHAPTER IIIRESTRICTED MEDICINE LIST
Page 43 and 44: EUTICNERICINN)idesc UseDOSAGE FORMt
Page 45 and 46: UTICNERICINN)DOSAGE FORMRESTRICTION
Page 53 and 54: CHANGES OF NLEM 2005ERIC NAME(INN)D
Page 55 and 56: ERIC NAME(INN)DOSAGE FORMADDITION (
Page 57 and 58: ERIC NAME(INN)DOSAGE FORMADDITION (
Page 59 and 60: APPENDIX IIDECREE OF THE MINISTER O
Page 61 and 62:
THE MINISTER OF HEALTHOF THE REPUBL
Page 63 and 64:
APPENDIX IIIPARTICIPANTS OF TECHNIC
Page 65 and 66:
iaAkhmaduliati, Apt.i, S.Si, Apt, M
Page 67 and 68:
::STATEMENT OF COMPLIANCEHAIRMAN/VI
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CONFLICT OF INTEREST STATEMENTndone
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yASSESSMENT FORM APPLICATIONFOR ADD
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DRUG INDEX1, 74, see acetosal64, 43
Page 75:
X-Y-Z, 59, 84zidovudine, 30zinc oxi
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NATIONAL LIST of ESSENTIAL MEDICINES 2008

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