NO NOMOR RM TANGGAL MASUK DAN KELUAR RS USIA (th)/ JK DIAGNOSA (Utama + Penyerta) KELUHAN OBAT TINGKAT KEPARAHAN INTERAKSI NAMA DOSIS & FREKUENSI DURASI RUTE MINOR MODERATE MAYOR 1 2 3 4 01042322 01263456 00902912 19-02-16 23-02-16 27-02-16 10-03-16 16-01-16 19-01-16 18-01-16 26-01-16 46/ L 75/ L 26/ P 75/ P U:Vomitus freguensi+ DM P: gastritis U: gastritis P: anemina, Melena, hematoschezia, hiperurisemia, acut kidney injury, ancyomios, actual fibrasi U: cephalgia kronik, dyspepsia ulcer like type U: Gastritis, DM, CHF Angina pectoris Mual, lemah Sesak, berdebar, nyeri perut Mual, muntah Sesak, nyeri perut, tangan bengkak, nyeri dada Omeprazole Piralen Alprazolam Sucralfat Syr Infus Ringer Laktat Omeprazole Sucralfat syr Allupurinol Lactulac Asam folat NAC Simarc z Injeksi vitamin K Injeksi asam Tranexamat Furosemid ISDN CaCO3 Injeksi furosemid Infus Ringer Laktat Omeprazole Metoclopramide Sucralfat syr Asam pantotenat Metamizole Injeksi Furosemid Injeksi Ranitidin Infus Ringer Laktat Aspilet 1x 40 mg 3x 10 mg 1x 0,5 mg 3x 15 ml 1x500cc 2x40 mg 4x 15 ml 1x 100 mg 3x 1 ml 1x 2 mg 3x 200 mg 1x 2mg 1amp x ml 3x 500mg 1x 40 mg k/p5 mg 3x 1x20mg 1x 500cc 2x 40mg k/p 1cc 3x 15ml 3x 1amp X 40mg 1x 500mg 24x 20cc 1x80 mg 2 2 2 2 1 1 5 1 11 11 11 3 1 1 3 5 8 1 1 1 1 1 1 1 1 1 1 1 iv iv po po iv iv po po po po po po iv iv po po po iv iv po iv po po iv iv iv iv po Omepraxol+alpr azolam (Farmakokineti k metabolisme) Lampiran 1. Formulir Pengumpul Data
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NO NOMOR
RM
TANGGAL
MASUK
DAN
KELUAR
RS
USIA
(th)/
JK
DIAGNOSA
(Utama + Penyerta) KELUHAN
OBAT TINGKAT KEPARAHAN INTERAKSI
NAMA DOSIS &
FREKUENSI DURASI RUTE MINOR MODERATE MAYOR
1
2
3
4
01042322
01263456
00902912
19-02-16
23-02-16
27-02-16
10-03-16
16-01-16
19-01-16
18-01-16
26-01-16
46/ L
75/ L
26/ P
75/ P
U:Vomitus
freguensi+ DM P: gastritis
U: gastritis P: anemina,
Melena,
hematoschezia, hiperurisemia, acut
kidney injury,
ancyomios, actual fibrasi
U: cephalgia kronik,
dyspepsia ulcer like type
U: Gastritis, DM, CHF
Angina pectoris
Mual, lemah
Sesak, berdebar,
nyeri perut
Mual, muntah
Sesak, nyeri perut,
tangan bengkak,
nyeri dada
Omeprazole
Piralen Alprazolam
Sucralfat Syr
Infus Ringer Laktat
Omeprazole
Sucralfat syr Allupurinol
Lactulac
Asam folat NAC
Simarc z
Injeksi vitamin K Injeksi asam
Tranexamat
Furosemid ISDN
CaCO3
Injeksi furosemid
Infus Ringer Laktat
Omeprazole Metoclopramide
Sucralfat syr
Asam pantotenat Metamizole
Injeksi Furosemid
Injeksi Ranitidin
Infus Ringer Laktat Aspilet
1x 40 mg
3x 10 mg 1x 0,5 mg
3x 15 ml
1x500cc
2x40 mg
4x 15 ml 1x 100 mg
3x 1 ml
1x 2 mg 3x 200 mg
1x 2mg
1amp x ml 3x 500mg
1x 40 mg k/p5 mg
3x
1x20mg
1x 500cc
2x 40mg k/p 1cc
3x 15ml
3x 1amp
X 40mg
1x 500mg
24x 20cc 1x80 mg
2
2 2
2
1
1
5 1
11
11 11
3
1 1
3 5
8
1
1
1 1
1
1 1
1
1
1 1
iv
iv po
po
iv
iv
po po
po
po po
po
iv iv
po po
po
iv
iv
po iv
po
po iv
iv
iv
iv po
Omepraxol+alpr
azolam (Farmakokineti
k
metabolisme)
Lampiran 1. Formulir Pengumpul Data
5
6
7
01325269
01302644
01323914
04-01-16
26-01-16
07-01-16 15-01-16
11-01-16
25-01-16
70/ P
59/ L
20/ P
U: tumor paru,
efusi pleura, localited,
dispepsia
P: pneumonia, Anemia
U: melena, dispepsia
P: anemia,
dispepsia tipe epigastric pain
U: tumor paru
genomcell jinak
P: gastritis,
Hemogitisin
Nyeri perut
Sesak, batuk berdahak, nyeri
perut
Captopril
Simvastatin Spironolactone
Allupurinol
Ramipril Bisoporolol
Laxadine syr
Antacid syr Furosemid
s.p heparin
KCL Warfarin
Levofloxacin
Ranitidine Metilprednisolon
Sucralfat syr
Omeprazole
NaCl 0,9%
Aminofluid Ranitidine
Dexametason
NAC Furosemid
Parassetamol
Sucralfat syr Na diklofenak
Ketorolak Omeprazol
Metilprednisolon
Infus NaCL 0,9% Injeksi aminofluid
Injeksi omeprazole
Sucralfat syr Parasetamol
Infus Ringer Laktat
Infus NaCL 0,9%
Injeksi Kalnex
B complex
3x6.25mg
1x20mg 1x25mg
1x100mg
1x2.5mg 1x2.5mg
3x15ml
3x15ml 1x40mg
2x20mg
24x12500UI
45 meq 1x 2
1x750 mg
2x 50mg 3x62.5 mg
3x15 ml
2x 40mg
1h 500 cc
1h 500 cc 2x 50mg
2x 5mg
3x 200mg 1h 40mg
3x 500mg
3x 15ml 3x 25mg
3x200mg
1h 30mg 2x 40mg
3x 62.5mg
1h 20tpm 1h 1claf
2x 80mg
2x 40mg 3x 15ml
3x 500ml
1h 20tpm
1h20tpm
1h 1amp
3x 1mg
3
1 1
3
5 3
4
4 3
5
6
- 7
7
7 7
7
7
1
1 1
1
1 2
8
6 6
6
19 20
20
2 2
2
1 1
1
8
1
1
1
po
po po
po
po po
po
po po
po
iv
iv po
po
po po
po
po
iv
iv po
po
po iv
po
po po
po
iv po
po
iv iv
iv
iv iv
po
iv
iv
iv
po
37
8 01309526 21-02-16
25-01-16
58/ L U: stroke emboli
P: gastritis, PPOK eksaserbasi,
CHF,
tromboemboli, afasia global
dilated
cardiomyopati
Tutofusin+ketorolac+
antrain Inj lefovloxacin
Crome
Vit K Omeprazole
Ondancentron
Ranitidine Parasetamol
Lefovloxacin
Flunosil
Durogesic patch
Ketorolac
Infus Ringer Laktat
Injeksi Cetftriaxon Injeksi Omeprazol
Injeksi Novalgin
Lefovloxacin Ondancentron
Fluconazol
Fluomucyl NaCL 0,9%
Ranitidin
Arixtra Furosemid
Clinimix
Spironolacton Digoxin
Corsel
Artiped Metilprednisolon
Codein
Vectrin Radepil
Nebulizer
Domperidon
Antacid syr
1h 20tpm
1h 500mg
2x1amp
2x10ml 1x40mg
1x4mg
2x50mg 3x1000mg
1x750mg
2x
1h 12.5 mg
3x 30mg
1h 20tpm
1h 2000 mg 2x 1flash
1h 1amp
1x 750mg 1x 8mg
1x 1tab
3x 1tab 1h 20tpm
2x 50mg
4h 1fial 1x 40mg
1x 1flash
1x 25mg 1x ½ tab
1x 1tab
1x 5mg 1x 125mg
3x 1cc
3x10mg 3x 150mg
1x 5 mg
4x 18:18 1x 10mg
3x15ml
14
8
14
14 14
14
9 9
9
12
12
8
1
6 1
1
5 6
1
1 6
2
2 4
6
6 6
6
6 6
7
6 6
6
6 6
4
iv
iv
iv
iv po
po
po po
po
po
temple
iv
iv
iv iv
iv
po po
po
po iv
po
iv iv
iv
po po
po
po po
iv
po po
po
nebu po
po
Antasida+furose
mid (Farmakokineti
k absorbsi)
9
10
11
12
01329236
01329549
01323929
01327210
10-02-16
25-02-16
13-02-16 18-02-16
19-04-16
23-04-16
02-06-16
12-06-16
61/ P
68/ P
69/ L
48/ L
U: ca paru
P: gastritis, efusi pleura,
dyspneu
U: angina pectoris P: dispepsia,
HHD, dispneu
U: ca paru smll cell
grade 4 P: gastritis, PPOK
eksaserbasi,
leucopenia,
U: ca paru square
grade 4
P: gastritis, anemia, hemiparesis,
metastasis
Nyeri dada,sesak nafas
Sesak nafas, nyeri
dada
Tangan dan kaki
lemah, bibir
menceng
Infus Ringer Laktat +
aminophilin Ketorolak
Metilprednisolon
Ceftriaxon Hidonac
Nebulizer ventolin
Durogesic patch Raleropentin
Nexium
HCT
Ulsafat syr
Candesaran Herbeser CD 100
Alprazolam
Codipront Alganaz
Alprazolam Antacid syr
Tromboaspilet
Concor
Inf us Ringer
Laktat+sohobion Injeksi ketorolak
Leucogen
MST Antacid syr
Salbutamol
Ultracet Ondancetron
Vectrin
Infus Ringer Laktat
Sohobion
Metilprednisolon Piracetam
Omeprazol
Ondanceetron
Antacid syr
Difenhidramin
1h 11cc
1h20tpm 2x 30mg
3x1cc
1x2000mg 1h 6cc
3x 100mg
1h 4000mg
3x1000mg
1xcopal
1x15ml
3x 1x16mg
2x100mg
2x0.5mg 2x0.5mg
1x0.5mg 3x15ml
1x80mg
1x25mg
1h 20tpm
3x 1amp 1h 30mg
2x1tab
3x100mg 3x15ml
2x0.8mg
3x1tab 3x8mg
150mg
1h 20tpm
1h 1amp
2x 125mg 2x 3000mg
1x40mg
1h 40mg
1x 8mg
4x 15ml
1h 1amp
1
1 1
1
1 1
1
6
11
11
11
11 11
11
11 11
1 1
1
1
1 1
1
1 1
1
5 5
5
5
5
5 5
10
5
5
5
5
iv
iv iv
iv
iv iv
iv
temple
iv
iv
po
po po
po
po po
po po
po
po
iv
iv sc
po
po po
po
po po
iv
iv
iv po
po
iv
po
po
iv
Esomeprazole+
alprazolam (Farmakokineti
k
metabolisme)
Esomeprazole+
HCT (Farmakodinam
ik)
Antasida+ondan
setron
(Farmakodinamik)
13
14
15
16
01239993
01241289
01326946
01329478
11-02-16 15-02-16
10-02-16
13-02-16
07-02-16
09-02-16
12-02-16 07-03-16
51/ L
57/ P
62/ P
62/ L
U: dispepsia ulcer like type,colic
renal
P: hiponatremi, peningkatan
enzim
trosmirase non vital
U: melena, diare
akut
P: anemia, dispepsia organ
non fungsional
U: ca paru
P: gastritis,
hemopilisia
U: erosi artrium, gastritis
P: CHF,
haemopitus
Nyeri ulu hati, mual muntah
BAB encer, neri
ulu hati, lemah
Mual, muntah
Nyeri ulu hati, nyeri dada
NaCL 0,9% Aminoflluid
Omeprazol
Buscopcal Sucralfat
Infus NaCL
Ceftriaxon
Metronidazol Kalmetason
Tramadol
Ondancetron Ketesse
A
tivan Ultiloc
Inf RL+ sohobion
Omeprazole Metilprednisolon
Ketorolac
Polycrol Asam Tranexamat
Inf asering:aminofluid
Injeksi nexium
Furosemid Hidonac
Aminofilin
Corsel Lesicol
Spironolacton
Diovan Digoxin
Inpepsa syr
Codein
Amitriptilin
Alganax
Fucoelix
1h 20tpm 1h 1tpm
2x 40mg
1h 1amp 3x 15ml
1h 20tpm
1h 2000mg
3x 2000mg 2x 1amp
3x 1amp
2x 8mg 3x25mg
2x1
3x15ml 1h20tts
1h 40mg
3x1cc 3x30mg
3x 15ml
3x1tab
1h 20tpm
2x40mg
1h40mg 1h5cc
1x1/2tab
1x1tab 2x300mg
1x25mg
1x80mg 3x15mg
3x15ml
3x5mg
3x ½ tab
1x0.5mg
1x100mg
1 1
1
1 1
1
1
1 1
1
1 1
1
1 1
1
1 1
1
1
1
1
1 1
1
1 1
1
1 1
1
1
1
1
1
iv iv
iv
iv po
iv
iv
iv iv
iv
po po
po
po iv
iv
iv iv
po
po
iv
iv
iv iv
po
po po
po
po po
po
po
po
po
po
Antasida+loraz
epam
(Farmakodiamik)
Esomeprazole+amitriptilin
(Farmakokineti
k
metabolisme)
Antasida+furosemid
(farmakokinetik
ekskresi)
40
17
18
19
20
01315799
01266614
01126501
01320087
20-04-16 23-04-16
07-02-16
12-02-16
07-03-16 11-03-16
06-02-16
08-02-16
37/ P
57/ L
52/ P
68/ L
U: CKD stage 4 dengan
komplikasi,
dispepsia P: CHF, anemia
U: CHF
P: dispepsia, hipokalemia,
hipertensi,
pneumonia, HHD, dyspneu
U: abdominal pain P: gastritis,
Pneumonia
U: colestitis,
gastritis
P: abdominal pain
ISK, dyspepsia
Sesak, dada nyeri, nyeri ulu hati
Sesak, nyeri dada,
berdebar
Nyeri ulu hati, sesak
Nyeri perut,
kembung
Infus D5% Infus EAS primer
Injeksi Ceftriaxon
Injeksi Omeprazol Injeksi Furosemid
Sucralfat
N Asetil Cystein Candesartan
CaCO3
Asam folat
Parasetamol
Infus Ringer Laktat
Injeksi Ceftriaxon Aspilet
Candesartan
Spironolacton Simvastatin
Bisoprolol
N Acetil Cystein Allupurinol
Injeksi furosemid
Furosemid
Inf us Ringer Laktat Injeksi Omeprazol
Injeksi
metoklopramid Ciprofloxacin
Omeprazol
Metoklopramid Sucralfat
Parasetamol
Infus Ringer Laktat
Injeksi Ceftriaxon
Injeksi Ketorolak
Injeksi Omeprazol
Ulsafat
3x 20tpm 3x20tpm
1x2000mg
2x40mg 4x40mg
3x30ml
3x200mg 1x16mg
3x
1x800mg
3x500mg
1h 20tpm
1h 2000mg 1x 80mg
1x 8mg
1x 25mg 1x 20mg
1x2.5mg
3x200mg 1x100mg
1h20mg
1x40mg
1h 30tpm 2x200mg
3x10mg
2x500mg
3x20mg
3x10mg 3x15ml
3x500mg
1h 500cc
1x2000mg
2x30mg
2x40mg
3x15ml
1 1
1
1 1
1
1 1
1
1
1
1
1 1
1
1 1
1
1 1
1
1
1 1
1
1
1
1 1
1
1, 6
1, 6
1, 6
1, 6
1, 6
iv iv
iv
iv po
po
po po
po
po
po
iv
iv po
po
po po
po
po po
iv
po
iv iv
iv
po po
po
po po
iv
iv
iv
iv
po
Omeprazole+furosemid
(farmakodinami
k Sukralfat+Furos
emid
(Farmakokinetik absorbs)
Sukralfat+ciprofloxacin
(Farmakokineti
k absorbsi)
Antasida+sukral
fat
(Farmkodinami
k)
21
22
23
24
01301128
01329557
01328640
01338573
08-02-16 11-02-16
14-02-16 20-02-16
04-02-16
11-02-16
04-05-16
10-05-16
58/ L
44/ L
65/ L
57/ P
U: penyakit jantung koroner, dyspepsia
U: Hepatitis B, chroic liver
disease, febris
P: dispepsia fungsional
organic
U: HHD
P: anemia, dispepsia
U: Dispepsia
P: abdominal pain
Nyeri dada, nyeri perut
Lemas, demam
Sesak
Nyeri perut, nyeri
ulu hati
Candesartan
Uldahex
Infus Ringer Laktat Sohobion
Ranitidin
Clopidogrel Ramipril
Simvastatin
ISDN
Alprazoam
Antacid
Infus asering Infus Aminofluid
Injeksi Ciprofloxacin
Injeksi ranitiin Injeksi
Metoklopramid
Parasetamol B complex
Antacid syr
Inf RL
Inj remopain Ranitidine
Arixtra
Amlodipin Bisoprolol
ISDN
Trombo aspilet Vaclomycin
Simvastatin
Amiodaron
RL
Metoklopramid
Rantidin
B Plex
1x8mg
3x1tab
1h 10tpm 1h 1amp
1h50mg
1x1tab 1x5mg
1x10mg
2x5mg
1x0.5mg
3x15ml
1h 10tpm 1h 10tpm
2x 400mg
2x 50mg
3x500mg 3x1tab
3x15ml
1h 20tpm
2x50mg
1x2.5mg
1x5 mg 1x2.5mg
2x5mg
1x80mg 3x15mg
1x10mg
2x200mg
1h 20tpm
3x10mg
2x50mg
3x1tab
1, 6
1, 6
1 1
1
1 1
1
1
1
1
2 2
2
2
2 2
2
1
1 1
1
1 1
1
1 1
1
1
1
1
1
1
po
po
Iv Iv
Iv
Po Po
Po
Po
Po
Po
Iv Iv
Iv
Iv Iv
Po
Po Po
iv
iv iv
iv
po po
po
po iv
po
po
iv
iv
iv
po
25
26
27
01338628
01334344
00855051
05-05-16
10-05-16
04-05-16 13-05-16
09-05-16 12-05-16
63/ P
48/ L
38/ P
U: dispepsia
mixed type, vomitus
U: CMV, febris dengan vomitus
P: dispepsia
U: febris, dispepsia,
cystitis,
cholestitis
U: DF, febris,
tombositopenia P: dispepsia
Perut sebah,
muntah, pusing hilang lalu timbul
Pusing, lemas, panas dalam, mual
Badan lemas, mual, tidak
muntah
Perut sebah, badan panas, mual, tidak
muntah
Parasetamol
Novorapid
Inf tutofusin
Inf clinimix Omeprazol
Metokopramid
Sucralfat Betahistin
Aspar K
Inf RL Omeprazole
Ciprofloxacin
Metilprednisolon Ondancentron
HP pro
Dexanta syr alprazolam
inf RL inj ceftriaxon
omeprazol
parasetamol ketorolak
ambroxol
loperamid ulsafat
alprazolam
RL
Ceftriaxon Ranitidine
Dexametason
Parasetamol Ondancetron
Inj Ketorolac
Sucralfat
Antasida
Ulsafat
Beocuruf
3x500mg
3x 8-8-8IU
1h 20tpm
1x1flas 2x40mg
3x30mg
3x15ml 3x6mg
3x1tab
1h 20tpm 2x40mg
2x200mg
2x12.5mg 2x4mg
2x1tab
3x15ml 1x5mg
1h 20tpm 2x1000mg
2x40mg
3x500mg 3x30mg
3x30mg
4x4mg 3x15ml
1z0.5mg
1h 25tpm
2x1000mg 2x1amp
3x5mg
3x500mg 3x4mg
2x1amp
3x15ml
3x15ml
3x15ml
2x1tab
1
1 1
1
1 1
1
1 1
1
1 1
1
1 1
1
1 1
1 1
1
1 1
1
1 1
1
1
1 1
1
1 3
3
3
3
3
3
po
sc
iv
iv iv
iv
po po
po
iv iv
iv
iv iv
po
po po
iv iv
iv
po po
po
po po
po
iv
iv iv
iv
po po
iv
po
po
po
po
Omeprazole+alprazolam
(Farmakokineti
k Metabolisme)
Omeprazole+alprazolam
(Farmakokineti
k Metabolisme)
Antasida+dexa
metason (Farmakokineti
k absorbsi)
Antasida+ondan
setron (Farmakodinam
ik)
Sukralfat+antasi
da
(Farmakodinam
ik)
43
28
29
30
31
01025834
01298406
01314121
01208559
03-05-16
04-05-16
03-05-16
05-05-16
05-05-16 12-05-16
30-05-16
02-06-16
63/ P
37/ L
62/ L
45/ P
U: dispepsia
U: TB paru MDR
P: dispepsia
U: CHF, HHD, OMI anterior
P: dispepsia,
hiperurisemia, azotemia
U: CML+ vomitus
P: dispepsia
dismotility
Nyeri perut,
pusing, nyeri ulu hati
Dada panas,
demam, muntah
Sesak nafas, nyeri ulu hati, perut
mbseseg
Sakit pinggang,
mual, nyeri perut
Asering
Aminofluid Ceftriaxon
Nexium
Inj antrain Neurodex
Ubesartan
KSR Astinfost
Omeprazol
Domperidon
Ulsafat
NaCL0,9%
Ranitidine Parasetamol
Kanamycin
Lefovloxacin Etunamid
Cycloserin
Pirazinamid Etambutol
B6
RL Furosemid
Aspilet
Simvastatin Ramipril
Nitrocaf R
Spironolacton Alprazolam
Clopidogrel
Omeprazole Antasida
Allupurinol
Digoxin ISDN
Inf NaCL 0,9%
Ketorolak
Tasigna
1h 20tpm
1h 1flas 1x1000mg
2x1amp
k/p k/p 1x1tab
1x350mg
2x1tab 1x1tab
2x20mg
3x1tab
3x15ml
1h 500cc
2x 50mg 3x500mg
1x1000mg
3x250mg 3x250mg
3x250mg
3 ½ 500mg 3x 400mg
3x500mg
1h500cc 3x20mg
1x80mg
1x20mg 1x5mg
2x2.5mg
1x25mg 1x0.5mg
1x75mg
2x40mg 3x15ml
1x300mg
1x0.25mg 1x5mg
1h 16tpm
3x30mg
2x1tab
1
1 1
1
1 1
1
1 1
2
2
2
1
1 1
1
1 1
1
1 1
1
1 1
1
1 1
1
1 1
1
1 1
1
1 1
1
1
1
iv
iv iv
iv
iv po
po
po po
po
po
po
iv
iv po
iv
po po
po
po po
po
iv iv
po
po po
po
po po
po
po po
po
po po
iv
iv
po
Omeprazole+I
SDN
(Farmakokinetik
Metabolisme
)
Omeprazole+di
goxin
(Farmakokinetik absorbsi)
Omeprazole+simvastatin
(Farmakokineti
k distribusi)
Omeprazole+al
prazolam (Farmakokineti
k
Metabolisme)
Omeprazole+
Klopidogrell
(Farmakokinetik
Metabolis
me)
Omeprazole+
furosemide (Farmakodina
mik)
32
33
34
35
01119862
01336624
01336648
01336652
02-05-16
11-05-16
17-04-16 27-04-16
04-06-16
08-06-16
17-04-16
27-04-16
65/ P
58/ L
62/ P
42/ P
type, LBP
spesialis lumbal
U: DM tipe II,
dispepsia P: GEA
U: DM, dyspneu P: dispepsia,
anemia, CHF
U: gastritis, LBP,
post stroke
dengan spondilosis
lumbalis
P: dispepsia, gangguan
cemas dan
depresi
U: bronchitis
kronik
eksaserbasi
akut, chest pain
P: dispepsia
Pusing, nyeri perut
kanan bawah
Badan lemas, diare, mual, sesak
Nyeri perut,
kesemutan
Sesak nafas, nyeri
ulu hati
B Plex
Parasetamol Inj Omeprazol
Sucralfat
Inf NaCL 0,9%
Inj metoklopramid Sucralfat
Gabapentin
Omeprazol
KSR
CaCO3 Parasetamol
Metformin
Simvastatin aspar
inf NaCL 0,9% inj metoklopramid
inj omeprazol
inj lasix inj ceftriaxon
sucralfat
CTM Alprazolam
Inj asering
Inj ranitidin
Inj Vit B12 Sucralfat syr
Parasetamol
Amitriptilin Captopril
Inf RL
Ciprofloxacin
Metilprednisolon
Nexium
Ketorolak
3x1mg
3x500mg 2x40mg
3x15ml
1h 20tpm
3x10mg 3x15cc
1x30mg
1x20mg
3x500mg
2x500mg
1x20mg 1x1tab
1h 20tpm 3x30mg
2x40mg
3x40mg 2x1000mg
3x15ml
4mg 1x0.5mg
1h 20tpm
2x50mg
2x500mg 3x15ml
2x1000mg
1x6.25mg 3x12.5mg
1h 20tpm
2x200mg
3x6.25mg
2x20mg
2x30mg
1
1 1
1
1
1 1
1
1
1
1 1
1
1 1
1 1
1
1 3
3
3 1
1
1
1 1
1
1 1
1
1
1
1
1
po
po iv
po
iv
iv po
po
po
po
po po
po
po po
iv iv
iv
iv iv
po
po po
iv
iv
iv po
po
po po
iv
iv
iv
iv
iv
Ranitidine+B1
2
(Farmakokinetik absorbsi)
Omeprazole+si
mvastatin (Farmakokineti
k Distribusi)
Omeprazole+alprazolam
(Farmakokineti
k Metabolisme)
45
36
37
38
01336374
00682342
01334699
15-04-16
16-04-16
16-04-16
04-05-16
02-09-16
05-09-16
36/ P
77/ L
60/ L
U: dispepsia
U: colic abdomen
P: anemia, ISPA,
gastritis
U: ca paru jenis
carcinoma cell stad 4
P: gastritis,
vertigo, anemia,
metastasis ca
diotak
Nyeri ulu hati,
mual, muntah
Nyeri perut, terasa
akan kentut terus,
batuk, sesak
Batuk, nyei dada,
mual, muntah, sakit kepala
berputar
Hidonac
Ceftazidim Codipront
MST
Codein Dexanta
Cetrizin
Inf RL
Inj ranitidin
Inj metoklopramid
Inj ketorolak
NaCL 0,9%
Clinimix
Meropenem Inj ondancentron
Metilpredisolon
Novalgin Furosemid
Brainact
Neurobion Lansoprazol
Albumin
Heptamil Clopidogrel
Kalitake
Lactulac syr Parasetamol
Inf RL+sohobion
Inj metilprednisolon Inj ketorolak
Omeprazol
1x6cc
2x1000mg 2x10mg
1x1tab
3x10mg 3x500mg
1x1tab
1h 20tpm
2x500mg
3x10mg
k/p 30mg
1h 20tpm
1x1flas
3x1000mg 1x8mg
3x12.5mg
3x1amp 1x20mg
3x1amp
2x1amp 3x1amp
3x1tab
3x1tab 1x1tab
3x1tab
1x30ml 1x500mg
1h 1amp
3x 1cc 3x1amp
1x1amp
1
1 1
1
1 1
1
1
1
1
1
1
1
1 1
1
1 1
1
1 1
1
1 1
1
1 1
1
1 1
1
iv
po po
po
po po
po
iv
iv
iv
iv
iv
iv
po iviv
iv
iv iv
iv
iv iv
iv
po po
po
po po
iv
iv iv
po
Ranitidin+keto
rolak(Farmako
kinetik
Metabolism)
Lansoprazol+cl
opidogrel(Farm
akokinetik metabolisme)
39
40
41
42
01335804
01320580
01337082
01325851
11-04-16
26-04-16
05-05-16 12-05-16
11-07-16
16-07-16
01-07-16
04-07-16
72/ L
19/ P
48/ L
62/ L
U: TB, hipertensi
grade 1, gastritis P: dyspneu,
pneumonia, metastasis
ca diparu
U: gastritis P: anemia, hematosis,
urenorhagia
U: ca paru jenis
squanosa cell stad 4
P: metastasis ca
ditulang, gastritis,
hemoptisis,
hipokalsemia
U: ca paru jenis
squanosa stad
4
Nyeri ulu hati,
batuk
Badan lemas, nyeri perut, mens
banyak
Nyeri dada luar
biasa, sesak nafas, batuk darah, nyeri
ulu hati
Nyeri perut, mual,
setelah selesai
kemoterapi merasa
Inf RL
Inj ranitidine Inj ciprofloxacin
Azitromycin
Antasida syr N Asetil Cystein
Ferrous sulfat
Valsartan Spironolacton
Metilprednisolon
Ranitidine
New diatab
Inj ceftriaxon Ciprofloxacin
Neop Clinimix
Omeprazol
Sucralfat syr Asam tranexamat
Asam mefenamat
Kalnex Intenyl
Inf RL
Inf RL
Metilprednisolon Lapibal
Hidonac
Durogesic patch Codipron
Omeprazol
Inj tramadol Inj metilprednisolon
Inj kalnex
Codein Ambroxol
Inf RL+ sohobion
Omeprazol
Metilprednisolon
1h 20tpm
2x50mg 2x200mg
1x500mg
3x15ml 3x200mg
3x1tab
1x80mg 1x25mg
3x62.5mg
2x1tab
3x600mg
1x2000mg 1x 200mg
1x 20tpm 1x1amp
2x40mg
3x15cc 3x500mg
3x50mg
3x500mg 2x5mg
1h 20tpm
1h 1amp
3x1cc 1x1amp
1x7cc
1h 25meq 2x 10mg
1x20mg
3x1amp 3x1cc
2x1amp
3x1mg 3x30mg
1h 20tpm
1x40mg
3x62.5mg
10
10 10
10
10 1
10
10 10
10
1
1
1 1
1 1
1
1 1
1
1 1
1
1
1 1
1
1 1
1
1 1
1
1 1
1
1
1
Iv
Iv Iv
Po
Po Po
Po
Po Po
Po
po
Po
Iv Po
Iv Iv
Iv
Po Po
Po
Po Po
Iv
Iv
Iv Iv
Iv
Tmpel Po
Po
Iv Iv
Iv
Po po
iv
iv
po
43
44
45
01124298
00853138
01323466
24-04-16
29-04-16
18-04-16
21-04-16
17-04-16
21-04-16
65/ L
73/ P
60/ L
P: anemia,
gastritis, stomatis,
diarhe
U: gastritis,
dispepsia,
esophagitis, P: ISK, CHF,
azotermi,
melena,
dislipidemia,
iskemik inferizur
U: dispepsia,
hipertensi, anemia
P: hiponatremia,
Hipokalemia
U: CHF, dyspneu
P: dispepsia,
hiperurisemia,
OMI
mual, sariawan
Muntah 3 hari ang
lalu, nyeri perut
Mual, muntah,
nyeri ulu hati, badan panas, nyeri
perut
Sesak nafas, perut
kembung
Policrol
New diatab
Inj clinimix
Inj ceftriaxon
Inj omeprazol Inj metoklopramid
Furosemid
Fluconazol
B Plex
Aspilet ISDN
Parasetamol
Dumalfat syr NaCL 0,9%
DS 5%
Atorvastatin Sucralfat syr
KSR
Clopidogrel Ramipril
Fluconazol
Inf RL
Inj ceftriaxon Inj omeprazol
Inj ketorolak
NaCL 3% KSR
Ulsafat syr
Parasetamol Amlodipin
Alprazolam
ISDN
Inf RL
Furosemid
Omeprazol
Allupurinol
3x15ml
3x600mg
1x 1flash
1x2000mg
2x40mg 3x10mg
2x20mg
2x200mg
1x1mg
3x5mg
3x500mg
3x15ml 1h16tpm
1h16tpm
2x20mg 3x15ml
3x1mg
1x75mg 1x2.5mg
1x20mg
1h 20tpm
2x1000mg 2x40mg
3x30mg
3x1flash 1x1mg
3x15ml
3x500mg 1x10mg
2x0.5mg
3x5mg
1h 20tpm
2x20mg
2x40mg
2x100mg
1
1
1
1
1 1
1
1
1
1 1
1
1 6
6
6 1
6
6 6
6
1
1 1
1
1 1
1
1 1
1
1
1
1
1
1
po
po
Iv
Iv
Iv Iv
Po
Po
Po
Po Po
Po
Po Iv
Iv
Po Po
Po
Po Po
Po
Iv
Iv Iv
Iv
Iv Po
Po
Po Po
Po
Po
Iv
Iv
Iv
Po
Omeprazole+I
SDN(Farmako
kinetikmetabolisme)
Omeprazole+I
SDN(Farmakokinetikmetab
olisme)
Omeprazole+flu
conazol(Farmak
okinetik metabolisme)
Omeprazole+fur
osemid
(Farmakodinamik)
Omeprazole+al
prazolam (Farmakokineti
k
metabolisme)
Omeprazole+fur
osemid
(Farmakodinam
ik)
46
47
48
49
01334893
00660492
01332182
01318453
02-04-16
06-04-16
04-04-16
23-04-16
23-04-16
27-04-16
30-05-16
03-06-16
45/ P
71/ P
65/ L
59/ P
anterosepral
U: abdomen pain,
gastritis
P: dispepsia,
cholestitis
U: dyspneu+ efusi
pleura, ca paru
jenis adeno ca stad 4
P: metastasis ca
ditulang, gastritis,
konstipasi,
U: ca paru jenis
adeno ca stad 4 P: gastritis,
Hemoptosis
U: ca paru jenis
large cell stad 4
P: hemophilis,
gastritis,
Muntah, nyeri
perut, nyeri ulu
hati
Sesak, batuk,
mual, nyeri perut
Sesak nafas,
batuk, muntah, mual, nyeri ulu
hati
Mual, muntah,
sesak, batuk
N asetil Cystein
Unispas Corsel
Sucralfat syr
Valsartan Simvastatin
Aspilet
Spironolacton
Inf RL
Inj ceftriaxon
Inj antrain
Inj esofer Primfrn
Ceftazidin
HP pro Ulsafat syr
Urdafalk
Inf RL+ tramadol
Ketorolak
Neurobion Omeprazole
Antasida syr
Metilprednisolon Vectrin
Mecobalamin
Omeprazol Domperidon
Lactulac
Inf RL
Sohobion Omeprazol
Dexametason
Ambroxol Policrol syr
Inf RL
Sohobion
Omeprazol
Ketorolak
3x1tab
3x1tab 1x1tab
3x15ml
1x80mg 1x20mg
1x80mg
1x25mg
1h 20tpm
1x2000mg
2x1amp
2x40mg 3x1amp
2x1000mg
3x1tab 3x15ml
3x250mg
1h 20tpm
3x30mg
1x500mg 2x40mg
3x15ml
3x125mg 3x150mg
3x1tab
2x40mg 3x20mg
1x15ml
1h 20tpm
1x1amp 1x40mg
3x5mg
3x30mg 3x15ml
1h 20tpm
1x1amp
2x40mg
3x30mg
1
1 1
1
1 1
1
1
1
1
1
1 1
1
1 1
1
1 – 6
1 – 6
1 – 6 1 – 6
1 – 6
6-9 6-9
6-9
20 20
20
1
1 1
1
1 1
1
1
1
1
Po
po Po
Po
Po Po
Po
Po
Iv
Iv
Iv
Iv Iv
Iv
Po Po
Po
Iv
Iv
Iv Iv
Po
iv Pp
Po
Po Po
Po
Iv
Iv Iv
Po
Po Po
Iv
Iv
Iv
Iv
Omeprazole+si
mvastatin (Farmakokineti
k distribusi)
Antasida+dexa
metason (Farmakokineti
k absorbsi)
50
51
52
53
01311621
01304521
01361595
01010979
08-04-16
19-04-16
12-04-16
20-04-16
06-12-16
13-12-16
05-12-16
07-12-16
60P/
49/ P
35/ L
73/ L
polineuropati,
konstipasi
U: ca paru jenis
large cell stad
4, efusi pleura
P: vomitus,
gastritis, metastasis,
stonetis
U: ca rectin
T4, gastritis
U: PPE
P: dyspepsia ulcer
like type, headache,
elektrolit
imbalance
U: dispepsia
organik, vertigo,
vomitus
Mual, muntah,
nyeri ulu hati,
sesak, tidak nafsu
makan
Nyeri perut, mual,
muntah
Sakit kepala
berputar, sesak
nafas, nyeri perut
Mual, muntah,
nyeri kepala
Dexametason
Metilprdnosolon Ondancetron
Kalnex
Policrol Mecobalamin
Sohobion drip
Omeprazol
Ondancetron
Citicolin
Cornen 1
Inf RL
Ceftriaxon
Kalnex Ketorolak
Novalgin
Omeprazol Antasida syr
Inpepsa syr
Inf RL
Ranitidin
Cotrimoxazol Parasetamol
Asering
Clinimix Omeprazol
Metoklopramid
Sucralfat syr CaCO3
Parasetamol
Betahistin
Difenhidramin
3x10mg
3x 125ml 3x8mg
3x500mg
3x15ml 3x1tab
1h 1amp
2x1amp
3x8mg
2x500mg
1x100cc
1h 20tpm
2x1000mg
3x500mg 2x30mg
3x1amp
2x40mg 3x15ml
3x15ml
1h 20tpm
2x50mg
1x400mg 3x500mg
1h 20tpm
1x1flas 2x40mg
3x30mg
3x15ml 3x1tab
3x500mg
3x6mg
3x10mg
1
1 1
1
1 1
1
1
1
1
1
1
1
1 1
1
1 1
1
1
1
1 1
1
1 1
1
1 1
1
1
1
Iv
Iv Po
Po
Ppo Po
Iv
Iv
Po
Po
Iv
Iv
Iv
Iv Iv
Iv
iv Po
Po
Iv
Iv
Po Po
Iv
Iv Iv
Iv
Po Po
Po
Po
Po
Antasida+ondan
setron
(Farmakodinamik)
54
55
56
57
01189866
01357790
01301744
01361789
03-12-16
05-12-16
20-11-16 25-11-16
10-12-16
07-12-16
27-12-16
50/ P
56
71/ P
61/ P
U: dispepsia
organik, vomitus,
P: CHF NYHA II,
konstipasi, hipertensi stage
II
U: lupus cerebral, SLE
P: dyspepsia
U: dispepsia ulcer
like type dengan
dehidrasi,
P: anemia, hiponatremia
berat,
hipokalemia, hipoklorid
U: efusi pleura, ca
paru jenis
adeno ca stad
4
P: dispepsia, DM
Nyeri perut, mual,
muntah, pusing
Mengantuk, tidur terus, sakit kepala,
nyeri ulu hati
Tremor 2hari lalu,
mual, muntah, nyeri perut
Sesak nafas, nyeri
perut
Omeprazol
Plantasid syr CaCO3
Dulcolax
Furosemid Inf tutofusin
Inj ceftriaxon
Concor Nitrocaf
Simvastatin
Candesartan
Sucralfat syr
Clopidogrel
Inf RL Pycin
Metilprednisolon
Prosogen Koreksi NaCl
Dexanta syr
Cell ceft Cell ceft
Alprazolam
Tutofusin OPS
Kabiven Ceftriaxon
Gastrofer
Vometraz Cobazym
NaCl 3%
Furosemid Amlodipin
Lefovloxacin
Omeprazol
Ketorolak
Ondancetron
Novorapid
Parasetamol
2x40mg
3x10cc 3x1tab
1x2tab
2x20mg 2x1flas
2x2000mg
1x1tab 2x1tab
1x20mg
2x8mg
3x15ml
1x25mg
1h 30tpm 2x1000mg
2x6.25mg
2x1fial 1x3%
3x15ml
2x100ml 2x200ml
2x0.5ml
1h 20flas
3h1flas 2x2000mg
2x40mg
2x4mg 2x3000mg
1xcg
2x1flabot 1x20mg
5mg
1x750mg
2x40mg
3x30mg
3x8mg
3x500mg
1
1 1
1
1 1
1
1 1
1
1
1
1
1 1
1
1 1
1
1 1
1
1
1 1
1
1 1
1
1 1
1-11
1-11
1-11
1-11
1-11
1-11
Po
Po Po
Po
Po Iv
Iv
Po Po
Po
Po
Po
Po
Iv Iv
Iv
Iv Iv
Po
Po Po
Po
Iv
Iv Iv
Iv
Iv Po
Iv
Po Po
Iv
Iv
Iv
Iv
Sc
Po
Omeprazole+si
mvastatin (Farmakokineti
k distribusi)
Sukralfat +furosemide
(Farmakokineti
k absorbsi)
Antasida+dexa
metason
(Farmakokineti
k absorbsi)
Antasida+ondan
Omeprazole+
klopidogrel (Farmakokine
tik
metabolisme)
58
59
60
61
01359379
01333708
00986954
00890264
14-11-16
21-11-16
23-03-16
26-03-16
10-04-16
14-04-16
24-04-16
03-05-16
64/ L
71/ L
64/ L
66/ L
U: tumor paru
kanan jenis 2
P: dispepsia,
hipertensi
U: abdominal pain,
dyspepsia
P: hipertensi, hiponatremi,
hipokalemi
U: KNF, dispepsia
P: cephalgia,
hiponatremia, elektrolit
imbalance
U: chest pain, CHF
P: dyspepsia, colic abdomen
Nyeri dada kanan,
batuk, nyeri perut,
mual
Nyeri perut hilang
timbul
Mual, muntah,
nyeri kepala
Peut kembung
Metilprednisolon
Lontus Ulsafat syr
Mucostin
Ambroxol Rebamipid
Dexametason
Lefotiroxin
Raniitidin
Nebulizer ventolin
Durogesic patch
Codein Amlodipin
Fluimucyl
Curcuma Ondancetron
NaCl 0,9%
Aminofluid
Metoklopramid Ranitidine
Ketorolac
KSR Antasida
NaCl 0,9%
Ceftriaxon
Ranitidine Ondancetron
Ketorolak
Ringer Laktat
Ceftriaxone Antrain
Alinamin F
Nexium
Dexanta
Domperidon
3x1cc
3x 3x15ml
3x1tab
3x30mg 3x100mg
1amp
1x750mg
2x50mg
1h
1h 25 meq
2x10mg 1x10mg
3x1tab
3x1tab 3x8mg
1h 20tpm
1x20tpm
2x10mg 2x50mg
2x30mg
3x1tab 3x15ml
1h 20tpm
2x1000mg
2x500mg 2x8mg
2x30mg
20tpm
1000mg 1000mg
25ml
40mg
15ml
30ml
1tab
1-11
1 1-11
1
1-11 1
11
1
1
1
1
1 1
1
1 1
1
1
1 1
1
1 1
1
1
1 1
1
1, 5
1, 5 1
1
1
5
1
1, 5
Iv
Iv Po
Po
Po Po
Po
Iv
Iv
Tmpl
Po Po
Po
Po Po
iv
iv
iv iv
iv
po po
Iv
Iv
Iv Iv
Iv
iv
iv iv
iv
iv
po
po
po
setron
(Farmakodinamik)
62
63
64
65
01335154
01335783
01335768
01128533
00762637
05-04-16
07-04-16
22-03-16
30-03-16
13-04-16
16-04-16
05-04-16
06-04-16
11-05-16 14-05-16
21/ P
65/ L
52/ P
39/ P
80/ L
U: dispepsia, ISK
U: efusi pleura,
HCAP, TB
P: dispepsia
U: dispepsia
U: CHF, chest
pain P: dispepsia, colic
Abdomen
U: ca paru jenis large cell stad 4
P: gastritis,
cephalegia, manditis
kronis
Nyeri perut pada
ulu hati
Sesak nafas,
batuk, nyeri dada
Nyeri perut
Sesak nafas,
demam, nyeri perut
Mual akibat kemoterapi, nyeri
dada
Omeprazole
Neurobion Mucosta
Braxidin
Laxadin
Inf NaCl 0,9%
Inj omeprazol Inj ciprofloxacin
Inj ketorolak
Sucralfat syr
Ranitidin
Ceftriaxone
ciprofloxacin levofloxacin
N- Asetilsistein
KSR Inj ranitidin
Ulsafat syr
Plantasid Cefixim
Protemine
Inf RL
Inj furosemid Spironolacton
Dioxan
Alprazolam Ultilox syr
Nexium
Domperidon
inf RL inj nexium
metilprednisolon
inj ketorolak
inj leucogen
dexametason
dosetaksil
40mg
500mg 1tab
1tab
1tab
1h 20tpm
2x40mg 2x200mg
3x30mg
3x15cc
2x50mg
1x2000mg
1x400mg 1x750mg
1x20mg
2x1tab 2x100ml
3x15ml
3x1tab 2x1tab
3x1
1h 10tpm
3x20mg 1x25mg
1x80mg
1x0.5mg 3x15ml
1x20mg
3x10mg
1h 1amp 1x40mg
3x1cc
3x30mg
3x1amp
3x10mg
3x115mg
1
1, 5 1
1
1
1
1 1
1
1
1
1
1 1
1
1 1
1
1 1
1
1
1 1
1
1 1
1
1
1 1
1
1
1
1
1
iv
iv po
po
po
Iv
Iv Iv
Iv
Po
iv
iv
po po
po
po Iv
Po
Po Po
Po
Iv
Iv Po
Po
Po Po
Po
Po
iv iv
iv
iv
iv
po
po
Esomeprazole+
alprazolam (Farmakokineti
kmetabolism
e)
Esomeprazole+alprazolam
(Farmakokineti
kmetabolism
e)
Antasida+ondansetron
(Farmakodinam
ik)
Antasida+dexametason
(Farmakokineti
k absorbsi)
Esomeprazole+
karboplatin
(Farmakodinam
66
67
68
69
01284620
01141940
01333559
01323699
20-03-16 24-03-16
13-02-16
16-02-16
21-03-16
26-03-16
16-03-16
20-03-16
59/ P
54/ L
48/ P
73/ P
U: dyspneu, thyfoma
P: gastritis,
pneumonitis,
pascaradiasi,
asma akut
U: ca paru
metastasis dari
tyfoma maligna
P: gastritis
U: gastritis, melena
P: angina pectoris
U: ca paru sinistra
jenis adeno
stad 4, metastasis
P: gastritis,
Hemoptisis
Sesak berat, nyeri dada, batuk, mual,
muntah
Nyeri dada dan
nyeri ulu hati
Nyeri perut
Batuk darah
carbo
ondancetron polycol syr
alprazolam
Inf RL Ondancetron
Nexium
Metilprednisolon
Nebulizer ventolin
Antasida syr Vectrin
Inf NaCl 0,9%
Cerrevit
Ranitidine Ulsafat
Inf RL
Inj omeprazol
Fargoxin B complex
Sucralfat syr
Miozidine Fasorbid
Inf RL
Sohobion
Omeprazol Leucogen
Ondancetron
Nexium Antasida syr
Kalnex
Ulsafat syr
3x450mg
3x8mg 3x15ml
3x0,5mg
1h 20tpm 3x8mg
2x40mg
3x1cc
3x1
3x15ml 3x150mg
1h 20tpm
1x1flakon
2x50mg 2x15ml
1h 20tpm
1x 40mg
1x 1tab 3x1mg
3x15ml
2x1tab 3x ½ tab
1h 20tpm
1x1amp
2x400mg 1x1flash
3x8mg
2x1flas 3x15ml
3x500mg
3x15ml
1
1 1
1 1
1
1
1
1 1
1
1
1 1
1
1
1 1
1
1 1
1
1
1 1
4
4 4
4
4
po
po po
po
Iv Iv
Iv
Iv
Hirup
Po Po
Iv
Iv
Iv Po
Iv
Iv
Po Po
Po
Po Po
Iv
Iv
Iv Iv
Iv
Iv Po
Po
Po
ik)
Antasida+ondansetron
(Farmakodinam
ik)
Antasida+ventol
in (Farmakodinam
ik)
Sukralfat+antasi
da
(Farmakodinamik)
70
71
72
73
01318449
01320036
01329626
01333829
20-07-16
23-07-16
03-01-16
07-01-16
09-05-16 13-05-16
21-03-16 28-03-16
43/ P
72/ P
65/ P
75/ L
U: ca paru jenis
adenoid stad 4 P: efusi pleura
kanan,
gastritis, anemia
U: gastritis,
abdominal pain
P: ulcer
U: ca paru jenis squanous cell stad 4
P: gastritis, hemophilis
U: PPOK eksaserbasi akut, pneumonia
P: TB paru, gastritis,
CPC
Sesak nafas, nyeri
dada, mual nyeri ulu hati
Nyeri perut
Nyeri dada, kadang sesak ,
nyeri perut
Sesak berat, batuk
Inf RL+ sohobion
Ketorolak Dexametason
Difenhidramin
Ondancetron Antacid syr
Mecobalamin
Inf RL
Inj ranitidine
Inj pelastiz
Ondancetron Ketorolak
Inpepsa syr
Lisinopril Amlodipin
Nexium
Vit K Kalnex
Plantasid syr
Infr RL Sohobion
Nexium
Dexametason Kalnex
Ondancetron
Vectrin Polycrol syr
Braxidin
RL+ aminofilin Levofloxacin
Parasetamol
Meilprednisolon Symbicort
Vectrin
Azitromisin
1h 1amp
3x1 amp 3x2amp
3x1amp
3x8mg 3x15ml
3x1tab
1h 20tpm
2x50mg
2x1000mg
3x8mg 3x30mg
3x15ml
1xpagi 10mg 1xmalm 10mg
2x12mg
3x10ml 3x1amp
3x15ml
1h 20tpm 1x1amp
1x40mg
3x5mg 2x500mg
2x8mg
3x150mg 3x15ml
3x1tab
1h 9cc 1x750mg
2x1000mg
3x125mg 2x160mg
3x150mg
1x500mg
1
1 1
1
1 1
1
1, 2
1
1, 2
1 1
1
1 2
2
2 2
2
1 1
1
1 1
1
1 1
1
1 1
1
1 1
1
1
Iv
Iv Iv
Iv
Po Po
Po
Iv
Iv
Iv
Iv Iv
Po
Po Po
Po
Po Po
Po
Iv Iv
Iv
Iv Iv
Po
Po Po
po
iv po
iv
po po
po
po
Antasida+ondansetron
(Farmakodinam
ik)
74
75
76
77
00796103
01267556
01300072
01322505
23-02-16
26-02-16
22-02-16
22-02-16
24-02-16
09-06-16
13-06-16
42/ P
30/ P
77/ P
59/ P
U: dispepsia,
dismotyliti, vomitus, P: hipertiroid
U: typhoid fever
P: vertigo,
dispepsia,
depresi ringan
U: dyspepsia ulcer like
type, hiponatremi
P: hipertensi stage 1, glaucoma kronis, ISK,
dislipidemia,
hipokalemi
U: efusi pleura
P: hipokalemi,
dispepsia
Mual, nyeri ulu
hati
Mengeluh nyeri
perut, demam
Nyeri, mual,
pusing, diare
Sesak, berdebar,
nyeri dada
Inf RL
Ceftriaxon Ranitidine
Metoklopramid
N Aetil Cysrein Parasetamol
Propranolol
Inf RL
Inj nuerobion
Inj omeprazol
Inj opiogran Cravox
Inj difenhidramin
Ultilox syr Metigo
Cefspan
Canderin
Notrilix Sammetid
Vometa
Simvastatin Tumofudisin
Biocurciv
Cobazym Natricly
Alprazolam
Canderin Yumalsix
Assering
Broad cell Inj ranitidine
vometras
currevit inf RL
ranitidine
metoklopamid
ceftriaxon
antrain
furosemid
1h 20tpm
1x2000mg 2x5000mg
3x30mg
3x1tab 3x500mg
3x10mg
1h 20tpm
1x1amp
2x40mg
1x3mg 1x500mg
2x10mg
4x15ml 3x1tab
2x100mg
1x16mg
1x1tab 2x1tab
2x1tab
1x1tab 2x1tab
2x1tab
2x1tab 1x1tab
1x0.5mg
1x8mg 2xk/p
1x2000mg
1x20000mg 2x50mg
2x40mg
1x750mg 1h 20tpm
2x500mg
2x5mg
1x2000mg
3x1amp
2x20mg
1
1 1
1
1 1
1
1
1
1
1 1
1
1
3
3
3 3
3
3 1
1
1 1
1
1 1
1
1 1
1
1 5
1, 5
1, 5
1, 5
5
5
Iv
Iv Iv
Iv
Po Po
Po
Iv
Iv
Iv
Iv Iv
Iv
Po Po
Po
Po
Po Po
Po
Po Po
Po
Po Po
Po
Po Po
Iv
Po Iv
Po
Po iv
Iv
Iv
Iv
Iv
Iv
Ranitidin+para
setamol Farmakodin
amik
78
79
01330444
01315579
22-02-16
26-02-16
24-02-16
05-03-16
59/ P
66/ P
U: dispepsia ulcer like
type, vomitus
P: DM tipe II
U: CHF NYHA IV,
CKD stage 4
P: DM tipe II, nefropati, dispepsia,
myalgia, hiponatremi,
hipokalemi
Nyeri ulu hati,
mual, gatal-gatal
Badan lemas,
sesak, nyeri, mual,
muntah
parasetamol
KSR Ulsafat syr
Allupurinol
B plex Metilprednisolon
NaCl 0,9%
Ca glukonas
Inf RL
Inj ceftriaxon
Inj ondancetron
Omeprazol Antrain
Sukralfat syr
Glimepirid Codein
ISDN
Cetrizin Neurobion
N Asetil Cystein
Inf NaCl 0,9%
Inj ceftriaxon
Inj furosemid Inj ondancetron
Inj omeprazol
CaCO3 Asam folat
Parasetamol
Metamizol Inj ranitidine
Aspilet
Vit B12 Kidmin
Codein
Mincaspin Aminolat
Inj ca glukokor
3x500mg
3x1tab 3x15ml
1x100mg
3x1mg 3x1tab
1h 50mg
2x1amp
1h 20tpm
1x2000mg
2x4mg
2x40mg 2x1amp
3x15ml
1x2mg 2x10mg
2x2.5mg
2x1tab 2x1amp
3x1tab
1h 16tpm
1x2000mg
3x40mg 2x2mg
1x40mg
3x1tab 3x500mg
3x500mg
2x1amp 2x1amp
1x80mh
2x1amp 1x1flas
3x10mg
1x1tab 1x2tab
1x1amp
1, 5
1, 5 1, 5
1, 5
1, 5 1, 5
1
1
1, 5
1, 5
1, 5
1, 5 1, 5
1, 5
1, 5 1, 5
1, 5
1, 5 1
1
1
1,5, 8
1 1
1, 8
1, 5, 8 1, 8
1, 5, 8
1 1
1, 5, 8
1 1, 5, 8
5, 8
5, 8 5, 8
5, 8
Po
Po Po
Po
Po Po
Po
Po
Iv
Iv
Iv
Iv Iv
Po
Po Po
Po
Po Po
Po
Iv
Iv
Iv Iv
Iv
Po Po
Po
Iv Iv
Po
Iv Po
Po
Po Po
iv
Ranitidine+B1
2
(Farmakokinetik -absorbsi)
Omeprazole+B
12 (Farmakokineti
k absorbsi)
Omeprazole+fur
osemid
(Farmakodinamik)
80
81
82
01322383
00844218
01363386
09-02-16
21-03-16
14-09-2016
26-09-2016
21-02-16
25-02-16
41/ P
54/ L
37/ P
U:limpoma, dyspneu
P: dispepsia, hiponatremia,
hipokalemia, anemia
penyakit kronis,alkalosis, efusi
pleura, tumor
mediastinum
U: ca paru jenis adeno
ca stad 4
P: cerebra, metastasis, gastritis
U: SLE, vomitus
P: gastritis
Sesak nafas, nyeri
akut, batuk, nyeri perut, mual
Sesak nafas,batuk
Mual, muntah,
nyeri perut
Inf RL
Aminofluid Parasetamol
B Plex
Asam folat Codein
N Asetyl Cystein
KSR Aspilet
Inj omeprazol
Inj ciprofloxacin
Inj levofloxacin
Inj ceftriaxon Inj ketorolak
Inj metoklopramid
Inj metronidazol Inj vancomycin
Inj parasetamol
Klinimix Vancomycin
Inf RL : asering
Inj sohobion
Inj metilprednisolon Inj ceftriaxon
Extra albumin
Iressa Vip albumin
Furosemid
Lontus dumin Piracetam
Glutrop
Nacl 3% Bisolvon
Cerofloxaxun
Novorapid Elibra metal
asering
esomeprazol
ondancetron
1h16tpm
1x1flas 3x500mg
3x1mg
1x10mg 3x10mg
3x200mg
3x1tab 1x80mg
1x40mg
2x200mg
1x750mg
2x2000mg 2x30mg
3x500mg
3x500mg 2x1000mg
3x1000mg
1x1flas 2x 1000mg
1h 20tpm
1x500mg
3x125mg 1x1000mg
1x100cc
1x250mg 3x1tab
3x20mg
3x1000mgg 2x800mg
1x1000mg
1x1flas 3x200mg
1x750mg
3x0.6ml 125mg
1h 20tpm
2x4mg
3x4mg
1, 6, 11
21, 26 1, 6,
11,21, 26
1, 6, 21, 26
1, 21, 26
1, 21, 26 1, 21
1, 6,
11,21, 26
1, ,21, 26
21, 26 1, 6, 11,
21,26
21, 26 21, 26
21, 26
1, 26 26
1
1
1 1, 6, 11
1, 6, 11
1, 5 1, 5
1, 5
1, 5 1
1
1, 5 5
5
5
5
iv
iv po
po
po po
po
po po
iv
iv
iv
iv iv
iv
iv iv
iv
po po
iv
iv
iv iv
iv
po iv
po
po po
po
iv po
po
po po
iv
po
po
Antasida+ondan
setron
(Farmakodinam
83
84
85
01280488
01298576
01286608
25-06-16
01-07-16
06-01-16
11-12-16
21-12-16
63/ L
35/ P
64/ L
U: gastritis, esogafus,
melena, anemia
P: azolemia
U: CHF NYHA IV, abdominal pain
P: gastritis, imbalance
elektrolit, metabolic asidosis, hepatitis B
U: gastritis, abdominal
pain, PPOK eksaaserbasi akut,
hipokalemia,
hipokalsemia
Lemes, bab hitam,
muntah
Sesak nafas, nyeri perut
Sesak nafas, nyeri
ulu hati
Ceftriaxon
Metilprednisolon Prosogon
Ceftriaxoxin
Dexanta syr Calgay
Mekobalamin
NaCL 0,9%
Kidmin
Omeprazol
Ceftriaxone Asam tranexamat
Sucralfat syr
N- Acethylcystein Inf RL
Inj ceftriaxon
Inj Ketorolak Inj Furosemid
Inj Omeprazol
Inf NaCl Metoklopramid
Curcuma
CaCO3 Dobutamid
Inj
Methylprednisolon Inj Metronidazol
Inj Levofloxacin
Inf NaCl 0,9%
Inj Ranitidin Furosemid
Candesartan
Inj Ceftriaxon Amlodipin
CaCO3
Inj Asam Laktat
Methylpredisolon
Azitromisin
2x1000mg
2x125mg 2x1amp
2x1000mg
3x1tab 2x1tab
2x1tab
1h 16tpm
1x1flas
3x80mg
1x2000mg 3x500mg
3x1cc
3x200mg 1h 20tpm
1x 200mg
2x20mg
2x40mg
3%
3x1tab
3x1tab 1h 2cc
3x20mg
3x500mg
2x750mg
1h 16tpm
2x50mg 2x40mg
1x16mg
1x25mg 3x10mg
3x
3x50mg
3x62.5mg
1x500mg
5
5 5
5
5
1
1
1
1 1
1
1 1
1
1
1
1
1 3
3
3 3
1, 6
1, 6
1 1, 6
1
1, 6 1, 6
6
6
6
6
1
po
po po
po
po po
po
iv
iv
iv
iv iv
po
po iv
iv
iv iv
iv
iv iv
po
po iv
iv
iv
iv
iv
iv iv
po
iv iv
po
iv
iv
po
ik)
Omeprazole+furosemid
(Farmakodinam
ik)
86
87
88
89
01345404
01216582
01320027
01363502
11-07-16 24-07-16
27-09-16
01-10-16
08-01-16
16-01-15
22-12-16
24-12-16
53
30
60/ L
65/ L
U: ca paru, tumor paru, gastritis,
hipertensi
U: SLE, dyspepsia,
chepalgia kronis
U: ca paru jenis adeno
ca stadium 4 P: hipokalemia,
metastasis ca di otak
dan di vertebre, gastritis
U: ca paru, PPOK
eksaserbasi akut,
tumor paru
P: gastritis
Sesak nafas, nyeri perut
Nyeri kepala,
mual, muntah,
nyeri sendi
Sesak, mual, batuk
Sesak nafas, nyeri
ulu hati
NaCl 0,9% N- Acethylcystein
Curcuma
KRS Parasetamol
Natrium Diklofenak
Ranitidin
Inf Asering
Inj Ceftizoxim
Inj
Methylprednisolon Inj Ketorolak
Inj Omeprazol
Inj Ondancetron Inj Prosogon
N Moncort
Natrium Diklofenak Deplocote
Celetif
Tramadol Antasida
Braxidin
Inf NaCl 0,9%
Inj Methylprednisolon
Neurobion
Levofloxacin Piracetam
Difenhidramin
Ondancetron Vip Albumin
Inf RL
Inj
Methylprednisolon
Inj Ceftriaxon
Inj Ketorolak
Nebulizer
1h 20tpm 3x20mg
3x1tab
2x1tab 3x500mg
500mg
2x
1h 1000mg
2x62.5mg
2x30mg 2x40mg
2x8mg
2x30mg 2x1tts
3x50mg
2x250mg 2x250mg
2x15ml
2x1tab 3x
2x
1h 16tpm
3x 125mg
1x 1amp
1x500mg 1x800mg
1x10mg
3x8mg 3x1tab
1h 20tpm
3x62.5mg
2x1000mg
3x30mg
3x20tts
1 1
1
1
1
1
1
1
1
1, 7
1, 7 1, 7
1, 7
1, 7 7
1, 7
1
1 1
1 1
1
1 1
1
1
1
1
1
1
iv po
po
po po
po
po
iv
iv
iv
iv
iv
iv iv
iv
po po
po
po po
po
iv
iv
iv
iv po
iv
po po
iv
iv
iv
iv
hirup
Ranitidine+Na diklofenak
(Farmakodina
mik)
Antasida+ondan
setron
(Farmakodinam
ik) Antasida+klordi
azepoksida
(Farmakodinamik)
90
91
92
93
94
01348089
0151363
00914397
01240434
01347906
09-12-16
14-12-16
28-09-16
01-10-16
04-10-16
10-10-16
16-08-16 23-08-16
10-10-16
13-10-16
62/ L
35/ P
58/ P
64/ L
15/ P
U: ca paru jenis adeno
ca stadium 4, GEA dehidrasi sedang
dengan ca paru
L: gastritis, vomitus
U: ca metastasis ke
paru, efusi pleura,
gastritis
U: vomitus, gastritis
P: proktitis,
hemorrhoid interna, colitis
U: vomitus, chronic hepatitis B
P: dyspepsia, chronic
liver disease
U: SLE, gastritis
BAB cair > 15x,
mual, muntah
Sesak nafas, batuk
dahak, nyeri perut
Nyeri perut kanan
bawah, mual,
susah BAB
Mual, muntah, nyeri perut di ulu
hati
Nyeri perut, mual,
muntah, sesak,
lemas
Inf RL
Inj Omeprazol Inj Nexium
Plantasid tab
New Diatab Braxidin
Amodium
Vectrin Cobazym
Inf RL+aminofilin
Meropenem
Inj Methylprednisolon
Inj Ketorolak
Ambroxol Infus Ringer Laktat
Injeksi Clinimix
Injeksi Ceftriaxon Injeksi Ketorolak
Injeksi Ranitidin
Sukralfat sirup Salofalk
Injeksi Levofloxacin
Injeksi Metoklopramid
Laktulak sirup
Injeksi Buscopan
Infus Ringer Laktat Injeksi Ondancetron
Injeksi Ceftriaxon
Petidin Liver Prime
Sebivo
Ricover L Carnitin
Infuse DS
Injeksi Ranitidin
Injeksi
1h 20tpm
2x40mg 2x40mg
4x1tab
3x600mg 3x1tab
3x1tab
3x150mg 1x300mg
1h 20tpm
3x1000mg
3x12.5mg
3x30mg
3x30mg 1h 16tpm
1x 100mg 1x2000mg
1x30m
2x50mg 3x15ml
2x500mg
1x500mg 5mg
3x10ml
3x 3x
1h 500mg 2x4mg
1x2000mg 1x50mg
1x1tab
1x600mg 1x300mg
2x500mg
1h 20tts
2x50mg
2x12.5mg
1
1
1
1 1
1
1 1
1
1
1
1
1 1
1
1 1
1
1 1
1
1
1
1 1
1 1
1 1
1
1 1
1
1
1
iv
iv iv
po
po po
po
po po
iv
iv
iv
iv
po iv
iv
iv iv
iv
po po
iv
iv
po
iv
iv iv
iv iv
po
po po
po
iv
iv
iv
Omeprazole+kl
ordiazepoksida (Farmakokineti
k
metabolisme) Antasida+klordi
azepoksida
(Farmakodinamik)
95
96
97
01226862
01358567
01342389
05-09-16
15-09-16
05-11-16 13-11-16
45/ P
60/ L
54
U: bronchitis, gastritis,
gagal nafas
P: hiponatremia
U: anemia aplastik, hematomasis,
trombositopenia
P: leucopenia, gastritis, hiponatremia
U: ca paru jenis adeno
ca stadium 4 P: gastritis
Sesak nafas, batuk
dahak, nyeri perut
Lemas, BAB hitam, nyeri perut
Batuk, sesak, kaki
bengkak, perut mbeseseg
Methylprednisolon
Omeprazol
Injeksi Ciprofloxacin
Injeksi Ranitidin
N- Acethylcystein Injeksi
Methylprednisolon
Infus NaCl 0,9%
Infus NCl 0,9% Injeksi cefriaxon
Injeksi Omeprazol
Asam Tranexamat Vitamin K
Dexametason
Leucogen Injeksi
Methylprednisolon
Amlodipin Ulsafat sirup
Parasetamol
Asam Folat Injeksi Ondancetron
Infus NaCl 0,9%
Injeksi Ranitidin Injeksi Ketorolak
Injeksi Levofloxacin
Injeksi Methylprednisolon
Furosemid
Albumin
2x20mg
2x250mg
2x40mg
3x20mg 3x62.5mg
1h 2otpm
1h 30tpm 2x1000mg
2x40mg
500mg 3x10mg
3x5mg
3x1fial 3x62.5mg
1x10mg 3x15ml
3x500mg
3x5mg 3x4mg
1h500mg
2x50mg 3x30mg
750mg
1x62.5mg 3x20mg
2x 25%
1
1 1
1, 7
1, 7
1, 7
1
1, 7
1, 7
1, 7 7
1 1
1
1
1
1 1
1
1
1
1 1
1
1 1
1
1
po
iv
iv
po iv
iv
iv iv
iv
po po
iv
iv iv
po po
po
po iv
iv
iv iv
iv
iv
po
98
99
100
101
01358801
01325434
01294756
01310225
13-12-16
17-12-16
06-01-16
09-01-16
21-02-16 27-02-16
06-09-16
10-09-16
77/ L
70/ L
61/ L
69/ L
U: ca paru jenis adeno
ca stadium 4 P: gastritis, anemia
U: ca paru jenis adeno
ca stadium 4 P: hemoptosis,
gastritis
U: dyspneu, ca paru kiri jenis adeno ca
stadium 4
P: metastasis otak, efusi pleura, DM tipe
II, gastritis
U: ca paru
P: gastritis,
Batuk, sesak,
tangan kanan kemeng/ pegal
Sesak, batuk
darah, nyeri perut
Sesak nafas, mual, muntah, sulit
makan,
Batuk, nyeri dada
kanan, mual,
muntah
Infus Ringer Laktat
Sohobion Injeksi Omeprazol
Injeksi Ketorolak
Injeksi Methylprednisolon
Dexametason
Difan Ondancetron
Ulsafat sirup
MST
Ringer Laktat
Ketorolak Levofloxacin
Dexametason
Injeksi Dexametason Injeksi
Difenhidramin
Ondancetron Paklitasel
Karboplatin
Infus Aminofilin Injeksi
Methlprednisolon
Injeksi Meropenem Sohobion
Hidonac
Paracetamol Novorapid
Injeksi Furosemid
Alganax
Infus NaCl 0,9%
Injeksi Clinimix
Paracetamol
1h 500mg
1x1amp 2x40mg
3x30mg
3x62.5mg
3x10mg
3x1amp 3x8mg
3x15ml
2x1tab
1h 500mg
3x30mg 1x750mg
2x10mg
2x10mg
2x10mg
2x8mg
2x270mg
2x450mg
1h 20tpm 3x62.5mg
3x1000mg 1x1amp
1x6cc
3x500mg 1x
1x50mg
1x0.5mg
1h 500mg
1x20tpm
3x500mg
1
1 1
1
1
1
1 1
1
1
1
1 1
1
1 1
1
1
1
1
1 1
1
1
1 1
1
1
1
1
1
iv
iv iv
iv
iv
iv
iv po
po
po
iv
iv po
po
iv
im
po
po
po
iv iv
iv iv
iv
po po
iv
po
iv
iv
po
102
103
104
105
01325843
01333829
01319998
01239493
09-01-16 15-01-16
23-03-16 28-03-16
10-03-16
13-03-16
03-02-16 10-02-16
20/ P
75/ L
57/L
57/ P
U: kejang dengan tuberculosis,
meningitis akut
P: gastritis
: pneumonia, PPOK eksaserbasi akut
P: tuberculosis paru,
CPC, gastritis
U: ca paru jenis adeno
ca stadium 4
P: gastritis
U: asam eksaserbasi akut, bronchitis kronik
eksaserbasi akut
P: gastritis, hipertensi
Batuk, sesak, nyeri ulu hati
Sesak nafas, perut
sering kembung
Sesak, perut kembung
Codein
B Complex
Ringer Laktat Neolin
Injeksi
Myehylprednisolon Injeksi Fenitoin
Ceftazidim
Otozol
Streptomisin
Meloxicam Asam Mefenamat
Rifampisin
INH Etambutol
Pirazinamid
Infus Ringer Laktat+ aminofilin
Levofloxacin
Paracetamol Methylprednisolon
Symbicort
Vectrin Azitromisin
Antasida
Infus Ringer Laktat+
neurobion
Injeksi Dexametason Injeksi Ondancetron
Injeksi omeprazole
Infus Ringer Laktat+ aminofilin
Injeksi Ceftriaxon
Injeksi
Methylprednisolon
Antasida
Injeksi Levofloxacin
3x10mg
3x1flas
1h 500cc 3x500mg
3x125mg
2x50mg
2x1000mg
2x1amp
1x1000mg
1x15mg 3x500mg
1x450mg
1x350mg 1x500mg
1x500mg
1h 500cc 1x500mg
3x10000mg
3x125mg 2x2tab
3x150mg
1x500mg
3x15mg
1h 500ml
3x5mg
3x2mg
3x40mg
1h 500cc
1x2000mg
3x125mg
3x1cc
1x750mg
1
1
1 1
1
1
1
1
1
1
1 1
1
1 1
1
1
1
1
1
1
1
1 1
1
1 1
1
1
1
1
1
1
po
po
iv iv
iv
iv
po
iv
po
po po
po
po po
po
iv po
iv
po po
po
po
po
iv
iv
iv
iv
iv
iv
iv
po
iv
106
107
108
109
01282605
01351146
01353409
01347144
14-12-16
17-12-16
28-11-16 03-12-16
09-10-16
13-10-16
09-09-16
13-09-16
40/ L
58/ L
38/ L
60/ P
U: gastritis, aritema
P: OA
U: ca paru jenis adeno ca stadium 4
P: akut kronik kidney
disease, gastritis, anemia
U: tumor paru,
P: hemoptosis,
gastritis
U: ca paru jenis adeno
ca stadium 4
P: DM, hipertensi,
gastritis, polineuropati
Nyeri ulu hati
Nyeri dada, mual
Sesak nafas, batuk
darah, nyeri ulu
hati
Sesak nafas,
batuk, nyeri dada
nonjok, nyeri uku
hati
Hidonac
Amlodipin Vectrin
Infus NaCl 0,9%
Injeksi Meetoklopramid
Injeksi Omeprazol
Antasida
Domperidon
Laktulak
Infus Ringer Laktat Injeksi Sohobion
Injeksi
Metilprednisolon Ketesse
Neprosteril
Infus NaCl 3% Durogesik patch
Omeprazole
Pro Renal Asam Folat
NaCl Kapsul
Parasetamol Pronalges
Infus NaCl 0,9%
Ijneksi Levofloxacin
Codipront Kalnex
Infus Ringer
Laktat+aminofilin
Injeksi
Metilprednisolon
Ketorolak
Injeksi Levofloxacin
1x6cc
1x5mg 3x1tab
1h 20tpm
1x5mg
2x40mg
3x15ml
3x30mg
3x1tab
1h 20tpm 1x1amp
3x1cc
3x12.5mg
1x1las
1x50cc 1h 20mg
1x40mg
3x1tab 2x5mg
3x1cap
4x1000mg 2x1tab
1h 20tpm
1x750mg
2x20mg 3x 500mg
1h 20tpm
3x 1cc
3x1amp
1x750mg
1
1 1
1
1
1
1
1
1
1 1
1
1 1
1
1
1
1
1 1
1
1
1 1
1
1
1
1
iv
po po
iv
iv
iv
po
po
po
iv iv
iv
iv
iv
iv temple
po
po po
po
po po
iv
iv
po po
iv
iv
iv
iv
110
111
112
00758405
00897399
00818669
10-10-16
15-10-16
19-04-16 26-04-16
15-11-16
20-11-16
58/ P
32/ P
43/ P
U: GEA, DIST
P: SLE, gastritis
U: SLE, ISPA, gastritis
U: DHP I, dispepsia
P: hipokalemia,
gastritis, peingkatan
enzim transaminase
Badan panas
selama 2 malam, nyeri perut, nyeri
lutus, mual,
muntah, diare
Mual, muntah, nyeri sendi
Badan panas,
sesak, lemas,
mual, muntah
Insulin
Sohobion Levemir
Novorapid
Injeksi Ondancetron Ambroxol
Policrol
Injeksi Dexametason Laxadin
Trimetazidim
Amlodipin
Alprazolam
Infus Ringer Laktat
Injeksi Ciprofloxacin Injeksi
Metilprednisolon
Prosogon Ketesse
Disolf
Vonosidil Tourontal
Neural
Amlodipin New Diatab
Sanmol
Dexanta
Infus Ringer Laktat Injeksi Ceftriaxon
Injeksi
Metilpednisolon Injeksi Omeprazol
Injeksi Furosemid
Dexanta
Infus Ringer Laktat
Injeksi Omeprazol
Injeksi Ondancetron
Antrain
1h 1amp 1x 15UI
3x8mg
3x30mg
4x15ml 3x10mg
2x15ml
2x35mg
1x10mg
Ih 30tpm
2x40mg
2x125mg
2x1amp
1x25mg
1x1tab 1x1cap
1x400mg
1x50mg 2x10mg
2x1200mg
3x15ml
1h 20tts
2x1000mg
2x1cc
2x40mg
1x20mg 3x
1h 30tpm
2x40mg
2x8mg
1
1 1
1
1
1
1 1
1
1, 8
1, 8 1, 8
8
1 1
1
1 1
1
1, 8 1, 8
8
8
1 1
1 1
1
1 1
1
1
1
1
iv
iv iv
iv
po
po iv
po
po
po
po
iv
iv iv
iv
po po
po
po po
po
po po
po
iv
iv
iv
iv
iv po
iv
iv
iv
Antasida+ondan
setron
(Farmakodinam
ik)
113
114
115
01360783
01355052
01357400
22-12-16
30-12-16
07-11-16
15-11-16
25-10-16
13-11-16
79/ P
69/ L
41/ P
U: ca paru stadium 4
P: gastritis, anemia,
hiponatremia,
hipokalemia, pneumonia
U: gastritis
P: hiponatremia, hipokalsmia,
hipokalemia
U: metastasis ca paru,
vomitus
P: gastritis, depresi
Badan lemah,
tidak nafsu makan,
sesak, batuk mual,
nyeri perut
Tidak sadar
Sesak nafas, mual,
muntah, batuk,
nyeri dada
Injeksi ranitidin
Injeksi Metilprednisolon
Urdafak
HP Pro Colescar
Antasid
Plantasid
Infus Ringer Laktat+
KCL
Sohobion
Injeksi Ceftriaxon Injeksi Omeprazol
Codein
Ulsafat Antasida
Braxidin
Injeksi Ketorolak Injeksi
Metilprednisolon
Infus D5%
Infus RL Infus Clinimix
Ceftriaxone
Metronidazol Metilprednisolon
Aspilet
Parasetamol Ca glukonas
Omeprazol
Sukralfat KSR
Asam Tranexamat
RL:D5+sohobion
Ondancetron
Omeprazol
Sohobon
Fluoxetin
3x100mg
2x50mg 2x62.5mg
2x250mg 2x1tab
3x2tab
3x15ml 3x15ml
1h 40tpm
1x25mg
1x1amp 1x2000mg
1x40m
1x10mg 3x15ml
3x15ml
3x1tab 3x30mg
3x1c
1h 1flas
1h 2000mg 1x500mg
1x20mg
3x80mg 3x500mg
1x1amp
3x8mg 1x
3x
3x15ml 3x600mg
3x500mg
1h 8mg
3x
1x40mg
1x1amp
1x20mg
1
1
1
1 1
1
1 1
1
1
1
1
1
1
1
1
7
7
7
7 7
7
1 1
1
1 1
1
1
1
1
1
iv
iv iv
po po
po
po iv
iv
iv
iv iv
iv
po po
po
po iv
iv
iv iv
iv
iv iv
po
po iv
iv
po po
iv
iv
iv
iv
iv
po
Sukralfat+antasi
da (Farmakodinam
ik)
Omeprazole+kl
ordiazepoksida
9Farmakokineti
k metabaolisme
)
Antasida+klordiazepoksida
(Farmakodinam
ik)
116
117
118
119
01360241
01086758
01352482
01358876
22-11-16
28-11-16
24-11-16
29-11-16
28-11-16
30-11-16
08-11-16
15-12-16
68/ L
68/ P
20/ P
65/ L
U: tumor paru
P: hipertensi, gastritis,
bronkopneumoni
U: gastritis, anemia
P: esophagus
U: tumor paru, ca paru
jenis adno ca stadium
4 P: gastritis
U: pneumonia,
anemia, hipoalbumin,
hiponatremia, hipokalemia
Batuk, sesak
Badan lemas
Dada sesak
Nyeri dada kanan,
sesak nafas
Lodomer
Kabiven Rimstar
Ambroxol
Antasida Metilprednisolon
Metilprednisolon
Piracetam
RL
Sohobion
Parasetamol Levofloxacin
Metlprednisolon
Azitromisin Vectrin
Amlodipin
Irbesartan Alprazolam
Infus NaCl
Omeprazol
Sukralfat Captopril
Infus NaCl
Omeprazol
Metilprednisolon Biocurve
Levofloxacin
Metronidazol
Parasetamol Morfin
Metamizol
Neurodex
Albumin
Lasix
Nacl
1x5mg
1x 3x1tab
3x1tab
3x15ml 3x1cc
3x125mg
3x1000mg
1h 20tpm
1x1amp
3x1000mg 1x750mg
3x1ccc
1x1tab 3x1tab
1x5mg
1x150mg 1x0.5mg
1h 20tpm
2x40mg
3x10cc 3x 6.25mg
1h 20tpm
1x 40g
3x1tab 2x1tab
1x750mg
3x500mg
3x1000mg 1x10mg
1x500mg
1x1tab
1x25mg
1x5mg
1x20tpm
1
1 1
1
1 1
1
1
6
6
6 6
6
1 1
1
1 1
1
1
1 1
1
1
1 1
12
12
12 12
12
12
12
12
12
im
iv po
po
po iv
po
po
iv
iv
po po
iv
iv po
po
po po
po
iv
po
po po
iv
iv
po po
iv
iv
iv po
po
po
iv
iv
iv
120
121
01340751
01358548
21-10-16
29-10-16
06-11-16
16-11-16
66/ L
49/ L
U: melena, esogaus
P: pangastritis
duodenitis, ipokalemia,
hipoalbumin, anemia,
trombositopenia
U: esophagus
P: gastritis, anemia,
efusi pleura
Muntah darah
BAB hitam, sesak
nafas
Clinimix
Curcuma B Complex
Ranitidine
Laktulak Sukralfat
KSR
Metronidazol Cotrimoxazol
Albumin
Ciprofloxacin
Fluconazol
Aminofluid Parasetamol
Ceftriaxon
N- Acetilsistein NaCl
Clinimix
Ciprofloxacin Ranitidine
Curcuma
B Complex Sukralfat
KSR
Fluconazol Omeprazol
Infus Nacl
Omeprazol
Vit K Propanolol
Curcuma
Laktulak Spironolakton
NaCl 0,9%
N-Asetilsistein
Ranitidine
Curcuma
Levofloxacin
Albumin
1x20tpm
3x1tab 3x1tab
2x1tab
1x1tab 3x15ml
2x1tab
3x500mg 2x960mg
1x25mg
2x200mg
1x200mg
1x1 3x500mg
1x20mg
3x20mg 1h 20tpm
1x 20tpm
2x 200mg 2x 50mg
3x 1tab
3x1tab 3x15ml
2x1tab
1x1tab 2x40mg
1h 20tpm
2x40mg
3x1000mg 3x10mg
3x1mg
3x15ml 2x100mg
3x 500cc
3x 200mg
2x50mg
3x1tab
1x750mg
3x25mg
12
12 12
12
17 17
17
17 34
34
34
34
34 34
34
34 34
34
1
1
1 1
1
1 1
1
1
1 1
1
1 1
1
1
1
1
6
6
iv
po po
iv
po po
po
iv po
iv
iv
iv
iv po
iv
po iv
iv
iv iv
po
po po
po
po iv
iv
iv
iv po
po
po po
iv
po
ov
po
iv
iv
122
123
124
125
01348246
01286832
01352759
01355892
23-11-16 25-11-16
07-11-16 10-11-16
13-09-16 16-09-16
11-10-16
14-10-16
60/ L
69/ L
16/ P
23/ L
U: ca paru jenis adeno ca stadium 4
P: gastritis
U: tumor paru P: TB paru, PPOK
eksaserbasi, gastritis
U: SLE, pneumonia P: gastritis
U: vomitus, gastritis
P: hipertensi
Lemas, nyeri dada
Batuk
Sesak nafas, batuk, mual
Muntah, mual,
lemas, pusing
Kidimin
Asam Tranexamat Vit K
NaCl 3%
Omeprazol Vit K
Propanolol
Infus D5% Aminofluid
Ceftriaxon
Lefovloxacin
Omeprazol
Spironolakton Furosemid
Curcuma
N-Asetilsistein Laktulak
Ringer Laktat Ketorolak
Novorapid
Sohobion Dexametason
Codein Dexametason
Levofloxacin
Ambroxol OBH
Ketorolak
A Bocath NaCl 0,9%
NaCl 0,9% Cefotaxim
Metilpednisolon
Prosogon Codein
Parasetamol
Dexanta
Ringer Laktat
Prosogon
1x1flas
3x500mg 3x1amp
3x
2x40mg 3x20mg
2x20mg
3x16tpm 1x1tpm
1x2000mg
1x750mg
2x40mg
2x100mg 3x20mg
3x1tab
3x200mg 3x15ml
3x20tpm 3x30mg
1x1amp 3x2amp
2x10mg
2x500mg
3x30mg 3x15ml
3x30mg
3x20tpm
3x20tpm 2x1000mg
2x125mg
2x 3x10mg
3x500mg
3x15ml
3x20tpm
2x1flas
6
6 6
6
6 6
6
6 6
6
1
1 1
1
1
1
1 1
1
1 1
1
1 1
1
1 1
1
1 1
1 1
1
1 1
1
1
1
1
iv
po iv
iv
iv iv
po
iv iv
iv
iv
iv
po iv
po
po po
iv iv
po
iv iv
po iv
po
po po
iv
iv
iv iv
iv
iv po
po
po
iv
iv
Antasida+ondan
setron
126
127
128
01335174
01054754
01023176
13-09-16 23-09-16
14-07-16 25-07-16
26-08-16
03-09-16
73/ L
52/ P
29/ P
U: dyspnoe, ca paru stadium 4
P: efusi pleura,
pneumonia, hipertensi,
gastritis
U:vomitus, ca ovarium P: metastasis ca paru,
efusi pleura, gastritis,
anemia
U: anemia, sirosis
hepatic
P: efusi pleura, gastritis,
trombositopenia
Sesak nafas
Sesak nafas, mual
Badan lemas,
perut mbeseseg,
pusing, nyeri perut
Ondancetron
Antrain Dexanta
Sukralfat
Candesartan Herbesser
Asering+amonofilin Levofloxacin
Metilprednisolon
Ketorolak
Ondancetron
Ceftazidim Hidonak
Furosemid
Nebulizer Omeprazol
Policrol
Ambroxol Avelox
Tutofusin Ceftriaxon
Ketesse
Opigran Furosemd
Durogesic
MST Vectrin
NaCl+aminofilin
Ceftizoxim
Prosogon Antrain
Furosemid
Metilprednisolon Ketorolak
Codein
Ulsafat
Domperidon
Propanolol
Apironolakton
2x8mg
2x1amp 3x15ml
3x15ml
1x16mg 1x200mg
3x20tpm 3x750mg
3x62.5mg
3x30mg
3x4mg
2x1000mg 1x6cc
1x20mg
3x 2x40mg
3x15ml
3x15ml 1x400mg
3 20tpm 2x
3x1amp
2x8mg 2x40mg
1x25mg
2x1tab 3x1tab
3x20tpm
2x1000mg
2x40mg 2x1amp
2x1amp
2x62.5mg 1x30mg
3x10mg
3x15ml
2x1tab
2x10mg
1x100mg
1
1 1
1
1 1
1 1
1
1
1
1
1
1 1
1
1 1
1
1 1
1
1 1
1
1 1
1
1
1 1
1
1
1
1
1
1
1
iv
iv po
po
po po
iv iv
iv
iv
iv
po iv
po
3x 2x
3x
3x 1x
Iv Iv
Iv
Iv Iv
Empel
Po Po
Iv
Po
Iv Iv
Iv
Po Po
Po
Po
po
Po
Po
(Farmakodinam
ik)
Antasida+ondansetron
(Farmakodinam
ik)
129
130
131
01284717
01262703
01354597
15-09-16
18-09-16
29-10-16
07-11-16
01-10-16
06-10-16
61/ L
61/ L
56/
U: CHF, PPOK
eksaserbasi P: gastritis
U: HCAP, dyspnoe,
TB, gastritis, headache
U: DM
P: gastritis, herpes
zoozster
Sesak nafas
Sesak nafas, batuk
Nyeri bibir dan
wajah, mual,
herpes diwajah
Ondacetron
Ringer Laktat
Levofloxacin Metilprednisolon
Omeprazol
Nebulizer Nitrokaf
Furosemid
Nacl
Levofloxacin
Ceftriaxon N- Asetilsistein
Paraetamol
Candesartan Simarc
Asam Tranexamat
Ranitidine Vit K
Vit C
Digoxin Omeprazol
Sukralfat
Ringer Laktat
Clinimix
Proogon Neurobion
Ondancetron
Nexium Lontus
Imbost
Alprazoam Ulsafat
Valtex
Parasetamol
Amlodipin
Forge
2x8mg
3x14tpm
1x500mg 3x125mg
1x40mg
4x3cc 2x1tab
1x40mg
3x20tpm
1x700mg
1x2000mg 3x200mg
3x500mg
3x16mg 3x
3x500mg
2x500mg 3x1amp
3x
3x 3x
3x15ml
3x20tpm
1x2fla
1x40mg 2x1amp
1x8mg
3x40mg 2x16mg
1x1tab
1x0.5mg 3x15ml
3x2tab
3x500mg
1x10mg
3x1tab
1
1
1
1 1
1
1 1
1
1
1
1 1
1
1 1
1
1
1 1
1
1
1
1 1
1
1 1
1
1
1
1
1
1
Po
Iv
Iv Iv
Iv
Hirup Po
Po
Iv
Iv
Iv Po
Po
Po Po
Po
Iv Iv
Po
Po Po
Po
Iv
Iv
Iv Iv
Iv
Iv Po
Po
Po Po
Po
Po
Po
Ranitidin+Para
setamol
(Farmakodinamik)
132
133
134
01353780
01354314
01346538
23-09-16
05-10-16
10-11-16
15-11-16
20-07-16
30-07-16
62/ L
74/ L
75/ L
U: vomitus, bistomi
P: dispepsia, hipertensi
U: dyspneu, anemia,
ca paru jenis adeno ca stadium 4
P: efusi pleura,
melena, gastritis, trombositopenia
U: tumor paru, PPOK
eksaserbasi
P: anemia,
hipoalbumin, gastritis
Nyeri kaki, mual,
muntah, lemas
Sesak nafas, batuk
Sesak
nafas, batuk
NaCl 0,9%
NaCl 3% Ceftriaxon
Omeprazol
Asam folat Sukralfat
Aspar K
Metoklopramid Domperidon
B complex
CaCO3
Parasetaml
Bisoprool Vit K
Asam Tranexamat
KSR Ketorolak
Fit Bone
Ca Glukonas
Sukralfat
Durogesik Salbutamol
Ca glukonas
Esomeprazol Hidonak
Inpepsa
Kalnex Imodium
New Diatab
Aminofilin Meropenem
Parasetamol
Ambroxol Ringer Laktat
Braxidin
NaCl 0,9%
N- Asetisistein
Aminofilin
B Complex
Albumin
Fluconazol
2x16tpm
2x16tpm 1x2000mg
2x40mg
1x80mg 3x15ml
3x1tab
3x10mg 1x25mg
3x1tab
3x1tab
3x500mg
1x2.5mg 3x1amp
3x500mg
3x1tab 3x30mg
1x1flas
3x1amp
3x15ml
3x25mg 3x10mg
3x
2x40mg 2x
3x15ml
3x 3x
3x
3x 3x
3x500mg
3x30mg 3x20tpm
3x1tab
2x20tpm
3x200mg
1x1flas
3x1tab
3x25mg
1x200mg
1
1 1
1
1 1
1
5 5
5
5
5
5 5
5
1
1
1
1
1 1
1
1 1
1
1 1
1
1 1
1 1
1
1
1
1
6
6
6
Iv
Iv Iv
Iv
Po Po
Po
Iv Po
Po
Po
Po
Po Iv
Iv
Po Iv
Po
Po
Po
Temple Po
Po
Iv Po
Po
Po Po
Po
Po Po
Po
Po Po
Po
Iv
Po
Iv
Po
Iv
Iv
135
136
137
138
01346009
01111041
01335617
01313339
15-07-16
26-07-16
10-05-16
15-05-16
11-05-16
14-05-16
09-05-16
13-05-16
72/ L
78/ L
66/ P
68/ L
U: hematemesis,
melena, lkus
P: anemia, gastritis
U: febris, vomitus,
ISK, dispepsia, CHF, hipertensi
U: glaucoma, OA
P: dispepsia, HHD,
spondilosis lumbalis
U: dispepsia, vomitus,
gastritis
P: ukus, HHD
Muntah, lemas,
mudah capek,
BAB hitam
Demam, mual,
muntah, lemas, nyeri dada, sesak
Pandangan mata
kiri kabur, mual,
nafsu makan menurun, pusing
Perut mual,
muntah, peut
mbeseseg, nafsu
makan menurun
Ceftazidim
NaCl 0,9%
Prosogon
Ceftazidim Ulsafat
Citicolin
Cernevit Vit K
Smastotatin
Simvastatin
Laktulak
Kalnex Ca Glukonas
Lasix
Asam tranexamat
Tutofusin: Ringer
Laktat Ranitidine
Metoklopramid
Ceftriaxon Parasetamol
Candesartan
Amlodipin N- Asetilsistein
Ringer Laktat
Ondancetron
Antrain Omeprazol
Cernevit
Fitbone Ulsafat
Levofloxacin
Timolol Kaltrofen
Ringer Laktat
Clinimix
Prosogon
Amlodipin
3x1000mg
2x20tpm
2x30mg
2x1000mg 3x15ml
2x500mg
11flas 2x1amp
2x250mg
1x1amp
3x15cc
3x500mg 3x
3x1amp
3x500mg
3x20tpm
2x50mg
2x
1x2000mg 3x500mg
1x8mg
1x5mg 3x200mg
3x20tpm
3x4mg
3x1amp 1x40mg
1x750mg
1x 3x15ml
4x2ttts
2x20tts 3xoles
3x20tpm
3x15tpm
2x30mg
3x4mg
1
1
1
1 1
1
1 1
1
1
1
1 1
1
1
1
1 1
1
1 1
1
1
1
1
1 1
1
1 1
1
1 1
1
1
1
1
Po
Iv
Iv
Iv Po
Po
Iv Iv
Po
Iv
Po
Iv Po
Iv
Iv
Iv
Iv
Po
Iv Po
Po
Po Po
Iv
Iv
Iv Iv
Iv
Po Po
Iv
Iv
Iv
Iv
Lansoprazol+si
mvastatin
(Farmakokinetik distribusi)
139
140
141
142
01339563
01339201
00855051
01001678
13-05-16
27-05-16
11-05-16
12-05-16
03-05-16
07-05-16
11-05-16
18-05-16
19/ P
58/ P
38/ L
77/ L
U: TB, dispepsia
U: AMI, VES
P: AF, dispepsia,
hipokalemia
U: febris, DF
P: dispepsia
U: vomitus, CKD,
pneumonia
P: PJK, dispepsia,
,stroke
batuk, mual, nyeri
perut
Sesak nafas, nyeri
ulu hati
Nyeri ulu hati,
mual
Mual, muntah
Nitrokaf
Ramipril Ulsafat
N- Asetilsistein
Parasetamol
Kanamisin Levofloxacin
Cycloserin
Etionamid
Pirazinamid
Etambutol B6
OBH
Domperidon Loratadin
Sukralfat
Ringer Laktat
Sucarc
N-Asetilsistein Ulsafat
SA
Valsartan Omeprazol
Ringer Laktat
Ceftriaxon Ranitidine
Dexametason
Parasetamol Ketorolak
Sukralfat
Antasida Ulsafat
Beocuricf
NaCl 0,9%
NaCl 3%
EAS
Ceftriaxon
Omeprazol
1x1tab
1x5mg 3x15ml
3x200mg
3x500mg
1x750mg 3x250mg
2x250mg
2x250mg
3x500mg
3x400mg 2x50mg
3x15ml
3x 3x
4x10ml
3x30tpm
1x2000mg
3x200mg 3x15ml
2x2amp
2x1tab 1x20mg
3x25tpm
2x1000mg 2x40mg
3x5mg
3x500mg 2x30mg
3x15ml
3x15ml 3x15ml
2x1tab
3x20tpm
3x20tpm
1x1flas
1x2000mg
2x40mg
1
1
1, 4
1, 4
4 4
4
4
4
4 4
4
4 4
4
1
1
1 1
1
1 1
1
1 1
1
1 1
1
1 1
1
1
1
1
1
1
Po
Po Po
Po
Pop
Iv Po
Po
Po
Po
Po Po
Po
Po Po
po
iv
po
po po
po
po po
iv
iv iv
iv
po iv
po
po po
po
iv
iv
iv
iv
iv
Ranitidin+para
setamol (Farmakodina
mik)
Sukralfat+antasi
da (Farmakodinam
ik)
143
144
145
146
01338876
01150055
01126407
09-05-16 11-05-16
13-05-16
17-05-16
12-05-16 17-05-16
13-05-16
16-05-16
29/ L
24/ L
35/ L
33/ L
U: febris P: dispepsia,
hiponatremia,
blastocytis
U: dyspnoe, CHF
P: TB, hipoalbumin, dispepsia
U: diare, dispepsia, GEA
P: abdominal pain,
hiponatremi, hipokalsemi
U: dyspenoe, SLE
P: dispepsia, anemia,
hipoalbumin
Demam, lemas, diare
Sesak nafas, perut
kembung, kaki sakit
Nyeri perut, lemas, diare
Nyeri dada kanan,
mual, nyeri lutut,
pusing
Ondancetron
Fleed Enema Plavesco
Renoguard
Prostacom Harmaloeas
NaCl Ceftriaxon
Omeprazol
Metoklopramid
Metronidazol
Flaco Ranitidine
N- Asetilsistein
B Plex Parasetamol
Nistatin
Cotrimoxazol
Ringer Laktat
Furosemid Spironolakton
Allupurinol
Vip Albumin Ranitidine
Furosemid
NaCl 0,9% Kalnex
Cycloserin
Duramin Metronidazole
Omeprazole
Ondancetron Parasetamol
Sukralfat
New Diatab Ciprofloxacin
Tutofusin
Ringer Laktat
Ceftriaxone
Metoklopramid
2x1amp
1x1 1x1tab
2x1tab
1x1tab 1x 1tab
3x20tpm 1x1000mg
2x40mg
2x30mg
3x500mg
2x250mg 3x50mg
3x200mg
3 3x500mg
4x4mg
1x960mg
3x20tpm
3x20mg 1x50mg
1x100mg
2x 2x50mg
1x40mg
3x20tpm 3x20tpm
1x2000mg
3x1amp 3x500mg
2x40mg
3x4mg 3500mg
3x15ml
2x2tab 2x20mg
1x1flas
3x20tpm
1x2000mg
2x10mg
1
1 1
1
1 1
1 1
1
1
1
1 1
1
1 1
1
1
1
1 1
1
1 1
1
1 1
1
1 1
1
1 1
1
1 1
1
1
1
1
po
po po
po
po po
iv iv
iv
iv
iv
iv iv
po
po po
po
po
iv
iv po
po
po iv
po
iv iv
iv
iv iv
iv
iv po
po
po po
iv
iv
iv
iv
Ranitidin+parasetamol
(Farmakodina
mik)
Ranitidin+Cotr
imoksazol (Farmakokineti
k
metabolisme)
Sukralfat+ciprofloxacin
(Farmakokineti
k absorbsi)
147
148
149
150
01329631
01306209
01325608
01342795
09-05-16 16-05-16
28-07-16
30-07-16
13-05-16
16-05-16
19-08-16
26-08-16
45/ P
59/ P
67/ L
69/ L
U: CML P: dyspepsia, stroke,
hiponatremi,
hipokalemi
U: ca paru
P: gastritis
U: dyspnoe, OMI,
CHF
P: dyspepsia
U: ca paru,
pneumonia P: hipoalbumin,
hipokalemi, dispepsia
Nyeri badan, demam
Sesak nafas, nyeri
lengan kiri
Sesak nafas, nyeri
ulu hati
Sesak nafas, mual,
muntah
Ranitidine
Ketorolac Metilprednisolon
Parasetamol
Codein Sel Seft
Clinimix Omeprazole
Sukralfat
B plex
Asam folat
Natrium diklofenak Cefixim
Asering
Ceftriaxone Hidroksi urea
Parasetamol
NaCl 0,9%
Aminofluid
Dexametason Ranitidine
N- Asetilsistein
B Complex Hidrokortison
Parasetamol
Azitromisin Furosemide
Candesartan
Clopidogrel Simvastatin
Omeprazole
Ringer Laktat
NaCl 0,9%
KCL Ceftriaxone
Levofloxacin
Ondancetron
Parasetamol
N- Asetilsistein
Curcuma
2x50mg
2x30mg 3x20mg
3x500mg
3x10mg 2x500mg
1x1flas 2x40mg
4x30ml
3x1tab
1x2tab
2x1tab 1x2000mg
20 tpm
1x2000mg 2x
3x500mg
3x20tpm
1x1flas
3x20mg 2x50mg
3x200mg
3x1tab 3xoles
3x500mg
3x500mg 20mg
2x8mg
3x75mg 1x20mg
1x40mg
2x20tpm 3x
3x1klof
3x50meq 1x2000mg
1x750mg
3x4mg
3x500mg
3x200mg
3x1tab
1
1 1
1
1 1
1 1
1
1
1
1 1
1
1 1
1
1
1
1 1
1
1 1
1
1 1
1
1 1
1
1
1
1 1
1
1
1
1
1
iv
iv iv
po
po po
iv iv
po
po
po
po iv
iv
iv po
po
iv
iv
iv iv
po
po oles
po
po po
po
po po
po
iv
iv
iv iv
iv
iv
po
po
po
Omeprazole+fur
osemid
(Farmakodinamik)
Omeprazole+si
mvastatin (Farmakokineti
k distribusi)
Omeprazole+
klopidogrel
(Farmakokinetik
metabolism
e)
151
152
153
154
01341260
01004450
01333276
01154679
04-08-16
08-08-16
18-03-16
24-03-16
19-03-16
22-03-16
17-03-16
22-03-16
55/ L
58/ P
55/ P
60/ P
U: ca paru small cell
P; gastritis,
hemoptysis, efusi pleura
U; angina pectoris,
NSTEMI
P: dispepsia, DM tipe 2
U: CKD
P: hipertensi, dyspepsia
U: abdominal pain,
dispepia
Batuk dahak, nyeri
ulu hati, agak
pusing
Lemah, sesak
nafas, berdebar,
nyeri dada
Nyeri tangan kiri,
Nyeri perut
Sukralfat
Braxidin Ringer Laktat
Dexametason
Ondancetron Difenhidramin
Ceftriaxone
Sohobion Carboplatin
Etoposid
Asam Tranexamat
Ambroxol
Ringer Laktat
Arixtra
Furosemide Ranitidine
Clopidogrel
ISDN Aspilet
Captopril
Simvastatin Antacid
New diatab
Dobutamin
D5%
Furosemide Omeprazole
Ceftriaxone
Ondansentron Ketorolac
Kalitake
Alprazolam Asam Folat
Sukralfat
CaCO3
Ringer Laktat
Omeprazole
Ondansetron
Ceftriaxone
Sukralfat
3x15ml
3x1tab 3x20tpm
3x
3x8mg 3x
1x2000mg
1x1amp 3x500mg
3x150mg
3x500mg
3x30mg
1h 30ml
1x 2.5mg
2x20mg 2x50mg
1x75mg
3x5mg 1x80mg
3x6.25mg
1x20mg 3x15ml
3x1tab
1h 250mg
1h 16tpm
3x40mg 2x40mg
1x2000mg
3x8mg 2x30mg
3x1tab
1x0.5mg 1x2tab
3x15ml
3x1tab
1h 16tpm
2x40mg
2x40mg
2x2000mg
2x15ml
1
1 1
1
1 1
1
1 1
1
1
1
1
1
1 1
1
1 1
1
1 1
1
1
1
1 1
1
1 1
1
1 1
1
1
1
1
1
1
1
po
po iv
iv
iv iv
iv
iv iv
po
po
po
iv
po
iv iv
po
po po
po
po po
po
iv
iv
iv iv
iv
iv iv
po
po po
po
po
iv
iv
iv
iv
po
Sukralfat+furos
emid (Farmakokineti
k absorbsi)
Omepraxol+alprazolam
(Farmakokineti
k metabolisme)
Antasida+ondan
setron
(Farmakodinam
ik)
Sukralfat+antasi
155
156
157
01193041
01333425
01316790
23-03-16
27-03-16
20-03-16
29-03-16
19-03-16
23-03-16
68/ P
52/ L
75/ P
U: dyspepsia, ISK
P: hipokalemi, hiponatremi
U: dyspnea, TB paru,
CKD, dyspepsia P: DM
U: CHF
P: dyspepsia
Mual, panas, nyeri
perut
Mual, muntah,
batuk, nafsu makan menurun
Nyeri dada, sesak,
perut kmbung
Alprazolam
Antasida Braxidin
Ringer Laktat
Ceftriaxone Rocer
Ondansentron
Sukralfat Pamolit
KCL
Sohobion
Antrain
Metilprednisolon NaCl 3%
Aminofluid
Unispas
NaCl 3%
NaCl 0,9% Ondansetron
Ranitidine
N- Asetilsisteinn Curcuma
Codein
Eas primer Starfolat
Asam Folat
Ringer Laktat
Omeprazole
ISDN Candesartan
Spironolakton
Sukralfat Digoxin
Sohobion
1x0.5mg
3x15ml 3x1tab
1h 20tpm
2x1000mg 2x1amp
2x4mg
3x15ml 1x1flas
1x1flas
1x1amp
2x1amp
2x62.5mg 1x1flas
1x1flas
3x1tab
16tpm
20tpm 4mg
50mg
200mg 1tab
10mg
1tab
20tpm
40mg
5mg 4mg
25mg
15ml 125mg
1amp
1
1 1
1
1 1
1
1 1
1
1
1
1 1
1
1
1
1 1
1
1 1
1
1 1
1
1
1
1 1
1
1 1
1
po
po po
iv
iv iv
iv
po iv
iv
iv
iv
iv iv
iv
po
iv
iv iv
iv
po po
iv
po po
iv
iv
po po
po
po po
iv
Omeprazole+I
SDN(Farmako
kinetikmetabolisme)
da
(Farmakodinamik)
Lampiran 1 Formulir Pengumpulan Data
Lampiran 2 Diagnosa Gastritis dan Dispepsia dengan Penyakit Penyerta
Golongan Penyakit Spesifikasi Penyakit
1. Kanker
2. Kardiovaskuler
3. Infeksi4. GI
5. Renal
6. Neurologi7. Hematologi
8. Pernafasan
9. Endokrin
10. Imunologi
11. Reumatologi12. Urologi
13. Gangguan Elektrolit
Ca paru, Metastasis, Tumor paru, KNF (Kanker Naso Faring), Tyfoma, Tumor mediastinum, Leucopenia Mengitis, Trombositopenia, CML (Chronic Myeloid Leukemia),
Blastocytitis, Bistomi, Ca ovarium
Tromboemboli, Efusi pleura, Hipertensi, CHF (Congestive Heart Failure), HHD (Hipertensive Heart Disease), Erosi atrium, Dislipidemia, Alkalosis, Stroke, Angina Pectoris, Hipokalemia, PJK (Penyakit Jantung Koroner), Cronic Liver Disease Aritemia, DIC(Disseminated Intravasculer Coagulation), NSTEMI (Non ST Elevation Myocard
Infraction), AMI (Akut Miokard Infark), FES, AF (Atrium Fibrilasi), OMI, Sirosis Hepatik
Pneumonia, ISK (Infeksi Saluran Kemih), Oncyomyosis, Leptospirosis, DF (Dengue Hemorrhagic Fever), Herpes Vomitus, Melena, Abdomial Pain, Esofagitis, GEA, Diare, Ulcer, Cholic Abdomen, Konstipasi, Hematemesis
CKD (Chronic Kidney Disease), Akut Kidney Injury, Colic Renal, Nefropati, Asidosis Metabolik, Azotemia, Uretra Lithiasis
Myalgia, Cerebra, Depresi, Vertigo, Chest Pain, Headache, Demam Anemia
Dyspnea, Bronkitis, Asma, Atelektesis, Hemoptisis, ISPA (Infeksi Saluran Pernafasan Akut), CPC (Cor Pulmonale Chronic), Bronkopneumoni, HCAP (Health Care
Associated Pneumoniae) DM (Diabetes Mellitus), Tyfoid
SLE (Systemic Lupus Erythematosus)
Hiperurisemia Cystitis, Cholestitis, Proktitis, Hemoroid
Hypokalemia, Hiponatremia
Lampiran 3 Terapi Tunggal dan Kobinasi pada Penderita Gastrits dan Dispepsia
No Tunggal No RMJumlah
KasusKombinasi No RM
Jumlah
Kasus
1
2
Omeprazol
Ranitidin
Antasida
Sukralfat
Lansoprazol
38, 41, 49, 50, 80, 84, 104, 107, 118, 120, 129,
142, 149
23, 24, 29, 52, 58, 60, 62, 74, 85, 86, 95, 97, 136, 144, 146, 148, 156
10, 11, 53, 70, 105, 109, 110, 124
128, 135, 139, 150, 155
37
13
17
8
5
1
Sukralfat
Ranitidin
Antasida
Omeprazole inj + Sukralfat Omeprazole inj + Antasida
Sukralfat + Esomeprazole Antasida + Antasida
Antasida + Sukralfat
Antasida + Esomeprazole Omeprazole inj + Ranitidin
Sukralfat + Rebamipid
Sukralfat + Ranitidin Ranitidin + Sukralfat + Sukralfat
Ranitidin + Antasida + Antasida
Antasida Sukralfat
Antasida + Sukralfat
Ranitidin inj
Ranitidin inj + Antasida
Esomeprazole + Antasida + Sukralfat
Sukralfat inj + Sukralfat + Antasida
Esomeprazole
Sukralfat
Esomeprazole
Esomeprazole + Sukralfat
1, 2, 3, 6, 13, 17, 25, 27, 31, 32, 33, 40, 43, 44, 45, 53, 62, 68,
78, 82, 99, 114, 117, 132, 138, 140, 145, 147, 153, 157
7, 8, 79, 94, 143 12, 15, 26, 30, 42, 87, 106, 111, 115, 126
19
47 28
48 54, 96, 113, 154
61, 90
121 57
4, 5, 130
69 119
112
4, 21, 22, 59, 152 34, 67, 77, 92
27, 63
76 39
71
141 35, 65, 66, 72, 82
125
9, 131 133
30
5 10
1
1 1
1 4
2
1 1
3
1 1
1
5 4
2
1 1
1
1 5
1
2 1
Lampiran 4 Ethical Clearance
Lampiran 5 Surat Pengantar Penelitian
Lampiran 6 Surat Keterangan Selesai Penelitian
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