Pharmacy--Comparing Drugs

Trip Start Jun 10, 2011
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Trip End Jul 11, 2011


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Flag of Peru  ,
Monday, June 27, 2011

WARNING: STRICTLY PHARMACY

 Hello All,

For those of you that know little about pharmacy, just skip the charts.  For the rest, you might find this interesting.

Today at the pharmacy, I found the Petitorio Nacional nico de Medicamentos Esenciales (Per 2010).  That is the book that has all the drugs used in the hospital pharmacies in Peru.  What's interesting is they less drugs than I thought.  It is not uncommon for the doctor to write a prescription that the patients must have filled at another (local) pharmacy.  However, I am not sure if that is because they write mainly for brands or there are "more" drugs in the local pharmacies.  I find it strange that the local stores (which are tiny stores) would have more drugs.   I also scanned through the index.  I estimated there to be less than 900 items listed in this book.  Now that may seem like a lot, but that is not drugs—that is items.  Each strength of a drug counts as an item.  Items also include different strengths or concentrations of drugs or solutions, different routes of administration, contrasts for radiology, etc.  So that does not leave many drugs!  I have included charts with the drug, strength, and routes of administration as examples of the medicine they have.  I had to translate most of the name, but I do believe this is correct. I left a (?) beside the names I wasn’t 100% sure on.  **Note:  “For Injection” is dispensed in ampoules.**

 Name—Strength—Route

 Antacids:
  • Aluminum Hydroxide & Magnesium Hydroxide—400 mg + 400 mg/5 mL—Liquid Oral
  • Bismuth Subsalicylate—87.33 mg/5 mL—Liquid Oral
Antiulcer:
  • Omeprazol—20 mg—Tablet
  • Omeprazol—40 mg—Tablet
  • Ranitidine—25 mg/mL—For injection (2 mL)
  • Ranitidine—150 mg—Tablet
  • Ranitidine—300 mg—Tablet
 
Laxatives:
  • Glycerol—Suspension
  • Lactulose—3.33g/5mL—Liquid Oral
 
Diuretics:
  • Spironolactone—100 mg—Tablet
  • Spironolactone—25 mg—Tablet
  • Furosemide—10mg/mL—For Injection
  • Furosemide—40 mg—Tablet
  • Hydrochlorothiazide—12.5 mg—Tablet
  • Hydrochlorothiazide—25 mg—Tablet
  • Mannitol—20%—For Injection
 
Antilipemic Agents:
  • Atorvastatin—20 mg—Tablet
  • Atorvastatin—40 mg—Tablet
  • Simvastatin—20 mg—Tablet
  • Simvastating—40 mg—Tablet
  • Gemfibrozil—600 mg—Tablet

Antibiotic—Quinolones (ONLY)

  • Ciprofloxacin—2 mg/mL—For Injection
  • Ciprofloxacin—500 mg—Tablet
 
Antibiotic—Tetracycline Derivate (ONLY)
  • Doxycycline—100 mg—Tablet

 Analgesics (Non-opiates) and Anti-Inflammatory:
  • Acetylsalicylic Acid—500 mg—Tablet
  • Diclofenac Sodium—25 mg/mL—For Injection
  • Ibuprofen—100 mg/5 mL—Liquid Oral
  • Ibuprogen—200 mg—Tablet
  • Ibuprofen—400 mg—Tablet
  • Metamizol Sodium—500 mg/mL—For Injection
  • Naproxen—250 mg—Tablet
  • Naproxen—500 mg—Tablet
  • Paracetamol—100 mg/mL—Liquid Oral
  • Paracetamol—120mg/5 mL—Liquid Oral
  • Paracetamol—100-300 mg—Suspension
  • Paracetamol—500 mg—Tablet

Anti-Parkinson’s:

  • Levodopa + Carbidopa—100 mg + 10 mg—Tablet
  • Levodopa + Carbidopa—250 mg + 25 mg—Tablet
  • Biperiden Chloride—2 mg—Tablet
  • Biperiden Chloride—5 mg/mL—For Injection

Analgesics-Opioids (All controlled):

  • Codeine Phosphate—10-15 mg/5 mL—Liquid Oral
  • Codeine Phosphate—30 mg—Tablet
  • Codeine Phosphate—30 mg/mL—For Injection
  • Codeine Phosphate—60 mg—Tablet
  • Morphine Chloride—10 mg/mL—For Injection
  • Morphine Chloride—20 mg/mL—For Injection
  • Morphine Sulfate—10 mg/5 mL—Liquid Oral
  • Morphine Sulfate—10 mg—Tablet
  • Morphine Sulfate—30 mg—Tablet
  • Morphine Sulfate—30 mg—Prolong Tablet
  • ***Oxycodone***—5 mg—Tablet
  • Tramadol—100 mg/mL—Liquid Oral
  • Tramadol—50 mg/mL—For Injection
  • Tramadol—50 mg—Tablet
***Oxycodone***--Used exclusively for cancer & unit therapy for pain

Used for general anxiety and treatment of sleep:

  • Alprazolam—50 mcg—Tablet
  • Clonazepam—2 mg—Tablet
  • Diazepam—5 mg/mL—For Injection
  • Diazepam—10 mg—Tablet
  • Levomepromazine—100 mg—Tablet
  • Zolpidem Tartrate—10 mg—Tablet
 
Medications that Affect Coagulation:
  • Tranexamic Acid—1 g—For Injection
  • Tranexamic Acid—250 mg—Tablet
  • Dalteparin Sodium—25,000 UI/mL—For Injection
  • Enoxaprin Sodium—100 mg/mL—For Injection
  • Heaparin—5,000 UI/mL—For Injection
  • Phytomenadione ?—10 mg/mL—For Injection
  • Protamine Sulfate—10 mg/mL—For Injection
  • Warfarin Sodium—2.5 mg—Tablet
  • Warfarin—5 mg—Tablet
 
A few more observations:  Promethazine is only available as an IV injection as 25 mg/mL in 2 mL ampoules.  Lidocaine 2% is also only available for injection in 20 mL ampoules.

This was just a few of the lists I copied down.  I found a few other things interesting.  There are 15 drugs listed for Anti-TB.  I was shocked to see a separate building where the TB patients were kept.  It is a very common thing here!

 Also for the controlled opioids, it is interesting that they simply keep these in a box hidden in a desk drawer.  So these are not even locked up—granted they keep very few of each.  They simply confirm with each other they are taking the appropriate amount.  I guess this doesn’t surprise me too much, seeing as patients simply bring in the script and they dispense the drug as is and charge a small fee.  There is no insurance, no medications dispensed in bags or bottles, no patient leaflets, and no need to wait longer than a few minutes to get what you need.  In fact, you can really get almost any prescription without a prescription—it’s mostly there so the patient gets the correct drug.

 I hope this was interesting to someone! 
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Comments

shekhar on

very nice blog

shekhar on

It is very wonderfull center

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