[india-drug] OTC and P drug list

[owner-india-drug@healthnet.org]

OTC and P drug list
--------------------
 

Dear I-druggers,

 As I had promised some time back, I am proposing a OTC list for India.
I am also proposing a new category for India, i.e. the P-list (Pharmacy
medicines), which would be a shot-in-the-arm weaponry for the
Pharmacist to dispense & recommend these medicines as per his
discretion.

My suggestions to you :
1) This is a trial list, to be built up (additions, deletions) with the
assistance of I-druggers, and eventually, other experts, and other
stakeholders in the country. It could be proposed to submit this list
eventually to the Indian FDA, for their decision. Let the I-druggers
decide too, to whom these lists need to be circulated for comments and
debate, etc.......
2)  I have not included FDCs for  obvious reasons. However, it would be
a gigantic, and near impossible task to remove all these "irrational"
FDCs from the market. It needs to be decided what is to be done of
these FDC OTC drugs.
3) Initially I tried to restrict myself to OTC drugs from the WHO EDL &
india's EDL 2003, however, the list became too small, and would not
sound practicable to the huge commercial market. So, there are many
drugs which do not figure in these lists.
4) I now hope that this is a commencement of a whole new exercise in
India's drug history........

Description of OTC :

Non- Prescription medicines (OTC medicines) ? These medicines can be
sold only at a pharmacy (and not in any other shop). 
These need not be dispensed under the direct supervision of a
pharmacist.
These medicines can be advertised to the public, but without making
tall claims, or misleading the public. All advertisements should also
contain the Warning messages   1. ? DO not use for more than a week
without consulting your doctor or pharmacist)?
2. ?All medicines have the potential to have adverse effects in any
individual?.
In addition to the 2 above messages, the label of the medicine should
also contain :
1. Any contra-indications for use. 
2. Indications, dosage, frequency of dose.
3. Potential adverse effects (those which can be ignored, and those if
seen by the patient, he should stop taking the medicine.
 
In addition, it would be of advantage if PIL or PPI (patient oriented
information) is enclosed in the package ? containing more information
of the medicine. (This PPI or PIL has to be approved by the DCGI). It
is preferable that such information be mandatory.

Aspirin  300mg 
Albendazole tab 400mg 
Aluminium Hydroxide + Magnesium hydroxide 
Activated dimethicone tab 40 mg 
Ascorbic acid 100mg, 500mg 
Bisacodyl tab 5mg 
Castor Oil 
Calcium salts 125mg. 250 mg 
Chloroquinine sulphate tab 150mg tab 
Diethylcarbamazine 50mg , 100 mg tab 
Eucalyptus Oil 
Ferrous salts tab eq. to 60mg elemental iron 
Folic acid tab 500 mcg 
Glycerine 
Ibuprofen tab 200 mg 
Ipecac syrup 
Isapghula husk 3.5 gm per 5.6 gm ;powder 
Lactulose Liquid 10g/15ml 
Loperamide 2 mg 
Milk of Magnesia tablets, liquid 
Magnesium sulphate powder 
Nicotinamide tabs 50mg* 
Oral Rehydration Salts 
Paracetamol tab 500 mg, syrup 125mg/5ml 
Pseudoephedrine tab 60 mg, Syrup 30mg/5ml 
Pyridoxine Hydrochloride tab 5mg, 25mg 
Riboflavin tab 5mg 
Senna tabs 12mg,18 mg 
Sodium Bicarbonate powder
Thiamine tab 100mg 
Vitamin A tab 5000 IU 
Vitamin D3 400 I.U. (capsules) 
Vitamin E Cap 200mg 
Amylmetacresol lozenges 
Benzalkonium chloride lozenges,  max 600mcg 
Borax (sodium borate ) opthalmic lotions 0.7% 
Choline Salicylate mouth gel 8.7% 
Cetylpyridinium chloride lozenges, mouth gel 
Chlorhexidine gluconate solution 0.2%, gel 
Glycerine Suppositories 
Povidone-iodine germicide gargle 1% w/v 
Oxymetazoline hydrochloride 0.05% nasal drops 
Xylometazoline 0.1% nasal drops 
OTC DRUGS FOR EXTERNAL USE (including antiseptics/disinfectants) 
Benzyl benzoate 25% lotion 
Benzoin compound Tincture 
Bleaching powder 
Calamine Lotion 
Cetrimide solution 20 % conc. For dilution 
Chlorhexidine solution 5 % conc. For dilution 
Chloroxylenol cream 0.8% 
Chloroxylenol solution 4.8% 
Clotrimazole cream, lotion 
Crotamiton cream 10% 
Emulsifying ointment 
Emusifying wax 
Gentian violet 0.5 %, 1 %aqueous solution 
Guiaphensin Sy
Hydrogen peroxide solution 
Hydrous emulsifying ointment 
Iodine Tincture 
IPA (isopropyl Alcohol) 70 % 
Lindane lotion 1 % (GBHC), cream 1 % 
Mercurochrome 0.2 % 
Methylated Ethyl Alcohol 70 % 
Methyl salicylate ointment 
Miconazole 2 % cream or ointment 
Permethrin rinse 1 % (Lotion/shampoo) 
Potassium Permanganate 
Povidone - Iodine solution 5%, ointment 5%, powder 
Turpentine liniment 
Urea ointment or cream 10% 
White soft Paraffin 
Whitfield Ointment (Salicylic acid 6% + Benzoic acid 3 %) cream or
oint. 
Zinc Oxide Ointment 


 I am now enclosing the P-Drug list for open discussion of I-Drug
participants........

PHARMACY MEDICINES  P LIST
ORAL
Atropine tab 1 mg
Cetrizine tab 10mg, syrup 5mg/5ml
Chlorpheniramine maleate 4mg
Dextromethorphan tab 30 mg, syrup 3.5 mg/5ml*
Diclofenac tab 50mg,100mg SR
Dimenhydrinate tab 50mg
Diphenhydramine 25mg,syrup 12.5mg/5ml
Diphenoxylate 2.5 mg + Atropine sulph. 0.025%
Domperidone tab 5mg, 10mg, Susp 1mg/ml
Famotidine tab 20mg
Folic acid 1mg
Hyoscine butyl bromide tab 10mg
Ibuprofen 400mg tab *
Liquid Paraffin solution
Loratidine tab 5mg, 10mg, syrup 1mg/ml
Mebendazole tabs 100mg*
Metoclopramide tab 10mg**
Nitrofurantoin tab 100mg*
Paracetamol tab 650mg
Phenylpropanolamine tab 25mg, syrup 6.25mg/5ml
Pheniramine Hcl tab 25mg, 15 mg/5ml
Prochlorperazine tab 5mg
Promethazine tab 10mg,25mg Syrup 5mg/5ml *
Proguanil tab 100mg
Piperazine tab 500mg, syrup 750mg/5ml
Pyrantel pamoate tab 250 mg, susp 250mg/5ml*
Ranitidine tab 150mg
EXTERNAL (LOCAL APPLICATION)
Azelastine hydrochloride 0.14mg nasal drops
Ephedrine Nasal drops 2%
Gentamicin eye drops
Hydroxyethyl cellulose 0.44%
Olive oil ear drops
Sodium Bicarbonate ear drops
Naphazoline 0.05% Nasal drops
Lignocaine mouth gel

EXTERNAL TOPICAL APPLICATION
Acyclovir 5% cream
Benzoyl Peroxide Lotion or Cream 0.5%
Benzocaine mouth gel
Dithranol ointment 0.1%-2%
Framycetin Sulphate 0.5% cream
Fusidic acid cream
Hydrocortisone ointment or cream 1%*
Lignocaine oint 5%,jelly 2%,
Clotrimazole (vaginal use) ointment or cream 2% *
Neomycin sulphate + Bacitracin ointment *
Permethrin Cream 0.5%*
Silver Sulfadiazine cream 1%*
Tolfnaftate cream 10mg/gm , lotion 10mg/ml

Thanks
Looking forward to the discussion.
Raj


Raj Vaidya, M.Pharm,
Community Pharmacist,
Hindu Pharmacy,
Cunha Rivara Road, P.B.No. 149,
Panaji - Goa - India 403001.
Tel : 91-832- 2223176, 2432903 (O), 2463926 (R).
Email : pharmhin@sancharnet.in 



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