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DOSIS OBAT R/ Rifampisin tab 300 mg No.

II
KULIT S I dd tab II
1. Uretritis GO / Non GO R/ Dampson tab 100 mg No. XXX
R/ sefiksim 100 tab mg No. IV S I dd I
S I dd tab 1V
R/ azitromisin 500 mg tab No. II 14. MH MB
S 1 dd tab II R/ Rifampisin 300 mg tab No. II
S 1 dd tab II
2. Trikomoniasis & BV R/ Dapson 100 mg tab No. XXX
R/ Metronidazol 500 mg tab No. XV S I dd tab I
S 2 dd tab 1 R/ Clofazimin 100 mg tab No. III
S I dd tab I
3. Kandidiasis Vulvoginalis R/ Clofazimin 50 mg tab No. XXX
R/ Itrakonazol 200 mg tab No. I S I dd tab I
S I dd tab I
15. Pioderma
4. Sifilis R/ mupirosin 2% cream tube No. I
R/ benzatin penisilin 2.400.000 IU vial No. I S ue
S imm Kalo pioderma berat/sistemik tambah :
R/ spuit 5 cc No. I R/ amoxicilin 500 mg tab No. XXI
S imm S 3 dd tab I

5. Ulkus mole/chancroid
R/ Siprofloksasin 500 mg tab No. X MUSKULOSKELETAL
S 2 dd tab I 1. Sprain
R/ Nat Diklofenak tab 50 mg No. X
6. Tinea korporis/kruris/pedis S 3 dd tab I
R/ ketokonazol 2% cream tube No. I R/ Ranitidin 150 mg tab No. X
S ue S 2 dd tab I
Kalau kapitis atau tinea 3 diatas berat
R/ Griseofulvin 250 mg tabNo. X ANAK
S 2 dd tab I 1. Apapun sakitnya jika demam (+)
R/ Paracetamol syr 125 mg/5ml Fl. I
7. PVC S 3 dd Cth 1 prn
R/ Selenium sulfide 2,5 % shampoo Fl. I R/ Amoxicilin syr 250mg/5ml Fl 1
S uc (15 menit sebelum mandi lalu dibilas) S 3 dd Cth 1 (habiskan)

8. DKA/DA 2. Semua Infeksi Cacing


R/ Betametason o,o5 % cream tube No. I R/ Pirantel Pamoat syr 125mg/5ml
S ue S 1 dd cth I
R/ setirizin 10 mg tab No. X
S 1 dd tab I 3. Anemia
R/ Sulfas ferrous syr 30 mg/5ml Fl. 1
9. DKI = DKA (tanpa setirizin) S 1 dd Cth 1

10. Skabies
R/ Permetrin 5% tube No. I
S uc
Cara : digunakan oleh seluruh org yg tgl serumah, PSIKIATRI
sebelum tidur oleskan seluruh tubuh kecuali leher dan 1. Depresi
kepala. Diamkan selama 8-10 jam lalu bilas. R/ Fluoxetin 20 mg tab No. I
S 1 dd tab I
Usia <2bln/ibu hamil :
R/ sulfur precipitatum 6% cream tube No. I 2. Bipolar fase Manik
S uc (cara = permetrin) R/ litium karbonat 300 mg tab No. XV
S 3 dd tab I
11. Herpes simpleks
R/ asiklovir 200 mg tab No. XXXV 3. Psikotik
S 5 dd tab I R/ Risperidon tab 2 mg No. XX
S 2 dd tab I

12. Herpes Zoster 4. Gangguan Cemas/Panik


R/ asiklovir 400 mg tab No. LXX R/ Alprazolam tab 0,5 mg No. III
S 5 dd Tab II S 1 dd tab I

MATA
13. MH PB
MATA
1. Infeksi bakteri S 2 dd tab I
R/ Kloramfenikol 0.5% eye drop Fl. I
S 4 dd gtt 1 OD/OS/ODS 7. Neuralgia trigeminal
R/ Carbamazepine 200 mg tab No. X
S 2 dd tab I prn
2. Alergi
R/ Na kromogiklat 2% eye drop Fl. I
S 4 dd gtt 1 OD/OS/ODS KARDIOVASKULAR
1. Overload cairan, sesak nafas pada HF
3. Glaukoma R/ Furosemid 40 mg tab No. X
S 1 dd tab I
R/ Timolol 0,5% eye drop FL. I
S 2 dd gtt 1 OD/OS/ODS 2. Hipertensi
R/ Asetazolamid 500 mg tab No. X R/ Captopril 12,5 mg tab No. X
S 3 dd Tab I S 2 dd tab I

4. Infeksi jamur 3. Angina pektoris/Sindrom koroner akut


R/ Amfoterisin B eye drop Fl. I R/ ISDN 5 mg tab NO. X
S 3 dd tab I sublingual prn
S 4 dd gtt 1 OD/OS/ODS
R/ Hidroksietilselulosa 2% (Artificial tears) ed FL I R/ Asam asetil salisilat 80 mg tab No. IV
S 6 dd gtt 1 OD/OS/ODS S 1 dd tab IV

R/ Clopidogrel 75 mg tab No. IV


NEURO S 1 dd tab IV
1. Stroke Iskemik
R/ B6 1mg tab • Antibiotik tembus otak
S 2 dd tab I – Ceftriaxone 1gram Vial V ( 2 x 1gram ... S
i.m.m)
R/ Sitikolin 500 mg tab No. II – Aquadest 100 ml Fl V
S 2 dd tab I • Nyeri Umum / Antipiretik
– Tab Paracetamol 500 mg ( 3 x 500 mg Oral …
2. Stroke Hemoragik S 3 dd Tab 1 prn)
R/ Citicholine 500 mg tab No. II • Migrain/Cluster
S 2 dd tab I – Tab Ergotamin 2 mg ( 2 x 2 mg Oral … S 2 dd
Tab 1 prn)
• Bells Palsy
– Tab Acyclovir 400 mg ( 5 x 400 mg Oral … S
3. Bell’s palsy 5 dd Tab 1)
R/ Asiklovir 400 mg tab No. LXX – Tab Prednison 5 mg ( 3 x 2mg/kg max 60 … S
S 5 dd tab II 3 dd Tab … ) Untuk 3 hari, trus suruh control
– Tab Ranitidine 150 mg ( 2 x 150 mg … S 2 dd
R/ Prednison 60 mg tab No. V Tab 1 ac )
S 1 dd tab I • Neuralgia Trigeminal
– Tab Carbamazepine 200 mg ( 2 x 200 mg … S
R/ Ranitidin 150 mg tab No. X 2 dd tab I prn)
S 2 dd tab I

4. Migrain RESPIROLOGI
R/ Ergotamin 2 mg tab No. X 1. TB Paru
S 2 dd tab I R/ Rifampisin 600 mg No.XXX
S 1 dd tab I
R/ Domperidon 10 mg tab No. X R/ Isoniazid 300 mg No. XXX
S 2 dd tab I ac S 1 dd tab I
R/ Pirazinamid 500 mg No. LX
5. HNP S 1 dd tab II
R/ Natrium diklofenak 50 mg No. X R/ Etambutol 500 mg No. LX
S 3 dd tab I prn S 1 dd tab II

R/ Gabapentin 300 mg No. X 2. Infeksi Paru


S 2 dd tab I prn R/ Amoxicilin 500 mg tab No. XXI
S 3 dd tab I
6. Vertigo
R/ betahistin mesylate 6 mg tab No. X 3. Batuk berdahak
S 3 dd tab I prn R/ ambroksol 30 mg tab No. X
S 3 dd tab I
R/ Ranitidin 150 mg tab No. X
4. Asma
R/ salbutamol 4 mg tab No. X 5. Leptospirosis
S 3 dd tab I prn R/ Caps Doksisiklin 100 mg No. XV
R/ deksametason 0.5 mg tab No. X S 2 dd Caps I
S 3 dd tab I
6. Tifoid
R/ Tab ciprofloxacin 500mg No. X
GASTROINTESTINAL S 2 dd tab I
1. Dispepsia
R/ Omeprazole 20 mg cap No. X
S 2 dd Cap I ac UROLOGI
1. ISK
2. Mual-muntah R/ Kotrimoksazol 480 mg tab NO. X
R/ Domperidone 10 mg tab No. X S 2 dd tab I
S 2 dd tab I prn
THT
3. Diare dewasa 1. Tonsilitis, faringitis
R/ attapulgite 600 mg tab No. X R/ Amoxicilin 500 mg tab No. XXI
S Tab II (tiap BAB) S 3 dd tab I
R/ Paracetamol 500 mg tab No. X
4. Apapun sakitnya kalau demam (+) S 3 dd tab I
R/ Paracetamol 500 mg tab No. X
S 3 dd tab I prn 2. Rhinitis alergi
R/ Cetirizine 10 mg tab No. X
ENDOKRIN METABOLIK S 2 dd tab I
1. DM
EDUKASI 3. OMA oklusi
R/ Metformin 500 mg tab No. X R/ Efedrin 1% nasal drip No. I
S 3 dd tab I pc S 3 puff I

2. Dislipidemia 4. OMA Hiperemis dan Supurasi


EDUKASI R/ Efedrin 1% nasal drip No. I
LDL > 240 : S 3 puff I
R/ Simvastatin 10 mg tab No. X R/ Amoxicilin 500 mg tab No. XXI
S 1 dd tab I (malam) S 3 dd tab I

3. Hipertiroid 5. OMA Perforasi


R/ PTU 100 mg tab No. X R/ Amoxicilin 500 mg tab No. XXI
S 3 dd tab I S 3 dd tab I
R/ H2O2 3% auricula drip No. I
4. Hipotiroid S 2 dd 10 gtt ADS
R/ Levotiroksin 50 mcg tab No. X
S I dd tab I

HEMATOLOGI-INFEKSI
1. Anemia def. Besi
R/ Sulfas ferrous 325 mg tab No. X
S 1 dd tab I ac

2. Malaria Falciparum
R/ Dihidroartemicinpiperaquin tab No IX
S 1 dd Tab III

R/ Primakuin 25 mg tab No. III


S 1 dd Tab III

3. Malaria Vivax/ovale
R/ Dihidroartemicinpiperaquin tab No IX
S 1 dd Tab III

R/ Primakuin 25 mg tab No. XIV


S 1 dd Tab I

4. Malaria malariae
R/ Dihidroartemicinpiperaquin tab No IX
S 1 dd Tab III