LAMPIRAN

34
35
Klasifikasi Obat Golongan Analgesik, antipiretik dan NSAIDs
Nama Obat
Ketesse
Ondansetron
Paracetamol
Na diklofenak
Ketorolac
Remopain
Asam mefenamat
Alopurinol
Tramadol
Mefinal
Codikaf
Meloxicam
Fentanyl
Torasic
Tofedex
Biogesic
Sanmol
Primadol
Farmadol
Zaldiar
Asetosal
TOTAL
On-label Dosis
6
23
45
1
67
6
18
2
8
2
2
2
5
4
4
6
7
2
3
3
1
217
Off-label Dosis
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
36
Klasifikasi Obat Golongan Antibiotik, antifungi dan antiviral
Nama Obat
Cefadroxil
Ciprofloxacin
Levofloxacin
Ceftriaxone
Amoxicilin
Ceftazidime
Zistic
Cefotaxime
Ampicilin
Klorampenikol
Co amoxiclave
Doksisiklin
Pharodim
Meropenem
Metronidazol
Cefixime
Fluconazol
Thiamphenicol
Duviral
Cefrin
Clindamycin
Azitromicyn
Cravit
Acyclovir
Cefxon
Intrix
Broadced
Vancep
Gentamicin
Zoralin
Cefpirome
Avelox
Cefophar
Sharox
Clavamox
Cefspan
Terfacef
Kalfoxim
Cefizox
TOTAL
On-label Dosis
4
10
9
89
2
9
7
12
1
1
2
1
1
0
12
10
2
1
2
1
0
2
2
1
1
4
1
0
1
1
0
0
1
1
1
1
1
1
1
196
Off-label Dosis
0
1
1
0
0
0
0
0
1
0
0
0
0
1
2
0
0
0
0
0
4
0
1
0
0
0
0
1
0
0
1
1
1
0
0
0
0
0
0
15
37
Nama Obat
Ranitidin
Scopamin
Pantozol
Pantoprazol
Tomit
Nexium
Mylanta
Omeprazol
Dulcolax
Inpepsa
Pranza
Lasix
Codipront
Imodium
Gastrul
Mucosta
Urdahex
Spasmomen
Amoxan
Prosogan
Fosmidex
Becantex
TOTAL
Klasifikasi Obat Golongan Sistem Pencernaan
On-label Dosis
Off-label Dosis
75
2
5
0
20
0
15
0
14
0
3
4
1
0
4
0
1
0
0
8
1
6
3
0
2
0
3
0
2
0
0
1
2
0
2
0
4
0
1
1
1
1
1
0
160
23
38
Klasifikasi Obat Golongan Sistem Saraf Pusat
Nama Obat
Betahistin
Piracetam
Narfoz
Teofilin
Metoclopramide
Neurotam
Dipenhidramin
Symbicort 160
Valisanbe
Zypraz
Vomceran
Alprazolam
Domperidon
Vometa
Teosal
Provelyn
Esilgan
Donexan
Vomitrol
Cellcept
Prolepsi
Propofol
Sistenol
Depakote
TOTAL
On-label Dosis
8
2
11
2
2
3
2
1
2
1
17
10
2
1
1
2
1
1
3
1
1
1
19
1
95
Off-label Dosis
2
0
0
0
0
0
0
0
1
0
0
1
1
0
0
0
0
0
2
0
0
0
0
0
7
39
Klasifikasi Obat Golongan Sistem Kardiovaskuler
Nama Obat
Amlodipin
Furosemid
Metoprolol
Captopril
CPG
Candesartan
Valsartan
Simvastatin
Manitol
Phenitoin
Dicynone
Clobazam
Kutoin
Diovan
Clonidin
Viagra
Digoxin
Metildopa
Nifedipin
Kalnex
Adalat oral
Bisoprolol
Gemfibrozil
TOTAL
On-label Dosis
15
18
1
2
3
4
4
1
7
6
0
1
3
2
2
0
1
1
4
3
1
4
1
84
Off-label Dosis
0
1
0
0
0
1
1
0
0
0
1
0
0
0
1
1
0
0
0
0
0
0
0
6
Klasifikasi Obat Golongan Vitamin
Nama Obat
Anemolat
Vit B1 B6 dan B12 (Vitamin
B kompleks, mecobalamin)
Sankorbin
Cernevit
Asam folat
Milmor
Maltofer
Neurodex
TOTAL
On-label Dosis
6
13
Off-label Dosis
0
0
1
12
3
2
2
4
43
0
0
0
0
0
0
0
40
Klasifikasi Obat Golongan Sistem Endokrin
Nama Obat
Metformin
Utrogestan
Novomix
Glimepirid
Trajenta
Novorapid
Apidra
Lantus
Gliquidon
Pionix
Syntocinon
TOTAL
On-label Dosis
8
1
2
3
1
6
3
1
1
1
1
28
Off-label Dosis
0
0
0
0
0
0
0
0
0
0
0
0
Klasifikasi Obat Golongan Sistem Pernafasan
Nama Obat
Salbutamol
Intunal
Codein
Asecrin
Bestalin
Histapan
Cetirizine
Ambroxol
Aldisa
Nytex
TOTAL
Tidak Off-label Dosis
1
2
8
1
1
2
3
1
1
3
23
Off-label Dosis
1
0
1
0
0
0
0
0
0
0
2
Klasifikasi Obat Golongan Kortikosteroid
Nama Obat
Prednisolon
Lameson
MP
Hexilon
Flutias
Methylp
Kalmethasone
TOTAL
On-label Dosis
1
1
8
4
1
1
2
18
Off-label Dosis
0
0
0
1
0
0
0
1