C-Core Simplified OSCE Prescription List

Wima BP, Agung J, Hartanto PK; February 3, 2017

1. Muskuloskeletal 3. Endokrin

Hiperurisemia & Gouty Arthritis Diabetes Mellitus Tipe II

Tahap 0 : TLC
R/ Kolkisin tab 0,5 mg No. III Tahap 1 : TLC + Monoterapi
S 1dd tab I Tahap 2 : TLC + Kombinasi 2 OHO
Tahap 3 : TLC + Kombinasi 2 OHO + Insulin
R/ Na diclofenac tab 50 mg No. X
S 2dd tab I prn R/ Metformin tab 500 mg No. XXI
S 3dd tab I
R/ Allopurinol tab 100 mg No. X
S 1dd tab I R/ Glibenclamide tab 5 mg No. XIV
S 2dd tab I
Osteoarthritis
Dyslipidemia
R/ Na-diclofenac gel tube No. I Hiperkolesterolemia
S u.e. 2dd
R/ Simvastatin tab 10 mg No. X
R/ Celecoxib caps 10 mg No. X S 1 dd tab I noct
S 2dd tab I
Hipertrigliseridemia
R/ Meloxicam tab 7,5 mg No. III
S 1dd tab I R/ Gemfibrozil tab 600 mg No. XX
S 2dd tab I
Polymyalgia Rematik
Thyrotoxicosis
R/ Prednisone tab 5 mg No. XV
S 3dd tab I R/ Propylthiouracyl tab 100 mg No. XXI
S 3dd tab I
Rheumatoid Arthritis
R/ Propranolol tab 40 mg No. XIV
R/ Celecoxib caps 100 mg No. X S 2dd tab I
S 2dd tab I
4. Gastrointestinal
R/ Methylprednisolone tab 5 mg No. IX
S 3dd tab I
Ascariasis / Ankylostomiasis
R/ Meloxicam tab 7,5 mg No. III
S 1dd tab I R/ Mebendazole tab 100 mg No. VI
S 2dd tab I
2. Hematologi Cholecystitis

Anemia Defisiensi Besi R/ Asam mefenamat tab 500 mg No. XV

S 3dd tab I
R/ Ferrous sulfate tab 325 mg No. XV
S 3dd tab I R/ Domperidone tab 10 mg No. XV
S 3dd tab I
SLE
R/ Ceftriaxone vial 1 g No. II
R/ Paracetamol tab 1000 mg No. X R/ Aqua pro injection fls 10 mL No. II
S 3dd tab I R/ Spuit 10 cc No. II
Atau S pro injeksi IV 2dd
R/ Ibuprofen tab 400 mg No. X
S 3dd tab I Disentri
Simptomatis
R/ Paracetamol tab 500 mg No. X
S 3dd tab I

R/ Domperidone tab 10 mg No. X

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S 2dd tab I
R/ Ceftriaxone vial 1 g No. II
Basiler R/ Aqua pro injection fls 10 mL No. II
R/ Ciprofloxacin tab 500 mg No. VI R/ Spuit 10 cc No. II
S 2dd tab I pc habiskan S pro injeksi IV 2dd

Amoeba Schistosomiasis
R/ Metronidazole tab 500 mg No. XV
S 3dd tab I pc habiskan R/ Praziquantel tab 600 mg No. II
S 3dd tab ½
Food Poisoning
Taeniasis / Strongyloidiasis
R/ Kaopectate tab No. XX
S 4dd tab II R/ Mebendazole tab 100 mg No. XLII
S 3dd tab I
R/ Diphenoxylate-Atropine tab 2,5 mg No. X
S 4dd tab II Typhoid Fever

Gastritis R/ Chloramphenicol tab 500 mg No. XL

S 4dd tab I pc
R/ Omeprazole caps 20 mg No. XIV
S 2dd caps I ½ h.a.c. R/ Paracetamol tab 500 mg No. X
S 3dd tab I prn
R/ Ranitidine tab 150 mg No. X
S 2dd tab I ½ h.a.c. Ulcus Aphtosa

R/ Antasida tab 500 mg No. XV R/ Chlorhexidine 0,2% fls No. I

S 3dd tab I ½ h.a.c. S 3dd gargle pc

Gastroenteritis R/ Triamcinolone acetonide oral susp 0,1% fls No. I

Dewasa S 2dd gargle pc
R/ Loperamide tab 2 mg No. X
S tab I prn setiap mencret 5. Kardiovaskular
R/ Ciprofloxacin tab 500 mg No. X
S 2dd tab I pc habiskan Gagal Jantung
Atau
R/ Metronidazole tab 500 mg No. XV R/ Furosemide tab 40 mg No. VII
S 3dd tab I pc habiskan S 1dd tab I mane

Anak R/ Captopril tab 25 mg No. XV

R/ Oralit sachet No. V S 2dd tab I
S u.c.
Hipertensi Primer (Stage I cukup pilih 1 obat)
R/ Zinc tab No. X
S 1dd tab I R/ Captopril tab 12,5 mg No. X
S 2dd tab I
GERD
R/ Amlodipine tab 10 mg No. V
R/ Omeprazole caps 20 mg No. XIV S 1dd tab I
S 2dd caps I ½ h.a.c.
Stable Angina
R/ Domperidone tab 10 mg No. X
S 3dd tab I R/ Isosorbid dinitrat tab 5 mg No. III
S tab I prn setiap 30 menit
Hepatitis A / Hepatitis B Akut
R/ Propranolol tab 40 mg No. II
R/ Ibuprofen tab 400 mg No. X S 2dd tab I
S 2dd tab I Atau
R/ Verapamil tab 80 mg No. II
R/ Domperidone tab 10 mg No. XV S 2dd tab I
S 3dd tab I ac
R/ Aspirin tab 320 mg No. I
R/ Omeprazole tab 20 mg No. X S 1dd tab I
S 2dd tab I ½ h.a.c.

Peritonitis STEMI-NSTEMI

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 R/ Cetirizine tab 10 mg No. V
R/ Isosorbid dinitrat tab 10 mg No. III S 1dd tab1
S tab I prn setiap 30 menit
Laringitis Akut
R/ Aspirin tab 320 mg No. I
S 1dd tab I Anak
R/ Paracetamol syr 120 mg/5 ml fls No. I
6. Respirologi S 3dd cth3/4
R/ Amoksisilin syr 125 mg/5 ml fls No. I
Asma Bronkial (Asma Stabil) S 2dd cth1

Persisten Ringan Dewasa

R/ Budesonide inhaler 100 mcg/puff lag No. I R/ Paracetamol tab 500 mg No. XV
S 2dd puff2 S 3dd tab1
Persisten Sedang R/ Amoksisilin tab 500 mg No. XV
R/ Budesonide inhaler 160mcg + Formoterol 4,5mcg lag No. I S 3dd tab1
S 2dd puff1 (ec refluks laringofaringeal)
Persisten Berat R/ Omeprazole tab 20 mg No. X
R/ Budesonide inhaler 160mcg + Formoterol 4,5mcg lag No. I S 2dd tab1 ac
S 2dd puff1 (laringitis berat)
R/ Teofilin tab 150 mg No. X R/ Deksametason tab 0,5 mg No. X
S 2dd tab1 S 3dd tab1

Benda Asing
Pneumonia, Bronkopneumonia
R/ Amoksisilin tab 500 mg No. XV
S 3dd tab1 Anak
R/ Amoksisilin syr 125 mg/5 ml fls No. I
Faringitis Akut S 2dd cth1

Fungal Dewasa
R/ Nistatin tab 100.000 IU No. X R/ Azitromisin tab 500 mg No. X
S 2dd tab1 S 1dd tab1
Virus (Komorbid/Imunosupresif)
R/ Metisoprinol tab 500 mg No. XX R/ Levofloxacin tab 500 mg No. X
S 4dd tab1 S 1dd tab11/2
Bakteri
R/ Amoksisilin tab 500 mg No. XV Pneumonia Aspirasi
S 3dd tab1
R/ Ciprofloxacin tab 500 mg No. X
R/ Paracetamol tab 500 mg No. XV S 2dd tab1
S 3dd tab1 (Periodontal Berat)
R/ Deksametason tab 0,5 mg No. X R/ Metronidazol tab 500 mg No. XV
S 3dd tab1 S 3dd tab1

Furunkel PPOK

R/ Polimiksin B ointment tube No. I R/ Nebulisasi Salbutamol 2,5 mg:NaCl 2,5 ml

S 3dd ue S imm
R/ Amoksisilin tab 500 mg No. XV R/ Oksigenasi nasal canul 2-3 Lpm
S 3dd tab1 R/ Prednisolon tab 5 mg No. XV
S 1dd tab3
Influenza R/ Cefixime tab 100 mg No. X
S 2dd tab1
Anak
R/ Paracetamol syr 120 mg/5 ml fls No. I Rinitis Akut
S 3dd cth3/4
R/ Pseudoefedrin syr 30 mg/5 ml fls No. I R/ Paracetamol tab 500 mg No. XV
S 3dd cth1/2 S 3dd tab1
R/ Cetirizine syr 5 mg/5 ml fls No. I R/ Pseudoefedrin tab 30 mg No. XV
S 1dd cth1/2 S 3dd tab1
R/ Amoksisilin tab 500 mg No. XV
Dewasa S 3dd tab1
R/ Paracetamol tab 500 mg No. XV
S 3dd tab1
R/ Pseudoefedrin tab 30 mg No. XV Rinitis Alergi
S 3dd tab1

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R/ Budesonide nasal spray 50 mcg No. I S 2dd tab I
S 2dd puff2
R/ Pseudoefedrin tab 30 mg No. XV R/ Vitamin B6 tab 10 mg No. XX
S 3dd tab1 S 2dd tab I
R/ Cetirizine tab 10 mg No. V
S 1dd tab1 R/ Dimenhydrinate tab 50 mg No. XX
S 4dd tab I
Rinitis Vasomotor
R/ Metoclopramide tab 10 mg No. XX
R/ Budesonide nasal spray 50 mcg No. I S 3dd tab I
S 2dd puff2
R/ Pseudoefedrin tab 30 mg No. XV Ketuban Pecah Dini
S 3dd tab1
R/ Erythromycin tab 250 mg No. XL
Sinusitis/Rinosinusitis S 4dd tab I pc habiskan

R/ Paracetamol tab 500 mg No. XV (Persiapan induksi)

S 3dd tab1 R/ Dexamethasone vial 8 mg/mL No. III
R/ Pseudoefedrin tab 30 mg No. XV R/ Spuit 1 cc No. IV
S 3dd tab1 S pro injeksi IM 2dd
R/ Budesonide nasal spray 50 mcg No. I
S 2dd puff2 Mastitis
(Bakteri)
R/ Amoksisilin tab 500 mg No. XV R/ Cloxacillin tab 500 mg No. XL
S 3dd tab1 S 4dd tab I pc habiskan

Status Asmatikus (Asma Akut Berat) R/ Paracetamol tab 500 mg No. X

S 3dd tab I
R/ Nebulisasi Salbutamol 2,5 mg:NaCl 2,5 ml
S imm Preeclampsia dan Eclampsia
R/ Oksigenasi nasal canul 2-3 Lpm
R/ Prednisolon tab 5 mg No. III R/ MgSO4 40% vial 10 mL No. I
S 1dd tab3 R/ Aqua pro injection fls 10 mL No. I
R/ Spuit 20 cc No. I
Tonsilitis Akut S pro injeksi IV bolus lambat

Virus (Toksisitas MgSO4)

R/ Metisoprinol tab 500 mg No. XX R/ Ca gluconas 10% vial 10 mL No. I
S 4dd tab1 R/ Spuit 10cc No. I
Bakteri S pro injeksi IV bolus lambat
R/ Amoksisilin tab 500 mg No. XV
S 3dd tab1 (Eclampsia tidak merespon terhadap MgSO4)
R/ Diazepam vial 10 mg/5 mL No. I
R/ Paracetamol tab 500 mg No. XV R/ Spuit 10 cc No. I
S 3dd tab1 S pro injeksi IV
R/ Deksametason tab 0,5 mg No. X
S 3dd tab1 Wanita Hamil Normal

7. Obstetri & Ginekologi R/ Asam folat tab 250 microgram No. XXX
S 1 dd tab I
Anemia Defisiensi Besi pada Kehamilan
R/ Ferrous sulfate tab 325 mg No. XXX
R/ Ferrous sulfate tab 325 mg No. XXX S 1dd tab I
S 3dd tab I
R/ Tetanus toxoid amp No. I
Cracked Nipple S pro injeksi IM

R/ Paracetamol tab 500 mg No. X 8. Neurologi

S 3dd tab I
Bell’s Palsy
R/ Vitamin E tab 400 IU No. X
S 1dd tab I R/ Prednisone tab 5 mg No. IX
S 1dd tab III
Hiperemesis Gravidarum R/ Acyclovir tab 400 mg No. XXXV
S 5dd tab I
R/ Doksilamin tab 10 mg No. XX

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Epilepsi Otitis Externa
Anak
R/ Asam valproate syr 125 mg fls No. I OE Akut Sirkumskripta
S 1dd cth ½ R/ Polymyxin B oint tube No. I
S u.e. 3dd AS/AD
Dewasa
R/ Asam valproate tablet 500 mg No. VII OE Akut Difusa
S 1dd tab I R/ Polymyxin B + Neomycin + Fludrocortisone +
Lidocaine HCl ear drops fls No. I
Kejang Demam Kompleks Rekuren S 3dd gtt IV AS/AD

R/ Diazepam rectal 5 mg tube No. I R/ Paracetamol tab 500 mg No. XV

S per rectal bila demam S 3dd tab I prn

R/ As. Valproat Syr 250 mg/5 ml fls No. I Otitis Media Supuratif Akut
S 2dd cth ½ Stadium Oklusi
R/ Ephedrine nasal spray 1% fls No. I
Migraine S 3dd puff II nares D/S

R/ Sumatriptan tab 50 mg No. III R/ Paracetamol tab 500 mg No. XV

S 1dd I prn S 3dd tab I

R/ Amitriptylline tab 50 mg No. III R/ Cetirizine tab 10 mg No. V

S 1dd tab I S 1 dd tab I noct

Vertigo Stadium Hiperemis dan Supurasi

Sama dengan oklusi, ditambah:
R/ Betahistine mesylate tab 12 mg No. XXI R/ Amoxicillin tab 500 mg No. XV
S 3dd tab I S 3dd tab I pc habiskan

9. THT Stadium Perforasi

R/ H2O2 ear drops 3% fls No. I
Corpus Alienum Telinga S 3dd gtt IV AD/AS

R/ Asam mefenamat tab 500 mg No. XV R/ Ofloxacin ear drops fls No. I
S 3dd tab I prn S 2dd gtt IV AD/AS

R/ Ofloxacin ear drops fls No. I

S 2dd gtt IV AD/AS
Otitis Media Supuratif Kronis
Cerumen Prop
R/ Ofloxacin ear drops fls No.I
R/ H2O2 ear drops 3% fls No. I S 2dd gtt IV AD/AS
S 3dd gtt IV AD/AS
R/ Amoxicillin tab 500 mg No. XV
Faringitis Akut S 3dd tab I

R/ Paracetamol tab 500 mg No. XV 10. Mata

S 3dd tab I
Blepharitis
R/ Dexamethasone tab 0,5 mg No. IX
S 3dd tab I R/ Chloramphenicol salep mata 1% tb No. I
S 3dd OD/OS
Fungal
R/ Nystatin tab 100.000 IU No. X Conjunctivitis
S 2dd tab I
R/ Chloramphenicol eye drops 1% fls No. I
Viral S 6dd gtt I OD/OS
R/ Methisoprinol tab 500 mg No. XX
S 4dd tab I R/ Artificial tears fls No. I
S 6dd gtt I OD/OS

Conjunctivitis Alergi
Bakterial R/ Fluorometholon eye drops 0,1% fls No. I
R/ Amoxicillin tab 500 mg No. XV S 2dd gtt I OD/OS
S 3dd tab I

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Conjunctivitis Gonorrhea R/ Azelaic Acid cream 15% tb No. I
R/ Chloramphenicol eye drops 1% fls No. I S u.e. 2dd
S q1h gtt I ODS
Atopic & Nummular Dermatitis
Corpus Alienum Conjunctiva
R/ Betamethasone valerate 0,1% cream No. I
R/ Chloramphenicol eye drops 1% fls No. I S u.e. 2dd
S q2h gtt I ODS
R/ Cetirizine tab 10 mg No. V
Dry Eye Syndrome S 1dd tab I noct

R/ Artificial tears fls No. I Bacterial Vaginosis

S 6dd gtt I ODS
R/ Metronidazole tab 500 mg No. XIV
Episcleritis S 2dd tab I pc habiskan

R/ Artificial tears fls No. I Chlamydia

S 6dd gtt I OD/OS
R/ Azithromycin tab 500 mg No. II
R/ Prednisolone eye drops 0,5% fls No. I S 1dd tab II single dose
S 3dd gtt I OD/OS prn
Cutaneous Larva Migrans
R/ Ibuprofen tab 400 mg No. X
S 2dd tab I pc prn R/ Albendazole tab 400 mg No. III
S 1dd tab I
Glaukoma Akut
Dermatitis Kontak Alergi dan Iritan
R/Acetazolamide tab 250 mg No. XX
S 4dd tab I R/ Urea 10% krim No. I
S u.e. 2dd
R/ K-klorida / K-aspartat tab 500 mg No. XV R/ Betamethasone diproprionat salep 0,05% No. I
S 3dd tab I S u.e. 3dd

R/ Timolol eye drops 0,5% fls No. I

S 2dd gtt I OD/OS R/ Loratadine tab 10 mg No. VII
(Glaukoma kronis cukup timolol) S 1dd tab I

Dermatophytosis
Lesi Terbatas
Hordeolum R/ Miconazole 2% krim tube No. III
S u.e. 2dd 2 minggu
R/ Chloramphenicol salep mata tb No. I
S 3dd OD Lesi Luas
R/ Miconazole 2% krim tube No. III
R/ Erythromycin tab 500 mg No. XII S u.e. 2dd 2 minggu
S 4dd tab I pc habiskan R/ Ketoconazole tab 200 mg No. X
S 1dd tab I mane pc
Xerophtalmia
Drug Eruption
R/ Vitamin A 200.000 IU No. II
S 1dd I R/ Prednisone tab 10 mg No. XXI
S 3dd tab I
11. Kulit & Kelamin
R/ Cetirizine tab 10 mg No. XIV
Acne Vulgaris S 2dd tab I

R/ Tetracycline tab 250 mg No. XIV R/ Bedak Salisil 2% No. I

S 2dd tab I pc habiskan S u.e. 2dd

R/ Hydrocortisone cream 1% tb No. I

S u.e. 2dd

R/ Oxytetracycline cream 1% tb No. I Erythrasma

S u.e. 2dd
R/ Tetracycline salep 3% tubeNo. I
R/ Benzoyl Peroxide cream 1% tb No. I S u.e. 2dd
S u.e. 2dd

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R/ Erythromycin tab 250 mg No. LVI R/ Betamethasone valerate 0,5 krim tb No. I
S 4dd tab I S u.e. 2dd

Erysipelas Lepra
PB (6-9 bulan, dosis per bulan)
R/ Paracetamol tab 500 mg No. XV R/ Rifampicin tab 300 mg No. II
S 3dd tab I prn S 1dd tab II

R/ Cefixime tab 400 mg No. X R/ Dapson tab 100 mg No. XXVIII

S 2dd tab I S 1dd tab I pc

Fixed Drug Eruption MB (12-18 bulan, dosis per bulan)

R/ Rifampicin tab 300 mg No. II
R/ Prednisone tab 10 mg No. XXI S 1dd tab II
S 3dd tab I
R/ Clofazimine tab 100 mg No. III
R/ Loratadine tab 10 mg No. XIV S 1dd tab III
S 1dd tab I
R/Clofazimine tab 50 mg No. XXVII
R/ Kalium Permanganat 1:1000 fls No. I S 1dd tab I
R/ Kassa Steril No. X
S u.e. 2dd kompres 60 menit R/ Dapson tab 100 mg No. XXVIII
S 1dd tab I
Gonorrhea
Cervicitis, Urethritis, Proctitis tanpa komplikasi Miliaria
R/ Ceftriaxone 250 mg vial No. I
R/ Spuit 5 cc No. I R/ Lotio calamine fls No. I
S pro injeksi IM single dose S u.e. 2dd

Gonorrhea dengan komplikasi conjunctivitis, R/ Bedak salisil 2% No. I

arthritis, dermatitis, meningitis S u.e. 2dd
R/ Ceftriaxone 1 gram vial No. I
R/ Spuit 5 cc No. I R/ Cetirizine tab 10 mg No. VII
S pro injeksi IM single dose S 1dd tab I noct

Herpes Zoster
Napkin & Diaper Rash
R/ Acyclovir tab 400 mg No. LXX
S 5dd tab II R/ Zinc Oxide tube No. I
S u.e. 2dd
R/ Bedak salisil 2% No. I
S u.e. 2dd R/ Hydrocortisone cream 1% tube No. I
S u.e. 2dd
Herpes Simplex
Neurodermatitis Sirkumskripta
R/ Acyclovir tab 200 mg No. XXV
S 5dd tab I R/ Cetirizine tab 10 mg No. V
S 1dd tab I noct
Hidradenitis Suppurativa
R/ Betamethasone diproprionat salep 0,05% No. I
R/ Rifampicin tab 600 mg No. XIV S u.e. 3dd
S 1dd tab II pc habiskan
Pediculosis Capitis
R/ Clindamycin tab 300 mg No. XIV
S 2dd tab II pc habiskan R/ Gamexan 1% cream tube No. I
S u.e. 12 jam - bilas
R/ Prednisone tab 5 mg No. IX
S 3dd tab I

Insect Bite Pediculosis Pubis

R/ Cetirizine tab 10 mg No. VII R/ Gamexan 1% cream tube No. I

S 1 dd tab I noct S u.e. 24 jam – bilas

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Perioral Dermatitis S pro injeksi IM single dose

R/ Erythromycin cream 2% tube No. I Laten Lanjut dan Tersier

S u.e. 2dd
R/ Benzathine penicillin G 2,4 juta IU vial No. I
R/ Erythromycin tab 250 mg No. LVI R/ Spuit 5 cc No. I
S 2dd tab I S pro injeksi IM
(Diberikan 3x, selisih 1 minggu)
Pityriasis Rosea
Stevens-Johnson Syndrome
R/ Bedak salisil 2% No. I
S u.e. 2dd R/ Methylprednisolone vial 40 mg/mL No. I
R/ Spuit 1 cc No. I
R/ Cetirizine tab 10 mg No. V S pro injeksi IV 1dd
S 1dd tab I noct
Trichomoniasis
Pityriasis Versicolor
R/ Metronidazole tab 500 mg No. IV
R/ Selenium sulfide shampoo 1,8% fls No. I S 1dd tab IV single dose
S u.e. q2d 30 menit – bilas
Urticaria
R/ Ketoconazole tab 200 mg No. X Angioedema Akut dan Generalisata
S 1dd tab I mane pc R/ Prednisone tab 20 mg No. XXI
S 4dd tab I 3 hari
Pyoderma S 2dd tab I 3 hari
S 1dd tab I 3 hari
R/ Kalium Permanganat solutio 1/5000 fls No. I
R/ Kassa steril No. X Urticaria Kronis
S u.e. 2dd kompres 60 menit R/ Loratadine tab 10 mg No. VII
S 1dd tab I noct
R/ Mupirocin 2% cream tube No. I
S u.e. 2dd R/ Menthol cream 1% tube No. I
S u.e. 2dd
R/ Amoxicillin-clavulanate tab 625 No. XXI
S 3dd tab I pc habiskan Ulcus Arteriosum
Scabies R/ Metronidazole tab 500 mg No. XV
S 3dd tab I pc habiskan
R/ Permethrin 5% tube 30 g No. I
S u.e. 1dd noct seluruh tubuh Ulcus Tropicum
R/ Cetirizine tab 10 mg No. III R/ Penicillin G 1,2 juta IU vial No. VII
S 1dd tab I noct R/ Aqua pro injection fls No. VII
R/ Spuit 10 cc No. VII
Infeksi Sekunder S pro injeksi IM 1dd
R/ Amoxicillin tab 500 mg No. XV
S 3dd tab I pc habiskan Ulcus Varicosum

R/ Zinc Sulfate tab 200 mg No. XIV

Seborrheic Dermatitis S 2dd tab I
R/ Selenium sulfide shampoo 1,8% fls No. I Vulvovaginal Candidiasis
S u.e. q2d 30 menit – bilas
R/ Clotrimazole cream 1% tube No. I
R/ Desonide cream 0,05% tube No. I S 1dd intravaginal 7 hari
S u.e. 2dd
Varicella
R/ Cetirizine tab 10 mg No. V
S 1dd tab I noct R/ Acyclovir tab 400 mg No. LXX
S 5dd tab II

Syphilis R/ Paracetamol tab 500 mg No. X

Primer, Sekunder, Laten Awal S 3dd I prn
R/ Benzathine penicillin G 2,4 juta IU vial No. I R/ Lotio kalamin fls No. I
R/ Spuit 5 cc No. I S u.e. 2dd

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 R/ Doxycycline tab 100 mg No. II
12. Infeksi S 2dd tab I

R/ Paracetamol tab 500 mg No. X

Filariasis S 3dd tab I prn
R/ Diethylcarbamazine tab 100 mg No. XXXVI Malaria
S 3dd tab I pc Falciparum
R/ FDC Malaria 40/320 No. IX
R/Ivermectin tab 3 mg No. I S 1dd tab III
S 1dd tab I single dose
R/ Primakuin tab 25 mg No. XIV
Cetirizine tab 10 mg No. VII S 1dd tab II
S 1dd tab I noct prn
Vivax & Ovale
HIV/AIDS Tanpa Komplikasi R/ FDC Malaria 40/320 No. IX
Fixed Dose Combination S 1dd tab III
R/ FDC HIV tablet No. XXX
S 2dd tab I R/ Primakuin tab 25 mg No. XIV
S 1dd tab I
Obat Terpisah
R/ Zidovudine tab 300 mg No. XX Malariae
S 2dd tab I R/ FDC Malaria 40/320 No. IX
S 1dd tab III
R/ Tenofovir tab 300 mg No. X
S 1dd tab I Morbilli
R/ Lamivudine tab 150 mg No. XX R/ Paracetamol syr 120 mg/5 mL fls No. I
S 2dd tab I S 3dd cth I prn
R/ Efavirenz tab 600 mg No. X R/ Amoxicillin syr 125 mg/5 mL fls No. I
S 1dd tab I S 2dd cth I pc habiskan
Infeksi Saluran Kemih R/ Vitamin A 200.000 IU No. II
S 1dd I
R/ Cotrimoxazole tab 960 mg No. VI
S 2dd tab I pc habiskan R/ Oralit sachet No. VI
S u.c.
R/ Paracetamol tab 500 mg No. X
S 3dd tab I prn Oral Candidiasis
Infeksi Umbilicus R/ Gentian violet 1% fls No. I
S u.e. 3dd
R/ Povidone-iodine 2,5% fls No. I
R/ Kassa steril No. X R/ Nystatin oral susp 100.000 IU fls No. I
S u.e. 3dd S u.e. 3dd
R/ Cloxacillin syr 125 mg/5mL No. I Parotitis
S 4dd cth I pc habiskan
R/ Paracetamol tab 500 mg No. XV
R/ Neomycin cream 0,5% tube No. I S 3dd tab I
S u.e. 3dd
R/ Ampicillin tab 500 mg No. XX
Influenza S 4dd tab I pc habiskan
R/ Paracetamol tab 500 mg No. XV Pyelonephritis Tanpa Komplikasi
S 3dd tab I prn
R/ Ceftriaxone vial 1 g No. II
R/ Pseudoefedrin tab 30 mg No. XV R/ Spuit 10 cc No. II
S 3dd tab I R/ Aqua pro injection fls 10 mL No. II
S pro injeksi IV 2dd
R/ Cetirizine tab 10 mg No. V R/ Paracetamol tab 500 mg No. X
S 1dd tab I S 3dd tab I prn
Leptospirosis Tuberculosis

9
R/ OAT 4FDC tab No. XII
S 1dd tab III ac mane

Tuberculosis Anak

R/ OAT 3FDC anak tab No. XIV

S 1dd tab II ac mane

13. Jiwa

Gaduh Gelisah

R/ Chlorpromazine vial 50 mg No. I

R/ Spuit 10 cc No. I
S pro injeksi IM 1dd

Gangguan Anxietas & Depresi

R/ Amitriptyline tab 25 mg No. VII

S 1dd tab I mane

R/ Diazepam tab 5 mg No. III

S 1 dd tab I noct

Gangguan Psikotik

R/ Haloperidol tab 5 mg No. X

S 2dd tab I

R/ Triheksifenidil tab 2 mg No. X

S 3dd tab I

Insomnia

R/ Diazepam tab 5 mg No. III

S 1dd tab I noct

Bedah
Phimosis

R/ Betamethasone salep 0,05% tube No. I

S u.e. 2dd pada preputium

Lipoma (Pasca eksisi)

R/ Amoxicillin tab 500 mg No. XV

S 3dd tab I

R/ Asam mefenamat tab 500 mg No. XV

S 3dd tab I

10