DAFTAR OBAT HIGH ALERT GOLONGAN NARKOTIKA

UNIT FARMASI

No Nama Obat Kandungan Golongan Lokasi Penyimpanan

1 Codein 10 mg tablet
2 Codein 20 mg tablet
3 Codipront cum exp kapsul
4 Codipront cum exp sirup
5 Codipront kapsul
6 Codipront sirup
7 Coditam tablet
8 MST Continous 10 mg
9 MST Continous 15 mg
10 MST Continous 20 mg
Codein
Codein, Phenyltoloxamine, guaifenesin
Codein, Phenyltoloxamine, guaifenesin
Codein, Phenyltoloxamine
Narkotika Lemari Narkotika atas
Codein, Phenyltoloxamine
Codein, Paracetamol
Morphin Sulfate
Morphin Sulfate
Morphin Sulfate

DAFTAR OBAT HIGH ALERT GOLONGAN NARKOTIKA

UNIT FARMASI

No Nama Obat Kandungan Golongan Lokasi Penyimpanan

1 Clopedin Injeksi 50mg/ml Pethidin
2 Durogesic patch 12,5 mg Fentanyl
3 Durogesic patch 25 mg Fentanyl
4 Narkotika Lemari Narkotika
Fentanyl injeksi 10 ml Fentanyl bawah
5 Fentanyl injeksi 2 ml Fentanyl
6 Morphin injeksi 10 mg/ml Morphin HCl
7 Pethidin injeksi 100 mg/2ml Pethidin
 DAFTAR OBAT HIGH ALERT GOLONGAN PSIKOTROPIKA
UNIT FARMASI

No Nama Obat Kandungan Golongan Lokasi Penyimpanan

1 Anesfar injeksi 1 mg/ml Midazolam
2 Diazepam 2 mg tablet Diazepam
3 Fortanest 15mg/3 ml
4 Fortanest 5 mg/ml
5 Midazolam injeksi 5 mg/ml Midazolam
6 Miloz injeksi 15 mg/3ml
7 Miloz injeksi 5 mg/ml
8 Phenobarbital 30 mg tablet
9 Phenobarbital injeksi Phenobarbital
10 Phental injeksi Lemari Psikotropika
psikotropika
11 Sedacum injeksi 15 mg/3ml Midazolam Atas
12 Sibital injeksi Phenobarbital
13 Stesolid 2 mg tablet
14 Stesolid 5 mg tablet
15 Stesolid injeksi
16 Stesolid rectal 10 mg
Diazepam
17 Stesolid rectal 5 mg
18 Valisanbe 2 mg tablet
19 Valisanbe 5 mg tablet
20 Valisanbe injeksi

DAFTAR OBAT HIGH ALERT GOLONGAN PSIKOTROPIKA

UNIT FARMASI

No Nama Obat Kandungan Golongan Lokasi Penyimpanan

1 Alprazolam 0,5 mg tablet
Alprazolam
2 Alprazolam 1 mg tablet
3 Analsik tablet Diazepam, methampiron
4 Apisate Diethylpropion HCl, vitamin
5 Ativan 0,5 mg tablet
Lorazepam
6 Ativan 1 mg tablet
7 Braxidin tablet Chlordiazepoxide, Clidinium Br
8 Clobazam 10 mg tablet Clobazam
9 Esilgan 1 mg tablet Lemari Psikotropika
Estazolam Psikotropika
10 Esilgan 2 mg tablet Bawah
11 Frisium 10 mg tablet Clobazam
12 Prohiper 10 mg tablet Methylphenidate HCl
13 Proneuron tablet Diazepam, methampiron
14 Riklona 2 mg tablet Clonazepam
15 Zolmia tablet Zolpidem Tartate
16 Zypraz 0,25 mg tablet
17 Zypraz 0,5 mg tablet Alprazolam
18 Zypraz 1 mg tablet
 DAFTAR OBAT HIGH ALERT GOLONGAN PREKURSOR
UNIT FARMASI

No Nama Obat Kandungan

Pseudoephedrine HCl, Brompheniramine

1 Alco DMP sirup maleat, Dextrometorphan HBr

2 Alco drop Pseudoephedrine HCl

3 Alco Plus sirup
Pseudoephedrine HCl, Brompheniramine
4 Aldisa SR kapsul maleat
5 Bamgetol 200 mg tablet
6 Carbamazepine tablet Carbamazepine
7 Edorisan drop
8 Nalgestan tablet Phenylpropanolamine HCl,
Chlorpheniramine
9 Rhinofed sirup
10 Rhinofed tablet
Pseudoephedrine HCl, Terfenadine
11 Rhinos drop
12 Rhinos SR kapsul Pseudoephedrine HCl, Loratadine
13 Ryvel Plus tablet
Pseudoephedrine HCl, Cetirizine
14 Sanadryl DMP sirup
Diphenhydramine, Ammon Cl,
15 Sanadryl Expektoran sirup Dextrometorphan HBr
16 Tegretol 200 mg tablet
Carbamazepine
17 Tegretol CR tablet
18 Tremenza sirup
Pseudoephedrine HCl, Tripolidine HCl
19 Tremenza tablet

20 Chlorpromazine 100 mg tablet Chlorpromazine (CPZ)

21 Haloperidol 0,5 mg tablet
22 Haloperidol 1,5 mg tablet
23 Haloperidol 5 mg tablet
Haloperidol
24 Haldol decanoas 50 mg/ml injeksi
25 Lodomer 5mg/ml injeksi
26 Serenace tablet
27 Tramadol 50 mg kapsul
28 Tramadol 50mg/ml injeksi
29 Tradosik 50 mg kapsul
Tramadol
30 Tradosik 100mg/2ml injeksi
31 Tramal 50 mg kapsul
32 Tramal 100mg/2ml injeksi
OLONGAN PREKURSOR
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Golongan Lokasi Penyimpanan

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