> **来源：[研报客](https://pc.yanbaoke.cn)** # Solomon Islands Essential Medicines List Summary (November 2023) ## Core Content The **Solomon Islands National Essential Medicines List (EML)** for 2023 is a comprehensive compilation of medicines available within the public health system. It is regularly updated by the **National Medicine & Therapeutics Committee (NMTC)** and is intended to guide health workers in treatment options at different facility levels. The EML is not a prescribing guide, and all prescriptions should be made based on the health worker's training and patient needs. --- ## Main Categories - **Legal Prescriber Categories**: - **SA (Nurse Prescriber Category)**: Medicines that can be prescribed by nurses who have access to them at their post. - **S4 (Doctor Prescriber Category)**: Medicines that can be prescribed only by doctors, with specialist nurses allowed to prescribe based on their specialty. - **User Categories (Based on Lowest Post)**: - **N**: Nurse Aid Post - **C**: Clinics - **A**: Area Health Centre - **H**: Hospital - **S**: Specialist --- ## Recent Changes ### **Deletions** - **Formaldehyde solution 2L 2%**: Removed due to the use of 37% concentration formaldehyde. - **Tetanus Toxoid vaccine**: Replaced by **Tetanus Diphtheria vaccine**. ### **Additions** - **Acyclovir injection powder** (250mg/10mL or 500mg/10mL) for severe HSV infections, including genital HSV, HSV encephalitis, and disseminated shingles. - **Artemether/Lumefantrine** in various dosages (6x1, 6x2, 6x3, 6x4) for the treatment of malaria. - **Aspirin coated 100mg tabs** (H/SA) for pre-eclampsia and maternal health. - **Bevacizumab** (25mg in 1ml) for diabetic retinopathy. - **Bleomycin** (15,000 IU injection) for testicular cancer. - **Calcium 1000mg tabs** (H/S4) for hypertension in pregnant mothers. - **Dacarbazine** (200mg injection) for Hodgkin's Lymphoma. - **Depo Medroxyprogesterone Acetate Subcutaneous (DMPA SC)** (104mg injection) for contraceptive use. - **Heberprot-P** (75mcg injection) for advanced diabetic foot ulcers. - **Hepatitis B vaccine** (10 doses vial) for use in clinics. - **Molnupiravir** (200mg tabs) for non-severe COVID-19 and influenza. - **Tocilizumab (Actemra®)** (400mg/20ml injection) for COVID-19 treatment. - **Vinblastine** (1mg in 1ml injection) for Hodgkin's Lymphoma. ### **User Schedule Changes** | Code | Item | Previous Schedule | New Schedule | |------|------|-------------------|-------------| | 45 | Aspirin 300mg tabs | A/S4 | A/SA | | 214 | Furosemide 20mg tabs | H/S4 | S/S4 | | 684 | Promethazine 5mg in 5ml | S/SA | S/S4 | | 655 | Prednisolone 5mg tabs | C/SA | C/S4 | | 3833 | Ranitidine suspension 15mg in 1ml | H/S4 | S/S4 | | 2625 | Rifampicin 100mg in 5ml | A/S4 | H/S4 | | 3160 | Trimethoprim 300mg tabs | A/S4 | H/S4 | --- ## Key Information - **Updates**: The EML is subject to annual updates due to medical advancements. It may take 6–12 months for changes to reflect in procurement and stock availability. - **Stock Management**: Items deleted from the EML should still be used until alternatives are available or unless otherwise advised. - **Prescription Guidelines**: Health workers should not use this list as a prescribing guide. Prescribing must be based on their training and the patient's condition. - **Drug Categorization**: The categorization of drugs is for informational purposes only and does not constitute an endorsement for specific uses. - **Adverse Drug Reaction Reporting**: Health workers can report drug interactions and side effects between 8am and 4:30pm on weekdays by contacting the **Solomon Islands Medicines Information Centre (MIC)** at phone number **24697**. --- ## Medicines List Highlights The EML includes a wide range of medicines, categorized by form, strength, and availability at different facility levels. Some key highlights include: - **Antimicrobials**: Such as **Amoxicillin**, **Cefixime**, **Ciprofloxacin**, **Doxycycline**, and **Flucloxacillin**. - **Antifungals**: Including **Clotrimazole**, **Griseofulvin**, and **Fluconazole**. - **Antivirals**: **Acyclovir**, **Molnupiravir**, and **Tocilizumab** for specific viral infections. - **Immunizations**: **Tetanus Diphtheria vaccine**, **Hepatitis B vaccine**, and **Human Papillomavirus vaccine (Gardasil®)**. - **Chemotherapy Agents**: **Bevacizumab**, **Bleomycin**, **Dacarbazine**, **Cyclophosphamide**, **Doxorubicin**, **Carboplatin**, and **Vinblastine**. - **Contraceptives**: **Depo Medroxyprogesterone Acetate Subcutaneous (DMPA SC)**. - **Cardiovascular Drugs**: **Atenolol**, **Enalapril**, **Hydralazine**, **Hydrochlorothiazide**, **Diltiazem**, **Verapamil**, and **Digoxin**. - **Neurological Drugs**: **Diazepam**, **Fluoxetine**, **Haloperidol**, **Fluphenazine decanoate**, **Lorazepam**, **Carbamazepine**, and **Benzodiazepines**. - **Anesthetics**: **Halothane**, **Bupivacaine**, and **Atropine sulfate**. - **Other Medicines**: **Calcium**, **Folic acid**, **Ethinylestradiol**, **Ephedrine**, **Epinephrine**, **Erythromycin**, **Ethambutol**, **Fluorouracil**, **Fluorometholone**, **Glycopyrronium bromide**, **Hydrocortisone**, **Hydroxypropylmethylcellulose**, and **Hyoscine Butylbromide**. --- ## Contact Information - **Solomon Islands Medicines Information Centre (MIC)**: Contactable at **phone number 24697**. - **Secretary of the NMTC**: Contactable through the **Chief Pharmacist, National Pharmacy Services Division**. - **Adverse Drug Reaction Reporting**: Available from the MIC during working hours (8am to 4:30pm, weekdays). --- This summary provides an overview of the essential medicines available in the Solomon Islands for 2023, their categories, recent changes, and usage guidelines. It serves as a reference for health workers to understand treatment options at different facility levels.