Injectable drugs

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJACSA5V	ACETYLSALICYLAT LYSINE, 0.9g (aspirin 0.5g), powder vial	CHF 1.531	0.435kg per 20 units	0.6dm³ per 20 units

Injectable analgesic, antipyretic, anti –inflammatory.

Not in the WHO “Essential Medicines” list 2002.

Action is rapid, intense and prolonged (6 hours).

Used particularly in French-speaking countries.

0.9g of acetylsalicylic lysine corresponds to 500mg of acetylsalicylic acid.

Storage:       Temperature below 30°C.

                   Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJAMIN2A	AMINOPHYLLINE, 25 mg/ml, 10ml, amp.	CHF 0.186	1.730kg per 100 units	4.332dm³ per 100 units

Injectable bronchodilator.

In the WHO “Essential Medicines” list 2002.

Storage:       Keep cool (between 8°C and 15°C).

                   Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. Price	Ship. Weight	Ship. Vol.
DINJAMPI1V	AMPICILLIN, 1g, im/iv, powder vial	CHF 0.346	2.200kg per 100 units	4.563dm³ per 100 units
DINJAMPI5V	AMPICILLIN, 500mg, im/iv, powder vial	CHF 0.177	2.060kg per 100 units	3.6dm³ per 100 units

Injectable antibacterial (antibiotic) in the penicillins group, broad spectrum.

In the WHO “Essential Medicines” list 2002.

The injectable powder is the same, whatever the method of injection indicated on the vial. Some dilutants accompanying the vials contain Lidocaine for IM injections. Once the solution has been reconstituted with such a dilutant, it cannot be used for IV. If the vials of powder are reconstituted with sterile water, they may be administered either IM or IV.

Dosage of ampicillin and amoxycilline by parenteral route is the same, unlike the oral doses.

Injectable ampicillin is preferred because of its greater stability and lower cost.

The 1g strength is preferable, since this makes the treatment less expensive.

Storage:       Keep cool (between 8°C and 15°C)..

                   Once the powder has dissolved, the solution should be clear and must be used the same day.

                   Diluted in a infusion of glucose, ampicillin remains stable for 6 hours ; 12 hours in sodium chloride. It is best to inject it directly into the drip tubing.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. Price	Ship. Weight	Ship. Vol.
DINJARTE8A	ARTEMETHER, 80mg, amp.

Antimalarial drug, artemisinine derivative.

In the WHO “Essential Medicines” list 2002.

Treatment of severe or complicated malaria.

Artemether should be preferred to injectable quinine because it acts more quickly on the elimination of the parasites and the clinical signes, with less side effects, and it is more easy to use (IM route). As soon as the patient can swallow, continue the treatment with a therapeutic combination of artemisinine derivatives.

Storage:       Read the manufacturer’s instructions on the packaging.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. Price	Ship. Weight	Ship. Vol.
DINJATRO1A	ATROPINE SULFATE, 1 mg/ml, 1ml, amp.	CHF 0.089	0.410kg per 100 units	1.764dm³ per 100 units
DINJATRO5A	ATROPINE  SULFATE, 0.5 mg/ml, 1ml, amp.	CHF 0.094	0.365kg per 100 units	1.56dm³ per 100 units

Injectable antispasmodic, parasympatholytic.

In the WHO “Essential Medicines” list 2002 (1mg).

Storage:       No special precautions as regards temperature.

                   Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJBUPI5V2	BUPIVACAINE 0.5%, 5 mg/ml, 20ml, vial	CHF 1.359	0.560kg per 10 units	0.833dm³ per 10 units

Injectable long action local anaesthetic

In the WHO “Essential Medicines” list 2002.

Should be strictly limited to surgical missions with an anaesthetist and ophthalmological missions.

Used for local/regional, plexus and epidural anaesthesia and ophthalmology.

Has a longer action than lidocaine (1-3 hours).

Recommended concentration: 0.5% (normobaric).

Can easily be diluted to obtain a 0.25% concentration.

NF (Do not freeze). See introductory remarks concerning the heat sensitive items.

Storage:       Temperature below 30°C.

                   Particularly sensitive to light.

                   Do not reuse an opened vial.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJBUPI5A4	BUPIVACAINE, heavy, 0.5% (5 mg/ml), 4ml, amp. for spinal a.	CHF 2.12	0.220kg per 20 units	1.17dm³ per 20 units

Injectable local anaesthetic for epidural / spinal anaesthesia

In the WHO “Essential Medicines” list 2002.

0.5% Bupivicaine in hyperbaric glucose solution.

Strictly reserved for epidural and spinal anaesthesia (longer acting time than lidocaine).

Storage:       Temperature below 30°C.

                   Particularly sensitive to light.

Code	Description	Ind. Price	Ship. Weight	Ship. Vol.
DINJBUTY2A	BUTYLHYOSCINE (butylscopolamine), 20 mg/ml, 1ml, amp.	CHF 0.158	0.510kg per 100 units	1.764dm³ per 100 units

Injectable parasympatholytic, antispasmodic.

Not in the WHO “Essential Medicines” list 2002.

Also called: Butylscopolamine or Hyoscine Butylbromide.

Storage:       No special precautions as regards temperature.

                   Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJCALG1A	CALCIUM GLUCONATE, 100 mg/ml, 10 ml, amp.	CHF 0.139	1.750kg per 100 units	3.672dm³ per 100 units

Injectable calcium for emergencies

In the WHO “Essential Medicines” list 2002.

Calcium supply for an emergency calcitherapy.

Indications are extremely limited in the field without blood biochemistry data.

1g (2.23mmol) calcium gluconate (100mg/ml, 10 ml) corresponds to 89.41mg calcium.

Storage:       Temperature below 30°C.

                   Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJCEFT2V	CEFTRIAXONE, 250mg, powder, vial	CHF 7.688	0.030kg	0.144dm³

Injectable antibiotic

In the WHO “Essential Medicines” list 2002.

Cephalosporine of third generation, used in meningitis and severe infections resistant to first-line antibacterials.

Very expensive.

Some solvents for IM injections contain lidocaïne: the prepared solution with these solvents may not be used for IV injections and can be contra-indicated for young children.

See national protocols and national lists of essential drugs.

Storage:       Temperature below 30°C.

                   Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. Price	Ship. Weight	Ship. Vol.
DINJCHLM5A	CHLORPROMAZINE, 25 mg/ml, 2 ml, amp.	CHF 0.058	0.510kg per 100 units	1.56dm³ per 100 units

Injectable sedative and anti-emetic neuroleptic.

In the WHO “Essential Medicines” list 2002.

C2 (Sometimes controlled). See introductory remarks “Narcotic and psychotropic drugs – Medications subject to particular international and national controls”.

Storage:       Temperature below 30°C.

                   Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJCHLO1V	CHLORAMPHENICOL, 1 g, powder, vial	CHF 0.432	1.505kg per 50 units	2.618dm³ per 50 units

Injectable antibiotic

In the WHO “Essential Medicines” list 2002.

Storage:       Temperature below 30°C.

                   Particularly sensitive to light.

                   Once the powder has dissolved, the solution should be clear and must be used the same day.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJCHLO5AO	CHLORAMPHENICOL in oil, 250 mg/ml, 2 ml, amp.	CHF 2.098	0.770kg per 100 units	2.736dm³ per 100 units

Injectable long acting antibiotic (for meningitis)

In the WHO “Essential Medicines” list 2002.

Antibacterial (antibiotic) with prolonged action (several weeks), oily solution only to be given IM.

Should be used only for mass treatment meningitis epidemics.

Product made by a very limited number of manufacturers. Check availability before it becomes urgent…

Shake the suspension before use.

Storage:       Temperature below 30°C.

                   Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJCLOX2V	CLOXACILLIN, 250 mg, powder, vial	CHF 0.256	1.435kg per 50 units	2.618dm³ per 50 units
DINJCLOX5V	CLOXACILLIN, 500 mg, powder, vial	CHF 0.290	1.445kg per 50 units	2.618dm³ per 50 units

Injectable antibiotic

In the WHO “Essential Medicines” list 2002.

Against  penicillase producing staphylococci

Storage:       Keep cool.

                   Particularly sensitive to light.

                   Once the powder has dissolved, the solution should be clear and must be used the same day.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. Price	Ship. Weight	Ship. Vol.
DINJDEXA4A	DEXAMETHASONE, 4 mg PHOSPH./ml (5 mg sod.phosph.) 1 ml, amp.	CHF 0.163	0.460kg per 100 units	2.4dm³ per 100 units

Injectable corticosteroid

In the WHO “Essential Medicines” list 2002.

Also comes in 1ml ampoule containing Dexamethasone sodium phosphate 5mg, equivalent to Dexamethasone phosphate 4.55mg.

Storage:       Keep cool if possible.

                   Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJDIAZ1A	DIAZEPAM, 5 mg/ml, 2 ml, amp.	CHF 0.104

Injectable anxiolytic, sedative, anticonvulsant, muscular relaxant

In the WHO “Essential Medicines” list 2002.

C1 (Always controlled). See introductory remarks “Narcotic and psychotropic drugs – Medications subject to particular international and national controls”.

For IV administration diazepam should be diluted (a) because of its toxicity to veins and (b) to adjust the dose in line with the effect desired.

Storage:       No special precautions as regards temperature.

                   Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. Price	Ship. Weight	Ship. Vol.
DINJDICL7A	DICLOFENAC SODIUM, 25 mg/ml, 3 ml, amp.	CHF 0.229	0.790kg per 100 units	2.992dm³ per 100 units

Injectable non-steroid anti-inflammatory, analgesic, antipyretic

Not in the WHO “Essential Medicines” list 2002.

For infusion in glucose 5% or sodium chloride 0.9% solution, add 0.5ml of Sodium bicarbonate 8.4% per 500ml of solution.

Storage:       Temperature below 30°C.

                   Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJDIGO5A	DIGOXIN, 0.25 mg/ml, 2 ml, amp.	CHF 0.108	0.505kg per 100 units	1.764dm³ per 100 units

Injectable antiarythmicum cardiotonic

In the WHO “Essential Medicines” list 2002.

Storage:       No special precautions as regards temperature.

                   Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. Price	Ship. Weight	Ship. Vol.
DINJDOPA4A5	DOPAMINE, 40mg/ml, 5 ml amp.

Sympathomimetic

In the WHO “Essential Medicines” list 2002.

Indicated in case of cardiogenic or spetic shock, after correction of hypovoleamia when necessary, or syndrome of postoperative low cardiac output.

The infusion rate must be carefully monitored to avoid inadvertent bolus of dopamine potentially fatal.

Storage:       Read the manufacturer’s instructions on the packaging.

                   Diluted in glucose 5%, the solution is stable for 24 hours at 25°C. It must be colourless.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. Price	Ship. Weight	Ship. Vol.
DINJEPHE3A	EPHEDRINE, 30 mg/ml, 1 ml, amp.	CHF 0.584	0.040kg per 10 units	0.216dm³ per 10 units

Injectable sympathomimetic

In the WHO “Essential Medicines” list 2002.

C2 (Sometimes controlled). See introductory remarks “Narcotic and psychotropic drugs – Medications subject to particular international and national controls”.

Used to treat hypotension induced by regional (spinal & epidural) anaesthesia.

Should be limited to surgical missions with an anaesthetist.

Supplied as 1ml ampoule containing 30mg. To be diluted in 10ml glucose 5% or sodium chloride 0.9% to obtain a solution containing 3mg ephedrine per ml.

Warning: confusion between Ephedrine and Epinephrine is frequent due to similar spelling.

Storage:       Temperature below 30°C.

                   Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJEPIN1A	EPINEPHRINE (adrenaline), 1 mg/ml, 1 ml, amp.	CHF 0.093	0.450kg per 100 units	2.4dm³ per 100 units

Injectable sympathomimetic

In the WHO “Essential Medicines” list 2002.

Sensitive to light and heat; dispose of ampoules whose contents have turned pink or brown.

Warning: confusion between Ephedrine and Epinephrine is frequent due to similar spelling.

Storage:       Keep cool (between 8°C and 15°C).

                   Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. Price	Ship. Weight	Ship. Vol.
DINJERGM2A	METHYLERGOMETRINE, 0.2 mg/ml, 1 ml, amp.	CHF 0.18	0.044kg per 10 units	0.256dm³ per 10 units

Injectable uterine contraction drug

In the WHO “Essential Medicines” list 2002.

C2 (Sometimes controlled). See introductory remarks “Narcotic and psychotropic drugs – Medications subject to particular international and national controls”.

Some makes are very sensitive and deteriorate rapidly.

There is no significant difference in activity or stability between ergometrine and methylergometrine.

Only one of the two dosages is sufficient. Choose Methylergometrine 0.2mg/ml, by slow IV injection.

Avoid any exposure whatsoever to light.

*   (Slightly sensitive items). See introductory remarks concerning the heat sensitive items.

Storage:       Keep refrigerated between + 2° to + 8°C.

                   Do not freeze.

                   If the drug is kept unrefrigerated, use it during one year of its arrival.

                   Particularly sensitive to light. The glass of the ampoules should be coloured brown.

                   If the colour of the solution, which normally ranges from white to pink, becomes yellow/green, the drug has deteriorated and lost its effectiveness.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJFENT1A	FENTANYL, 0.05mg/ml, 2 ml, amp.	CHF 1.215

Injectable analgesic for surgical and diagnostic interventions

Not in the WHO “Essential Medicines” list 2002.

C1 (Always controlled). See introductory remarks “Narcotic and psychotropic drugs – Medications subject to particular international and national controls”.

Centrally acting opioid analgesic

Central analgesic: a very powerful narcotic which does not figure on the WHO list of essential drugs.

Distribution should be controlled as under hospital conditions (using a narcotics register, or recording amounts in and out, and keeping it under lock and key). Should be limited strictly to surgical missions with an anaesthetist.

Storage:       Particularly sensitive to light.

 (In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJFURO2A	FUROSEMIDE, 10 mg/ml, 2 ml, amp.	CHF 0.182	0.590kg per 100 units	2.4dm³ per 100 units

Injectable diuretic

In the WHO “Essential Medicines” list 2002.

Synonym: Frusemide.

Storage:       Temperature below 30°C.

                   Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. Price	Ship. Weight	Ship. Vol.
DINJGENT8A	GENTAMICIN, 40 mg/ml, 2 ml, amp.	CHF 0.175	0.580kg per 100 units	2.4dm³ per 100 units

Injectable antibiotic (aminoglycosides).

In the WHO “Essential Medicines” list 2002.

Supplied only in 80mg ampoules (40mg/ml, 2ml) for logistical reasons. Paediatric indications are rare and should be kept that way. A dilute solution can be kept for 24 hours in the refrigerator.

Provided it is used for the same patient.

Storage:       Temperature below 30°C.

                   Particularly sensitive to light.

                   When using plastic syringes, inject immediately after preparation. The solution should be clear.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJHEPA5V5	HEPARIN sodium, 5000IU/ml, 5 ml, vial.

Anticoagulant.

In the WHO “Essential Medicines” list 2002.

Indications:

Venous and arterial thrombosis: pulmonary embolism, myocardial infarction, thrombophlebitis.

Prevention of venous and arterial thrombosis, especially in pre-operative and postoperative period and in patients on bedrest.

Do not use if haemostasis cannot be biologically controlled. The chosen heparin can be used in intravenous (acts immediately for about 2 to 4 hours) or subcutaneaous way (acts within 1 hour for 8 to 12 hours).

Antidote: see Protamine Sulfate.

Storage:       Read the manufacturer’s instructions on the packaging.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. Price	Ship. Weight	Ship. Vol.
DINJHYDA2A	HYDRALAZINE, 20 mg, powder, amp.	CHF 1.474	0.230kg per 50 units	1.485dm³ per 50 units

Intravenous antihypertensive acting on the vasodilatory system

In the WHO “Essential Medicines” list 2002.

Strictly for hospital use only.

For infusion, use Sodium chloride 0.9% or Ringer lactate solution, other infusion fluids inactivate Hydralazine.

Do not use other forms of hydralazine, particularly solutions. The lyophilised form is more stable than the solution. Hydralazine (e.g. Apresoline®) and dihydralazine (e.g. Nepressol®) are used for the same indications and at the same dosage.

Storage:       Temperature below 30°C.

                   Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJHYDR1V	HYDROCORTISONE, 100 mg, powder, vial	CHF 0.508	2.020kg per 100 units	3.15dm³ per 100 units

Intravenous corticosteroid

In the WHO “Essential Medicines” list 2002.

Hydrocortisone salt as phosphate, succinate or hemisuccinate to be dissolved in water for injection.

Remark: Hydrocortisone acetate is a suspension insoluble in water, used as a local treatment only.

Storage:       Temperature below 30°C.

                   Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJINSH10VI	INSULIN, INTERMEDIATE ACTION, 100 IU/ml, human, 10 ml, vial	CHF 30.11

Subcutaneus antidiabetic insulin

Pancreatic hormone, antidiabetic.

The type of insulin (short-acting, intermediate acting, long acting) used depends on the type of diabetes, patient’s age and blood glucose level.

Human insulins are preferred for cultural and  medical reasons.

Should be supplied together with calibrated syringe for 100 IU insulin.

Appearance: opalescent suspension.

Warning: Some countries may still be used to the former presentation: 40 IU/ml, although this presentation is not recommended anymore.

Storage:       To be kept refrigerated between + 2° to + 8°C.

                   Do not freeze.

                   Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJINSH10VR	INSULIN, RAPID, 100 IU/ml, human, 10 ml, vial	CHF 30.12	0.032kg	0.108dm³

Intravenous / Subcutaneus antidiabetic insulin

The type of insulin (short-acting, intermediate acting, long acting) used depends on the type of diabetes, patient’s age and blood glucose level.

Preparations of human or animal origin have generally the same hypoglycaemic effect. Human insulins are more expensive than porcine origin insulins, but they are sometimes preferred for cultural or medical reasons.

Should be supplied together with calibrated syringe for 100 IU insulin.

Appearance: clear suspension.

Warning: Some countries may still be used to the former presentation: 40 IU/ml, although this presentation is not recommended anymore.

Storage:       To be kept refrigerated between + 2° to + 8°C.

                   Do not freeze.

                   Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. Price	Ship. Weight	Ship. Vol.
DINJKETA5V	KETAMINE, 50 mg/ml, 10 ml, vial	CHF 0.819	0.910kg per 25 units	1.183dm³ per 25 units

Intramuscular, intravenous, general anaesthetic

In the WHO “Essential Medicines” list 2002.

C2 (Sometimes controlled). See introductory remarks “Narcotic and psychotropic drugs – Medications subject to particular international and national controls”.

Basic anaesthetic in developing countries. General anaesthetic, involving risk of arterial hypertension, hallucinations and salivary hypersecretion. Preferably used with atropine sulphate and diazepam (In Guide “Anesthésie –Réanimation –Transfusion en situation d’isolement”, MSF).

Ketamine has no myorelaxant properties.

Keep away from light. Some ketamines do not withstand heat very well, and lose their therapeutic value (but without any decrease in their side-effects!).

Distribution should be controlled as under hospital conditions (using a narcotics register or recording amounts in and out and keeping it under lock and key).

Should be limited strictly to surgical missions with an anaesthetist.

Storage:       No special precautions as regards temperature.

                   Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJLIDO1V2	LIDOCAINE, 1%, 20 ml, vial	CHF 0.536	1.380kg per 25 units	1.792dm³ per 25 units

Injectable local anaesthetic

In the WHO “Essential Medicines” list 2002.

Synonym: Xylocaine.

Do not buy the 50ml vials (repeated perforation can cause contamination and poor conservation).

The 1% strength has been chosen because it passes into the tissues more readily.

Storage:       Temperature below 30°C.

                   Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJLIDO2CE1	LIDOCAINE 2%, + EPINEPHRINE 1/80000, 1.8 ml, cart.	CHF 0.425

Injectable local (dental) anaesthetic

In the WHO “Essential Medicines” list 2002.

Syringe cartridge for use in dental anaesthesia.

Storage:       Keep in a cool place (8 to 15°C).

                   Protect from light.

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJLIDO2VE2	LIDOCAINE 2%, + EPINEPHRINE 1/200000, 20 ml, vial	CHF 1.790	0.056kg	0.112dm³

Injectable local anaesthetic

In the WHO “Essential Medicines” list 2002.

Synonym: Xylocaine with Epinephrine.

Do not buy the 50ml vials (repeated perforation can cause contamination and poor conservation).

Epinephrine added to Lidocaine prolongs anaesthesia.

Never use solutions for the anaesthesia of fingers or extremities: risk of ischemia and necrosis.

Storage:       Keep in a cool place (8 to 15°C). Sometimes between 2 to 8°C depends on manufacturer.

                   Protect from light.

Code	Description	Ind. Price	Ship. Weight	Ship. Vol.
DINJMAGS5V	MAGNESIUM SULFATE, 0.5 g/ml, 10 ml, vial	CHF 4.135	1.020kg per 50 units	2.09dm³ per 50 units

Injectable anticonvulsant (only by parenteral route) especially in eclampsia

In the WHO “Essential Medicines” list 2002.

10ml ampoule (0.5g/ml) contains 5g Magnesium sulphate.

1g Magnesium sulphate contains 4mmol = 8.1 mEq magnesium.

To avoid fatal overdosage give Calcium gluconate by IV injection.

Storage:       Temperature below 30°C.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. Price	Ship. Weight	Ship. Vol.
DINJMEDR1V	MEDROXYPROGESTERONE ACETATE, 150mg, vial	CHF 15.40

Injectable hormone contraceptive long-acting

In the WHO “Essential Medicines” list 2002.

Added when setting up birth control programmes. Follow and check with the national protocols.

Storage:       Temperature below 30°C.

                   Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJMETO1A	METOCLOPRAMIDE, 5 mg/ml, 2 ml, amp.	CHF 0.092

Injectable antiemetic

In the WHO “Essential Medicines” list 2002.

Do not forget that it is essential to treat the cause of the vomiting and that this drug is not without its side-effects.

Storage:       Temperature below 30°C.

                   Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. Price	Ship. Weight	Ship. Vol.
DINJMORP1A	MORPHINE, 10 mg/ml, 1 ml, amp.	CHF 0.267

Injectable strong pain killer, narcotic

In the WHO “Essential Medicines” list 2002.

C1 (Always controlled). See introductory remarks “Narcotic and psychotropic drugs – Medications subject to particular international and national controls”.

Central analgesic: a very powerful narcotic.

Distribution should be controlled as under hospital conditions (using a narcotics register, or recording amounts in and out, and keeping it under lock and key). Should be limited strictly to surgical missions with an anaesthetist.

Storage:       Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJNALO4A	NALOXONE, 0.4 mg/ml, 1 ml, amp.	CHF 0.395	0.040kg per 10 units	0.210dm³ per 10 units

Injectable specific opioid antagonist

In the WHO “Essential Medicines” list 2002.

C2 (Sometimes controlled). See introductory remarks “Narcotic and psychotropic drugs – Medications subject to particular international and national controls”.

Should be limited strictly to surgical missions with an anaesthetist.

Storage:       Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. Price	Ship. Weight	Ship. Vol.
DINJNEOS5A	NEOSTIGMINE METHYLSULFATE, 0.5 mg/ml, 1 ml, amp.	CHF 0.27	0.435kg per 100 units	2.4dm³ per 100 units

Injectable cholinesterase inhibitor, antidote of non-depolarising muscle relaxants

In the WHO “Essential Medicines” list 2002.

Used in anaesthetic procedure

Cholinesterase inhibitor, antidote of non-depolarising muscle relaxants

Should be limited strictly to surgical missions with an anaesthetist.

Should always be used in conjunction with atropine sulphate which enables to avoid or to reduce the cholinergic effects of neostigmine.

Storage:       Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJOXYT1A	OXYTOCIN, 10 IU/ml, 1 ml, amp.	CHF 0.244	0.445kg per 100 units	2.4dm³ per 100 units

Injectable uterine contraction stimulator

In the WHO “Essential Medicines” list 2002.

Should be prescribed only by obstetricians, midwives and doctors with experience of it in a hospital situation.

Storage:       Keep refrigerated between + 2 to + 8°C.

                   Do not freeze.

                   If the drug is kept unrefrigerated, use it during one year of its arrival.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. Price	Ship. Weight	Ship. Vol.
DINJPENA3A	PENTAZOCINE, 30 mg/ml, 1 ml, amp.	CHF 0.20	0.360kg per 100 units	1.560dm³ per 100 units

Injectable analgesic

Not in the WHO “Essential Medicines” list 2002.

C1 (Always controlled). See introductory remarks “Narcotic and psychotropic drugs – Medications subject to particular international and national controls”.

Centrally acting opioid analgesic.

Distribution should be controlled as under hospital conditions (using a narcotics register, or recording amounts in and out, and keeping it under lock and key).

Storage:       Keep cool.

                   Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJPENIB2V	PENICILLIN BENZATHINE, 2.4 MIU, powder, vial	CHF 0.544	1.090kg per 50 units	2.352dm³ per 50 units

Injectable antibiotic, long acting

In the WHO “Essential Medicines” list 2002.

Long-acting antibacterial (antibiotic): 15 to 20 days.

Not to be used for urgent cases (too low blood concentrations).

For IM injection only.

Storage:       Temperature below 30°C.

                   Particularly sensitive to light.

                   After preparation the suspension should be used the same day and kept in the refrigerator (between 2°C and 8°C).

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJPENIF4V	PENICILLIN BENZYL 1 MIU + PROCAINE 3 MIU, (PPF), powd., vial	CHF 0.567	1.170kg per 50 units	2.352dm³ per 50 units

Injectable antibiotic, long acting

Not in the WHO “Essential Medicines” list 2002.

Double-action antibacterial (antibiotic), with long action (24 hours) of procaine penicillin and immediate action of benzylpenicillin.

Benzylpenicillin + procaine penicillin (= procaine penicillin fortified).

For IM injection only.

Storage:       Temperature below 30°C.

                   Particularly sensitive to light.

                   After preparation the suspension should be used the same day.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJPENIG1V	PENICILLIN BENZYL (peni G cristal peni), 1 MIU, powd., vial	CHF 0.309	0.190kg per 10 units	0.3dm³ per 10 units
DINJPENIG5V	PENICILLIN BENZYL (peni G cristal peni), 5 MIU, powd., vial	CHF 0.644	1.960kg per 50 units	3.927dm³ per 50 units

Injectable antibiotic, long acting, rapid-acting antibacterial (antibiotic), eliminated rapidly (6 hours).

In the WHO “Essential Medicines” list 2002.

For IM or IV injection/infusion.

Choose the strength in line with the national lists.

600mg of penicillin benzyl (peni G) = 1 million international units (M IU).

Storage:       Temperature below 30°C.

                   Particularly sensitive to light.

                   After preparation the suspension should be used the same day.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. Price	Ship. Weight	Ship. Vol.
DINJPETH1A	PETHIDINE, 50 mg/ml, 2 ml, amp.	CHF 0.858

Injectable strong analgesic

In the WHO “Essential Medicines” list 2002.

C1 (Always controlled). See introductory remarks “Narcotic and psychotropic drugs – Medications subject to particular international and national controls”.

Centrally acting opioid analgesic.

Distribution should be controlled as under hospital conditions (using a narcotics register, or recording amounts in and out, and keeping it under lock and key).

Storage:       Keep cool.

                   Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJPOTC10A1	POTASSIUM CHLORIDE, 100 mg/ml, 10 ml, amp.	CHF 0.119	1.725kg per 100 units	3.672dm³ per 100 units

Injectable substitution of potassium

In the WHO “Essential Medicines” list 2002.

Prevention and treatment of severe hypokaliemia.

Potassium chloride 100mg/ml = solution 10% contains 13.4mmol KCl per 10 ml ampoule.

Must be used in hospital care only.

Storage:       No special precautions.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. Price	Ship. Weight	Ship. Vol.
DINJPROI5A	PROTAMINE SULPHATE, 10 mg/ml, 5 ml amp.

Neutralisation of the anticoagulant action of heparin.

In the WHO “Essential Medicines” list 2002.

Treatment of haemorrhages resulting from heparin overdosage.

Storage:       Keep refrigerated (between 2 to 8°C).

                   Read the manufacturer’s instructions on the packaging.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. Price	Ship. Weight	Ship. Vol.
DINJPROM5A	PROMETHAZINE HYDROCHLORIDE, 25 mg/ml, 2 ml, amp.	CHF 0.111	0.515kg per 100 units	1.764dm³ per 100 units

Injectable antiemetic, antihistamine, sedative

In the WHO “Essential Medicines” list 2002.

Storage:       Temperature below 30°C.

                   Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJQUIN6A	QUININE DI-HYDROCHLORIDE, 300 mg/ml, 2 ml, amp.	CHF 0.208	0.595kg per 100 units	2.4dm³ per 100 units

Injectable antimalarial, second line

In the WHO “Essential Medicines” list 2002.

Storage:       Temperature below 30°C.

                   Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. Price	Ship. Weight	Ship. Vol.
DINJRANI25A2	RANITIDINE, 25 mg/ml, 2 ml, amp.

H2 – Receptor antagonist.

In the WHO “Essential Medicines” list 2002.

Used in benign gastric and duodenal ulceration, gastro-oesophageal reflux, Zollinger-Ellison syndrome, other conditions where gastric acid reduction is beneficial.

Storage:       Temperature below 25°C.

                   Protect from light.

Code	Description	Ind. Price	Ship. Weight	Ship. Vol.
DINJSALB5A	SALBUTAMOL, 0.5 mg/ml, 1 ml, amp.	CHF 0.149	0.360kg per 100 units	1.560dm³ per 100 units

Injectable bronchodilator, uterorelaxant

In the WHO “Essential Medicines” list 2002.

Storage:       Temperature below 30°C.

                   Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJSODB8A1	SODIUM BICARBONATE, 8.4%, 1 Meq/ml, 10 ml, amp.	CHF 0.407	1.805kg per 50 units	5.655dm³ per 50 units

Injectable sodium bicarbonate for acidosis correction

Indicated in the rare cases of metabolic acidosis. Can carry risk of metabolic disorders.

Sodium Bicarbonate solution 8.4% contains 10mmol NaHCO3 per 10 ml ampoule.

Storage:       Temperature below 30°C.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. Price	Ship. Weight	Ship. Vol.
DINJSPEM2V	SPECTINOMYCIN, 2g, powder, vial

Injectable antibiotic (exp. N. gonorrhoea)

In the WHO “Essential Medicines” list 2002.

Antibacterial of the aminoside group, active against Neisseria gonorrhoea.

Storage:       Temperature below 30°C.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. Price	Ship. Weight	Ship. Vol.
DINJSTRP1V	STREPTOMYCIN SULFATE, 1 g, powder, vial	CHF 0.345	1.460kg per 50 units	2.618dm³ per 50 units

Injectable antibiotic

In the WHO “Essential Medicines” list 2002.

 “Antitubercular” antibacterial (antibiotic). Should as a rule be used only in tuberculosis programs and combination with other antituberculous drugs. Always follow WHO treatment protocols after acceptance by your medical department. Follow the recommendations of the local tuberculosis programme, if there is one, otherwise the WHO recommendations.

Storage:       Keep cool.

                   Particularly sensitive to light.

                   After preparation the solution should be clear and keeps for a maximum of 1 hour.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJSUXC5V	SUXAMETHONIUM CHLORIDE, 500 mg, powder vial	CHF 0.955	1.300kg per 50 units	3.136dm³ per 50 units

Injectable muscle relaxant used during general anaesthesia

In the WHO “Essential Medicines” list 2002.

= succinyl choline.

Depolarising muscle relaxant of immediate action (30 to 60 seconds) and of short duration (2 to
6 minutes).

Should be limited strictly to surgical missions with an anaesthetist.

Powder for reconstitution to be dissolved in Sodium chloride 0.9% or Glucose 5%. Try to buy the dry powder which is easier to preserve. Solution is more easily available but needs to be refrigerated.

Storage:       Particularly sensitive to light.

                   Do not use after expiry date.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJTHIA1A	THIAMINE (vitamine B1), 50 mg/ml, 2 ml, amp.

Vitamine B1

Not in the WHO “Essential Medicines” list 2002.

Should be used only for treating beriberi cases.

Storage:       Read the manufacturer’s instructions on the packaging.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJTHIO5V	THIOPENTAL SODIUM, 500 mg, powder, vial	CHF 1.192	1.710kg per 50 units	3.64dm³ per 50 units

Injectable anaesthetic (strictly intravenous)

In the WHO “Essential Medicines” list 2002.

C2 (Sometimes controlled). See introductory remarks “Narcotic and psychotropic drugs – Medications subject to particular international and national controls”.

Anaesthetic for induction of general anaesthesia, control of convulsion.

Should be limited strictly to surgical missions with an anaesthetist.

Storage:       Keep cool.

                   Particularly sensitive to light.

                   After preparation the diluted solution can be kept for 24 hours in a cool place.

                   After preparation the solution should be clear and without crystals.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJTRAM1A	TRAMADOL HYDROCHLORIDE, 50 mg/ml, 2 ml, amp.	CHF 0.654	0.510kg per 100 units	1.560dm³ per 100 units

Injectable analgesic

Not in the WHO “Essential Medicines” list 2002.

C2 (Sometimes controlled). See introductory remarks “Narcotic and psychotropic drugs – Medications subject to particular international and national controls”.

Centrally acting opioid analgesic.

Distribution should be controlled as under hospital conditions (using a narcotics register or recording amounts in and out and keeping it under lock and key).

Storage:       Keep cool.

                   Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. Price	Ship. Weight	Ship. Vol.
DINJVECB10V	VECURONIUM BROMIDE, 10 mg, powder vial	CHF 9.691	0.260kg per 20 units	1.248dm³ per 20 units

Injectable muscle relaxant used during anaesthesia

In the WHO “Essential Medicines” list 2002.

Non depolarising muscle relaxant of short to medium duration.

Should be limited strictly to surgical missions with a specialist anaesthetist.

Storage:       Keep cool (25°C), 4°C once solution is made up, away from light (max. 12 hours).

                   Particularly sensitive to light.

(In Guide “Essential Drugs”, MSF).

Code	Description	Ind. price	Ship. weight	Ship. Vol.
DINJWATE1A	WATER for injection, 10 ml, plastic amp.	CHF 0.047	0.700kg per 50 units	1.296dm³ per 50 units

Injectable water for mixing with powder

Plastic ampoules are stronger and lighter than glass but more expensive. The quantity ordered should be greater than the number of powder vials ordered (streptomycin, PPF, benzathine penicillin, chloramphenicol, acetylsalicylic acid, etc.).

Storage:       Temperature below 30°C.