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Order-No.: E.22(15)Med./74/Pt.                                                Dated 6.3.2000

             

Whereas, it was brought to the notice of the State Government that high profits in pharmaceutical industry has led to a large number of drugs and medicinal products under various brand names and number of them have been reported to be irrational combinations as per WHO criteria. As a first step towards promotion of rational use of drugs on the basis of efficacy, safety, suitability and cost effectiveness, the State Government had constituted an Essential drug List Committee (EDLC) comprising of highly qualified professionals and clinical specialists of various disciplines to prepare an Essential Drug List (EDL) for the State of Rajasthan.

                And, whereas this EDLC circulated the National Essential Drug List along with WHO criteria for selection of Essential drugs amongst all the principal user-institutions viz. Principals & Controllers of all six Medical Colleges of the state, all Directors of Medical health Services, Rajasthan running different national programmes with a request to examine the National Essential Drug List in their respective institutions looking into the health needs of the people providing treatment facilities at different levels of State health care institutions and send their suggestions and comments in this regard. After receiving the observations and comments of these Principal use institutions, the Essential Drug List committee deliberated and finalised the Essential Drug List (EDL) for the State of Rajasthan availing the expertise of a WHO representative as the member of the EDLC and submitted to the Government.

                The State Government is pleased to accept the report of the EDLC and hereby declare it as Rajasthan State Essential List (RSEDL-2000) for the State of Rajasthan (Annexure-I) with the following Guidelines.

1.        The doctors of the state working under Government shall prescribe and use medicines out of the RSEDL only as far as possible. Deviations in prescription outside the RSEDL would be subject to scrutiny by an “Authorised Medical Authority” to be constituted by the Government.

2.        The EDL would serve as a positive list for the public servants and pensioners. Therefore, medicines to these categories would be reimbursable only from EDL. Medicare Relief Card holders would also be prescribed medicines only out of this list claiming reimbursement of Medicare care. This would prevent unnecessary prescribing and save money to Government exchequer. However, in case of severe/chronic illness and life threatening situations supported by the recommendations of  “ Authorised medical Authority” to be notified separately, the reimbursement to these categories outside the RSEDL could be considered by the Government.

3.        Procurement of drugs and medicines in government hospitals and institutions would continue to be on the basis of existing drug list of the government as this is reported to be sufficient to take care of 90-95% cases of illness. Broadly, 75% of the budget of a hospital should be spent for procuring medicines from the list. Remaining 25% budget should be spent to procure medicines from EDL. This ratio of expenditure could be relaxed by the government on receipt of specific proposals from an institution through HOD with this recommendation. Store Purchase Organization of Medical & Health Department would circulate the approved rate contract for all medicines in the EDL on the basis of which the CM&HO’s. PMO’s and Suptds, Medical Collage Hospitals would procure medicines as per their demand.

4.        After the approved rate contract is circulated to all concerned. It would be the responsibility of the in-charge of the medical institution to ensure that medicines in the approved rate contract are available in the hospital and dispensed on priority. To the following categories free of cost:

I.                     Medicare Relief Card holders

II.                   Emergency cases

III.                 Other extreme poor categories like destitute, beggars, orphans, senior citizens and widows unable to afford treatment costs. Decision on this would be taken discretely by in-charge of the hospital and in this absence by another doctor authorised by him for this purpose. Since budget is limited it is expected to use the discretion with utmost caution.

A separate account of drug dispensation to each of the above category would be maintained Separate Drug dispensation counters be opened in each Hospital.

5.        The RSEDL is not static and would be periodically revised by EDLC, which may be constituted by the Government from time to time to cope up with the changed environment and rational need of the prescribing.

6.        Principals & Superintendents of Medical Collages would ensure that teaching of the Essential Drug List is included in the curriculum of graduate and post graduate Medical students and adequate time is provided for its teaching.

7.        All in-charge of the Government hospitals. Principals and Superintendents of Medical Collages. Directors of Medical Health Services would take immediate steps to ensure compliance of the EDL in their hospitals. They should convene meeting of the doctors and sensitise them on use of EDL. Similarly, they should also take steps to sensitise the Private Medical Practitioners on the use of this list for the general benefit of the public.

This order issues with the concurrence of FD vide ID No. 684/Fs/2000 dated 24.2.2000

1)       Drugs marked with an asterisk (*) are to be considered as complimentary drugs, i.e.Those that are used if the other drugs there are not available or they are required for specific patients, situations or locations for valid reasons.

2)       The names of drugs are followed by the letters given below to indicate their need at various levels of medical care:

P-                Primary Health Care
S-                   Secondary Health Care
T-                  Tertiary Health Care
U-                  Universal

3)       Although the drugs are listed by their peu categories, these are not necessarily meant to be use as prescribing guidelines. A drug that may deserve to be included in a particular category may not be found there, as it may already be included in another category.

Essential Drugs List

S.No.

Drugs Name

Type

1. Anaesthetics

 

1.1 Gen. Anaesthetics  & Oxygen

 

 

Ether
Halothane
Isoflurane*
Ketamine
Nitrous Oxide
Oxygen
Thiopental sodium

S, T
S, T
S, T
S, T
S, T
U
S, T

1.2

Local Anaesthetics

 

 

Bupivacaine HCl
Ethyl Chloride
Ligncocaine

U
U
T

1.3

Preop. Medication & Sedation for short term Procedures

 

Atropine Sulphate
Diazepam
Morphine
Promethazine
Glycopyrrolate

U
U
S, T
U
T

2.

Analgesics, Antipyretics & ASAIDS and Drugs used to treat Gout

2.1

Non-opioid Analgesics

 

 

Acetyl Salicylic Acid
Allopurinol
Diclofenac
Ibuprofen
Paracetamol

U
S, T
U
U
U

2.2

Opioid Analgesics

 

 

Pethidine (HCl)
Pentazocine

S, T
S, T

3.

Anti Allergics & Drugs used in Anaphylaxis 

 

Chlorpheniramine
Pheniramine
Cetrizine
Dexamethasone
Epinephrine
Hydrocortisone Sodium Succinate
Prednisolone
Promethazine

U
U
U
U
U
P, S, T
S, T
U

4.

Antidotes and other Substances used in Poisoning

4.1

Non specific

 

 

Activated charcoal
Atropine

U
U

4.2

Specific

 

 

Anti snake venom
Deferoxamine
Methylthioninium Chloride (Methylene Blue)
Naloxone*
Pralidoxime (2-PAM)
Sodium Nitrate*
Sodium Thiosulphate*
Penicillamine*

U
S, T

S, T
S, T
U
S, T
S, T
S, T

5.

Anticonvulsants

 

 

Carbamazepine
Clonazepam
Diazepam
Phenobarbital
Phenytoin Sodium
Sodium Valproate

U
T
U
U
U
U

6.

Anti-Infective Drugs

 

6.1.1

Intestinal Anthelmintics

 

 

Albendazole
Niclosamide

U
S, T

6.1.2

Antifilarials

 

 

Diethylcarbamazine

U

6.2

Antifilarials

 

6.2.1

Penicillin’s

 

 

Amoxycillin
Amoxycillin + Clavulanic Acid
Ampicillin
Cloxacillin
Benzathine Benzyl penicillin
Benzyl Penicillin
Procaine Benzyl penicillin

U
T
U
U
U
U
U

6.2.2

Other Antibacterial

 

 

Amikacin*
Cephalexin*
Chloramphenicol
Ciprofloxacin
Co. Trimoxazole (Trimethoprim Sulphamethoxazole)
Doxycycline
Erythromycin
Gentamycin
Metronidazole
Nalidixic Acid
Nitrofurantion
Norfloxacin
Tetracycline
Reserve Anti-Bacterial Amoxycillin + Clavulanic Acid
Cefototaxime
Cefazolin
Ceftriaxone

S, T
U
S, T
S, T

U
U
U
S, T
U
U
U
S, T
U

T
T
T
T

6.2.3

Anti-Leprosy

 

 

Clofazimine
Dapsone
Rifampicin

T
U
U

6.2.4

Anti-Tuberculosis

 

 

Ethambutol
Isoniazid
Pyrazinamide
Rifampicin
Streptomycin
PAS
Rifampicin + Isoniazid
Rifampicin + Isoniazid + Pyrazinamide

U
U
U
U
U
U
U
U

6.3

Anti-Fungals

 

 

Amphotericin
Griseofulvin
Ketoconazole
Nystatin
Clotrimazole

T
S, T
S, T
S, T
P

6.4

Antiprotozoal Drugs

 

6.4.1

Antiamoebic & Antigiardiasis

 

 

Diloxanide Furoate
Metronidazole
Tinidazole

S, T
U
U

6.4.2

Antileishmaniasis Drugs

 

 

Pentamidine
Sodium Stilbogluconate

S, T
S, T

6.4.3

Antimalarial Drugs

 

 

Chloroquine
Primaquine
Quinine
Sulfadoxine + Pyrimethamine
Artesunate
Mefloquine

U
U
U
U
S, T
S, T

6.5

Anti-Viral Drugs

 

 

Acyclovir*

S, T

7.

Antimigraine Drugs

 

7.1

For treatment of acute attack

 

 

Acetyl Salicylic Acid
Dihydro Ergotamine
Paracetamol

U
S, T
U

7.2

For Prophylaxis

 

 

Propranolol

U

8.

Antineoplastic and Immunosuppressant, These Drugs are Specialized and Drugs and Drugs used in Palliative Toxic Drugs be Purchased only Care when necessary

8.1

Immunosuppressant

 

 

Azathioprine*
Cyclosporine*

T
T

8.2

Cytotoxic Drugs

 

 

Bleomycin*
Actinomycin D*
L-Asparaginase*
Busulfan*
Cisplatin*
Cyclophosphamide*
Cytosine Arabinoside*
Danazol*
Doxorubicin*
Etoposide*
Folinic Acid*
Fluorouracil*
Melphalan*
Mercaptopurine*
Methotrexate*
Mitomycin-C
Procarbazine*
Vincristine*
Vinblastine*
Hydroxyurea*
Chlorambucil*
Flutamide*

T
T
T
T
T
T
T
T
T
T
T
T
T
T
T
T
T
T
T
T
T
T

8.3

Hormones and Antihormones

 

 

Prednisolone
Tamoxifen

S, T
T

9.

Anti-Parkinsonism Drugs

 

 

Trihexyphenidyl
Biperiden*
Levodopa/ Carbidopa

U
S, T
U

10.

Drugs affecting the Blood

 

10.1

Antianemia drugs

 

 

Ferrous salt
Folic Acid
Iron Folic Acid (Large)
Folic Acid+ exsiccated ferrous sulph.
Iron Folic Acid (Small)
Folic Acid + exsiccated ferrous sulph.
Iron Dextran
Vitamin B12

U
U
U
 
U

U
U

10.2

Drugs affecting coagulation

 

 

Heparin Sodium
Protamine Sulfate
Vitamin K
Acenocoumarol*
Warfarin

S, T
S, T
S, T
S, T
S, T

11.

Blood Products and Plasma Substitutes

 

11.1

Plasma substitutes

 

 

Dextran 70
Dextran 40
Polygeline

U
U
S, T

11.2

Plasma Fractions

 

 

Albumin
Factor IX complex (Coagulation factors II, VII, IX, X)*

S, T
T

12.

Cardiovascular Drugs

 

12.1

Anti-anginals

 

 

Diltiazem
Glyceryl Trinitrate
Isosorbide 5 Mononitrate  
Propranolol

S, T
U
U
U

12.2

Antidysarhythmic drugs

 

 

Amiodarone
Diltiazem
Diltiazem*
Ligncocaine
Isoprenaline
Mexiletine
Procainamide
Quinidine
Verapamil

S, T
S, T
T
S, T
S, T
S, T
S, T
S, T

12.3

Antihypertensive

 

 

Amlodipine
Atenolol
Enalapril
Lisinopril
Terazocin
Chlothalidone
Methyldopa
Nifedipine
Propranolol
Sodium Nitroprusside*

S, T
U
U
U
T
U
U
S, T
U
T

12.4

Cardiac glycosides

 

 

Digoxin
Captopril

S, T
S, T

12.5

Vascular shock drugs

 

 

Dopamine
Dobutamine*

S, T

S, T

12.6

Antithrombotic drugs

 

 

Acetyl Salicylic Acid
Urokinase*
Streptokinase*

U
T
T

13.

Dermatological (Topical)

 

13.1

Antifungal Drugs

 

 

Benzoic Acid+ Salicylic Acid
Miconazole

U
U

13.2

Anti-infective drugs

 

 

Flumycetin Sulfate
Methylrosanilinium Chloride (Gentian Violet)
Neomycin+ Bacitracin
Povidone Iodine
Silver Nitrate
Silver Sulphadiazine
alcovir

U

U
U
U
U
U
S, T

13.3

Anti-inflammatory and Anti-pruritic drugs 

 

Betamethasone
Calamine

S, T
U

13.4

Keratoplastic and Keratolytic drugs

 

 

Coal Tar
Dithranol*
Glycerine IP
Salicylic Acid

U
T
U
U

13.5

Scabicides and Pediculocides

 

 

Benzyl Benzoate
Gamma Benzene Hexachloride

U
U

14.

Diagnostic Agents

 

14.1

Opthalmic drugs

 

 

Fluorescein
Tropicamide

S, T
S, T

14.2

Radiocontrast media

 

 

Barium Sulphate
Sodium + Meglumine Diatrizoate
Iopanoic Acid
Meglumine lothalamate
Sodium Lothalamate
Meglumine lotroxate
Lohexol

S, T
S, T
S, T
S, T
S, T
S, T
T

15.

Disinfectants and Antiseptics

 

15.1

Antiseptics

 

 

Chlorhexidine
Cetrimide
Hydrogen Peroxide
Polyvidone Peroxide
Ethyl Alcohol 70%
Benzoin Compound
Gentian Violet
Acriflavin + Glycerine

U
U
U
U
U
U
U
U

15.2

Disinfectants

 

 

Bleaching Power
Formaldehyde IP*
Glutaraldehyde Alkaline
Potassium Permanganate
Chloroxylenol
Sodium Hypochloride

U
U
S, T
U
U
U

16.

Diuretics

 

 

Frusemide
Hydrochlorothiazide
Mannitol*
Spironolactone
Annoiride

U
U
S, T
S, T
S, T

17.

Gastrointestinal Drugs

 

17.1

Antacids and Anti Ulcer Drugs

 

 

Aluminum Hydroxide + Magnesium Hydroxide
Ranitidine HCL
Famotidine
Omeprazole

 
U
U
S, T
S, T

17.2

Anti Emetics

 

 

Metoclopramide
Prochlorperazine
Promethazine

U
U
U

17.3

Anti-haemorrhoidal drugs

 

 

Local anaesthetic. Astringent and anti-inflammatory drugs, e.g. Lidocaine/ Cinchocaine-

 

Hydorcortisone

U

17.4

Anti Inflammatory Drugs

 

 

Dulfasalazine

T

17.5

Anti Spasmodic drugs

 

 

Dicyclomine HCL
Hyoscine X Butylbromide

U
U

17.6

Cathartics

 

 

Bisacodyl
Isphagula

U
U

17.7

Drugs for Diarrhoea

 

 

Furazolidone
Loperamide* (contraindicated for pediatric use)
Oral Rehydration Salts

S, T

S, T
U

18.

Hormones, other Endocrine Drugs and Contraceptives

18.1

Adrenal, Hormones and Synthetic Analogues

 

Dexamethasone
Hydrocortisome
Methylprednisolone
Prednisolone*

S, T
S, T
S, T
U

18.2

Androgens

 

 

Testosterone Propionate*

S, T

18.3

Contraceptives

 

 

Condoms with or without Spermicide
IUD containing Copper
Centchroman
Ethinylestradiol + Norethisterone
Ethinylestradiol + Norethisterone
Ethinylestradiol + Levonorgestrel

U
U
U
U
U
U

18.4

Estrogens

 

 

Ethinylestradiol

U

18.5

Insulins and Anti Diabetics

 

 

Glibenclamide
Insulin injection (Soluble)
Intermediate acting insulin (Lente/NPH insulin)
Metformin

U
U

U
U

18.6

Progestrogens

 

 

Norethisterone

U

18.7

Thyroid and Antithyroid

 

 

Carbimazole
Levothyroxine
Potassium Iodide

S, T
S, T
S, T

19.

Immunologicals

 

19.1

Diagnostic agents

 

 

Tuberculin, purified protein derivative

U

19.2

Sera and Immunoglobulins

 

 

Anti-Snake venom
Anti-D Immunoglobulins (Human)
Anti-Tetanus Human
Immunoglobin
Diptheria Antitoxin
Rabies Immunoglobulin

U
S, T

S, T 
S, T
S, T

19.3

Vaccines

 

 

B.C.G. Vaccine
D.P.T. Vaccine
Hepatitis B Vaccine
Measles Vaccine
Oral Poliomyelitis Vaccine (Live Attenuated)
Rabies Vaccine
Tetanus Toxoid

U
U
U
U

U
U
U

20.

Muscle Relaxants (Peripherally Acting) and Cholinesterase Inhibitors

 

Atracurium*
Vecuronium
Neostigmine
Pancuronium
Succinyl Choline

S, T
T
S, T
S, T
S, T

21.

ENT and Opthalmological Preparations

 

21.1

Anti Infective

 

 

Chloramphenicol
Ciprofloxacin
Gentamycin
Sulphacetamide
Tetracycline
Framycetin
Miconazole
Fluconazole
Acyclovir

U
S, T
U
U
U
U
U
T
T

21.2

Anti Inflammatory drugs

 

 

Prednisolone
Xylometazoline
Flurbiprofen
Disodium Chromoglycate

U
U
S, T
S, T

21.3

Local Ana esthetics

 

 

Tetracaine
Xylocaine

U
U

21.4

Miotics and Antiglaucoma drugs

 

 

Acetazolamide
Pilocarpine
Timolol Tropicamide

S, T
S, T
S, T

21.5

Mydriatics

 

 

Atropine
Homatropine
Phenylephrine
Tropicamide

U
U
U
S, T

22.

Oxytocics and Antioxytocics

 

22.1

Oxytocics

 

 

Methyl Ergometrine
Oxytocin

U
S, T

22.2

Antioxytocics

 

 

Terbutaline
Isoxsuprine

S, T
S, T

23.

Peritoneal Dialysis Solutions

 

 

Intraperitoneal Dialysis Solution

 

24

Psychotherapeutics

 

24.1

Drugs used in Psychotic disorders

 

 

Chlorpromazine
Haloperidol
Trifluoperazine
Risperidone
Pimozide

U
S, T
U
S, T
S, T

24.2

Drugs used in Mood Disorders

 

 

Imipramine
Amitryptiline
Fluoxetine*
Lithium Carbonate

U
S, T
S, T
S, T

24.3

Drugs used for Sedation an Generalized Anxiety Disorders

 

Diazepam
Alprazolam
Chlordiazepoxide

U
S, T
S, T

24.4

Drugs for Obsessive Compulsive Disorders and Panic Attacks

 

Clomipramine*

U

24.5

Drugs used for Dead diction

 

 

Clonidine

T

24.6

Depot Antipsychotics

 

 

Fluphenazine Deconate

S, T

25.

Drugs Acting on the Respiratory Tract

 

25.1

Antiasthmatic

 

 

Theophylline Compounds
Aminophylline
Etophylline-Theophylline
Beclomethasone
Salbutamol
Ipratropium Bromide

P, S
U
P
U
U
T

25.2

 Antitussives

 

 

Dextromethorphan
Codeine

U
S, T

26.

Solutions Correcting Water, Electrolyte and Base Disturbances

26.1

Oral

 

 

Oral Rehydration Salts

U

26.2

Parenteral

 

 

Glucose
Glucose with Sodium Chloride
Ringer Lactate
Normal Saline

U
U
U
U

26.3

Miscellaneous

 

 

Water for Inj. IP

U

27

Vitamins and Minerals

 

 

Ascorbic Acid
Concentrated Vitamin A Solution
Nicotinamide
 Pyridoxine
Retinol
Thiamine
Vitamin B Complex with Multivitamins
Vitamin D3 Ergocalciferol
Calcium Salts

U
U
U
U
U
U
U
S, T
U

 

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