Latest Medication News

  • For more information on all medications available in UMMC, please click here.
  • For procedures on how to request to include medication into UMMC's Formulary, please click here.
  • All displayed images are for illustration purpose only.

Formulary Category Change - Esomeprazole

posted Sep 7, 2017, 5:30 PM by Chong Ching Wern   [ updated Sep 7, 2017, 5:40 PM ]

7th September 2017 (Circular No. SP PPUM: 322/2017):
Name of Medication: Esomeprazole 40 mg
Brand: Nexium
Form: Tablet, Injection
Company: Astra Zeneca
Formulary Category: Special Formulary

There will be a change in the formulary category for the drug Esomeprazole (Nexium) for both tablets and injections to Special Formulary.

What does Special Formulary means?
This means that if patients are being prescribed on this medications, they will have to purchase it from PharmUMMC or any other pharmacies which sell this medication. Further information can be obtained from here:

Is there any alternative to this medication?
Yes, our pharmacy can offer Omeprazole 20 mg Capsules and Pantoprazole 40 mg both Tablets and Injections as an alternative.
They are under the Standard Formulary and hence patients can obtain them from our UMMC's Pharmacy.
Pantoprazole 40 mg Tablets (Nexium)

Pantoprazole 40 mg Injection (Nexium)

Medication Brand Conversion - Zolpidem

posted Aug 24, 2017, 7:19 PM by Izam Ezri Mohd Zakaria   [ updated Aug 24, 2017, 7:26 PM ]

24th August 2017 (Circular No. SP PPUM:  309/2017):

UMMC will soon be supplying patients on oral Zolpidem with "Zopim" tablets by Taiwan Biotech Co. Ltd, Taiwan in place of "Stilnox" tablets by Sanofi-Aventis.

It is categorized as a Standard Formulary item with zero additional charge for supply to paying patients.

Zolpidem 10mg tablet (Zopim)

Discontinued Medication- Prednisolone 0.12% Eye Drop

posted Aug 9, 2017, 7:34 PM by Izam Ezri Mohd Zakaria   [ updated Aug 9, 2017, 7:48 PM ]

8th August 2017 (Circular No. SPJF:  29/2017):

Allergan Malaysia Sdn. Bhd. had officially announced the discontinuation of the following product:
Prednisolone 0.12% Eye Drop

Brand: Pred Mild
Form: Eye Drop
Manufacturer: Allergan Malaysia Sdn. Bhd.
Formulary Category: Standard

UMMC Ophtalmologists has agreed to use an existing Standard Formulary medication, Fluorometholone 0.1% Eye Drop, as the alternative to this discontinued medication.

Alternative Pharmacy Supply Locations During Stock Take

posted Jul 21, 2017, 1:30 AM by Izam Ezri Mohd Zakaria   [ updated Jul 21, 2017, 1:33 AM ]

21st July  2017 (Circular NO. SP PPUM:  268/2017):

Inpatient Pharmacy and Emergency Pharmacy services will be closed for a Scheduled Stock Take exercise while the alternative supply locations will be as follows.

 Inpatient Pharmacy
1st Floor
Menara Utama
26th July 2017
 08:00am to 05:00pm1) Paediatrics Pharmacy
2nd Floor
Women and Childrean Health Complex (KKWk)

2) Emergency Pharmacy
Ground Floor
Emergency Building

 Emergency Pharmacy
Ground Floor
Emergency Building
08th August 2017
 08:00am to 12:00noon1) Outpatient Pharmacy
Ground Floor
Primary Care Building (RUKA)

2) Inpatient Pharmacy
1st Floor
Menara Utama

To avoid disruption of medication supply, all wards are to send in their repeat medication orders before the stated dates for each affected pharmacy dispensary and only send new vital medication orders to pharmacy for supply.

Inpatient Pharmacy will also strive to ensure that sufficient stock of ward supply medications are available during the time of closure.
The cooperation from all affected parties is very much appreciated.

Update of Work Instruction for Recording DD / Psychotropics Medications

posted Jul 13, 2017, 2:50 AM by Izam Ezri Mohd Zakaria   [ updated Jul 13, 2017, 2:52 AM ]

11th JulY 2017:
From the SIRIM Certification Audit findings in April 2017, the Work Instruction (AK) for handling Dangerous Drugs and Psychotropic Medications in the Wards and Clinics (AK 8.5-PHS-001-020) has been updated.

The dosage for any Dangerous Drugs and Psychotropic Medications must be recorded in units of "grams", "miligrams" or "micrograms" within
  1. Parenteral Prescription & Administration Chart "BK MIS-072"
  2. Non-Parenteral Prescription & Administration Chart "BK-MIS-073"
  3. Medication With Frequent Dose ChangesPrescription & Administration Chart "BK-MIS-1207"
  4. Dangerous Drugs, Psychotropics & Controlled Medications Stock Record Book "BK-PHS-003"
This includes medications administered via intravenous bolus injections or infusions.

For example, 

"Doctor instructed that Patient A is to be given Fentanyl 100micrograms/2mL injection as an intravenous infusion of 1mL per hour."

The dosage to note in Patient A's records should be IV Fentanyl 50micrograms per hour.

This will ensure that the dose given to patient is correct and avoid medication error should the concentration / strength of the medication stock being supplied changes.

Medication Alert!- Thalidomide Class of Medication

posted Jun 13, 2017, 10:36 PM by Izam Ezri Mohd Zakaria   [ updated Jun 13, 2017, 11:33 PM ]

6th June 2017 (Circular NO. SP PPUM: 211/2017) & 13th June 2017 (Circular NO. SP PPUM: 214 /2017):

In UMMC, Thalidomide is an oral medication used in the treatment of Multiple Myeloma (cancer of white blood cells).
Other medications of the same class as Thalidomide are Pomalidomide and Lenalidomide (unavailable in UMMC).

The National Pharmaceutical Regulatory Agency (NPRA) advises Healthcare Providers to carefully screen their patients before prescribing this class of medications.
Patients should likewise make their doctors aware if they have the following conditions prior to starting a Thalidomide Class of medications therapy:
Have been previously infected with varicella-zoster virus (chickenpox, shingles)

 - -
Have been previously infected with Hepatitis B virus

Have been previously infected with Hepatitis B virusHave been previously infected with Hepatitis B virus
Showing signs & symptoms of underlying cardio-pulmonary disease

 - -

It is important that these facts be made known before using any of the Thalidomide Class of medications to prevent any serious adverse events during treatment.

Alternative to Hospira Vancomycin Injection Now Available

posted Jun 5, 2017, 12:35 AM by Izam Ezri Mohd Zakaria   [ updated Jun 5, 2017, 12:38 AM ]

2nd June 2017 (Circular NO. SP PPUM:  203/2017):

In relation to Circular NO. SP PPUM: 193/2017 dated 27th May  2017, UMMC has successfully procured stocks of Vancomycin 500mg Injection of Non-Porcine Origin.

This product is manufactured by Lyomark Pharma GmbH of Germany.

From the date of this circular onwards, Inpatient Pharmacy will be setting aside all existing stocks of Hospira Vancomycin Injection and supplying Lyomark Vancomycin Injection instead for treatment requiring the use of this antibiotic.

Lyomark Vancomycin Injection can be administered to Muslim patients without prior need for disclosure or special consent.

Medication Alert!- Vancomycin Injection Source of Origin

posted Jun 5, 2017, 12:09 AM by Izam Ezri Mohd Zakaria   [ updated Jun 5, 2017, 12:12 AM ]

27th May  2017 ( Circular NO. SP PPUM: 193/2017):
UMMC has been reliably informed that our current stock of Vancomycin 500mg Injection produced by Hospira Inc. USA (now supplied by Pfizer (M) Sdn Bhd) is of Porcine Origin.

Inpatient Pharmacy has taken the initiative to add a supplementary label, "Porcine Source" , onto each Vancomycin Injection vial to alert the healthcare providers of this fact at point of use in the wards where the product is widely available.

Outside of a life threatening emergency, the consent of a Muslim patient must be obtained prior to using Vancomycin Injection.

It is essential that this matter be explained to the Muslim patient and / or their caregivers as per Guidelines DS-0520 shown below (click on image to view larger version).

All healthcare providers in UMMC should be on the alert and check before giving Muslim patients a dose of Vancomycin Injection.

Supply Requirement Update- 5 in 1 Vaccine (Pentaxim)

posted May 3, 2017, 1:58 AM by Izam Ezri Mohd Zakaria   [ updated May 3, 2017, 2:00 AM ]

3rd May 2017 (Circular NO. SP PPUM:  148/2017):
UMMC is currently still experiencing shortage of supply of combined Diphteria, Tetanus, Pertussis, Inactivated Polio Virus and Haemophilus influenzae Type B Vaccine (5 in 1 Vaccine), also known as Pentaxim.

On 24th October 2015, when UMMC initially experienced the shortage, a ​supply guideline was introduced to ensure sufficient supply for patients of UMMC.

The guideline has now been updated to simplify the screening process for all clinics and wards in UMMC, as per shown in the flow chart below:

New Medication- Sodium Bicarbonate 650mg (10 Grain) Tablet

posted May 2, 2017, 11:38 PM by Izam Ezri Mohd Zakaria   [ updated May 3, 2017, 12:15 AM ]

3rd May 2017 (Circular No. SP PPUM:  167/2017):

As endorsed by UMMC's Drugs and Therapeutics Sub-Committee in September 2016, this product has now been made available for purchase at PharmUMMC.

Sodium Bicarbonate 650mg (10 Grain) Tablet

Brand: Rugby Sodium Bicarbonate 10 Grain
Form: Tablet
Manufacturer: Rugby Laboratories, USA
Formulary Category: Special

Below is the treatment algorithm pertaining to the use of this product.

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