Latest Medication News

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Temporary Medication - Theophylline 250 mg

posted Feb 7, 2018, 12:00 AM by Chong Ching Wern   [ updated Feb 7, 2018, 5:24 PM by Izam Ezri Mohd Zakaria ]

6th February 2018 (Circular No. SP PPUM: 38/2018):
Name of Medication: Theophylline 250 mg
Brand: Nuelin SR 250
Form: Tablets
Company: Inova Pharmaceutical
Formulary Category: Standard Formulary

Our UMMC's Pharmacy Department has received 30,000 tablets of Nuelin SR 250 from Inova Pharmaceutical.

This will be replacing our current stock by ApoTex, Theophylline 200 mg temporarily until the stocks for Nuelin SR 250 have depleted.

The recommended dose conversion as suggested by our Respiratory Specialists is as follows:

1 tablet Theophyline 200 mg = 1 tablet Nuelin SR 250
Theophylline 200mg (Apo-Theophylline) Tablet

will be temporarily substituted with its equivalent

Theophylline 250mg (Nuelin SR) Tablet

Formulary Category Change - Triptorelin

posted Feb 6, 2018, 7:42 PM by Chong Ching Wern   [ updated Feb 7, 2018, 5:24 PM ]

6th February 2018 (Circular No. SP PPUM: 39/2018):
Name of Medication: Triptorelin 3.75 mg, 11.25 mg
Form: Injection
Formulary Category: Special Formulary

Based on the outcome of the Drug and Therapeutic Subcommittee Meeting (Bil. 3/2017), there will be a change in the formulary category for the medication Triptorelin, both 3.75 mg and 11.25 mg 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: http://farmasi.ummc.edu.my/formulary 

Temporary Medication - Albumin 25% Injection

posted Feb 6, 2018, 7:05 PM by Chong Ching Wern   [ updated Feb 7, 2018, 5:24 PM ]

5th February 2018 (Circular No. SP PPUM: 37/2018):
Name of Medication: Albumin 25%
Brand: Albutein
Form: Injection
Company: Grifols Biologicals USA
Formulary Category: Standard Formulary

Please do note that this Albumin 25% Injection will be a temporary replacement medication to our Albumin 20% Injection as it is currently facing supply disruptions.

For paediatric patients, 
Albumin 20% 5 mL/kg is equivalent to Albumin 25% 4 mL/kg.

We apologize for any inconveniences caused.

Medication Supply - Disruption of Betamethasone Dipropionate Ointment Supply

posted Feb 6, 2018, 6:05 PM by Chong Ching Wern   [ updated Feb 7, 2018, 5:25 PM ]

5th February 2018 (Circular No. SP PPUM: 40/2018):
Name of Medication: Betamethasone Dipropionate 0.05%
Brand: Beprosone
Form: Ointment
Company: Hoe Pharmaceuticals Sdn. Bhd.
Formulary Category: Standard Formulary

Do note that Hoe Pharmaceuticals Sdn. Bhd., the manufacturing company of Betamethasone Dipropionate 0.05% Ointment, is currently facing supply disruptions.

The supply is expected to resume by March 2018. 
Doctors can prescribe Clobetasol Propionate 0.05% Ointment as an alternative if the use of this medication is required.

This supply disruption is beyond UMMC's control and we apologize for any inconveniences caused.

Medication Supply- Limitation for Disodium Pamidronate 30mg Injection

posted Feb 2, 2018, 12:47 AM by Izam Ezri Mohd Zakaria   [ updated Feb 2, 2018, 12:49 AM ]

Friday, 2nd February 2018:

UMMC's current supplier has encountered supply issues with Disodium Pamidronate 30mg Injection.

The supply is only expected to resume in November 2018.

Until that time, Pharmacy will supply Disodium Pamidronate 30mg Injection exclusively for the treatment of Osteogenesis Imperfecta (OI) in patients below 18 years of age by Paediatric Genetics specialist.

We deeply regret any inconveniences caused by the supply restrictions.

Medication Supply- Disruption of Ampicillin-Sulbactam Combo Injection Supply

posted Jan 24, 2018, 8:57 PM by Izam Ezri Mohd Zakaria   [ updated Jan 24, 2018, 9:03 PM ]

18th January 2018 (Circular No. SP PPUM: 18/2018):
 
Please be informed that the following product is currently facing supply disruption:
  • Medication: AMPICILLIN 1gram + SULBACTAM 500mg INJECTION
  • Tradename: SULBACIN 
  • Manufactured by: UNICHEM  LTD, INDIA
  • UMMC Formulary Categorisation: STANDARD





Supply is expected to resume by end of February 2018. But until then, doctors are advised to prescribe either:
  1. Amoxicillin + Clavulanate (Co- Amoxiclav) Injection OR
  2. Cefuroxime Injection in combination Metronidazole Injection
as alternative to Sultamicillin (Ampicillin + Sulbactam).

The supply disruption is truly beyond UMMC's control and we apologize for any inconveniences caused.

New Medication - Polymyxin B 50 mg (500,000 units) Injection

posted Dec 28, 2017, 12:41 AM by Chong Ching Wern   [ updated Dec 28, 2017, 12:41 AM ]

26th December 2017 (Circular No. SP PPUM: 471/2017):
Name of Medication: Polymyxin B 50 mg (500,000 units)
Brand: Poly-B
Form: Injection
Company: Samarth Life Science, India
Formulary Category: Standard
Precriber: Infectious Disease Specialist, Intensivist, Respiratory Specialist

This medication will be replacing the antibiotic Polymyxin E (also known as Colistin) except in the treatment of Urinary Tract Infections and using it as a nebulizer. 

To reduce medication error since both medications Polymyxin B and Polymyxin E are similar and sound alike, doctors are advised to prescribe this medication in 'mg' (500,000 units = 50 mg). This will help to differentiate Polymyxin E (Colistin) which uses 'mega unit'.

Medication Supply - Disruption of Piperacillin-Tazobactam Combo Injection Supply

posted Dec 26, 2017, 6:40 PM by Chong Ching Wern   [ updated Dec 26, 2017, 8:29 PM ]

21st December 2017 (Circular No. SP PPUM: 468/2017):

Name of Medication: Piperacillin 4 gm + Tazobactam 0.5 gm
Brand: AurotaZ-P
Form: Injection
Company: Aurobindo, India
Formulary Category: Standard Formulary

Please do note that the purchase of the Piperacillin 4 gm + Tazobactam 0.5 gm Combination Injection through tender can not be done yet due to the delay in receiving its tender award [T/885/7/2017/2020(11)].

Even though our Pharmacy Department has sorted out other means of securing the stocks, but the amount acquired is not sufficient to accommodate the current usage of this medication by the hospital.

As an alternative, doctors are advised to prescribe either:

Ceftazidime Injection + Metronidazole Injection

OR

Cefepime Injection + Metronidazole Injection

Product Recall - Benzylpenicillin 1 Mega Unit Injection

posted Dec 14, 2017, 1:02 AM by Chong Ching Wern   [ updated Dec 14, 2017, 8:30 PM ]

14th December 2017 (Circular No. SP PPUM: 456/2017):

 


Name of Medication: Benzylpenicillin 1 Mega Unit
Brand: Bepen
Form: Injection
Company: Karnataka Antibiotics & Pharm Ltd., India
Formulary Category: Standard Formulary

The distributor of the medication Benzylpenicillin 1 Mega Unit Injection, Pharmaniaga Logistics Sdn. Bhd., had came out with a notice to recall the Benzylpenicillin 1 Mega Unit Injections having the Batch Number: 0702116 from the market due to quality issues.

Wards and clinics are advised to return the affected batch to the Inpatient Pharmacy as soon as possible and have them replaced.

Formulation Change- New Colour for Morphine 10mg/mL Syrup

posted Dec 6, 2017, 8:30 PM by Izam Ezri Mohd Zakaria   [ updated Dec 6, 2017, 8:34 PM ]

06th December 2017 (Circular No. SPJF: 45/2017):

This is an increased safety initiative to the one mentioned in Circular No. SPJF: 16/2017.

Pharmaceutical Manufacturing has again changed the colour of our Morphine 10mg/mL Syrup to differentiate it from Morphine 2mg/mL Syrup (orange colour)- this time from yellow to purple, 
Morphine 10mg/mL Syrup (left) Morphine 2mg/mL Syrup (right)

The colours yellow and orange is of somewhat similar hue. Therefore, even when the two strengths of Morphine Syrup preparations can be differentiated when put side by side, on their own, one preparation may still be mistaken for the other.

Therefore, a different shade of colour was chosen for the higher strength Morphine Syrup preparation to reduce the risk of dispensing error.

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