Order No. Date Surgery DRUG ORDER SHEET. Page 1. Quantity Unit Total Ordered Cost Cost. Order No. Date
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1 Order No. Surgery Page 1 Aciclovir 800mg (35) Tabs Aciclovir 400mg (56) Tabs Adrenaline 1:10000 Aerospacer adult Aerospacer child/baby with mask Amitriptiline 10mg Amoxicillin 125/5 syrup 100 mls Amoxicillin 250 mg caps 21 Amoxicillin 250/5 syrup 100mls Amoxicillin 500 mg caps 21 Aspirin Augmentin Duo 35ml Augmentin Duo 70ml Aveeno Cream 100 mls Azithromycin 200/5ml 22.5ml Azithromycin 200mg/5ml (15 mls) Azithromycin 250 mg tabs (4) Azithromycin 500mg tabs (3) Bactroban Nasal Ointment Bisacodyl Suppository 10mg Buccastem 3mg Buscopan 10mg tabs Canestan (clotrimazole) HC cream Ceftriaxone (Rocephin) 1g im/iv Cephalexin 250mg caps Cephalexin 250mg/5mls susp 100 mls Cephalexin 500mg caps Cetirizine 10mg Tablets (30) Cetirizine 1mg/ml (200ml) Chloramphenicol Eye Ointment Chlorphenamine (piriton)syrup 2mg/5ml Chlorphenamine(Piriton)4mg Ciprofloxacin 250mg tabs (10) Ciprofloxacin 250mg tabs (20) Ciprofloxacin 500mg tabs (10) Ciprofloxacin 500mg tabs (20) Ciprofloxacin eye drops (ciloxan)5ml Clarithromycin 125/5 syrup - 100ml Clarithromycin 250/5 syrup - 100ml Clarithromycin 250mg tablets 14 Clarithromycin 500mg 14 Co-amoxiclav 250/125 mg tabs (21) Co-amoxiclav 500/125mg (21) Co-codamol 8/500mg tabs (32) Order No.
2 Codeine Phosphate 15mg tabs Codydramol Colpermin Crystapen Injection (Benzylpenicillin) Cyclizine Cylazine lactate 50mg in 1ml Depomedrone 120mg/ 3ml im Dermol 500 Diazepam 2mg Diazepam 5mg Diclofenac (volatarol) 75mg Im Diclofenac 75 SR tabs (28) Diclofenac suppository 100mg Difflam Spray 30ml Dioralyte Domperidone Suppository 30mg Domperidone tabs 10 mg (30) Dulcolax 10mg Supposition Elocon 30g (mometasone cream) Emla cream 5mg Ertapenem iv Erythromycin 125mg/5ml Erythromycin 250mg/5ml Ergocalciterol Flucloxacillin 250 caps (28) Flucloxacillin 500 caps (28) Fucibet 30g Fucidin Cream 15g Fucidin Cream 30g Fucidin H cream Fucithalmic eye drops - 5g Page 2 Furosemide 10mg in 1ml Furosemide 20mg/2ml Furosemide 40mg (28) Gentisone HC Ear Drops Glucose 75g Hydrocortisone Ointment 1% 30g Hydroxycobalamin (Vit B12) (1ml) Ibuprofen suppository - 125mg - pack of 10 Ibuprofen suppository - 60mg - pack of 10 Ibuprofen syrup 100mg/5ml Indomethacin 50mg (28) Instillagel 11 ml Lansoprazole
3 Lariam/Mefloquine (8 tablets) Malaria Tablets Laxido (20 sachets) Lidocaine hydrochloride 2% Lidocaine injection 1% 2ml Lidocaine injection 1% 5ml Loperamide (10 tablets) Malarone (12 tablets) Malaria Tablets Malarone (per tablet ) - Malaria Tablet Malarone Paediatric (12 tablets)- Malaria Tablets Meropenem 1g IV Meropenem 500mg IV Metronidazole 400mg tabs (21) Micralax Enemas Mucodyne Capsules Naproxen 250 mg tabs (28) Naproxen 500mg tabs (28) Nasamist Nasonex nasal spray Nystatin Suspension 30 mls Omeprazole 20mg Capsules (28) Otrivine Nasal Spray Oxazepam 10mg Paracetamol Suppos (Ben-U-Ron) 125mg Paracetamol Suppos (Ben-U-Ron) 250mg Paracetamol suppos (Ben-U-Ron) 500mg Paracetamol suppository 120mg (10) Paracetamol suppository 240mg (10) Paracetamol syrup 120mg/5ml - 100ml Paracetamol syrup 250mg/5ml - 100ml Paracetamol TABS 500mg (32) Penicillin V Tablets 250mg Phenoxymethylpenicillin 250/5 syrup - 100ml Prednisolone (EC) TABS 5 mg (30) Prednisolone Soluble 5mg (30) Pregnancy Test Prochlorperazine 5mg tabs (28) Prochlorperazine mesilate 12.5mg/ml inj Propanalol 10mg tabs (28) Pulmicort Turbohaler 100 Salbutamol easibreath Salbutamol inhalers 100mcg Salbutamol nebules 2.5mg -box of 20 Salbutamol nebules 5mg - per application Saline 100ml Saline 1litre Page 3
4 Saline nasal drops - 10ml Sofradex Eye/Ear Drops - 10 ml Solucortef (hydrocortisone) 100mg injection Symbicort (200/6) Synacthen Tramadol 50mg (30) Trimethoprim 200mg tabs Trimovate cream Water for injection Targolid 200mg ADDITIONAL DRUG ITEMS Page 4 VACCINATIONS Chicken Pox Vaccine DTP - Diphtheria / Tetanus / Polio (Revaxis) DTPP - Diptheria, Tetanus, Polio and Pertusis (Repevax) Hepatitis A Hepatitis A + B (Twinrix) Hepatitis A + Typhoid Hepatitis A Paediatric Hepatitis B Hepatitis B paediatric Hib/Men C (menitorix) Japanese Encephalitis (Ixiaro) Meningitis Menveo conjugated ACWY vaccine Meningitis C (NeisVac C) MMR Pediacel Pneumococcus) Pneumovax 2 Pneumococcus) Prevenar 13 Rabies Typhoid Yellow Fever Rotarix
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