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Solomon Islands Essential Medicines List Summary (November 2023)

Core Content

The Solomon Islands National Essential Medicines List (EML) for 2023 is a comprehensive compilation of medicines available within the public health system. It is regularly updated by the National Medicine & Therapeutics Committee (NMTC) and is intended to guide health workers in treatment options at different facility levels. The EML is not a prescribing guide, and all prescriptions should be made based on the health worker's training and patient needs.

Main Categories

• Legal Prescriber Categories:

  • SA (Nurse Prescriber Category): Medicines that can be prescribed by nurses who have access to them at their post.
  • S4 (Doctor Prescriber Category): Medicines that can be prescribed only by doctors, with specialist nurses allowed to prescribe based on their specialty.

• User Categories (Based on Lowest Post):

  • N: Nurse Aid Post
  • C: Clinics
  • A: Area Health Centre
  • H: Hospital
  • S: Specialist

Recent Changes

Deletions

• Formaldehyde solution 2L 2%: Removed due to the use of 37% concentration formaldehyde.
• Tetanus Toxoid vaccine: Replaced by Tetanus Diphtheria vaccine.

Additions

• Acyclovir injection powder (250mg/10mL or 500mg/10mL) for severe HSV infections, including genital HSV, HSV encephalitis, and disseminated shingles.
• Artemether/Lumefantrine in various dosages (6x1, 6x2, 6x3, 6x4) for the treatment of malaria.
• Aspirin coated 100mg tabs (H/SA) for pre-eclampsia and maternal health.
• Bevacizumab (25mg in 1ml) for diabetic retinopathy.
• Bleomycin (15,000 IU injection) for testicular cancer.
• Calcium 1000mg tabs (H/S4) for hypertension in pregnant mothers.
• Dacarbazine (200mg injection) for Hodgkin's Lymphoma.
• Depo Medroxyprogesterone Acetate Subcutaneous (DMPA SC) (104mg injection) for contraceptive use.
• Heberprot-P (75mcg injection) for advanced diabetic foot ulcers.
• Hepatitis B vaccine (10 doses vial) for use in clinics.
• Molnupiravir (200mg tabs) for non-severe COVID-19 and influenza.
• Tocilizumab (Actemra®) (400mg/20ml injection) for COVID-19 treatment.
• Vinblastine (1mg in 1ml injection) for Hodgkin's Lymphoma.

User Schedule Changes

Key Information

• Updates: The EML is subject to annual updates due to medical advancements. It may take 6–12 months for changes to reflect in procurement and stock availability.
• Stock Management: Items deleted from the EML should still be used until alternatives are available or unless otherwise advised.
• Prescription Guidelines: Health workers should not use this list as a prescribing guide. Prescribing must be based on their training and the patient's condition.
• Drug Categorization: The categorization of drugs is for informational purposes only and does not constitute an endorsement for specific uses.
• Adverse Drug Reaction Reporting: Health workers can report drug interactions and side effects between 8am and 4:30pm on weekdays by contacting the Solomon Islands Medicines Information Centre (MIC) at phone number 24697.

Medicines List Highlights

The EML includes a wide range of medicines, categorized by form, strength, and availability at different facility levels. Some key highlights include:

• Antimicrobials: Such as Amoxicillin, Cefixime, Ciprofloxacin, Doxycycline, and Flucloxacillin.
• Antifungals: Including Clotrimazole, Griseofulvin, and Fluconazole.
• Antivirals: Acyclovir, Molnupiravir, and Tocilizumab for specific viral infections.
• Immunizations: Tetanus Diphtheria vaccine, Hepatitis B vaccine, and Human Papillomavirus vaccine (Gardasil®).
• Chemotherapy Agents: Bevacizumab, Bleomycin, Dacarbazine, Cyclophosphamide, Doxorubicin, Carboplatin, and Vinblastine.
• Contraceptives: Depo Medroxyprogesterone Acetate Subcutaneous (DMPA SC).
• Cardiovascular Drugs: Atenolol, Enalapril, Hydralazine, Hydrochlorothiazide, Diltiazem, Verapamil, and Digoxin.
• Neurological Drugs: Diazepam, Fluoxetine, Haloperidol, Fluphenazine decanoate, Lorazepam, Carbamazepine, and Benzodiazepines.
• Anesthetics: Halothane, Bupivacaine, and Atropine sulfate.
• Other Medicines: Calcium, Folic acid, Ethinylestradiol, Ephedrine, Epinephrine, Erythromycin, Ethambutol, Fluorouracil, Fluorometholone, Glycopyrronium bromide, Hydrocortisone, Hydroxypropylmethylcellulose, and Hyoscine Butylbromide.

Contact Information

• Solomon Islands Medicines Information Centre (MIC): Contactable at phone number 24697.
• Secretary of the NMTC: Contactable through the Chief Pharmacist, National Pharmacy Services Division.
• Adverse Drug Reaction Reporting: Available from the MIC during working hours (8am to 4:30pm, weekdays).

This summary provides an overview of the essential medicines available in the Solomon Islands for 2023, their categories, recent changes, and usage guidelines. It serves as a reference for health workers to understand treatment options at different facility levels.