Lampiran 1

MASTER TABLE
KAJIAN
RESEP KAJIAN ADMINISTRATIF KAJIAN KLINIS FARMASETIKA

Nama obat nama Berat umur Jenis Paraf No. Nama Tanggal No. alama Frekuensi Interaksi obat Bentuk Kekuatan
badan kelamin dokter sip dokter resep resep t obat sediaan sediaan
1 Glibenklamid  x   x x x    1x1 Tablet 5 mg
Amlodipine  x   x x x    1x1 Tablet 5 mg
Cetirizine  x   x x x    1x1 Tablet 10 mg
Antasida  x   x x x    1x1 Tablet 10 tab
Paracetamol  x   x x x    1x1 Tablet 500 mg
2 Glibenklamid  x   x x x    2x1 Tablet 5 mg
Cetirizine  x   x x x    1x1 Tablet 10 mg
Asam mefenamat  x   x x x    2x1 Tablet 500 mg
3 Glibenklamid  x   x x x    1x1 Tablet 5 mg
Cetirizine  x   x x x    2x1 Tablet 10 mg
Asam mefenamat  x   x x x    2x1 Tablet 500 mg
4 Glibenklamid  x   x x x    1x1 Tablet 5 mg
Cetirizine  x   x x x    1x1 Tablet 10 mg
5 Antasida  x   x x x  x  2x1 Tablet 10 tab
Cetirizine  x   x x x  x  1x1 Tablet 10 mg
Glibenklamid  x   x x x  x  1x1 Tablet 5 mg
Asam mefenamat  x   x x x  x  2x1 Tablet 500 mg
6 Allupurinol  x   x x x    1x1 Tablet 100 mg
Simvastatin  x   x x x    ½ x1 Tablet 10 mg
Glibenklamid  x   x x x    1x1 Tablet 5 mg
Amlodipine  x   x x x    1x1 Tablet 5 mg
7 Simvastatin  x x x x x x   x 2x1 Tablet 10 mg
Hustab  x x x x x x   x 3x1 Tablet 10 tab
Metformin  x x x x x x   x x Tablet 500 mg
8 Metformin  x x  x x x   x 2x1 Tablet 500 mg
Glibenklamid  x x  x x x   x 1x1 Tablet 5 mg
9 Glibenklamid  x x  x x x   x 2x1 Tablet 5 mg
Vit b comp  x x  x x x   x 1x1 Tablet 10 tab
10 Amlodipine  x   x x x    2x1 Tablet 5 mg
Ctm  x   x x x    3x1 Tablet 4 mg
Metformin  x   x x x    1x1 Tablet 500 mg
11 Vit k  x   x x x    1x1 Tablet 10 mg
Amlodipin  x   x x x    1x1 Tablet 5 mg
Asam mefenamat  x   x x x    2x1 Tablet 500 mg
glibenklamid  x   x x x    1x1 Tablet 5 mg
12 Glibenklamid  x   x x x    2x1 Tablet 5 mg
Cetirizine  x   x x x    1x1 Tablet 10 mg
Asam mefenamat  x   x x x    2x1 Tablet 500 mg
13 Allupurinol  x   x x x    1x1 Tablet 100 mg
Cetirizine  x   x x x    1x1 Tablet 10 mg
Glibenklamid  x   x x x    1x1 Tablet 5 mg
Asam mefenamat  x   x x x    1x1 Tablet 500 mg
14 Metformin  x x  x x x   x 1x1 Tablet 500 mg
Ranitidine  x x  x x x   x 2x1 Tablet 150 mg
Antasida  x x  x x x   x 3x1 Tablet 10 tab
15 Glibenklamid  x   x x x    1x1 Tablet 5 mg
Paracetamol  x   x x x    1x1 Tablet 500 mg
antasida  x   x x x    2x1 Tablet 10 tab
16 Vit k  x   x x x    1x1 Tablet 10 mg
Glibenklamid  x   x x x    2x1 Tablet 5 mg
Dmp syr  x   x x x    3xcth1 Sirup 5 ml
Amoxicillin  x   x x x    3x1 Tablet 500 mg
prednison  x   x x x    3x1 Tablet 5 mg
17 Metformin  x x  x x x   x 2x1 Tablet 500 mg
glibenklamid  x x  x x x   x 1x1 Tablet 5 mg
18 Glibenklamid  x x  x x x   x 2x1 Tablet 5 mg
Na. diclofenac  x x  x x x   x 2x1 tablet 50 mg
Cetirizine  x x  x x x   x 1x1 Tablet 10 mg
Vit b comp  x x  x x x   x 1x1 Tablet 15 tab
antasida  x x  x x x   x 1x1 Tablet 20 tab
19 Metformin  x x  x x x  x x 2x1 Tablet 500 mg
Natrium diklofenak  x x  x x x  x x 2x1 Tablet 50 mg
Vit b comp  x x  x x x  x x 1x1 Tablet 10 tab
20 Metformin  x x  x x x  x x 1x1 Tablet 500 mg
Ranitidine  x x  x x x  x x 2x1 Tablet 150 mg
Vit b comp  x x  x x x  x x 1x1 Tablet 10 tab
21 Amlodipine  x x  x x x   x 1x1 Tablet 5 mg
Glibenklamid  x x  x x x   x 1x1 Tablet 5 mg
Ranitide  x x  x x x   x 2x1 Tablet 150 mg
Vit b comp  x x  x x x   x 2x1 Tablet 10 tab
22 Metformin  x x  x x x   x 2x1 Tablet 500 mg
Cetirizine  x x  x x x   x 1x1 Tablet 10 mg
Vit c  x x  x x x   x 1x1 Tablet 50 mg
Vit b comp  x x  x x x   x 1x1 Tablet 10 tab
23 Glibenklamid  x   x x x    2x1 Tablet 5 mg
Cetirizine  x   x x x    2x1 Tablet 10 mg
Amoxicillin  x   x x x    2x1 Tablet 500 mg
Hustab  x   x x x    2x1 Tablet 10 tab
24 Amoxicillin  x x  x x x   x 3x1 Tablet 500 mg
Hustab  x x  x x x   x 3x1 Tablet 10 tab
Cetirizine  x x  x x x   x 1x1 Tablet 10 mg
Glibenklamid  x x  x x x   x 1x1 Tablet 5 mg
Sulfur ferrero  x x  x x x   x 1x1 Tablet 10 tab
25 Glibenklamid  x   x x x    2x1 Tablet 5 mg
Cetirizine  x   x x x    1x1 Tablet 10 mg
antasida  x   x x x    2x1 Tablet 10 tab
26 Amlodipine  x   x x x    1x1 Tablet 5 mg
Glibenklamid  x   x x x    1x1 Tablet 5 mg
Simvastatin  x   x x x    1x1 Tablet 10 mg
Asam mefenamat  x   x x x    1x1 Tablet 500 mg
27 Glibenklamid  x   x x x    1x1 Tablet 5 mg
Simvastatin  x   x x x    1x½ Tablet 10 mg
Allupurinol  x   x x x    1x1 Tablet 100 mg
Asam mefenamat  x   x x x    1x1 Tablet 500 mg
28 Antasida  x   x x x    2x1 Tablet 10 tab
Ranitidine  x   x x x    2x1 Tablet 150 mg
Glibenklamid  x   x x x    2x1 Tablet 5 mg
Amlodipine  x   x x x    1x1 Tablet 5 mg
29 Glibenklamid  x x  x x x   x 2x1 Tablet 5 mg
Na. diklofenak  x x  x x x   x 2x1 Tablet 50 mg
Vit b comp  x x  x x x   x 2x1 Tablet 10 tab
30 Glibenklamid  x   x x x    1x1 Tablet 5 mg
Asam mefenamat  x   x x x    2x1 Tablet 500 mg
Salbutamol  x   x x x    2x1 Tablet 2 mg
31 Glibenklamid  x   x x x    3x1 Tablet 5 mg
32 Glibenklamid  x x  x x x   x 1x1 Tablet 5 mg
Vit b comp  x x  x x x   x 1x1 Tablet 10 tab
Vi c  x x  x x x   x 1x1 Tablet 50 mg
33 Metformin  x x  x x x   x 1x1 Tablet 500 mg
Simvastatin  x x  x x x   x 1x1 Tablet 10 mg
Asam mefenamat  x x  x x x   x 3x1 Tablet 500 mg
Vit b comp  x x  x x x   x 1x1 Tablet 10 tab
34 Glibenklamid  x x  x x x   x 2x1 Tablet 5 mg
Cetirizine  x x  x x x   x 1x1 Tablet 10 mg
Vit b comp  x x  x x x   x 1x1 Tablet 10 tab
Hustab  x x  x x x   x 3x1 Tablet 10 tab
35 Glibenklamid  x x  x x x   x 1x1 Tablet 5 mg
 Vit b comp  x x  x x x   x 1x1 Tablet 10 tab
36 Glibenklamid  x x  x x x   x 2x1 Tablet 5 mg
Cetirizine  x x  x x x   x 1x1 Tablet 10 mg
Vit b comp  x x  x x x   x 1x1 Tablet 10 tab
37 Glibenklamid  x   x x x    1x1 Tablet 5 mg
Hustab  x   x x x    2x1 Tablet 10 tab
Cetirizine  x   x x x    2x1 Tablet 10 mg
Vit b comp  x   x x x    2x1 Tablet 10 tab
38 Metformin  x x  x x x   x 1x1 Tablet 500 mg
39 Glibenklamid  x x  x x x x  x 2x1 Tablet 5 mg
Na diklofenak  x x  x x x x  x 2x1 Tablet 50 mg
Vit b comp  x x  x x x x  x 2x1 Tablet 10 tab
Ranitidine  x x  x x x x  x 2x1 Tablet 150 mg
40 Metformin  x x  x x x   x 2x1 Tablet 500 mg
Glibenklamid  x x  x x x   x 1x1 Tablet 5 mg
Vit b comp  x x  x x x   x 1x1 Tablet 10 tab
Loratadine  x x  x x x   x 1x1 Tablet 10 mg
41 Glibenklamid  x x  x x x   x 2x1 Tablet 5 mg
Ranitidine  x x  x x x   x 2x1 Tablet 150 mg
Hustab  x x  x x x   x 3x1 Tablet 10 tab
cetirizine  x x  x x x   x 1x1 Tablet 10 mg
42 Amoxicillin  x   x x x    3x1 Tablet 500 mg
Hustab  x   x x x    3x1 Tablet 10 tab
Dexamethasone  x   x x x    3x1 Tablet 0,5 mg
Vit b comp  x   x x x    1x1 Tablet 10 tab
Glibenklamid  x   x x x    2x1 Tablet 5 mg
43 Glibenklamid  x x x x x x   x x Tablet 5 mg
Asam mefenamat  x x x x x x   x x Tablet 500 mg
Na diklofenak  x x x x x x   x x Tablet 50 mg
44 Glibenklamid  x x  x x x   x 2x1 Tablet 5 mg
Hustab  x x  x x x   x 3x1 Tablet 10 tab
 Vit b comp  x x  x x x   x 1x1 Tablet 10 tab
Vit c  x x  x x x   x 1x1 Tablet 50 mg
45 Glibenklamid  x   x x x    2x1 Tablet 5 mg
Asam mefenamat  x   x x x    2x1 Tablet 500 mg
Cetirizine  x   x x x    1x1 Tablet 10 mg
46 Glibenklamid  x   x x x    2x1 Tablet 5 mg
Hustab  x   x x x    3x1 Tablet 10 tab
Sulfur ferero  x   x x x    1x1 Tablet 10 tab
Vit b6  x   x x x    1x1 Tablet 10 mg
47 Glibenklamid  x   x x x    2x1 Tablet 5 mg
Ctm  x   x x x    2x1 Tablet 4 mg
Asam mefenamat  x   x x x    2x1 Tablet 500 mg
paracetamol  x   x x x    1x1 Tablet 500 mg
48 Amoxicillin  x   x x x    3x1 Tablet 500 mg
Paracetamol  x   x x x    3x1 Tablet 500 mg
Vit b comp  x   x x x    1x1 Tablet 10 tab
Amlodipine  x   x x x    1x1 Tablet 5 mg
Glibenklamid  x   x x x    1x1 Tablet 5 mg
49 Hustab  x x  x x x x  x 3x1 Tablet 10 tab
Vit k  x x  x x x x  x 1x1 Tablet 10 mg
glibenklamid  x x  x x x x  x 1x1 Tablet 5 mg
50 Glimepiride  x x  x x x x  x 1x1 Tablet 4 mg
Na diklofenak  x x  x x x x  x 2x1 Tablet 50 mg
Ranitidine  x x  x x x x  x 2x1 Tablet 150 mg
Vit b comp  x x  x x x x  x 1x1 Tablet 10 tab
51 Metformin  x x  x x x x   2x1 Tablet 500 mg
Hustab  x x  x x x x   3x1 Tablet 10 tab
Vit b comp  x x  x x x x   1x1 Tablet 10 tab
Vit b 6  x x  x x x x   1x1 Tablet 10 mg
52 glibenklamid  x   x x x    1x1 Tablet 5 mg
53 Glibenklamid  x   x x x    1x1 Tablet 5 mg
 Hustab  x   x x x    2x1 Tablet 10 tab
Cetirizine  x   x x x    2x1 Tablet 10 mg
Vit b comp  x   x x x    1x1 Tablet 10 tab
54 Metformin  x   x x x  x  1x1 Tablet 500 mg
Na. diklofenak  x   x x x  x  1x1 Tablet 50 mg
Methyl  x   x x x  x  1x1 Tablet 4 mg
prednisolone
Vit c  x   x x x  x  1x1 Tablet 50 mg
55 Inj vit b 12  x   x x x    S.Im Injeksi 1000
mcg/ml
Hustab  x   x x x    3x1 Tablet 10 tab
Sulful ferro  x   x x x    1x1 Tablet 10 tab
Glibenklamid  x   x x x    1x1 Tablet 5 mg
56 Amlodipin  x   x x x  x  1x1 Tablet 5 mg
Ctm  x   x x x  x  3x1 Tablet 4 mg
Glimepiride  x   x x x  x  1x1 Tablet 2 mg
Sulfur ferro  x   x x x  x  1x1 Tablet 10 tab
Dexamethasone  x x  x x x  x  3x1 Tablet 0,5 mg
57 Metformin  x x  x x x  x  2x1 Tablet 500 mg
Glimepiride  x x  x x x  x  1x1 Tablet 2 mg
Vit b comp  x x  x x x  x  1x1 Tablet 10 tab
58 Metformin  x x  x x x  x  1x1 Tablet 500 mg
Na diklofenak  x x  x x x  x  1x1 Tablet 50 mg
prednison  x x  x x x  x  1x1 Tablet 5 mg
59 Glimepride  x x  x x x    2x1 Tablet 2 mg
Sulfur ferro  x x  x x x    1x1 Tablet 10 tab
60 Metformin  x x x x x x   x 2x1 Tablet 500 mg
Asam mefenamat  x x x x x x   x 3x1 Tablet 500 mg
Ranitidine  x x x x x x   x 2x1 Tablet 150 mg
Vit b 12  x x x x x x   x 1x1 Tablet 50 mg
61 Hustab  x   x x x    3x1 Tablet 10 tab
Dexamethasone  x   x x x    3x1 Tablet 0,5 mg
 Antasida  x   x x x    3x1 Tablet 10 tab
Vit b 12  x   x x x    1x1 Tablet 50 mg
Metformin  x   x x x    2x1 Tablet 500 mg
62 Glibenklamid  x   x x x  x  2x1 Tablet 5 mg
Vit b comp  x   x x x  x  2x1 Tablet 10 tab
Antasida  x   x x x  x  2x1 Tablet 10 tab
Ranitidine  x   x x x  x  2x1 Tablet 150 mg
63 Metformin  x   x x x  x  3x1 Tablet 500 mg
Glimepride  x   x x x  x  1x1 Tablet 2 mg
Hustab  x   x x x  x  3x1 Tablet 10 tab
Dexamethasone  x   x x x  x  3x1 Tablet 0,5 mg
64 Antasida  x   x x x  x  3x1 Tablet 10 tab
Glibenklamid  x   x x x  x  1x1 Tablet 5 mg
Amlodipin  x   x x x  x  1x1 Tablet 5 mg
Ctm  x   x x x  x  3x1 Tablet 4 mg
Vit b comp  x   x x x  x  1x1 Tablet 10 tab
Sulfur ferro  x   x x x  x  1x1 Tablet 10 tab
65 Metformin  x   x x x  x  1x1 Tablet 500 mg
Na.diklofenak  x   x x x  x  2x1 Tablet 50 mg
Vit b comp  x   x x x  x  1x1 Tablet 10 tab
Methyl prednisolon  x   x x x  x  1x1 Tablet 4 mg
66 Hustab  x   x x x  x  2x1 Tablet 10 tab
Cetirizine  x   x x x  x  2x1 Tablet 10 mg
Antasida  x   x x x  x  2x1 Tablet 10 tab
Ranitidine  x   x x x  x  2x1 Tablet 150 mg
Glibenklamid  x   x x x  x  2x1 Tablet 5 mg
67 Metformin  x   x x x  x  3x1 Tablet 500 mg
Na. diklofenak  x   x x x  x  2x1 Tablet 50 mg
Vit b 12  x   x x x  x  1x1 Tablet 50 mg
Dexamethasone  x   x x x  x  3x1 Tablet 0,5 mg
68 Na. diklofenak  x   x x x  x  2x1 Tablet 50 mg
 Paracetamol  x   x x x  x  3x1 Tablet 500 mg
Vit b comp  x   x x x  x  1x1 Tablet 10 tab
Metformin  x   x x x  x  3x1 Tablet 500 mg
Glimepride  x   x x x  x  1x1 Tablet 2 mg
69 Metformin  x   x x x  x  3x1 Tablet 500 mg
Glimepride  x   x x x  x  1x1 Tablet 2 mg
Antasida  x   x x x  x  3x1 Tablet 10 tab
Vit b comp  x   x x x  x  1x1 Tablet 10 tab