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Table 4 Medicines appearing on the WHO Model EMLs but not on the SA STG/EMLs

From: Quantitative evaluation of essential medicines lists: the South African case study

Section Name of medicine (core list) Name of medicine (complementary list)
2. Medicine for pain and palliative care Docusate sodium  
4. Antidotes and other substances used in poisoning Potassium ferric hexacyano-ferrate(II)-2H2O Sodium nitrite Sodium thiosulfate Fomepizole Sodium calcium edetate Succimer,
5. Anticonvulsants/antiepileptics   Ethosuximide
6. Anti-infective medicines Levamisole (not registered in SA), Niclosamide, Pyrantel, Diethylcarbamazine (not readily available in SA, can be obtained from pharma company), Ivermectin (not registered in SA, can be obtained after MCC approval) Triclabendazole (not available for human use in SA) Azithromycin, Trimethoprim (available in combination with Sulfamethoxazole), Spectinomycin (not available in SA), Clofazimine (available on named patient basis) Ethambutol + Isoniazid Ethambutol + Isoniazid + Rifampicin Rifabutin Flucytosine (available on named patient basis after MCC approval) Griseofulvin Potassium iodide Atazanavir Saquinavir Indinavir Lamivudine + nevirapine + stavudine (FDC) Lamivudine + nevirapine + zidovudine (FDC) Lamivudine + zidovudine (FDC) Emtricitabine + Tenofovir (FDC) Efavirenz + Emtricitabine + Tenofovir (FDC) Oseltamivir Ribavirin, Diloxinide (not available in SA) Miltefosine, Paromomycin (not available in SA) Sodium stibogluconate, Amodiaquine (not available in SA) Artemether (available in combination with lumefantrine) Artesunate (not registered in SA, can be obtained through the IV artesunate access programme on a named patient basis after MCC approval) Artesunate + amodiaquine (not available in SA) Artesunate + mefloquine (not available in SA), Mefloquine (not registered for treatment in SA) Proguanil (not registered for treatment only prophylaxis and in combination with Atovaquone) Sulfadoxine + Pyrimethamine (no longer recommended due to increased resistance) Pyrimethamine Sulfadiazine (available as silver sulfadiazine) Pentamidine (not available in SA, available on named patient basis) Suramin sodium (not readily available in SA, can be obtained on named patient basis) Eflornithine (not readily available in SA, can be obtained on named patient basis) Melarsoprol (not readily available in SA, can be obtained on named patient basis) Nifurtimox (not available in SA) Capreomycin, Oxaminiquine (not available in SA) Cycloserine (alternative terizidone is listed) p-aminosalicylic acid (PAS), potassium iodide Pegylated interferon alpha (2a or 2b)
8. Antineoplastic and immunosuppresives   Cytotoxics: Ciclosporin, asparaginase, calcium folinate, carboplatin, chlorambucil, mercaptopurine, cytarabine, dactinomycin, daunorubicin, dacarbazine, doxorubicin, docetaxel, mercaptopurine, mesna, thioguanine, etoposide, fluorouracil, ifosfamide, paclitaxel, procarbazine, vinblastine,
10. Medicines affecting the blood protamine sulfate  
12. Cardiovascular medicines   Sodium nitroprusside
13. Dermatological medicines (topical) Sodium thiosulfate Terbinafine Mupirocin Potassium permanganate Urea Fluorouracil  
14. Diagnostic agents Amidotrizoate Meglumine iotroxate
15. Disinfectants and antiseptics Glutaral  
16. Diuretics Amiloride  
18. Hormones, other endocrine medicines and contraceptives Estradiol cypionate + medroxyprogesterone acetate Diaphragms Levonorgestrel releasing implant Potassium iodide, Propylthiouracil (not available in SA)  
19. Immunologicals Tuberculin (PPD) Diphtheria antitoxin Cholera vaccine Hepatitis A vaccine Japanese encephalitis vaccine Meningococcal meningitis vaccine Mumps vaccine Rotavirus vaccine Rubella vaccine Typhoid vaccine Yellow fever vaccine  
21. Ophthalmological preparations Azithromycin Latanoprost Bevacizumab
23. Peritoneal dialysis solution Intraperitoneal dialysis solution  
24. Medicines for mental and behavioural disorders Clomipramine Nicotine replacement therapy  
27. Vitamins and minerals Ascorbic acid (only available in a multivitamin preparation) Riboflavin (only available in a multivitamin preparation) Sodium fluoride  
  1. Note: The tertiary/quaternary EML was not considered in this analysis