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Essential Medicines List Libyan LEML LIBYAN ESSENTIAL MEDICINES LIST POLICY STATEMENT TO PROMOTE THE USE OF THE LIBYAN ESSENTIAL MEDINCIES LIST (LEML) ISSUED BY THE Honorable of Health, Ministry of Health, Libya November 2018. This year has seen the development of Libya’s first EML through the collaboration between our Pharmacy Administration, and WHO under the EU- funded SHAMS project. The importance of the LEML in the health care delivery system of Libya cannot be over emphasized. It will in no doubt streamline the drugs deployed in the healthcare delivery system of the country. This will ultimately enhance the quality of health care services. It will also provide a reference standard for all levels of healthcare towards ensuring good drug supply management. This List is a key tool that will effectively promote access to essential medicines by majority of the Libyan population, through their correct selection, management and use to achieve maximum therapeutic benefit and improve patient outcomes. The LEML is an investment guide - a guide for the investment of healthcare funds in financing the most appropriate medicines to achieve therapeutic aims in response to prioritized public health need. It will therefore reduce healthcare cost. Therefore, as a matter of policy directive, henceforth, all medicines to be procured by the public health facilities in Libya should be drawn from the LEML. From now onwards, the LEML becomes an essential companion for all disciplines of healthcare workers, general practitioners, specialists and healthcare management personnel as well as students and interns. Pharmaceutical donations must also comply with the List. The List will be reviewed and updated every two years by our panel of experts, in line with WHO recommendations and new evidence and technological advancements on efficacy and safety, as well as common diseases in Libya. I hereby enjoin all our health care providers to get a copy of this first edition of the LEML and ensure its use for the provision of affordable quality healthcare to our people. For further information, please contact: Pharmacy Administration| [email protected]. Honorable Minister of Health, Libya Get the LEML 1st Edition, April 2019 Online http://Bit.do/leml Contents Forward .................................................................................................................... i Preface ..................................................................................................................... ii Acknowledgment .....................................................................................................iii Introduction ............................................................................................................. 1 1. ANAESTHETICS, PREOPERATIVE MEDICINES AND MEDICAL GASES ..................... 2 1.1 General anaesthetics and oxygen ................................................................. 2 1.1.1 Inhalational medicines ......................................................................... 2 1.1.2 Injectable medicines ............................................................................ 2 1.2 Local anaesthetics ........................................................................................ 2 1.3 Preoperative medication and sedation for short-term procedures. ............ 2 1.4 Medical gases ............................................................................................... 2 2. MEDICINES FOR PAIN AND PALLIATIVE CARE ...................................................... 2 2.1 Non-opioids and non-steroidal anti-inflammatory medicines (NSAIMs) ...... 2 2.2 Opioid analgesics .......................................................................................... 3 2.3 Medicines for other common symptoms in palliative care. ......................... 3 3. ANTIALLERGICS AND MEDICINES USED IN ANAPHYLAXIS .................................... 3 4. ANTIDOTES AND OTHER SUBSTANCES USED IN POISONINGS ............................. 3 4.1 Non-specific .................................................................................................. 3 4.2 Specific ......................................................................................................... 3 5. ANTICONVULSANTS/ANTIEPILEPTICS .................................................................. 4 5.1 Others ........................................................................................................... 4 6. ANTI-INFECTIVE MEDICINES ................................................................................ 4 6.1 Anthelminthics ............................................................................................. 4 6.1.1 Intestinal anthelminthics ...................................................................... 4 6.1.2 Antifilarials ........................................................................................... 4 6.1.3 Antischistosomals and other antitrematode medicines ....................... 5 6.2 Antibacterials ................................................................................................ 5 6.2.1 Beta-lactam medicines ......................................................................... 5 6.2.2 Other antibacterials ............................................................................. 5 6.2.3 Antileprosy medicines .......................................................................... 6 6.2.4 Antituberculosis medicines .................................................................. 6 6.3 Antifungal medicines .................................................................................... 6 6.4 Antiviral medicines ....................................................................................... 7 6.4.1 Antiherpes medicines ........................................................................... 7 6.4.2 Antiretrovirals ...................................................................................... 7 6.4.3 Antihepatitis medicines ........................................................................ 7 6.5 Antiprotozoal medicines ............................................................................... 8 6.5.1 Antiamoebic and antigiardiasis medicines ........................................... 8 6.5.2 Antileishmaniasis medicines ................................................................ 8 6.5.3 Antimalarial medicines ......................................................................... 8 7. ANTIMIGRAINE MEDICINES ................................................................................. 8 7.1 For treatment of acute attack ...................................................................... 8 iv 7.2 For prophylaxis ............................................................................................. 8 8. ANTINEOPLASTICS AND IMMUNOSUPPRESSIVES ................................................ 8 8.1 Immunosuppressive medicines .................................................................... 8 8.2 Cytotoxic and adjuvant medicines ................................................................ 9 8.3 Hormones and antihormones ..................................................................... 10 9. ANTIPARKINSONISM MEDICINES ....................................................................... 10 10. MEDICINES AFFECTING THE BLOOD ................................................................ 10 10.1 Antianaemia medicines ............................................................................ 10 10.2 Medicines affecting coagulation ............................................................... 10 10.3 Other medicines for haemoglobinopathies .............................................. 11 11. BLOOD PRODUCTS OF HUMAN ORIGIN AND PLASMA SUBSTITUTES .............. 11 11.1 Human immunoglobulins ......................................................................... 11 11.2 Blood coagulation factors ......................................................................... 11 11.3 Plasma fractions ....................................................................................... 11 11.4 Plasma substitutes .................................................................................... 11 12. CARDIOVASCULAR MEDICINES ........................................................................ 11 12.1 Antianginal medicines .............................................................................. 11 12.2 Antiarrhythmic medicines ........................................................................ 11 12.3 Antihypertensive medicines ..................................................................... 12 12.4 Medicines used in heart failure ................................................................ 12 12.5 Antithrombotic medicines ........................................................................ 12 12.5.1 Anti-platelet medicines .................................................................... 12 12.5.2 Thrombolytic medicines ................................................................... 13 12.5.3 Fibrinolytic medicines ...................................................................... 13 12.6 Lipid-lowering agents ............................................................................... 13 12.7 Local sclerosants ....................................................................................... 13 13. DERMATOLOGICAL MEDICINES (topical) ......................................................... 13 13.1 Antifungal medicines ...............................................................................
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