FOI 218-1314 Document 1

FOI 218-1314 Document 1

Name Form Dosage Riboflavin 0.1% in 20% dextran - Medio Cross eye drops As per literature Riboflavin 0.1% in 20% dextran - Medio Cross eye drops As per literature Midodrine tablet Up to 5mg daily, orally Dimethyl sulfoxide (DMSO) - Rimso-50 solution 50mL of 50% solution intravesically (for fifteen minutes), weekly Dimethyl sulfoxide (DMSO) - Rimso-50 solution 50mL of 50% solution intravesically (for fifteen minutes), weekly Buspirone Hydrochloride tablet As per protocol Ergocalciferol - Sterogyl injection 600,000 IU six monthly Cholecalciferol injection 300,000IU 3 monthly Paromomycin tablet 160mg three times daily Furazolidone oral application 100mg twice daily, orally Bismuth Subcitrate - Denol oral application 240mg twice daily Febuxostat - Uloric tablet 40mg daily, orally Tacrolimus 0.03% - Protopic ointment Apply topically twice daily Melatonin capsule 3mg at night Cinnarizine - Stugeron tablet 25mg three times daily Adalimumab - Humira injection As per protocol Triamcinolone - Triesence injection As per literature via intravitreal injection Bismuth Subcitrate - Denol tablet 240mg twice daily Bismuth Subcitrate - Denol tablet 240mg twice daily Tetracycline capsule 250mg capsule, two capsules four times daily Levofloxacin tablet 500mg twice daily Triamcinolone - Triesence injection As per literature via intravitreal injection Triamcinolone - Triesence injection As per literature via intravitreal injection Triamcinolone - Triesence injection As per literature via intravitreal injection Triamcinolone - Triesence injection Triamcinolone - Triesence injection As per literature via intravitreal injection Triamcinolone - Triesence injection As per literature via intravitreal injection Midodrine tablet 10mg daily, orally Melatonin oral application 3mg at night Triamcinolone - Triesence injection As per literature via intravitreal injection Paromomycin capsule 250mg capsule, three capsules three times daily Paromomycin capsule 250mg capsule, three capsules three times daily Mexiletine - Mexitil tablet As per protocol Riboflavin - Ricrolin eye drops As per literature Triamcinolone - Triesence injection As per literature via intravitreal injection Triamcinolone - Triesence injection As per Literature Bismuth Subcitrate - Denol tablet 120mg four times daily Ranibizumab - Lucentis injection As per protocol Diflunisal tablet 250mg twice daily, orally 68-Gallium DOTATATE injection 150MBq 68-Gallium DOTATATE injection 150MBq 68-Gallium DOTATATE injection 150MBq 68-Gallium DOTATATE injection 150MBq 68-Gallium DOTATATE injection 150MBq 68-Gallium DOTATATE injection 150MBq Midodrine tablet 5mg three times daily, orally (as tolerated) Timolol (preservative free) eye drops One drop twice daily Bismuth Subcitrate - Denol tablet 120mg four times daily Tetracycline oral application 500mg four times daily Triamcinolone - Triesence injection As per literature via intravitreal injection Mexiletine - Mexitil capsule 250mg twice daily, orally Triamcinolone - Triesence injection As per literature via intravitreal injection Triamcinolone - Triesence injection As per literature via intravitreal injection Triamcinolone - Triesence injection As per literature via intravitreal injection Triamcinolone - Triesence injection As per literature via intravitreal injection Triamcinolone - Triesence injection As per literature via intravitreal injection Triamcinolone - Triesence injection As per literature via intravitreal injection Triamcinolone - Triesence injection As per literature via intravitreal injection Levofloxacin tablet 500mg twice daily Levofloxacin tablet 500mg twice daily Technetium-99m (Tc-99M) - Mebrofenin injection 200MBq by intravenous infusion Levofloxacin tablet 500mg twice daily Iloprost injection, intravenous infusion Up to 2nanograms/kg/min for six hours daily by intravenous infusion Iloprost injection, intravenous infusion Up to 2nanograms/kg/min for six hours daily by intravenous infusion Triamcinolone - Triesence injection As per literature by intraocular injection; requested 2x 2mg/0.05mL Triamcinolone - Triesence injection As per literature via intravitreal injection Triamcinolone - Triesence injection As per literature by intravitreal injection; requested 2x2mg/0.05mL Furazolidone - Furasian tablet 100mg four times daily Tetracycline capsule 500mg four times daily Calcitriol - Rolcatrol oral liquid 0.1mcg once daily Allergen - Multiple Skin Prick Test As per manufacturer's protocol Iloprost injection Up to 2ng/kg/min for six hours daily by intravenous infusion Cinnarizine - Stugeron tablet 25mg once daily Triamcinolone - Triesence injection As per literature by intravitreal injection, requested 4mg/0.1 mL Melatonin oral application Maximum of 5mg at night abatacept - Orencia powder 750mg daily Triamcinolone - Triesence injection As per literature by intravitreal injection, requested 4mg/0.1mL. abatacept - Orencia powder 750mg daily abatacept - Orencia powder 750mg daily Bismuth Subcitrate - Denol tablet 120mg four times daily Bifidobacterium infantis & Lactobacillus acidophilus - capsule One capsule once daily Infloran Flunarizine - Sibelium tablet Maximum of 10mg at night Bifidobacterium infantis & Lactobacillus acidophilus - capsule Maximum of one capsule once daily Infloran Riboflavin 0.1% in 20% dextran - Medio Cross eye drops As per literature Deflazacort - Calcort tablet 30mg daily, orally Paromomycin oral application 2000mg daily Travoprost - Travatan Z eye drops One drop at night, both eyes Tizanidine oral application 2mg twice daily Pipothiazine - Piportil injection 100mg 2 weekly Iloprost injection, intravenous infusion Up to 2ng/kg/min for six hours daily by intravenous infusion Bismuth Subcitrate - Denol tablet 120mg four times daily Tetracycline tablet 250mg four times daily Dexamethasone - Minims (Dexamethasone) eye drops One drop to left eye; ten times daily Riboflavin 0.1% in 20% dextran - Medio Cross eye drops As per literature Dihydroergotamine tablet 2.5-10mg three times daily, orally Riboflavin 0.1% - Opto Ribolink Hypertonic Solution eye drops As per literature Triamcinolone - Triesence injection As per literature via intravitreal injection Bismuth Subcitrate - Denol tablet 120mg four times daily Cisapride - Prepulsid oral application Maximum of 20mg twice daily Triamcinolone - Triesence injection As per literature via intravitreal injection Bismuth Iodoform & Paraffin Paste (BIPP) paste One unit topically as per protocol Riboflavin 0.1% - Opto Ribolink eye drops As per protocol Riboflavin 0.1% in 20% dextran - Medio Cross eye drops As per protocol Dexamethasone - Minims (Dexamethasone) eye drops One drop to eye four times daily initially Riboflavin 0.1% - Opto Ribolink eye drops As per protocol Triamcinolone - Triesence injection As per literature via intravitreal injection Biotin tablet As per protocol Triamcinolone - Triesence injection As per literature by intravitreal injection Cinnarizine - Stugeron tablet 25mg three times daily Riboflavin 0.1% - Opto Ribolink eye drops As per protocol Doxycycline I/V injection 100mg (10mg/mL) injected intralesionally Dexamethasone - Minims (Dexamethasone) eye drops One drop to left eye eight times dailiy Midodrine tablet 10mg in the morning, orally Bismuth Subcitrate - Denol tablet 120mg four times daily Tetracycline capsule 500mg four times daily Deflazacort - Calcort tablet 45mg daily, orally Melatonin capsule Up to 6mg at night Betaxolol Hydrochloride - Betoptic-S eye drops One drop both eyes daily 68-Gallium DOTATATE injection 150MBq Buspirone Hydrochloride tablet 300mg daily Triamcinolone - Triesence injection As per literature via intravitreal injection Cyclosporin Ophthalmic Emulsion 0.05% - Restasis eye drops Apply topically, one drop twice daily as per protocol Cisapride - Prepulsid tablet 20mg twice daily Midodrine tablet 5-10mg three times daily, orally Ruxolitinib tablet 20mg twice daily Triamcinolone - Triesence injection As per literature via intravitreal injection Tacrolimus 0.03% - Protopic ointment Apply as per literature Iloprost injection 60micrograms daily by intravenous infusion Levofloxacin tablet 500md twice daily Pimozide - Orap tablet 1mg orally, daily Riboflavin 0.1% - Opto Ribolink eye drops As per literature Bismuth Subcitrate - Denol tablet 240mg twice daily Melatonin tablet Up to 6mg at night Furazolidone oral application 100mg twice daily Bismuth Subcitrate - Denol tablet 240mg twice daily Triamcinolone - Triesence injection As per literature via intravitreal injection Tetracycline capsule 500mg four times daily Bismuth Subcitrate - Denol tablet 120mg four times daily Riboflavin 0.1% - Opto Ribolink eye drops As per protocol Riboflavin 0.1% - Opto Ribolink eye drops As per protocol Riboflavin 0.1% - Opto Ribolink eye drops As per protocol Riboflavin 0.1% - Opto Ribolink eye drops As per protocol Riboflavin 0.1% - Opto Ribolink eye drops As per protocol Riboflavin 0.1% - Opto Ribolink eye drops As per protocol Triamcinolone - Triesence injection As per literature via intravitreal injection Cinnarizine - Stugeron tablet 25mg three times daily Sodium Chloride Hypertonic Ophthalmic Solution 5% - eye drops Two drops twice daily, right eye Muro 128 5% Cisapride - Prepulsid tablet 50mg daily Iloprost injection Up to 2ng/kg/min for six hours daily by intravenous infusion Pristinamycin tablet 500mg three times daily Cisapride - Prepulsid oral application 10mg three times daily Yttrium Citrate injection 250MBq Thalidomide tablet 50mg tablets, two tablets weekly Calcium Carboxymethyl Zinc - Ilex cream Apply topically as per literature Doxycycline

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