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  1. World Encyclopedia
  2. WHO Model List of Essential Medicines - Wikipedia
WHO Model List of Essential Medicines - Wikipedia
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From Wikipedia, the free encyclopedia
Formulary by the World Health Organization
For the list for children, see WHO Model List of Essential Medicines for Children.

The WHO Model List of Essential Medicines (a.k.a. Essential Medicines List or EML[1]), published by the World Health Organization (WHO), contains the medications considered to be most effective and safe to meet the most important needs in a health system.[2] The list is frequently used by countries to help develop their own local lists of essential medicines.[2] As of 2016[update], more than 155 countries have created national lists of essential medicines based on the World Health Organization's model list.[1] This includes both developed and developing countries.[2][3]

The list is divided into core items and complementary items.[4] The core items are deemed to be the most cost-effective options for key health problems and are usable with little additional health care resources.[4] The complementary items either require additional infrastructure such as specially trained health care providers or diagnostic equipment or have a lower cost–benefit ratio.[4] About 25% of items are in the complementary list.[5] Some medications are listed as both core and complementary.[6] While most medications on the list are available as generic products, being under patent does not prevent inclusion.[7]

The first list was published in 1977 and included 208 medications.[8][2][9] The WHO updates the list every two years.[10] There are 306 medications in the 14th list in 2005,[11] 410 in the 19th list in 2015,[10] 433 in the 20th list in 2017,[12][13] 460 in the 21st list in 2019,[14][15][16] and 479 in the 22nd list in 2021.[17][18] Various national lists contain between 334 and 580 medications.[5][19] The Essential Medicines List (EML) was updated in September 2025 to its 24th edition.[20] The list contains recommendations for 523 medications.

A separate list for children up to twelve years of age, known as the WHO Model List of Essential Medicines for Children (EMLc), was created in 2007, and is in its 10th edition.[10][21][22][23][24] It was created to make sure that the needs of children were systematically considered such as availability of proper formulations.[25][26] Everything in the children's list is also included in the main list.[27] The list and notes are based on the 19th to 24th edition of the main list.[4][12][14][17][28] Therapeutic alternatives with similar clinical performance are listed for some medicines and they may be considered for national essential medicines lists.[17][18] The 10th Essential Medicines List for Children was updated in September 2025.[24][29][30]

Note: An α indicates a medicine is on the complementary list.[4][14][17]

Anaesthetics, preoperative medicines and medical gases

[edit]

General anaesthetics and oxygen

[edit]

Inhalational medicines

[edit]
  • Isoflurane
  • Nitrous oxide[note 1]
  • Oxygen
  • Sevoflurane

Injectable medicines

[edit]
  • Ketamine
  • Propofol[note 2]

Local anaesthetics

[edit]
  • Bupivacaine
  • Lidocaine
  • Lidocaine/epinephrine (lidocaine + epinephrine (adrenaline))

Complementary:

  • Ephedrineα[note 3]

Preoperative medication and sedation for short-term procedures

[edit]
  • Atropine
  • Midazolam
  • Morphine

Medical gases

[edit]
  • Oxygen[note 4]

Medicines for pain and palliative care

[edit]

Non-opioids and non-steroidal anti-inflammatory medicines (NSAIMs)

[edit]
A line drawing of a hexagon with two attachments
A skeletal model of the chemical structure of aspirin
  • Acetylsalicylic acid (aspirin)
  • Ibuprofen[note 5]
  • Paracetamol (acetaminophen)[note 6]

Opioid analgesics

[edit]
  • Codeine
  • Fentanyl[note 7]
  • Morphine[note 8]

Complementary:

  • Methadoneα[note 9]

Medicines for other common symptoms in palliative care

[edit]
  • Amitriptyline
  • Cyclizine
  • Dexamethasone
  • Diazepam
  • Docusate sodium
  • Fluoxetine
  • Haloperidol
  • Hyoscine butylbromide
  • Hyoscine hydrobromide
  • Lactulose
  • Loperamide
  • Metoclopramide
  • Midazolam[note 10]
  • Ondansetron[note 11]
  • Senna

Antiallergics and medicines used in anaphylaxis

[edit]
  • Dexamethasone
  • Epinephrine (adrenaline)
  • Hydrocortisone
  • Loratadine[note 12]
  • Prednisolone[note 13]

Antidotes and other substances used in poisonings

[edit]

Non-specific

[edit]
  • Charcoal, activated[note 14]

Specific

[edit]
  • Acetylcysteine
  • Atropine
  • Calcium gluconate
  • Methylthioninium chloride (methylene blue)
  • Naloxone
  • Penicillamine
  • Potassium ferric hexacyano-ferrate(II) -2H2O (prussian blue)
  • Sodium nitrite
  • Sodium thiosulfate

Complementary:

  • Deferoxamineα
  • Dimercaprolα
  • Fomepizoleα
  • Sodium calcium edetateα
  • Succimerα

Medicines for neurological disorders

[edit]

Medicines for central nervous system disorders

[edit]

Antiseizure medicines

[edit]
  • Carbamazepine
  • Diazepam
  • Lamotrigine[note 15]
  • Levetiracetam
  • Lorazepam[note 16]
  • Magnesium sulfate[note 17]
  • Midazolam[note 10]
  • Phenobarbital
  • Phenytoin[note 18]
  • Valproic acid (sodium valproate)[note 19]

Complementary:

  • Ethosuximideα
  • Levetiracetamα
  • Valproic acid (sodium valproate)α[note 19]

Medicines for multiple sclerosis

[edit]

Complementary:

  • Cladribineα
  • Glatiramer acetateα
  • Rituximabα[note 20]

Medicines for parkinsonism

[edit]
  • Biperiden[note 21]
  • Levodopa/carbidopa (levodopa + carbidopa)[note 22]

Medicines for cerebral palsy

[edit]
  • Baclofen

Medicines for headache disorders

[edit]
Medicines for acute migraine attacks
[edit]
  • Acetylsalicylic acid (aspirin)
  • Ibuprofen[note 23]
  • Paracetamol (acetaminophen)[note 24]
  • Sumatriptan[note 25]
Medicines for migraine prophylaxis
[edit]
  • Propranolol
Medicines for cluster headache
[edit]
  • Prednisolone
  • Sumatriptan
  • Verapamil

Medicines for central nervous system infections

[edit]
Medicines for bacterial central nervous system infections
[edit]
  • Amoxicillin
  • Ampicillin
  • Benzylpenicillin
  • Cefotaxime[note 26]
  • Ceftriaxone[note 27][note 28]
  • Chloramphenicol[note 29]
  • Gentamicin

Complementary:

  • Meropenemα[note 30]
Medicines for viral central nervous system infections
[edit]
  • Aciclovir[note 31]

Medicines for peripheral nervous system disorders

[edit]

Medicines for Guillain-Barré syndrome

[edit]

Complementary:

  • Normal immunoglobulinα

Medicines for myasthenia gravis

[edit]
  • Neostigmine

Complementary:

  • Pyridostigmineα

Anti-infective medicines

[edit]

Anthelminthics

[edit]

Intestinal anthelminthics

[edit]
A hexagon joined to a polygon with two attachments to this double ringed structure
A skeletal model of the chemical structure of albendazole
  • Albendazole
  • Ivermectin
  • Levamisole
  • Mebendazole
  • Niclosamide
  • Praziquantel
  • Pyrantel

Antifilarials

[edit]
  • Albendazole
  • Diethylcarbamazine
  • Ivermectin[note 32]

Antischistosomals and other antinematode medicines

[edit]
  • Praziquantel[note 33]
  • Triclabendazole

Complementary:

  • Oxamniquineα[note 34]

Cysticidal medicines

[edit]

Complementary:

  • Albendazoleα
  • Mebendazoleα
  • Praziquantelα

Antibacterials

[edit]

Access group antibiotics

[edit]

This group includes antibiotics that have activity against a wide range of commonly encountered susceptible pathogens while also showing lower resistance potential than antibiotics in the other groups.[20]

  • Amikacin
  • Amoxicillin
  • Amoxicillin/clavulanic acid (amoxicillin + clavulanic acid)
  • Ampicillin
  • Benzathine benzylpenicillin
  • Benzylpenicillin
  • Cefalexin
  • Cefazolin[note 35]
  • Chloramphenicol[note 36]
  • Clindamycin
  • Cloxacillin[note 37][note 38]
  • Doxycycline[note 39]
  • Gentamicin
  • Metronidazole
  • Nitrofurantoin
  • Phenoxymethylpenicillin (penicillin V)
  • Procaine benzylpenicillin[note 40]
  • Spectinomycin
  • Sulfamethoxazole/trimethoprim (sulfamethoxazole + trimethoprim)
  • Trimethoprim

Watch group antibiotics

[edit]

This group includes antibiotic classes that have higher resistance potential and includes most of the highest priority agents among the Critically Important Antimicrobials for Human Medicine and/or antibiotics that are at relatively high risk of selection of bacterial resistance.[20]

  • Azithromycin
  • Cefixime
  • Cefotaxime[note 41]
  • Ceftriaxone[note 27][note 28]
  • Cefuroxime
  • Ciprofloxacin
  • Clarithromycin[note 42][note 43]
  • Piperacillin/tazobactam (piperacillin + tazobactam)
  • Vancomycin[note 44]

Complementary:

  • Ceftazidimeα
  • Meropenemα[note 45][note 30]
  • Vancomycinα

Reserve group antibiotics

[edit]

This group includes antibiotics and antibiotic classes that should be reserved for treatment of confirmed or suspected infections due to multi-drug-resistant organisms.[20] Complementary:

  • Cefiderocolα
  • Ceftazidime/avibactam (ceftazidime + avibactam)α
  • Ceftolozane/tazobactam (ceftolozane + tazobactam)α
  • Colistinα
  • Fosfomycinα
  • Linezolidα[note 46]
  • Meropenem/vaborbactam (meropenem + vaborbactam)α
  • Plazomicinα
  • Polymyxin Bα

Antileprosy medicines

[edit]
  • Clofazimine
  • Dapsone
  • Rifampicin

Antituberculosis medicines

[edit]
A small pile of white crystals
Pure crystals of ethambutol
  • Amikacin
  • Amoxicillin/clavulanic acid (amoxicillin + clavulanic acid)[note 47]
  • Bedaquiline
  • Clofazimine
  • Cycloserine[note 48]
  • Delamanid
  • Ethambutol
  • Ethambutol/isoniazid/pyrazinamide/rifampicin (ethambutol + isoniazid + pyrazinamide + rifampicin)
  • Ethambutol/isoniazid/rifampicin (ethambutol + isoniazid + rifampicin)
  • Ethionamide[note 49]
  • Isoniazid
  • Isoniazid/pyrazinamide/rifampicin (isoniazid + pyrazinamide + rifampicin)
  • Isoniazid/rifampicin (isoniazid + rifampicin)
  • Isoniazid/rifapentine (isoniazid + rifapentine)
  • Levofloxacin
  • Linezolid
  • Meropenem[note 50]
  • Moxifloxacin
  • Moxifloxacin
  • P-aminosalicylic acid (p-aminosalicylate sodium)
  • Pretomanid
  • Pyrazinamide
  • Rifabutin
  • Rifampicin
  • Rifapentine
  • Streptomycin

Antifungal medicines

[edit]
  • Amphotericin B
  • Clotrimazole
  • Fluconazole
  • Flucytosine
  • Griseofulvin
  • Itraconazole[note 51]
  • Nystatin
  • Voriconazole[note 52]

Complementary:

  • Micafunginα[note 53]
  • Potassium iodideα

Antiviral medicines

[edit]

Antiherpes medicines

[edit]
  • Aciclovir[note 31]

Antiretrovirals

[edit]
Nucleoside/nucleotide reverse transcriptase inhibitors
[edit]
  • Abacavir
  • Lamivudine
  • Tenofovir disoproxil fumarate[note 54]
  • Zidovudine
Non-nucleoside reverse transcriptase inhibitors
[edit]
  • Efavirenz
  • Nevirapine[note 55]
Protease inhibitors
[edit]
  • Atazanavir/ritonavir (atazanavir + ritonavir)
  • Darunavir[note 56]
  • Lopinavir/ritonavir (lopinavir + ritonavir)
  • Ritonavir
Integrase inhibitors
[edit]
  • Dolutegravir[note 57]
  • Raltegravir[note 58]
Fixed-dose combinations of antiretroviral medicines
[edit]
  • Abacavir/dolutegravir/lamivudine (abacavir + dolutegravir + lamivudine)
  • Abacavir/lamivudine (abacavir + lamivudine)
  • Dolutegravir/lamivudine/tenofovir (dolutegravir + lamivudine + tenofovir)
  • Efavirenz/emtricitabine/tenofovir[note 59]
  • Efavirenz/lamivudine/tenofovir (efavirenz + lamivudine + tenofovir)
  • Emtricitabine/tenofovir (emtricitabine + tenofovir)[note 59][note 60]
  • Lamivudine/zidovudine (lamivudine + zidovudine)
Medicines for prevention of HIV-related opportunistic infections
[edit]
  • Isoniazid/pyridoxine/sulfamethoxazole/trimethoprim (isoniazid + pyridoxine + sulfamethoxazole + trimethoprim)
Other antivirals
[edit]
  • Valganciclovir[note 61]

Complementary:

  • Oseltamivirα[note 62]
  • Valganciclovirα[note 63]

Antihepatitis medicines

[edit]
Medicines for hepatitis B
[edit]
Nucleoside/Nucleotide reverse transcriptase inhibitors
[edit]
  • Entecavir
  • Tenofovir disoproxil fumarate
Medicines for hepatitis C
[edit]
Pangenotypic direct-acting antiviral combinations
[edit]
  • Daclatasvir[note 64]
  • Daclatasvir/sofosbuvir (daclatasvir + sofosbuvir)
  • Glecaprevir/pibrentasvir (glecaprevir + pibrentasvir)
  • Ravidasvir[note 65]
  • Sofosbuvir[note 66]
  • Sofosbuvir/velpatasvir (sofosbuvir + velpatasvir)
Non-pangenotypic direct-acting antiviral combinations
[edit]
  • Ledipasvir/sofosbuvir (ledipasvir + sofosbuvir)
Other antivirals for hepatitis C
[edit]
  • Ribavirin[note 67]

Antiprotozoal medicines

[edit]

Antiamoebic and antigiardiasis medicines

[edit]
  • Diloxanide[note 68][note 69]
  • Metronidazole[note 70]

Antileishmaniasis medicines

[edit]
  • Amphotericin B[note 71]
  • Meglumine antimoniate
  • Miltefosine
  • Paromomycin
  • Sodium stibogluconate

Antimalarial medicines

[edit]
Medicines for curative treatment
[edit]
  • Artemether[note 72]
  • Artemether/lumefantrine (artemether + lumefantrine)
  • Artesunate[note 72]
  • Artesunate/amodiaquine (artesunate + amodiaquine)
  • Artesunate/mefloquine (artesunate + mefloquine)
  • Artesunate/pyronaridine tetraphosphate (artesunate + pyronaridine tetraphosphate)
  • Artesunate + sulfadoxine/pyrimethamine (Co-packaged)
  • Chloroquine[note 73]
  • Dihydroartemisinin/piperaquine phosphate (dihydroartemisinin + piperaquine phosphate)
  • Primaquine[note 74]
  • Quinine[note 72]
Medicines for chemoprevention
[edit]
  • Amodiaquine + sulfadoxine/pyrimethamine (Co-packaged)
  • Sulfadoxine/pyrimethamine (sulfadoxine + pyrimethamine)
Medicines for chemoprophylaxis in travellers
[edit]
  • Chloroquine[note 75]
  • Doxycycline[note 76]
  • Mefloquine

Antipneumocystosis and antitoxoplasmosis medicines

[edit]
  • Pyrimethamine
  • Sulfadiazine
  • Sulfamethoxazole/trimethoprim (sulfamethoxazole + trimethoprim)

Complementary:

  • Pentamidineα

Antitrypanosomal medicines

[edit]
African trypanosomiasis
[edit]
  • Fexinidazole[note 77]
Medicines for the treatment of 1st stage African trypanosomiasis
[edit]
  • Pentamidine[note 78]
  • Suramin sodium[note 79]
Medicines for the treatment of 2nd stage African trypanosomiasis
[edit]
  • Eflornithine[note 78]
  • Melarsoprol
  • Nifurtimox[note 80]

Complementary:

  • Melarsoprolα
American trypanosomiasis
[edit]
  • Benznidazole
  • Nifurtimox

Medicines for ectoparasitic infections

[edit]
  • Ivermectin

Medicines for Ebola virus disease

[edit]
  • Ansuvimab
  • Atoltivimab/maftivimab/odesivimab (atoltivimab + maftivimab + odesivimab)

Medicines for COVID-19

[edit]

No listings in this section.

Medicines for cystic fibrosis

[edit]
  • Elexacaftor/tezacaftor/ivacaftor (elexacaftor + tezacaftor + ivacaftor)
  • Ivacaftor

Complementary:

  • Pancreatic enzymesα

Immunomodulators and antineoplastics

[edit]

Immunomodulators for non-malignant disease

[edit]

Complementary:

  • Adalimumabα[note 81]
  • Azathioprineα
  • Ciclosporinα
  • Tacrolimusα

Antineoplastics and supportive medicines

[edit]

Cytotoxic medicines

[edit]

Complementary:

  • Arsenic trioxideα
  • Asparaginaseα[note 20]
  • Bendamustineα
  • Bleomycinα
  • Calcium folinate (leucovorin calcium)α
  • Capecitabineα
  • Carboplatinα
  • Chlorambucilα
  • Cisplatinα
  • Cyclophosphamideα
  • Cytarabineα
  • Dacarbazineα
  • Dactinomycinα
  • Daunorubicinα
  • Docetaxelα
  • Doxorubicinα
  • Doxorubicin (as pegylated liposomal)α
  • Etoposideα
  • Fludarabineα
  • Fluorouracilα
  • Gemcitabineα
  • Hydroxycarbamide (hydroxyurea)α
  • Ifosfamideα
  • Irinotecanα
  • Melphalanα
  • Mercaptopurineα
  • Methotrexateα
  • Oxaliplatinα
  • Paclitaxelα
  • Pegaspargaseα[note 20]
  • Procarbazineα
  • Realgar Indigo naturalis formulationα
  • Tioguanineα
  • Vinblastineα
  • Vincristineα
  • Vinorelbineα

Targeted therapies

[edit]

Complementary:

  • All-trans retinoic acid (tretinoin) (ATRA)α
  • Bortezomibα
  • Dasatinibα
  • Erlotinibα[note 82]
  • Everolimusα
  • Ibrutinibα[note 83]
  • Imatinibα
  • Nilotinibα
  • Rituximabα[note 20]
  • Trastuzumabα[note 20]

Immunomodulators

[edit]

Complementary:

  • Blinatumomabα[note 20]
  • Filgrastimα[note 20]
  • Lenalidomideα
  • Pegfilgrastimα[note 20]
  • Pembrolizumabα[note 20][note 84]
  • Pembrolizumabα[note 85]
  • Pembrolizumabα[note 86]
  • Thalidomideα

Hormones and antihormones

[edit]

Complementary:

  • Abirateroneα[note 87]
  • Anastrozoleα[note 88]
  • Bicalutamideα[note 89]
  • Dexamethasoneα
  • Hydrocortisoneα
  • Leuprorelinα[note 90]
  • Methylprednisoloneα
  • Prednisoloneα[note 13]
  • Tamoxifenα

Supportive medicines

[edit]

Complementary:

  • Allopurinolα
  • Mesnaα[note 91]
  • Rasburicaseα
  • Zoledronic acidα

Therapeutic foods

[edit]
  • Ready-to-use therapeutic food[note 92]

Medicines affecting the blood

[edit]

Antianaemia medicines

[edit]
  • Ferrous salt
  • Ferrous salt/folic acid (ferrous salt + folic acid)
  • Folic acid[note 93]
  • Hydroxocobalamin

Complementary:

  • Erythropoiesis-stimulating agentsα[note 94]

Medicines affecting coagulation

[edit]
  • Dabigatran[note 95]
  • Desmopressin
  • Emicizumab
  • Enoxaparin[note 96]
  • Heparin sodium
  • Phytomenadione
  • Protamine sulfate
  • Tranexamic acid
  • Warfarin[note 97]

Complementary:

  • Heparin sodiumα
  • Protamine sulfateα
  • Warfarinα

Medicines for haemoglobinopathies

[edit]

Medicines for sickle-cell disease

[edit]
  • Deferasirox[note 98]
  • Hydroxyurea (hydroxycarbamide)

Complementary:

  • Deferoxamineα

Medicines for thalassaemias

[edit]
  • Deferasirox[note 98]

Complementary:

  • Deferoxamineα

Blood products, coagulation factors and plasma substitutes

[edit]

Blood and blood components

[edit]
  • Cryoprecipitate, pathogen-reduced[note 99]
  • Fresh frozen plasma
  • Platelets
  • Red blood cells
  • Whole blood

Human immunoglobulins

[edit]
  • Anti-D immunoglobulin
  • Anti-rabies immunoglobulin
  • Anti-tetanus immunoglobulin

Complementary:

  • Normal immunoglobulinα

Coagulation factors

[edit]
  • Coagulation factor VIII, plasma-derived
  • Coagulation factor IX, plasma-derived
  • Coagulation factor VIII, recombinant
  • Coagulation factor IX, recombinant

Plasma substitutes

[edit]
  • Dextran 70[note 100]

Cardiovascular medicines

[edit]

Antianginal medicines

[edit]
  • Bisoprolol[note 101]
  • Glyceryl trinitrate
  • Isosorbide dinitrate
  • Verapamil

Antiarrhythmic medicines

[edit]
  • Bisoprolol[note 101]
  • Digoxin
  • Epinephrine (adrenaline)
  • Lidocaine
  • Verapamil

Complementary:

  • Amiodaroneα

Antihypertensive medicines

[edit]
  • Amlodipine[note 102]
  • Bisoprolol[note 103]
  • Enalapril[note 104]
  • Hydralazine[note 105]
  • Hydrochlorothiazide[note 106]
  • Lisinopril/amlodipine (lisinopril + amlodipine)[note 107]
  • Lisinopril/hydrochlorothiazide (lisinopril + hydrochlorothiazide)[note 108]
  • Losartan[note 109]
  • Methyldopa[note 110]
  • Perindopril/amlodipine/indapamide (perindopril + amlodipine + indapamide)[note 111]
  • Telmisartan/amlodipine (telmisartan + amlodipine)[note 112]
  • Telmisartan/hydrochlorothiazide (telmisartan + hydrochlorothiazide)[note 113]
  • Valsartan/amlodipine/hydrochlorothiazide (valsartan + amlodipine + hydrochlorothiazide)[note 114]

Complementary:

  • Sodium nitroprussideα

Medicines used in heart failure

[edit]
  • Bisoprolol[note 101]
  • Digoxin
  • Enalapril[note 115]
  • Furosemide[note 116]
  • Hydrochlorothiazide[note 106]
  • Losartan[note 109]
  • Spironolactone

Complementary:

  • Digoxinα
  • Dopamineα

Antithrombotic medicines

[edit]

Anti-platelet medicines

[edit]
  • Acetylsalicylic acid (aspirin)
  • Clopidogrel

Thrombolytic medicines

[edit]

Complementary:

  • Alteplaseα
  • Streptokinaseα

Lipid-lowering agents

[edit]
  • Simvastatin[note 117]

Fixed-dose combinations for prevention of atherosclerotic cardiovascular disease

[edit]
  • Acetylsalicylic acid/atorvastatin/ramipril (acetylsalicylic acid + atorvastatin + ramipril)[note 118][note 119]
  • Acetylsalicylic acid/simvastatin/ramipril/atenolol/hydrochlorothiazide (acetylsalicylic acid + simvastatin + ramipril + atenolol + hydrochlorothiazide)[note 120][note 119][note 121][note 122]
  • Atorvastatin/perindopril/amlodipine (atorvastatin + perindopril + amlodipine)[note 118][note 123][note 124]

Dermatological medicines

[edit]

Antifungal medicines

[edit]
  • Miconazole[note 125]
  • Selenium sulfide
  • Sodium thiosulfate
  • Terbinafine

Anti-infective medicines

[edit]
  • Mupirocin
  • Potassium permanganate
  • Silver sulfadiazine

Anti-inflammatory and antipruritic medicines

[edit]
  • Betamethasone[note 126]
  • Calamine
  • Hydrocortisone[note 127]

Medicines affecting skin differentiation and proliferation

[edit]
  • Benzoyl peroxide
  • Calcipotriol[note 128]
  • Coal tar
  • Fluorouracil
  • Podophyllum resin[note 129]
  • Salicylic acid
  • Urea

Complementary:

  • Adalimumabα[note 130]
  • Methotrexateα
  • Ustekinumabα[note 20]

Scabicides and pediculicides

[edit]
  • Benzyl benzoate[note 131]
  • Permethrin

Moisturizers

[edit]
  • Urea
  • Glycerol

Sunscreens, broad-spectrum

[edit]
  • Sunscreen, broad-spectrum

Diagnostic agents

[edit]

Ophthalmic medicines

[edit]
  • Fluorescein
  • Tropicamide[note 132]

Radiocontrast media

[edit]
  • Amidotrizoate
  • Barium sulfate
  • Iohexol

Complementary:

  • Barium sulfateα
  • Meglumine iotroxateα

Antiseptics and disinfectants

[edit]

Antiseptics

[edit]
  • Chlorhexidine
  • Ethanol[note 133]
  • Povidone iodine[note 134]

Disinfectants

[edit]
  • Alcohol based hand rub
  • Chlorine base compound
  • Chloroxylenol[note 135]
  • Glutaral
  • Hypochlorous acid

Diuretics

[edit]
  • Amiloride
  • Furosemide[note 136]
  • Hydrochlorothiazide[note 106]
  • Mannitol
  • Spironolactone

Complementary:

  • Hydrochlorothiazideα[note 137]
  • Mannitolα
  • Spironolactoneα

Gastrointestinal medicines

[edit]

Complementary:

  • Pancreatic enzymesα

Antiulcer medicines

[edit]
  • Omeprazole[note 138]
  • Ranitidine[note 139]

Antiemetic medicines

[edit]
  • Dexamethasone
  • Metoclopramide
  • Ondansetron[note 11]

Complementary:

  • Aprepitantα

Anti-inflammatory medicines

[edit]
  • Sulfasalazine[note 140]

Complementary:

  • Hydrocortisoneα
  • Prednisoloneα

Laxatives

[edit]
  • Senna[note 141]

Medicines used in diarrhea

[edit]
  • Oral rehydration salts + zinc sulfate (Co-packaged)

Oral rehydration

[edit]
  • Oral rehydration salts

Medicines for diarrhoea

[edit]
  • Zinc sulfate[note 142]

Medicines for endocrine disorders

[edit]

Adrenal hormones and synthetic substitutes

[edit]
  • Fludrocortisone
  • Hydrocortisone
  • Prednisolone[note 13]

Androgens

[edit]

Complementary:

  • Testosteroneα

Estrogens

[edit]

No listings in this section.

Progestogens

[edit]
  • Medroxyprogesterone acetate[note 143]

Medicines for diabetes

[edit]

Insulins

[edit]
  • Insulin (analogue, long-acting)[note 144]
  • Insulin (analogue, rapid-acting)[note 145]
  • Insulin (human, intermediate-acting)[note 20]
  • Insulin (human, short-acting)[note 20]

Hypoglycaemic agents

[edit]
  • Empagliflozin[note 146]
  • Gliclazide[note 147]
  • Metformin
  • Semaglutide[note 148]

Complementary:

  • Metforminα

Medicines for hypoglycaemia

[edit]
  • Glucagon

Complementary:

  • Diazoxideα

Thyroid hormones and antithyroid medicines

[edit]
  • Levothyroxine
  • Potassium iodide
  • Methimazole[note 149]
  • Propylthiouracil[note 150]

Complementary:

  • Iodine + potassium iodide (Lugol's solution)α
  • Methimazoleα[note 149]
  • Potassium iodideα
  • Propylthiouracilα[note 151]

Medicines for disorders of the pituitary hormone system

[edit]
  • Cabergoline[note 152]

Complementary:

  • Octreotideα

Immunologicals

[edit]

Diagnostic agents

[edit]
  • Tuberculin, purified protein derivative (PPD)

Sera, immunoglobulins and monoclonal antibodies

[edit]
  • Anti-rabies virus monoclonal antibodies[note 20]
  • Antivenom immunoglobulin[note 153]
  • Diphtheria antitoxin
  • Equine rabies immunoglobulin

Vaccines

[edit]
  • BCG vaccine
  • Cholera vaccine
  • Dengue vaccine
  • Diphtheria vaccine
  • Ebola vaccine
  • Haemophilus influenzae type b vaccine
  • Hepatitis A vaccine
  • Hepatitis B vaccine
  • Hepatitis E vaccine
  • Human papilloma virus (HPV) vaccine
  • Influenza vaccine (seasonal)
  • Japanese encephalitis vaccine
  • Malaria vaccine
  • Measles vaccine
  • Meningococcal meningitis vaccine
  • Mpox vaccine
  • Mumps vaccine
  • Pertussis vaccine
  • Pneumococcal vaccine
  • Poliomyelitis vaccine
  • Rabies vaccine
  • Respiratory syncytial virus vaccine
  • Rotavirus vaccine
  • Rubella vaccine
  • Tetanus vaccine
  • Tick-borne encephalitis vaccine
  • Typhoid vaccine
  • Varicella vaccine
  • Yellow fever vaccine

Muscle relaxants (peripherally-acting) and cholinesterase inhibitors

[edit]
  • Atracurium
  • Neostigmine
  • Suxamethonium
  • Vecuronium[note 154]

Complementary:

  • Pyridostigmineα
  • Vecuroniumα

Ophthalmological preparations

[edit]

Anti-infective agents

[edit]
  • Aciclovir
  • Azithromycin
  • Erythromycin[note 155]
  • Gentamicin[note 156]
  • Natamycin
  • Ofloxacin[note 157]
  • Tetracycline[note 158]

Anti-inflammatory agents

[edit]
  • Prednisolone

Local anaesthetics

[edit]
  • Tetracaine[note 159]

Miotics and antiglaucoma medicines

[edit]
  • Acetazolamide
  • Latanoprost
  • Pilocarpine[note 160]
  • Timolol[note 161]

Mydriatics

[edit]
  • Atropine[note 162]

Complementary:

  • Epinephrine (adrenaline)α

Anti-vascular endothelial growth factor (VEGF) preparations

[edit]

Complementary:

  • Bevacizumabα[note 20]

Medicines for reproductive health and perinatal care

[edit]

Contraceptives

[edit]

Oral hormonal contraceptives

[edit]
  • Ethinylestradiol/levonorgestrel (ethinylestradiol + levonorgestrel)
  • Ethinylestradiol/norethisterone (ethinylestradiol + norethisterone)
  • Levonorgestrel
  • Ulipristal

Injectable hormonal contraceptives

[edit]
  • Estradiol cypionate/medroxyprogesterone acetate (estradiol cypionate + medroxyprogesterone acetate)
  • Medroxyprogesterone acetate
  • Norethisterone enantate

Intrauterine devices

[edit]
  • Copper-containing device
  • Levonorgestrel-releasing intrauterine system

Barrier methods

[edit]
  • Condoms
  • Diaphragms

Implantable contraceptives

[edit]
  • Etonogestrel-releasing implant
  • Levonorgestrel-releasing implant

Intravaginal contraceptives

[edit]
  • Ethinylestradiol/etonogestrel (ethinylestradiol + etonogestrel)
  • Progesterone vaginal ring[note 163]

Ovulation inducers

[edit]

Complementary:

  • Clomifeneα
  • Letrozoleα[note 164]

Uterotonics

[edit]
  • Carbetocin
  • Ergometrine[note 165]
  • Misoprostol[note 166]
  • Oxytocin

Medicines for medical abortion

[edit]
  • Mifepristone + misoprostol (Co-packaged)
  • Misoprostol

Antioxytocics (tocolytics)

[edit]
  • Nifedipine

Other medicines administered to the mother

[edit]
  • Dexamethasone
  • Multiple micronutrient supplement
  • Tranexamic acid

Medicines administered to the neonate

[edit]
  • Caffeine citrate
  • Chlorhexidine

Complementary:

  • Alprostadil (prostaglandin E1)α[note 167]
  • Beractantα
  • Ibuprofenα[note 168]
  • Poractant alfaα

Peritoneal dialysis solution

[edit]

Complementary:

  • Intraperitoneal dialysis solution (of appropriate composition in accordance with local clinical guidelines.)α

Medicines for mental and behavioural disorders

[edit]

Medicines used in psychotic disorders

[edit]
  • Fluphenazine[note 169]
  • Haloperidol[note 170]
  • Olanzapine
  • Paliperidone[note 171]
  • Risperidone[note 172]

Complementary:

  • Clozapineα

Medicines used in mood disorders

[edit]

Medicines used in depressive disorders

[edit]
  • Amitriptyline
  • Fluoxetine[note 173]

Medicines used in bipolar disorders

[edit]
  • Carbamazepine
  • Lithium carbonate
  • Quetiapine[note 174]
  • Valproic acid (sodium valproate)[note 19]

Medicines for anxiety disorders

[edit]
  • Diazepam[note 175][note 176]
  • Fluoxetine[note 173]

Medicines used for obsessive compulsive disorders

[edit]
  • Clomipramine
  • Fluoxetine[note 173]

Medicines for disorders due to psychoactive substance use

[edit]

Medicines for alcohol use disorders

[edit]
  • Acamprosate calcium
  • Naltrexone

Medicines for nicotine use disorders

[edit]
  • Bupropion
  • Cytisine (cytisinicline)
  • Nicotine replacement therapy (NRT)
  • Varenicline

Medicines for opioid use disorders

[edit]

Complementary:

  • Methadoneα[note 177]

Medicines acting on the respiratory tract

[edit]

Antiasthmatic medicines and medicines for chronic obstructive pulmonary disease

[edit]
  • Budesonide[note 178]
  • Budesonide/formoterol (budesonide + formoterol)[note 179]
  • Epinephrine (adrenaline)
  • Ipratropium bromide
  • Salbutamol[note 180]
  • Tiotropium[note 181]

Solutions correcting water, electrolyte and acid-base disturbances

[edit]

Oral

[edit]
  • Oral rehydration salts
  • Potassium chloride

Parenteral

[edit]
  • Glucose
  • Glucose with sodium chloride
  • Potassium chloride
  • Sodium chloride
  • Sodium hydrogen carbonate
  • Sodium lactate, compound solution (Ringer's lactate solution)

Miscellaneous

[edit]
  • Water for injection

Vitamins and minerals

[edit]
  • Ascorbic acid
  • Calcium
  • Cholecalciferol[note 182]
  • Ergocalciferol[note 183]
  • Iodine
  • Multiple micronutrient powder
  • Nicotinamide
  • Pyridoxine
  • Retinol
  • Riboflavin
  • Thiamine

Complementary:

  • Calcium gluconateα

Ear, nose and throat medicines

[edit]
  • Acetic acid
  • Budesonide
  • Ciprofloxacin[note 184]
  • Xylometazoline

Medicines for diseases of joints

[edit]

Medicines used to treat gout

[edit]
  • Allopurinol

Disease-modifying anti-rheumatic drugs (DMARDs)

[edit]
  • Chloroquine

Complementary:

  • Azathioprineα
  • Hydroxychloroquineα
  • Methotrexateα
  • Penicillamineα
  • Sulfasalazineα

Medicines for juvenile joint diseases

[edit]

Complementary:

  • Acetylsalicylic acid (aspirin)[note 185]
  • Adalimumabα[note 81]
  • Methotrexateα
  • Triamcinolone hexacetonideα[note 186]

Dental medicines and preparations

[edit]
  • Fluoride
  • Glass ionomer cement
  • Resin-based composite (low-viscosity)[note 187]
  • Resin-based composite (high-viscosity)[note 188]
  • Silver diamine fluoride

Notes

[edit]

An α indicates the medicine is on the complementary list for which specialized diagnostic or monitoring or training is needed. An item may also be listed as complementary on the basis of higher costs or a less attractive cost-benefit ratio.[4][14]

  1. ^ Piped nitrous oxide is a major source of atmospheric pollution from healthcare facilities. Point-of-care cylinders are the preferred delivery system over centrally-supplied (piped) delivery systems
  2. ^ Thiopental is an alternative
  3. ^ For use in spinal anaesthesia during delivery, to prevent hypotension
  4. ^ No more than 30% oxygen should be used to initiate resuscitation of neonates less than or equal to 32 weeks of gestation
  5. ^ Not in children less than three months
  6. ^ Not recommended for anti‐inflammatory use due to lack of proven benefit to that effect
  7. ^ For the management of cancer pain
  8. ^ Hydromorphone and oxycodone are alternatives
  9. ^ For the management of cancer pain
  10. ^ a b May be used for buccal administration when solution for oromucosal administration is not available
  11. ^ a b Dolasetron, granisetron, palonosetron, and tropisetron are alternatives
  12. ^ Cetirizine and fexofenadine are alternatives
  13. ^ a b c Prednisone is an alternative
  14. ^ Alternative formulations of activated charcoal may be used if granules are not available
  15. ^ For use as adjunctive therapy for treatment-resistant partial or generalized seizures
  16. ^ Diazepam (injection) and midazolam (injection) are alternatives
  17. ^ For use in eclampsia and severe pre‐eclampsia and not for other convulsant disorders
  18. ^ The presence of both 25 mg/5 mL and 30 mg/5 mL strengths on the same market would cause confusion in prescribing and dispensing and should be avoided
  19. ^ a b c Valproic acid (sodium valproate) is not recommended in women and girls of childbearing potential owing to the high risk of birth defects and neurodevelopmental disorders in children exposed to valproic acid (sodium valproate) in the womb
  20. ^ a b c d e f g h i j k l m n Including quality-assured biosimilars
  21. ^ Trihexyphenidyl is an alternative
  22. ^ Benserazide is an alternative for carbidopa
  23. ^ Naproxen is an alternative
  24. ^ The presence of both 120 mg/5 mL and 125 mg/5mL strengths on the same market would cause confusion in prescribing and dispensing and should be avoided
  25. ^ Eletriptan is an alternative
  26. ^ Third-generation cephalosporin of choice for use in hospitalized neonates
  27. ^ a b Do not administer with calcium and avoid in infants with hyperbilirubinemia
  28. ^ a b > 41 weeks corrected gestational age
  29. ^ Only for the presumptive treatment of epidemic meningitis in children older than two years
  30. ^ a b > three months
  31. ^ a b Oral valaciclovir is an alternative
  32. ^ Moxidectin is an alternative
  33. ^ Arpraziquantel is an alternative
  34. ^ Oxamniquine is listed for use when praziquantel treatment fails
  35. ^ > one month
  36. ^ Only for the presumptive treatment of epidemic meningitis in children older than two years and in adults
  37. ^ Alternatives are 4th level ATC chemical subgroup (J01CF Beta-lactamase resistant penicillins)
  38. ^ Cloxacillin, dicloxacillin, and flucloxacillin are preferred for oral administration due to better bioavailability
  39. ^ Use in children <8 years only for life-threatening infections when no alternative exists
  40. ^ Procaine benzylpenicillin is not recommended as first-line treatment for neonatal sepsis except in settings with high neonatal mortality, when given by trained health workers in cases where hospital care is not achievable
  41. ^ Third-generation cephalosporin of choice for use in hospitalized neonates
  42. ^ Erythromycin is an alternative as second choice treatment for pharyngitis in children (EMLc only)
  43. ^ For use in combination regimens for eradication of H. pylori in adults
  44. ^ Vancomycin powder for injection may also be used for oral administration
  45. ^ Imipenem/cilastatin is an alternative for complicated intraabdominal infections and high-risk febrile neutropenia only. Meropenem is the preferred choice for acute bacterial meningitis in neonates
  46. ^ Tedizolid phosphate is an alternative
  47. ^ For use only in combination with meropenem or imipenem/cilastatin
  48. ^ Terizidone is an alternative
  49. ^ Prothionamide is an alternative for multidrug-resistant tuberculosis
  50. ^ Imipenem/cilastatin is an alternative
  51. ^ For treatment of chronic pulmonary aspergillosis, histoplasmosis, sporotrichosis, paracoccidioidomycosis, mycoses caused by T. marneffei and chromoblastomycosis; and prophylaxis of histoplasmosis and infections caused by T. marneffei in AIDS patients
  52. ^ For treatment of chronic pulmonary aspergillosis and acute invasive aspergillosis
  53. ^ Anidulafungin and caspofungin are alternatives
  54. ^ Also indicated for pre-exposure prophylaxis
  55. ^ > six weeks
  56. ^ > three years
  57. ^ ≥ 4 weeks and ≥ 3 kg; ≥ 25 kg
  58. ^ For use in pregnant women and in second-line regimens in accordance with WHO treatment guidelines
  59. ^ a b Lamivudine is an alternative for emtricitabine
  60. ^ Combination also indicated for pre-exposure prophylaxis
  61. ^ For the treatment of cytomegalovirus retinitis (CMVr)
  62. ^ For severe illness due to confirmed or suspected influenza virus infection in critically ill hospitalized patients
  63. ^ For the treatment of cytomegalovirus retinitis (CMVr)
  64. ^ Pangenotypic when used in combination with sofosbuvir
  65. ^ Pangenotypic when used in combination with sofosbuvir
  66. ^ Pangenotypic when used in combination with daclatasvir or ravidasvir
  67. ^ For the treatment of hepatitis C, in combination with direct acting anti-viral medicines
  68. ^ Proposed for deletion in 2027
  69. ^ > 25 kg
  70. ^ Tinidazole is an alternative
  71. ^ Liposomal amphotericin B has a better safety profile than the sodium deoxycholate formulation and should be prioritized for selection and use depending on local availability and cost
  72. ^ a b c For use in the management of severe malaria
  73. ^ For use only for the treatment of Plasmodium vivax infection
  74. ^ For use to reduce the transmission of Plasmodium falciparum and for radical cure of Plasmodium vivax and Plasmodium ovale infections
  75. ^ For use only for prophylaxis of Plasmodium vivax infection
  76. ^ > 8 years
  77. ^ For the treatment of 1st and 2nd stage human African trypanosomiasis due to Trypanosoma brucei gambiense infection
  78. ^ a b To be used for the treatment of Trypanosoma brucei gambiense infection
  79. ^ To be used for the treatment of the initial phase of Trypanosoma brucei rhodesiense infection
  80. ^ Only to be used in combination with eflornithine, for the treatment of Trypanosoma brucei gambiense infection
  81. ^ a b Certolizumab pegol, etanercept, golimumab, and infliximab are alternatives, including quality-assured biosimilars
  82. ^ Afatinib and gefitinib are alternatives
  83. ^ Zanubrutinib is an alternative
  84. ^ As monotherapy for deficient mismatch repair (dMMR ) / microsatellite instability-high (MSI-H) tumours
  85. ^ Atezolizumab and cemiplimab are alternatives, including quality-assured biosimilars
  86. ^ Nivolumab is an alternative, including quality-assured biosimilars
  87. ^ Enzalutamide is an alternative
  88. ^ Alternatives are 4th level ATC chemical subgroup (L02BG Aromatase inhibitors)
  89. ^ Flutamide and nilutamide are alternatives
  90. ^ Goserelin and triptorelin are alternatives
  91. ^ May also be used for oral administration
  92. ^ Biscuit or paste of nutritional composition as determined by the UN joint statement on the community-based management of severe acute malnutrition and Codex alimentarius guidelines
  93. ^ Periconceptual use for prevention of first occurrence of neural tube defects
  94. ^ Epoetin alfa, beta and theta; darbepoetin alfa; methoxy polyethylene glycol-epoetin beta; and their quality-assured biosimilars are alternatives
  95. ^ Apixaban, edoxaban, and rivaroxaban are alternatives
  96. ^ Alternatives are dalteparin and nadroparin, including their quality-assured biosimilars
  97. ^ Acenocoumarol is an alternative
  98. ^ a b Deferiprone is an alternative
  99. ^ Cryoprecipitate (not pathogen-reduced) is an alternative. Native cryoprecipitate should only be used in situations of life-threatening haemorrhage when pathogen-reduced cryoprecipitate is not available
  100. ^ Polygeline, injectable solution, 3.5% is an alternative
  101. ^ a b c Carvedilol and metoprolol are alternatives
  102. ^ Alternatives are 4th level ATC chemical subgroup (C08CA Dihydropyridine derivatives)
  103. ^ Atenolol, carvedilol, and metoprolol are alternatives. Atenolol should not be used as a first-line agent in uncomplicated hypertension in patients > 60 years
  104. ^ Alternatives are 4th level ATC chemical subgroup (C09AA ACE inhibitors, plain)
  105. ^ Hydralazine is listed for use only in the acute management of severe pregnancy-induced hypertension. Its use in the treatment of essential hypertension is not recommended in view of the evidence of greater efficacy and safety of other medicines
  106. ^ a b c Chlorothiazide, chlorthalidone, and indapamide are alternatives
  107. ^ Alternatives are 4th level ATC chemical subgroup (C09AA ACE inhibitors, plain) (for lisinopril) and 4th level ATC chemical subgroup (C08CA Dihydropyridine derivatives) (for amlodipine)
  108. ^ Alternatives are 4th level ATC chemical subgroup (C09AA ACE inhibitors, plain) (for lisinopril) and chlorthalidone, chlorothiazide, indapamide (for hydrochlorothiazide)
  109. ^ a b Alternatives are 4th level ATC chemical subgroup (C09CA Angiotensin II receptor blockers (ARBs), plain)
  110. ^ Methyldopa is listed for use only in the management of pregnancy-induced hypertension. Its use in the treatment of essential hypertension is not recommended in view of the evidence of greater efficacy and safety of other medicines
  111. ^ Alternatives are 4th level ATC chemical subgroup (C09AA ACE inhibitors, plain) (for perindopril); and 4th level ATC chemical subgroup (C08CA Dihydropyridine derivatives) (for amlodipine); and chlorthalidone, chlorothiazide, hydrochlorothiazide (for indapamide)
  112. ^ Alternatives are 4th level ATC chemical subgroup (C09CA Angiotensin II receptor blockers (ARBs), plain) (for telmisartan); and 4th level ATC chemical subgroup (C08CA Dihydropyridine derivatives) (for amlodipine)
  113. ^ Alternatives are 4th level ATC chemical subgroup (C09CA Angiotensin II receptor blockers (ARBs), plain) (for telmisartan); and chlorthalidone, chlorothiazide, indapamide (for hydrochlorothiazide)
  114. ^ Alternatives are 4th level ATC chemical subgroup (C09CA Angiotensin II receptor blockers (ARBs), plain) (for valsartan); 4th level ATC chemical subgroup (C08CA Dihydropyridine derivatives) (for amlodipine); and chlorthalidone, chlorothiazide, indapamide (for hydrochlorothiazide)
  115. ^ Alternatives are 4th level ATC chemical subgroup (C09AA ACE inhibitors, plain)
  116. ^ Bumetanide and torasemide are alternatives
  117. ^ For use in high‐risk patients. Atorvastatin, fluvastatin, lovastatin, and pravastatin are alternatives
  118. ^ a b Fluvastatin, lovastatin, pravastatin, and simvastatin are alternatives for atorvastatin
  119. ^ a b 4th level ATC chemical subgroup (C09AA ACE inhibitors, plain) are alternatives for ramipril
  120. ^ Atorvastatin, fluvastatin, lovastatin, and pravastatin are alternatives for simvastatin
  121. ^ Bisoprolol, carvedilol, and metoprolol are alternatives for atenolol
  122. ^ Chlorthalidone, chlorothiazide, and indapamide are alternatives for hydrochlorothiazide
  123. ^ 4th level ATC chemical subgroup (C09AA ACE inhibitors, plain) are alternatives for perindopril
  124. ^ 4th level ATC chemical subgroup (C08CA Dihydropyridine derivatives) are alternatives for amlodipine
  125. ^ Alternatives are 4th level ATC chemical subgroup (D01AC Imidazole and triazole derivatives) excluding combinations
  126. ^ Alternatives are 4th level ATC chemical subgroup (D07AC Corticosteroids, potent (group III))
  127. ^ Alternatives are 4th level ATC chemical subgroup (D07AA Corticosteroids, weak (group I))
  128. ^ Calcitriol and tacalcitol are alternatives
  129. ^ Podophyllotoxin is an alternative
  130. ^ Certolizumab pegol, etanercept, infliximab, including quality-assured biosimilars, are alternatives
  131. ^ Precipitated sulfur topical ointment is an alternative
  132. ^ Atropine and cyclopentolate are alternatives
  133. ^ Propanol is an alternative
  134. ^ Iodine is an alternative
  135. ^ Alternatives are 4th level ATC chemical subgroup (D08AE Phenol and derivatives)
  136. ^ Bumetanide and torasemide are alternatives
  137. ^ Chlorothiazide and chlorthalidone are alternatives
  138. ^ Alternatives are 4th level ATC chemical subgroup (A02BC Proton pump inhibitors) excluding combinations
  139. ^ Alternatives are 4th level ATC chemical subgroup (A02BA H2-receptor antagonists) excluding combinations
  140. ^ Mesalazine is an alternative
  141. ^ Bisacodyl is an alternative
  142. ^ In acute diarrhoea zinc sulfate should be used as an adjunct to oral rehydration salts
  143. ^ Norethisterone is an alternative
  144. ^ Insulin glargine, Insulin degludec, and insulin detemir, including quality-assured biosimilars, are alternatives
  145. ^ Insulin lispro, Insulin aspart, and insulin glulisine, including quality-assured biosimilars, are alternatives
  146. ^ Canagliflozin and dapagliflozin are alternatives
  147. ^ Glibenclamide not suitable above 60 years. Alternatives are 4th level ATC chemical subgroup (A10BB Sulfonylureas)
  148. ^ Dulaglutide, liraglutide, and tirzepatide, including quality-assured biosimilars, are alternatives
  149. ^ a b Carbimazole is an alternative depending on local availability
  150. ^ For use when alternative first-line treatment is not appropriate or available; and in patients during the first trimester of pregnancy
  151. ^ For use when alternative first-line treatment is not appropriate or available
  152. ^ Bromocriptine is an alternative
  153. ^ Exact type to be defined locally
  154. ^ Atracurium is an alternative
  155. ^ For infections due to Chlamydia trachomatis or Neisseria gonorrhoeae
  156. ^ Amikacin, kanamycin, netilmicin, and tobramycin are alternatives
  157. ^ Alternatives are 4th level ATC chemical subgroup (S01AE Fluoroquinolones)
  158. ^ Chlortetracycline and oxytetracycline are alternatives
  159. ^ Alternatives are 4th level ATC chemical subgroup (S01HA Local anaesthetics) excluding cocaine and combinations
  160. ^ Carbachol is an alternative
  161. ^ Alternatives are 4th level ATC chemical subgroup (S01ED Beta blocking agents) excluding combinations
  162. ^ Cyclopentolate hydrochloride or homatropine hydrobromide are alternatives only for the EMLc
  163. ^ For use in women actively breastfeeding at least 4 times per day
  164. ^ Anastrozole is an alternative
  165. ^ Methylergometrine is an alternative
  166. ^ Only for use for induction of labour where appropriate facilities are available
  167. ^ dinoprostone (prostaglandin E2) is an alternative
  168. ^ Indometacin is an alternative
  169. ^ Haloperidol decanonate and zuclopenthixol decanonate are alternatives
  170. ^ Chlorpromazine is an alternative for the tablet
  171. ^ Risperidone injection is an alternative
  172. ^ Aripiprazole, olanzapine, paliperidone, and quetiapine are alternatives
  173. ^ a b c Citalopram, escitalopram, fluvoxamine, paroxetine, and sertraline are alternatives
  174. ^ Aripiprazole, olanzapine, and paliperidone are alternatives
  175. ^ Lorazepam is an alternative
  176. ^ For short-term emergency management of acute and severe anxiety symptoms only
  177. ^ Buprenorphine is an alternative. The medicines should only be used within an established support programme
  178. ^ Beclometasone, ciclesonide, flunisolide, fluticasone, and mometasone are alternatives
  179. ^ Beclometasone/formoterol, budesonide/salmeterol, fluticasone/formoterol, fluticasone furoate/vilanterol, and mometasone/formoterol are alternatives
  180. ^ Terbutaline is an alternative
  181. ^ Aclidinium, glycopyrronium, and umeclidinium are alternatives
  182. ^ Ergocalciferol is an alternative
  183. ^ Colecalciferol is an alternative
  184. ^ Ofloxacin is an alternative
  185. ^ For use for rheumatic fever, juvenile arthritis, Kawasaki disease
  186. ^ Triamcinolone acetonide is an alternative
  187. ^ Of any type for use as dental sealant
  188. ^ Of any type for use as dental filling material

References

[edit]
  1. ^ a b "The WHO Essential Medicines List (EML): 30th anniversary". World Health Organization. Archived from the original on 27 May 2014. Retrieved 26 June 2016.
  2. ^ a b c d "Essential medicines". World Health Organization. Archived from the original on 2 October 2008. Retrieved 19 January 2017.
  3. ^ Persaud N, Jiang M, Shaikh R, Bali A, Oronsaye E, Woods H, et al. (June 2019). "Comparison of essential medicines lists in 137 countries". Bull. World Health Organ. 97 (6): 394–404C. doi:10.2471/BLT.18.222448. hdl:10665/325509. ISSN 0042-9686. PMC 6560372. PMID 31210677.
  4. ^ a b c d e f "19th WHO Model List of Essential Medicines" (PDF). World Health Organization. April 2015. p. Annex 1. Retrieved 17 January 2017.
  5. ^ a b Bansal D, Purohit VK (January 2013). "Accessibility and use of essential medicines in health care: Current progress and challenges in India". Journal of Pharmacology & Pharmacotherapeutics. 4 (1): 13–18. doi:10.4103/0976-500X.107642. eISSN 0976-5018. ISSN 0976-500X. PMC 3643337. PMID 23662019. S2CID 207481731.
  6. ^ The selection and use of essential medicines (Report). World Health Organization (WHO). 2003. hdl:10665/42826. ISBN 92-4-120920-8. WHO technical report series 920.
  7. ^ Beall R (2016). "Patents and the WHO Model List of Essential Medicines (18th Edition): Clarifying the Debate on IP and Access" (PDF). World Intellectual Property Organization (WIPO). Retrieved 3 May 2017.
  8. ^ The selection of essential drugs: report of a WHO expert committee [meeting held in Geneva from 17 to 21 October 1977]. Geneva: World Health Organization. 1977. hdl:10665/41272. ISBN 92-4-120615-2. Technical report series; no. 615.
  9. ^ Wirtz VJ, Hogerzeil HV, Gray AL, Bigdeli M, de Joncheere CP, Ewen MA, et al. (January 2017). "Essential medicines for universal health coverage". The Lancet. 389 (10067): 403–476. doi:10.1016/S0140-6736(16)31599-9. PMC 7159295. PMID 27832874.
  10. ^ a b c "WHO Model Lists of Essential Medicines". World Health Organization. The current versions are the 21st WHO Essential Medicines List (EML) and the 7th WHO Essential Medicines List for Children (EMLc) updated in June 2019.
  11. ^ Prakash B, Nadig P, Nayak A (2016). "Rational Prescription for a Dermatologist". Indian Journal of Dermatology. 61 (1): 32–38. doi:10.4103/0019-5154.174017. PMC 4763692. PMID 26955092.
  12. ^ a b WHO model list of essential medicines, 20th list (March 2017, amended August 2017). Geneva. 2017. hdl:10665/273826.{{cite book}}: CS1 maint: location missing publisher (link)
  13. ^ "Essential Medicines List and WHO Model Formulary". World Health Organization. Archived from the original on 3 August 2008. Retrieved 5 May 2018.
  14. ^ a b c d World Health Organization model list of essential medicines: 21st list 2019. Geneva. 2019. hdl:10665/325771. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO.{{cite book}}: CS1 maint: location missing publisher (link)
  15. ^ Executive summary: the selection and use of essential medicines 2019: report of the 22nd WHO Expert Committee on the selection and use of essential medicines. Geneva. 2019. hdl:10665/325773. WHO/MVP/EMP/IAU/2019.05. License: CC BY-NC-SA 3.0 IGO.{{cite book}}: CS1 maint: location missing publisher (link)
  16. ^ "Strengthening access to essential medicines". World Health Organization. Retrieved 3 May 2020.
  17. ^ a b c d World Health Organization model list of essential medicines: 22nd list (2021). Geneva: World Health Organization. 2021. hdl:10665/345533. WHO/MHP/HPS/EML/2021.02.
  18. ^ a b Executive summary: the selection and use of essential medicines 2021: report of the 23rd WHO Expert Committee on the selection and use of essential medicines: virtual meeting, 21 June–2 July 2021. Geneva: World Health Organization. 2021. hdl:10665/345554. WHO/MHP/HPS/EML/2021.01.
  19. ^ The selection and use of essential medicines: report of the WHO Expert Committee on Selection and Use of Essential Medicines, 2021 (including the 22nd WHO model list of essential medicines and the 8th WHO model list of essential medicines for children). Geneva: World Health Organization. 2021. hdl:10665/351172. ISBN 978-92-4-004114-1. WHO technical report series;1035. License: CC BY-NC-SA 3.0 IGO.
  20. ^ a b c d The selection and use of essential medicines, 2025: WHO Model List of Essential Medicines, 24th list. Geneva: World Health Organization. 2025. doi:10.2471/B09474. hdl:10665/382243. License: CC BY-NC-SA 3.0 IGO.
  21. ^ World Health Organization model list of essential medicines for children: 7th list 2019. Geneva. 2019. hdl:10665/325772. WHO/MVP/EMP/IAU/2019.07. License: CC BY-NC-SA 3.0 IGO.{{cite book}}: CS1 maint: location missing publisher (link)
  22. ^ World Health Organization model list of essential medicines for children: 8th list (2021). Geneva: World Health Organization. 2021. hdl:10665/345534. WHO/MHP/HPS/EML/2021.03.
  23. ^ The selection and use of essential medicines 2023: web annex B: World Health Organization model list of essential medicines for children: 9th list (2023). Geneva: World Health Organization. 2023. hdl:10665/371091. WHO/MHP/HPS/EML/2023.03.
  24. ^ a b The selection and use of essential medicines, 2025: WHO Model List of Essential Medicines for Children,10th list. Geneva: World Health Organization. 2025. doi:10.2471/B09475. hdl:10665/382242. License: CC BY-NC-SA 3.0 IGO.
  25. ^ Rose K, Anker JN (2010). Guide to Paediatric Drug Development and Clinical Research. Karger Medical and Scientific Publishers. p. 42. ISBN 978-3-8055-9362-5.
  26. ^ Seyberth HW, Rane A, Schwab M (2011). Pediatric Clinical Pharmacology. Springer Science & Business Media. p. 358. ISBN 978-3-642-20195-0.
  27. ^ Hoppu K (June 2017). "Essential Medicines for Children". Clinical Pharmacology and Therapeutics. 101 (6): 718–720. doi:10.1002/cpt.661. PMID 28182281. S2CID 23873145.
  28. ^ The selection and use of essential medicines 2023: web annex A: World Health Organization model list of essential medicines: 23rd list (2023). Geneva: World Health Organization. 2023. hdl:10665/371090. WHO/MHP/HPS/EML/2023.02.
  29. ^ The selection and use of essential medicines 2023: executive summary of the report of the 24th WHO Expert Committee on Selection and Use of Essential Medicines, 24 28 April 2023. Geneva: World Health Organization. 2023. hdl:10665/371291. WHO/MHP/HPS/EML/2023.01.
  30. ^ The selection and use of essential medicines 2025: report of the 25th WHO Expert Committee on Selection and Use of Essential Medicines: executive summary. Geneva: World Health Organization. 2025. doi:10.2471/B09544. hdl:10665/382350. License: CC BY-NC-SA 3.0 IGO.

Further reading

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  • Serafini M, Cargnin S, Massarotti A, Pirali T, Genazzani AA (September 2020). "Essential Medicinal Chemistry of Essential Medicines". Journal of Medicinal Chemistry. 63 (18): 10170–10187. doi:10.1021/acs.jmedchem.0c00415. PMC 8007110. PMID 32352778.
  • Stuart MC, Kouimtzi M, Hill SR, eds. (2009). WHO Model Formulary 2008. World Health Organization. hdl:10665/44053. ISBN 978-92-4-154765-9.
  • The selection and use of essential medicines. Twentieth report of the WHO Expert Committee 2015 (including 19th WHO Model List of Essential Medicines and 5th WHO Model List of Essential Medicines for Children). Geneva: World Health Organization. 2015. hdl:10665/189763. ISBN 978-92-4-069494-1. ISSN 0512-3054. WHO technical report series; no. 994.
  • The selection and use of essential medicines: report of the WHO Expert Committee, 2017 (including the 20th WHO Model List of Essential Medicines and the 6th Model List of Essential Medicines for Children). Geneva: World Health Organization. 2017. hdl:10665/259481. ISBN 978-92-4-121015-7. ISSN 0512-3054. WHO technical report series; no. 1006.
  • The selection and use of essential medicines: report of the WHO Expert Committee on Selection and Use of Essential Medicines, 2019 (including the 21st WHO Model List of Essential Medicines and the 7th WHO Model List of Essential Medicines for Children). Geneva: World Health Organization. 2019. hdl:10665/330668. ISBN 978-92-4-121030-0. ISSN 0512-3054. WHO technical report series;1021.
  • Organization WH (2019). "Additions and deletions of medicines on the WHO model lists of essential medicines: 1977–2017". World Health Organization. hdl:10665/278038. WHO/MVP/EMP/IAU/2019.01.

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