Cayman Islands Health Services Authority Pharmacy Drug Formulary

01. GASTRO-INTESTINAL SYSTEM

01.01 Dyspepsia and Gastro-oesophageal Reflux Disease
01.01.01 Antacids and Simeticone

Medicine	Pharmaceutical form type	Composition	Observation
Gelusil	Tablet (chewable)	N/A
magnesium trisilicate	mixture	N/A

01.01.02 Compound alginates and proprietary indigestion preparations

Medicine	Pharmaceutical form type	Composition	Observation
aluminum hydroxide + magnesium trisilicate	Suspension	250 ml
aluminum hydroxide + magnesium trisilicate	Suspension	500 ml

01.02 Antispasmodics and other drugs altering gut motility

Medicine	Pharmaceutical form type	Composition	Observation
Dicyclomine	Capsule	10 mg
Dicyclomine	Syrup	10 mg/ 5ml
domperidone	Tablet	10 mg
hyoscine butylbromide	Injection	20 mg in 1-mL ampoule
hyoscine butylbromide	Tablet	10mg
Mebeverine	Tablet	135 mg
metoclopramide	Injection	5 mg (hydrochloride)/mL in 2-mL ampoule
metoclopramide	Syrup	5 mg/5 ml
metoclopramide	Tablet	10mg
peppermint oil	Capsule	N/A
peppermint oil	drops	N/A

01.03 Ulcer-Healing Drugs
01.03.01 H2-receptor antagonists

Medicine	Pharmaceutical form type	Composition	Observation
ranitidine	Injection	25 mg/mL (as hydrochloride) in 2-mL ampoule
ranitidine	Syrup	150 mg/ 10 ml
ranitidine	Tablet	150 mg

01.03.02 Proton Pump Inhibitors

Medicine	Pharmaceutical form type	Composition	Observation
Lansoprazole	Capsule	30 mg
Lansoprazole	Tablet	15 mg
Lansoprazole	Tablet (dispersible)	30 mg
omeprazole	Capsule	20 mg
omeprazole	Injection	40 mg/ ml
pantoprazole	Injection	40 mg

01.04 Acute diarrhoea
01.04.01 Antimotility drugs

Medicine	Pharmaceutical form type	Composition	Observation
Diphenoxylate + Atropine	Tablet	2.5 + 0.025 mg
loperamide	Tablet	2 mg

01.05 Chronic bowel disorders

Medicine	Pharmaceutical form type	Composition	Observation
mesalazine	Tablet	400 mg
prednisolone	Tablet	1 mg.
prednisolone	Tablet	20 mg
prednisolone	Tablet	5 mg
sulfasalazine	Tablet	500 mg

01.06 Laxatives
01.06.01 Bulk-Forming Laxatives

Medicine	Pharmaceutical form type	Composition	Observation
Ispaghula husk	Powder	N/A

01.06.02 Stimulant Laxatives

Medicine	Pharmaceutical form type	Composition	Observation
bisacodyl	Suppository	10 mg
bisacodyl	Tablet	5 mg
docusate sodium	Capsule	100 mg
docusate sodium	Syrup	4 mg/ml
glycerine	Suppository	- Paediatric
glycerine	Suppository	-Adult
senna	Tablet	7.5 mg (sennosides)

01.06.03 Faecal Softeners

Medicine	Pharmaceutical form type	Composition	Observation
paraffin	Oral solution	N/A

01.06.04 Osmotic Laxatives

Medicine	Pharmaceutical form type	Composition	Observation
lactulose	Syrup	N/A
phosphates	enema	adult
phosphates	enema	pediatric

01.06.05 Bowel Cleansing Solutions

Medicine	Pharmaceutical form type	Composition	Observation
Klean-Prep	Sachet	N/A
Magnesium Citrate	mixture	N/A
Sodium Picosulphate and Magnesium Citrate	Oral powder	N/A

01.07 Local preparations for anal and rectal disorders
01.07.01 Soothing haemorrhoidal preparations

Medicine	Pharmaceutical form type	Composition	Observation
Haemorrhoidal	Ointment	N/A
Haemorrhoidal	Suppository	N/A

01.07.02 Compound haemorrhoidal preparations with corticosteroids

Medicine	Pharmaceutical form type	Composition	Observation
Ultraproct	Ointment	(1g contains Flucortolone Pivalate 0.92mg, Flucortolone Hexanoate 0.95mg, Cinchocaine Hydrochloride 5mg)
Ultraproct	Suppository	( Flucortolone Pivalate 0.63mg, Flucortolone Hexanoate 0.610mg, Cinchocaine Hydrochloride 1mg)

01.07.03 Rectal sclerosants

Medicine	Pharmaceutical form type	Composition	Observation
oily phenol	Injection	5%

01.07.04 Management of anal fissures

Medicine	Pharmaceutical form type	Composition	Observation
diltiazem	Cream	2 %

01.08 Drugs affecting intestinal secretions
01.08.01 Drugs affecting biliary composition and flow

Medicine	Pharmaceutical form type	Composition	Observation
ursodeoxycholic acid	Tablet	150 mg

01.08.02 Bile acid sequestrants

Medicine	Pharmaceutical form type	Composition	Observation
colestiramina	Sachet	4 g

01.08.03 Pancreatin

Medicine	Pharmaceutical form type	Composition	Observation
pancreatin	Capsule	N/A

02. CARDIOVASCULAR SYSTEM

02.01 Cardiac Glycosides

Medicine	Pharmaceutical form type	Composition	Observation
digoxin	Injection	250 micrograms/mL in 2-mL ampoule
digoxin	Oral liquid	50 micrograms/mL
digoxin	Tablet	0.125 mg
digoxin	Tablet	250 mcg
digoxin	Tablet	62.5 mcg

02.02 Diuretics
02.02.01 Thiazides and related diuretics

Medicine	Pharmaceutical form type	Composition	Observation
chlorthalidone	Tablet	50 mg
hydrochlorothiazide	Tablet	25 mg
hydrochlorothiazide	Tablet	50 mg
metolazone	Tablet	5 mg

02.02.02 Loop diuretics

Medicine	Pharmaceutical form type	Composition	Observation
furosemide	Injection	10 mg/ml
furosemide	Injection	10 mg/mL in 2-mL ampoule
furosemide	Tablet	40 mg

02.02.03 Potassium-sparing diuretics and aldosterone antagonists

Medicine	Pharmaceutical form type	Composition	Observation
spironolactone	Tablet	25 mg

02.02.04 Potassium-sparing and Thiazide combination diuretics

Medicine	Pharmaceutical form type	Composition	Observation
hydrochlorthiazide + triamterene	Tablet	25 mg/ 50 mg

02.02.05 Osmotic diuretics

Medicine	Pharmaceutical form type	Composition	Observation
mannitol	Parenteral solution	20% (500 ml)

02.03 Anti-arrhythmic drugs

Medicine	Pharmaceutical form type	Composition	Observation
adenosine	Injection	3 mg/mL in 2-mL ampoule
amiodarone	Injection	50 mg/ml
amiodarone	Tablet	200 mg
Disopyramide Phosphate	Injection	10 mg/ml
flecainide	Injection	10 mg/ml
lidocaine	Injection	100 mg/ml
lidocaine	Solution for injection	100 mg/ 5 ml
Mexiletine	Capsule	200 mg
phenytoin	Injection	50 mg/mL
propafenone	Tablet	150 mg

02.04 Beta-Adrenoceptor Blocking Drugs

Medicine	Pharmaceutical form type	Composition	Observation
atenolol	Injection	500 mcg/ml
atenolol	Tablet	100 mg
atenolol	Tablet	25 mg
atenolol	Tablet	50 mg
carvedilol	Tablet	25 mg
carvedilol	Tablet	6.25 mg
esmolol	Injection	10 mg/ml
labetalol	Injection	5mg/ml
labetalol	Tablet	100 mg
metoprolol	Injection	1 mg/ml
metoprolol	Tablet	25 mg
metoprolol	Tablet	50 mg
Nadolol	Tablet	40 mg
Nadolol	Tablet	80 mg
propranolol	Injection	1 mg/ ml
propranolol	Tablet	10 mg
propranolol	Tablet	20 mg
propranolol	Tablet	40mg
propranolol	Tablet	80mg
sotalol	Tablet	80 mg

02.05 Hypertension and Heart Failure
02.05.01 Vasodilator Antihypertensive Drugs

Medicine	Pharmaceutical form type	Composition	Observation
hydralazine	Solution for injection	10 mg/ ml
hydralazine	Tablet	25 mg
minoxidil	Tablet	10 mg
minoxidil	Tablet	2.5 mg
sodium nitroprusside	Injection	10 mg/mL/5 mL

02.05.02 Centrally Acting Antihypertensive Drugs

Medicine	Pharmaceutical form type	Composition	Observation
clonidine	Patch	0.1 mg
clonidine	Patch	0.3 mg
methyldopa	Tablet	250 mg
methyldopa	Tablet	500mg
Moxonidine	Tablet	20 mcg

02.05.03 Alpha-Adrenoceptor Blocking Drugs

Medicine	Pharmaceutical form type	Composition	Observation
doxazosina	Tablet	4 mg
prazosin	Tablet	1mg
prazosin	Tablet	5 mg
terazosin	Tablet	1 mg
terazosin	Tablet	2 mg
terazosin	Tablet	5 mg

02.05.04 Drugs affecting the Renin-angiotensin system
02.05.04.01 Angiotensin-Converting Enzyme Inhibitors

Medicine	Pharmaceutical form type	Composition	Observation
captopril	Tablet	25 mg
captopril	Tablet	50 mg
enalapril	Tablet	10 mg
enalapril	Tablet	5 mg
lisinopril	Tablet	20 mg
lisinopril	Tablet	5 mg
ramipril	Tablet	2.5 mg
ramipril	Tablet	5 mg