Is the list correct
Reading File
Running Command
cd /home/daytona/workspace/attachments/7059cf98-e4ee-4cfc-9340-af827b4bee47 && p…
Searching the Web
Odisha OSMCL essential medicines list AAM sub-centres 2024 2025
Searching the Web
Ranitidine banned India withdrawn market NDMA 2024
Reading Web Page
https://qps.nhsrcindia.org/sites/default/files/2025-05/AAM%2…
I now have the official NHSRC AAM-SHC Essential Medicines List to compare against. Let me do a thorough analysis.
Here is a detailed review of your PDF against the official NHSRC AAM Sub Health Centre (AAM-SHC) Essential Medicines List (published May 2025):
Overall Assessment: Mostly Correct with Several Issues
The list is broadly aligned with the NHSRC standard, but there are 6 notable discrepancies - some factual errors, some omissions, and one potentially problematic inclusion.
Issues Found
1. Ranitidine - Safety Concern (Flag)
The list includes: Ranitidine Tablet (150 mg) & Injection (25 mg/ml)
Ranitidine was withdrawn from the US, EU, and many global markets due to NDMA contamination (a potential carcinogen). India has not formally banned it as of 2025, and the official NHSRC AAM-SHC list still includes it - so its presence here is technically in line with the national standard. However, it is worth noting this ongoing safety concern for any Odisha-specific update.
2. Co-trimoxazole - Dosage Error
- Your PDF says: Tablet (160mg + 800mg) - this is the adult "forte" dose (trimethoprim 160 mg + sulfamethoxazole 800 mg)
- NHSRC standard says: Tablet [Sulphamethoxazol 80 mg + Trimethoprim 400 mg] - this is the standard single-strength tablet
The document has the ratio correct (1:5) but listed the double-strength (DS/forte) tablet as the base entry. The NHSRC lists the standard strength tablet (80 mg TMP + 400 mg SMX). This is a dosage discrepancy.
3. Enalapril Maleate - Dose Discrepancy
- Your PDF says: Tablet (2.5 mg, 5 mg)
- NHSRC standard says: Tablet 5 mg only
The 2.5 mg formulation is not in the NHSRC list. While clinically used for titration, it is not part of the standard AAM-SHC list.
4. Ciprofloxacin - Dose Discrepancy
- Your PDF says: Tablet (500 mg) only
- NHSRC standard says: Tablet 250 mg AND Tablet 500 mg
The 250 mg tablet is missing from the Odisha list.
5. Omissions from the NHSRC Standard List
Several items present in the official NHSRC AAM-SHC EML are absent from your PDF:
| Missing Item | NHSRC Reference |
|---|---|
| Alprazolam Tablet 0.25 mg / 0.5 mg | Medicines used in Dementia (S.No. 48) |
| Potassium Permanganate 0.1% | Dermatological medicines (S.No. 54) |
| Gentian Violet (Methylrosanilinium chloride) | Disinfectants (S.No. 58) |
| Bleaching Powder (≥30% available chlorine) | Disinfectants (S.No. 59) |
| Gamma Benzene Hexachloride (Lindane) | Disinfectants (S.No. 60) |
| Ear wax solvent drops | ENT medicines (S.No. 64) |
| Boro-Spirit ear drops | ENT medicines (S.No. 63) |
| Hydroxyurea Capsule 100/300/500 mg | Anti-anaemic (S.No. 38) |
| ORS (listed but without the specific WHO-standard packet wording) | Minor wording |
6. Additions Not in NHSRC Standard
Items in your PDF that are not in the NHSRC AAM-SHC list:
| Extra Item | Notes |
|---|---|
| Metoprolol SR Tablet (50 mg) | NHSRC lists only 25 mg for SR |
| Isosorbide Mononitrate Tablet 5 mg | Listed separately in PDF; NHSRC has it as S.No. 39 - but NHSRC spells it "Isosorbide-5-mononitrate" and it IS included, so this is a formatting match, not truly extra |
| Artemether + Lumefantrine and Primaquine as specific entries | NHSRC says "as per programme guidelines" for anti-malarials; these are correct drugs but naming specific formulations may conflict with the programme guideline approach |
| Domperidone Tablet & Suspension | Not explicitly in NHSRC SHC list (may be in PHC list) |
| Dicyclomine Hydrochloride | Not in NHSRC SHC list |
| Activated Charcoal tablets | Not in NHSRC SHC list |
| Magnesium Sulphate Injection | Typically a higher-level facility drug; not in NHSRC SHC list |
| Pheniramine Maleate Injection | Not listed; NHSRC lists Adrenaline and Hydrocortisone for anaphylaxis |
Summary Table
| Category | Status |
|---|---|
| Core drug classes present | ✅ Correct |
| Antihypertensives | ✅ Mostly correct (minor enalapril dose issue) |
| Antibiotics | ⚠️ Co-trimoxazole dose error; ciprofloxacin missing 250 mg |
| GI medicines | ⚠️ Ranitidine safety flag; extra drugs not in NHSRC |
| Anti-anaemics | ⚠️ Hydroxyurea missing |
| Dermatology | ⚠️ Potassium permanganate and gentian violet missing |
| Disinfectants | ⚠️ Several items missing (bleaching powder, gamma-BHC) |
| Emergency medicines | ⚠️ Magnesium sulphate and activated charcoal are above SHC level |
| Disclaimer at end | ✅ Correct - references OSMCL |
The disclaimer at the end of the document is appropriate and important: always defer to the latest official OSMCL/NHSRC list for procurement and compliance purposes. The NHSRC official AAM-SHC EML (May 2025) is the authoritative reference for cross-checking.
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