essential medicines > note n°4

L'essentiel est sans cesse menacé par l'insignifiant.

René Char ; À une sérénité crispée – 1955

Enclosed the list of EM (essential medicines) proposed by the SNFMI [1] in its first state. Since hundred of members of the society reshaped it through a process of validation. It is thus necessary to consider the list enclosed as a work paper. It would be very premature to enter a discussion about the composition of the list today.
An article is in the course of publication for this second version.

Members of the National School of the General Practitioner Teachers work in parallel on another list.
When this second list will be mature, a link between both lists will be begun to reach a fusion.

Step by step the circle of the participants in the elaboration of a RESTRICTED list will be widened to admit specialists there who will also have to contribute to the editorial staff of the additional list. To admit pharmacists and pharmacologists there by maintaining a priority reference: the best profit/risk for the patients.

The list will indefatigably be resumed and put in the daytime.
Its economic consequences will not be neglected, but they will have to remain secondary in face of the interest of the patients.
The list will evolve in the course of the works bringing the proofs of the optimal efficiency for every indication.

All the collaborations will be welcome on the condition of independence and of competence in the field of the medicinal prescriptions.

Naturally the rigour of the economic step will gain the whole practice: prescriptions of additional exams, non medicinal therapeutic indications As it will gain win the developed countries and the poor countries. Not without meeting of obstacles

Jean-Claude Salomon
December 2014

[1] Such a list was established by a workgroup of the French National Society of Internal Medicine and by a group established within the National College of the General Practitioners Teachers. This new list in France is intended to be regularly updated by a progressive implication of an increasing number of participants. To preserve her meaning it will have to remain restricted and escape the influence of all the pressure groups. Thanks to what it will keep the priority objective which is the preservation of the interest of patients.
Les 100 médicaments essentiels. Une approche de médecine interne, 100 essential drugs. An internal medicine approach, M. Thomas, P. Arlet, O. Aumaitre, J. Cosserat, B. Grosbois, L. Guillevin,, A. Kettaneh, C. Le Jeunne, C. Massot, P. Morlat, La Revue de médecine interne 34 (2013) 460–464

List of EM 1st publication
M.Thomas et al
This list is the result of a first working stage. After validation, a new version will be published. Everything will be made so that numerous independent prescribers participate in the improvement of this restricted list and in its adaptation to such or such speciality.
If you consult this list, take into account the existence of a complementary(additional), much less restricted list.

Abacavir
Acide Folique
Adrénaline
Allopurinol
Alprazolam
Amiodarone
Amitriptyline
Amlodipine
Amoxicilline
Amoxicilline + Acide Clavulanique
Aspirine
Bromazépam
Calcium
Carbimazole
Carboplatine
Ceftriaxone
Chlorambucil
Chloroquine
Clarithromycine
Clopidrogel
Colchicine
Cotrimoxazole
Cyclophosphamide
Danuravir
Décapeptyl
Diclofénac
Digoxine
Diltiazem
Dodétaxel
Doxorubicine
Doxycycline
Efavirenz
Enoxaparine
Erythropoiétine
Ethambutol
Fluconazole
Fluorouracile
Furosémide
GCSF
Gentamycine
Glibenclamide
Héparine
Hydrochlorothiazide
Hydrocortisone
Hydroxychloroquine
Hydroxyurée
Insuline Lente
Insuline Rapide
Isoniazide
Lactulose
Lamivudine
Levodopa
Levonorgestrel + Ethinyloestradiol
Levothyroxine
Lidocaïne
Lopéramide
Losartan
Melphalan
Metformine
Métoprolol
Métronidazole
Midazolam
Morphine
Nicardipine
Nomégestrel
Oestradiol 17-Béta
Ofloxacine
Oméprazole
Ondansétron
Ortézomib
Paracétamol
Peg Interféron-Alpha 2a
Prednisone
Pristinamycine
Progestérone
Proguanil + Atovaquone
Propranolol
Pyrazinamide
Quinine
Ramipril
Ribavirine
Rifampicine
Ritonavir
Rituxima
Salbutamol
Sertraline
Simvastatine
Spironolactone
Sumatriptan
Tamoxifène
Ténofovir
Tramadol
Trinitrine
Valacyclovir
Valproate De Na
Vérapamil
Vincristine
Vitamine B12
Vitamine D3
Warfarine