Almost any pharmacist knows about the drugs on the “B” list. What does it mean? This term is used to denote the list of potent drugs used in the pharmacopeia of our country. Relatively recently, a law was passed that abolished the relevance of such a list, but many domestic pharmacists still remember well what was included in it. The list first appeared on the last December day of 1999. After about 10 years, the list was canceled.
general information
To learn about the rules for storing drugs from lists “A” and “B”, to get acquainted with what strategies were implemented, what attitude they required, you can raise a law that saw the light at the end of 1999. In it, pharmaceutical products requiring maximum caution in determining the dose, use, and purpose were assigned to list “B”. Inclusion to the list was justified by the likelihood of complications when using funds without adequate professional control over the patient. By issuing orders, the federal authorities not only gave a definition of the drugs that fall under them, but also clarified what substances belong to a particular group.
To understand which drugs belong to list “B”, you must first determine what is on list “A”. It included a variety of poisons, that is, medicines, the use of which is possible only taking into account the increased toxicity of the drug. Understanding this fact imposes restrictions on the selection of doses, storage rules, the possibility of appointment. Belonging the drug to poisons requires the most accurate and responsible attitude at the stage of prescribing a pharmaceutical product to a patient. All drugs, the intake of which can provoke drug addiction, were attributed to this list.
"A" and "B": details and rules
The law, which established a list of drugs of group “B”, determined the need to include potent drugs in this class. In Latin, the term Heroica is used to refer to this category of drug products.
The laws described what the maximum doses of different drugs can be. The calculations were carried out in the analysis of the susceptibility of drugs to the normal human body of a person whose age was 24 years. When determining the standards, the maximum of a single dose was taken into account (the largest daily dose).
All funds belonging to class “A” should be stored in a cabinet, safe under lock and key, separately from all other pharmaceutical products. Inside the door you must write "A. Venena ”and list all products located there, as well as single and daily dosages. Medicines assigned to list “B” should also be stored separately. These closets close when the pharmacy’s working day ends. From the inside, the inscription “B. Heroica. "
Classification and importance of lists
To the list of medicines of the list “B” medicines are attributed by analyzing which active ingredients the manufacturer used to create the product. In pharmacies there is a huge variety of drugs that differ in form, name, but containing the same basic compound. Accordingly, it makes sense to take into account precisely (and only) it, determining how to work with a specific product. It is important to be careful when working with all class B drugs, since the use of such products without specialized control can cause serious complications and irreversible consequences for the human body. And although at present this list has already been canceled by laws, pharmacies still sell their products as carefully as possible - for the benefit of the client.
Initially, the list of drugs belonging to list “B” was created in order to achieve professional goals. The main idea of its implementation was the application of measures for the optimal organization of products sold by pharmacies. The law signed in 1999 made it possible to determine the rules for the storage of drugs, proposed convenient systematization and accounting restrictions, and simplified the accounting for the appointment and sale of potent drugs.
About items
Azithromycin is a potent drug on the B list. This is an antibiotic belonging to the class of azalide transformation products. Available in capsules. It is sold under the names Sumamed, Sumazid.
The Actovegin belongs to this list. This compound is designed to stimulate regenerative products. It is made from the blood of calves. The substance is a hemoderivative from which proteins have been removed. Presented in the form of a solution for injective administration, infusion into a vein, as well as dragees and tablets. Sold under the same name - "Actovegin".
Albumin is included in the list, list of drugs of group “B”. This compound is a plasma replacement drug. It is poured into bottles; it is available only in liquid form. A substance is sold under the name “Albumin”.
Ambroxol hydrochloride belongs to the same class. The pharmaceutical product is classified as mucolytic. It is made in tablet form. Presented under the names "Lazolvan" and "Salfran". The same active compound provides the activity of the Ambrobene and Ambroxol preparations. The drug "Mucosolvan" is also included in this list.
On examples: we continue to consider substances and preparations
The list, list of drugs of group “B” includes amikacin sulfate. This substance belongs to the class of antibiotics, belongs to the group of aminoglycosides. In pharmacies, it is presented under the name Amikin. Available in powder form for the preparation of a solution or a ready-made solution, poured into bottles. The tool is intended for the injection.
The list includes aminophyllion. This substance is classified as bronchodilator. It is made in tablet form and liquid intended for injective administration. Sold under the names "Eufillin", "Diafillin." With the same active compound, the preparation Aminophylline-Demo is produced.
Amiodarone is included in the list of drugs of group “B”. This is an antiarrhythmic pharmaceutical product presented in pharmacies under the name Aldaron. The same active ingredient is used by the manufacturers of Cordaron. The medicine is made in tablet form.
Class B belongs to amitriptyline. The medication is classified as an antidepressant. They release it in tablet form and in the form of dragees. A solution is prepared for injective use ("Tryptisol" and "Teperin"). The same active component was used by the manufacturers of the drugs Amitriptyline Lechiva, Amitriptyline Hydrochloride.
About names and ingredients
Amoxicillin is included in the list of Group B drugs. This is an antibiotic assigned to the group of semi-synthetic penicillin pharmaceutical products. It is made in tablet form and in capsule form. On the pharmacy shelves it is presented under the names Amosin-AKOS and Flemoxin Solutab.
Ampicillin sodium salt belongs to the same class. This is also an antibiotic, also belongs to the class of semi-synthetic penicillins. Presented in the sale of granules and powder, on the basis of which a liquid is prepared for injective use. Sold under the names "Ampicillin-AKOS", "Ampicillin-KMP".
Another product from the list of preparations of the list “B” is a combined substance from sodium sulbactam and sodium ampicillin. It belongs to the category of protected antibiotics. It is sold in powder form, intended for the preparation of injectable fluids. The trade name is Sultasin.
The amphotericin B drug, intended for the fight against fungal invasion, is also assigned to this class. It is presented under the trade names "Fungizon" and "Amphostat". The same active ingredient contains Fungilin. The medication is made in powder form, diluted in liquid for the injection. An alternative form of release is ointment.
About pills and more
Andipal is included in the list of drugs in List B. This medication belongs to the class of antipyretics. It is considered a reliable analgesic. Available in tablet form.
Artikain belongs to the same category. This substance has a local anesthetic effect. It is made in the form of a liquid intended for injection, packaged in ampoules. In pharmacies, it is presented under the names "Ultracain", "Supercain".
Astemizole is common in the pharmaceutical industry. The substance belongs to the same list “B” and belongs to the class of histamine-type H1 inhibitory receptors, is available in tablet form, each copy is covered with a film membrane. In pharmacies, you can buy it under the names "Gismanal" and "Gistalong". A similar composition have the preparations "Astezol", "Mibiron".
The substance “atenolol” is included in the list of drugs “B”. It selectively shows the effect of beta1-blocker, is available in tablet form. On sale represented by the trade names "Apo-atenol", "Atenol". The same active ingredient is contained in the drugs Betacard and Azectol. Using this active substance, the Atenolol-Acry product was manufactured.
Simple and combined
Atorvastatin is included in list “B” of drugs. It is available in tablet form and belongs to the category of lipid-lowering pharmaceutical products. It is presented in pharmacies under the trade names Atorek-10 and Atorek-20. The drug "Liprimar" is similar.
The category “B” includes the popular drug “Rinza”, produced in tablet form. It is a combined composition of caffeine and chlorphenamine maleate, contains acetaminophen and phenylephrine hydrochloride. The drug reduces fever and shows an analgesic effect, belongs to the category of antihistamines.
Acyclovir belongs to the same class. This substance has an antiviral effect, is available in tablet form. In pharmacies, it is sold under the names "Zovirax" and "Virolex." It is also represented under the names Geavir and Gerpevir. Using the aforementioned active compound, the drugs Citivir, Herpevit-KMP and Acyclovir-NS are created.
Among the drugs in list “B”, baclofen should be mentioned. It is made in tablet form and belongs to the category of muscle relaxants. Presented under the names "Gabalon" and "Bacon". The same substance is the basis of the drug "Lyoresal".
For local and domestic use
Beclomethasone dipropionate belongs to class “B”. This substance is intended for local application, belongs to the category of glucocorticosteroids. Available in the form of an aerosol spray for nasal use. In pharmacies, the drug is presented under the trade names Belkomet and Bekonase. The same active ingredient was used by the manufacturers of Beclat, Becotide, Beclocort-forte preparations. This glucocorticosteroid is the main active ingredient in the medicines Becklokort, Aldetsin.
Class B contains a substance intended to combat spasms - bendazole hydrochloride. It is available in tablet form and as a liquid injected. On the pharmacy shelves it can be found under the name "Dibazol" and "Tromacedan".
This class includes the expectorant "Broncholitin", produced in the form of syrup. This category includes the tablet pharmaceutical product Biol containing bisoprolol fumarate. This substance is the active ingredient in Concor. In addition to simple tablets, film-coated ones also exist. The medication belongs to the class of beta-1-blockers.
About the nuances and names
Nicotinic acid and barbital belong to the list B drugs. Codeine and analgin, caffeine and adoniside belong to this class. Adrenaline is included in this category, and chlorpromazine and amyl nitrite are classified here. The requirements established for this list apply to luminal, nitroglycerin solution, cytitone and novocaine. This class includes papaverine and cordiamine, as well as the popular medicinal substances insulin, barbamil, mesatone. Pituitrin, norsulfazole, phthalazole and phtivazide are classified as category “B”. This class includes streptomycin, prednisone, dibazole, diphenhydramine. In the list you can find chloral hydrate, vicasol, bicillin. Penicillin, chloramphenicol, sulfodimesin are assigned to this class.
A law adopted in 1999 defines the requirements for the storage of such medicines. Regulatory documentation establishing how to store preparations of the “B” list obliges to organize a special cabinet locked with a key at the nurse's post. All funds assigned to the category in question should be contained in it. In the cabinet, the products are arranged in groups: for external use and internal, sterile. Each category lies on its own shelf. With a large volume of products, a separate cabinet is allocated for each type. Each shelf must be signed - it is necessary to indicate what type of drugs lies on it (for example, "for external use").
Storage rules
In order to organize the storage of medicines efficiently and safely, it makes sense to separately sort on the pharmacy shelves means for enteral use and intended for parenteral administration. It is wise to combine vitamins separately, drugs for hypotension in another location, and so on. The largest containers, packages are placed behind, in the foreground should be relatively small. So, the pharmacist will have access to all the labels, which means that it will be possible to easily take the necessary product, spending a minimum of time searching. It is strictly forbidden to place items intended for patient care, along with medicinal products. Disinfectants should be stored separately.
Some preparations of the list “B” do not tolerate light - under its influence, the active ingredients decay. Such products are usually produced in darkened containers. At the pharmacy, they should be stored in an area protected from light. Some pharmaceutical products smell very strong. This includes, for example, iodoform. You need to store these products separately so that their smell does not cover neighboring products and does not spoil its quality.
Some products have a short shelf life. These are various tinctures, potions. They, as well as serums, ointments, suppositories for rectal administration, are kept in a refrigerator. It should store vaccines, decoctions. But alcohol products must be kept in a bottle closed with a very tight lid and cork. Otherwise, the alcohol will evaporate, the concentration of active ingredients will increase, which means that the use of products can provoke an overdose.
Storage: continue the topic
The preparations of the list “B” must be stored, controlling the expiration date of the goods. If it is a sterile solution manufactured in a pharmacy, the expiration date is indicated on the bottle. If it was not possible to sell products for the indicated period, they will be disposed of, even if there are no obvious manifestations of spoilage. Signs of unsuitability include turbidity, discoloration, the appearance of an odor abnormal to the product. It can be assumed that the sterile solution has deteriorated, if its color has changed, flakes have appeared, and transparency has been lost. The unsuitability of the ointment is indicated by the wrong color, unpleasant odor and delamination of the product. Tablets, powders, as they spoil, change their color.
Current regulations enshrined a ban on the storage of drugs without an appropriate tag, label. Nurses are strictly forbidden to change the packaging, form of medication, combine drugs from different packages into one container. You cannot change, correct labels attached to products.
Distribution of drugs among those in need
Special rules and norms for dispensing drugs of the “B” list have been introduced. At a medical facility, responsibility for distribution rests with the nurse. This person should be guided by the appointments of the attending physician. It is impossible to prescribe, cancel or change drugs on their own. – . .
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