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Ethiopian Essential Medicines ListDocument No.:EFDA/GDL/067Date of approval:16/10/2024Version No:007Date of issue:24/10/2024Version No.Reason for amendmentEffective Date007–Addition of new therapeutic categories, medicines,strengths, and dosage forms–Obsolete, unsafe or have more cost-effectivealternatives were deletedOctober, 2024 Abbreviations and AcronymsAcknowledgmentsForeword - Message from the EFDASynopsisIntroduction1.1.Criteria for selection of medicines1.2.Main use of the EML1.3.EML Review and Revision ProcessAWaRe Classification of AntibioticsSummary of Main ChangesPharmacotherapeutic Classification of MedicinesGI.000. Gastrointestinal MedicinesCV.000.Cardiovascular MedicinesRE.000. Respiratory MedicinesAI.000.Anti-infectivesPM.000 Medicines for Pain and Palliative CareND.000. Medicines for Neurological DisordersMB.000. Medicines for Mental and Behavioral DisordersAP.000. Anesthetics, Preoperative Medicines and Medical GasesAP.101. Inhalational AnestheticsAP.102. Intravenous AnestheticsMR.000. Muscle Relaxants (Peripherally-acting) and Cholinesterase InhibitorsDJ.000. Medicines for Diseases of JointVM.000.Vitamins and MineralsContents Document No. EFDA/GDL/067Version No. 007iiiivviviiiixixxxxiixiii11478181921232323242425 iiDocument No. EFDA/GDL/067AL.000. Anti-allergic and Medicines Used in AnaphylaxisED.000.Medicines Used in Endocrine DisordersRH.000.Medicines for Reproductive Health and Perinatal CareBL.000. Medicines Affecting the BloodBP.000. Blood Products of Human Origin and Plasma SubstitutesFE.000. Medicines Used for Correcting Fluid, Electrolyte and Acid Base BalanceIM.000. ImmunomodulatorsAS.000. Antineoplastics and Supportive MedicinesOP.000.Ophthalmological PreparationsEN.000 Ear, Nose and Throat PreparationsDN.000 Dental Medicines and PreparationsDE.000 Dermatologic MedicinesVC.000 VaccinesAN.000 Antidotes and Other Substances Used in PoisoningDA.000 Diagnostic agentsTF.000 Therapeutic FoodsMI.000 MiscellaneousAnnex 1A.Technical Working Group membersB.Core Technical Team membersC.Workshop ParticipantsAnnex 2: Newly added and deleted medicines512.1. List of newly added medicines2.2. List of deleted medicinesIndexContents Version No. 007262728303132333438404041434445454647474849515253 Document No. EFDA/GDL/067Abbreviations and AcronymsACSHAlert Comprehensives Specialized HospitalAMSHAmanuel Mental Specialized HospitalAWaReAccess, Watch, ReserveAAUCHSAddis Ababa University, College of Health SciencesCHAIClinton Health Access InitiativesEBTBSEthiopian Blood and Tissue Bank serviceEFDAEthiopian Food and Drug AuthorityEEMLEthiopian Essential Medicine ListEHISEthiopian Health Insurance ServiceEMAEthiopian Medical AssociationEPAEthiopian Pharmaceutical AssociationEPSSEthiopian Pharmaceuticals Supply ServiceJSIJohn Snow IncMOHMinistry of HealthQHAQuality Health ActivityRDDMHRas Desta Damtew Memorial HospitalRHBRegional Health BureauR4DResult for DevelopmentSPHMMCSaint Paul’s Hospital Millennium Medical CollegeSPSHSaint Peter’s Specialized HospitalTASHTikur Anbessa Specialized HospitalTBGHTirunesh Beijing General HospitalUSAIDUnited States Aid for International DevelopmentWHOWorld Health Organization AcknowledgmentsThe Ministry of Health and the Ethiopian Food and Drug Authority would liketo acknowledge all individuals and organizations involved in the revision of theEssential Medicine List (EML) for their commitment and unwavering efforts infinalizing the document.We express our sincere thanks to the Technical Working Group members fortheir steadfast and dedicated technical contributions in reviewing and revisingthe EML, making it a reality.Lastly, we would also like to gratefully acknowledge the technical guidanceand financial support provided by the United States Agency for InternationalDevelopment (USAID) through the Results for Development (R4D) project andJhpiego, and the World Health Organization (WHO). Our thanks also go to JohnSnow Inc. (JSI) and the Ethiopian Pharmaceutical Association (EPA) for theirinvaluable technical support throughout the revision process. Document No. EFDA/GDL/067Version No. 007v viDocument No. EFDA/GDL/067Version No. 007Foreword - Message from the EFDAThe availability of safe, effective, and quality medicines is the backbone ofhealthcare services at all levels. The Ethiopian Essential Medicine List (EML)is a crucial tool that promotes access to essential medicines and ensurestheir correct selection, procurement, and use, thereby achieving maximumtherapeutic benefit and optimal patient outcomes as envisioned in UniversalHealth Coverage (UHC).Ethiopia has been publishing the EML for nearly four decades. The first editionwas published by the then Medicine Regulatory Section of the Ministry ofHealth in 1987. The development and revision process of the EML is stipulatedin the Food and Medicine Administration Proclamation No. 1112/2019, Article4 (8), which authorizes the EFDA to prepare and periodically revise the EMLas necessary. Given the dynamic nature of