Content Status

Type

Linked Node

H5Content
Content

Packaging of loose drugs into monthly patient-wise boxes should be done under the guidance of those in charge of drug logistics at the state and district levels.

 

Patient-wise drug box preparation should be done for the following Drug-resistant TB (DR-TB) regimens:

  1. Shorter oral Bedaquiline-containing Multidrug-resistant/ Rifampicin-resistant TB (MDR/RR-TB) regimen
  2. Longer oral Multi (M)/ Extensively Drug-resistant TB (XDR-TB) regimen
  3. Isoniazid (H) mono/poly DR-TB regimen

 

Packaging Instructions

 

Patient-wise drug boxes are prepared as per the type of DR-TB regimen and weight bands. One monthly pouch of the capsule Cycloserine (Cs) and tablet Ethambutol (E) each, should be made from a plastic bag with a zip lock facility in which 1 gm pouch of silica gel desiccant should be kept.

 

Figure 1: Isoniazid (H) Mono/ Poly Regimen DR-TB Treatment Box

Figure 2: Isoniazid (H) Mono/ Poly Regimen DR-TB Label

In each Type A box, one pouch of silica gel desiccant of 4 gm weight should also be kept.

 

Labels for the boxes should be developed with the following information (Figures 2 and 3):

 

  • Item-wise name of drugs with a quantity of each drug in the box
  • Batch number and Date of Expiry (DOE) of the individual drugs
  • DOE of boxes, with expiry date of the drug having the shortest expiry date
  • Date of issue of the box from the State Drug Store (SDS)
  • Serial number of the box
  • Storage instructions on the box for ensuring adequate precautions in storage of the drugs, especially at the treatment supporter level. Some suggested messages are:
    • Store in a cool and dark place, preferably in a clean cupboard”
    • “Do not expose to direct sunlight”
    • “Keep away from children/unauthorized persons” 
    • “Box to be closed properly every time after the withdrawal of drugs”.

Figure 3: Prototype of a Label (Type A box for shorter DR-TB regimen for the weight band - 46 to 70 kg)

 

 

Resources

 

 

Kindly provide your valuable feedback on the page to the link provided HERE

Content Creator

Reviewer