Clinical Updates
April 2023 Clinical Drug MDref Update
1 April, 2023
The April 2023 MDref drug database and content update for MedicalDirector Clinical is now available and current from 1 April 2023. The update is a fully rebuilt MDref drug database, CMI (Consumer Medicines Information), PI (Product Information) and updated MedicalDirector Clinical content.
We strongly recommend that you update your MDref database every month. Monthly PBS changes, including new items, Streamlined Authority changes and PBS pricing details, are included in the monthly MDref update. Without this data, you are at risk of creating invalid PBS scripts.
Download April 2023 Drug Update (903 MB)
This update also includes the following:
- Updated Pathology List
- Capital Pathology
- Sullivan Nicolaides Pathology
- Several New Templates and Template Updates
Prerequisites:
- This MDref update can only be applied to MedicalDirector Clinical 3.12.1 (or above).
- The update is quite a large file, ensure you allocate sufficient time for this update.
Click here for a full list of drug database changes in this MDref update.
MDref update April 2023
Summary of changes
Quick-links
New items
Discontinued items
Re-instated items
Minor changes
Cross-references
AusDI drug information documents
This page does not include PBS/RPBS changes, please refer to http://www.pbs.gov.au/browse/changes
New items since prior update (March 2023), by trade-name
Summary: 67 new items
Anaesthetic agent – local (inc. epidural)
BUPIVACAINE WITH ADRENALINE PHEBRA Injection (Bupivacaine hydrochloride/Adrenaline (epinephrine) (as acid tartrate) 0.5%/1:200,000) pack size 5*20mL
Analgesic – narcotic or opioid
ENDONE Tablet (Oxycodone hydrochloride 5mg) pack size 10
OXYCODONE VIATRIS Tablet (Oxycodone hydrochloride 5mg) pack size 10
Antibiotic – sulfonamide and/or trimethoprim
BACTRIM DS Tablet (Trimethoprim/Sulfamethoxazole 160mg/800mg) pack size 3*10
TRIMETHOPRIM VIATRIS Tablet (Trimethoprim 300mg) pack size 7
Anticonvulsant or antiepileptic
PREGABALIN LUPIN Capsule (Pregabalin 25mg) pack size 56
PREGABALIN LUPIN Capsule (Pregabalin 75mg) pack size 56
PREGABALIN LUPIN Capsule (Pregabalin 150mg) pack size 56
PREGABALIN LUPIN Capsule (Pregabalin 300mg) pack size 56
Antigonadotrophins & similar agents
GANIRELIX THERAMEX Injection (Ganirelix (as acetate) 250mcg/0.5mL) pack size 2*5*0.5mL
Antimigraine preparations
IPTAM MIGRAINE RELIEF Tablet (Sumatriptan (as succinate) 50mg) pack size 2
RELPAX MIGRAINE Tablet (Eletriptan (as hydrobromide) 40mg) pack size 2
Antineoplastic – systemic other
JAKAVI Tablet (Ruxolitinib (as phosphate) 5mg) pack size 56
Antiparkinson agents
RASAGILINE LUPIN Tablet (Rasagiline (as mesilate) 1mg) pack size 30
Antismoking agents
VARENAPIX Tablet (Varenicline (as tartrate) 1mg) pack size 2*56
VARENAPIX Tablet (Varenicline (as tartrate) 1mg) pack size 56
Antiviral agent – systemic
ACICLOVIR VIATRIS Powder->Inj (Aciclovir (as sodium) 250mg) pack size 5
ACICLOVIR VIATRIS Powder->Inj (Aciclovir (as sodium) 500mg) pack size 5
TENOFOVIR DISOPROXIL EMTRICITABINE VIATRIS Tablet (Tenofovir disoproxil maleate/Emtricitabine 300mg/200mg) pack size 30
Anxiolytic
LORAZEPAM LUPIN Tablet (Lorazepam 1mg) pack size 50
LORAZEPAM LUPIN Tablet (Lorazepam 2.5mg) pack size 50
Beta blockers
NEBIVOLOL LUPIN Tablet (Nebivolol (as hydrochloride) 1.25mg) pack size 2*28
NEBIVOLOL LUPIN Tablet (Nebivolol (as hydrochloride) 5mg) pack size 28
NEBIVOLOL LUPIN Tablet (Nebivolol (as hydrochloride) 10mg) pack size 28
Bronchodilator used as preventer
RILAST TURBUHALER Powder Inh (Budesonide/Formoterol fumarate dihydrate 200mcg-6mcg/actuation) pack size 120 dose
Cardiovascular system other
ICATIBANT LUPIN Injection (Icatibant (as acetate) 30mg/3mL) pack size 1*3mL
COVID-19 vaccines
COMIRNATY ORIGINAL/OMICRON BA.4-5 Injection (Tozinameran/Famtozinameran 15mcg-15mcg/0.3mL) pack size 1*2.25mL
Dermatological – other
FINASTERIDE MYLAN Tablet (Finasteride 1mg) pack size 28
Enzyme replacement therapy (inc stim & enhancers)
NEXVIAZYME Powder->Inj (Avalglucosidase alfa 100mg/10mL (when reconstituted)) pack size 1*10mL
Gonadotrophins
RECAGON Sol for Inj (Follitropin beta (rch) 300 units/0.36mL) pack size 2*1
RECAGON Sol for Inj (Follitropin beta (rch) 300 units/0.36mL) pack size 3*1
RECAGON Sol for Inj (Follitropin beta (rch) 600 units/0.72mL) pack size 2*1
RECAGON Sol for Inj (Follitropin beta (rch) 600 units/0.72mL) pack size 4*1
RECAGON Sol for Inj (Follitropin beta (rch) 900 units/1.08mL) pack size 2*1
RECAGON Sol for Inj (Follitropin beta (rch) 900 units/1.08mL) pack size 5*1
Hypnotic or sedative
MIDAZOLAM VIATRIS Injection (Midazolam (as hydrochloride) 5mg/5mL) pack size 10*5mL
Immunoglobulins & immune sera
PRIVIGEN AU Infusion (Immunoglobulin, normal (human) 5g/50mL) pack size 1*50mL
PRIVIGEN AU Infusion (Immunoglobulin, normal (human) 10g/100mL) pack size 1*100mL
PRIVIGEN AU Infusion (Immunoglobulin, normal (human) 20g/200mL) pack size 1*200mL
Immunomodulators
AKM FINGOLIMOD Capsule (Fingolimod (as hydrochloride) 0.5mg) pack size 28
FINGOLIMOD SUN Capsule (Fingolimod (as hydrochloride) 0.5mg) pack size 28
Intestinal anti-inflammatory
MESALZ MR Tablet (Mesalazine 1.2g) pack size 120
Oestrogen only compounds
ESTRO-PESS Pessary (Estradiol (as hemihydrate) 10mcg) pack size 18
Oral contraceptives – combined
BELLA Tablet (Drospirenone/Ethinylestradiol 3mg/20mcg [24] + Inactive [4]) pack size 1*28
BELLA Tablet (Drospirenone/Ethinylestradiol 3mg/20mcg [24] + Inactive [4]) pack size 3*28
OTHER MEDICATIONS & PRODUCTS
ALTHEA THC dried herb (Tetrahydrocannabinol/Cannabidiol THC 18%, CBD <1%) pack size 3*10g
ALTHEA THC dried herb (Tetrahydrocannabinol/Cannabidiol THC 25%, CBD <1%) pack size 3*10g
CANNATREK T18 JASPER FLOWER dried herb (Tetrahydrocannabinol THC 18%) pack size 10g
CANNATREK T24 PANAMA FLOWER dried herb (Tetrahydrocannabinol THC 24%) pack size 10g
CANOPY KRYPTON FLOWER dried herb (Tetrahydrocannabinol THC 250mg/g) pack size 15g
INDIMED TEMPO 26 dried herb (Tetrahydrocannabinol/Cannabidiol THC 26%, CBD less than or equal to 1%) pack size 10g
KIND MEDICAL AURA 70:1 Inhalation (Tetrahydrocannabinol/Cannabidiol THC 70%, CBD <1% (cartridge)) pack size 1mL
KIND MEDICAL LIBRA 35:40 Inhalation (Tetrahydrocannabinol/Cannabidiol THC 35%, CBD 40% (cartridge)) pack size 1mL
KIND MEDICAL LUNA 75:1 Inhalation (Tetrahydrocannabinol/Cannabidiol THC 75%, CBD <1% (cartridge)) pack size 1mL
KIND MEDICAL TAURUS 25:1 dried herb (Tetrahydrocannabinol/Cannabidiol THC 25%, CBD <1%) pack size 10g LEAF T26 INDICA RSK dried herb (Tetrahydrocannabinol THC 26%) pack size 10g LEAF T27 HYBRID GMC dried herb (Tetrahydrocannabinol THC 27%) pack size 10g LEAF T27 INDICA CB dried herb (Tetrahydrocannabinol THC 27%) pack size 10g WILDFLOWER DAISY T9C12 dried herb (Tetrahydrocannabinol/Cannabidiol THC 9%, CBD 12%) pack size 10g WILDFLOWER WARATAH T24 dried herb (Tetrahydrocannabinol THC 24%) pack size 10g Pituitary/hypothalamic hormones RYEQO Tablet (Relugolix/Estradiol (as hemihydrate)/Norethisterone acetate 40mg/1mg/0.5mg) pack size 28 Progestogens – not oral contraceptive CYCLOGEST Pessary (Progesterone 400mg) pack size 15 Psychostimulants RUBIFEN LA Capsule (Methylphenidate hydrochloride 10mg) pack size 30 RUBIFEN LA Capsule (Methylphenidate hydrochloride 20mg) pack size 30 RUBIFEN LA Capsule (Methylphenidate hydrochloride 30mg) pack size 30 RUBIFEN LA Capsule (Methylphenidate hydrochloride 40mg) pack size 30 RUBIFEN LA Capsule (Methylphenidate hydrochloride 60mg) pack size 30 Other changes since prior update Discontinued items Summary: 42 discontinued items ADALAT OROS SR Tablet (Nifedipine 30mg) pack size 30 AMPICYN Powder->Inj (Ampicillin (as sodium) 1g) pack size 5
APOHEALTH DRY TICKLY COUGH RELIEF FORTE Oral Liquid (Pholcodine 4mg/mL) pack size 200mL
BENADRYL DRY TICKLY Linctus (Pholcodine 1mg/mL) pack size 100mL
BENADRYL DRY TICKLY Linctus (Pholcodine 1mg/mL) pack size 200mL
BISOLVON PHOLCODINE DRY FORTE Oral Liquid (Pholcodine 4mg/mL) pack size 200mL
BOSENTAN MYLAN Tablet (Bosentan (as monohydrate) 62.5mg) pack size 60
CHEMISTS’ OWN KIDDICOL CHILDREN’S COUGH MIXTURE Liquid (Pholcodine/Phenylephrine hydrochloride/Ammonium chloride/Chlorphenamine maleate 0.3mg-0.25mg-5mg-0.2mg/mL) pack size 200mL
CILICAINE Injection (Procaine benzylpenicillin 1.5g/3.4mL) pack size 5*3.4mL
DBL FLUMAZENIL Sol for Inj (Flumazenil 0.5mg/5mL) pack size 5*5mL
DIFFLAM PLUS SORE THROAT + COUGH (BLACKCURRANT) SUGAR FREE Lozenge (Benzydamine hydrochloride/Pholcodine/Cetylpyridinium chloride 1.5mg/5.5mg/1.33mg) pack size 24
DURO-TUSS COUGH LIQUID EXPECTORANT Liquid (Pholcodine/Bromhexine hydrochloride 15mg-12mg/15mL) pack size 100mL
DURO-TUSS COUGH LIQUID EXPECTORANT Liquid (Pholcodine/Bromhexine hydrochloride 15mg-12mg/15mL) pack size 200mL
DURO-TUSS DRY COUGH (LEMON FLAVOUR) SUGAR FREE Lozenge (Pholcodine/Cetylpyridinium chloride 5.5mg/1.33mg) pack size 24
DURO-TUSS DRY COUGH (ORANGE FLAVOUR) SUGAR FREE Lozenge (Pholcodine/Cetylpyridinium chloride 5.5mg/1.33mg) pack size 24
DURO-TUSS DRY COUGH LIQUID FORTE Oral Liquid (Pholcodine 15mg/5mL (3mg/mL)) pack size 100mL
DURO-TUSS DRY COUGH LIQUID FORTE Oral Liquid (Pholcodine 15mg/5mL (3mg/mL)) pack size 200mL
DURO-TUSS DRY COUGH LIQUID REGULAR Linctus (Pholcodine 1mg/mL) pack size 100mL
DURO-TUSS DRY COUGH LIQUID REGULAR Linctus (Pholcodine 1mg/mL) pack size 200mL
DURO-TUSS PE DRY COUGH PLUS NASAL DECONGESTANT Liquid (Pholcodine/Phenylephrine hydrochloride 15mg-10mg/15mL) pack size 200mL
ENBREL Injection (Etanercept (rch) 50mg (cartridge)) pack size 4
ETHOSUXIMIDE ESSENTIAL GENERICS [UK] Capsule (Ethosuximide 250mg) pack size 56
ETOPOSIDE [PFIZER] Sol for Inj (Etoposide 100mg/5mL) pack size 1*5mL
ETOPOSIDE [PFIZER] Sol for Inj (Etoposide 100mg/5mL) pack size 10*5mL
IMURAN Injection (Azathioprine 50mg) pack size 1
METRONIDAZOLE INTRAVENOUS INFUSION [PFIZER] Injection (Metronidazole 500mg/100mL) pack size 10*100mL
OXYBUTYNIN CHLORIDE [NOVITIUM] Tablet (Oxybutynin hydrochloride 5mg) pack size 100
OXYBUTYNIN HYDROCHLORIDE [NICHE GENERICS LIMITED] Tablet (Oxybutynin hydrochloride 5mg) pack size 84
PACROLIM Capsule (Tacrolimus 5mg) pack size 50
PHARMACY ACTION DRY COUGH RELIEF Oral Liquid (Pholcodine 5mg/5mL) pack size 200mL
ROACTEMRA [ROCHE GERMANY] Injection (Tocilizumab 80mg/4mL) pack size 1*4mL
ROACTEMRA [ROCHE GERMANY] Injection (Tocilizumab 80mg/4mL) pack size 4*4mL
ROACTEMRA [ROCHE GERMANY] Injection (Tocilizumab 200mg/10mL) pack size 1*10mL
ROACTEMRA [ROCHE GERMANY] Injection (Tocilizumab 200mg/10mL) pack size 4*10mL
ROACTEMRA [ROCHE GERMANY] Injection (Tocilizumab 400mg/20mL) pack size 1*20mL
ROACTEMRA [ROCHE GERMANY] Injection (Tocilizumab 400mg/20mL) pack size 4*20mL
RYNACROM Nasal Spray (Sodium cromoglycate 2%) pack size 26mL
RYNACROM Nasal Spray (Sodium cromoglycate 4%) pack size 15mL
TEMOZOLOMIDE ALPHAPHARM Capsule (Temozolomide 5mg) pack size 5
TEMOZOLOMIDE ALPHAPHARM Capsule (Temozolomide 140mg) pack size 5
TRANDATE Tablet (Labetalol hydrochloride 200mg) pack size 100
WATER FOR INJECTIONS BP [PFIZER] Injection (Water for injections) pack size 30*20mL
Items formerly discontinued, now re-instated
[none]
Minor amendments and clarifications
Summary: 30 amended items
AQIUM HAND SANITISER Gel (Ethanol 77%) pack size 1 litre [formerly AQIUM HAND SANITISER Gel (Ethanol 77%) pack size 1,000mL]
AQIUM ULTRA ANTIBACTERIAL HAND SANITISER Gel (Ethanol/Paraffinum liquidum/Glycerin/Dimethicone 77%) pack size 1 litre [formerly AQIUM ULTRA ANTIBACTERIAL HAND SANITISER Gel (Ethanol/Paraffinum liquidum/Glycerin/Dimethicone 77%) pack size 1,000mL]
AQIUM WITH ALOE HAND SANITISER Gel (Ethanol 77%) pack size 1 litre [formerly AQIUM WITH ALOE HAND SANITISER Gel (Ethanol 77%) pack size 1,000mL]
AQIUM Gel (Ethanol 77%) pack size 1 litre [formerly AQIUM Gel (Ethanol 77%) pack size 1,000mL]
EPOPROSTENOL SUN Powder->Inj (Epoprostenol (as sodium) 500mcg) pack size 1 [formerly EPOPROSTENOL SUN Powder->Inj (Epoprostenol (as sodium) 500mcg) pack size 30*1]
EPOPROSTENOL SUN Powder->Inj (Epoprostenol (as sodium) 1.5mg) pack size 1 [formerly EPOPROSTENOL SUN Powder->Inj (Epoprostenol (as sodium) 1.5mg) pack size 30*1]
ESTALIS SEQUI 50/140 Patch (Estradiol/Norethisterone acetate 50mcg/24h [4] + 50mcg-140mcg/24h [4]) pack size 8 [formerly ESTALIS SEQUI 50/140 Patch (Estradiol/Norethisterone acetate 50mcg/24h [4], 50mcg-140mcg/24h [4]) pack size 8]
ESTALIS SEQUI 50/250 Patch (Estradiol/Norethisterone acetate 50mcg/24h [4] + 50mcg-250mcg/24h [4]) pack size 8 [formerly ESTALIS SEQUI 50/250 Patch (Estradiol/Norethisterone acetate 50mcg/24h [4], 50mcg-250mcg/24h [4]) pack size 8]
FEMOSTON 1/10 Tablet (Estradiol/Dydrogesterone 1mg [14] + 1mg/10mg [14]) pack size 28 [formerly FEMOSTON 1/10 Tablet (Estradiol/Dydrogesterone 1mg [14], 1mg/10mg [14]) pack size 28]
FEMOSTON 2/10 Tablet (Estradiol/Dydrogesterone 2mg [14] + 2mg/10mg [14]) pack size 28 [formerly FEMOSTON 2/10 Tablet (Estradiol/Dydrogesterone 2mg [14], 2mg/10mg [14]) pack size 28]
FIASP FLEXTOUCH Injection (Insulin aspart 100 units/mL (with nicotinamide)) pack size 5*3mL [formerly FIASP FLEXTOUCH Injection (Insulin aspart 100 units/mL (with nicotinamide)) pack size 5*5*3mL]
FIASP VIAL Injection (Insulin aspart 100 units/mL (with nicotinamide)) pack size 1*10mL [formerly FIASP VIAL Injection (Insulin aspart 100 units/mL (with nicotinamide)) pack size 5*1*10mL]
KUVAN Sol. Tablet (Sapropterin dihydrochloride 100mg) pack size 30 [formerly KUVAN Sol. Tablet (Sapropterin dihydrochloride 100mg) pack size 3*30]
MEDCAN STT01 dried herb (Tetrahydrocannabinol/Cannabidiol THC 28%, CBD <0.1%) pack size 10g [formerly MEDCAN STT01 dried herb (Tetrahydrocannabinol/Cannabidiol THC 28%, CBD <0.1%) pack size 9g] NICOTINELL Chewing Gum (Nicotine 2mg) pack size 216 [formerly NICOTINELL Chewing Gum (Nicotine 2mg) pack size 2*216] PRIVIGEN Infusion (Immunoglobulin, normal (human) 5g/50mL) pack size 1*50mL [formerly PRIVIGEN Sol for Inf (Immunoglobulin, normal (human) 5g/50mL) pack size 1*50mL] PRIVIGEN Infusion (Immunoglobulin, normal (human) 10g/100mL) pack size 1*100mL [formerly PRIVIGEN Sol for Inf (Immunoglobulin, normal (human) 10g/100mL) pack size 1*100mL] PRIVIGEN Infusion (Immunoglobulin, normal (human) 20g/200mL) pack size 1*200mL [formerly PRIVIGEN Sol for Inf (Immunoglobulin, normal (human) 20g/200mL) pack size 1*200mL] PRIVIGEN Infusion (Immunoglobulin, normal (human) 40g/400mL) pack size 1*400mL [formerly PRIVIGEN Sol for Inf (Immunoglobulin, normal (human) 40g/400mL) pack size 1*400mL] SEASONIQUE Tablet (Levonorgestrel/Ethinylestradiol 150mcg/30mcg [84] + 10mcg [7]) pack size 91 [formerly SEASONIQUE Tablet (Levonorgestrel/Ethinylestradiol 150mcg/30mcg [84], 10mcg [7]) pack size 91] STRATTERA Capsule (Atomoxetine (as hydrochloride) 10mg) pack size 28 [formerly STRATTERA Capsule (Atomoxetine (as hydrochloride) 10mg) pack size 2*28] STRATTERA Capsule (Atomoxetine (as hydrochloride) 18mg) pack size 28 [formerly STRATTERA Capsule (Atomoxetine (as hydrochloride) 18mg) pack size 2*28] STRATTERA Capsule (Atomoxetine (as hydrochloride) 25mg) pack size 28 [formerly STRATTERA Capsule (Atomoxetine (as hydrochloride) 25mg) pack size 2*28] STRATTERA Capsule (Atomoxetine (as hydrochloride) 40mg) pack size 28 [formerly STRATTERA Capsule (Atomoxetine (as hydrochloride) 40mg) pack size 2*28] STRATTERA Capsule (Atomoxetine (as hydrochloride) 60mg) pack size 28 [formerly STRATTERA Capsule (Atomoxetine (as hydrochloride) 60mg) pack size 2*28] ZITHROMAX IV Powder->Inj (Azithromycin 500mg) pack size 1 [formerly ZITHROMAX IV Powder (Azithromycin 500mg) pack size 1]
ZYPINE ODT OralDisTab (Olanzapine 5mg) pack size 28 [formerly ZYPINE ODT Wafer (Olanzapine 5mg) pack size 28]
ZYPINE ODT OralDisTab (Olanzapine 10mg) pack size 28 [formerly ZYPINE ODT Wafer (Olanzapine 10mg) pack size 28]
ZYPINE ODT OralDisTab (Olanzapine 15mg) pack size 28 [formerly ZYPINE ODT Wafer (Olanzapine 15mg) pack size 28]
ZYPINE ODT OralDisTab (Olanzapine 20mg) pack size 28 [formerly ZYPINE ODT Wafer (Olanzapine 20mg) pack size 28]
Cross-references
[none]
AusDI drug information documents
Product Information [PI] documents: 22750 products have a PI (3791 unique PIs)
Consumer Medicine Information [CMI] documents: 24657 products have a CMI (4521 unique CMIs)
AusDI monographs: 20727 products have a monograph (600 unique monographs)
*** END OF REPORT ON APRIL 2023 UPDATE ***