List of Recommended medicines and Equipment by International Medical Guide for Ships - Third Edition

List of Recommended Medicines

List of Recommended Medicines is a group of 50 IMPA-coded items (codes 390352–391753) under List of Recommended medicines and Equipment by International Medical Guide for Ships - Third Edition in the Medicine section (IMPA 39). They are priced per bottle (45), per piece (3) and per tin (1), among others.

Buying guide

The International Medical Guide for Ships (IMGS) is WHO’s guide for the designated first-aid providers on board. It shows them how to diagnose, treat and prevent seafarers’ health problems. The third edition, published in 2007, includes a list of recommended medicines for the ship’s medicine chest, in line with the WHO Model List of Essential Medicines.[1][3]

This group holds the medicines on that list, 50 lines. They include pain relief and anti-inflammatories, antibiotics, antimalarials, cardiac and respiratory medicines, injectable emergency medicines, eye and skin preparations, and items such as hand-cleansing gel, insect repellent and permethrin lotion. The equipment on the same list, and the older second-edition lists, are separate groups.

How to specify it

The third edition itself gives no quantities. Get them from the flag’s national list where there is one; otherwise use WHO’s Quantification Addendum (2010). It gives recommended quantities for 55 medicines in the IMGS for three ship types, calculated for voyages of one month. Category A is ocean-going ships with 25–40 crew and no doctor, category B coastal ships with up to 25 crew within 24 hours of port, and category C small craft with 15 crew or fewer within a few hours of port.[3][2]

Say which voyages the ship makes. Expert interim advice on the third-edition list marks antimalarials such as artemether as needed only for voyages to areas where malaria is a risk. That advice also lets owners substitute exact equivalents on the advice of a medical practitioner or pharmacist, and order the nearest pack size above the minimum.[3]

Order by generic name, form and strength, and ask for labels and an inventory in the ship’s working language. Under the Australian rules, for example, labels must be in English with the generic name, strength, expiry date and batch number. The inventory must record each item’s expiry date, storage conditions and remaining quantity.[5]

Rules and certificates

MLC, 2006 Standard A4.1 requires every ship to carry a medicine chest, medical equipment and a medical guide. Their specifics are set by the flag and subject to regular inspection, taking into account the type of ship, the number on board and the nature, destination and duration of voyages. Guideline B4.1.1 asks flags to take into account the latest edition of the International Medical Guide for Ships when deciding the contents.[4]

The same guideline asks for the medicine chest to be inspected at intervals of no more than 12 months by persons the flag designates. They check labelling, expiry dates, storage conditions and directions for use.[4]

The WHO collaborating centres for seafarers’ health describe the IMGS list as not a formal international instrument, though flags without national requirements have long relied on it. Their interim advice on it is not mandatory either; it is the flag’s responsibility to set requirements in a legally binding way. Ships carrying dangerous goods also need the MFAG medicines, and items already on the IMGS list may count towards those.[3]

Questions buyers ask

Is the IMGS 3rd edition medicine list mandatory?
Not in itself. The MLC requires a medicine chest set by the flag, and asks flags to take the latest IMGS into account. Where the flag has no national list, the IMGS list is the usual reference.
How many of each medicine should a ship carry?
The flag’s list decides. Where there is none, WHO’s Quantification Addendum gives quantities for three ship categories, based on a one-month voyage, and a pharmacist adjusts for crew size and trading area.

Published by Sherif Awad, founder of GeoMarineHub — in ship supply since 1990, a family business since 1981 (45 years). Last checked .

At a glance

Part of Medicine (IMPA section 39): The ship’s medical chest — medicines, dressings, instruments and first-aid supplies to the flag scale.

It is one of 2 groups under List of Recommended medicines and Equipment by International Medical Guide for Ships - Third Edition; the others include List of Recommended Equipment.

Post the ones you need as a requirement and verified suppliers activated at your port bid on them — sealed, so nobody sees another bid.

Items
50
IMPA codes
390352–391753
Priced
per bottle · per piece · per tin

Items

IMPAItemUnit
390352INSECT REPELLENT AEROSOL 80MLTIN
390660PARACETAMOL TABLET 500MGPCS
390674SODIUM CHLORIDE 0.9% INFUSION, 10MLBTL
391701ACETYLSALICYLIC ACID TABLET, 300MGBTL
391702ACICLOVIR TABLET 400MGBTL
391703ADRENALINE AMPOULE 1 MLBTL
391704AMETHOCAINE 0.5% EYE DROPS, SINGLE-USE VIAL 1 MLBTL
391705AMOXICILLIN + CALVULANATE, TABLET 875 MG / 125 MGBTL
391706ARTEMETHER AMPOULE 1 ML, (= 80 MG)BTL
391707ARTEMETHER + LUMEFANTRINE, TABLETS 20 MG + 120 MGBTL
391708ATROPINE AMPOULE 1.2 MG/MLBTL
391709AZITHROMYCIN TABLET 500 MGBTL
391710CEFTRIAXONE AMPOULE 1 G, POWDER FOR INJECTIONBTL
391711CETRIZINE TABLET 10MGBTL
391712CHARCOAL, ACTIVATED 50 G, IN 300 ML PURIFIED WATERBTL
391713CIPROFLOXACIN TABLET 250MGBTL
391714CLOVES, OIL OF 10MLBTL
391715DEXAMETHASONE AMPOULE 4 MG/MLBTL
391716ANTIMALARIAL PROPHYLAXIS, (PREVENTION) TABLETTAB
391717DOCUSATE WITH SENNA TABLET, 50MG + 8MGBTL
391718VOLUME SPACER FOR SALBUTAMOL, INHALERPCS
391719ETHANOL 70% HAND CLEANSER GEL, 250MLBTL
391720ETHANOL 70% LIQUID 500MLBTL
391721FLUORESCEIN 1%, STRIPSBTL
391722FRUSEMIDE AMPOULE 4 ML = 40 MGBTL
391723GLUCAGON, READY TO USE, AMPOULE 1 MGBTL
391724HALOPERIDOL AMPOULE, 1 ML = 5 MGBTL
391725TRAMADOL TABLET 50MGBTL
391726IBUPROFEN COATED TABLET400 MGBTL
391727ISOSORBIDE DINITRATE TABLET, 5 MGBTL
391728LIGNOCAINE 1% (WITHOUT, ADRENALINE) AMPOULE 5MLBTL
391729LOPERAMDE TABLET 2 MGBTL
391730MEBENDAZOLE TABLET 100 MGBTL
391731METOPROLOL TABLET 100 MGBTL
391732METRONIDAZOLE TABLET 500 MGBTL
391734MIDAZOLAM AMPOULE 1 ML, (= 5 MG)BTL
391735MISOPROSTOL TABLET 200 MICRO GBTL
391737MORPHINE (ORAL) LIQUID 1 MG/ML, 100MLBTL
391739OMEPRAZOLE TABLET 20 MGBTL
391740ONDANSETRON TABLET 4 MGBTL
391741SCOPOLAMIN TRANSDERMAL, PATCHPCS
391742OXYMETAZOLINE 0.5%, (OR EQUIVALENT)BTL
391744PERMETHRIN 1% LOTION 250MLBTL
391745PERMETHRIN 5% LOTION VIAL OF, 250GBTL
391746POVIDONE IODINE OINTMENT 10%, AND SOLUTION 10% 25 TO 50GBTL
391747PREDNISONE TABLET 25 MGBTL
391748PROVIDONE IODINE SOLUTION 10%, 30 TO 120MLBTL
391750TETRACYCLINE 1% OINTMENT 5GBTL
391751VITAMIN K AMPOULE 1 ML = 10 MGBTL
391753ZIDOVUDINE PLUS LAMIVUDINEBTL

Also under List of Recommended medicines and Equipment by International Medical Guide for Ships - Third Edition

Most requested sections