1. Erythrodar 400mg orally 1x2x10
2. panadol 500mg tablets  1x 4 up to 2 x 4 until fever subside
3. Gurgle with salt and water solution (don’t swallow it ) 3 times daily
4. Soft food and warm drinks

Erythromycin

Dosage Forms & Strengths:

250mg tablet , 400mg tablet , ,200mg tablet , 200mg/5ml suspension 

Trade names  :

Rythromac ,Erythrodar 

Therapeutic indication and dose :

General Dosing Recommendations

• 400 mg PO q6hr or
• 250-500 mg PO q6-12hr or 500 mg q12hr or 333 mg PO q8hr
• Severe infections: Up to 4 g/day

Intestinal amebiasis

• 400 mg PO q6hr for 10-14 days

Legionnaire Disease

• 400-1000 mg PO q6hr for 21 days

Pertussis

• 500 mg PO q6hr for 14 days

Streptococcal infections

• 400 mg PO divided q12hr for 10 days

Urethritis

• 800 mg PO q8hr for 7 days or
• 500 mg PO q6hr for 7 days

Lymphogranuloma Venereum

• 500 mg PO q6hr for 21 days

Contraindications:

• Known hypersensitivity to erythromycin. 
• Erythromycin is contraindicated in patients taking simvastatin

Pregnancy and lactation:

• Observational studies in humans have reported cardiovascular malformations after exposure to medicinal products containing erythromycin during early pregnancy. 
• Erythromycin has been reported to cross the placental barrier in humans, but foetal plasma levels are generally low. 
• There have been reports that maternal macrolide antibiotics exposure within 7 weeks of delivery may be associated with a higher risk of infantile hypertrophic pyloric stenosis (IHPS). 
• Erythromycin can be excreted into breast-milk. Caution should be exercised when administering erythromycin to lactating mothers

Side effect:

• Upper abdominal discomfort, nausea, vomiting, diarrhea
• Pancreatitis, anorexia, infantile hypertrophic pyloric stenosis. 
• Allergic reactions ranging from urticaria and mild skin eruptions to anaphylaxis
• Deafness, tinnitus

Paractamol

• Analgesic and antipyretics
• Not anti-inflammatory effect
• Suitable for Temperature between (37.5C – 38.5C)
• Safe under 6 months

Trade names  : ( Revanin ,Adol,Panda,Dolocet ,Feverol, panadol )

Concentrations: 500 mg tablet, ,1g tablet ,125 mg/5 ml syrup, 250 mg/5 ml syrup, 125 mg suppositories, 250 mg suppositories, 1g/100ml solution for infusion

Dose : 

Tablet, capsule : 

• 500mg tabs 1-2 tabs /cap every 6 hours

Syrup, suspension :

• < 5year  :  125mg/5ml susp (w/2) Every 4 – 6 hours
• 5-12 year : 250mg/5ml susp (w/4) Every 4 – 6 hours 

Suppositories :

• <1Y : 125 mg supp Every 8 hours  (1 supp x 3 )
• >1Y : 250mg supp Every 8 hours ( 1supp x 3 )

Iv solution 1g/100ml :

• <10kg : 0 .75ml/kg 
• >10kg , <50kg :  1.5ml/kg
• >50kg : 100ml Slowly over 15 minute

Maximum dose : 4g daily 

Pregnancy and lactation : Paracetamol is the first choice of painkiller in pregnancy and breastfeeding