Rx
Notes
In emergency
Disease annotations
Rx
- Amoclan 625mg tablet 1 x 3 x 10 Or Amoclan 1g tablet 1 x 2 x 10
- Panadol Advance 2 tablets up to 4 times daily
- Gurgle with salt and water solution (don’t swallow it ) 3 times daily
- Soft food and warm drinks
Notes
Amoxicillin with clavulanic acid
Dosage Forms & Strengths:
- 375mg tablet, 625mg tablet, 1g tablet, 156mg/5ml suspension, 312mg /5ml suspension, 200mg/5ml suspension, 400mg/5ml suspension, 600mg/5ml suspension, 457 mg /5ml suspension, 62.5mg/5ml drops , 600 vial injection , 1200 vial injection .
Trade names :
- Clavar , Klavox, Moxiclav, Ramoclav, Curam, Julmentin, Augmentin, Clavodar, Amoclan
Therapeutic indication and dose :
Lower Respiratory Tract Infection :
- Mild to moderate: 375mg PO q8hr for 10 days
- Severe: 625 mg PO q8hr or 2000 mg (2 extended-release tabs) PO q12hr for 7-10 days
Chronic Obstructive Pulmonary Disease
- 625 mg PO q8hr
Acute Bacterial Sinusitis
- 2000 mg (2 extended-release tablets) PO q12hr for 10 days
Animal/Human Bite Wounds
- 625mg PO q8hr for 3-5 days
Erysipelas
- 625 mg PO q8hr for 7-10 days
Pyelonephritis
- 625mg PO q8hr
Skin Abscess
- 625 mg PO q12hr
Diabetic Foot
Mild to moderate, localized cellulitis
- 2000 mg (2 extended-release tablets) PO q12hr for 7-14 days
Group A Streptococci, Chronic Carrier
- 40 mg/kg/day PO divided q8hr for 10 days; not to exceed 2000 mg/day
Contraindications:
- Hypersensitivity to penicillin’s
- History of a severe immediate hypersensitivity reaction (e. g. Anaphylaxis) to another beta-lactam agent (e. g. A cephalosporin, carbapenem or monobactam).
- Hepatic and renal impairment
Pregnancy:
- Category B
Breastfeeding :
- Both substances are excreted into breast milk, diarrhea and fungus infection of the mucous membranes are possible in the breast-fed infant, so that breast-feeding might have to be discontinued.
Common side effects:
- Diarrhea, nausea and vomiting.
- Mucocutaneous candidosis
- Skin rash, itching, hives
- Vaginal itching and discharge
Panadol Advance
Ingredients:
Each film-coated tablet contains:
- Paracetamol 500mg.
Panadol Advance:
Is effective for:
- Muscle Pain.
- Colds & Influenza.
- Period Pain.
- Rheumatic Pain.
- Pain of Osteoarthritis.
- For oral use only.
Dose: Adults:
- 2 tablets every 4 hours as required.
- not more than 8 tablets in 24 hours.
Children (6 – 12 years):
- ½ to 1 tablet every 4 hours as required.
- No more than 4 tablets should be taken in 24 hours.
- Not suitable for children under 6 years.
In emergency
Give antipyretic:
Perflgan 1g/100ml intravenous injection :
Dose:
Pediatrics:
<10kg : 0 .75ml/kg
>10kg , <50kg : 1.5ml/kg
>50kg : 100ml Slowly over 15 minute
Adult:
100ml Slowly over 15 minute
OR
Diclofenac sodium injection 75 mg/3ml intramuscular injection :
Dose:
Pediatrics:
> 1year : 1ml/20kg every 12 hour .
Adult:
25 to 75 mg(1-3ml) depending on the severity pain.
If the pain still severe, you may decide to give a second injection after 6 hours.
Give Antibiotic:
Lincomycin 600mg/2ml
Dose:
Pediatrics:
IV: 10-20 mg/kg/day divided q8-12hr
IM: 10 mg/kg q12-24hr
Adult:
IM: 600 mg q12-24hr
IV: 600-1000 mg q8-12hr; not to exceed 8 g/day
Disease annotations