Rx
Notes
In emergency
Disease annotations
Rx
- Cephalexin 500 mg capsule 1×2 up to 4g/day in devided doses
- Panadol ActiFast 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
Cephalexin
Dosage Forms & Strengths:
- 250mg capsule, 500mg capsule , 1g tablet, 125mg/5ml suspension, 250mg/5ml suspension
Trade names :
- Lexin, Cephadar, Unilexin, Keflex, Pharmexin, Flexin
Therapeutic indication and dose :
Genitourinary Tract Infections
- 250 mg PO q6hr; dosage range, 1-4 g/day in divided doses
Bone Infections
- 250 mg PO q6hr; dosage range, 1-4 g/day in divided doses
Uncomplicated Cystitis
- 250 mg PO q6hr or 500 mg PO q12hr; dosage range, 1-4 g/day in divided doses
Otitis Media
- 250 mg PO q6hr; dosage range, 1-4 g/day in divided doses
Skin/Skin Structure Infections
- 250 mg PO q6hr or 500 mg PO q12hr; dosage range, 1-4 g/day in divided doses
Respiratory Tract Infections
- 250 mg PO q6hr; dosage range, 1-4 g/day in divided doses
Streptococcal Pharyngitis
- 250 mg PO q6hr or 500 mg PO q12hr; dosage range, 1-4 g/day in divided doses
Cellulitis and Mastitis
- 500 mg PO q6hr; dosage range, 1-4 g/day in divided doses 500 mg PO q6hr for 7 days
Contraindications:
- Allergy to the cephalosporins group of antibiotics
- Cephalosporins should be given with caution to penicillin-sensitive patients, as there is some evidence of partial cross-allergenicity between the penicillins and the cephalosporins.
- Cefalexin is contraindicated in patients with acute porphyria.
Pregnancy: Caution should be exercised when prescribing for the pregnant patient.
Breastfeeding:
- The excretion of cefalexin in human breast milk increased up to 4 hours following a 500mg dose. Caution should be exercised when cefalexin is administered to a nursing mother, possible effects to the infant include modification of bowel flora.
Side effects:
- Pseudomembranous colitis
- Nausea and vomiting.
- Diarrhea
- Dyspepsia and abdominal pain
Panadol ActiFast
Product Description:
- Panadol ActiFast is a fast effective pain and is gentle on the stomach.
- Panadol ActiFast is a pain reliever that is absorbed twice as fast as regular paracetamol.
- Panadol ActiFast is effective for the relief of fever and the treatment of mild to moderate pain including headache, migraine, rheumatic and muscular pain, period pain, pain of osteoarthritis, toothache, pain following dental procedures/tooth extraction, and pain after vaccination.
What is Paracetamol used for :
Paracetamol is a medication that is used for the relief of the following indications:
- Headache
- Period pain
- Backache
- Rheumatic pain (joints pain)
- Cold and flu
- Sore throat
- Mild arthritis pain (joints pain)
- Muscle Pain
- Toothache
- Fever
Contraindication:
- In allergy to Paracetamol, or any of the ingredients in this medicine.
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