Rx
Notes
In emergency
Disease annotations
Rx
- Cephadroxil 500 mg capsule 1x2x10
- Taskine 400mg tablet 1 x 3 until fever subside
- Gurgle with salt and water solution (don’t swallow it ) 3 times daily
- Soft food and warm drinks
Notes
Cephadroxil
Dosage Forms & Strengths:
- 500mg caps, 1g tab, 125mg /5ml suspension, 250mg /5ml suspension, 500mg/5ml suspension
Trade names :
- Droxicef , Biodroxil, Cefadroxil, Cefadroxil, Droxil, Cedrox, Cefadril, Duricef, Midroxil
Therapeutic indication and dose :
Pharyngitis
- 1 g PO qDay or divided q12hr for 10 days
Skin & Skin Structure Infections
- 1 g PO qDay or divided q12hr
Tonsillitis
- 1 g PO qDay or divided q12hr for 10 days
Urinary Tract Infections
- 2 g PO qDay or divided q12hr
Endocarditis
- Prophylaxis (dental, upper respiratory procedure): 2 g PO 1 hour before procedure
Contraindications:
- Hypersensitivity to cefadroxil and to any of the cephalosporins
- History of severe reactions to penicillins or to any other beta-lactam drug
Pregnancy: The safe use during pregnancy has not been established.
Breast-feeding:
- Cefadroxil is present in low concentrations in breast milk
- Sensitization, diarrhea or colonization of the infants’ mucosa with fungi are possible.
- The use of cefadroxil during pregnancy and in lactating mothers should therefore be handled very strictly.
Side effect:
- Nausea, vomiting, diarrhoea, dyspepsia, abdominal pain, glossitis
- Pruritus, rash, allergic exanthema, urticaria.
Brufen
- Analgesic and antipyretics
- Has anti-inflammatory effect
- Suitable for Temperature( 38-38.5) C
- Not save under 6 months
- Taken After meal
- 200mg every 6-8 hours, May increase to 400mg every 6-8hours
Trade names : brufen (Taskine , Doloraz, Iburam,Remofen , Ibugesic, Sapofen, Perofen, Rupan,Bulkaprofen, Advil liquid-gel , Profast, Nashat ,Midofen, Ibusoft).
Other concentration: 800mg and 400mg tablet 600mg tablet, 100mg/5ml syrup
Dose:
Tablets :
Syrup, suspension :
- 100mg/5ml Syrup(Wx0.375) every 6-8hours
Oral drops :
40mg/1ml
- 6-11 months : 1.25ml every 8 hours
- 12-23months : 1.8ml every 8 hours
Maximum dose : 3200 mg per day
Contraindication:
- History of hypersensitivity to aspirin or other NSAIDs
- current or recent stomach ulcer
- severe heart failure.
- severe liver disease
Pregnancy : not usually recommended in pregnancy
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