1. Azithromycin 500mg capsule 1x1x3
2. Panadol Advance 2 tablets up to 4 times daily

1. Aierxem 50mcg/dose nasal spray 2 sprays in each nostril once a day

If there are excessive secretions and sneezing   add:

• Hydroxyzine 25mg 1 tab every 8-6 hours

 If there is nasal obstruction add :

• Sterimar Isotonic sea water spray 1puff 4-6 times

Azithromycin

Dosage Forms & Strengths:

• 250mg ,500mg  capsule and tablet, 500mg vial, 200mg/5ml suspension, 300mg /7.5ml suspension

Trade names  :

Zocin, Zimax , Zomax, Azomycin, Azi_once, Zithromax, Azitam, Zithrova, Zaha, Zilacid, Azicure, Azomyne , Azox

Therapeutic indication and dose :

Community-acquired Pneumonia

• 500 mg PO x 1 dose on Day 1, followed by 250 mg PO qDay on Days 2-5

Pharyngitis or Tonsillitis

• 500 mg PO x 1 dose on Day 1, followed by 250 mg PO qDay on Days 2-5

Uncomplicated skin/skin structure

• 500 mg PO x 1 dose on Day 1, followed by 250 mg PO qDay on Days 2-5

Acute bacterial exacerbations of chronic obstructive pulmonary disease

• 500 mg PO qDay for 3 days OR
• 500 mg PO x 1 dose on Day 1, followed by 250 mg PO qDay on Days 2-5

Acute bacterial sinusitis

• 500 mg PO qDay x 3 days

Genital Ulcer Disease (Chancroid)

• 1000 mg PO x 1 dose

Nongonococcal or Gonococcal Urethritis and Cervicitis

• 1000 mg PO x 1 dose

Cat Scratch Disease (Off-label)

• >45.5 kg: 500 mg PO once, then 250 mg once daily for 4 days

Pertussis (Off-label)

• 500 mg PO once, then 250 mg once daily for 4 days

Endocarditis (Off-label)

Prophylaxis

• 500 mg PO 30-60 min before procedure

Contraindications:

• Hypersensitivity to azithromycin, erythromycin, any macrolide

Pregnancy:

• The safety of azithromycin has not been confirmed with regard to the use of the active substance during pregnancy. Therefore, Azithromycin should only be used during pregnancy if the benefit outweighs the risk

Breastfeeding :

• Azithromycin has been reported to be secreted into human breast milk
• Because it is not known whether azithromycin may have adverse effects on the breast-fed infant, nursing should be discontinued during treatment with Azithromycin. Among other things diarrhea, fungus infection of the mucous membrane is possible in the nursed infant. It is recommended to discard the milk during treatment and up until 2 days after discontinuation of treatment. Nursing may be resumed thereafter. 

Common side effects:

• Anorexia
• Dizziness, headache, paranesthesia, dysgeusia
• Visual impairment, Deafness
• Vomiting, dyspepsia
• Rash, pruritus

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.

Corticosteroids nasal spray (Fluticasone)

Available forms:

• Flixonase, Rhinase, Dalman, Avamys, Aierxem: 50mcg/dose

Indications:

corticosteroid indicated for the management of thenasal symptoms of perennial nonallergic rhinitis in adult and pediatric patients

aged 4 years and older. 

Dose:

For intranasal use only. Recommended starting dosages:

• Adults: 2 sprays per nostril once daily (200 mcg per day). 
• Adolescents and children aged 4 years and older: 1 spray per nostril oncedaily (100 mcg per day). 

Hydroxyzine

Available forms:

• Atarax :25mg tab, 10mg/5ml syrup
• Newrax  :10mg/5ml syrup

Therapeutic indications:

• Anxiety in adults 
• Itching (pruritus) caused by allergic reactions in adults and children.

Dose :

• In adults the maximum daily dose is 100 mg (4 tablets) per day 

Adults

For anxiety:

• The usual dose is ½ tablet at breakfast, ½ tablet at lunch and 1 tablet in the evening
• doctor may increase this to a maximum of 4 tablets taken three times a day.

For pruritis (itchiness of the skin):

• The usual dose is 1 tablet before going to bed
• doctor may increase this to 1 tablet three or four times a day

Children

• In children up to 40 kg, the maximum daily dose is 2 mg/kg/day.

For pruritis :

• The usual dose is 0.5 mg per kg of body weight twice a day
• doctor may increase this to a maximum of 1 mg per kg of body weight twice a day

The elderly

• In the elderly, the maximum daily dose is 50 mg (2 tablets) per day.
• The usual starting dose is 25 mg (1 tablet) a day

Contraindication :

• allergy to hydroxyzine hydrochloride or any of the other ingredients 
• allergy to cetirizine, other piperazine derivatives, aminophylline or ethylenediamine
• pregnancy or breastfeeding
• porphyria.(A blood disease that can cause stomach pain, vomitingand mental disturbances such as depression
• ECG (electrocardiogram) shows a heart rhythm problem called “QT interval prolongation”

Pregnancy and breastfeeding :

• Not recommended in  pregnancy or breastfeeding

Side effect:

• feeling sleepy
• dry mouth, feeling tired, headache

Sterimar Isotonic sea water spray 

• Is a natural nasal decongestant spray
• Is an isotonic filtered sea water solution, 100% natural and free from preservatives
• Restores natural moisture of the nose (air conditioning, heating, travel). To assist when ENT disorders (sinusitis, colds, hayfever, allergies, dry & stuffy noses).

Dose:

• 1puffs 2 to 6 times a day in each nostril as required or as needed.

Pregnancy and lactation:

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