- Cefixime 400 mg capsules orally 1 x1
- Advil cold and sinus 1- 2 caplets every 4 to 6 hours
If there are excessive secretions and sneezing add:
- Aerius 5mg orally once a day
Cefixime
Dosage Forms & Strengths:
- 200mg capsules, 400mg capsule and tablets, 100mg/5ml suspension
Trade names :
Suprax , Cefix, Magnacif, Mixif, Betixim, Winex , Pancef , Apex, Cefim , Macrocef Suraxim.
Therapeutic indication and dose :
Acute Exacerbations of Chronic Bronchitis
- 400 mg/day PO in single daily dose or divided q12hr
Otitis Media
400 mg/day PO in single daily dose or divided q12hr
Pharyngitis/Tonsillitis
- 400 mg/day PO in single daily dose or divided q12hr
Uncomplicated Gonorrhea
- 400 mg PO once plus azithromycin 1 g PO once (preferred) or alternatively doxycycline 100 mg PO q12hr for 7 days
Uncomplicated Urinary Tract Infections
- 400 mg/day PO in single daily dose or divided q12hr
Typhoid Fever (Off-label)
- 15-20 mg/kg/day; not to exceed 100-200 mg BID x 7-14 days
Contraindications:
- Hypersensitivity to cephalosporin
Pregnancy and lactation:
- Cefixime should not be used in pregnancy or in nursing mothers unless considered essential by the physician.
Side effects:
- Abdominal pain
- Diarrhea, Dyspepsia, Nausea, Vomiting, Flatulence
Advil-Cold&Sinus Capsule
Ingredients: Ibuprofen – Pseudoephedrine
Product Description:
- Advanced formula for cold & sinus relief
Indications:
- Fast, temporary relief of the symptoms of colds including sore throat pain, sinus pain, nasal congestion, headache, fever, body aches and pains.
Dose:
Adults under 65 years and children over 12:
- 1 or 2 caplets every 4 to 6 hours as needed.
- not more six caplets in 24 hours
- not given to children under 12.
- not used longer than 3 days for a fever or 5 days for pain or cold symptoms.
Desloratadine
Available forms:
- Aerius :5mg tab, 0.5mg/ml syrup
- Lorius Dora, Noura :5mg tab
- Aeriallerg, Histcare, Iris : 5mg tab, 0.5mg/ml syrup
- Rina, Dislara :5mg tab, 2.5mg/5ml syrup
Dose :
Children 1 through 5 years of age:
- The recommended dose is 2.5 ml (1/2 of a 5 ml spoonful) of oral solution once a day.
Children 6 through 11 years of age:
- The recommended dose is 5 ml (one 5 ml spoonful) of oral solution once a day.
Adults and adolescents 12 years of age and over:
- The recommended dose is 10 ml (two 5 ml spoonfuls) of oral solution once a day.
- one tablet once a day.
Pregnancy, breast feeding
- Taking Desloratadine is not recommended in pregnancy or nursing a baby
Side effect:
- diarrhea
- fever
- insomnia
- fatigue
- dry mouth
headache
In Emergency room:
- 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
OR
- Ceftriaxone injection
Dose:
Pediatrics:
- 50 mg/kg IM in single dose; not to exceed 1 g
Adult:
- 50 mg/kg IM once
- Persistent or treatment failures: 50 mg/kg IV/IM for 3 days
- Give Antihistamine In sneezing and rhinorrhea :
- Allerfin 10mg/ml IM injection :
Dose:
- 1-5 year : 25-5mg (½ ml )
- 6-12 year: 5-10mg (1ml )
- Adult : 10-20 mg (1-2 ml )
Acute sinusitis
Presentation :
- Purulent nasal discharge
- Nasal congestion or obstruction
- Facial congestion or fullness
- Facial pain or pressure
- Decreased sense of smell
- Fever
- Headache
- Ear pain
- fullness; halitosis; dental pain; cough; fatigue
Examination:
- Purulent nasal secretions
- Purulent posterior pharyngeal secretions
- Mucosal erythema
- Tenderness overlying sinuses
Lines of management :
- Antipyretics
- Antibiotics
- Symptomatic treatment:
- In nasal obstruction : use nasal decongestant
- In excessive secretions and sneezing : use antihistamine
- If not respond : Intranasal Corticosteroids :
- Helpful in reducing mucosal swelling of inflamed tissue and facilitating sinus drainage because of an anti-inflammatory effect