1. Clindamycin 300 tablet 1 x4x10-14
2. panda 500mg tablets 1x 4 up to 2 x 4 until fever subside

If there are excessive secretions and sneezing   add:

• Atarax 25mg 1 tab every 8-6 hours

 If there is nasal obstruction add :

• Sinomarin nasal spray 1puff 4-6 times daily

Clindamycin

Dosage Forms & Strengths:

150, 300 capsule 

 Trade names  :

• Dalacin , Clindacin, Clinimycin, Clinaram, Clindamyl , Lanacin

Therapeutic indication and dose :

Serious Infections Caused by Anaerobic Bacteria

• 150-450 mg PO q6-8hr; not to exceed 1.8 g/day

Bacterial Vaginosis

• 300 mg PO q12hr for 7 days

Surgical Prophylaxis

• 900 mg PO 1 hr prior to procedure; may redose q6hr if necessary

Bite Wounds (Human or Animal)

• 300 mg PO q6hr

Orofacial/Parapharyngeal Space Infections

• 150-450 mg PO q6hr for at least 7 days; not to exceed 1.8 g/day

Endocarditis Prophylaxis (Off-label)

• 600 mg PO 30-60 min before procedure

Contraindications: Hypersensitivity to the active substance, lincomycin

Pregnancy: Clindamycin should be used in pregnancy only if clearly needed. 

Breast-feeding:

• Clindamycin is excreted in breast milk. 
• Clindamycin should not be taken by nursing mothers. 

Side effect:

• Pseudomembranous colitis
• Diarrhea
• Abdominal pain
• Rash, pruritus
• Vaginal itching and discharge

Paractamol

• Analgesic and antipyretics
• Not anti-inflammatory effect
• Suitable for Temperature between (37.5C – 38.5C)
• Safe under 6 months

Trade names  : ( Revanin ,Adol,Panda,Dolocet ,Feverol, panadol )

Concentrations: 500 mg tablet, ,1g tablet ,125 mg/5 ml syrup, 250 mg/5 ml syrup, 125 mg suppositories, 250 mg suppositories,1g/100ml solution for infusion

Dose : 

Tablet, capsule : 

• 500mg tabs 1-2 tabs /cap every 6 hours

Syrup, suspension :

• < 5year  : 125mg/5ml susp (w/2) Every 4 – 6 hours
• 5-12 year : 250mg/5ml susp (w/4) Every 4 – 6 hours 

Suppositories :

• <1Y : 125 mg supp Every 8 hours  (1 supp x 3 )
• >1Y : 250mg supp Every 8 hours ( 1supp x 3 )

Iv solution 1g/100ml :

• <10kg : 0 .75ml/kg 
• >10kg , <50kg :  1.5ml/kg
• >50kg : 100ml Slowly over 15 minute

Maximum dose : 4g daily 

Pregnancy and lactation : Paracetamol is the first choice of painkiller in pregnancy and breastfeeding 

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

Sinomarin (sea water)

• 100% natural, clinically proven nasal spray that relieves nasal congestion naturally, thins mucus and cleanses the nasal cavities effectively, helping to protect from infections. It is ideal both for regular nasal hygiene and congestion relief.

Use in cases of

• Infectious rhinitis (common cold & flu)
• Allergic rhinitis (seasonal hay fever or year-long)
• Other causes of rhinitis (e.g. pregnancy
• Sinusitis
• Regular nasal hygiene
• Nasal hydration

Dose:

• 1puffs 4-6 times daily

Pregnancy and lactation:

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