1. Amoxicillin 500 mg capsule 1x2x10-14 or 250 mg capsule 1x3x10-14

2. Panadol sinus 2 caplets every 4-6 hours as required

3. Flixonase 50mcg/dose nasal spray 2 sprays in each nostril once a day

If there are excessive secretions and sneezing   add:

• clara 10mg orally once a day

Amoxicillin  :

Dosage Forms & Strengths

1000mg, 1g, 500mg, 750mg 625mg tablets, 500mg, 250mg capsules, 375mg/5ml suspension ,250mg/5ml suspension, 125mg/5ml suspension 

Trade names : Amoxil,Moxiram,Penamox,Ultramox,Moxilen,Hymox,Amoxapen,

Julphamox,Ospamox,Amoxydar,Amoxibel

Therapeutic indication and dose :

Ear, Nose, & Throat Infections

Mild to moderate infections

• 500 mg PO q12hr or 250 mg PO q8hr for 10-14 days

Severe infections

• 500 mg PO q8hr for 10-14 days

Genitourinary Tract Infections

Mild to moderate infections

• 500 mg PO q12hr or 250 mg PO q8hr

Severe infections

• 500 mg PO q8hr

Skin & Skin Structure Infections

Mild to moderate infections

• 500 mg PO q12hr or 250 mg PO q8hr

Severe infections

• 500 mg PO q8hr

Lower Respiratory Tract Infections

• 500 mg PO q8hr for 10-14 days

Helicobacter Pylori

H pylori infection and active or 1-year history of duodenal ulcer

Triple therapy

• 1 g PO q12hr for 14 days with lansoprazole (30 mg) and clarithromycin (500 mg)

Dual therapy

• 1 g PO q8hr for 14 days with lansoprazole (30 mg) in patients intolerant of, or resistant to, clarithromycin

Infective Endocarditis

Prophylaxis

• 2 g PO 30-60 min before procedure

Chlamydial Infection in Pregnant Women 

• First trimester: 500 mg PO q8hr for 7 days

Contraindications:

• Hypersensitivity to penicillin’s, semi-synthetic penicillin’s or cephalosporin. 
• Liver problems
• Renal impairment

Pregnancy:

• Category B

Breastfeeding :

• Amoxicillin is excreted into breast milk in small quantities
• Diarrhea and fungus infection of the mucous membranes are possible in the breast-fed infant, so that breast-feeding might have to be discontinued. 

Common side effects:

• Anaphylaxis
• Anemia
• AST/ALT elevation
• Mucocutaneous candidiasis
• Diarrhea
• Headache
• Nausea
• Vomiting
• Rash
• Pseudomembranous colitis

Panadol sinus

Ingredients:

Each Panadol Sinus caplet contains:

• Paracetamol 500mg
• Pseudoephedrine Hydrochloride 30mg.

Panadol Sinus is for fast effective relief from:

• Sinus Pain, Nasal Congestion, and Headache.
• Panadol Sinus provides powerful relief from sinus pain and congestion. .

How to Use:

Adults and children over 12 years:

Take 2 caplets every 4-6 hours as required

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). 

Loratadine

Available forms:

• Loratan, clara, histal, Klarihist, Loreen, Lorine Lohist, Ramitin:10mg tab, 5mg/5ml syrup
• Tidilor, Claritine, Lorax :10mg tab, 1mg/1ml syrup
• Loratin, Restamine:10mg tab
• Lostamin: 5mg/5ml syrup

Indications:

• Relief of symptoms associated with allergic rhinitis, such as sneezing, nasal discharge (rhinorrhea) as well as ocular itching and burning.
• indicated for the relief of symptoms and signs of chronic urticaria and other allergic dermatologic disorders.

Dose:

• Adults and children 6 years and older who weigh more than 30kg : 1 x tablet once daily
• Adults and children over 12 years of age: 2 teaspoons (10 ml), once a day, with or without food.
• The dosage for children aged 2-12 is by weight:
• Body weight over 30 kg: 2 teaspoons (10 ml), once a day, with or without food.
• Body weight of 30 kg or less: one teaspoon (5 ml), once a day, with or without food.

Pregnancy and breast-feeding :

As a precautionary measure, it is preferable to avoid the use of Loratadine Tablets during pregnancy. Loratadine is excreted in breast milk so preferable to avoid the use in lactation

side effect:

• drowsiness 
• headache
• increased appetite 
• difficulty sleeping.