1. Amoclan 1g  tablets 1 x 2 x 10
2. Panadol Advance 2 tablets up to 4 times daily
3. Dalman 50mcg/dose nasal spray 2 sprays in each nostril once a day

If there are excessive secretions and sneezing   add:

• Chlorohistol 4mg tab 4mg 1tab every 4-6 hours

If there is nasal obstruction add :

• Vibrocil nasal spray apply 1 to 2 sprays in each nostril, 3to 4 times a day

Amoxicillin with clavulanic acid

Dosage Forms & Strengths:

• 375mg tablet, 625mg tablet, 1g tablet, 156mg/5ml suspension, 312mg /5ml suspension, 200mg/5ml suspension, 400mg/5ml suspension, 600mg/5ml suspension, 457 mg /5ml suspension, 62.5mg/5ml drops , 600 vial injection , 1200 vial injection .

Trade names  :

• Clavar , Klavox, Moxiclav, Ramoclav, Curam, Julmentin, Augmentin, Clavodar, Amoclan

Therapeutic indication and dose :

Lower Respiratory Tract Infection :

• Mild to moderate: 375mg  PO q8hr for 10 days
• Severe: 625 mg PO q8hr or 2000 mg (2 extended-release tabs) PO q12hr for 7-10 days

Chronic Obstructive Pulmonary Disease

• 625 mg PO q8hr

Acute Bacterial Sinusitis

• 2000 mg (2 extended-release tablets) PO q12hr for 10 days

Animal/Human Bite Wounds

• 625mg PO q8hr for 3-5 days

Erysipelas

• 625 mg PO q8hr for 7-10 days

Pyelonephritis

• 625mg PO q8hr

Skin Abscess

• 625 mg PO q12hr

Diabetic Foot

Mild to moderate, localized cellulitis

• 2000 mg (2 extended-release tablets) PO q12hr for 7-14 days

Group A Streptococci, Chronic Carrier

• 40 mg/kg/day PO divided q8hr for 10 days; not to exceed 2000 mg/day

Contraindications:

• Hypersensitivity to penicillin’s
• History of a severe immediate hypersensitivity reaction (e. g. Anaphylaxis) to another beta-lactam agent (e. g. A cephalosporin, carbapenem or monobactam). 
• Hepatic and renal impairment

Pregnancy:

• Category B

Breastfeeding :

• Both substances are excreted into breast milk, 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:

• Diarrhea, nausea and vomiting. 
• Mucocutaneous candidosis
• Skin rash, itching, hives
• Vaginal itching and discharge

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). 

Chlorpheniramine

Available forms:

• Allerfin: 4mg tab, 10mg/ml ampule, 2.5mg/5ml syrup
• Anallerge: 4mg tab 2mg/5ml syrup
• Chlorohistol: 4mg tab

 Therapeutic indications:

• symptomatic control of all allergic conditions responsive to antihistamines, including hay fever, vasomotor rhinitis, urticaria, angioneurotic oedema, food allergy, drug and serum reactions, insect bites.
• Also indicated for the symptomatic relief of itch associated with chickenpox.

Method of administration:

• Adults:  4 mg (1 tablet or 10 ml) every 4-6 hours. Not more than six doses (24 mg) a day if under 65 years of age, or more than a total of three doses (12 mg) a day if over 65 years.
• Children aged 6-11 years: 2 mg (5 ml) every 4-6 hours. Not more than a total of six doses (12 mg) a day.
• Children aged 2-5 years: 1 mg (2.5 ml liquid medicine) every 4-6 hours. Not  more than a total of six doses (6 mg) a day.
• Children 1 year-23 months: 1 mg (2.5 ml liquid medicine) twice daily, preferably morning and evening

Contraindications

• contra-indicated in patients who are hypersensitive to antihistamines or to any of the tablet ingredients.

Pregnancy

• There are no adequate data from the use of chlorphenamine maleate in pregnant women. The potential risk for humans is unknown. Use during the third trimester may result in reactions in the newborn or premature neonates. Not to be used during pregnancy unless considered essentially by a physician.

Lactation

• Chlorphenamine maleate and other antihistamine may inhibit lactation and may be secreted in breast milk. Not to be used during lactation unless considered essential by a physician

Side effects :

• Sedation
• drowsiness, dizziness, blurred vision and psychomotor impairment
• Nausea, dry mouth
• Disturbance in attention

Vibrocil

Composition :Nasal drops, nasal spray: Dimetindeni maleas 0.25 mg, Phenylephrinum 2.5 mg

Indications Therapeutic use :

• Common colds, acute and chronic rhinitis, seasonal (hay fever) and non-seasonal allergic rhinitis, acute and
• chronic sinusitis, pre- and postoperative care, adjuvant in cases of acute otitis media.

Dosage:

Nasal drops

• Children from 1to 6 years: 1 to 2 drops 3 to 4 times a day in each nostril.
• Children over 6 years and adults: 3to 4 drops 3 to 4 times a day in each nostril.

Nasal spray

• Adult: apply 1 to 2 sprays in each nostril, 3to 4 times a day.

pregnancy and breast-feeding :

• Vibrocil should not be used as a precaution because too little experience is available