1. Ampicillin 500mg capsules 1 x 4 x 10
2. Advil cold and sinus 1- 2 caplets every 4 to 6 hours
3. Aierxem 50mcg/dose nasal spray 2 sprays in each nostril once a day

If there are excessive secretions and sneezing   add:

• Fenistil 4mg caps 1cap every 4-6 hours

 If there is nasal obstruction add :

• Rinomest 6.5mg/ml spray 1puff 4-6 times daily

Ampicillin :

Dosage Forms & Strengths:

• 500mg capsule, 500mg vial, 250mg vial, 1g vial, 250mg /5ml suspension

Trade names  :

• Ultracilin, Ampidar , Pamecil , Penbritin ,Standacillin

Therapeutic indication and dose :

Genitourinary Tract Infections (Excluding Gonorrhea)

• <40 kg: 50 mg/kg/day IV/IM divided q6-8hr
• ≥40 kg: 500 mg PO/IV/IM q6hr

Gastrointestinal Tract Infections

• <40 kg: 50 mg/kg/day IV/IM divided q6-8hr
• ≥40 kg: 500 mg IV/IM q6hr; larger doses may be necessary in severe or chronic infection

Urinary Tract Infection (ampicillin-susceptible Enterococcus; Off-label)

• 1-2 g IV q4-6hr with or without an aminoglycoside

Gonorrhea

• 3.5 g IV administered once simultaneously with 1 g of probenecid

Respiratory Tract Infections

≥40 kg

• 250-500 mg PO q6hr
• 250-500 mg IV/IM q6hr

<40 kg

• 25 to 50 mg/kg/day IV or IM divided q6-8hr

Bacterial Meningitis/Septicemia

• 150-200 mg/kg/day IV divided q6-8hr; initiate with IV infusion; may continue with IM injections if preferred; range 6-12 g/day 

Group B Streptococcus (Off-label)

• Maternal dose for neonatal prophylaxis
• 2 g IV initially, followed by 1 g q4hr until delivery

Listeria Infection (Off-label)

• 2 g IV q4hr

Contraindications:

• History of hypersensitivity to beta-lactam antibiotics (e. g. Ampicillin, penicillin, cephalosporin).

Pregnancy and Breastfeeding :

• When antibiotic therapy is required during pregnancy and lactation, Ampicillin may be considered appropriate. 
  • Skin: Urticaria, pruritus of various etiology, endogenous eczema with previous medical diagnosis.
  • Respiratory system: Seasonal (hay fever) and perennial rhinitis with previous medical diagnosis.

Common side effects:

• Hypersensitivity reactions: Skin rash, pruritus and urticarial, Purpura
• Nausea, vomiting and diarrhea
• Swelling of the tongue

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.

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). 

Dimetindene

Available forms:

• Fenistil:  drop 1mg/1ml, 4mgcaps, 1mgtab
• Pedia fast: drop 0.1g/100ml, 0.01g/100ml syrup
• Alergin:  drop 1mg/1ml (1 ml = 20 drops).
• Fencil:  drop 1mg/1ml
• 1 ml contains dimetindene maleate 1 mg (1 ml = 20 drops).

 Therapeutic indications

• Symptomatic treatment of allergic diseases:
• Relieve of itching associated with infectious diseases (e.g. chickenpox) with previous medical diagnosis or after an insect bite or stings.

Dose:

1mg/1ml oral drops, 0.1g/100ml drop:

• Adults :The recommended daily dose is 3 – 6 mg of dimetindene maleate divided into 3 doses, 
• 20 –40 drops 3× a day.
• Paediatric  The recommended daily dose for children 1 – 11 years is 0.1 mg dimetindene maleate/kg body
• 2 drops/kg/day divided into 3 doses.

1mg tablet:

• 1 to 2 milligrams three times daily 

0.01g/100ml syrup:

• the recommended dose is 1 teaspoonful (5 ml) of a 0.01g/100ml syrup 3-4 times daily

4mg capsule :

• 1capsule once  daily 

Contraindications :

• Hypersensitivity to the active substance or to any of the excipientsInfants and children under 1 year of age.

pregnancy and lactation :

• Pregnancy There are no data about the use of dimetindene maleate during pregnancy. 
• Dimetindene maleate should not be used in pregnant women unless the benefit of treating the mother outweighs the risk for the foetus

Breast-feeding :

• There is a well-founded presumption that dimetindene can be excreted in human milk. So its not recommended.

Side effect :

• Fatigue
• Somnolence, nervousness

 Rinomist  6.5mg/ml  nasal spray

• Sodium chloridenatural nasal decongestant spray
• is an over the counter (OTC) moisturizing nasal spray that relieves the symptoms of dry, irritated nasal mucosa due to nasal congestion, dry weather, smoking, colds, nose bleeds, and other similar conditions. 

Dose:

• 1puffs 4-6 times daily

Pregnancy and lactation:

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