1. Erythrodar 500mg orally 1x2x10
2. Panadol Extra 2 tablets up to 4 times daily
3. Rhinase .50mcg/dose nasal spray 2 sprays in each nostril once a day

If there are excessive secretions and sneezing   add:

• Cerin 10mg tab once daily

 If there is nasal obstruction add :

• Sinomarin nasal spray 1puff 4-6 times daily

Erythromycin

Dosage Forms & Strengths:

250mg tablet , 400mg tablet , ,200mg tablet , 200mg/5ml suspension 

Trade names  :

Rythromac ,Erythrodar 

Therapeutic indication and dose :

General Dosing Recommendations

• 400 mg PO q6hr or
• 250-500 mg PO q6-12hr or 500 mg q12hr or 333 mg PO q8hr
• Severe infections: Up to 4 g/day

Intestinal amebiasis

• 400 mg PO q6hr for 10-14 days

Legionnaire Disease

• 400-1000 mg PO q6hr for 21 days

Pertussis

• 500 mg PO q6hr for 14 days

Streptococcal infections

• 400 mg PO divided q12hr for 10 days

Urethritis

• 800 mg PO q8hr for 7 days or
• 500 mg PO q6hr for 7 days

Lymphogranuloma Venereum

• 500 mg PO q6hr for 21 days

Contraindications:

• Known hypersensitivity to erythromycin. 
• Erythromycin is contraindicated in patients taking simvastatin

Pregnancy and lactation:

• Observational studies in humans have reported cardiovascular malformations after exposure to medicinal products containing erythromycin during early pregnancy. 
• Erythromycin has been reported to cross the placental barrier in humans, but foetal plasma levels are generally low. 
• There have been reports that maternal macrolide antibiotics exposure within 7 weeks of delivery may be associated with a higher risk of infantile hypertrophic pyloric stenosis (IHPS). 
• Erythromycin can be excreted into breast-milk. Caution should be exercised when administering erythromycin to lactating mothers

Side effect:

• Upper abdominal discomfort, nausea, vomiting, diarrhea
• Pancreatitis, anorexia, infantile hypertrophic pyloric stenosis. 
• Allergic reactions ranging from urticaria and mild skin eruptions to anaphylaxis
• Deafness, tinnitus

Panadol-Extra 

Ingredients:

Each tablet contains:

• 500MG PARACETAMOL, 65MG CAFFEINE.

Product Description

• Panadol Extra is ideal for those who want the benefits of Panadol, plus a little extra relief from mild to moderate pain such as headaches, toothache, and period pain.
• The ingredients in Panadol Extra provide up to 37% more powerful pain relief than standard paracetamol.
• It is also gentle on the stomach when used as prescribed . Panadol Extra is a paracetamol-based analgesic that provides relief from fever and strong pain such as
• Headaches, including migraine, muscular aches and pains, period pain, toothache, and sore throat.

How to use:

• Oral administration only. Adults including the elderly and children aged 12 years and over:
• 2 tablets up to 4 times daily 8 tablets in 24 hours.
• Should not be used with other paracetamol-containing products. Not recommended for children under 12 years of age.

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). 

 Cetirizin

Available forms:

• Zyrtic: 10mg tab, 1mg/1ml syrup, 10mg/ml oral drop
• Cerin :10mg tab, 1mg/1ml syrup
• Zertazin : 10mg tab, 5mg/5ml syrup
• Zeran :10mg tab
• Zain :10mg tab
• Siraz : 5mg tab, 5mg/5ml syrup
• Finallerg :10mg tab, 1mg/1ml syrup, 10mg/ml oral drop
• Sezonal :10mg tab
• Omcet : 5mg tab, 5mg/5ml syrup, 10mg/ml syrup

Therapeutic  indication:

• for the relief of nasal and ocular symptoms of seasonal and perennial allergic rhinitis
• for the relief of chronic nettle rash (chronic idiopathic urticaria).

Pregnancy and breast-feeding :

• Cetirizin should be avoided in pregnant women. Accidental use of the medicine by a pregnant
• woman should not produce any harmful effects on the foetus. Nevertheless, the medicine should be only administered if necessary and after medical advice.
• Cetirizine passes into breast milk. Therefore, should not taken during breast feeding 

 How to take Cetirizin Sandoz :

Adults :

• The recommended dose is 10 mg once daily as 1 tablet

Use in children between 6 and 12 years old:

• The recommended dose is 5 mg twice daily as a half tablet twice daily

side effects :

• fatigue
• dry mouth, nausea, diarrhoea
• dizziness, headache
• somnolence (sleepiness)
• pharyngitis (sore throat), rhinitis (swelling and irritation inside the nose)

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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