- Cephadroxil 500 mg capsule 1x2x10
- Panadol sinus 2 caplets every 4-6 hours as required
- Rhinase 50mcg/dose nasal spray 2 sprays in each nostril once a day
If there are excessive secretions and sneezing add:
- loreen10mg tab orally once a day
Cephadroxil
Dosage Forms & Strengths:
- 500mg caps, 1g tab, 125mg /5ml suspension, 250mg /5ml suspension, 500mg/5ml suspension
Trade names :
- Droxicef , Biodroxil, Cefadroxil, Cefadroxil, Droxil, Cedrox, Cefadril, Duricef, Midroxil
Therapeutic indication and dose :
Pharyngitis
- 1 g PO qDay or divided q12hr for 10 days
Skin & Skin Structure Infections
- 1 g PO qDay or divided q12hr
Tonsillitis
- 1 g PO qDay or divided q12hr for 10 days
Urinary Tract Infections
- 2 g PO qDay or divided q12hr
Endocarditis
- Prophylaxis (dental, upper respiratory procedure): 2 g PO 1 hour before procedure
Contraindications:
- Hypersensitivity to cefadroxil and to any of the cephalosporins
- History of severe reactions to penicillins or to any other beta-lactam drug
Pregnancy: The safe use during pregnancy has not been established.
Breast-feeding:
- Cefadroxil is present in low concentrations in breast milk
- Sensitization, diarrhea or colonization of the infants’ mucosa with fungi are possible.
- The use of cefadroxil during pregnancy and in lactating mothers should therefore be handled very strictly.
Side effect:
- Nausea, vomiting, diarrhoea, dyspepsia, abdominal pain, glossitis
- Pruritus, rash, allergic
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.
In Emergency room:
- Give antipyretic:
- Perflgan 1g/100ml intravenous injection :
Dose:
Pediatrics:
- <10kg : 0 .75ml/kg
- >10kg , <50kg : 1.5ml/kg
- >50kg : 100ml Slowly over 15 minute
Adult:
- 100ml Slowly over 15 minute
OR
- Diclofenac sodium injection 75 mg/3ml intramuscular injection :
Dose:
Pediatrics:
- > 1year : 1ml/20kg every 12 hour .
Adult:
- 25 to 75 mg(1-3ml) depending on the severity pain.
- If the pain still severe, you may decide to give a second injection after 6 hours.
- Give Antibiotic:
- Lincomycin 600mg/2ml
Dose:
Pediatrics:
- IV: 10-20 mg/kg/day divided q8-12hr
- IM: 10 mg/kg q12-24hr
Adult:
- IM: 600 mg q12-24hr
- IV: 600-1000 mg q8-12hr; not to exceed 8 g/day
OR
- Ceftriaxone injection
Dose:
Pediatrics:
- 50 mg/kg IM in single dose; not to exceed 1 g
Adult:
- 50 mg/kg IM once
- Persistent or treatment failures: 50 mg/kg IV/IM for 3 days
- Give Antihistamine In sneezing and rhinorrhea :
- Allerfin 10mg/ml IM injection :
Dose:
- 1-5 year : 25-5mg (½ ml )
- 6-12 year: 5-10mg (1ml )
- Adult : 10-20 mg (1-2 ml )
Acute sinusitis
Presentation :
- Purulent nasal discharge
- Nasal congestion or obstruction
- Facial congestion or fullness
- Facial pain or pressure
- Decreased sense of smell
- Fever
- Headache
- Ear pain
- fullness; halitosis; dental pain; cough; fatigue
Examination:
- Purulent nasal secretions
- Purulent posterior pharyngeal secretions
- Mucosal erythema
- Tenderness overlying sinuses
Lines of management :
- Antipyretics
- Antibiotics
- Symptomatic treatment:
- In nasal obstruction : use nasal decongestant
- In excessive secretions and sneezing : use antihistamine
- If not respond : Intranasal Corticosteroids :
- Helpful in reducing mucosal swelling of inflamed tissue and facilitating sinus drainage because of an anti-inflammatory effect