1. Cefixime 400 mg capsules  orally 1 x1
2. Panadol sinus 2 caplets every 4-6 hours as required
3. Tabunex .05% nasal spray 2 sprays in each nostril once a day

If there are excessive secretions and sneezing   add:

• Telfast 180mg orally once a day

Cefixime

Dosage Forms & Strengths:

• 200mg capsules, 400mg capsule and tablets, 100mg/5ml suspension

Trade names  :

• Suprax , Cefix, Magnacif, Mixif, Betixim, Winex , Pancef , Apex, Cefim , Macrocef Suraxim.

Therapeutic indication and dose :

Acute Exacerbations of Chronic Bronchitis

• 400 mg/day PO in single daily dose or divided q12hr

Otitis Media

• 400 mg/day PO in single daily dose or divided q12hr

Pharyngitis/Tonsillitis

• 400 mg/day PO in single daily dose or divided q12hr

Uncomplicated Gonorrhea

• 400 mg PO once plus azithromycin 1 g PO once (preferred) or alternatively doxycycline 100 mg PO q12hr for 7 days

Uncomplicated Urinary Tract Infections

• 400 mg/day PO in single daily dose or divided q12hr

Typhoid Fever (Off-label)

• 15-20 mg/kg/day; not to exceed 100-200 mg BID x 7-14 days 

Contraindications:

• Hypersensitivity to cephalosporin

Pregnancy and lactation: 

• Cefixime should not be used in pregnancy or in nursing mothers unless considered essential by the physician. 

Side effects:

• Abdominal pain
• Diarrhea, Dyspepsia, Nausea, Vomiting, Flatulence

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 (Mometasone)

• help to relieve inflammation(swelling and irritation of the nose), sneezing, itching and a blocked up or runny nose.

Available forms:

• Nasonex, Tabunex, Sinocort: 05% nasal spray

 Indications:

• to treat the symptoms of seasonal allergic rhinitis (also called hayfever) and perennial (long lasting) rhinitis in adults and children aged 3 and older;
•  to treat nasal polyps in adults aged 18 and over

Dose:

Adult:

• recommended dose is two sprays in each nostril once a day. 
• Once symptoms are controlled, dose reduction to one spray in each nostril may be effective for maintenance.
• may  increase to  the dose; the maximum daily dose is four sprays into each nostril once a day. 

Children aged 3 to 11 years :

• the usual dose is one spray into each nostril once daily. 
• May used some days before the start of the allergy season, as this will help to prevent  allergic rhinitis symptoms from occurring. 
• Prophylaxis must be initiated up to 2-4 weeks prior to the anticipated start of the allergy season.
•  Benefit of treatment may be achieved in the first two days.
•  Maximum benefit is achieved within 1-2 weeks following initiation of treatment. Therefore, patients should continue regular use to achieve full therapeutic benefit. 

For patients who use MOMEX® at regular intervals for treatment of allergic rhinitis,:

• recommended dose is a spray into each nostril once a day. For children between the ages of 2 and 11 years the usual recommended dose is one spray in each nostril once a day.

Fexofenadine

Available forms:

• Telfast, Exofen, Fexofast, Fexodex, Fenadex, Feskine, Fexadine:
• 120mg, 180mg tab

Theraputic indication: 

for symptoms that occur with hay fever (seasonal allerigic rhinitis) such as sneezing, itchy, running or blocked nose and itchy, red an watery eye ).

Dose:

For adults and children aged 12 years and over:

• 120 mg Tablets: The recommended dose is one tablet (120mg) daily. Taken with water before a meal.
• 180 mg Tablets: The recommended dose is one tablet (180mg) daily. Taken with water before a meal.

Pregnancy and breast-feeding

• Fexofenadine hydrochloride is not recommended duing pregnancy breast-feeding.

Common side effects 

• headache
• Drowsiness
• feeling sick (nausea)
• dizziness