1. Cefixime 400 mg capsules  orally 1 x1
2. voltaren 50mg tab 1×3 until fever subside
3. Sinocort .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

 If there is nasal obstruction add :

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

Cefaclor

Dosage Forms & Strengths:

500mg caps, 250 mg caps, 375 tabs, 500 mg tabs, 750mg tabs, 125mg/5ml suspension, 250mg/5ml suspension, 375mg/5ml, suspension 

Trade names  :

Ceclor, Cloracef, Forticef, Biocef, Forbatec , Cefabac , Midocef  ,Pharmaclor , Tibifor

Therapeutic indication and dose :

Lower Respiratory Tract Infections

• Capsules: 250-500 mg PO q8hr

Otitis Media

• Capsules: 250-500 mg PO q8hr

Uncomplicated Skin and Skin Structure Infections

• Capsules: 250-500 mg PO q8hr
• Extended-release tablets: 375 mg PO q12hr for 7-10 days

Urinary Tract Infections

• Capsules: 250-500 mg PO q8hr

Bronchitis

• Extended-release tablets: 500 mg PO q12hr for 7 days

Pharyngitis and Tonsillitis

• Capsules: 250-500 mg PO q8hr
• Extended-release tablets: 750 mg PO q12hr for 10 days 

Contraindication: Hypersensitivity to cephalosporin. 

Pregnancy and Breast-feeding

• Small amounts of cefaclor have been detected in breast milk following of single 500mg doses. 
• Caution should be exercised when prescribing for the pregnant patient. 

Side effects:

• Diarrhea, Nausea and vomiting
• Colitis, including rare instances of pseudomembranous colitis

Hypersensitivity, pruritus and urticarial

Diclofenac sodium

• Mainly analgesic
• Has anti-inflammatory effect
• Suitable for temperature >39
• Contraindicated in < 1year age
• After meal

Trade names  of diclofenac  : (Diclogesic,Votrex,Infla-ban,Voltaren,Tratul,RofenacDiclofen,Olfen,Optifen,Almiral, Clofen, Diclosal, Divido,Diclomax, Nalgofen, Difen,)

Other concentrations: 12.5 mg, 50, 100 suppositories, 25, 50, 100 tablet, 100 capsules, 75 mg/3ml mg injection

Dose : 

Tablet: 

• 75 mg to 150 mg daily in two or three divided doses. 

Suppositories :

Adults: 75-150mg daily, in divided doses every 12 hour

children:

• 1-3 years or <15 kg: 12.5 mg suppositories every 12 hour
• 3-12years or >15kg : 25mg suppositories every 12 hour

IM Injection 75mg/3ml

Adults :  25 to 75 mg depending on the severity pain. 

The maximum daily dose is :150 mg.

Contraindication: 

• History of hypersensitivity to diclofenac sodium
• Asthma 
• Hypertension
• current or recent stomach ulcer
• severe heart failure.or evere liver disease

Pregnancy : not usually recommended in pregnancy

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

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