1. Cefixime 400 mg capsules  orally 1 x1
2. Panadol Advance 2 tablets up to 4 times daily

1. Flixonase 50mcg/dose 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

Panadol Advance

Ingredients:

 Each film-coated tablet contains:

• Paracetamol 500mg. 

Panadol Advance:

Is effective for:

• Muscle Pain.
• Colds & Influenza.
• Period Pain.
• Rheumatic Pain.
• Pain of Osteoarthritis.
• For oral use only.

Dose: Adults:

• 2 tablets every 4 hours as required.
• not more than 8 tablets in 24 hours.

Children (6 – 12 years):

• ½ to 1 tablet every 4 hours as required.
• No more than 4 tablets should be taken in 24 hours.

Not suitable for children under 6 years.

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). 

 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