1. Cefaclor 250-500 mg capsules orally 1 x3 x10
2. Panadol ActiFast 2 tablets up to 4 times daily
3. Dalman 50mcg/dose nasal spray 2 sprays in each nostril once a day

If there are excessive secretions and sneezing   add:

• Fexofast 120mg 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 ActiFast Product Description:

• Panadol ActiFast is a fast effective pain and is gentle on the stomach.
• Panadol ActiFast is a pain reliever that is absorbed twice as fast as regular paracetamol.
• Panadol ActiFast is effective for the relief of fever and the treatment of mild to moderate pain including headache, migraine, rheumatic and muscular pain, period pain, pain of osteoarthritis, toothache, pain following dental procedures/tooth extraction, and pain after vaccination.

What is Paracetamol used for :

Paracetamol is a medication that is used for the relief of the following indications:

• Headache
• Period pain
• Backache
• Rheumatic pain (joints pain)
• Cold and flu
• Sore throat
• Mild arthritis pain (joints pain)
• Muscle Pain
• Toothache
• Fever

Contraindication:

• In  allergy to Paracetamol, or any of the ingredients in this medicine.

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