1. Cefixime 100mg/5ml suspension (W x 0.4)x1x7-10
2. Voltaren12.5 mg suppositories + Paracetamol ( Revanin) 125mg/5ml Syrup (w/2) alternately every 6 hours until fever subside

In excessive nasal secretions (Rinorrhea,sneezing),congestion :

3. L-cet 0.5mg/ml syrup 2.5 mL (1/2 teaspoon) once a day taken in the evening
4. Sterimar nasal spray 2 to 6 times a day in each nostril as required

Cefixime

Acute Bronchitis & Acute Exacerbations of Chronic Bronchitis

• 6 months-12 years, ≤45 kg: 8 mg/kg/day PO in single daily dose or divided q12hr 

Otitis Media

• 6 months-12 years, ≤45 kg: 8 mg/kg/day PO in single daily dose or divided q12hr 

Pharyngitis/Tonsillitis

• 6 months-12 years, ≤45 kg: 8 mg/kg/day PO in single daily dose or divided q12hr 

Uncomplicated Gonorrhea

Cervical or urethral gonorrhea

• 6 months-12 years, ≤45 kg: 8 mg/kg/day PO in single daily dose or divided q12hr 

Uncomplicated Urinary Tract Infections

• 6 months-12 years, ≤45 kg: 8 mg/kg/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 

Paractamol

• Analgesic and antipyretics
• Not anti-inflammatory effect
• Suitable for Temperature between (37.5C – 38.5C)
• Safe under 6 months

Trade names  : ( Revanin ,Adol,Panda,Dolocet ,Feverol, panadol )

Concentrations: 500 mg tablet, ,1g tablet ,125 mg/5 ml syrup, 250 mg/5 ml syrup, 125 mg suppositories, 250 mg suppositories,1g/100ml solution for infusion

Dose : 

Tablet, capsule : 

• 500mg tabs 1-2 tabs /cap every 6 hours

Syrup, suspension :

• < 5year  : 125mg/5ml susp (w/2) Every 4 – 6 hours
• 5-12 year : 250mg/5ml susp (w/4) Every 4 – 6 hours 

Suppositories :

• <1Y : 125 mg supp Every 8 hours  (1 supp x 3 )
• >1Y : 250mg supp Every 8 hours ( 1supp x 3 )

Iv solution 1g/100ml :

• <10kg : 0 .75ml/kg 
• >10kg , <50kg :  1.5ml/kg
• >50kg : 100ml Slowly over 15 minute

Maximum dose : 4g daily 

Pregnancy and lactation : Paracetamol is the first choice of painkiller in pregnancy and breastfeeding

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

Levocetirizine

Available forms:

• Xyzal, Levosyn, levar, Levozal, Zolix, Cetazal      :5mg tab
• Layal  : 5mg tab, 2.5 mg /5ml syrup
• L-cet : 5mg tab, 0.5mg/ml syrup
• Hpi –levocetirizine : 5mg tab
• Lesonal :  5mg tab, 0.5 mg /ml syrup

Theraputic indications:

• allergic rhinitis (including persistent allergic rhinitis);
• nettle rash (urticaria).

Dose:

Adults :

• 5 milligrams (mg) or 10 mL) (2 teaspoons) once a day taken in the evening. Some patients may be given 2.5 mg or 5 mL (1 teaspoon) once a day taken in the evening.

Children 6 to 11 years of age : 

• 2.5 mg or 5 mL (1 teaspoon) once a day taken in the evening. Do not take more than 2.5 mg per day.

Children 6 months to 5 years of age :

•  1.25 mg or 2.5 mL (1/2 teaspoon) once a day taken in the evening. Do not take more than 1.25 mg per day.

For oral dosage form (tablets):

• Adults and children 12 years of age and older—5 mg (1 tablet) once a day taken in the evening. Some patients may be given 2.5 mg (1/2 tablet) once a day taken in the evening. Do not take more than 5 mg per day.
• Children 6 to 11 years of age—2.5 mg (1/2 tablet) once a day taken in the evening. Do not take more than 2.5 mg per day.

Side effect:

• dry mouth,
• headache,
• tiredness
• somnolence/drowsiness.

Sterimar Isotonic sea water spray 

• Is a natural nasal decongestant spray
• Is an isotonic filtered sea water solution, 100% natural and free from preservatives
• Restores natural moisture of the nose (air conditioning, heating, travel). To assist when ENT disorders (sinusitis, colds, hayfever, allergies, dry & stuffy noses).

Dose:

• 1puffs 2 to 6 times a day in each nostril as required or as needed.

Pregnancy and lactation:

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