1. Clindamycin 300 mg tablet 1 x4x10-14
2. Panadol ActiFast 2 tablets up to 4 times daily
3. Dalman 50mcg/dose nasal spray 2 spray in each nostril once a day

     If there are excessive secretions and sneezing   add:

• Finallerg 10mg tab10mg tab once daily

     If there is nasal obstruction add :

• Sinomarin nasal spray 1puff 4-6 times daily

Clindamycin

Dosage Forms & Strengths:

150, 300 capsule 

 Trade names  :

• Dalacin , Clindacin, Clinimycin, Clinaram, Clindamyl , Lanacin

Therapeutic indication and dose :

Serious Infections Caused by Anaerobic Bacteria

• 150-450 mg PO q6-8hr; not to exceed 1.8 g/day

Bacterial Vaginosis

• 300 mg PO q12hr for 7 days

Surgical Prophylaxis

• 900 mg PO 1 hr prior to procedure; may redoes q6hr if necessary

Bite Wounds (Human or Animal)

• 300 mg PO q6hr

Orofacial/Parapharyngeal Space Infections

• 150-450 mg PO q6hr for at least 7 days; not to exceed 1.8 g/day

Endocarditis Prophylaxis (Off-label)

• 600 mg PO 30-60 min before procedure

Contraindications: Hypersensitivity to the active substance, lincomycin

Pregnancy: Clindamycin should be used in pregnancy only if clearly needed. 

Breast-feeding:

• Clindamycin is excreted in breast milk. 
• Clindamycin should not be taken by nursing mothers. 

Side effect:

• Pseudomembranous colitis
• Diarrhea
• Abdominal pain
• Rash, pruritus
• Vaginal itching and discharge

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). 

Cetirizin

Available forms:

• Zyrtic: 10mg tab, 1mg/1ml syrup, 10mg/ml oral drop
• Cerin :10mg tab, 1mg/1ml syrup
• Zertazin : 10mg tab, 5mg/5ml syrup
• Zeran :10mg tab
• Zain :10mg tab
• Siraz : 5mg tab, 5mg/5ml syrup
• Finallerg :10mg tab, 1mg/1ml syrup, 10mg/ml oral drop
• Sezonal :10mg tab
• Omcet : 5mg tab, 5mg/5ml syrup, 10mg/ml syrup

Therapeutic  indication:

• for the relief of nasal and ocular symptoms of seasonal and perennial allergic rhinitis
• for the relief of chronic nettle rash (chronic idiopathic urticaria).

Pregnancy and breast-feeding :

• Cetirizin should be avoided in pregnant women. Accidental use of the medicine by a pregnant
• woman should not produce any harmful effects on the foetus. Nevertheless, the medicine should be only administered if necessary and after medical advice.
• Cetirizine passes into breast milk. Therefore, should not taken during breast feeding 

 How to take Cetirizin Sandoz :

Adults :

• The recommended dose is 10 mg once daily as 1 tablet

Use in children between 6 and 12 years old:

• The recommended dose is 5 mg twice daily as a half tablet twice daily

side effects :

• fatigue
• dry mouth, nausea, diarrhoea
• dizziness, headache
• somnolence (sleepiness)
• pharyngitis (sore throat), rhinitis (swelling and irritation inside the nose)

Sinomarin (sea water)

• 100% natural, clinically proven nasal spray that relieves nasal congestion naturally, thins mucus and cleanses the nasal cavities effectively, helping to protect from infections. It is ideal both for regular nasal hygiene and congestion relief.

Use in cases of

• Infectious rhinitis (common cold & flu)
• Allergic rhinitis (seasonal hay fever or year-long)
• Other causes of rhinitis (e.g. pregnancy
• Sinusitis
• Regular nasal hygiene
• Nasal hydration

Dose:

• 1puffs 4-6 times daily

Pregnancy and lactation:

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