1. Lincomycin500mg capsules orally 1×2
2. Panadol Advance 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:

• Atarax 25mg tab 1tab every 8-6 hours

     If there is nasal obstruction add :

• Rhinaction Hypertonic sea water spray1puff 4-6 times daily

Lincomycin

Dosage Forms & Strengths:

• 600 mg/2ml vial injection ,500 mg capsule, 680.4mg/2ml

Trade names  :

Lincocin, Lincodar, Ultralinc, lenamex, Lincomid

Therapeutic indication and dose :

Susceptible Infections

• IM: 600 mg q12-24hr
• IV: 600-1000 mg q8-12hr; not to exceed 8 g/day
• 1capsule  every 12 hour

Contraindications: hypersensitive to lincomycin or clindamycin

Pregnancy and lactation: should only be administered during pregnancy if the benefit outweighs the risk. 

Side effects:

• Diarrhea, stomach pain, 
• Nausea, vomiting, 
• Swollen or painful tongue, 
• Vaginal itching or discharge, 
• Mild itching or rash
• Ringing in your ears, and dizziness

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). 

 Hydroxyzine

Available forms:

• Atarax :25mg tab, 10mg/5ml syrup
• Newrax  :10mg/5ml syrup

Therapeutic indications:

• Anxiety in adults 
• Itching (pruritus) caused by allergic reactions in adults and children.

Dose :

• In adults the maximum daily dose is 100 mg (4 tablets) per day 

Adults

For anxiety:

• The usual dose is ½ tablet at breakfast, ½ tablet at lunch and 1 tablet in the evening
• doctor may increase this to a maximum of 4 tablets taken three times a day.

For pruritis (itchiness of the skin):

• The usual dose is 1 tablet before going to bed
• doctor may increase this to 1 tablet three or four times a day

Children

• In children up to 40 kg, the maximum daily dose is 2 mg/kg/day.

For pruritis :

• The usual dose is 0.5 mg per kg of body weight twice a day
• doctor may increase this to a maximum of 1 mg per kg of body weight twice a day

The elderly

• In the elderly, the maximum daily dose is 50 mg (2 tablets) per day.
• The usual starting dose is 25 mg (1 tablet) a day

Contraindication :

• allergy to hydroxyzine hydrochloride or any of the other ingredients 
• allergy to cetirizine, other piperazine derivatives, aminophylline or ethylenediamine
• pregnancy or breastfeeding
• porphyria.(A blood disease that can cause stomach pain, vomitingand mental disturbances such as depression
• ECG (electrocardiogram) shows a heart rhythm problem called “QT interval prolongation”

Pregnancy and breastfeeding :

• Not recommended in  pregnancy or breastfeeding

Side effect:

• feeling sleepy
• dry mouth, feeling tired, headache

Rhinaction Hypertonic sea water spray

• Sea water
• is a natural nasal decongestant spray
• Clearing and purifying solution, combining hypertonic seawater with a complex of 3 essential oils: Ravintsara, Thyme Linalool and Field Mint. 
• Enables a reduction in symptoms of congestion, rhinorrhoea (runny nose) and sneezing by eliminating viruses and bacteria from nasal passages through draining effect
•  Quickly relieves blocked nose and for up to 8 hours with a regular application of 1 spray per nostril, 6 times a day.

Dose:

• 1 spray per nostril, 6 times a day.

Pregnancy and lactation:

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