1. Levofloxacin 500mg capsules orally  1x1x10-14 or 750mg 1x1x5
2. Advil cold and sinus 1- 2 caplets every 4 to 6 hours
3. Avamys 50mcg/dose nasal spray 2 spray in each nostril once a day

     If there are excessive secretions and sneezing   add:

• Histazin 25mg tab 1tab at night

Levofloxacin 

Dosage Forms & Strengths

• 250mg tablet ,500mg tablet, 750mg tablet , 500mg/100ml, 250mg/50ml, 5mg/ml for iv infusion

Trade names  :

• Tavanic , Avoxin, Joswe avoxin , Levotop, Avicare, levanix, Levaquin, Zynolev, Loxacin, Matador, Uniflox, Evomax, joxevo, Tavaquin, Lefort, levoflox, Levonic, Talerin, Ravivo, Nevotic, Loxamox .

Therapeutic indication and dose :

Community-Acquired Pneumonia

• 500 mg PO/IV once daily for 7-14 days or 750 mg PO/IV once daily for 5 days

Nosocomial Pneumonia

• 750 mg PO/IV once daily for 7-14 days

Acute Bacterial Sinusitis

• 500 mg PO/IV once daily for 10-14 days or 750 mg PO/IV once daily for 5 days

Acute Bacterial Exacerbation of Chronic Bronchitis

• 500 mg PO/IV once daily for ≥7 days

Skin/Skin Structure Infections

• Uncomplicated: 500 mg PO/IV once daily for 7-10 days
• Complicated: 750 mg PO/IV once daily for 7-14 days

Chronic Bacterial Prostatitis

• 500 mg PO/IV once daily for 28 days

Complicated Urinary Tract Infections & Acute Pyelonephritis

• 250 mg PO/IV once daily for 10 days or 750 mg PO/IV once daily for 5 days

Uncomplicated Urinary Tract Infections

• 250 mg PO/IV once daily for 3 days

Limitations-of-use: Reserve fluoroquinolones for patients who do not have other available treatment options for uncomplicated urinary tract infections

• 500 mg PO/IV once daily for 10-14 days

Acne Vulgaris (Off-label)

• 100 mg PO q8hr for 4 weeks

Epididymitis (Off-label)

• 500 mg PO qDay for 10 days

Contraindications

• Hypersensitive to levofloxacin or other quinolones
• Patients with epilepsy
• History of tendon disorders related to fluoroquinolone administration
• In children or growing adolescents
• During pregnancy
• In breast-feeding women

Side effect:

• Headache, Dizziness
• Vomiting, Nausea, Diarrhea
• Insomnia

Advil-Cold&Sinus Capsule

Ingredients: Ibuprofen – Pseudoephedrine

Product Description:

• Advanced formula for cold & sinus relief

Indications:

• Fast, temporary relief of the symptoms of colds including sore throat pain, sinus pain, nasal congestion, headache, fever, body aches and pains.

Dose:

Adults under 65 years and children over 12:

• 1 or 2 caplets every 4 to 6 hours as needed.
• not more six caplets in 24 hours
• not given to children under 12.
• not used longer than 3 days for a fever or 5 days for pain or cold symptoms.

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). 

 Promethazine

Available forms:

• Histazin : 5mg/5ml syrup, 25mg tab
• Promet: 25mg tab
• Promethazine: 50mg/2ml for iv,im injection 

Therapeutic indications

• As symptomatic treatment for allergic conditions of the upper respiratory tract and skin including allergic rhinitis, urticaria and anaphylactic reactions to drugs and foreign proteins.
• As an antiemetic.
• For short term use in treatment of insomnia in adults.
• For short term use as a paediatric sedative.

The usual doses are:

25mg tablet:

• Adults  and Children>10 years : Start with 1 tablet (25 mg) taken at night. This maybe increased to a maximum of 1 tablet (25 mg) twice a dayif necessary.
• Children 5-10 years: A single tablet (25 mg) given at night. DO NOT give more than 25 mg per day.

50mg/2ml for iv,im injection 

• Adult : 25 mg; may be repeated in 2 hours when necessary; switch to PO as soon as possible
• Pediatrics≥2 years: 12.5-25 mg IM at bedtime

5mg/5ml syrup:

• 2-5 years: 5-15 mg(1-3ml) daily in 1 or 2 divided doses
• >5-10 years : 10-25(2-5ml) mg daily in 1 or 2 divided doses

Contraindications

• should not be used in patients in coma or suffering from CNS depression of any cause.
• should not be given to patients with a known hypersensitivity to any of the excipients.
• contraindicated for use in children less than two years of age because of the potential for fatal respiratory depression..

pregnancy and lactation

• should not be used in pregnancy unless the physician considers it essential.
• The use is not recommended in the 2 weeks prior to delivery in view of the risk of irritability and excitement in the neonate.
• Available evidence suggests that the amount excreted in milk is insignificant. However, there are risks of neonatal irritability and excitement.

Side effects 

• drowsiness, dizziness, restlessness, headaches, nightmares, tiredness, and disorientation. blurred vision, dry mouth and urinary retention