Rx
Notes
In emergency
Disease annotations
Rx
- Avoid exposure to allergen
In excessive nasal secretions (Rinorrhea,sneezing,itching):
- Desloratadine 0.5mg/ml syrup 2.5 ml (1/2 of a 5 ml spoonful) of oral solution once a day.
In nasal obstruction:
- Vibrocil nasal drops 1 to 2 drops 3 to 4 times a day in each nostril
Notes
Desloratadine
Available forms:
- Aerius :5mg tab, 0.5mg/ml syrup
- Lorius Dora, Noura :5mg tab
- Aeriallerg, Histcare, Iris : 5mg tab, 0.5mg/ml syrup
- Rina, Dislara :5mg tab, 2.5mg/5ml syrup
Dose :
Children 1 through 5 years of age:
- The recommended dose is 2.5 ml (1/2 of a 5 ml spoonful) of oral solution once a day.
Children 6 through 11 years of age:
- The recommended dose is 5 ml (one 5 ml spoonful) of oral solution once a day.
Adults and adolescents 12 years of age and over:
- The recommended dose is 10 ml (two 5 ml spoonfuls) of oral solution once a day.
- one tablet once a day.
Pregnancy, breast feeding
- Taking Desloratadine is not recommended in pregnancy or nursing a baby
Side effect:
- diarrhea
- fever
- insomnia
- fatigue
- dry mouth
- headache
Vibrocil
Composition :Nasal drops, nasal spray: Dimetindeni maleas 0.25 mg, Phenylephrinum 2.5 mg
Indications Therapeutic use :
- Common colds, acute and chronic rhinitis, seasonal (hay fever) and non-seasonal allergic rhinitis, acute and
- chronic sinusitis, pre- and postoperative care, adjuvant in cases of acute otitis media.
Dosage:
Nasal drops
- Children from 1to 6 years: 1 to 2 drops 3 to 4 times a day in each nostril.
- Children over 6 years and adults: 3to 4 drops 3 to 4 times a day in each nostril.
Nasal spray
- Adult: apply 1 to 2 sprays in each nostril, 3to 4 times a day.
pregnancy and breast-feeding :
- Vibrocil should not be used as a precaution because too little experience is available
In emergency
In Emergency room:
- Give Antihistamine In sneezing and rhinorrhea :
- Allerfin 10mg/ml IM injection :
Dose:
- 1-5 year : 25-5mg (½ ml )
- 6-12 year: 5-10mg (1ml )
- Adult : 10-20 mg (1-2 ml )
- Give Dexamethasone 4mg/1ml
Dose:
Pediatrics:
- 0.3 mg/kg/day IV / IM divided q6hr or q12hr
Adult:
- 4-8 mg IM /IV
Disease annotations
Allergic rhinitis
Presentation :
- Rhinorrhea
- Repetitive sneezing
- nasal congestion, obstruction
- postnasal drainage
- Pruritus
- Itching of the palate, nose, ears, eye
- Snoring
- Frequent sore throats
- Cough
- Headache
- Itching redness watery eyes
Lines of management :
- Avoid exposure to allergens
- In excessive secretions and sneezing: oral antihistamine
- If nasal obstruction: Nasal decongestant
- For ocular symptoms: intranasal antihistamine
- If Symptoms persist and affect quality of life: Intranasal Corticosteroid
- Sever and persistent symptoms: Intranasal Corticosteroid + oral or intranasal antihistamine+ Oral leukotriene receptors antagonist