1. Azithromycin 300mg /7.5ml suspension( wx0.3 )x1x 5
2. Voltaren 25mg suppositories every 12 hour until fever subside

Azithromycin :

Acute Otitis Media

<6 months: Safety and efficacy not established

≥6 months

• 30 mg/kg PO x 1 dose OR  
• Alternative dosing
  • 10 mg/kg PO qDay for 3 days OR
  • 10 mg/kg PO x 1 dose on Day 1 followed by 5 mg/kg on Days 2-5

Community-acquired Pneumonia

• <6 months: Safety and efficacy not established
• ≥6 months: 10 mg/kg PO x 1 dose on Day 1, followed by 5 mg/kg PO on Days 2-5  

Pharyngitis/Tonsillitis

• <2 years: Safety and efficacy not established
• ≥2 years: 12 mg/kg PO qDay for 5 days; not to exceed 500 mg/day  

Cat Scratch Disease (Off-label)

• ≤45 kg: 10 mg/kg (not to exceed 500 mg/dose) PO as single dose; then 5 mg/kg (not to exceed 250 mg/dose) PO qDay on days 2 through 5
• >45 kg: 500 mg PO once, then 250 mg once daily for 4 days

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, Rofenac Diclofen, 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