Rx
Notes
In emergency
Disease annotations
Rx
- Cefixime 400 mg capsules orally 1 x1
- Panadol-Extra 2 tablets up to 4 times daily
- Gurgle with salt and water solution (don’t swallow it ) 3 times daily
- Soft food and warm drinks
Notes
Cefixime
Dosage Forms & Strengths:
- 200mg capsules, 400mg capsule and tablets, 100mg/5ml suspension
Trade names :
- Suprax , Cefix, Magnacif, Mixif, Betixim, Winex , Pancef , Apex, Cefim , Macrocef Suraxim.
Therapeutic indication and dose :
Acute Exacerbations of Chronic Bronchitis
- 400 mg/day PO in single daily dose or divided q12hr
Otitis Media
- 400 mg/day PO in single daily dose or divided q12hr
Pharyngitis/Tonsillitis
- 400 mg/day PO in single daily dose or divided q12hr
Uncomplicated Gonorrhea
- 400 mg PO once plus azithromycin 1 g PO once (preferred) or alternatively doxycycline 100 mg PO q12hr for 7 days
Uncomplicated Urinary Tract Infections
- 400 mg/day PO in single daily dose or divided q12hr
Typhoid Fever (Off-label)
- 15-20 mg/kg/day; not to exceed 100-200 mg BID x 7-14 days
Contraindications:
- Hypersensitivity to cephalosporin
Pregnancy and lactation:
- Cefixime should not be used in pregnancy or in nursing mothers unless considered essential by the physician.
Side effects:
- Abdominal pain
- Diarrhea, Dyspepsia, Nausea, Vomiting, Flatulence
Panadol-Extra
Ingredients:
Each tablet contains:
- 500MG PARACETAMOL, 65MG CAFFEINE.
Product Description
- Panadol Extra is ideal for those who want the benefits of Panadol, plus a little extra relief from mild to moderate pain such as headaches, toothache, and period pain.
- The ingredients in Panadol Extra provide up to 37% more powerful pain relief than standard paracetamol.
- It is also gentle on the stomach when used as prescribed . Panadol Extra is a paracetamol-based analgesic that provides relief from fever and strong pain such as
- Headaches, including migraine, muscular aches and pains, period pain, toothache, and sore throat.
How to use:
- Oral administration only. Adults including the elderly and children aged 12 years and over:
- 2 tablets up to 4 times daily 8 tablets in 24 hours.
- Should not be used with other paracetamol-containing products. Not recommended for children under 12 years of age.
In emergency
Give antipyretic:
Perflgan 1g/100ml intravenous injection :
Dose:
Pediatrics:
<10kg : 0 .75ml/kg
>10kg , <50kg : 1.5ml/kg
>50kg : 100ml Slowly over 15 minute
Adult:
100ml Slowly over 15 minute
OR
Diclofenac sodium injection 75 mg/3ml intramuscular injection :
Dose:
Pediatrics:
> 1year : 1ml/20kg every 12 hour .
Adult:
25 to 75 mg(1-3ml) depending on the severity pain.
If the pain still severe, you may decide to give a second injection after 6 hours.
Give Antibiotic:
Lincomycin 600mg/2ml
Dose:
Pediatrics:
IV: 10-20 mg/kg/day divided q8-12hr
IM: 10 mg/kg q12-24hr
Adult:
IM: 600 mg q12-24hr
IV: 600-1000 mg q8-12hr; not to exceed 8 g/day
Disease annotations