- Cefpodoxime 100 mg tablet orally 1 x2x5-10
- Brufen 400mg tablet 1 x 3 until fever subside
- Gurgle with salt and water solution (don’t swallow it ) 3 times daily
- Soft food and warm drinks
Cefpodoxime
Dosage Forms & Strengths:
- 100mg tablet , 200mg tablet, 100mg/5ml suspension, 50 mg/5ml suspension, 40mg/5ml suspension
Trade names :
- Cefodox , Podecif , Metoxim, Auropodox, Cefpo
Therapeutic indication and dose :
Acute Bronchitis & Acute Exacerbations of Chronic Bronchitis
- 200 mg PO q12hr for 10 days
Acute Community-Acquired Pneumonia
- 200 mg PO q12hr for 14 days
Acute Maxillary Sinusitis
- 200 mg PO q12hr for 10 days
Pharyngitis/Tonsillitis
- 100 mg PO q12hr for 5-10 days
Skin/Skin Structure Infections
- 400 mg PO q12hr for 7-14 days
Gonorrhea
- 200 mg PO once
Urinary Tract Infections
Acute uncomplicated
- 100 mg PO q12hr 5-7 days
Complicated, including pyelonephritis
- 200 mg PO q12hr
Contraindications:
- Hypersensitivity to cephalosporin
Pregnancy and lactation:
- Should not be used in pregnancy or in nursing mothers unless considered essential by the physician.
Side effects:
- Nausea, Vomiting, Diarrhea
- Stomach pain
- Swelling, redness, irritation, burning, or itching of the vagina
- White vaginal discharge
- Headache
Brufen
- Analgesic and antipyretics
- Has anti-inflammatory effect
- Suitable for Temperature( 38-38.5) C
- Not save under 6 months
- Taken After meal
- 200mg every 6-8 hours, May increase to 400mg every 6-8hours
Trade names : brufen (Taskine , Doloraz, Iburam,Remofen , Ibugesic, Sapofen, Perofen, Rupan,Bulkaprofen, Advil liquid-gel , Profast, Nashat ,Midofen, Ibusoft).
Other concentration: 800mg and 400mg tablet 600mg tablet, 100mg/5ml syrup
Dose:
Tablets :
Syrup, suspension :
- 100mg/5ml Syrup(Wx0.375) every 6-8hours
Oral drops :
40mg/1ml
- 6-11 months : 1.25ml every 8 hours
- 12-23months : 1.8ml every 8 hours
Maximum dose : 3200 mg per day
Contraindication:
- History of hypersensitivity to aspirin or other NSAIDs
- current or recent stomach ulcer
- severe heart failure.
- severe liver disease
Pregnancy : not usually recommended in pregnancy
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