- Cefpodoxime 100 mg tablet orally 1 x2x5-10
- Brufen 400mg tablet + Paracetamol ( Revenin)500mg tablets alternately every 4-6 hours 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
Paractamol
- Analgesic and antipyretics
- Not anti-inflammatory effect
- Suitable for Temperature between (37.5C – 38.5C)
- Safe under 6 months
Trade names : ( Revanin ,Adol,Panda,Dolocet ,Feverol, panadol )
Concentrations: 500 mg tablet, ,1g tablet ,125 mg/5 ml syrup, 250 mg/5 ml syrup, 125 mg suppositories, 250 mg suppositories, 1g/100ml solution for infusion
Dose :
Tablet, capsule :
- 500mg tabs 1-2 tabs /cap every 6 hours
Syrup, suspension :
- < 5year : 125mg/5ml susp (w/2) Every 4 – 6 hours
- 5-12 year : 250mg/5ml susp (w/4) Every 4 – 6 hours
Suppositories :
- <1Y : 125 mg supp Every 8 hours (1 supp x 3 )
- >1Y : 250mg supp Every 8 hours ( 1supp x 3 )
Iv solution 1g/100ml :
- <10kg : 0 .75ml/kg
- >10kg , <50kg : 1.5ml/kg
- >50kg : 100ml Slowly over 15 minute
Maximum dose : 4g daily
Pregnancy and lactation : Paracetamol is the first choice of painkiller in pregnancy and breastfeeding
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