1. Ampicillin 500mg capsules 1 x 4
2. panda 500mg tablets 1x 4 up to 2 x 4 until fever subside
3. Gurgle with salt and water solution (don’t swallow it ) 3 times daily
4. Soft food and warm drinks

Ampicillin :

Dosage Forms & Strengths:

• 500mg capsule, 500mg vial, 250mg vial, 1g vial, 250mg /5ml suspension

Trade names  :

• Ultracilin, Ampidar , Pamecil , Penbritin ,Standacillin

Therapeutic indication and dose :

Genitourinary Tract Infections (Excluding Gonorrhea)

• <40 kg: 50 mg/kg/day IV/IM divided q6-8hr
• ≥40 kg: 500 mg PO/IV/IM q6hr

Gastrointestinal Tract Infections

• <40 kg: 50 mg/kg/day IV/IM divided q6-8hr
• ≥40 kg: 500 mg IV/IM q6hr; larger doses may be necessary in severe or chronic infection

Urinary Tract Infection (ampicillin-susceptible Enterococcus; Off-label)

• 1-2 g IV q4-6hr with or without an aminoglycoside

Gonorrhea

• 3.5 g IV administered once simultaneously with 1 g of probenecid

Respiratory Tract Infections

≥40 kg

• 250-500 mg PO q6hr
• 250-500 mg IV/IM q6hr

<40 kg

• 25 to 50 mg/kg/day IV or IM divided q6-8hr

Bacterial Meningitis/Septicemia

• 150-200 mg/kg/day IV divided q6-8hr; initiate with IV infusion; may continue with IM injections if preferred; range 6-12 g/day 

Group B Streptococcus (Off-label)

• Maternal dose for neonatal prophylaxis
• 2 g IV initially, followed by 1 g q4hr until delivery

Listeria Infection (Off-label)

• 2 g IV q4hr

Contraindications:

• History of hypersensitivity to beta-lactam antibiotics (e. g. Ampicillin, penicillin, cephalosporin).

Pregnancy and Breastfeeding :

• When antibiotic therapy is required during pregnancy and lactation, Ampicillin may be considered appropriate. 

Common side effects:

• Hypersensitivity reactions: Skin rash, pruritus and urticarial, Purpura
• Nausea, vomiting and diarrhea
• Swelling of the tongue
• current or recent stomach ulcer
• severe heart failure.
• severe liver disease

Pregnancy : not usually recommended in pregnancy

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