Bacterial tonsillitis (88)
Rx
Notes
In emergency
Disease annotations
Rx
- Clarithromycin 250 mg/5ml suspension( Wx 0.15)x2x10
- Revanin 250mg/5ml syrup (w/4) Every 4 – 6 hours until fever subside
Notes
Clarithromycin
Otitis Media
- <6 months: Safety and efficacy not established
- ≥6 months: 15 mg/kg/day PO divided q12hr for 10 days; not to exceed 500 mg/dose
Community-Acquired Pneumonia
- <3 months: Safety and efficacy not established
- ≥3 months: 15 mg/kg/day PO divided q12hr for 10 days; not to exceed 500 mg/dose
Sinusitis
- <6 months: Safety and efficacy not established
- ≥6 months: 15 mg/kg/day PO divided q12hr for 10 days; not to exceed 500 mg/dose
Bronchitis
- <6 months: Safety and efficacy not established
- ≥6 months: 15 mg/kg/day PO divided q12hr for 10 days; not to exceed 500 mg/dose
Skin Infections
- <6 months: Safety and efficacy not established
- ≥6 months: 15 mg/kg/day PO divided q12hr for 10 days; not to exceed 250 mg/dose
Streptococcal Pharyngitis
- <6 months: Safety and efficacy not established
- ≥6 months: 7.5 mg/kg q12hr for 10 days; individual dose not to exceed 250 mg
Endocarditis (Off-label)
- 15 mg/kg PO 30-60 minutes before procedure; individual dose not to exceed 500 mg
Pertussis (Off-label)
- <1 month: Safety and efficacy not established
- 1-6 months: 7.5 mg/kg/dose PO q12hr for 7 days
- >6 months: 7.5 mg/kg/dose PO q12hr for 7 days
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
- 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
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