Rx
Notes
In emergency
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Rx
- Cefaclor 250-500 mg capsules orally 1 x3 x10
- Panadol Advance 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
Cefaclor
Dosage Forms & Strengths:
500mg caps, 250 mg caps, 375 tabs, 500 mg tabs, 750mg tabs, 125mg/5ml suspension, 250mg/5ml suspension, 375mg/5ml, suspension
Trade names :
Ceclor, Cloracef, Forticef, Biocef, Forbatec , Cefabac , Midocef ,Pharmaclor , Tibifor
Therapeutic indication and dose :
Lower Respiratory Tract Infections
- Capsules: 250-500 mg PO q8hr
Otitis Media
- Capsules: 250-500 mg PO q8hr
Uncomplicated Skin and Skin Structure Infections
- Capsules: 250-500 mg PO q8hr
- Extended-release tablets: 375 mg PO q12hr for 7-10 days
Urinary Tract Infections
- Capsules: 250-500 mg PO q8hr
Bronchitis
- Extended-release tablets: 500 mg PO q12hr for 7 days
Pharyngitis and Tonsillitis
- Capsules: 250-500 mg PO q8hr
- Extended-release tablets: 750 mg PO q12hr for 10 days
Contraindication: Hypersensitivity to cephalosporin.
Pregnancy and Breast-feeding
- Small amounts of cefaclor have been detected in breast milk following of single 500mg doses.
- Caution should be exercised when prescribing for the pregnant patient.
Side effects:
- Diarrhea, Nausea and vomiting
- Colitis, including rare instances of pseudomembranous colitis
- Hypersensitivity, pruritus and urticaria
Panadol Advance
Ingredients:
Each film-coated tablet contains:
- Paracetamol 500mg.
Panadol Advance:
Is effective for:
- Muscle Pain.
- Colds & Influenza.
- Period Pain.
- Rheumatic Pain.
- Pain of Osteoarthritis.
- For oral use only.
Dose: Adults:
- 2 tablets every 4 hours as required.
- not more than 8 tablets in 24 hours.
Children (6 – 12 years):
- ½ to 1 tablet every 4 hours as required.
- No more than 4 tablets should be taken in 24 hours.
Not suitable for children under 6 years.
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
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