Bacterial tonsillitis (14)
Rx
Notes
In emergency
Disease annotations
Rx
- Azithromycin 200mg/5ml suspension (Wx0.3) x1x5
- Brufen 100mg/5ml syrup (Wx0.375) every 6-8 hours until fever subside
Notes
Azithromycin :
Acute Otitis Media
<6 months: Safety and efficacy not established
≥6 months
- 30 mg/kg PO x 1 dose OR
- Alternative dosing
- 10 mg/kg PO qDay for 3 days OR
- 10 mg/kg PO x 1 dose on Day 1 followed by 5 mg/kg on Days 2-5
Community-acquired Pneumonia
- <6 months: Safety and efficacy not established
- ≥6 months: 10 mg/kg PO x 1 dose on Day 1, followed by 5 mg/kg PO on Days 2-5
Pharyngitis/Tonsillitis
- <2 years: Safety and efficacy not established
- ≥2 years: 12 mg/kg PO qDay for 5 days; not to exceed 500 mg/day
Cat Scratch Disease (Off-label)
- ≤45 kg: 10 mg/kg (not to exceed 500 mg/dose) PO as single dose; then 5 mg/kg (not to exceed 250 mg/dose) PO qDay on days 2 through 5
- >45 kg: 500 mg PO once, then 250 mg once daily for 4 days
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
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