- Clindamycin150 tablet 1 x4x7
- panda 500mg tablets 1x 4 up to 2 x 4 until fever subside
- Gurgle with salt and water solution (don’t swallow it ) 3 times daily
- Soft food and warm drinks
Clindamycin
Dosage Forms & Strengths:
150, 300 capsule
Trade names :
- Dalacin ,Clindacin, Clinimycin, Clinaram, Clindamyl , Lanacin
Therapeutic indication and dose :
Serious Infections Caused by Anaerobic Bacteria
- 150-450 mg PO q6-8hr; not to exceed 1.8 g/day
Bacterial Vaginosis
- 300 mg PO q12hr for 7 days
Surgical Prophylaxis
- 900 mg PO 1 hr prior to procedure; may redose q6hr if necessary
Bite Wounds (Human or Animal)
- 300 mg PO q6hr
Orofacial/Parapharyngeal Space Infections
- 150-450 mg PO q6hr for at least 7 days; not to exceed 1.8 g/day
Endocarditis Prophylaxis (Off-label)
- 600 mg PO 30-60 min before procedure
Contraindications: Hypersensitivity to the active substance, lincomycin
Pregnancy: Clindamycin should be used in pregnancy only if clearly needed.
Breast-feeding:
- Clindamycin is excreted in breast milk.
- Clindamycin should not be taken by nursing mothers.
Side effect:
- Pseudomembranous colitis
- Diarrhea
- Abdominal pain
- Rash, pruritus
- Vaginal itching and discharge
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
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