Rx
Notes
In emergency
Disease annotations
Rx
- Ampicillin 500 mg capsules 1 x 4 x 10
- 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
Ampicillin :
Dosage Forms & Strengths:
- 500mg cap, 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
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
Disease annotations