1. Cephalexin 250 mg capsule  1×4 or 500 mg capsule  1×2
2.  panadol 1000mg tablets  1x 2 up to 1x 4 until fever subside
3. Gurgle with salt and water solution (don’t swallow it ) 3 times daily
4. Soft food and warm drinks

Cephalexin

Dosage Forms & Strengths:

• 250mg capsule, 500mg capsule , 1g tablet, 125mg/5ml suspension, 250mg/5ml suspension

Trade names  :

• Lexin, Cephadar, Unilexin, Keflex, Pharmexin, Flexin

Therapeutic indication and dose :

Genitourinary Tract Infections

• 250 mg PO q6hr; dosage range, 1-4 g/day in divided doses

Bone Infections

• 250 mg PO q6hr; dosage range, 1-4 g/day in divided doses

Uncomplicated Cystitis

• 250 mg PO q6hr or 500 mg PO q12hr; dosage range, 1-4 g/day in divided doses

Otitis Media

• 250 mg PO q6hr; dosage range, 1-4 g/day in divided doses

Skin/Skin Structure Infections

• 250 mg PO q6hr or 500 mg PO q12hr; dosage range, 1-4 g/day in divided doses

Respiratory Tract Infections

• 250 mg PO q6hr; dosage range, 1-4 g/day in divided doses

Streptococcal Pharyngitis

• 250 mg PO q6hr or 500 mg PO q12hr; dosage range, 1-4 g/day in divided doses

Cellulitis and Mastitis

• 500 mg PO q6hr; dosage range, 1-4 g/day in divided doses 500 mg PO q6hr for 7 days

Contraindications:

• Allergy to the cephalosporins group of antibiotics
• Cephalosporins should be given with caution to penicillin-sensitive patients, as there is some evidence of partial cross-allergenicity between the penicillins and the cephalosporins. 
• Cefalexin is contraindicated in patients with acute porphyria. 

Pregnancy: Caution should be exercised when prescribing for the pregnant patient.

Breastfeeding: 

• The excretion of cefalexin in human breast milk increased up to 4 hours following a 500mg dose. Caution should be exercised when cefalexin is administered to a nursing mother, possible effects to the infant include modification of bowel flora. 

Side effects:

• Pseudomembranous colitis
• Nausea and vomiting. 
• Diarrhea
• Dyspepsia and abdominal pain

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