1. Roxithromycin 300mg tablet orally 1 x1
2. Revenin 500mg tablets  1x 4 up to 2 x 4 until fever subside
3. Gurgle with salt and water solution (don’t swallow it ) 3 times daily
4. Soft food and warm drinks

Roxithromycin:

Dosage Forms & Strengths:

• 300mg tab, 150mg tab

Trade names  :

• Roximac, Roxipharm, Rulid, Roxamed , Ruxid, Romac

Therapeutic indications:

• Acute pharyngitis, tonsillitis, sinusitis
• Acute bronchitis
• Exacerbation of chronic bronchitis
• Pneumonia
• Skin and soft tissue infections
• Non gonococcal urethritis
• Impetigo

Dose: 

• 300mg once a day Or 150mg twice a day

Contraindications:

• Known hypersensitivity to Roxithromycin

Pregnancy: Category B.

Side effects:

• Oral thrush – white, furry, sore tongue and mouth
• Vaginal thrush – sore and itchy vagina and/or discharge
• Nausea, vomiting, stomach pain, diarrhea, flatulence
• Loss of appetite
• Red and/or itchy skin
• Headache, dizziness, ringing in the ears
• Tiredness
• Altered taste. 

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