Rx
Notes
In emergency
Disease annotations
Rx
- Cephadroxil 500 mg capsule 1x2x10
- Revenin 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
Notes
Cephadroxil
Dosage Forms & Strengths:
- 500mg caps, 1g tab, 125mg /5ml suspension, 250mg /5ml suspension, 500mg/5ml suspension
Trade names :
- Droxicef , Biodroxil, Cefadroxil, Cefadroxil, Droxil, Cedrox, Cefadril, Duricef, Midroxil
Therapeutic indication and dose :
Pharyngitis
- 1 g PO qDay or divided q12hr for 10 days
Skin & Skin Structure Infections
- 1 g PO qDay or divided q12hr
Tonsillitis
- 1 g PO qDay or divided q12hr for 10 days
Urinary Tract Infections
- 2 g PO qDay or divided q12hr
Endocarditis
- Prophylaxis (dental, upper respiratory procedure): 2 g PO 1 hour before procedure
Contraindications:
- Hypersensitivity to cefadroxil and to any of the cephalosporins
- History of severe reactions to penicillins or to any other beta-lactam drug
Pregnancy: The safe use during pregnancy has not been established.
Breast-feeding:
- Cefadroxil is present in low concentrations in breast milk
- Sensitization, diarrhea or colonization of the infants’ mucosa with fungi are possible.
- The use of cefadroxil during pregnancy and in lactating mothers should therefore be handled very strictly.
Side effect:
- Nausea, vomiting, diarrhoea, dyspepsia, abdominal pain, glossitis
- Pruritus, rash, allergic exanthema, urticaria.
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
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