1. Cefuroxime 250mg tablet orally  1 x 2 x 10
2. Panadol Advance 2 tablets up to 4 times daily
3. Gurgle with salt and water solution (don’t swallow it ) 3 times daily
4. Soft food and warm drinks

Cefuroxime

Dosage Forms & Strengths:

• 125 mg, 250mg, 500mg tablet, 125mg /5ml suspension, 250 mg/5ml suspension , 750mg 1500mg 250mg vial for iv injection

Trade names  :

Zinnat , U-cef , Cefovex, Ceftal ,Zamur, Oraxim Daroxime, Medo-axitine,Cefutil, Zinoximor, Cefurex , Cefuzime, Furocef ,Maxil , Vaxcel cefuroxime, Xorim , Xorimax , Zilisten, Zinacef, Zinoxime

Therapeutic indication and dose :

Pharyngitis/Tonsillitis

• 250 mg PO q12hr for 10 days

Acute Bacterial Maxillary Sinusitis

• 250 mg PO q12hr for 10 days

Acute Bacterial Exacerbations of Chronic Bronchitis

• 250-500 mg PO q12hr for 10 days
• 500-750 mg IV q8hr; switch to oral therapy as soon as clinically possible

Secondary Bacterial Infections of Acute Bronchitis

• 250-500 mg PO q12hr for 5-10 days

Uncomplicated Pneumonia

• 750 mg IV/IM q8hr

Uncomplicated Skin/Skin Structure Infections

• 250-500 mg PO q12hr for 10 days
• 750 mg IV/IM q8hr; switch to oral therapy as soon as clinically possible

Uncomplicated Urinary Tract Infections

• 125-250 mg PO q12hr for 7-10 days
• 750 mg IV/IM q8hr; switch to oral therapy as soon as clinically possible

Gonorrhea

• Uncomplicated: 1 g PO once or 1.5 g IM once at 2 different sites with 1 g probenecid PO
• Disseminated: 750 mg IV/IM q8hr

Severe or Complicated Infections

• 1.5 g IV/IM q8hr; may be administered q6hr in life-threatening situations 

Contraindications

• Hypersensitivity to cephalosporin antibiotics. 
• History of severe hypersensitivity to any other type of betalactam antibacterial agent (penicillins, monobactams and carbapenems). 

Pregnancy

• Cefuroxime axetil should be prescribed to pregnant women only if the benefit outweighs the risk. 
• Category B

Breastfeeding

• Cefuroxime is excreted in human milk in small quantities. A risk of diarrhea and fungus infection of the mucous membranes cannot be excluded. 
• Breastfeeding might have to be discontinued due to these effects, Cefuroxime should only be used during breastfeeding after benefit/risk assessment by the physician in charge. 

Side effect:

• Candida overgrowth
• System disorders
• Eosinophilia
• Headache, dizziness
• Diarrhea, nausea, abdominal pain
• Transient increases of hepatic enzyme levels

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.