Essenc I Al Therapy
Essenc I Al Therapy
Essenc I Al Therapy
10 mg/kg/d once
daily
SUPRAX ,SEFRAX
8mg/kg/d
% 1-2
Zinnat
156 mg/5ml
tds
156 mg/5ml
tds
312 mg/5ml
tds
375 mg tab
625 mg tab
?X2 in severe
infections
2.5 ml
5
ml
2.5 ml
400mg/5ml DUO
2mo-2y
0.15mg/kg
bd
2-6y
2.5ml
bd
7-12y
5ml
bd
tds
tds for severe infections
ACETAMINOPHEN= PARACETAMOL
X3-4/d
Drops 100mg/ml
syrup 120 mg/5ml
supp
.100,200,350 mg
90mg/kg/d %3-4
Syrup
Supp
<1y
drops
2.5-5ml
100mg
1/2-1ml
1-6y
5-10ml
200mg
6-12y
10-20ml
350mg
ZOVIRAX
(Acyclovir)susp.200mg:5ml
dose:80mg/kg/d%4 X 5-7 Days
HZV,HSV,CHICKENPOX
Ciprofloxacin
Ciproxin 250
mg:5ml
7.5 mg/kg/bd
Erythromycin
Trimethoprim
Cefotaxime or
Chloramphenicol
Shigellosis
Trimethoprim or
Amoxicillin
METRONIDAZOLE
Giardiasis, Amoibiases
&
Antibiotic associated
colitis = Pseudo
membranous colitis
Ulcerative
gingivitis
1-3Y:
50mg
tds
For 5-7 day, Give 10 days for abscess.
3-7Y:
100 mg
diloxanide furoate 6.6
bd
mg/kg tds, < 12y:500mg
7-10Y:
100mg
tds for 10 days
tds
< 10Y:
200mg
tds
Ad.Trichomoniasis: 2 g Single dose,
500%2X10days
Ad.Non specific vaginitis:500mg bd X7days
NB: 15mg/kg/day
%3
>:15-30mg/kg/day
%3
Local Mouth analgesic: Benzydamine(Difflam spray and mouth wash)3-4 puffs 2-3
hourly.
Thrush treatment:
Nystatin oral suspension (100.000U/ml,not absorbed) NB.1-2 ml qds +/- Miconazole (Absorbable
antifungal with some antibacterial activity mainly against Str.&G+ ) Daktarin oral gel 2ml?> bd.
Anti-emetics
Antihistamines: Sedating: Promethazine HCl (Phenergan)
FENISTIL(DIMETHINDENE) DROPS 1mg/ml. Sy 0.5mg/5ml.
Dose:< 1y: 3-10 D tds
1-3y: 1 tsf tds
Phenergan
Elixir 5mg/5ml,
Tab.10mg,
Inj 25mg/ml
Indications
Age/ mg
Symptomatic relief of allergy,
hayfever, Insomnia associated with
urticaria &Pruritus
Nausea &vomiting
Motion sickness prevention
Severe vomiting in pregnancy
2-5
Y
515
5-10 Y
>
10-25
10-20
/mg d 1-2
12.537.5
10
25-75
20-25 bed time
25mg increase SOS to
100mg at bed time
?qds
ORAL
mg.td
s
1.252.5
2.5-5
5-10
RECTA
L
mg.tds
2.5
IM
mg.tds
1.25-2.5
5-10
12.5-25
5-6.25
12.5
Perphenazine
Trifluoperazine
Antipsychotic: Haloperidol
Levomepromazine (methotrimeprazine)
CONSTIPATION
1 - Initial Evacuation
Osmotic laxatives sos Bowl cleansing solutions
Lactulose;Duphalac,
Lactogal,Regulose Susp. 3g/5ml
1mo.-1y 2.5ml, 1-5y 5ml, > 5y 10-15 ml bd
Na-Bicosulphate= SKYLOX Drops 5-10 drops
,Picolax Oral sachet. 1-2y
1/4 sach., 2-4y 1/2 sach., < 4y 1 sach. bd. Solve at 150ml water(acts within3h)
usually achieves evacuation, which may be repeated if necessary.
{if no response: give paraffin oil sos picolax }
{*>2y.Faecal impaction} Osmotic laxatives NG administration of
Macrogols(polyethylene glycol): Movicol oral pawder sachet-solution until clear
faecal effluent is achieved
or for rectal evacuation under anaesthetic.
Once
Anal fissures
-
ointment to relax the anal sphincter, relives pain and aid healing of anal
fissure. Diltiazem 2% ointment could be used for resistant cases.
Surgery for the more resistant.
Abortion
Mifegyne tab + Cytotec tab
(or
pss))
1 Mifegyne 200 mg tab O + Cytotec 200 microgram ( 4 tab=800 microgram)
tab Vaginaly:
< 9 W= < 2 mo: 1-3 day
if no bleeding after 4 h repate 400 microgram
9-13 W=2-3 mo: 36-48 h
400 microgram 3 Hourly X 4 Vaginaly or Oraly
13-24W=3-6 mo: 36-48 h
400 microgram 3 Hourly X 4 Oraly
Contraceptive ta:Microgynon,Losynon
--------------------------------------------------------------------------------------------------------------
OFRAMAX=ROSEPHEN
= cefitriaxon 50-80mg/Kg/D
(SUPRAX =
CEFIXIME)
Ciproxin susp.for enteritis 250/5m.7.5mg/kg/bd
GERAMYCINE
LOZENGUS: ANGINOVA, TRACHITOL, ROFAR, STREPSILS
---------------------------------------------------------------------------------------Phenergen,
ZYRTEC,SOOLAN,DULSANA,AMIDRAMINE,POLORAMINE.
ZADITEN
SINGULAIR GRANUL > 6M ONCE DAYLY (Moderate BA+Rhinitis) = steroid
FLIXONASE ,
RINATEC
VIBROSIL
FEROGLOBINE
VASOGEN CREAM
( when infected ),
SUDOCREAM
EMLA CREAM
OTOCAL EAR DROPS
ZENTEL
--------------------------------------------------------------------
Energivit
NESTSRGEL.
SMA Staydown.
Generaid (whey
protein).
MCT Peptide
(AA+MCT+CHO).
Nepro ( high
1. Short acting B2 agonists MDI via Spacer devices & close fitting face mask. Give
1 puff every 15-30 sec.X10, Repeat dose after30 min if necessary. Reducing
frequency to every 1-4 hours when condition improves.
POOR RESPONSE
+
2.5-5 (mg or ml) Neb.Salbutamole or 5 mg = ml Terbutaline(Bricanyl)
repeat dose every h if necessary then reduce frequency according to
response .
POOR RESPONSE
Oral prednisolone 1-2 mg/kg max 40 mg.once daily for 3-5 days.(if oral
administration is not possible give IV hydrocortisone 4mg/kg repeated 6 hourly)
POOR RESPONSE
Infrequent
Episodic
.of asthmatics 3/4
BA
Episode / Y 4 >
Not
Step1
Frequent
Episodic
Persistent asthma
5% >
of 1/5
asthmatics
Have
symptoms
every 2-4 wks
Step 2
Step 3
Step 4
?
modified- release
oral 2 antagonist
Theophylline Nuelin SA
Aminophylline Phyllocontin
continus any age.bd
modified- release
oral thiophylline
Singulair or Accolate
Leukotriene
6mo.once /d <
receptor
antagonist
Leukotriene
receptor
antagonist
Long acting 2
antagonist
Long acting 2
antagonist
Inhaled steroid
Inhaled steroid
High Dose
SOS
2Bronchodilatore
2Bronchodilat
ore
Anti epileptics
VALPROATE (EPILIM 200mg/5ml. )
*>2Y.
50 microgram/kg/day
%2, Increase and adjust according to response
Fungal infections
Tinea capitis (scalp ringworm), the most common fungal infection,
produces irregular balding areas, scaling, and erythematous lesions.
As these lesions enlarge, their centers heal, causing the classic ringshaped appearance. Surrounding the balding areas are broken scalp
hairs. When they break off at the scalp surface, hairs resemble black
dots. Other findings include pruritus and thick, whitish nails.
Allopecia Tratment
MINOXIDIL = ROGAINE
SOLUTION 2% OR 5 %
+
ANTHRALIN CREAM DAYLY
BD
Serologic Tests
1. EMA (Immunoglobulin A anti-endomysium antibodies)
2. AGA (IgA anti-gliadin antibodies) Some people do not produce IgA
antibodies.
3. DGP (Deamidated gliadin peptide antibody)
4. tTGA (IgA anti-tissue transglutaminase)