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ZITHROMAX

200mg/5ml Oral suspension

10 mg/kg/d once

daily

SUPRAX ,SEFRAX
8mg/kg/d

SEFIXIME 1OO mg/5ml Oral suspension

% 1-2

Zinnat

(cefuroxime): suspension 125mg/5ml,Tablet &sachets.


Dose: 3mo-12Y: 10-15mg/Kg X2/D. >12y:250mg BD.
Double in sever
inf.
AUGMENTIN
< 1Y
1-6y
>6y
712y
>12
y

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

Brufen (Ibuprofen) susp.100mg/5ml.D >7kg:20-30 mg/kg/d% 3-4


Ponstan (Mefenamicacid)susp.50mg/5ml.D 25mg/kg/d%3 (cap250mg)
Campylobacter
enteritis
Salmonellosis
Typhoid fever

Ciprofloxacin

Ciproxin 250
mg:5ml
7.5 mg/kg/bd

Erythromycin
Trimethoprim
Cefotaxime or
Chloramphenicol

Shigellosis

Trimethoprim or
Amoxicillin

Infant colic: R Simeticone: -INFACOL Liquid.


r

40mg:1ml .dose: 0.5-1ml x

max 6doses.with feed.


- Dentinox colic drop 21mg:2.5ml. dose: 2.5ml x max 6 doses.with feed.

METRONIDAZOLE

Anaerobic pathogens anti-infective agent.

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

Flagyl 125-200mg/5ml,Tab 200,400,500mg.IV infu 5mg/ml,Supp500mg.

X:? pregnancy & lactation

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

:Non sedating:Cyclizine(Valoid), Cinnarizine(Stugeron)


Domperidone (Motilium: Susp 5mg/5ml, Supp 30 mg.)
Dose:Oral :<35kg250-500microgram/kg 3-4 time/day.>35kg10-20 mg 3-4 time/day
Rectal: <35kg 30mg bd,
>35kg 60mg bd
Metoclopramide (PRIMPERAN

20mg Supp. ) > 40Kg

?qds

(Maxolon :Paediatric liquid &Syrup 1mg/ml, Tab 10mg,Inj 5mg/ml)


Dose any root: NB-1Y: 100 microgram/kg bd
NB 3-4 times/day.
1-3Y: 1mg
2-3/day
3-5Y: 2mg
2-3/day
5-9Y: 2.5mg
tds
9-18Y : 5 mg
tds
Dopamine antagonist: Phenothiazines: Chlorpromazine (Largactil :Syrup
25mg/5ml, Suspension fort 100mg/5ml,Tab.10mg,Inj.25mg/ml.!! Contact sensitivity.)
Indications
- Persisting nausea & vomiting.
- Childhood schizophrenia and other psychoses
- Relief of acute symptoms of psychoses
- Induction of hypothermia to prevent shivering.
- Neonatal abstinence syndrome?????( by mouth 2-3 mg/kg/day 3-4 dose)
Dose:1-12Y:500microgram/kg Oraly 4-6 hour.IM 6-8 hour.
Pro chlorperazine(Stemetil :Syrup5mg/5ml,
Eff.granules 5mg, Supp.5mg,Inj.12.5mg/ml)
AGE
1-5y
5-12y
1218Y

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.

2- Maintenance treatment (>3mo.)


Osmotic laxatives

Lactulose: Duphalac,Lactogal,Regulose Susp.3g/5ml Oral.


1mo.-1y 2.5ml, 1-5y 5ml, < 5y 10-15 ml bd

5 days SOS Stimulant laxative:


DocustateNa:Dioctyl ,Docusol ,Norgalax micro-enema. Stimulant &Softening
agent.

Ped sol < 6mo, 12.5mg tds.


Enema < 12Y
{Or Senna: Senacot Susp. 1mo-2y 2.5ml, 2-6y 5ml
< 6y 5-10ml
daily}

Once

Anal fissures
-

scheriproct - hydrocortisone cream is better than


lignocaine jelly.
Chronic anal fissures needs topical Glyceryl trinitrate (0.2-1%)
Topical

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

Gemoprost 1mg pessaries (box 5

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

O R : Gemoprost 1mg pessaries (box 5 pss) 3 hourly vaginaly X5

Contraceptive ta:Microgynon,Losynon
--------------------------------------------------------------------------------------------------------------

OFRAMAX=ROSEPHEN

= cefitriaxon 50-80mg/Kg/D

(SUPRAX =

CEFIXIME)
Ciproxin susp.for enteritis 250/5m.7.5mg/kg/bd

Antibacterial forUTI&GE * G-VE,CHLAMIDIA& SOM


MYCOBACTERIA, PSEUDOMONAL INFECTION,ANTHRAX,SALMONELLA,SHIGELLA,CAMPYLOBACTER,NEISSERIA = GONORRHOEA,
PSEUDOMONAS

GERAMYCINE
LOZENGUS: ANGINOVA, TRACHITOL, ROFAR, STREPSILS
---------------------------------------------------------------------------------------Phenergen,
ZYRTEC,SOOLAN,DULSANA,AMIDRAMINE,POLORAMINE.
ZADITEN
SINGULAIR GRANUL > 6M ONCE DAYLY (Moderate BA+Rhinitis) = steroid
FLIXONASE ,

FLOMIST Aqueous nasal spray

Nasal corticosteroid nasal

drops +/- Antihistamines

RINATEC

Nasal spray 2puffs BD for watery vasomotor rhinitis

VIBROSIL
FEROGLOBINE
VASOGEN CREAM

( when infected ),

SUDOCREAM

EMLA CREAM
OTOCAL EAR DROPS

PERMETHRINE 5% CREAM=LYCLEAR DERMAL CREAM for scabies


and lice apply once weekly for 2 weeks
PARA SHAMPOO
EURAX

WEEKLY X 3 FOR HAIR LICE

cream and solution

ZENTEL
--------------------------------------------------------------------

Milk Infant formular:


SIMILAC advance.

Similac gain >6m on mixd diet.

Feed thickened: Enfamil AR.


Special diet:

Energivit

NESTSRGEL.

(protein free CHO).

SMA Staydown.
Generaid (whey

protein).

MCT Peptide

(AA+MCT+CHO).

Nepro ( high

energy low electrolyte).

Enfamil lactofree. Isomil.


Pregestimil
( gluten,sucrose &lactose free).
Wysoy (Whole caws milk, Lactose& Galactos
Intolerance:
sensitivity).

Night terrors and sleep-walking : hypnotics : Melatonin?

MANAGEMENT OF ACUTE ASTHMA

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. Oxygen to achieve oxygen saturation above 92%.

+
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

3. Add.Neb.Ipratropium Bromide(Atrovent) 125-250 microgram(-1ml) every


h for the first 2 hours. Reduce dose frequency as condition improves.

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

4. IV.short acting 2 agonist or aminophylline

MANAGEMENT OF CHRONIC ASTHMA


Types of
.Ch

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

MDI Salmetrol serevent or


Formetrol foradil >2y bd

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.

Dose: Neonate:20mg/kg/day once daily. 1mo=12Y:10-15


mg/kg/day %2, >12Y 300mg bd
& CARBAMAZEPINE (TEGRETOL Liquid :100mg/5ml,
Supp:125mg) Dose oraly:1mo -12 Y: 5mg/kg/day at night or
%2 increase SOS the maintenance dose 5mg/kg bd or tds.
>12 Y:100-200 mg 1-2 daily increase to usual maintenance
400-600 mg bd or tds.
By rectum: Use approximately 25% more than the oral dose
up to 4 times daily.

FEBRILE CONVULSION:prolonged = > 15 ",or recurrent Rectally


DIAZEPAM 500microgram/Kg max 10 mg repeated SOS.

DYSTONIA Cerebral palsy :Broflex syrup 5mg/5ml.


Dose:1-2 mg daily % 1-2 doses. adjust according to
response.
TREMOR,CHOREA&TICS:
PROPRANOLOL Syprol 5mg/5ml Dose 6-15 mg/kg /day%
3. HALOPERIDOL Serenace 2mg/ml :( antipsychotic drug
{thought disorder,hallucinations, delusions& hyperactive psychotic states.

intractable hiccup}) Improving motor tics ,symptoms of Gilles de la Tourette


syndrome and related coreas.Dose:>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

Diagnosis of Celiac Disease

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)