Ant

ibi
oti
cs
i
ndent
ist
ry

a-Sev
erei
nfl
ammat
ion;

1-
inchi
ld 2-
inadul
t 3-
inpr
egnant

-
--
--
--
--
--
--
--
--
--
--
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--
--
--
--
--
--

1Chi
ld:

a.Li
ncomy
cin 600mg (vi
alorampoul
e) [1mgx2x5]

or

312mg/
)(sy
rup) [
1x3x7]
/ b.Augment
in(
156mg
(457mg) (
syr
up) [
1x2x7]

-
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
2.Adul
t: a.Li
ncomy
cin 600mg (
vial
orampoul
e) [
2ml
x2x5]or

b.Augment
in 625mg (
tab) [
1x3x7]

Wi
thorwi
thout
(
*)Met
roni e (
dazol 200mgor250mgor500mg)or

(
*)Al
phi
nter
n……Uni
zen-
for
t……Av
il

c.Cef
tri
axone 1g (
vial
) (1x2x5) [
needsent
ivi
tyt
est
]

-
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
-

3.Pr
egnantandl
act
ati
on:
a.Amoxi
cil
l
in 500mg (
caps) [
1x3x7]

or
 b.Augment
in 625mg (t
ab) [
1x3x7]or(
1gm) [
1x2x7]

Moder
atei
nfl
ammat
ion:
-
b

1-
inchi
l
d 2-
inadul
t 3-
inpr
egnant

-
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--

1-
inchi
l
d:
- Amoxi
a) cil
l
in (125mg/
250mg) sy
rup [
1x3x7]

or

b)
-Augment
in (156mg/
312mg) sy
rup [
1x3x7]

(456mg) sy
rup (1x2x7)

-Cl
c) i
ndamy
cin (75mg) sy
rup [
1x4x4]

or

*
***
***
***
***
***
***
***
***
***
***
***
***
***
***
***
***
***
***
***
***
***
***
***
***
**

2.Adul
t:
A.Amoxi
l (
500mg) + Met
roni
dazol
e(200mg/
250mg/
500m
g)

Or

B.{
Spi
ramy
cin(
750,
000I
.U)+ Met
roni
dazol
e125mg}
-(
Spi
raz
ol-
--
-Spi
ragy
l-
--
Dent
agy
l-
--
-et
c.) (
2x2x5)

-
(Spi
ragy
l-f
ort) {
Spi
ramy
cin1.
5I.
U+Met
roni
dazol
e250mg}(
1x2x5)

C-Cl
indamy
cin (
150mg)caps [
1x4x4]or(
300mg)caps (
1x3x
4)
 + Met
roni
dazol
e (
tab)i
fthecaseneed

3.Pr
egnantandl
act
ati
on:
(
*)amoxi
cil
li
n 500mg caps [
1x3x7]
(
*)spi
ramy
cin(
1.5)I
.U(
1x4x7)
(
*)Augment
in1g (
1x2x7)

*
***
***
***
***
***
***
***
***
***
***
***
***
***
***
***
***
***
***
***
***
***
***
***
***
**

c-Mi
ldi
nfl
ammat
ion:

1-
inchi
ld 2-
inadul
t 3-
inpr
egnant
=========================================================

1-chi
ld:
a-Amoxi
cil
l
in (
125mg/
250mg) sy
rup [
1x3x7]

b.Cl
indamy
cin{
Dal
aci
n-C}(
75mg)sy
rup [
1x4x4]

-
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
-

2.Adul
t:
(
*)Amoxi
cil
l
in (
500mg) caps [
1x3x7]
-
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
-
3.Pr
egnantandl
act
ati
on:
(
*)Amoxi
cil
li
n 500mg caps [
1x3x7]
*Si
deef
f s ofCl
ect i
ndamy
cini
s((pseudomembr
anouscol
i
tis)
).
..
-:
Not
e

(
*)Per
icor
oni
ti
s:
1-
Ant
ibi
oti
c(Spi
razol
orAugment
in)+Mout
hwash+Anal
gesi
cs

2-
.Scal
i
ngi
fpossi
ble&I
rr
igat
ion(hy
drogenper
oxi
de+nor
mal
sal
i
ne)

-
(Mout
hwash)e.x Eludr
il
,coxydi
l,
hexadyl
,Sensody
ne;
benzl
agi
ne
**-
wecanuseOr
acur
e(gel)aslocalanal
gesi
c.

 Per
icor
oni
ti
s(i
nfl
ammat
ionofsof
tti
ssuear
oundi
mpact
edt
hir
dmol
ari
sthemostcommoncause
oft
ri
smus.
 Tr
ismusi
sthei
nabi
l
ityt
onor
mal
l
yopent
hemout
hduet
ooneormanycauses.

Not
e-pr
egnantcant
ake(
mybaci
n(M.
W)+Augment
in+Panadol
(tab)-
--
--
--
->[
notPanadol
-ext
ra]

*
-Post
-t
raumat
ic

Aftert
rauma:
((Amoxi
l,Augment
inorCl
i
ndamy
cin+Anal -
gesi *
c)
Af
terApi
cect
omyorSur
gical
ext
ract
ion.
- *
Cl
i
ndamy
cin [
150mg caps]or[
300mg caps]

Al
sot
hepat
ientcant
akeoneoft
hesemedi
cat
ionsbesi
det
heant
ibi
oti
c.

Ant
ihi
stami
net
odecr heedemasuchasAv
easet il25mg(
1x2)
, -*
or

Uni
zen-f
ort(
10mg) :Ant
it
umef
aci
entl
ike:Serr
ati
opept
idaseenzy
mei
.e-*
Danazen(
5mg1x3)or

Ant
i-
inf
lammat
oryenzy
me( Al
phinter
n)t
ab(
1x3x10)t
akenonempt
yst
omachorbef
or-*
e1 houroraft
er2hoursofmeal…Why?
Al
phi
nter
nhasasyner
gist
ic,
ant
i-
inf
lammat
oryandant
i-
edemat
ousact
ionoft
owpot
e
nt pr
oteol
yti
cenzymes.Doctor
sadvi
setaki
ngthemedi
cat
ion1hourbeforeadiet
or2hour
safteritsi
nce,
theprot
einsint
hefoodwil
ldegr
adei
nst
eadofthatcausingt
het
umor.

Af
terscal
ing:
:
1.I
nsev
erecases
a.Tet
racy
cli
ne500mgcapsul
esAndMet
roni
dazol
e(500mg)t
ab[
1x3x5]

b.Dent
ake-
E /Dent
afor
ce t
ab [
1x3x30]

WeuseTet
racy
cli
neasmout
hwash(
Tet
racaps500mg)becausei
tincr
easest
her
eg
ener
ati
onoft
hegi
ngi
vawhi
chl
eadst
oincr
easet
her
e-at
tachmentoft
hegi
ngi
vat
othet
o
ot
h….whi
l
ethe Met
roni
dazol
eto ki
l
ltheanaer
obi
cbact
eri
a…

2.I
nmoder
atecases: Met
roni
dazol
e+Mout
hwash+Dent
afor
ce.

noneedf
orant
ibi
oti
csj
ustMout
hwash:3.I
nmi
ldcases

-
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--

Apht
housUl
cer
s

Wi t
hsomevit
ami ns
*
.Tet
. racaps 500mg(
caps) +Sal
ioct (
oral
pai
nt)
contai
ningmi
nerals
*
..Tet
racaps 500mg( caps) +Solcoser
yl(dent
aladhesi
v s
epast
euchasmuvi
) t
_cal
1x1x30
*
..Sil
verNit
rat
esti
cksgentlypai
ntedonul
cer=chemical.

Somet
reat
ment
sopt
ionst
hatmayai
dtheheal
ingpr
ocessar
e:-
 I
napht
housul
cer
,topi alt
caloror etr
acycl
inesuspensi
onmaybegi
ven.
 St
eroi
dlozenges:I
tisusedt
oreducet
hepai
n,andmayhel
pul
cer
stohealmor
equi
ckl
y.Ast
eroi
d
l
ozengewor
ksf
ast
er.
  Chl
orhexi
dineMout
hwashmayr
educet
hepai
n.I
tmayal
sohel
pul
cer
stohealmor
equi
ckl
y.I
tal
s
ohel
pst
opr
eventul
cer
sfr
om becomi
ngi
nfect
ed.Chl
orhex
idi
nemout
hwashi
susual
l
yusedt
wice
aday
.
 Theuseofbenz
ydami
nespr
ay,orchol
inesal
icyl
ategeli
sver
ybenef
ici
alf
ort
het
reat
mentofapht
housul
cer
.
 Aci
clovi
r,at
ypeofant
ivi
ralmedi
cat
ionmaysomet
imesbehel
pfulf
ormout
hul
cer
scausedbyt
he
her
pessi
mpl
exv
irus.
 Wher
eav
ail
abl
e,super
fi
cialt
issuecaut
eri
zat
i ngDebact
onusi eroloruseasi
lverni
tr
atest
ick
 Av
oidpr
oduct
sorf
oodmost
lyaci
dicf
ood,t
haty
ouknowt
ri
ggerorex
acer
bat
eul
cer
s.
 I
mpr
ovedi
etort
akedi
etar
ysuppl
ement
sofvi
tami
nsormi
ner
alst
hatar
eef
fect
ivef
ort
het
reat
men
tofapht
housul
cer
.
 Tr
eat
mentofapht
housul
cer
smayi udecor
ncl ti
cost
eroi
dsappl
i
edasapast
eorusedasamout
hw
ash.
.
 St
eroi
dpast
e(gel
)isanal
ter
nat
ivet
oal
ozenge.
 Numbi
ngagent
ssuchast
hel
ocalanaest
het
icsbenz
ocai
neandl
ignocai
ne(
li
docai
ne)t
ohel
predu
cepai
n.

Anal
gesi
cs
1.Par
acet
amol
for
a.dent
alpai
n

b.antipy
reti
ceffecttor
educebodyt
emper
atur
etot
henor
mal
lev
elf
ore
xampl
e:mumps,herpesinf
ecti
on, anyi
nfect
ion.

paracetamol
iscont
rai
ndi
cat
ioni
nli
verdi
seaseandwehav
etodecr
easet
hedosewi
thr
en
aldisease

Commer
cial
namesanddose:

A.Ramal
500mg t
ab f
oradul
t 1x3

B.
Amol 250mg t
ab f
orchi
l
d 1x3

C.panadol sy
rup f
orchi
l
drenf
rom 8t
o13y
ear
s 1x3

D.Par
amol sy
rup f
orchi
l
drenunder6y
ear
s 1x3

E-
Sol
padi
neTAB par
acet
amol
+codei
ne+!
!!
!!
 2.NSAI
D
a.I
bupr
ofen
commer
cial
namesanddose: Pr
ofi
nal
,Br
ofl
am ,
Sapof
en,
Nov
ogent
………

Gov
en,
Glof
en(
coat
ed)wecanusei
twi
thj
ointandTMJpai
n

- Foradul
t1x
3 t
ab -Forchi
l
drenf
rom 12t
o15y
ear
s

400mg 1x
3 200mg 1x3t
ab

-Forchi
l
drenunder12y
ear
s 100mg 1x3 sy
rup

Ponst
an,
Dysman, :
Fenamol b-Mef
anemi
caci
d
*
.Foradul
tthei
nit
ial
dosei
s500mgaf
tert
hat250mg\6hour
s

*
.Wenev
erpr
escr
ibedi
tforchi
l
drenunder12y
ear
s

*
.wenev
erev
erpr
escr
ibei
tforpat
ientwi
thpept
icul
cer
??i
tmaycausei
nter
nal
ble
edi
ng

Forsev
erepai
norst
rongant
i-
inf
lammat
orydr
ugs-
A.Decl
ofenac–Na(
ampoul
e)or(
tabl
et)

25-
50mg 1x
2tab 75mg I
.M gi
veneach12t
o24hour

(Usedaf
tert
raumat
icsur
ger
y,i
nsev
eredent
alpai
n)

B.Decl
ofenac–K(Cat
afl
am )1x3t
ab

C.Di
fl
oni
sal

3.Nar
cot
icanal
gesi
cs
A.Mor
phi
ne(5-
20mg)ampoul
eI.
M orS.
C

Usedaf
tert
rauma,
postoper
ati
on(maj
oroper
ati
onorf
orpai
nduet
ocancer

B.Tr
amadol(
(causeaddi
cti
on)
) 50mg(
1x3)t
ab

Or 100mg(
1x2)amp

*
-Usedf
orsev
erepai
nwhent
hepat
ienthasgast
ri
cul
cerandcompl
aini
ngofsev
eredent
a
l
pai
n.

*
-Al
ter
nat
iveAnal
gesi
cforpr
egnant
,pept
icul
cer
,renal
fai
l
urepat
ient
s.

-
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--
--

(
NOTES)

Whent
hepat
i ngn
entusi i
ghtguar
dasat
reat
mentof (
T.M.
Jpr
obl
ems)or(
topr
even
tt
he dest
ruct
iveef
fect
sofgr i
ndingandcl
enchi
ng)wecanpr
escr
ibet
hesemedi
cat
ions
tohel
pusi
n t hetreat
mentofsuchcases…

*
-Ibupr
ofen400mg (
1x3)
.

*
-Di
azepam 0,
5tab (
1x1x10)asmuscl
erel
axantbef
oresl
eepi
ng.

*
-Gl
ucosami
ne(
mul
ti
vi
tami
n)f
orj
oint(
1x2x10)
.

Mul
ti
vi
tami
nsi
ndent
ist
ry:
Chi
ld-
*
I
tmustcont
ain(
Cal
cium,
Vit
.D3,
Vit
.A,
Fluor
ide,
Iron,
andPhosphor
ous)
.

i
.e:(ki
ddi
,Gr
and-
vit)

1*
- Ki
ddi
(mul
ti
-vi
t)sy
rup

Abov
e6y
ear
s(15ml
)bef
orebr
eakf
ast

Under6y
ear
s(7.
5ml
).

Gr
and-
vit-
2

Abov
e6y
ear
s(10ml
)twi
cedai
l
y.

Under6y
ear
s(5ml
) t
wicedai
l
y

Zy
maf
lour
:(sodi
um f
luor
idewi
thD3)t
abusedsubl
i
ngual
l
y…- *
Adul
t:-*

Muv
it-
cal
,Gl
ovi
t,(t
ab)(1X1x
30)

Augment
aindose*

FREQUENCY DOSE AMOXCIL CLAV.

amount amount
1x3 156mgsy
rup 125 31

1x3 312mgsy
rup 250 62

1x3 375mgt
ab 250 125

1x3 625mgt
ab 500 125

1x2 1000mgt
ab 750 250

1x2 1.
2gv
ial 1000 200

Not
e:Ont
hef
ir
stdayofsur
gical
ext
ract
ionorapi
cect
omy
,Iadv
isey
out
opr
escr
i
be I
.VI
nfusi
ont
orel
i
evet
hepai
nandt
oencour
agewoundheal
i
ng…

1.DNSi
.
e.(
dex
trosewi
thnor
mal
sal
i
ne)

2.Vi
tBcompl
ex

3.Vi
tC

4.Pl
azi
lfornuesa

5.Dexamet
hasone

6.Cef
tri
axone (
1g)I
.V

7.Vol
tar
inI
.vi
nfusi
on

8.Zent
acI
.v
Onthe2ndday
,Wecanpr
escr
ibe(
Augment
inorcl
i
ndamy
cin+DanazenorAl
phi
nter
n+An
al
gesi
c)