A CONTACT DERMATITIS F

CONTRACEPTION
ABDOMINAL PAIN CORNEAL ABRATION FEVER
ABORTION COUG & COLD FILARIASIS
ACNE COUGH FOREIGN BODIES - EYE
ALLERGIES COUGH SYRUP FOREIGN BODIES - EAR
ALCOHOL WITHDRAWAL REGIMEN CRACKED LIPS FUNGAL INFECTION
ALLERGIC RHINITIS
ALLOPECIA ACREATA
CRACKS
G
ALOPECIA AREATA D GASTRITIS
AMENORRHOEA
DANDRUFF GASTROINTESTINAL TRACT
ANEMIA
DERMATITIS GENITO URINARY SYSTEM
ANOREXIA
DIABETES MELLITUS GLAUCOMA
ANTIBIOTIC CREAMS
DIARRHEA GONORRHEA
ANTIBIOTICS
DKA GUM BLEEDING
ANTIBIOTICS SYRUPS
DMPA INJECTION GUM DISEASES
ANTIBIOTICS PREPARATIONS
DOG BITES GUM DISTRUTION
ANTIBIOTICS TABLETS
DRUGS GYNECOLOGY AND OBSTETRICS
ARTHRITIS / BACKACHE
ASTHMA
DRUG ALLERGY
DRY EYE
H
ASTHMA CHILDREN
DRY SKIN HEAD LICE
AURICULAR HEMATOMA
DYSMENERRHOEA HEADACHE
B
E HEMORRHOIDS
HICCUPS
BAD SMELL
BURNS EAR HIGH FEVER

BLOOD AND MUCUS DIARRHOEA EAR INFECTION HYPERTENSION

C EAR PRICKING
I
EAR SYRINGE
CANDIDIASIS EARACHE IMPOTENCE
CARDIOVASCULAR SYSTEM EARWAX INFERTILITY
CELLULITIS ECZEMA INHALERS
CHALAZION EMERGENCY CONTRACEPTIVE
CHICKEN POX ENT L
CONJUNCTIVITIS EPISTAXIS
LOSS OF APPETITE
CONSTIPATION EYE
M P STYES
SUSPECTED CALCULI
MENORRHAGIA PAIN KILLERS SWEAT RASH
MENSTRUAL PAIN PARACETAMOL DOSES
MENSTRUATION POSTPONE PARONYCHIA
MIGRAINE PEDICULOSIS T
MILK SECRETION PHARYNGITIS AND TONSILLITIS
TAENIA INFECTIONS
MOTION SICKNESS PITYRIASIS VERSICOLOR
TENIA VERSICOLAR
MOUTHWASH POST-PONE MENSTRUATION
TETANUS TOXOID
MUSCLE CRAMP PREGNANCY
THROAT
MUSCULAR PAIN PRURITUS
TINEA CRURIS
MUSCULOSKELETAL SYSTEM PSORIASIS
TONSILITIS
MYOCARDIAL INFARCTION
R TOOTHACHE

N U
RED EYE
NAGANA RESPIRATORY SYSTEM
URETERIC COLIC
NAILS RINITIS
URINARY TRACT INFECTION
NAPKIN RASH
NASAL BLOCK
S URTICARIA

NASAL DECONGESTANTS
SCABIES V
NERVOUS SYSTEM
SCALDS
NOCTURNAL ENURESIS VAGINAL CANDIDIASIS
SCAR
NOSE VAGINAL DISCHARGE
SEBORRHEIC DERMATITIS
NUMBNESS VERTIGO (VESTIBULAR NEURITIS)
SEIZURES
NUTRITION VITAMINS
SEVERE BACTERIAL & FUNGAL INFECTION
VOMITTING
O SINUSITIS
VULVO-VAGINAL CANDIASIS
SKIN
ORAL
SKIN ALLERGY W
ORAL ALLERGY
SKIN CONDITION
ORAL THRUSH WARTS
SLEEPING DISTURBANCES
ORAL ULCERS WATERY DIARRHOEA
SORE THROAT
OTHERS WORM TREATMENTS
SORE THROTS/ TONSILLITIS
WOUNDS
STOP MILK SECERETION
1. DRUGS 30. GENITO URINARY
2. ANTIBIOTICS SYSTEM
3. ANTIBIOTICS TABLETS 31. URINARY TRACT INFECTION
4. ANTIBIOTIC CREAMS 32. URETERIC COLIC
5. ANTIBIOTICS SYRUPS 33. SUSPECTED CALCULI
6. ANTIBIOTICS PREPARATIONS 34. IMPOTENCE
7. PAIN KILLERS 35. NOCTURNAL ENURESIS
8. PARACETAMOL DOSES
36. MUSCULOSKELETAL
9. RESPIRATORY SYSTEM
SYSTEM
10. ASTHMA
37. MUSCLE CRAMP
11. ASTHMA ADULT
38. MUSCULAR PAIN
12. ASTHMA CHILDREN
39. ARTHRITIS / BACKACHE
13. INHALERS
14. COUGH
15. COUGH SYRUP 40. NERVOUS SYSTEM
16. COUG & COLD 41. SEIZURES
42. NUMBNESS
17. GASTROINTESTINAL 43. SLEEPING DISTURBANCES

TRACT 44. MIGRAINE

45. HEADACHE
18. ABDOMINAL PAIN
19. DIARRHEA
46. ENT
20. WATERY DIARRHOEA
21. BLOOD AND MUCUS DIARRHOEA 47. EAR
22. VOMITTING 48. EARACHE
23. GASTRITIS 49. EAR INFECTION
24. WORM TREATMENTS 50. VERTIGO (VESTIBULAR NEURITIS)
25. CONSTIPATION 51. EARWAX
26. HEMORRHOIDS 52. EAR SYRINGE
53. FOREIGN BODIES - EAR

27. CARDIOVASCULAR 54. EAR PRICKING

SYSTEM 55. AURICULAR HEMATOMA

28. MYOCARDIAL INFARCTION

29. HYPERTENSION
56. NOSE 89. DERMATITIS
57. EPISTAXIS 90. CONTACT DERMATITIS
58. RINITIS 91. PSORIASIS
59. ALLERGIC RHINITIS 92. ECZEMA
60. SINUSITIS 93. PRURITUS
61. NASAL BLOCK 94. NAPKIN RASH
62. NASAL DECONGESTANTS 95. SWEAT RASH

63. THROAT 96. URTICARIA

97. NAILS
64. SORE THROAT
98. PARONYCHIA
65. TONSILITIS
99. ALOPECIA AREATA
66. SORE THROTS/ TONSILLITIS
100. ALLOPECIA ACREATA
67. PHARYNGITIS AND TONSILLITIS
101. CRACKS
102. DRY SKIN
68. SKIN
103. SCAR
69. SKIN CONDITION
104. SCALDS
70. ACNE
71. SEBORRHEIC DERMATITIS
72. WOUNDS
105.ALLERGIES
73. TETANUS TOXOID 106. SKIN ALLERGY
74. BURNS 107. ORAL ALLERGY
75. CELLULITIS 108. DRUG ALLERGY
76. CHICKEN POX
77. SEVERE BACTERIAL & FUNGAL INFECTION
78. FUNGAL INFECTION
79. CANDIDIASIS
80. TAENIA INFECTIONS
81. TENIA VERSICOLAR
82. TINEA CRURIS
83. PEDICULOSIS
84. HEAD LICE
85. PITYRIASIS VERSICOLOR
86. SCABIES
87. DANDRUFF
88. WARTS
109.GYNECOLOGY AND
139.NUTRITION
OBSTETRICS
140. VITAMINS
110. PREGNANCY 141. ANEMIA
111. INFERTILITY 142. ANOREXIA
112. CONTRACEPTION
113. EMERGENCY CONTRACEPTIVE 143.ORAL
114. DMPA INJECTION
144. TOOTHACHE
115. MENSTRUAL PAIN
145. ORAL ULCERS
116. DYSMENERRHOEA
146. ORAL THRUSH
117. MENORRHAGIA
147. MOUTHWASH
118. AMENORRHOEA
148. GUM DISEASES
119. POST-PONE MENSTRUATION
149. GUM BLEEDING
120. MENSTRUATION POSTPONE
150. GUM DISTRUTION
121. MILK SECRETION
151. CRACKED LIPS
122. STOP MILK SECERETION
152. BAD SMELL
123. VAGINAL DISCHARGE
124. VAGINAL CANDIDIASIS
125. VULVO-VAGINAL CANDIASIS
153.OTHERS
126. GONORRHEA 154. FEVER
127. SUSPECTED GONORRHEA 155. HIGH FEVER
128. ABORTION 156. DIABETES MELLITUS
157. DKA
129.EYE 158. DOG BITES
159. LOSS OF APPETITE
130. CONJUNCTIVITIS
160. MOTION SICKNESS
131. RED EYE
161. ALCOHOL WITHDRAWAL REGIMEN
132. STYES
162. FILARIASIS
133. NAGANA
163. HICCUPS
134. CHALAZION
135. FOREIGN BODIES - EYE
136. GLAUCOMA
137. CORNEAL ABRATION
138. DRY EYE
1. DRUGS

2. ANTIBIOTICS

3. ANTIBIOTICS TABLETS TOP

pregnant mothers Amoxicillin and Cephalexin
Amoxicillin 250mg (syrup 1ts)
URT,GUT,GIT,ENT,Gonorrhea
Adult 250-500mg/cap/tds
children
<3/12-1yrs 62.5mg/tds
1-3yrs 1ts/tds
3-9yrs 250mg/tds
>10yrs 250mg-500mg/tds

Cloxacillin(Alelox) 250mg
RTI,ENT,skin,soft tissue infection
Adult 250mg-500mg/cap/tds

Ciprofloxacine(Ciprodel-500mg,ciplox-250mg,Ciproquine-250mg)
URTI,LRTI,ENT,skin and soft tissue infection,bone and joint infection)
Adult 250mg-750mg/bd/7-14dys

Cephalexin 250mg(Celaxin,Sporidex,Decacef)
Adult >12yrs 500mg/tds
Child 125-250mg/bd
(RTI,OM,Skin infection,URTI,Syphilis-500mg/2wks Gonorrhea male-3g single dose
with probenecid

Nitrofurantoin
Adult 50-100mg/tds/7dys
Children >3months 3mg/kg/daily divided dose
Norfloxacin 100mg and 400mg (Negaflox,Janacin,Norbactin)
Adult 400mg/bd
UTI 7-10dys
acute gonorrhea 800mg/single dose
RTI and ENT 400mg/bd/3-25dys
Furoxone
SE - Diarrhea
Adult 2tabs/tds
Children
<1yrs 1/2tabs/bd
3-4yrs 1tab/bd
4-10yrs 1tab/tds

Erythromycin TOP
 250mg
RTI,Skin,Syphilis,Tonsillitis 500mg/q6hrly
Adult 250mg-500mg/tds
Children
<2yrs 125mg/tds
2-8yrs 250mg/tds
Metronidazole (Flagyl,Matrogyl)
Anerobic infection,diarrhea,leg ulcers,intestinal amebiasis,liver abscess,bacterial
vaginosis,dental infection 1tab=200mg
Adult >10yrs 400mg/tds or bd
Children
7-10yrs 200mg/tds
7 months to 3yrs 100mg/tds TOP

4. ANTIBIOTICS CREAMS
Metronidazole(Metrogyl)
Papules,pustules, and erythema of rosacea and acne vulgaris
Apply bd
Soframycin skin cream
Burns,scalds,cuts,ulcers,contact dermatitis,secondary infection
Apply bd
Mupirocin(bactroban)
Infected traumatic lesions, bacterial contaminated wounds
Apply bd/tds for 10 days
Fusidic acid(Foban,Fucidin cream)
Primarily and secondarily infected wounds, staph or strep infected wounds
Apply bd/tds TOP

5. ANTIBIOTICS SYRUPS
Amoxycillin syrup - 1ts tds/qds (1ts=125mg)
Decamox
Amoxil
Cephalexin syrup
Decacef
Blucef
Cloxacillin syrup
Erythromycin syrup
Bactram syrup
Dosages
1-2 months 1/5ts/tds for 4-5 days
2-4 months 1/4ts/tds for 4-5 days
6-10 months 1/2ts/tds for 4-5 days
 >11 months 1ts/tds for 5-7 days TOP

6. ANTIBIOTICS PREPARATIONS
Amoxycillin types
Decamox For adults 250-500mg caps/tds
Blue mox 125mg tab for child <5yrs
Amoxil caps 250-500mg/tds
Amoxytab 125mg/6hrly
Axil syrup 250-500mg
Cloxacillin - Cloxacillin 500mg
Cephalexin
Blucef 125-500mg tab
Decacef 250-500mg cap
Sporidex
Syrup
Cap
Tab
Ciprofloxacin - 250mg (Max daily dose 1g)
Co-trimexol - Bactrim for child 1tab/tds
Augmentin/IV
Nitrofurantoin
50-100mg/tds
For prophylaxis 50mg/nocte/1wk TOP

7. PAIN KILLERS
Meloxicam

7.5mg,15mg
15mg/day nocte
No gastric irritation

Piroxicam

20mg nocte/ 10mg nocte(about 5day)

No gastric irritation

Diclofenac-k rapid action

Idomethacine

25mg-200mg/day
Usualy 25mg tds (with meal)
SR 1 casule nocte

Diclofenac Na

50mg bd after meal

Supp 100mg nocte TOP
 Ibuprofen

400mg after meals

Supp for paediactrics

Tramadole HCL (not for children) (50mg capsules)

Panadene - 2 tab 6hrly (not for paediactrics) TOP

8. PARACETAMOL DOSES
Pediatrics
<3months 60mg(1/2ts)/q6hrly
3-12months 60-120mg(1/2-1ts)/q6hrly
1-5yrs 120-250mg(1-2ts)/q6hrly
6-12yrs 250-500mg(3-4ts)/q6hrly
>12yrs 0.5-1g/q6hrly
>15yrsb 2tablets/tds TOP

9. RESPIRATORY SYSTEM

10. ASTHMA
Bronchial constriction - Salbutamole / Theophyline
Mucosal oedema Prednisolone / Dexamethazone
Secretions Antihistamine
Acute stage nebulize with Salbutamole
General Mx
Nebulise
Salbutamole
>5yrs 5mg(1ml)
<5yrs 2.5mg(1/2ml)
Ipratropium
<5yrs 0.25mg(1/2ml)
>5yrs 0.5Mg(1ml)
Hydrocortisone
Adult 200mg/IV
Child 4-6mg/kg/IV
Prednisolone 60mg/stat
Salbutamole 4mg/stat
Salbutamole 2mg/tds
Continuing Mx
Prednisolone 10mg/tds/3dys
Antibiotics
Piriton 1tab/bd TOP
 Deriphylline 1tab/bd/3dys
5mg/tds/2dys
Severe
Nebulise with salbutamol 2.5mg hrly
Hydrocortisone 200mg IV
Salbutamol 4 hrly
Prednisolone 1mg/kg
Theophylline 200mg/bd
Antihistamines- Cetrizine 10mg= 1tab
Mild intermittent
Salbutamol
Theophylline
Antihistamines
PCM
Mild persistent
Salbutamol
Beclomethasone 250g/bd
Antihistamine
Theophylline
Nodocromil Sodium/Ketotifen
PCM
Prophylaxis
Ketotifen, Amiton, or Katasma 1mg
Prednisolone
2 tab/tds for 2-3 days then
1 tab/tds for 2 days then
1 tab/bd for 2 days then
tab/bd for 1 day
Bronchodilators
Salbutamol syrup ( 1ts=2mg )
Adults 1-2ts/tds
Pediatrics
o <1yrs 1/2ts/tds
o 2-6yrs 1/2 to1ts/tds
o 6-12yrs 1ts/tds
Terbutaline sulphate ( 1tab=2.5mg )
Adults 1-2tab/tds
Pediatrics
o <5yrs 1/4-1/2tab/tds
o 6-12yrs 1/2-1tab/tds

Theophylline (125mg=1tab)
Adults 1tab/q6hrly
Pediatrics
o 2-12yrs 10mg/kg TOP
11. ASTHMA ADULT
Salbutamol 4 mg stat, 2-4 mg tds, Inhaler 400 micg tds ( 2 puffs )
Terbutalin 2.5-5 mg tds ( 1 tab - 5 mg ) for 2 wks
Terbutalin syrup 1.5mg/5ml
Terbutalin inhaler 500 micg tds
Theophylline 125 250 mg bd for 1 wk
Deryphyllin retard 30 mg for 1 wk
Euphyllin ( Theophyllin SR ) tab (250 mg) bd for 1 wk
Theobrid 150mg OR 300 mg
Steroid
Oral
Prednisolone 20 mg stat,
1 tab bd for 3 days OR tab bd for 4 days
Can give with breast feeding and pregnancy (10mg/bd or tds)
Up to 40mg/day
4 tab mane, 2 tab nocte (1 tab= 5 mg)
Dexa 1mg/tds 92 tab)

Inhalers Beclamethazone 400 micg bd, 6 - 12 yrs 50-100 micg

Budenoside 200 micg bd
Piriton 4 mg nocte (?bd/tds)
PCM 1mg/tds
Amoxicillin 500mg/tds TOP

12. ASTHMA CHILDREN

Salbutamol
Oral
2 yrs 100 micg/kg/day ( divided doses )
2-6 yrs 1-2 mg tds
6-12 yrs 2 mg tds
Syrup ( 1 TS = 2 mg )
< 3 months TS tds
3 months 4 yrs TS tds
4- 12 yrs 1 TS tds
Terbutalin 75 micg/kg tds ( 2.5 mg tds in 7-15 yrs age group )
Theophyline Syrup up to 5 yrs, Oral 3-6 yrs 62.5 125 mg bd
Ketotifn 1mg nocte for 1 wk ( chronic pts )
Steroids Oral Prednisolone 10 mg stat ( 2 tab) , tab for 3 days

Below 1yr
Salbutamol syrup ( Eg. Ventolin .mg/5ml) 1/4 table spoon tds
Prednisolone
1month - 4month tab bd
4month - 3yrs tab bd TOP
1-5yr
Ventolin syrup (2mg/5ml) ts/tds or Deryphyllin syrup 2.5ml/tds
 Ventolin expectorant if productive cough
Prednisolone 2 tab/mane, 1 tab nocte
PCM tab/tds
Amoxicillin
Blumox P 1 ts/tds
5-12yr
Salbutamol 2mg/tds
Prednisolone 3 tab/mane, 1 tab nocte
PCM 500mg or250mg/q6hr
Amoxicillin 125mg/tds (Blumox P 125mg= 1ts to 250mg= 2 ts/tds)
Theophylline
Adult 125mg/q6hr
Pediatrics 1mg/kg/q6hr
Contraindications
o Extremes of age
o Hypertension
o <2yrs TOP

13. INHALERS
Salbutamol
Asthalin (100, 200, 400 micg)
For acute bronchospasm
Adults 200- 400 micg stat
Children 200 micg stat
Chronic maintenance
Adults 400 micg tda/qds
Children 200 micg tds/qds
Ventolin (100 micg/act)
For acute bronchospasm
Adults 200 micg stat
Children 100 micg stat
Chronic maintenance
Adults 200 micg qds
Children 100 micg qds
Beclomethazone
Beclate (50micg/act, 100/act, 250/act: 100,200,400 micg)
Adults 200-400 micg bd/tds/qds
Children 50-100 micg bd/tds/qds
Becodiscs ( 100, 200,400 micg )
Salmeterol, Fluticazone
Seretide ( 25/50, 25/125, 25/250, 50/100, 50/250, 50/500 micg)
Adults 50/250 micg bd OR 50/100 micg 2 bd
Children 50/100 micg bd OR 25/50 micg 2 bd TOP
14. COUGH REGIMEN
Anti inflammatory - Dexa and Prednisolone
 Anti histamine - Piriton
Anti tussive - syrup for dry cough only
Drugs
Advice- no bath,
PCM
Piriton (plane or expectorant)
Salbutamol
Adults 4mg tds
Children
< 2yrs 100 micg/kg/day ( divided doses )
2-6 yrs 1-2 mg ( divided doses )
6-12 yrs 2 mg tds
Amoxicillin syrup
If sputum get yellow/3 days
1 to 4 years - 125mg/tds
5-12 years - 250mg/tds
Adults - 250-500mg/tds
>9 months
salbutamol syrup
>5 years
Ascoril (contains salbutamol, expectorants, and Piriton )
Adults - 10ml/tds (2 ts/tds)
<3/12 TS tds
3/12- 4 yrs TS tds
<6 years - 1 ts/tds
6-12 years - 1-2 ts/tds

Corex D ( For dry cough )

o Adult - 1 ts/tds
o 6/12 - 2 yrs TS tds
o 2-6 yrs TS tds
o 6-12 yrs 1 TS tds
Hydraline (aminophylline) for both productive and non productive cough,
suitable for any ages >1 year
Dialex syrup- available as loose product, cough expectorant, contain
aminophylline- Risky
Dexal- for more than 1 year for any age
Benof- expectorant
Benedryl- Adults- 2 ts/tds (Cofnil expectorant- anti tussive and expectorant)
Prednisolone
For Productive Cough(Expectorants)
Ascoryl- contain salbutamol
Cofnil N
Benof- contain salbutamol
Dialex- contain aminophylline TOP
Brondeeon
Terpect
 Hydraline- contain aminophylline
Piriton expectorant Adult
Piriton Plain Adult/ Children
Avil 2 TS tds
Dialex ( Amynophylin)
Mucelin
Sputum positive
White Piritone
Purulent - Antibiotics
Amoxycillin 250 mg 6H for 3 days
If sensitive Erythromycine
Cough With Purulent Sputum
Antibiotics
Cephalexin
o <1yr- 125mg/bd for 3dys
o 1-5yr- 125mg/tds for 3dys
o 6-12yr- 250mg/tds for 3dys
o Adults- 500mg/tds for 3dys
Erythromycin
o <2yr- 125mg/q6hr
o 2-8yr- 250mg/q6hr
o >8yr- 500mg/q6hr
Cloxacillin 250-500mg/q6hr
PCM
Piriton 1mg= 2.5ml, 4mg= 1 tab
<1yr - Piriton syrup ts/tds= 0.5mg/tds
1-2yr - 1mg/bd
2-5yr - 1mg/q6hr (max 6mg/day)
6-12yr - 2mg/q6hr (max 12mg/day)
Adults - 4mg/q6hr (max 24mg/day)
Prednisolone

Earlier Yellowish Sputum Then Whitish Sputum

Pediatrics
Ascoryl syrup 1ts/tds
Adults
Ascoryl syrup 2ts/tds
Dry Cough
Adults
Corex D syrup (Phensodyl, Ascodex) 1ts/tds
Both Productive And Dry Cough
Pediatrics
1yr Benedryl (Junior) syrup 1ts + Piriton syrup
2-4yr Benedryl (Junior) syrup 2ts + Piriton syrup
Adults TOP
Benedryl syrup- 2ts/tds
 Cough And Cold
Adult
PCM 2tabs/tds
Brufen 1tab/bd/tds
Dexa 1tab/tds
Perition 1tab/nocte
tab/mane
Cimetidine 200mg/bd
400mg/bd
Vitamin C 1tab/tds
If sputum suppurated
o Amoxicillin 250mg/qds/3dys
o Ketotifen(Astifen) 1-2mg/bd
o Cetrizine 10mg/nocte
o Bisolvon (1tab=8mg ) 1tab/tds
o Allermine 4mg/tds
Children
Piriton syrup
o <6 months ts/bd
o 1yrs 1ts/bd
PCM syrup
o <6 months ts/tds
o >1yrs 1ts/tds
Ventolin (Salbutamol)
o <1yrs ts/tds
o >1yrs 1ts/tds
Antibiotics syrup
o Erythromycin 125mg (1ts)/tds
1-5yrs 1tab/tds
o Cephalexin syrup
Brands
Decacef
Sporidex
Selecxin
Ceporex
<1yrs 125mg/bd
o Amoxicillin syrup
Brands
Deccamox
Blumox
Moxarin
Cold With Productive Cough
Benadryl 1-2ts/tds for>12yrs
Benadryl Junior ts/tds for 1-6yrs
Cold With Dry Cough TOP
Pirition Expectorant
 Corex-X
Phensebyl
All above given as
Adults 2ts/tds
Child 2-6yrs ts/tds TOP
6-12yrs 1ts/tds

15. COUGH SYRUP

No codien/similar opioid < 1yrs

5yrs

Benadryl

Cosome(Expensive)

Corex(contain codien)

Corex D ( )

Hydraline R

< 5yrs

Hydraline

Benadryl JUNEAR

Up to 1yrs 2.5ml bd

1-5yrs 2.5ml tds

5-12yrs 5ml tds

Adult 10ml tds

Patien with asthma age 1-5yrs

Ventolin syrup 2.5ml tds

Deriphyllin syrup 2.5ml tds

Child under 2 yrs

salbutamole 100micrograms/kg 4 time per day TOP

16. COUGH & COLD

PCM 2 tabs tds

Syrup
< 6 months tsp bd TOP
 <6 months 1 yr 1 tsp bd
Vit C 1 tab tds
Suppurative Sputum
Amoxicillin 250 mg tds OR 500 mg tds for 3 days
Children up to 10 yrs - 125 mg tds
Ketotifen (Astifen) 1-2 mg bd ( > 2 yrs )
Cetrizine( Arix, Cetrine ) 10 mg nocte
Bisolvan ( 800 mg/tab, Syrup 4 mg/tsp ) Adults 1tb tds, syrup 10 ml tds
Allermine ( 4 mg/tab, Syrup 2 mg/tsp )
Adult 4 mg every 4-6 H ( Max 24 mg/day)
Children
6-12 yrs 2 mg 4-6 H ( Max 12 mg/day )
2-5 yrs 1 mg 4-6 H ( Max 6 mg/day )
1-2 yrs 1 mg bd
Salbutamol ( Ventolin)
< 1 yr tsp tds
1 yr 1 tsp(2 mg) tds TOP

17. GASTROINTESTINAL TRACT

18. ABDOMINAL PAIN

Propanthaline

adults 15mg (1tab) tds (1hr before meal)

Children 5-12yr 7.5 mg (1/2) tab tds

OR

Buscopan (Hyoscine bromide)

Adult 20mg(2tabs) tds

Children 10mg(1 tab) tds

Furoxone ( 100mg=1tab ) 200mg/bd

Ask for allergy before commencement ( For beans)

Ciprofloxacine 500mg /bd

If severe 500mg/tds Increase water intake

Do not give with antacids

Digine/Aludrox

IF Food Poisoning Suspect TOP

 Give antibiotics

Cephalexin 500mg/tds OR Amoxycillin

Blucef (for small children)

If severe abdominal pain and prolonged

Exclude Appendicitis

Abdominal pain + loss of appetite - Consider Worm Treatments and Antacids TOP

19. DIARRHEA
General
Buscopan (Hyoscine Butylbromide)- Adult+>6yr- 1 tablet, <6yr- tablet
Furazolidone- <1yr- 50mg/tds, 1-3yr- 100mg/tds, >3yr- 200mg/tds
Metronidazole- 800mg initially, then 400mg/tds/7-10 days (for anerobic infection
especially with Clostredium defficile infection); Ped- 7.5mg/kg/tds
Pediatrics
<1 year
PCM (syrup) see under fever
Blucef or Cephalexin + Jeewani +increase breast feeding
Piriton
In patients with BA+common cold, diarrhea and abdominal pain can occur
Amoxicillin itself can cause diarrhea

1 to 5 year
PCM 1-3yr-syrup 1ts/tds, 3-5yr-250mg 8hrly
Blucef +Jeewani
Piriton 1-3yrs -1/2ts/bd syrup, 3-5yrs-1ts/bd syrup TOP

20. WATERY DIARRHOEA

ORS - Jeewani mixed with 200ml, given within 24hr

Paracetamol
Propanthaline 15mg (1tab) tds ( Not for children )

Note -given for abdominal pain

Anti spasmodic
Take 1 hour before meal

Co-phenotrope ( Lomotil) 2.5mg/0.025mg ( Child under 4 yrs not recommended )

4-8yrs 1 tab tds
9-12yrs 1 tab qds
13-16 yrs 2 tab tds
Adults Initially 4 tabs, Followed by 2 tabs every 6 hourly TOP
 Hyoscine ( Buscopan ) [ For Children instead of Propanthaline ]
Adults 10-20mg tds
12-6 yrs 10mg tds
6-2yrs 5mg (1/2 tab) tds
<2yrs 5mg (1/2 tab) bd

loparamide hydro clhloride (loparamide)

1st dose-4mg 2mg after each loose stool up to 5day

Aludrox 2tab tds

Antibiotics
Furazolidone
3months 7months 50mg 8 hourly
1yr -3yr 100mg 8 hourly
Adults Norfloxacin 200mg bd OR Metroniadozole 400mg tds

Norfloxacin 200mg /bd

o Note-Antimotility drug
o If sulfa allergic not give to a child
o Urine yellow color
o Syrup available
Metronidazole 400mg /tds TOP

21. BLOOD AND MUCUS DIARRHOEA Better To Refer

Adults
Metroniadazole(syrup can be given) 400mg tds + Domperidone 10mg tds
Ciprofloxacin 500mg tds [ If Typhoid suspect ]
Propanthaline 15mg (1tab) tds
Paracetamol 1g tds
Cephalexin (specially for child diarrhea)
Propanthaline bromide
Children Refer
1-5yrs

Digine tab tds

PCM
Blucef
Jeevanee

<1yrs

Digine tab
PCM
Blucef
patien with asthma/common cold- diarrhea & abdominal pain TOP
 Do not give Amoxicillin as it can aggravate the diarrhea
Gastroenteritis
Acute
Cholera
o CF
Profuse watery diarrhea
Fever
Vomiting
Rapid dehydration (alert)
o Drugs
Clotrimazole 480-960mg/bd?
Imodil 0.5-2.5mg/bd
Konomal (Bulk formation) 5mg/tds
Mebevarine gel 135mg/tds
Rx
o PCM
o If vomiting
Metochlorpramide 10mg/tds
Phenergan 10mg/tds
Lomatil 1tab/tds
o If mucus or blood
Nitrofurantoin
Flagyl TOP

22. VOMITTING
Adult
Phenergan (Promethazine Hydrochloride)
10mg=1tab/tds or bd
Before meal
Can go up to 25mg/bd
Digine 1tab/tds (digine has both tab and syrup) Contains AlOH 250mg and MgOH 250mg
Gravinate (Dimenhydrinate) 50mg
Vitamin B Com 1tab/tds
Severe
Promethazine injection 25-75 mg/IM
Domperidone syrup 30mg for adults and 10mg for child
Maxalone (Metaclopromide) 10mg/IV
Pediatrics

1 to 4 months
Phenergan syrup -1/4 ts/bd= 2.5mg ( 5mg / 5ml )
Digine 1/4 ts/bd if abdominal pain or burning only
4 months to 1 year
Phenergan syrup 1/4 ts/tds (3.75mg)
Digine 1/4 tab/tds TOP
 PCM syrup 1/2 ts/tds
Domperidone syrup 0.2-0.4mg/kg
1 to 3 year
Phenergan syrup 1/2 ts/tds=7.5mg
Digine 1/2 tab/tds
PCM syrup 1ts/tds
3 to 5 year
Phenergan tabs/tds=5mg/tds
Digine tabs/tds
PCM 250mg/8hrly
5 to 12 year
Phenergan 1tab /bd
Digine 1tab /bd
PCM 500mg /tds
Severe
Stemetil (Prochlorperazine) suitable for nausea and vomiting with vertigo for
adults, 20mg initial +10mg 2hr later +prevention 10mg /tds
Phenergan 25mg /IM
Cimetidine Stat/IV +5% Dextrose
If gastritis give Cimetidine 400mg/bd or Famotidine 20mg nocte and not given for
child
Do not give piriton as it causes------?
If want to give piriton also give domperidone tab instead of Phenaran

4month 1yr 1yr-3yr 3-5yr 5-12yr

Promethizine Syrup(5mg/ 5ml ) (5mg/ 5ml ) tab (5mg) tds 1tab (10mg) bd

table spoon tds table spoon tds

Digine tab tab tab tds 1tab

Paracetamol 1 table spoon tds 250mg tds 500mg tds

TOP

23. GASTRITIS
General
Gelusil Syrup 2 teaspoon/daily
 Gleviscone Syrup 2 teaspoon/daily
Acinil Syrup 2 teaspoon/daily
Mild
PCM
Piriton
Vitamin B Co
Antacids 1 month
Gelucil syrup 2ts/tds for 7dys=Rs.38/=
Gaviscone syrup(100mg=5ml) 2ts/tds for 7dys =Rs.70/=
Mucaine syrup =Rs.130/=
Acinil syrup
Digine syrup
Aludrox 2tabs /tds
Antihistamine 1 month
Cimetidine 400mg /bd
Ranitidine 150mg/bd
Famotidine 20mg /bd
Severe

1 Month Therapy
Omeprazole 20mg/nocte for 7dys
Antibiotics
Amoxicillin 500mg tds
Metronidazole 400mg tds
Resistant
1wk Therapy
Triple therapy
Aludrox
Regurgitation and ulcer
Domperidone 10mg /tds/3dys
Omeprazole 20mg or 40mg nocte /1 month
Lansoprazole 30mg nocte /2 weeks
H. pylori infection
Therapy for 1 week
Omeprazole 20mg/bd + Amoxicillin 500mg tds + Metronidazole 400mg/tds
Omeprazole 20mg /bd + Amoxicillin 1g/bd + Clarithromycin 500mg /bd
Omeprazole 20mg bd + Clarithromycin 250mg /bd + Metronidazole 400mg /bd
Severe
Omeprazole 20mg bd /2wks
Domperidone nocte /2wks
Ranitidine /Famotidine /2wks
Chronic gastritis or age>40yrs
Refer the patient
Mild gastritis
2wks Therapy
Famotidine TOP
 Aludrox
Moderate to severe gastritis
2wks Therapy
Omeprazole
Aludrox
Domperidone 1wks reduce GORD TOP

24. WORM TREATEMENTS

Pyretal ( Combantrin )
6months-2yrs 1tab / ts nocte
2-9yrs 2tabs
13-17yrs 4tabs
>17yrs 5tabs
>60kg 6tabs
Mebendazole ( Vermox/Wormin )
For >2yrs 100mg/bd/3dys OR 500mg stat
Repeat in 2wks
Contraindications
Pregnancy
<2yrs
Albendazole ( Zental, Dasole )
Adult 400mg/stat
<2yrs 200mg/stat
Don't give lemon flavors ( Not Vitamin C ) TOP

25. CONSTIPATION
Adult
Dulcolax (Bisocadyl) 5mg=1tab 2 tab/nocte
May need 3 day treatment
Pediatrics

Lactulose syrup
>12yrs 30ml/tds
5-12yrs 10ml/bd
1-5yrs 5ml/bd
<1yrs 2.5ml/bd

Lactulose suppositeries
< 12yrs - 5mg mane
>12yrs - 10mg mane

Ducolax suppositories TOP

<12yrs 5mg/mane/sup
 >12yrs 10mg/mane/sup
1sup=10mg
Drugs

Dulcolax Increase motility 5-10mg/nocte

Lactulose Increase osmolality 10ml/tds
Fibrogel Increase bulk formation 1 packet/bd TOP

26. HEMORRHOIDS
PCM
Diclofenac Na 50mg/tds
Dexa
Pilex 2tabs/bd/tds/1wks given after meal
Pilex cream after and before going to toilet for 7dys
Anusol cream for 7dys
Amoxycillin
Metranidazole TOP

27. CARDIOVASCULAR SYSTEM

28. MYOCARDIAL INFARCTION

CF
Chest pain
Vomiting
Sweating
Vertigo

Immediate Mx
Don't wait and treat
Immediate referral
Give Aspirin
Give TNG TOP

29. HYPERTENSION
Regimen
Should be up-to-date
A+B= Younger Pt (<55Yr) A2RA if ACEI not tolerated
C+D= Older Pt (>55Yr)
Drugs TOP
Propranolol 40mg/tds
 HCT 50mg/mane (If mild tab mane (12.5mg)
Captopril 12.5mg/bd; Losartan K 50mg/daily if not tolerated
Frusemide 20-40mg/bd
Atenolol 50mg/mane
Prochlorperazine (Stemetil) 20mg Initially, then 10mg 2hr later, 5-10mg 2-3 times daily
for prevention of vomiting/vertigo
Other
Nifedipine 10mg tds
SR 10mg bd
SR 20mg nocte only
SR 20 mg nocte+ propanalol
With DM --- catropril 12.5 mg bd
---Atenalol 50mg 1tab daily (nocte)
---Aldomet (methyldopa) 1tab tds
---verapamil 80mg(2tab) tds
DBP 100-110 mmhg refer

DBP >110mmhg give nifedipine 10mg sublingual

Then admitted to hospital

Lifestyle
No smoking
Low fat diet
Reduce alcohol
Salt reduction
Regular exercise
Mild
BP 140-159/90-99mmHg
Mx
No Rx
Dietary advise
Weight reduction
Low Sodium
Avoid Risky food
Pork
Beef

Moderate
BP 160-179/100-109mmH
Mx
Bendrofluazine (Thiazide) 2.5mg/bd
HCT 25mg/mane (Max up to 100mg)
Lasix (Frusemide) 40mg/mane
With KCl 1tab=40mg
Propranolol 80mg/bd ( Max 40mg/tds )
Atenolol 50mg/mane
Captopril
o 6.25mg/bd/1wks at first TOP
o Then 12.5mg/bd/1wks
 o Then 25mg/bd/1wks
o SE
Postural Hypotention
Given at bedtime
Severe
BP >180/>110mmHg
Mx
Immediate Reduction of BP
o ISDN 10mb/tds
o GTN 2.6mg max
Usually given about 0.1mg to 0.5mg
o Aspirin 100-150mg/nocte
With Dyslipidemia and DM
Metformin 500mg
Dianil 5mg/mane
Simvastatin 5-10mg/daily
Atovastatin 10mg/nocte
Lovastatin 10-20mg/nocte
Diet
High fiber diet
Low fats
Diabetic dietary modification
Investigations
Lipid profile
o Favorable
Total cholesterol <200mg/dl
HDL >55mg/dl
LDL <150mg/dl
o Standard risk
LDL 150-190mg/dl
HDL 35-55mg/dl
Total cholesterol 200-260mg/dl
o Risk indication
LDL >190mg/dl
HDL <35mg/dl
Total cholesterol >260mg/dl
ECG
Blood Urea
Serum Electrolytes
Serum Creatinine
CXR TOP

30. GENITO URINARY SYSTEM

31. URINARY TRACT INFECTION
Vitamin C 1tab/tds/10dys
PCM
Antiemetic SOS (Phenargan 10mg tds )
Adequate fluid and Good hygiene
Cephalexin
Children
Children 25 mg/kg/day ( divided doses )
< 1yr 125 mg bd
1-5 yrs - 125 mg 8H
6-12 yrs 250 mg 8H
5-12yrs 250mg/8hrly Syrup is the best
<5yrs Refer to a physician
Do UFR and culture 2dys after stopping the treatment
Pregnancy - Can give Cephalexin 500mg/tds

Adults 250 mg 6H , 500 mg 12H

Amoxicillin
Children >3/12 - 62.5 mg 8H ( up to 6 kg )
Adult 250-500 mg 8H
Nitrofurantine ( Tablets 50 mg & 100 mg , Capsules 50 mg ) - (3mg/kg)
Given with vitamin C
If mild give 50mg/q6hrly
100mg/Q6hr/5-7dys
Adult - 100 mg bd for 7/365 with Food
Children(>3/12) 3mg/kg/day
Not given at pregnancy

Ciprofloxacin
Adults 250-500 mg bd ( up to 10 days )
Children Not given ( 5-12yrs 10mg/kg )
Norfloxacin
400mg/bd/7-10dys
Uncomplicated lower UTI
3dys
Furazolidone
Pediatrics
3-7 Months 50mg/tds
1-3yrs 100mg/tds
<5 yrs
5 to 12 Yrs
Adult
Pregnancy
Nalidixic acid
Adults 1g 6H for 7/365
Children 50 mg/kg/day TOP
Better avoid in infant
 Lasix 20mg/bd (For clean urine flow )
Probanthine 1tab/tds ( 15 mg/ tab )
B-Complex
HCT tab mane (2.5mg)(1tab=25mg)
Investigations
UFR
Do UFR & culture 2days after the stoping the treatment
USS Abdomen <5yr
Urine culture and ABST TOP

32. URETERIC COLIC

PCM
Diclofenec Na
With Aludrox
1st choice
1st supp 50mg
Then 50mg tab bd oral
Propanthalin bromide (15mg=1tab ) 15mg/tds
Pherergan ( 1tab=10mg ) 1tab/bd/tds
Hyospan(Hyoscine bromide) 10mg
Acute pain
Pethidine ( 1tab=50mg ) 50mg/4hrly TOP

33. SUSPECTED CALCULI

Propanthaline
Adult 15 mg bd/tds ( 1hr before meal )

Hyocine / Buscopan
Adult 20 mg qds, po
Childrren 10 mg qds, po
20 mg IM stat ( Repeat 20 min sos ) - Not to children

Diclofenac Na ( for backache )

Adults 50 mg tds ( after meal )
Aludrox (200 ml) (Aluminum Hydroxide and Magnesium Hydroxide) :
+/- Cimetidine 200 mg bd TOP
34. IMPOTENCE
Counseling
Mesterolone (Proviron ) 25mg nocte x 1month
Vit E / E vion 400mg nocte
Sildenafil citrate ( cupid, viagra) 25 /50/ 100 mg 1hr before intercourse TOP

35. NOCTURNAL ENURESIS

Amitriptyline
10mg/nocte/1wks
25mg/nocte/1wks
50mg/nocte/1wks TOP

36. MUSCULOSKELETAL SYSTEM

37. MUSCLE CRAMP

Vitamin E(Evion) 400mg/nocte
Quinine Bisulfate 300mg/nocte TOP

38. MUSCULAR PAIN

Diclofenac Na 25mg/tds/7dys OR Brufen (400mg) 1tab tds
Cimetidine 200mg/bd OR Digine
Celecoxib 100mg/bd
Rofecoxib 25mg/nocte
Dexamethazone 1tab tds
Diclofenac Na gel
Brands
Imack
Cofanac
Moov cream?
Vinterpan gel TOP

39. ARTHRITIS AND BACKACHE

Diclofenac sodium 50mg/bd/after meal
Brufen(Ibuprofen) 400mg/tds/after meal
Antacids
 Aludrox
Famotidine 20mg/bd
Omeprazole 20mg/bd
Dexa 1 tab tds
PCM- no 1st day
Penadeine
For pts with gastritis or fx of gastritis
If he/she develop gastritis with famotidine
For pts with peptic ulcer or fx of peptic ulcer(malena/haematomasis) - Beter to refer

Meloxicam - 12.5mg or 25mg once daily Or

Piroxicam Or

Roficoxib 12.5mg or 25mg once daily Or TOP

40. NERVOUS SYSTEM

41. SEIZURES
Hx
PC
Duration
Fever
Eye roll up
Urinary and fecal incontinence
Family Hx
Hypoglycemia
Sleeplessness
Rx
Treat underlying cause
Immediate transfer to specialist unit TOP

42. NUMBNESS
Consider Diabetic neuropathy, or other neurological conditions
Evion(Vitamin E) 200mg/400mg/100mg daily
Vitamin B co or Polybion IM injection 1vial/EOD/1wks TOP

43. SLEEPING DISTURBANCES

Diazepam OR
 1tab/nocte/3dys
1tab=2mg or 5mg
Phenergon OR
1tab/nocte/3dys
1tab=2mg or 5mg
Piriton
1tab/nocte/3dys
1tab=2mg or 5mg TOP

44. MIGRAINE
Severe attack
Brufen 200-400mg/tds
OR
Flunarizine(Sibelium) 5mg(1tab)/nocte
Maxalone 1tab/bd
OR
Domperidone 1tab/bd
Propranolol 120mg/bd
Artane 1tab/tds
Migranil 1tab/stat/sos
Stemetil prochlorperazine) Given IM if there is severe vomiting
1tab (56mg) tds
Alternative Mx
Migranil(Ergotamine)
1tab at acute attack
repeat 1/2 tab every 30minutes
Can give maximum up to 4 tablets per attack and can go up to 6tabs per
week
Analgesics
PCM
Diclofenac sodium 50mg bd or tds
Mefenamic acid 500mg tds give only for 1 week
Brufen
diazepam 1tab at onset (2mg-5mg)
Antihistamine Piriton
Dexamethasone
Antiemetics
Phenergan
Domperidone 10-20mg/tds

Prophylaxis
Propranolol 40mg/tds/2wks
Amitryptylline TCA 10mg/note
Diazepam 2mg/tds
Pizotifen 1.5mg/nocte
Antihistamine and serotonin antagonist TOP
45. HEADACHE
Always consider causes, TIA, Cerebral neoplasm, SAH in elderly , Visual disturbances,
Toothache
Severe
With vertigo
Measure BP
If BP increased more than 160/100 mmHg
Verapamil 40mg/tds
CI
o AF
o heart Disease
o hypertension
o
HCT 25mg/mane
stemetil (Prochlorperazine) 5mg(1tab) bd/tds
Cinnarazine 30mg/tds (15mg=1tab)
Review within 2dys
Then adjust the dose
Without gastritis
Give PCM with brufen ( 400mg ) 1tab tds - Upto 600mg qds
Unresponsive
Penadeine 1g/tds Not given to <7years
Flunarazine 10mg/nocte
Flunarine 5mg
Neoprox (Neproxen) 500mg/bd- Propionic acid derivatives TOP

46. ENT

47. EAR

48. EARACHE
chloramphenicol ear drops
Amoxicillin
Cephalexin
PCM
Diazepam 5mg/nocte
Dexa
Rx for 5dys
Examine for pus
If present chloramphenicol ear drops TOP
49. EAR INFECTION
General
Examine ear properly
If wax present - Waxsol
Gentamycin ear drops/bd
Penicillin PO 250mg/q6hrly
Diclofenac Na
Diazepam 5mg/nocte
PCM 2tab/tds
Otitis Externa
Aural toilet (gentle dry mopping)
Syringe is best avoided in acutely inflamed canal
Steroid and antibiotic combination drop 1wks
Insert Otowicks
PCM
Prednisolone or dexa
Antibiotics
Chloramphenicol 2drops/tds
Gentamicine, 2drops/tds
Otitis Media
Debridement
Antibiotic/steroid drop
Keep ear dry
Otitis Interna
Amoxycillin
PCM
Piriton
Daxa TOP

Ear Discharge
White fungal infection Candid for 3days
Purulent
Chlorampenicol ( broadspectrum anti-bacterial ) after cleaning & exclude
perforation
Gentamicine ear drops can cause Autotoxicity , hearing loss
Oral antibiotics
Ceforex(Cephalexin) 500 md tds
Cephalexin kid (water soluble) 125 mg tds
Foreign Body
Remove by cerumin needle
Wax
1% NAHCO3 12 drops for 3 days TOP
Glycerol 2 drops
 Syringe after 1 week , Auriscope before syringe

50. VERTIGO (VESTIBULAR NEURITIS)

Check BP If high give Antihypertensives
If increased BP
Verapamil 40mg/tds
HCT 25mg/tds?
Cinnarazine 30mg/tds
2tab tds (1tab=15mg)
Or
Betasere 8mg bd (potent)
Stemetil (prochlorperazine) 1tab(5mg) tds (BP should be normal)
Check for Sinusitis
Cephalaxin 500mg tds
Amoxicillin 500mg tds sinusitis for 5day
PCM
Piriton
Ask the patien to steam inhalation TOP

51. EARWAX
Waxsol
Impacted
Waxol 2-3dys/wk
syringing
CI - Hx of eardrum perforation
Procedure
warmed water
under direct vision
syringe adjacent to the ear canal|and inject
direct the flow to the back of the maetes
dry moth the ear canal TOP

52. EAR SYRINGE

Upwards and backwards
Try with Magil's forceps
For kill insects
Use lignocain without adrenaline as anesthesia TOP
53. FOREIGN BODIES
If with syringing it gets swell
Refer to ENT TOP

54. EAR PRICKING

Ask to come after drilling
Clean both ear and jewelry
Before pricking, mark both sites with a pen
Prick at 90 degrees angle
Drugs
Amoxycillin or 2dys
Cloxacillin 2dys
Ear pain +ve?
PCM
Piriton
Dexa TOP

55. AURICULAR HEMATOMA

Early incision and drainage with|strict aseptic condition
Pressure dressings for 1 weeek
Broad spectrum antibiotics TOP

56. NOSE

57. EPISTAXIS
Encourage mouth breathing
Bend forward
Keep ice packs TOP

58. RINITIS
Steam inhalation
Antihistamin Chlopheniramine
Menthol
Benadryl syrup 2 tea spoons for Adults
Benadryl Junior - 1-2 tea spoons tds
Vit C TOP
59. ALLERGIC RHINITIS
Nasal drops
Oxymetazoline HCl nasal drops (Nasivion) OR
Oxylometazoline HCl nasal drops (Decon )
Cetrizine / Astimizole/ Chorpheniramine

Astimizole (Stemiz) OR
Adult 10mg/nocte
6-12yrs 5mg/nocte

Cetrizine (10mg ) OR
>5yrs 10mg/day OR 5mg/bd
2-5yrs 5mg/day OR 2.5 mg /bd
Chlorpheniramine 10mg nocte or 5mg bd
Dexamethazone 1mg tds OR prednisolone
Amoxycillin
Adults 500mg 8hourly
12- 5yr 250mg 8hourly
5- 1yr Blumox P Syrup 1ts 8hourly TOP

60. SINUSITIS
Steam inhalation tds
Analgesia PCM / Diclofenac Na
Piritone adult 4 mg, tds
Dexa
Nasal decongestant
0.9 saline drops
Oxymetazoline ( contraindicated in hypersensitivity )
Xylometazolin ( Decon ) 2-3 drops tds in Adults, 1 drop bd in Children
Nasivix Adult 2 drops bd, Children 1 drop bd
Antibiotics
Amoxicillin
Co trimaxazole 960 mg bd for 5 days ( Not given in Pregnancy, Jaundice, <6 days of
age )
Cephalexin 500mg/tds/5days
Doxicycline 100mg/bd (Doxydon)
Stemetil and Cinnarazine give only if vertigo is present and ask the patient to have steam
inhalation
Ephidril, Stemetil (Prochlorperazine) 1 tab/tds=5mg
Cinnarazine 2tabs/tds 1 tab=30mg
An anti-histaminic drug which is mainly used for the control of vomiting due
to motion sickness
 Betasere (Betahistine Dihydrochloride) - AN antivertigo drug8mg/bd (potent) TOP

61. NASAL BLOCK

Dexa
Ephidrine (drops) 30mg/tds ( Not given for patients with heart block or hypertension ) TOP

62. NASAL DECONGESTANTS

Ephedrine hydrochloride 0.5%
Decon(Xylometazoline) nasal drops (Escodone, Nasivion nasal drops)
Probeta N nasal drops
Solvin plus 1tab/tds TOP

63. THROAT

64. SORE THROAT

1. Phenoxymethylpenicillin - ask for previous allergiese

Adult 500mg 6hrly(1tab=250mg)

5-12yrs 250mg 6hrly(syrup 125mg/5ml)

2-5yrs 125mg 6hrly

Up to 1yrs 62.5mg 6hrly

1.*Erythromycin if allergic for penicillin

Adult 500mg 6hrly(1tab=250mg,500mg)

2-12yrs 250mg 6hrly(syrup 125mg/5ml)

Up to 2yrs 125mg 6hrly

2.PCM

3.dexa only for >5yrs

If pus present on tonsils do not give dexa

Continue -----? For 10 day TOP

65. TONSILITIS
Gurgle with salt water tds
Antibiotics
Penicillin 500 mg 6H ( Solution 125mg / 5ml )
If sensitive Erythromycine 250-500 mg 6H with meals
Antihistamine Piriton 1 tab nocte
Cetrezine 10 mg note
Cephalexin / Augmentin TOP

66. SORE THROTS/ TONSILLITIS

Paracetamol adults 1g tds
Chlorpheniramine 4mg bd
Prednisolone or Dexamethazone
Prednisolone ( 1 tab=5mg ) adults 10mg/bd
child 5mg /bd
Antibiotics [ always ask for allergics to certain antibiotics!!!]
Amoxycillin/ Penicillin/ Erythromycin
Erythromycin
adults 500mg-250mg 6hourly
8yr-2yr 250mg 6hourly
Below 2yrs 125mg 6hourly
Ask to mouth wash with salt TOP

67. PHARYNGITIS AND TONSILLITIS

Dexamethasone/Prednisolone
Brufen 1 tab/tds
Nudrox 1 tab/tds
Antibiotics
Erythromycin 200mg/tds (<2yrs =125mg/q6hr)
Alternative Treatment Regimen
PCM
Piriton 4mg/bd
Prednisolone
Adults 5mg tablets 10mg/bd
Children 5mg/bd
Amoxicillin/Penicillin
Better To give Erythromycin if patient has got a rash,
Give 250mg/3-5 days by cup,
Adult 250-500mg/6hrly,
2-8yrs 250mg/8hrly,
 2yrs 125mg/6hr
Give Amoxicillin if patient has yellow sputum
Ask to mouth wash with salt
Vitamin C 1 tablets per day
Decon nasal drops both posterior and anterior
Naviscon both posterior and anterior
Nasal spray TOP

68. SKIN

69. SKIN CONDITION

Fucidine cream fucidic acid

Indication impetigo, infected wound,folliculitis,boils & cabancle

Soframycin cream

Beclamin (betamethazone+miconazole)

Indication - fungle infection

BetamilM(betamethazone+miconazole)

Indication - fungle infection

Betamil-N(betamethazone+neomycin)

Indication - fungle infection

Betanovate-c(betamethazone+clioquinole)

Indication - sever bacterial & fungle infection TOP

70. ACNE
Topical Application
Eryderm ( Erythromycine - topical) face wash
Tetracycline acne Lotion
Panoxyl 2.5-5% acne gel (benzoil peroxide)
Ask not to go to sunlight
After washing face at night apply 1-2 time
wash in the morning
Avoid eye, mouth, mucus membranes
Retin A cream (Tretinoin)
Effective cream TOP
 Ask not to go to sunlight
apply/bd
Adapalene gel 0.1%
Less irritant

Albiotin cream
Benzoyl peroxide
Brands
Acnecide
Brevoxyl
Apply/1-2 times per day after|washing face

Mild Adaferin cream

Moderate to severe - Eryacne cream 4%
Dry to normal skin maintenance - Clindac A gel 1%
Oral
Doxycycline 100mg nocte for 3/12
Or
Tetracycline 500mg bd for 3/12
Or
Erytromycine 500mg bd for 3/12
Piriton If itching
Folic acid 1tab/bd/3dys
Large acne

Retin-A cream apply 1-2 time/day

Avoid eye,mouyth,mucous membranes

CI In Pregnancy, eczema,broken skin

SE Irritation,erythema,---?,change in colour

Photosensitivity

Topical antibacterial

Benzamycin

Eryacne

Stiemycin TOP

71. SEBORRHEIC DERMATITIS

0.1% betamethazone cream
Betanovate cream
apply thinly/1-2 times per day TOP
72. WOUNDS
General
Tetanus Toxoid - 1 vial/deep IM
First on Day1
Second on 6wks
Third on 6 months
Pain killers
antibiotics
Cloxacillin 500mg/6hrly
Metranidazole 400mg/tds

New Wounds
Clean wounds Clean with Normal saline then Povidone iodine (Betedine) gauze
Contaminated wounds Clean with surgical sprite then Povidone iodine (Betedine)
gauze

Old Wounds
Clean with surgical sprite then Povidone iodine (Betedine) gauze
Cut Old
Clean with peroxide then with Betadine gauze
MgSO4 powder to remove foreign bodies
Dissolve 1/2 of MgSO4 packet in 2 cups of water
Apply 2 gauze swabs over the area need
Wet the gauze swab with MgSO4 solution
Indication
To take out forign body in a wound wich is not visible
To reduce oedema
Contra indication - Do Not apply grafted skin (will slufled off)
Antibiotic cream
Polymicin
Soframicin
Mufrocin ointment
Flucort N
Tetracycline ointment
Povidone iodine ointment - 5 %
Fusidic acid
With pus
Ciprofloxacin 500mg/bd
To heal episiotomy
Cloxacillin 500mg 6hrly
Amoxicillin 500mg 8hrly
Metranidazole 400mg 8hrly TOP
73. TETANUS TOXOID
1 vial deep IM
1st D0
2nd 6 weeks
3rd 6 months TOP

74. BURNS
Silver sulphadiazine cream (Flamazine) or
Sit cream - Contraindicated in pregnancy, neonate, breast feeding
Topical anti bacterial
Soframycin skin cream
Mupirocin ointment
Balvidine ointment or
Steridine ointment (Povidone Iodine 5%) TOP

75. CELLULITIS
Gentamicin IV 1 vial

OR

Penicillin Or Erythromicin PO
Cloxacillin 250mg-500mg 6hrly(30min before the meal) TOP

76. CHICKEN POX

Acyclovir 1 tablet = 200mg
Adults 800mg 5 times per day for 5 days
Pediatrics (20mg/kg)
<2yrs 200mg/qds/5dys
2-5yrs 400mg/qds/5dys
>7yrs 400mg/qds/7dys

Live attenuated vaccine (Varilrix) - 0.5ml/SC ( Rs. 2150/= )

PCM
Diclofenac Na
Dexa
Piriton
 Antibiotics
Metronidazole
Amoxicillin
Pregnancy - Refer to a specialist TOP

77. SEVERE BACTERIAL & FUNGAL INFECTION

Betanovate-N(betamethazone+neomycin)

Indication - bacterial infection

Dexaquine(dexamethazone+clioquine)

Indication - sever bacterial & fungle infection,

Inflammation+pluritis

Flucort-C

Flucort-N indication bacterial & fungal infection

Supricort-N(fluocinolone acetonide)

Indication - bacterial & fungle infection

Beclozone-C

Indication - bacterial & fungle infection,inflammation TOP

78. FUNGAL INFECTION

Griesofulvin 500 mg PO nocte for 1 wk
If inflammation Miconazole + Hydrocortizone
Mycoral / Beclamine TOP

79. CANDIDIASIS
Suspected Candidiasis
Itraconazole 200mg/bd/1day
Nystatin vaginal pessary
Candid LA
V1 TOP
V2
 V3
Metronidazole or 1tab/tds
Metrogel can be used
Oral
Candid B cream - mouth paste
Piriton
Vaginal
Fluconazole 150mg/stat/PO
Candid vaginal gel
Candid B cream
candid vaginal tab
piriton
If itchingwakadine povidine iodine vaganal 1 tablet nocte for 5days
Ictraconazole 10mg daily 15day
General Rx
Clotrimazole 1%
Brands
Candid B
Candazole
Clotrimazole cream
Apply/bd/2-4dys/week
Miconazole nitrate 2%
Brands
Candiplus
Dactarin
Apply/bd/10dys
Ketoconazole 2%
Brands
Micogel
Mycoral
cream
scalp solution
Apply/bd/3-5dys/week
Nystatin cream
apply 3-4 times per day
continue for 7 dyas after lesion healed TOP

80. TAENIA INFECTIONS

General Rx
Miconazole nitrate 2% cream micogel - Apply/bd/10dys
Ketoconazole / Clotrimazole
Ketoconazole 2% cream
Brands TOP
 Micogel
Micoral
Apply/bd/3-5dys/week
Clotrimazole 1% cream
Brands
Candid B
Candazole
Apply/Bd/2-4dys/Week
Itraconazole 100mg nocte
Piriton 2 mg bd for 3 days

Griseofulvin
For Widespread intractable|dermatophyte infection
500mg/bd in divided doses for adults
Candid-b cream (Adult only if sever infection)
Whitfield ointment(benzoic acid) TOP

81. TENIA VERSICOLAR

Citaderm cream
Selsun
Oral for pitriasis versicolar
Ictraconazole 200mg daily for 7 day TOP

82. TINEA CRURIS

Itraconazole 100mg/daily/15dys
20mg/daily/7dys TOP

83. PEDICULOSIS
Lysine
Lindane lotion - 3% linden topical application Apply and keep for 12 h, wash, Repeat after 7
days
Scaboma lotion TOP

84. HEAD LICE

Gamma Benzine hexachloride
0.5 % Malathion lotion
Nulcenz anti lice lotion TOP
85. PITYRIASIS VERSICOLOR
Ketoconazole
Brands
Micogel
Mycoral
Cream
scalp solution
Apply/bd/3-5dys/week
Itraconazole 100mg bd 1week

Selenium sulphide shampoo

Apply to body and remove after 30 min
Daily x 1week

Miconazole nitrate
Brands
Candiplus
Daktarin
Apply /Bd/10dys TOP

86. SCABIES
Benzene benzoate acid cream
Scaboma lotion/cream bd/3dys
For all family members
Boil all clothes
Contains
Lindane 1%
Benzocain 2%
Apply all over the body
Tetmosol uses as a soap when|bathing and washing
If infected
Cloxacillin
Small children 250mg/6hrly/5dys
Young children 500mg/6hrly/5dys
Cephalexin
Doxycilline

Lindane lotion TOP

87. DANDRUFF
 Seltion shampoo
Twice weekly for first week
Once weekly for second week
Apply 10 minutes before bath
Ketaconazole shampoo (nizoral, mycoral)
Griseofulvin 500mg/nocte/5dys(not for pregnant)
Dandex shampoo
10% Cetrimide shampoo
Cetrimide sampoo 5%,10%
Pour about 10ml on to wet hair & massage
Keep for 5 minute
Apply 3 time per week
Caution---avoid contacy with eyes & body abrasion
SE-------skin irritation, sensitization
Triben AD anti dandruff lotion
Mycoral scalp solution
Brtadine shampoo
Nizoral shampoo
Selenium sulphide ( Selsun ) EOD for 1 wk, 2 days in 2nd wk, 1 day in 3rd wk
Remove Jewelries
Medicer TOP

88. WARTS
Duofilm ointment once day or bd apply - Salicylic acid
Podophylline cream/bd - not for face and genital areas
Duofilm - soak with hot water 5 minutes then rub the surface fully to remove the hard skin.
Then apply this and dry. If needed cover it TOP

89. DERMATITIS
Advanced cases avoid soap

Hydrocortisone cream
If need betnorvate N cream
Piritone or Dexamethazone 1 tab tds
If infected Erythromycin or Cloxacillin without cream in etopic eczema
In Children, 0.5 % hydrocortisone cream TOP

90. CONTACT DERMATITIS

0.5% hydrocortisone TOP
91. PSORIASIS
Cetrimide shampoo
Metamech cream
Steroid
0.1%Betamethasone
Betnofil cream
Betanovate cream
Apply thinly/1-2 times per day
Aqueus cream (emulsifying ointment) TOP

92. ECZEMA
Non infected
0.1% Betamethasone cream (only)
Apply 1-2 times per day
Apply thinly
Hydrocortisone cream
Beclomin lotion/ointment
Infected
Cloxacillin 250mg/6hrly/3-5dys or
Erythromycin 500mg/tds/3dys or
Amoxycillin 500mg/tds/3-5dys and
Piriton 4mg/bd or Phenergan 1tab/bd and
Dexa or Prednisolone and
PCM
Local apply
Betaderm-N Cream (Betamethazon+Neomycine)
Or
Betamil-M Cream (Antifungal)
Betamil-N Cream (Antibacterial)
Or
Beclamine Cream (Betmethazone+Miconozole)
Or
Betanoate Cream
Betanofil-N Cream TOP

93. PRURITUS
Dexa
Prednisolone
2 tab/tds/1dy then
 1 tab/tds/2dy then
tab/tds/2dy then
Piriton TOP

94. NAPKIN RASH

Rashnil cream (Benzalkonium chloride 1%+Zinc Oxide 8.5%)
Drapolene cream
Candid B cream
If associated with fungal infection TOP

95. SWEAT RASH

Calamine Lotion Or Calamine cream - 1-3 times daily
Penergan 10 mg bd TOP

96. URTICARIA
Food or Drug Allergy
Phenergan ( Promethizine ) 1 tab= 10mg
Adult 20mg/bd or 25mg/IM to deltoid
Pediatrics
2-5yr 5mg/bd
5-12yr 10mg/bd
Piriton/Cetrizine 1 tab
Dexamethasone (1 tab= 500g) 1mg/tds
Prednisolone 1 tab bd TOP

97. NAILS
Segmental Nail Bed Ablation
Digital nerve block
Tourniquet placement
Nail segment removed
Methylated spirit soaked swab around nail
Cotton bud dipped in phenol 80% in lateral recess
Remove after 5 minutes
Toe swabbed with methylated spirits TOP
 Dry gause dressing
Analgesics
Co-Proxamol
24hrs
Dressing can be removed after 1day and foot washed normally

Segmental Nail Bed Excision

Digital nerve block
Tourniquet placement
Nail segment removed
A cotton bud dipped in to Bonny's blue
Inserted in to lateral recess
Paint germinal epithelium
Oblique 10mm incision at nail fold angle
Two skin flaps retracted
Blue germinal epithelium excised in one block
Skin flaps sutured with 5/0 Nylon
Paraffin gauze
Crepe dressing
Suture removed 5-7 days later
Inflamed ingrown toenails
Rx as soon as possible
Antibiotics are unnecessary
Rarely necessary to remove whole nail
Full nail involvement may necessitate removal of nail TOP

98. PARONYCHIA
Pain paracetamol
Cloxacillin
Candid B cream(Cotrimozole + Beclomethazone)
Dexaquine cream
Nizoral/ ketoconazole TOP

99. ALOPECIA AREATA

Topical or local injection of steroids
Clobetazone proprionate
0.05% cream or ointment
10g widely massage in to infected area twice a day
Triamonolone acitonide 10mg/ml
Give up to 3ml, every 1-2 weeks for 6 to 12 weeks
Contraindications
Local infection
Pregnancy
Lactation
 Infancy TOP

100. ALLOPECIA ACREATA

Topical or local
Clobetazole proprionate 0.05 % cream or ointment. Clog weekly massage into TOP

101. CRACKS
Vasline cream
Crack cream
Ask to ware slippers TOP

102. DRY SKIN

Vit E -- 100- 200 mg / day for 1 wk
Vit A& D
Vaslin TOP

103. SCAR
Eldopal cream - 1% or2% ( Expensive ) TOP

104. SCALDS
Bactroban cream
Fucidin cream
Soframycin cream TOP

105. ALLERGIES

106. SKIN ALLERGY

Hydrocortisone cream (LA) Rs. 40/15g
Betnovate cream
Betnovate N Combined with antibiotics if oozing
Betnovate M Only steroids if non oozing
 Betnil N
Dexaquin cream/Oinment Use in infantile eczema TOP

107. ORAL ALLERGY

Prednisolone 10 mg stat + 5mg tds
Phenergan Promethazine
< 2yr Not recommended
2-5 yr - 5-15mg divided doses ( 5mg/5ml )
5-20 yrs 10-15 mg bd ( 10 mg/tab )
Chlopheniramine ( Rs. 60/ml )
2 tab stat & 1 tab nocte + tab mane ( 4mg/tab )
Syrup 2mg/5ml
Ketotifen
2yr 1-2 mg bd
Cetrizine - 10 mg /tab OR 5mg/5ml ( Rs. 70/ 60ml )
Lorattadine 10 mg/ daily ( Roletra Rs.4/tab ) TOP

108. DRUG ALLERGY

Hydrocortisone IV 200 mg Adult, IV 4-6 mg/kg Children
Piriton OR Phenergon IM stat

OR

Prednisolone 5 tab
Piriton 2 tab TOP

109. GYNECOLOGY AND OBSTETRICS

110. PREGNANCY
Supplements
Dumasules 1 cap/day (Contain folic acide /calcium lactate/ FeSO4 )
Hemonin 1 to 2 cap/day
Folic acid
Calcium
FeSO4
Milk Secretion
Induction TOP
Metoclopramide
10mg /bd/3dys >60kg
 tablets /tds/3dys <60kg
Digestine (Metoclopramide) 40mg/caps/bd/1-2 weeks)
Inhibition
Bromocryptine
Dopamine agonist and a prolactin inhibitor
2.5mg (1 tablet)/daily/3dys then
1 tablet bd/2 weeks
Erect Nipple
Dentogel cream
Cotaryl cream
Vomiting
Phenergon only 10mg/tds
Can also give
Cephalexin
Erythromycin
Prednisolone
Amoxicillin
Piriton
PCM
No NSAIDs in third trimester
Episiotomy
From apex to downward up to mucocutaneous junction is sutured by continuous
catgut suture
Perineal muscles sutured with interrupted catgut suture
Perineal skin - Interrupted suture by matrus suture TOP

111. INFERTILITY
For females
Evecare 10-15ml/bd/>3 months
Clomefene citrate
Exclude pregnancy before treatment
Is an anti estrogen and it prevents the negative feedback mechanism of
estrogens on pituitary hormones which resulted in oligomenorrhea and/or
secondary amenorrhea
50mg from 2nd day of menstruation for 5 days
Usually 50mg/cycle up to 300mg/day for 6 months
Amenorrhea
Absent or abnormal cessation of menstruation
Primlut N - Contains Norethisterone 5mg (1 tablet)/tds
Dydrogesterone with 10mg/bd in 11-25 days of cycle
Estrogen therapy within 1-25 days of cycle

Impotence
Counseling
Proviron (mesterolone) 25mg/nocte ( 1 tablet)/month
Suitable for androgen deficiency with hypogonadism
 Vitamin E (Evion) 400mg/nocte
Sildenafil citrate (Cupid, Viagra) 25,50,100mg 1hr before the intercourse TOP

112. CONTRACEPTION
Post Coital(Emergency)
Prostinor-2
Also known as Levonogestrel 750g
1.5mg (1 tab) within 72hrs
Next dose after 12hrs
If patient taking anti bacterial increase the dose to 2 tablets
Vomiting - Domperidone
Mithuri
4 tablets within 72hrs
Then 4 tablets after 12 hrs
DMPA
Procedure of injection
Check the date on card
Mark the next date- 90dys (3 months)
Check BP and record on card
Need
DMPA 1 vial
Syringe 2cc-5cc
Surgical spirit
Take whole DMPA in to a syringe
Clean the shoulder of non dominant side
Inject DMPA deep IM at mid deltoid
Aspirate before injection to see whether blood is coming
Ask not to rub over the injection site
Give injections at start of menses or within menses
Use 2 needles for puncture the bottle and to inject the drain
Duration is maximum of 3yrs TOP

113. EMERGENCY CONTRACEPTIVE

Levenergesterol ( Prostinor -2 - 750g ) 1st tab within 72 hrs, Next within 12 hrs
Add Domperidone 10 mg
OCP 4 tab within 72 hrs, Then 4tab after 12 hrs TOP

114. DMPA INJECTION

Check the date on card
 Mark the next date [ 90 days 3 months ]
Check BP & record on card
Need DMPA vial / Syringe 2cc or 5cc / Surgical sprite
Take whole DMPA into syringe
Clean the shoulder of non dominant side, inject DMPA deep IM at mid deltoid
Ask not to rub over the injection site
Give at start of menses or within menses
Duration max; TOP

115. MENSTRUAL PAIN

Mefanamic acid 500mg tds for 3days ? (postan) (casules-250mg/tab-500mg)

Anafez-DS stat sublingual TOP

116. DYSMENERRHOEA
Ask LRMP/ regular menstrual cycle
Mefanemic acid 500mg tds x 3days [ capsule 250mg / tablets 500mg ]
If vomitting - anti emetics
Alverine citrate - Antispasmodic 60mg bd
Dexa
Cimetidine
Diclofenac sodium TOP

117. MENORRHAGIA
Excessive or prolonged menstruation
Norethisterone 5mg/tds/10dys
Neoprox 250mg/bd
Mefenamic acid 500mg/tds/3-4dys
Folic acid
FeSO4
Vitamin B Co
Tranexamic acid
Inhibit fibrinolysis
Prevent bleeding
Stat with menstruation started
1g/tds/4dys
1 tab = 500mg
 CI - DIC TOP

118. AMENORRHOEA
Primlut N 5mg tds
Better to refer TOP

119. POST-PONE MENSTRUATION

120. (MENSTRUATION POST-PONE )
Norethisterone 5mg (1 tab ) tds
Start 3 days before onset of menstruation
Continue upto nessecery days
Mensus starts 2-3 days after stopping.

Additional treatments
Vitamin B Co 1 tab/tds
Folic acid 1 tab/tds TOP

121. INDUCE MILK SECRETION

Metaclopromide 1tab - 10mg bd x 3 days > 60kg
tab - 5mg tds x 3days < 60kg
Metaclopremide 10mg
(for mother overer 60kg) bd 3days
(for yong mothers under 60kg) tds 3days TOP

122. STOP MILK SECERETION

Bromocryptine 2.5mg (1tab) x 3 days, Then 1tab bd x 2weeks TOP

123. VAGINAL DISCHARGE

124. VAGINAL CANDIDIASIS

Itraconazole 200 mg bd
Nystatin vaginal pessary
 Candid vaginal tablets V1, V2, V3, V6
Metronidazole 1 tab tds ( 400 mg/tds ) OR Metragel LA
Clotrimazole 500 mg vaginal tab stat + Piriton 4 mg tds TOP

125. VULVO-VAGINAL CANDIASIS

Fluconazole 100mg single dose every week x 6 month
Clotrimazole 500 mg vaginal preeary TOP

126. GONORRHEA
Penicillin 500 mg tds TOP

127. SUSPECTED GONORRHEA

Penicillin 500mg/tds/1day TOP

128. ABORTION
Gynaecosid
1 tablet/nocte/2dys
Vomiting - Domperidone 10mg/nocte/2dys
OCP
2 tablets
Vomiting - Domperidone 10mg/nocte/2dys
Norethisterone
15mg/tds/3dys
Vomiting - Domperidone 10mg/nocte/2dys TOP

129. EYE

130. CONJUNCTIVITIS
Allergic
C Fx
Itching
Both eyes edematous
 clear discharge
Rx
short term
oral anti histamine
steroid eye drops - Before giving exclude any infection
Hydrocortisone 1%
Infants Reffer
Bacterial
Chloramphenicol eye drops
1hrly/1 days
6hrly/7 days
maximum up to 5 days

OR

Gentamicin eye drops 2 drops/tds (If allergic to Chloramphenicol )

No steroids
Refer the patient to ophthalmologist instead
C Fx
Both eye purulent discharge

Fucithalmic eye drops (fusidic acid)

Viral
C Fx
watery discharge
cough and cold
chloramphenicol eye drop
1hrly for 1days
6hrly for 7 dyas

AND

Short term steroid eyedrop TOP

131. RED EYE

Pain - PCM
Piriton 4mg/bd
Dexamethazone
Eye drops
chloramphenicol 2 drops/tds
gentamicin 2 drops/tds
Tetracyclin
Ciprofloxacin 2 drops/5 times/day TOP
132. STYES
133. (NAGANA)
A stye often appears as a red, sore lump near the edge of the eyelid, caused by an infected
eyelash follicle.
Advice warm compression / hot fermentation
Polyfax ( Polymixin B ) Cream / Oinment
Paracetamol
Chlorpheniramine
Dexamethazone
Cloxacillin TOP

134. CHALAZION
Meibomian gland becomes enlarged and the gland opening becomes clogged with oil.
Warm compress with towel|soaked in warm wter
Chloramphenicol ointment
If large
Incised and curetted under LA from inner conjunctival side of the eyelid
Other Rx
PCM
Piriton
Dexa
Cloxacillin TOP

135. FOREIGN BODIES

LA
irrigate the eye
cotton wool bud or edge of pieces|of card used to remove foreign|body
Rx as corneal abrasion TOP

136. GLAUCOMA
Acute angle closure
Urgent referral with Pilocarpine|4% eyedrop TOP

137. CORNEAL ABRATION

pad eye - Speed healing
 chloramphenicol ointment
cycloplegic
Homatropine 2% - Relieves pain TOP

138. DRY EYE

Moisol eyedrop (Hydroxypropyl|methylcellulose) - Artificial tears TOP

139. NUTRITION

140. VITAMINS
Vitamins ADE - Cod liver oil 5ml/nocte
Vitamin E
Brands
Evit 200mg/nocte
Eviton 400mg/nocte
Tocovit 1tab/nocte
Polybion(Vitamin B complex)
Syrup2ts/nocte
1tab/nocte
Neuroflex
Becosules(Vitamin B and Vitamin C)
Syrup 2-3ts/nocte
1cap/nocte
Iburol syrup
Vitamin B12/IM TOP

141. ANEMIA
FeSO4 1tab/nocte/dys
Folic acid 1tab/bd
Vitamin c1tab/tds
Multivitamin 1tab/bd
Appetite inducers
Cytecxin 1ts/tds
Peritol syrup 1ts/tds
Aperton 2ts/tds
 Lysatone 1ts/bd TOP

142. ANOREXIA
Prednisolone 15-30mg/daily
Dexamethazone 2-4 mg/daily TOP

143. ORAL

144. TOOTHACHE
Dental referral
Pediatrics
5-14yrs
Diclofenac Na 25mg/tds/3dys
PCM
Metronidazole 1tab/tds/3dys
Amoxycillin 250mg/tds/3dys
Aludrox 1tab/tds
Dexa
Piriton
Dentogel
Rx
PCM
Diclofenac Na
Dolabid(DIFLUNISAL) 1tab(500mg) Bd
NSAID
Expensive
AVOID Al(OH)3
NOT recommended for CHILDREN

Disprin
Brufen Adult 400mg tds
5-12yrs 200mg tds
1-5 yrs -- 100mg tds
Mefenamic acid 500mg tds for 5days
Antibiotics
Metronidazole 400mg/tds
Amoxycillin
Dexa
Piriton
Cordix 1tab/tds/3dys Dissolves in water
Ask to remove tooth
Dentogel
 Adults
Amoxycillin 500mg/tds
Flagyl 400mg/tds TOP

145. ORAL ULCERS

Rx
Pain killers Lidocain 5% ointment
Dexa or Prednisolone
Hydrocortisone oromucosal tablet(Corlan) 4times/dy
Dexa powder apply to the ulcer
Metranidazole 400mg/bd/3-4dys
Creams
Bonjela cream
Pyrallex cream - Analgesic action
Pyralvex
o CI - < 12yrs
Mouth wash
Betardin
Tetracycline put tab in to cup of water, gurgle and drink 250 mg 6H ( Dont uuse
under 12 yrs, lactating, pregnant )
Doxycycline 200 mg 1 st day & 100 mg daily ( can use for children )
Chlorhexidine
Mouthwash
Gel
>3wks of duration
CA?
Reffer
If concurrent sore throat
Flubriprofen(Strefin)
1lozenger/tds/3dys
Dissolves slowly in mouth TOP

146. ORAL THRUSH

Nistation oral suspension
Dactarin cream TOP

147. MOUTHWASH
Uses
bad smell
 Tonsillitis
Oral thrush
Betadine
Undiluted or diluted with equal volume of wate 4hrly TOP

148. GUM DISEASES

Vitamin C
Mouth wash
chlorhexidine one week only
Ovalon mouth rinse
Wokadine

Metroniadazole 400mg tds TOP

149. GUM BLEEDING

Vitamin C
Antibiotics
One of this
Chlorhexidine moth paste 1wk only
Ovalon mouth rinse
Wokadine
Metronidazole 400mg/tds
Dexa 200mg/stat TOP

150. GUM DISTRUTION

Chlorohexadine one week only TOP

151. CRACKED LIPS

Apply butter or ghee TOP

152. BAD SMELL

Mouth wash Betardin & listerin TOP
153. OTHERS

154. FEVER
General
Check for UTI- refer
Rigors +ve? - Do MP?
Rest+ Fluid
PCM
3 months 60 mg ( tsp 6H ) 120mg / 5 ml
3m- 1yr - 60-120 mg 6H
1yr 5 yr - 120-250 mg 6H
6-12 yr 250-500 mg 6H
>12 yrs 500-1000 6H
>15 yrs 1000 mg( 2 tab) 6H

Paracetamol 1g (2tab ) tds

Chlorpheniramine 2mg (1/2 tab) mane
2mg (1/2 tab) nocte for 3 days
Dexamethazone 0.5 mg ( 1tab/ 500g ) tds
Vitamin C 50mg (1tab ) tds

piriton under 1year not recomonded

1-2 year 1mg bd

2-5 year 1mg 4-6hrly(maximam 6mg/day)

Adults 3Dys RX
PCM 2 tablets/tds
Piriton tablets/mane+ tablets/nocte
Dexamethasone-1 tablet/tds
Vitamin C-1 tablet/tds
Amoxicillin-500mg/tds or Cephalexin-500mg/tds
Cetrizine- 10mg/nocte
If cough present-Cough syrup
If chronic common cold-Cetricine syrup or Astimizole
If patient complaint of bodyache & pains add Brufen 4 mg tds
Diclofenac Na 50 mg tds ( Voltaren, Naproxen 250 mg daily dose, 500 )

Pregnancy
In females ask whether they got pregnant
Cephalexin-500mg/tds
Amoxycillin-500mg/tds TOP
Don't give Cotrimozole (Dose-450mg/bd/5Dys, One tablet contains 225mg) or
Ciprofloxacin in pregnancy
Peadiatrics
 Below 1 month
Paracetamol syrup table spoon tds (120mg /5ml)
Chlorpheniramine syrup table spoon bd
Cephelexin syrup table spoon tds (125 mg/5ml )
1month -4month
Paracetamol syrup table spoon tds (120mg /5ml)
Chlorpheniramine syrup table spoon bd
Cephelexin syrup 1/2 table spoon tds (125 mg/5ml )
1-3yrs
Paracetamol 1 table spoon tds
Chlorpheniramine table spoon bd
Prednisolone tab bd
Cephelexin or Amoxytcillin (125 mg / 5mg) 1 table spoon tds
3-5yrs
Paracetamol tab tds
Chlorpheniramine 1 table spoon bd
Prednisolone 1 tab bd
Cephelexin or Amoxytcillin (125 mg / 5mg) 1 table spoon tds
5-12 yrs
Paracetamol 1g (2tab ) tds
Chlorpheniramine 2mg (1/2 tab) nocte
Dexamethazone 0.5 mg ( 1tab/ 500g ) bd
Amoxycillin 250 mg tds
If fever not respond to paracetamol
Ibuprofen
Adults 2tab /400mg tds
5-12 yrs 1/2tab /100mg tds
1-5 yrs syrup table spoon ( 100mg /5ml ) tds
Notes .
Leptospirosis
Pneumonia

Pediatrics ( Fever+ Cold+ Cough ) TOP

<1 Month old
3 Days Rx
PCM syrup - teaspoons(120mg/5ml)/tds
Piriton (Chlorphenamine) syrup-1/4 teaspoons/bd
Prednisolone - 1/4 tablets /bd (1tab =5mg)
Cephalexin-Blucep P= (125mg/5ml)- 31.25mg/tds= teaspoons, Sporidex
Amoxicilin(blumox-p)1/4 spoon(125mg/5ml)

Between 1-4 months of age 3 Days

PCM syrup- teaspoons/tds(120mg/5ml) TOP
Piriton syrup- teaspoons/bd
Delcon/Piriton syrup
<1Yr - Not given
1-2Yr - 1mg/bd
 2-5Yr - 1mg/Q6hr
6-12Yr - 2mg/Q6hr
Oral syrup <2Yr- 5ml=2mg
Expertonost >1Yr (not recommended for <1Yr)
Prednisolone tablets/bd(1tab =5mg)
Blucep P 62.5mg/tds= teaspoons(125mg/5ml)
Blumox P(Amoxicillin) 62.5mg/tds= teaspoons(125mg/5ml)
Amoxicilin 80mg/kg/day (<20kg)
Between 4 Months To 9 Months
PCM syrup ts/tds(120mg/5ml)
Piriton syrup ts/bd
Prednisolone tab/bd(1tab =5mg)
Blucep P 62.5mg/tds= ts(125mg/5ml)
Blumox P 62.5mg/tds= ts(125mg/5ml)
Mefenamic acid 100mg/tds (can give a child with a fever)

9 Months To 1 Year
PCM syrup ts/tds(120mg/5ml)
Piriton syrup ts/bd
Prednisolone tab/bd(1tab =5mg)
Blucep P 125mg/tds= 1 ts(125mg/5ml)
Blumox P 125mg/tds= 1 ts(125mg/5ml)
Between 1 To 3 Years
PCM syrup 1 ts/tds= tab/tds(120mg/5ml)
Piriton syrup ts/bd
Prednisolone tab/tds(1tab =5mg)
Blucep P 125mg/tds= 1 ts/tds(125mg/5ml)
Blumox P 125mg/tds= 1 ts/tds(125mg/5ml)

Between 3 to 5 years
PCM tab/tds= 250mg
Piriton syrup 1 ts/bd
Prednisolone 1 tab/bd
Blucep P 125mg/tds= 1 ts/tds
Blumox P 125mg/tds= 1 ts/tds
Cetrizine 2-5mg/bd

Between 5 To 12 Years
PCM 1 tab/tds
Piriton 1 tab/nocte
Dexamethasone 1 tab/bd
Amoxicillin 250mg/tds
Cetrizine 5mg/bd TOP

155. HIGH FEVER

Information
 If fever not responding to PCM, give Brufen syrup both for adults and children. In
addition to that we can give mefenamic acid. In fever, especially in children, exclude
Dengue fever before giving Brufen syrup. Brufen syrup is beneficial in muscle pain
Drugs
Brufen
Adult 400mg (2 tab)/tds
1-5 Years syrup ts/tds= 50mg/tds (1 ts= 5ml)
5-12 Years 100mg/tds
Dexa
PCM; if not responding, give Mefenamic acid
Phenobarbitone
tab for infants,
tab for >1 year for prevent convulsions
Amoxicillin and Cephalexin syrup - 125mg/5ml for children TOP

156. DIABETES MELLITUS

Metformin 500mg tds
Glibenclemide ( Dianil ) 5mg mane
Investigations
Blood

Condition Investigation Venous Plasma Capillary Plasma

Glucose Glucose

DM RBS/PPBS 11.1mmol/l 11.1mmol/l

(200mg/dl) (200mg/dl)

DM FBS 7mmol/l 6.1mmol/l

(126mg/dl) (110mg/dl)

Impaired Glucose PPBS 7.8-11.1mmol/l or 7.8-11.1mmol/l

Tolerance (IGT)
7-11.1mmol/l (140-200mg/dl)

(140-200mg/dl)

Impaired Fasting FBS 5.6-7mmol/l or 5-6.1mmol/l

Glucose (IFG)
6.1- 6.9mmol/l (90- 110mg/dl)

(100- 126mg/dl)
 Normal Glucose PPBS <7.8mmol/l
(<140mg/dl)

Normal Glucose FBS <5.6mmol/l or

<6.1mmol/l

(<90mg/dl or <11mg/dl)

RBS
FBS
PPBS
OGTT
Hb A1c
Glycosylated Albumin - fructosamine

Urine
Reducing Substances
Benedict's Test
Glucose
Glucose Oxidase
Diastix
Clinistix
Microalbuminuria TOP

157. DKA
Rx
Insulin
Soluble Insulin with
20U/IM stat
+6U/IM/1hrly
RBS=180mg/dl
+5U/IM/1hrly
Normal Insulin
1/2hr
1hr
11/2hr
2hr
5% Dextrose+KCl

After RBS 180mg/dl TOP

Monitor
BP
Pulse
 UOP
Management
FBS
110-130mg/dl
Dietary advise to low glucose
>140mg/dl
Diet
Drugs
Obese?
Metformin HCl 250-500mg/bd
Brands
o Diamin 500mg
o Glycomet 850mg
Thin?
Glibenclamide 5mg/dy
Brands
o Betanase
o Diabetnil
o Daonil
Initially 2.5mg/dy
Increased up to 15mg/dy
>200mg/dl
Diet
Drugs
Metformin HCl
o 500mg/mane/1wks
o 500mg/bd/1wks
Glibenclamide
o 2.5mg/mane/1wks
o 2.5mg/bd/1wks TOP

158. DOG BITES

To reduce inflammation
Piriton
Dexa
For Gram +ve and if wound is present
Metronidazole
Cloxacillin
One or two booster doses of rabies vaccine
If patient has not received rabies vaccination within 1 year TOP
159. LOSS OF APPETITE
Peritol
Adult 1 or 2 tabs/bd
Child Syrup 5-10ml/tds (1-2ts) 1/2hr before meal
Cytexin syrup 1TS before meal/bd
Lysatone(lysine vit d) 10ml bd (Growth promotion & apetite stimulation)
Nutroplex syrup
Child 1ts/day
Adult 2ts/day
Multivitamin
types
Polybion
Cytexin
Neutriphil
Adult
2ts/tds
Vitamin B Co
Pediatrics

<2yrs Becadex 4 drops/tds

2-5yrs Polybion
>5yrs Cytexin, Polybion
Ferade syrup 2TS/tds
Worm Rx
Pyretal
6months-2yrs 1tab/half TS
2-9yrs 2tabs
13-17yrs 4tabs
>17yrs 5tabs
>60kg 6tabs
Mebendazole
for >2yrs 100mg/bd/3dys or 500mg stat
CI
Pregnancy
<2yrs
Albendazole
Adult 400mg/stat
<2yrs 200mg/stat
Don't give lemon flavors (not Vitamin C) TOP

160. MOTION SICKNESS

Avomin
25mg stat (1tab) 2hrs before travel
 Generic name is Promethazine teoclat
More sedative
Avamine 1tab 30minutes before journey
Promethazine hydrochloride 25 mg nocte before travel
Domperidone
Phenergan
25mg at night before travel
Repeat following morning
1tab 30 minutes before journey
Cinnarazine - less sedative
15mg for child 2hrs before travel
30mg for adult 2hrs before travel then 15mg 8hrly during travel
Scopoderm ( Hyoscine butyl bromide)
sedative, more side effect & use with caution
Adults 300ug 30 minutes before journey
Child
4-10yrs 75-150 g
>10yrs 150-300 g
Continue 6hrly for 3 doses is adequate TOP

161. ALCOHOL WITHDRAWAL REGIMEN

Diazepam 5-10mg/nocte/7dys
Haloperidol 1 tab/bd/7dys
Metoclopramide 1 tab/bd/7dys
MTS 1 tab/tds/7dys
Polybion 1 tab/nocte/7dys
Chlordiazepoxide
15mg/bd/2dys +
10mg/tds/2dys +
10mg/bd/2dys +
5mg/tds/2dys +
5mg/bd/2dys +
5mg/nocte/4dys

Vitamin B Co TOP

162. FILARIASIS
Ix
WBC/DC - Eosinophil count>8% TOP
Rx
DEC Tablets(Diethylcarbamazine citrate)
2tabs/tds/14dys
 1st day1 mg/kg, Then increase up to 6 mg/kg within 3 days. Maintain this dose for
21 days.
Ivermectin 150g/single dose
>5yr of onset?
Albendazole 400mg
DEC
Cetrizine 5mg/bd ( 1tab=10mg )
Piriton
1/2tab/mane
1tab/nocte
SE
Sedatives TOP

163. HICCUPS
Antacid
Metclopromide 10mg 6 hourly /8 hourly
Buclofen 5mg bd
Breath holding
Haloperidol
1.5mg/Tds
Or If Severe 2-10mg/IM
Not Given For Children TOP