Page 1

Antibiotics :
Amoxicillin : < mainly for URTI & part of H-pylori treatment >
Ultramox: 500 (1x3) for 1 week
Penamox: 500 (1x3) or 1000 (1x2)
Amoxicillin & Clavulanic acid: < mainly for URTI >
Curam / 10 jd : 625 (1x3) or 1000 (1x2)
Amoclan / 8 jd : 375 (1x3) or 625 (1x3) or 1000 BID (1x2)
Klamoks / 5 jd : 1000 (1x2)

Less than 35 kg better to give syrup. Dose = 45 x weight

*aggressive dose = 90 x weight used in otitis media or pneumonia
Curam : 156 or 312 forte or 457 BID
Amoclan : 156 or 312 forte or 200 BID or 457 BID or 600 BID
*Forte = (1x3) *BID = (1x2) ** keep in fridge after opened
*** Contraindicated in Pregnancy , esp. in first 2 semesters.
Cefixime : < mainly for URTI & UTI > Dose(mg) = 8 x weight
Cefix / 12.5 jd : 200 (1x1) or 400 (1x1) for 5 days
Suprax / 15.60 jd : 200 (1x1) or 400 (1x1)
Apex / 15 jd : 200 (1x1) or 400 (1x1)
Cefim / 11 jd : 400 (1x1)
* Better after eating

Syrup: Dose(mg) (1x1) = 8 x weight

Magnacef 100mg/5ml : (1x1) after eating for 6 days
Cefix 100mg/5ml
Suprax 100mg/5ml / 11jd
Ex: a 20 kg child 8x20=160 , when 5ml has 100mg, then he should
take 8ml per day
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Cefuroxime : < mainly for UTI > Dose = 10-20 x weight per day
Zinnat / 6 jd : 500 (1x2) or 250 (1x2) for 5 – 10 days
* safe for pregnant
# Zinnat syrup : 125 or 250

Cefdinir : < mainly for severe UTI > Dose = 14 mg x weight

Omnicif / 22 jd : 300 (1x2) for 5 days
* available also as Syrup 125mg/5ml or 250mg/5ml
Sefarin , Dinixir (same as Omnicif)

Ciprofloxacin : < mainly for UTI >

Cipro : 500 (1x2) for 5 days , 10 days if complicated UTI
Cipropharm : 250 or 500
* contraindicated in pregnancy and under 18 years old , because it can
cause tendon rupture & cartilage development problems

Levofloxacin : < may be used for UTI , Pneumonia or Prostatitis >

Dose = (1x1) for 7 or 14 days
Ravivo : 500 / 5jd or 750 / 6.5jd
Tavanic : 500 / 12jd
Avoxin / Matador : 500 / 11.5jd or 750/ 17jd
*both levo & cipro interact with steroid , tramadol , warfarin ,
glimepiride + glyburide + insulin , clozapine

Doxycyclin : < mainly for dermatologic cases & acne >

Doxydar , Vibramycin 100 / 2.5 jd : (1x1) for one month * (1x2) 1st day
* Contraindicated in pregnancy & younger than 8 years old + Vit. A
* better to avoid excessive sun exposure & milk products while using it

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Azithromycin : < mainly for URTI & first line for Pneumonia >
* safe in penicillin allergy and for pregnancy
Zomax : 250 (1x2) or 500 (1x1) for 3 days
Azomyne or Azi-once
* 250 dose can be given 2 tablets the first day, then 1 tablet daily

Syrup: (1x1) Dose(mg) = 10 x weight

Zomax or Azomyne : for 3 days
(15ml or 22.5ml) 200mg/5ml or (30ml) 300mg/7.5ml

Trimethoprim-sulfamethoxazole : < mainly for UTI >

Balkatrin 80 / 400 (2x2) for 5 days
Septrin : 80 / 400 or 160 / 800
* used for 2 weeks
* S/E : Kidney stones , so need with it water more than 2-3 Liter daily
* interacts with ACE-I , ARBs , amloride & warfarin
Syrup: Balkatrin , septrin : 40/200 per 5ml Dose(mg sulfa) = 40 x weight
Ex: 20 kg child 20 x 40 = 800mg 20ml per day (divided into 2)

Clarithromycin : < mainly for URTI & part of H-pylori treatment >
Klacid : 250 or 500 / 14jd
* available also as syrup 250mg/5ml or 125mg/5ml
Claritt : 500 / 10jd
* Contraindicated in pregnancy

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Clindamycin : < mainly for dental cases >
Clindacin / Dalacin C : 150/ 4 jd , 300/ 6.5 jd (1x3) for 5 days
* Contraindicated in pregnancy , esp. in first semester.
* S/E : Diarrhea , nausea & vomiting , upset stomach

Metronidazole & Spiramycin : < mainly for Gum cases > (Gingivitis)
Dentagyl / 3.5 jd : (2x2) for 5 days
Rodogyl / 4.80 jd : (2x2) for 5 days
* Contraindicated in pregnancy

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 UTI :
Pregnant Zinnat : 500 (1x2) for 5 days
Non-pregnant 1st : Zinnat , 2nd : Cipro , 3rd : balkatrin
Male 1st : Cipro , 2nd : Levofloxacin

I.M Antibiotics :
Ceftriaxone :
Axone : 500 or 1000
Samixon : 500 or 1000
Triaxone : 500 or 1000
* given slowly
* never mix with ringer lactate or any calcium containing fluid.

Lincomycin : < mainly for dental cases > Dose = 10-20 x weight
Lincocin 600mg/2ml / 2 jd

Antiviral :
Acyclovir :
Zovirax :
- Tablet : 200/ 7.5jd or 800 / 30 jd
- Cream : for mouth or for skin
- syrup / 4 jd
imavir :
- cream : for eye , for mouth or for skin

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 Amoeba :
Adult Flagyl or Nidazol 500 : (1x3)
Child Flagyl or Nidazol syrup : 125mg/ 5ml or 200mg/ 5ml
*Dose(mg) = 10 x weight by 3 for 5-10 days
* example : 20 kg child : 20 x 10 = 200mg 5ml (200mg) x 3
*** Contraindicated & interacts with mebendazole
Protogyn { Tinidazole } : 12 tablet / 6.25 jd , 4 tablet / 2.25 jd
* taken 4 tabs daily for 3 days pause 7 days take 4 tabs on day 11

Vomiting :
Clopram {metoclopramide} :
Oral (1x3) or I.M
* S/E : fever , rigidity (spasm) , autonomic dysfunction
* “medically” contraindicated for younger than 12 years old patients
, because it can cross the blood brain barrier & have pyramidal effects.
Onda {ondansetron}: Dose(mg) = 0.15 x weight
I.M 4mg or 8mg / 4 jd & oral 8mg / 20 jd (15 tablet)
* allowed from age of one year * one hour before meal
Dompridone :
Motilat , Motilium / 2.5 jd :
Oral (1x3) 30 minutes before meal
Available also as syrup : for pediatric 5 ml x 3
Diarrhea :

Vacontil , Imodium : taken 2 tablets together , then 1 after each diarrhea

Diarox syrup: (1x3)
Floratil : Sachet/ 4.65 jd & Tablet / 4.5jd(10) or 10jd(30) (1x1)
ORS: 10 sachet/1.6jd , Smecta: 30 sachet/3.5jd , sobarice: 2 sachet/3.5jd (1x2)

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 Constipation :
Dulcolax : taken 2 tablets before sleep * max. for 1 week
Duphalac , Ramlac syrup: (1x1) adult 20ml , child 10ml
Glycerin suppository , Eva/qu suppository (adult or children)
Movicol : 20 sachet / 5 jd (1x2) , forlax / 3jd , fortrans / 10jd
EuCarbon : better not to eat 2 hours before & after

IBS :
*Diet : fiber, water \ spicy , salt , stress , legumes , caffeine
Deflat , Gazix : chewable when needed , after meal
Duspatalin (mebeverine) : (1x2) 135 or 200 *1 hour before meal
EuCarbon : better not to eat 2 hours before & after
Deanxit {antipsychotic + antidepressant}
Vita colon relief / 19 jd : Probiotic
Colo one / 22 jd : Probiotic (2x2) before meal
Gas colon / 9 jd : (1x2) after meal
Poxedium or Librax : (1x1) , S/E : bowel laziness , dependence

Supplements & Appetite stimulant

Kid appetite 200 ml / 5jd : small spoon daily in the morning

Mr Tumme candy :

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 Upset stomach / Abdominal cramps :

Buscoban {hyoscine bromide} : (1x3) when needed

Antipan I.M / spasmopan I.M
* indicated also in the treatment of acute gastrointestinal, biliary, and
genitourinary spasm including biliary and renal colic.
Riabal : injection , syrup , tablet (normal or compound with paracetamol)
* Contraindications : BPH causing urinary problems , ocular pressure
* syrup dose : 6 m : 1 ml X 3 / 6-12 m : 2 ml X 3 / 1-2 y : 5 ml X 3 / 2-6 y : 10 ml X 3
Peptoz : available as tablet / 5.25jd or syrup / 8.5jd (1x3)
For Pediatric gases: Flatam plus (1 drop/kg) or Deflat , Gazix (15 drops X 3)
* available as drops or chewable (1x3)

Epigastric pain und heartburn :

* all preferred before meal but not a must.

Lanzotec {lansoprazole} / 3.60 jd 15 or 30 *cheaper (1x1)
Oprazol or Gasec {omeprazole} 20 / 3.5 jd : (1x1) * available as inj.
Nexium {esmoprazole} : 20 / 10.5 jd or 40 / 14 jd
* also available as sachet dose 10
Pariet {rapiprazole} : 10 / 5 jd or 20 / 8.5 jd
Razon {pantoprazole} 20 / 3.80jd
** check for Vitamin B12 & Mg deficiency with chronic use of PPI
Famodar {H2 blocker} : 10 / 1.3jd or 20 or 40 / 4.5jd (cheap)

Acid Reflux (Antiacid) :

Life style : small meals , stay up after meals ,

Gaviscon : available as syrup ( normal & advance) or chewable
Rennei or Tums / 3.60 jd : chewable
Fawar Fruit / 0.60 jd : sachet
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 Cough :
Dry cough : (1x3)
Cofex / 1 jd
Sinecod { butamirate } / 5 jd
Drycod { butamirate } / 2.5 jd

Productive cough : (1x3)

IVY
Pelargos / 4.70 jd
Mucosolvan { ambroxol } / 3.30 jd : available as tablet & syrup
Fluibron { ambroxol } / 2.60 jd : available as tablet & syrup
Mucinex { Guaifenesin } / 6 jd : available only as tablet (1x2)

Pregnant :
Broncare / 2.70 jd
Melrosum
prospan : available also as suppositories for pediatric

Infant : Hedral : available as drops / 2.5 jd or syrup / 2 jd

Steroid cough syrup : * used for 3-5 days maximum

Orexon / predone {prednisolone} /6 jd (1x1 or 1x2)
* 15mg/5ml -dose(mg) = 0.75 mg/kg , dose(ml) = 0.25 x weight
Decadron {dexamethasone} / 2 jd 6
Citadone {betamethasone} 0.6mg/5ml 6

Other :
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 Nebulizer :
Ventolin 20 ml / 3 jd: duration : 10 minutes
*pediatric 1 ml Ventolin + 2 ml normal saline
* Adult 2 ml Ventolin + 4 ml normal saline
- S/E: tachycardia , headache
Pulmicort 20 ampules / 15 jd :
* 1 ampule + 2 ml normal saline
Combivent 20 ampules / 9.5 jd: ( weaker & less irritating)
* no need to be diluted
- S/E : frequency + dysuria

Asthma exacerbation & wheezy chest:

1- Oxygen
2- Ventolin nebulizer
3- If no response Hydrocortisone 100 or Pulmicort nebulizer
OR

½ ml salbutamol + ½ ml adrenaline + 2 cc dexa in nebulizer for 15 minutes

Croup :
1 ml adrenaline + 2 ml saline

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 Antihistamine :
Chlorphenlamine melate *Better before sleep.
Allerfin : available as *dose syrup: 0.2 -0.5 mg / kg
* injection 10 mg *dose : (1x1) mostly
*tablet 4 mg (1x1) to (1x4)
*syrup (1x1) or (1x2) younger than 2 years = 2ml\day ( 1 mg )
2 – 8 years = 3-4 ml\day ( 2 mg)
Dimetindene : * has sedative effects
Fencil , Fenistil : available as gel , drops & tablet 1 drop/kg

Cetirizine : * has sedative effects

Cerin : available as tablet or syrup.
Zyrtec , Finallerg : available as tablet or syrup or drops

levocetrizine :
Layal : available as syrup or tablet (quantity : 10 or 30 )
Xyzal : available as tablet.

Desloratadine :
Aerius , Aeriallerge , Histacare,Dora,iris : available as tablet or syrup.

Loratidine: *safe in pregnancy

Clara , Loratan : available as tablet or syrup.
Clarinase { loratadine and pseudoephedrine (a decongestant)}
* avoid using pseudoephedrine containing drugs in HTN & prostate
Hydrocortisone 100 mg I.V or I.M
Diprofos injection for seasonal allergy
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 Runny nose :
Decongestant :
Otrivin or Decozal : (1x1) for 3-5 days maximum
* available for Children or Adults & as drops or spray
Steroid : used in missuse of Otrivin
*Rhinocort or Sinocort or Nasonex (2x2) *spray laterally after wash
Trifed or Unifed : available as tablet or syrup. (1x1)
* Contraindicated in younger than 6 years old patients.
*Trifed syrup normal or plus / Unifed syrup normal , DM , extra , expectorant

Other:
Snip : (1x3 or 2x3) *S/E: dryness ( better not use it for a long time)
Panadol , Panadol sinus , Panadol cold & flu
Abisal nasal spray: NaCl in allergic rhinitis
Pelargos or Zorex (sugar free)

# In case of allergic rhinitis give :

- Antihistamine for 7-10 days (1x1)
- steroid nasal spray for 2 weeks
# In case of new rash give :
- I.M allerfin + Dexa , with antihistamine for 7 days
- or Hydrocortisone 100 , with antihistamine for 7 days
Insict bite :
Tarrad after bite
Fenistil
Fusicort
Hydrocortisone 100 if sever
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 Analgesics & Antipyretic : *dose : (1x3 or 1x4) mostly
Paracetamol:
Tablet : Panadol , Panda , Adol , Revanin
Syrup : Panda , Adol , Revanin one dose syrup(mg): 12.5 mg / kg
suppositories : Adol , Revanin
I.V Perfalgan
NSAID: ask always : asthma , peptic ulcer , kidney disease , pregnant
Ibuprofen :
*Oral Brufen 400,600,800 , Advil 200 , Doloraz 400 , Ibugesic 200,400
* Syrup 100 Ibugesic , Doloraz , Brufen one dose syrup(mg): 8 mg/kg
* Drops Jofen
Ibuprofen + paracetamol : Ibumol 400 / 1.60 jd
Diclofenac sodium: < has more Antipyretic effects, delayed+prolonged >
*Oral Voltaren , Divido , Declogesic , Tratul , Voldic SR
* suppositories Voltaren 50 or 100 , Declogesic 12.5 or 50 or 100
* I.M Voterx 75 , Almiral 75 , Olfen 75 , Tratul 90
Diclofenac Potassium : < has more Analgesic effects , rapid + short >
Rapidus , Voltfast ( available also as sachet ) , Voldic K , Cataflam
Naproxen : No Pain 250 & 500 , Proxen 250 & 500
Memfenamic : < very good for Dysmenorrhea & menstrual cramps >
Fendol , Fenamic : available as syrup or tablet 500 (1x2)
Dexketoprofen : Ketesse available as tablet , sachet or injection

# we can mix Paracetamol & Diclofenac suppositories

Example : the child can take para & after 6 hours take Diclofenac supp.
Gel :
Diclofenac sodium : Voltaren , Declogesic , Tratul
Ibuprofen : Doloraz Ketoprofen : Fastum Gel , Ketofast Gel
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Joints :
Panadol joint : (2x3)
Etoricoxib (1x1) for 7 days maximum
- Etoxa : 60 , 90 , 120
- Arcoxia , Atoxia : 60 , 90 , 120
- Torix : 90 , 120
Celecoxib
- Celebrex : 100 / 5 jd or 200 / 5 jd (1x1 or 1x2) strong
** Celecoxib & Etoricoxib can be given to peptic ulcer patients

TemprMandubular Joint pain Nimelide 100mg after meal

Muscle Relaxant :
Oral : (2x2)
Tolperisone : Mydocalm / 7 jd or Myomax
Eperisone : Myonal / 6 jd
With Paracetamol : Myogesic / 1 jd or Relaxon / 2.80 jd
Gel:
Tratul or Voltaren / normal 3jd , 12 hour 5jd or Fastum Gel
Deep heat / 4.5 jd or Harrar / 2.5 jd or Barrad / 3.5 jd

sleep disorder
Melatonin : under tongue tablet
Panadol night : (2x1) half hour before sleep.
Allerfin
Magnesium used for chronic insomnia & joint pain
For pediatric Bonnuit drops : older than 2 years : 20-30 drops/day
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 Eye/Ear Drops :
Antibiotic : * drops (1x4) / ointment (1x2)
Abigen drops/ointment {gentamycin} : for eyelid infection (weak)
Tobradex or Tobrason {tobramycin & dexamethasone }
Tobrex or Tobracin {tobramycin }
Oflox {ofloxacin }
Ciprocin {ciprofloxacin } * for bacterial ear infections
Fucithalamic ointment / 3.25 jd : for eye stye / hordeolum

Antihistamine : (1x3)
Olopat / 3.5 jd
Naphcon A / 1.5 jd *don’t use for a long period
Orchazid / 3 jd

Antiviral : Imavir

Moisturizing :
Abisal (NaCl) / 1 jd : for Eye & Nose
Isotears / 2.5 jd : for Eye
Tears Guard / 4.5 jd : for Eye

Other :
Waxol or Dewax / 1 jd : for ear wax * used twice daily for 3-7 days
Otocol { Chloramphenicol + Benzocaine } : for ear pain & itching
Phenicol ointment {chloramphenicol} : for eye infections but very
good for Epistaxis & also for dry nose
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 Creams & Ointments :
Antifungal :
Mycoheal { miconazole }
*Available as cream , oral gel , vaginal cream & suppositories
Daktarin { miconazole } : Available as cream & oral gel
Travocort { isoconazole } cream
Lamisil { Terbinafine } < best for foot fungal disease >
* Available as cream or Spray
Baneocin : Available as cream or powder
* used after circumcision or for infant umbilicus

Oral Thrush (candida) :

Mycoheal oral gel {miconazole} : (1x1) for 5 days
Deflucan / 4 jd or Flucand / 3.5 jd {fluconazole} : given with a fatty
meal as a single dose (1 tablet) & can repeat after 3 days if didn’t improve.
* contraindicated in pregnancy
No response ? Mycosat {nystatin} : continue for 4 days after
improvement

Fungal infection of the scalp :

1st Nizoral : ketoconazole shampoo , used once daily
2nd Deflucan or Flucand : take 2 tablet and repeat after one week .

Fungal vaginal infection:

Deflucan or Flucand : take 2 tablet and repeat after one week .
Mycoheal vaginal cream

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other :
Bepanthin cream/ 2.5 jd or Panthophil < moisturizing, sun burns & wounds >
Mebo or mebo s (scars) < for burns >
ialuset plus / 7 jd < for burns >
* better to avoid sun exposure
Contractubex /3.5jd : <for new wounds scars> *use after 1 weak of injury

*Fucidin or *Dermofucin or Fusibact { Fusidic Acid} (1x2)

Fusicort or Tobizone or Fusibact-b { Fusidic Acid & Betamethasone}
don’t use for acne , burns , wounds & diabetic foot *delay healing
Fucidin H { fusidic acid & hydrocortisone acetate }
*available as cream (mainly for the face) or ointment (*)
{clindamycin} : clindacin gel , Clinimycin T gel < for acne >
{erythromycin} : Spotex , Zineryt < for acne >

Acretin 0.025% or 0.05% , Differin cream or gel , Azelderm : < for acne >

{ Betamethasone 0.1%} Betaval (cream + ointment) or

betnovate (cream + ointment + scalp)
Delor or cloderm { clobetasol 0.05%}
Elica , Elna , Elocom { Mometasone Furoate 0.1 % }

Reparil gel or premaril gel : < for swelling & contusions >
Panderm / 2jd : < for everything :) > (1x2) *don’t use for a long period
Hemorrhoids :
Procto-Glyvenol {tribenoside+lidocaine}: suppositories (1x2) or (1x1)
New healer : cream / 4 jd or suppositories / 3jd (1x2)
Proctoheal : cream or suppositories / 2.5jd (1x2)
Herox : cream or suppositories
Xylophil {lidocaine}
+ Daflon 500 (1x4)
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 Hand foot mouth disease:
Antihistamine (allerfin) / Antihistamine cream or drops (Finistil):drop/kg
Paracetamol or ibuprofen (Fencil)
Oral gel if have difficulty eating (mycoheal)

Warts :
Wartan cream / 9jd , Cornex cream / 5.5jd (1x2)
Avomack , Collomack solution / 3jd (1x2) *put Vaseline around the wart

Lice
Lice shampoo: Paranix shampoo keep on head for 10 minutes
Nyda spray or Delice spray : use 3 hours before showering

Scabies
Sporofulvin : ( 1x3 )
* available as tablet or syrup , but hard to find

Chicken pox
Calamine lotion / 1.5 jd
Antihistamine ( aerius, aeriallerg, , , , )
* avoid showering & contact with others for 7-14 days.

Hair loss & weakness

Biotin (vitamin B7) , Perfectil / 13 jd (1x1) for 3 months
Seba-med anti-hairloss shampoo

Colic or discomfort in urinary tract / stones :

Alka-ur or Coli-urinal / 1.5 jd : (1x3)
One Tablespoon in a cup of water x 3 per day
Page 19
 Dizziness : dose : (1x3)
Betaserc { Betahistine } : 16mg/ 13 jd or 8mg / 8 jd
Mezan { Betahistine } : 16mg / 7.5 jd or 8mg / 4.5 jd
Vertizin { Cinnarizine} / 1.75 jd “weaker”
Can be given a mixture I.M injection of clopram + antipan + dexa

Hypothyroidism :
Euthyrox or Eltroxyn 25 , 50 , 100 , 150 (1x1)
* dose = 1.6 x weight , 50 is usually the initial dose.
* should be taken as early as possible 30 minutes minimum
before breakfast & better to have a fixed hour.
* return to clinic after 2 weeks for assessment

Hyperthyroidism :
Carbimazol / 7jd

Raynaud phenomenon :
Lowvasc 5 { CCB : amlodipine / nifedipine} once daily

Stiffness and pain in the neck

Dexa + votrex
Muscle relaxant for 5 days
analgesic / relaxant gel

H-pylori treatment :
1- tavanic 500 { Levofloxacin} (1x1) for 2 weeks or Clarithromycin 500 (1x2)
2- Panamox 1g {amoxicillin} (1x2) for 2 weeks
3- Lanzotec 30 {PPI} (1x2) for 6 weeks
* Quadrable add Flagyl 500 {metronidazole} (1x2)
Page 20
 Oral iron :

Glucofer Remafer \ 2.60 jd : 1x3

S/E : constipation & epigastric pain

Tradiferron \ 2.65 jd : 1x2 or 1x1

Feroglobin \ 8 jd : 1x1 for 3 months

Iron + other supplements

Ferrotron \ 13 jd : 1x1 for 3 months

Iron + vit.C + other supplements

Bioferrin \ 15 jd : 1x1 for 3 months

Irofix \ 15 jd : Drops , syrup or tablet

Iron + vit.C + other supplements

Ative Iron / 22 jd

* Vitamin C is recommended with all types to reduce constipation

* after 1 month redo Ferritin & after 3 months redo CBC
* oral iron is better taken at an empty stomach (to enhance absorption)
* avoid calcium containing food with it ( milk products , green leafy vegetables)

Page 21
 IV Iron :

Venofer / 6 jd per ampule

each 2 ampules raises 1 HB
One ampule taken every other day in 500 NS for 45 minutes

Ferromax / 3 jd per ampule

each 2 ampules raises 1 HB
One ampule taken every other day in 500 NS for 45 minutes
* 2 ampules can be taken together

Ferrasil / 3.25 per ampule

each 3 ampules raises 1 HB
One ampule taken every other day in 500 NS for 45 minutes
* 2 ampules can be taken together

Ferinject / 125 jd : 5ml or 10ml , both 500 concentration

taken in 500 NS for 75 minutes
Once every 6 months

* i.v iron is better taken after a meal (because it may lower the blood pr.)
* avoid giving i.v iron when the female patient is at her period.

Iron allergy :
1- 100 hydrocortisone I.V
2- wait 5 minutes
3- another 100 hydrocortisone I.V
4- no response ?
5- 0.5 ml adrenaline I.M or S.C ( not I.V !!)
Page 22
 Pediatric iron :
Drops :
younger than one year : 5 drops daily , 1-2 years : 10 drops daily
Irofix drops / 11 jd
Ironorm drops / 6 jd
Syrup :
3 – 6 years old : 2.5 ml daily , 6 - 13 years : 5 ml daily
Irofix / 12 jd ( iron + Vitamins )
Irona / 3 jd
Feroglobin / 8 jd
novoferr
Feromix : 5 ml once daily for 3 months
* drink water after it

Vitamin B12 :
Cyanocobalamin (initial form) mecobalamin hydroxycobalamin (best)
{cyanocobalamin} / 7 jd (10 ampules)
Mythycobal { mecobalamin} / 10 jd (10 ampules)
Cobal { mecobalamin} / 7.65 jd (8 ampules)
Vit B12 Depot { hydroxycobalamin } / 4.5 jd (3 ampules)

* available in I.M & oral / 5 jd (1x1 or 1x2) has 30 tablet

* I.M taken every other day.
* prophylaxis only once monthly.

Neurobion (vit b1 , b6 , b12 { cyanocobalamin } ) / 2.35 jd :

one tablet every other day * available as injection & tablet
Page 23
 Folic Acid :

- 0.4 mg = 400 microgram : Prophylaxis or for pregnancy

- 4-5 mg : in case of deficiency , for 4 months
* When the patient has b12 & folic acid def. , give first b12 then give
folic acid.

Vitamin D :
*always should be taken after a big fatty meal
Drops :
Each 1 drop = 400 microgram
*Younger than 6 months old : 1 drop daily
*2-5 years old: 2 drops daily *older than 5 years old: 4 drops if def.
Dedrogyl : doesn’t needs refrigeration
Biodal / 5.75 jd : doesn’t needs refrigeration
Hi-dee / 4 jd : needs refrigeration

Tablet :
50 000 once weekly for 3 months , then once monthly for 1 year.
Biodal / 10 jd (12 tablet 50 000)
Hi-dee / 8 jd (12 tablet 50 000)
D3 max / 12 jd (20 tablet 50 000)

Injection :
D-rise 200 000 / 37.5 jd : given I.M once monthly
Dibasa 300 000
Page 24
 Notes :

Normal Saline for children: 10-20 × weight

Example : 20 kg child give 200 – 400 ml NS

To distinguish bacterial tonsilitis from viral tonsilitis use modified

Centor criteria

To examine the ear :

Adults pull the ear backward , laterally & upward
Pediatric pull the ear backward , laterally & downward

Before GI endoscopy can the patient be given :

4 tablets of Dulcolax + 1 sachet of Picoprep

Gallstones in bile duct Rowachol (2x3) for max. 3 days

kidney and urinary tract stones Rowatinex (1x3) before meal

silent GERD : recurrent URTI give H2 blocker ( Famodar )

Neuralgia : votrex , b12 , Tiapridal

Page 25
 Motion sickness :
* Navidoxine , Vominore {meclozine + vit. B6 }

Coma cocktail : “DONT”

D : Dextrose 100 ml ( the cause may be hypoglycemia )
O : Oxygen ( the cause may be hypoxemia )
N : Naloxone 1 mg , i.v ( the cause may be opioid toxicity)
T : Thiamine 100 mg , i.v ( the cause may be alcohol toxicity )

Helminths : {Mebendazole} Bendazole , Vermox

* Pinworm : 1 tablet (100mg) & can be repeated after 2 weeks
* Whipworm & Roundworm & Hookworm : 100mg tablet X 3 or
one 500mg daily for 3 days, the course can be repeated after 2 weeks

Dexamethasone & Votrex ( diclofenac sodium ) in Pediatric

Dexa :
“medically” allowed from age of 2 years
Dexa ampule has 2 ml each 1 ml contain 4 mg dexa.
Dose (mg) = 0.2 – 0.5 x weight
Example : 27 kg child : 27 x 0.3 = 8 mg can be given 1 ampule
* should be given starting from 20 kg : 20 x 0.2 = 4mg = 1ml

Votrex :
“medically” allowed from age of 6-12 years
Votrex ampule has 3 ml each 1 ml contain 25 mg diclofenac
Dose (mg) = 1 – 2 x weight
Example : 25 kg child : 25 x 1.5 = 37.5 mg = 1.5 ml = half ampule
* should be given starting from 20 kg : 20 x 1.25 = 25mg = 1ml
*can be repeated after 8 hours
Page 26
Paracetamol :
I.V perfalgan can be given from the age of one month & sometimes
even earlier.

Dexa , allerfin , clopram , antipan :

0-5 years old : 1/4 the ampoule
5-12 years old : 1/2 the ampoule
12-18 years old : 3/4 the ampoule
above 18 years old : whole ampoule

I.V 100mg hydrocortisone :

0-3 years old : 25 mg
3-5 years old : 50 mg
5-12 years old : 75 mg
12-18 years old : 100 mg
above 18 years old : can be given 200 mg

* don’t mix Votrex with Antiban , because it will generate a thick solution.
* don’t mix Furosemide with Metoclopramide

Page 27
> Sphygmomanometer > Thermometer > Pulse oximeter
> Glucometer > Nebulizer > Weighing Scale > Otoscope

> Normal saline 0.9% > Ringer lactate > Dextrose 5%

> Canula & Syringes > Alcohol swabs > iodine

> Stitching Kit & Sutures > dressings & plaster > Gause & Cotton
> Tongue depressor > Nebulizer mask > I.V set
> Gloves > Bed sheets > Blades > Foleys catheter

> Allerfin 10mg/ml (only i.m) > Allermin 10mg/ml (i.m or i.v)
> Diclofenac 75mg/3ml (except tratul 90mg/3ml) > Dexamethasone 8mg/2ml
> Clopram 10mg/2ml > Antipan 20mg/ml > Omeprazole 40mg
> Furosemide 20mg/2ml > Hydrocortisone 100mg (dissolved in NS)
> Antibiotic: Ceftriaxone (500mg or 1g dissolved in 4ml lido) or Lincomycin (600mg/2ml)

> Fucidin > ialuset plus > Lidocaine (cream+spray) > Phenicol

> Paracetamol suspension (100ml) > Salbutamol (ventolin)

> ipratropium + albuterol (Combevent) > ipratropium (Atrovent)
> Budesonide (Pulmicort) > Salisal plus + isosorbide “suspected MI ”
Page 28
** Life style :

1- ACE-I : ACE press , Linopril

* 1st

- ARBs : Atacand , blopress 8 or 16 / ARBITEN / Vivazac

* 1st

*** Enresto

3- - :
: Concor , B-cor
*1st
- : Indicardin
* , )&
-

- CCB :

Isoptin Dilzem

Adalat Lowcasc , amlocard 5

Page 29
5- : Lasix , Diusemid
* S/E :
*

6- : Modrex
* S/E :

7- : aldacton , noracton
* S/E :
-

- ACE-I , - 3- CCB , - BB
- CCB , - ACE-I , 3- - BB

1- : Lipitor , Atorvast Crestor

- : Lipanthyl Lopid

Page 30
1-

- : Glucophage , formit
*
--

3- : Actos
*
* S/E :

- : Amaryl , Glemax Glibil 5

*

***
NovoNorm or or

5- : Onglyza Galvus januvia

*
* S/E :

6- -
Ozimpec Victoza

7- : empaxa Forxiga , Divinus

*
* S/E : =

Page 31