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  • 8/16/2019 Notes Drug Ped

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    Mohamed Ibraheem's notes in pediatricsMedications in pediatrics All vent. syrup 0.5ml/kg/day > 2y (bronchodil -mucolytic-expect)Bricanyl syrp & Aironyl 1/4- 1/2 ml/kg/d( ÷3) (Terbutaline)Bronotrol syp:1/4-1/2ml/kg/day(÷3)>1y& Berotic syrp (fenoterol)( risk of death e’ large dose)Ventolin syrp& Farcolin &Bronchovent 1/4- 1/2 ml/kg/d( ÷3) (salbutamol)Probric syrp (5ml/5mg) : 10ml once >2yrs & bambedil syrp (bambuterol)

    Bro-zedex syrp (1.5mg/5ml) 1/4-1/2ml/ kg/d(3)Farcosolvin syrp 1ml/kg/d >1y Vegaskin syrp 0.5ml/kg/d (2:3 ) >6moSine up : syrup 1ml/kg/day (3) > 2yNeo-michaelon syrp 0.5ml/kg/d (2:3 ) >2yNoflu syrup 0.75ml/kg/d (2:3 ) >2yFlurest syrup 0.5ml/kg/d (2:3 ) >2yActifed syrup 0.5ml/kg/d (2:3 ) >6yCongestal syrup 1ml /kg/d (3)>6y c/i asthmaBronex  drops 1 dropper tds >6y

    Rhinostop drops 1 dropper tds >6y (very bad drugCodilar syrup 1ml /kg/d (3) >12mo (antitussive -decongestant) c/i asthma Pulmocare syrup 1ml/kg/day >2y (antitussive-expect- decongestant) c/i asthma Mucophylline syrup (6mo. 3/4ml ) (>1Y-1 ml) /kg/d (÷3Mucosin drops: 1 drops /kg/dose (2) & Mucosolvan & mucosin Bisolvon drops 2drop/kg/dose (3)& solvin Mucosol ped. syrup 1/2 ml/kg/d (÷3) > 1yr Ultrasolv syrup: 1/2ml/kg/d (÷3) >2yrs (mucolytic&expectorantAmbroxol syrup 1/2 ml/kg/d (3) & Mucosin & MucosolvanBisolvon syrup 1/2 ml/kg/d (÷3) &SOLVINN-acetylcisteine sachets 200mg(meconium plug 1tid po/pr)(poisoning 140mg/kg~70mg/kgq4hx17doses

    Coughcut syrup 5 ml tds > 3ypentamix syrup(Inf. 2.5 mlx3-CH. 5mlx3 )&guava,origenal , ,Balsam,fast,master coughSina dry cough: inf 2.5mlx2-3 ,CH 5mlX3 &ALVEOLIN SYRUP (NATURAL Sina wet cough :inf 2.5mlx2-3 ,CH 5mlX3 &ALVEOLIN SYRUP p (NATURAL Quibron SR: tab300mg div: 20mg/kg/d ( ÷2 Conix : syrup 2.5ml tds,( 2y { s/p constipation }Bestra syrup (liquorice,honey,squil) 5ml tdsVentolin diskus 200mcq 1-2puff bid >4yFlixotide diskus 50mcq,100 mcq 1puff bid >4y Becotide inhaler (50micg/puff) &beclosone,viarex one puff BD Flixotide inhaler (50micg/puff) one puff BD Ventolin inhaler (100mcg /puff ) & vental PRN Clear air 10mg tab - 3-14yrs ½ tab once daily / night ( 7 tab) Bronchicum syrup babies 2.5mlx3 ,children 5mlx3 (& Bronch ) Bronking syurp: thyme mucolytic,(tilia, guava, honey antitusive),fennil expectorant Apidone syrup 0.5ml/kg/d (2:3) & Phenadone&Orazone &vendexine(Deltasone 1.ml/kg/dPredsol syrup ( 5ml/ 5mg ) 1-2ml/kg/day (4)& Xilone Predsol forte syrup (5ml/15mg ) ¼ – ½ ml/kg/day (4) & Xilone forte Claritine syrup( 2:12y) 30kg 10 ml or 1tab OD(mosedin –loratan) 

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    Alerid syrup : 6mo-2y=2.5ml , 2-6Y=5ml, >6y = 10ml OD (Cetrak,zyrtic)Evastine syrup: 2-6yrs( -2.5ml up to 5ml) 6-12yrs(5ml up to 10ml) OD Tavegyl syrup : 1/2 ml/kg/day (2 )Anallerge (2mg/5ml ): 0.35mg/kg/day= 0.8ml/kg/day Fenistil drops 1drop/kg/day(2 ) **************************************************

    Dolphin supp ; 12.5,25mg 1:2 mg/kg/d ( >1y) &Baby reliefCataflam drops : 1drop/kg/dose tds ?1y & Dolphin drops 

    Brufen syrup : 0.5 ml/kg/doseX3 prn >6mo./7kg (C/I asthma 

    Contafever syrup : 0.25 ml/kg/doseX3 prn (C/I asthma Flabu drops : 3drops/kg/dose x3 > 1mo. Or 0.125 ml/kg/dose (C/I asthma )Marcofen inf.supp(100mg-300mg)-ultrafen ped (200mg)10mg/kg/doseKetofan syrp 0..25ml/kg/dose (3) >6moSulide syrup 0.25 ml/kg/dose (3) >6mo Nilsid syrup : 0.15 ml/kg/dose (3) >2years ( &Nimalox Molfen sachets(paracetamol500mg+caffeine30mg) 15-20mg/kg/dose (6sachetsAbimol extra(p.500,c.50-)prontoplus(p.400c.50-)adult tdsCatafly syrup : 0.25ml/kg/dose /8h Fevano syrp : 0.5ml/kg/dose /6h prn 

    Dolo D syrp : 0.5 ml/kg / dose / 8h Maxilase syrp 5 ml tds Depot medrol vial 40mg/1ml( im )1-2mg/kg/dose/6h &MPA

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    Cefzil susp(125-250mg/5ml)1ml-1/2ml/kg/d( 2) [50ml] >6mo Bacticlor susp(125-250mg/5ml)1ml-1/2ml/kg/d (3 ){60ml} >1 mo & ceclor & ServiclorZinnat susp (125mg/ 5ml) 1ml/kg/d(2)`e meal >3moSuprax susp (100mg/5ml ) 0.5- 1ml/kg/d OD/2 [30ml] >6mo & Ximacef Klacid susp(125mg/250mg/5ml) 1/2ml-1/4/kg/d (2) >6mo{KlarimixEryped susp(400mg/5ml) 0.6 ml/kg/d (3:4dosesPediazol susp 1.25ml/kg/d (3) >2mo& Primomycin 

    Zithromax susp.0.5ml/kg/day OD X3(200mg/5ml-600mg/15ml,900mg/22.5ml,1200mg/30ml)&azi onceXithrone : tab(500mg) cap (250mg) susp (200mg/5ml- 15ml, 25ml )20mg/kg/day empty stomachZisrocin susp. 1ml/kg/day OD (100mg/5ml-600mg/30ml) cap : 500mg unictam susp(250mg/5ml) 1ml/kg/d(2) tab(375)50mg/kg/d&unasyn& Sigmacyn Hibiotic N susp (230mg- 460mg ) 1- 0.5ml/kg/day (2)>2mo. Tab. (375,625,1000mg)Newclav exrtra (642 mg) susp: 0.75 ml/kg/day ( for sinusitis , AOM Keflex susp : (250mg/5ml ) 1ml/kg/d(3)cap (250mg) tab(500mg) 50mg/kg/d (3Ceporex susp : ( 125-250mg / 5ml ) 2-1ml/kg/day tab (250,500,1000mg) 50mg/kg/d Ospen susp : ( 400,000u/5ml ) 0.6 ml/kg/day div. ( 3-4 doses Ospen tab : 1000 ,1500 (1tab/20kg/day – 1tab /30kg/day 

    Cefaxone : 250mg/500mg/1gm /3.5ml :100mg/kg/day Ampiflux : cap 500mg , susp 250 mg Flumox : cap 250-500 inj 500-1000, susp 250mg Dalacin C 30 mg/kg/day ( ÷3) cap. (150,300mg )Emoxclav : tab 375- 625 –1000 susp 156,312 Maxipime vial (1/2- 1gm) 100mg/kg/d ÷2 iv/im ( >1moCeftriaxone vial im- iv (0.5 - 1 gm ) dose: 100 mg/kg/d (OD/bid)&cefaxone Retarpen vial : ( 1.200.000/5ml ) : 0.2ml / kg IM Pencitard vial : (1.2 MU/3ml ) : 0.125 ml/kg IM Novirus : syrp(200mg/5ml)0.25ml/kg/dose(3)cap200,400mg ( dose 10mg/kg/dose} (3)Zovirax D.S. Susp.(400mg/5ml) 0.125 ml/kg/dose(3) tab400mg [ dose 10mg/kg/dose] (3)

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    Cycloviraltab 200mg :10mg/kg/dose/8h  &virustat 200 mg Lovir tab.400mg10mg/kg/dose/8h (nausea,anemia,rash,hallucination,confusions,convulsions,agitation )Rimcure ped.tab =[INH30+RIF 60+PZA150) tab/6kgRimactazid ped.tab= {60+60} tab/6kg- tab(150+300) tab/15kgRimacure tab = INH 75mg+RIF 150mg+PZA 400mg (tab/15kg)Rimactazid tab = INH 150mg+RIF 300mg (tab/15kg)Rulid ped tab( 50mg ) 1tab /10 kg /d ( 2)Rovamycin tab(1.5,3million) sachets(750000) dose150000:300000u/kg/d(2)& spiamycin supp(1.3m)

    Rovac tab (1.5 million u.1tab /10kg/d÷2)(3million u.1tab/20kg/d)&sSpirex,Rovapex,Rovamycin Alzintal ( >2yrs 20ml – 2tab) susp 400mg/20ml , tab 200mg (bottle=20ml)( 2yrs 10ml-2tab) susp 400mg/10ml , tab=200mg(bottle=30ml) (6y (4tab) then 1/2 dose x 1wk Distocide : 1tab/15kg OD. for bilharziasis (1/2 dose in H nanaDiflocan syp 1ml/kg/dose OD ......followed by 0.5ml/kg/dose OD Griseofulvin susp. (125mg/5ml) 0.5 ml /kg/d(÷2) with food for 6 wks

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    Ectomethrin 2.5% lotion&cream[ wash- Dry - Rubx3d - then wash] ][ leave 10min-wash]

    Eurax cream&lotion [wash- Dry - Rubx3d - then washBenzanil gel-lotion-ointment (leave for 24h then wash)&Benzyl benzoate(cream+lotion)Iverzine lotion : wash –apply for 8 hrs (at night ) – wash ( scabies – lice Flamazine oint. for burn dermazine ointDaktaren oral gel for INF. 1/4 spoon /6h for child 1/2spoon / 6h &(miconaz oral gel) Elocon cream,ointment,lotion (mometasone furoate) once/daily >1mo Momenta cream :(mometasone,miconazol,gentamycin ) : 1-2 daily &elecon Dermofix cream ,solution,powder Mycospore cream once daily(antifungalIruxol :oint for wound debridment Mebo ointment: wound healing Mamy care cream:nipple healing of cracked nipple & dermal cream Salicylic acid ointment ( keratolytic(Hydrafeet creem ( for cracked feet ) bidCarbamide urea 10% ( humectant&soothing agent(White precepitate ointment for external use to prevent Oxuris autoinfectionDactacort oint-cream (miconazol&hydrocortisone) bidFucicort cream (fusidic acid&betamethasone ) bid & fusicortTDA OINT. Antivirus ( simplex-zoster-warts-molluscum ) BID (16 pounds Caladerm lotion bid locally Dermocalm lotion ( zn-caphor-menthol-glycerol 

    White PPT oint once /day ( & Ammoniated mercury oint Viru merz gel tds ( Herps simplexDentinox teething gel : rub gently on gums , can be repeated every 20min Acyclovir & zovirax skin ointment Insect bite gel antiallergic &soothing agentNystacort - N cream ( nystatin ,hydrocortisone,neomycin) bid 

    Immunvita drops 5dropsx3 (4y) (one week/mo.) (over 1yr)Mulone drops 15dropsx2 (2y)Immulant syrp : (> 6mo.) 5ml tds 

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    Winter mixture : syrp 2yrs 5ml x2 Holiday mix : syrup children > 2yrs 5ml x2 Bronchovaxom ped cap. 1 cap/day x 10days for 3 mo. With jauiceImmuguard sachets:1-6mo.(1x1) upto 2yrs (1x2) upto6yrs(1x3) 50ml boiled water /empty stomachWinter Mix syrup 5ml BIDIsoprinosine syrup : 1ml/kg/day (2) > 1yr

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    Uripan syrup 0.5ml/kg/d (2) tab /10kg >5y ttx3mo 

    Minirin nasal spray(1:2) tab 0.1- 0.2mg (1:2) {dose0.1- 0.2mg OD/BIDTofranil tab (10, 25 mg){enuresis 25- 50mg/night OD}{antidep 2mg/kg/d bid )L carnitine drops:(1ml/300mg/30ml)75mg/kg/day = ¼ ml/kg/day(2) (& carintol)one dropper/5kg/day

    Carnitol syrup( 1ml/300mg ) 0.15:0.3ml/kg/d ÷2 (60ml) {dose 50:100mg/kg/d}Tanakan drops 1/4 ml tid (6moFlagyl syrp 1ml/kg/day(3) x 7 days (for Giardia 1/2dose)&Amrizol,EntopharFurazol syrp 0.5ml/kg/day (3) x 7days >2y &Dimetrol,Dilazol

    Fladazol (4tab) 1tab/15kg OD (acute,1day)(chronic,3days)( hepatitis,5days)&secnidazol Noerosive (ranitidine) syrp 75mg/5ml= 5-10mg/kg/day 0.3-0.5ml /kg/day (3)Rani sachets(150mg): 1/4 sachet+5ml0.5ml/kg/day(GERD)Acilight tab75mg 4mg/kg/day (ulcer ) 8mg/kg/day (GERD)Famotin Tab :20,40mg(1mg/kg/d(2)gastrodomina,antodine,famotak,servipep Antodine tab.20,40mg amp 20mg/2ml : (1mg/kg/d(2)Cholesteran packets 1 packets/5kg/day (3) 1/5packet / kg/ day (3)Lacteal fore packets : 1 packet twice daily added to milk or fluidsAcetorphan sachets(30mg): one sachet/6kg/day (÷3) for severe watery diarrhea.Enemax

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    Roya baby tea : Add packet to 150ml boiled water & leave for 5min *******************************************************************************************

    Tresorex fore syrp 0.5ml /kg/d (3Growth formula for kids:2:3y(1tabsp.to milk/water bid) 4:6y (2 tablsp bid) 7:12y(3 tabsp.bid) Creacon packets : 1packets/100ml milk/water tdsKids diet formula 1teaspoonfuls to100ml milk / water/ Juice tds (>1y) glutin free HP mix formula : > 2yrs one teaspoon /100 ml milk / water/ JuiceD-CAL-C syrp(250mg elemental ca +25mg elemental Mg+100IU D3+25Mg glycine/5ml )5 mlOD >6mo 

    Acti 5:syrp 5 ml tds >1y (anorexia ,athsenia,growth retardation,nervousness )Ematon :syrp (cod liver oil,nigella,citrus,orange) ( > 1y 2.5 OD) ( >2Y 5mlOD)Ultra seas syrp (cod liver oil,vit a,c,d,e) {6mo.2.5ml x2}{>1y 5ml x2}starvit 

    Mosegor syrp 1/2ml / kg / d ( ÷3) > 1 year Theragran H tab(Iron,B12,Folate,VIT.C,Mg,CU)1tab/tdsHaematon cap.(Iron,B12,Folate,VIT.C,Mg,CU) 1cap/OD&vitaferrol Ferromix syrp : 2ml/kg/day (÷3 ) Sytron syrp: 1ml/kg/day (÷3) Vitaferrol syrp 0.75 ml/kg/day 

    Heamojet syrup: 1/2 ml/kg/day Riconia :syrp (fortified micronutrient) >1y 5ml/ BID A-viton 50,000U cap.{6y)Optozoline eye drops(chlorpheneramine-naphazoline)2drops tds (>6y )Earocure ear drops ( analgesic&antiseptic) 2 drops/4hOtocalm ear dropsRemowax ear drops 2drops tdsVisine eye drops (tetrahydrzoline) 2drops tds Oftalmotrim eye drops( trimethoprim,polymyxin) 1drop/tds Bardol oil 3 drops around umbilicus/ prn (surface analgesicPenta oil TDS ( cough,arthralgia,headache Fucithalmic eye drops 1drop bid (expensive

    Neomyxidin eye drops -Tobrin eye oint.&drops -fucithalamic viscous eye dropsPrisoline eye&nose drops 2drops x4 . (>2yrs Visine eye drops 2drops 2- 3 times daily ( decongestant Visine AC eye drops 2drops 2- 3 times daily ( + ZINC) Isopto Maxitrol eye drops : 2drops 2- 3 times daily ( nonpurulent conjunctivitis) Cipro otic drop 1-2 drop -Vita poly drops : one dropper once daily (1ml) 

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    Important injections in pediatrics( ىفشتسملاب  (خاصة بقسم الطوارىAdrenaline ( 1mg/1ml ) : 0.01ml/kg/dose Epanutin (250mg/5ml) : 20mg/kg loading then 5mg/kg/day =0.4ml/kg loading then 0.1ml/kg/day Sominalleta (40mg/1ml) : 20mg/kg loading then 5mg/kg/day =0.5ml/kg loading then 0.1ml/kg/day Lasix ( 20mg/2ml ) : 1mg/kg/dose = 0.1ml/kg/dose Lanoxin (0.5mg/2ml amp. ) : 0.05mg/kg/div. then 0.01mg/kg/day= 0.2ml/kg/div then 0.04ml/kg/dayValium (10mg/2ml) : 0.3mg/kg/dose = 0.06ml/kg/dose 

    Dexamethasone (8mg/2ml) : 0.25-0.5mg/kg/dose x2-4doses(0.06-0.12ml/kg/dose)

    Aminophylline (500mg/5ml-250mg/10ml): 5mg/kg/dose/6h = 0.05ml/kg/dose-0.2ml/kg/dose Solu cortif 100mg/2ml : 5-10mg/kg/dose/6h Konakion (10mg/1ml) : 5-10mg iv/im , prophylactic dose for neonates 1mgHeparine (5000u/ml):50-100u/kg/dose/4-6hCa gluconate10% : 1ml/kg/dose Aspejic (500mg/5ml ): 0.1ml/kg/dose iv/im Perfalgan 10mg/ml : 7.5mg/kg/dose/6hrs (0.75ml/kg/dose) infusions over 15min >6mo.Flagyl infusion (500mg/100ml):1.5ml/kg/dose/8hMannitol 20%: 5-10ml/kg/dose/8hx3days Plasil/primperan (10mg/2ml): 0.1ml/kg/day divided

    Danset(zofran)4-8mg/2-4ml:0.15-0.3mg/kg /once daily iv slowly >6mo.Buscopan20mg/ml: 0.02ml/kg/day (divided )(amp/40kg)Visceralgin5mg/2ml:0.4ml/kg/day (divided) (amp/5kg)Pirafin (5mg/ml): 0.25mg/kg/dose (amp/20kg)Mg sulphate 10%:1ml/kg deep IM Glucose 25%: 2ml/kg/dose , Glucose 10 : %4ml/kg/doseAlbumin 1gm/kg 20% (dilute3times),25%(dilute4times) over 3hoursRegular insulin: 0.1u/kg/hInderal 1mg/1ml: 0.1-.02mg/kg/dose Pethidine 50,100mg: 1mg/kg/dose Morphine : (10mg/ml) : 0.1mg/kg/dose IM,IV,SCIntraval ( thiopentone) : 4-8mg/kg/dose Ketalar (500mg/10ml ): 0.04ml/kg/dose ( important)Atracurium(100mg/10ml-50mg/5ml)2yrs0.04-0.05ml/kg followed by 0.01/kg PRN)Prostigmine (amp.0.5mg/ml, vial 12.5mg/5ml): 0.02mg/kg/dose+ atropineNootropil(1gm/5ml): 50mg/kg/day = 0.25ml/kg/day ( ÷ 3)Cogentin (2mg/2ml): 0.2-0.5mg/kg/dose BDZantac 50mg/2ml: 1m/kg/dose/8h =0.04ml/kg/dose/8hCyclokapron 500mg/5ml: 10-20mg/kg/dose/8h=0.1-.02ml/kg/dose/8hHydralazine:0.2-0.5mg/kg/doseIM/IV can be repeated every3-6h(hypertensive crisis)Unasyn : 150:300mg/kg/day ( ÷ 2) ( 375,750,1500mg vial)

    Claforan : 100-150mg/kg/day ( ÷ 2-4) ( 250,500,1000mg vial)Ceftriaxone : 75-100mg/kg/day (500mg,1000mg IV/IM)Amikacin : 15mg/kg/day ( ÷ 2) ( 100,250,500mgvial)(0.3-0.12-0.06ml/kg/day)Maxipime : 100mg/kg/d ÷2 ( >1mo) ( 500,1000mg vial )Canula's number :24( neoborn),22 ( infant ), 20 ( child)NGT , urinary catheter : 6,8,10,12,14,16,18,20,22,24Butterfly : 23,21,19 -ETT : 2.5,3,3.5,4,4.5,5,5.5,6,6.5,7,7.5,8,8.5,9,9.5 

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