PARACETAMOL

Dose: Adult- max 4g/day

3-6mos 60 mg
6mos- <6 yrs 120mg
2 t0 <4yrs 240 mg
8 to <10 375mg
10 to <16 500 mg MAX 4 doses in 24 hours
Pedia Dose: 5-25 mg/kg/dose q4
Prep: tab 500mg, sus 120/5ml & 250/5 ml, Drops 100
mg/ml
Indication: Fever, mild to moderate pain

ASFI2017
MULTIVITAMINS + ZINC or ASCORBIC ACID +
ZINC
Dose: As directed
Pedia Dose: As Directed
Prep: Syrup, Tablets, Chewables
Indication: Give to every child with URTI, HMFD, Flu,
Malnutrition, Cough

ASFI2017
AMOXICILLIN
Dose: 500 mg TID
Pedia Dose: 30-50 mg/kg/day (TID)
Prep: Syr 250mg/5mL, 125mg/5ml, drops 100mg/ml,
125/1.25ml, cap 250 mg; 500 mg
Indication: Susceptible infection, uncomplicated
Gonorrhea, Uncomplicated UTI, Dental Abscess,
Tonsillitis, Pharyngitis, H Pylori infection given with
metro or clarithomycin

ASFI2017
CEFUROXIME
Dose: 250-500 mg BID
Pedia Dose: 20-40 mg/kg/day
Prep: Sus 250mg/5ml, 125/5ml, 500 mg
Indication: Respiratory Tract Infection, Urinary Tract
Infection
Uncomplicated Gonorrhea

ASFI2017
CLINDAMYCIN
Dose: 150-300mg every 6 hours
Pedia Dose: 3-6mg/kg/day given every 6 hours; <8kg:
≥37mg every 8 hours
Prep: Cap 300mg, 150 mg, 75 mg; Sol 75mg/5ml
Indication: Anaerobic Infections, Bacterial Vaginosis

ASFI2017
ERYTHROMYCIN
Dose: 1-2 grams per day in 2-4 divided doses
Pedia Dose: 30-50 mg/kg/day
Prep: 0.5% ointment; Cap 250mg, 500mg; Sus
200mg/5ml; drops 100mg/2.5 ml
Indication: Prophylaxis of ophthalmic infection 0.5%
ointment to be applied approximately 1 cm length to
affected eye up to 6 times/day; Strep infection with
evidence of Rheumatic fever or heart disease,
respiratory infection

ASFI2017
CLARITHOMYCIN
Dose: 250-500 mg BID
Pedia Dose: 7.5mg/kg/day (BID)
Prep: Tab 250mg, 500 mg; Oral Sol powder 125 mg/5mL
Indication: Respiratory tract infection, Skin and soft
tissue infection

ASFI2017
DOXYCYCLINE
Dose: 100 mg BID
Pedia Dose: 2-4 mg/kg/day
Prep: Cap 100mg
Indication: Leptospirosis prophylaxis 100 mg BID for 7
days; uncomplicated gonorrhea, Syphilis, Chloroquine
resistant malaria

ASFI2017
TOBRAMYCIN OPTHALMIC DROPS
Dose: 0.3% eye drop
Pedia Dose:
Prep: 0.3% eye drops and Oinment
Indication: Ocular infection- 0.3% eye drop instill 1 drop
into conjunctival sac BID; severe eye infection QID first
day then BID thereafter; 0.3% ointment: apply half inch
ribbon into the affected ye BID or TID, Severe infection
q 3-4 hourly

ASFI2017
MEFENAMIC ACID
Dose: 250-500 mg TID
Pedia Dose: 6.5mg/kg/day every 6 hours
Prep: Cap 250 mg, 500mg; Sus 50mg/5ml
Indication: mild to moderate pain, Rheumatoid
arthritis, Menorrhagia

ASFI2017
CETERIZINE
Dose: 5 mg BID; 10mg OD
Pedia Dose: 0.25 mg/kg/day
Prep: Syr 2.5 mg/ml, Tab 5mg
Indication: Allergic conditions

2-6 y/0 2.5 mL BID

6-12y/o 5mL BID
Adult 10 mL BID or OD at bedtime

ASFI2017
SALBUTAMOL
Dose: 2-4 mg 3-4 times/day
Pedia Dose: 0.15 mg/kg/day
Prep: tab 2mg; syrup 2mg/5ml; Nebule 2.5mg/5ml;
5mg/5mL; Metered dose inhaler 100mcg/dose
Indication: Bronchospasm, Asthma

***1/2 neb with 2 ml NSS for infants

ASFI2017
CARBOCISTEINE
Dose: 1.5 grams per day in divided doses
Pedia Dose: 10-20 mg/kg/day TID-QID infant; 30-50
mg/kg/day child
Prep: Cap 500 mg; syrup 100mg/5mL; suspension
250mg/5mL
Indication: Mucolytic

ASFI2017
PREDNISONE
Dose: Allergy 30mg 1st day then taper by 5mg/day until
21 tab have been administered; Acute asthma 40-60
mg/day as a single or 2 divided dose for 3-10 days or
longer
Pedia Dose: 1-2 mg/kg.day
Prep: tab 5mg, 10 mg, 20 mg; suspension 10mg/5ml
Indication: Allergic conditions, acute asthma, acute
exacerbations in Multiple sclerosis

ASFI2017
Ipratropium bromide + Salbutamol (DUAVENT)
Dose: Per inhalation contains 10mcg Ipratropium
bromide and 103 mcg salbutamol sulfate- 2inhalations
4 times per day
Pedia Dose:
Prep: Per 3ml nebule contains ipratropium bromide
0.5mg and salbutamol 2.5 mg- 3ml q6H
Indication: COPD

ASFI2017
LOSARTAN
Dose: 50 mg OD up to 100mg in divided doses
depending on response
Pedia Dose:
Prep: tablet
Indication: Hypertension

ASFI2017
LOSARTAN + HYDROCHLOROTHIAZIDE
Dose: 1 tab OD
Pedia Dose:
Prep: Tab contains 50mg Losatan and 12.5 mg
Hydrochlorothiazide
Indication: Hypertension

ASFI2017
HYDROCHLOROTHIAZIDE
Dose: HTN 12.5 mg/day, may increase to 25-50 mg once
daily
Pedia Dose: <6mons 1-3mg/kg/day in 1-2 divided doses;
>6mons to 12yrs 1-2mg/kg/day in 1-2 divided doses;
Elderly 12.5-25 mg OD
Prep: Tablet
Indication: Hypertension, Edema 25-100mg/day in 1-2
divided doses

ASFI2017
METOPROLOL
Dose: 100mg OD
Pedia Dose:
Prep: Tablet
Indication: Hypertension, Angina Pectoris, Cardiac
Arryhtmias, Adjunct in early management of Acute MI

ASFI2017
OLANZAPINE
Dose: 10mg OD
Pedia Dose:
Prep: Tablet
Indication: Schizophrenia, Acute mixed or manic
episodes in bipolar d/o

ASFI2017
AMLODIPINE
Dose: 5mg OD may increase to 10mg OD as necessary
Pedia (6-17y/o) and Elderly Dose: 2.5 mg OD
Prep: Tablet
Indication: Stable angina, Prinzemetal’s angina,
Hypertension

ASFI2017
CLONIDINE
Dose: 50-100 mcg TID
Pedia Dose:
Prep: 75 mcg
Indication: Hypertensive crisis, Hypertension, Migraine
prophylaxis

ASFI2017
SODIUM CHLORIDE NASAL SPRAY
Dose: 2-4 sprays TID
Pedia Dose:
Prep: Nasal Spray
Indication: Relief of nasal congestion, irritated crusty or
inflamed nasal passages

ASFI2017
COTRIMOXAZOLE
Dose: 400mg Sulfamethoxazole/ 80 mg Trimethroprim
2 tabs BID, 800 mg/160 mg 1 tab BID
Pedia Dose:***calculate dose base in Trimethoprim- 8-
12mg/kg/day BID
Prep: Tab 400mg/60 mg, 800mg/160 mg;
Suspension/syrup 200mg/50mg/5ml
Indication: Infections of Respi, GI, Urinary tract

ASFI2017
CLARITHROMYCIN
Dose: 250mg-500mg BID
Pedia Dose: 7.5 mg/kg/day
Prep: Tablet 250mg, 500mg; Suspension 125mg/5ml
Indication: Respiratory tract infection, Skin and soft
tissue infection, H pylori peptic ulcer

ASFI2017
METRONIDAZOLE
Dose: 250-500 mg TID for 7 days
Pedia Dose: 30-50 mg/kg/day TID
Prep: Tablet 250mg, 500 mg; Suspension 125mg/5ml;
Injection 500mg; Infusion 500mg/5ml; Vial 5mg/ml
Indication: Amoebiasis, Trichomoniasis, Bacterial
Vaginosis, Eradication of H. Pylori associated PUD

ASFI2017
RANITIDINE
Dose: 300 mg at bedtime or 150 mg NID for 4-8 weeks
Pedia Dose: 1-2 mg/kg/dose BID q8-12H
Prep: Tab 150mg, 300 mg; Amp 25mg/mL
Indication: Benign gastric and duodenal ulceration,
NSAID associated ulceration, H. Pylori Infection, GERD,
Erosive Esophagitis, Hyper secretory Conditions,
Dyspepsia

ASFI2017
DOMPERIDOME
Dose: 10mg TID max of 30mg/day
Pedia Dose: SPECIAL PRECAUTION!!!
Prep: Tab 10 mg; Suspension 1mg/ml
Indication: Propulsive, Anti-emetic; Nausea and
Vomiting, GI motility disorder

ASFI2017
Hyoscine-N-Butylbromide (BUSCOPAN)
Dose: 20 mg QID; Ophthalmic Drops 1-2 drops of 0.25%
solution to eye(s) 1 hour before procedure
Pedia Dose: 0.02-0.15 mg/kg/day; Ophthalmic Drops 1
drop of 0.25% solution to eye(s) BID for 2 days before
procedure
Prep: Tab 100 mg; Amp 20mg/ml
Indication: GIT Spasm, GUT Spasm, Mydriasis and
Cycloplegia for refraction

ASFI2017
AZITHROMYCIN
Dose: 500 mg OD for 3 days
Pedia Dose: >6month 10mg/kg/day; 15-25 kg 200mg;
26-35 kg 300 mg; 36-45 kg 400 mg OD for 3 days
Prep: Tab 500 mg; Oral Suspension 200mg/5mL X15mL
water
Indication: Respiratory Tract Infections, Skin and Soft
Tissue infection; PID, Uncomplicated Gonorrhea, Non
Gonococcal Cervicitis/Urethritis due to Chlamydia
Trachomatis; Community Acquired Pneumonia,
Granuloma Inguinale

ASFI2017
ENALAPRIL
Dose: 10-20 mg OD up to 40 mg in divided doses in
severe HTN if needed
Pedia Dose: 20 to <50 KG initially 2.5 mg OD may
increase up to 20 mg OD; ≥50kg 5mg OD initially, may
increase up to 40 mg OD
Prep: Tab 5mg, 10 mg
Indication: Hypertension, Heart Failure

ASFI2017
CELECOXIB
Dose: 200 mg per day in 1 or 2 divided doses may
increase up to 200 mg BID,
Pedia Dose: ≥2 y/o ≥10kg to ≤ 25 kg 50 mg BID; ≥25kg
100 mg BID
Prep: Cap 200mg
Indication: Osteoarthritis, Dysmenorrhea, Juvenile
idiopathic arthritis, Ankylosing spondylitis

ASFI2017
IBUPROFEN
Dose: 400-800 mg 3-4 times /day
Pedia Dose: 5-10 mg/kg/day
Prep: softgel 200mg; Suspension 11-12 y/o 33-43 kg 300
mg (15mL); 9-10y/o 27-32 kg 250 mg (12.5mL); 4-5 y/o
16-21 kg 150mg (7.5mL); 2-3y/o 11-15 kg 100mg (5mL)
all doses q6H
Indication: Rheumatoid arthritis, Osteoarthritis, Mild to
moderate pain, dysmenorrhea, Fever, inflammation
associated with musculoskeletal and Joint disorders
***Alaxan is Paracetamol+Ibuprofen

ASFI2017
*Oral Rehydration Solution Home Preparation
Prep: 6 level tsp of sugar + ½ level tsp of salt + 1 liter
distilled water
Indication: Loss of water and electrolytes due to
diarrhea
*Oral Rehydration Solution Sachet
Prep: 1 sachet to 240mL distilled water
Indication: Loss of water and electrolytes due to
diarrhea
*Child Ages under 2 ¼ to ½ cup of a 250 mL cup per watery
stool; 2y/o and above ½ to 1 cup per water stool

ASFI2017
ACETYLCYSTEINE
Dose: 10% Solution dissolve in 6-10 mL 2-4 times a day
or 2-20 mL 2-6 hourly as necessary; 20% solution 3-5ml
3-4 times a day or 1-10ml 2-6 hourly as necessary; 200
mg TID
Pedia Dose: 100 mg BID-QID depending on age???
Prep: Dissolve 1 sachet (200mg) into 1 glass of water
(75-240mg)
Indication: Mucolytic

***NOTE FOR PATIENTS WITH PHENYLKETONURIA!!!

ASFI2017
CEFALEXIN
Dose: 500 mg every 12 hours
Pedia Dose: Oral 30-100mg/kg/day; IV 50-
100mg/kg/day
Prep: Cap 250mg, 500mg; Susp 125mg/5mL,
250mg/5mL; Drops 100mg/mL
Indication: Skin and soft Tissue infection,
Uncomplicated UTI, Streptococcal pharyngitis, Otitis
Media (75-100mg/kg/day), Bone and Joint infection,
Respiratory tract infection

ASFI2017
LOPERAMIDE HCl
Dose: 2mg after each loose stool not to exceed 16 mg in
a 24 hour period
Pedia Dose:
Prep: Cap 2mg
Indication: Diarrhea
***NOT FOR LIVER IMPAIRMENT and patients with
possible Melena and abdominal pain with absence of
Diarrhea!!! Discontinue ASAP for patients who
developed Constipation, Abd distention and Ileus.

ASFI2017
HEXETIDINE ORAL SOLUTION
Dose: 0.1% solution to be used as directed; Hold 15-20
ml in the mouth, swish and gargle for 3 seconds. Use in
Morning and Evening
Pedia Dose: NOT TO BE USED FOR CHILDREN <6y/o
Prep: 0.1% oromucosal solution
Indication: Oral Ulceration and Hygiene, Local oral
infections, sore throat, halitosis
***Bactericidal and Fungicidal antiseptic

ASFI2017
MONTELUKAST
Dose: 10 mg OD
Pedia Dose: ≥15 y/o 10mg OD; 6mos ≤2y/o As granules
4mg OD; 2-12y/o as granules or Chewables 4mg OD
***ALL DOSES TO BE TAKEN IN THE EVENING
Prep: Film Coated Tablet 10mg, Chewables, granules,
Indication: Allergic Rhinitis, Chronic Asthma,
Prophylaxis for exercise induced asthma taken at least
2H prior

ASFI2017
METFORMIN
Dose: Initial 500 mg BID or TID or 850 mg 1-2 BID, inc
gradually to 2000 to 3000 mg/day at intervals of 1
week.***Modified Released Prep: Initial is 500 mg OD, inc
in increments of 500mg at intervals of at least 1 week to
max 2000mg OD at night; MAINTENANCE DOSE: 2000 mg
daily in divided doses
Pedia Dose: 10 years and Older!!! Initial 500 mg BID then
titrate at 500 mg weekly; Maintenance does: 2000mg
Prep: Tablet 500 mg, 850 mg
Indication: Type 2 DM

ASFI2017
ALLOPURINOL
Dose: Initial 100mg/day, may adjust according to serum
urate concentration Max of 900 mg/day
Pedia Dose:
Prep: Tablet 100mg, 300mg
Indication: Gout and hyperuricemia, Recurrent Ca
Oxalate
****TAKEN WITH FOOD! Take not of Creatinine
Clearance Check MIMS for Guide
***Note Given with Acute Gouty Attack. Address first
Inflammation. If given may cause more inflammation!

ASFI2017
COLCHICINE
Dose: initial 1mg then 0.5 mg q2-3H until relief of pain
or GI effects occur. Max 6mg/course. May repeat at
least after 3 days. Prophylaxis of recurrent gouty
arthritis 0.5 mg BID or TID
Pedia Dose:
Prep: Tablet 500mcg (0.5mg)
Indication: Acute Gout
*** GIVEN ALONE during Acute Gouty attack

ASFI2017
AMBROXOL
Dose: 60-120 mg/day in 2-3 divided doses
Pedia Dose: 1.2 -1.6 mg/kg/dose (BID –TID)
Prep: Tablet 30mg, Syrup 15mg/ml, drops 6mg/ml
Indication: Mucolytic

ASFI2017
CIMETIDINE
Dose: 800mg daily at bedtime or 400 mg BID for at least
4 weeks (Doudenal ulcer), 6 weeks (gastric ulcer), and 8
weeks (NSAID induces ulcer); GERD 400 mg QID 4-12
weeks; Non Ulcer Dyspepsia 800mg per day in divided
doses; Maintenance 400 mg daily
Pedia Dose:
Prep: Syrup 100 mg/60mL, Tab 200mg, Tab 400mg
Indication: Ulcer, Non Ulcer Dyspepsia, GERD, Zollinger-
Ellison Syndrome ***SHOULD BE TAKEN WITH FOOD!!!

ASFI2017
BUTAMIRATE
Dose: 50mg BID to TID (8-12q hourly), Syrup 15mL QID
Pedia Dose: ≥12y/o 50mg BID, 3-<6y/o 10mL of syrup
TID
Prep: Tab 50 mg, Syrup 7.5/5ml
Indication: Cough Suppressant

ASFI2017
CIPROLOXACIN
Dose: 500-750 mg BID for 7-14 days
Pedia Dose: 20-30 mg/kg/day
Prep: Tab 20 mg, 500mg; IV infusion 100mg/50mL,
200mg/100ml, 400mg/200ml
Indication: Upper and lower respiratory infection,
Cystitis, Pyelonephritis, PID, Cervicitis, Diarrhea, Bone
and Joint infections, Typhoid Fever, Prostatitis

ASFI2017
CLOXACILLIN
Dose: 250-500 mg q6H; IV/IM 1-2 g q6H
Pedia Dose: < 7days and <2kg: 25mg/kg q12h, 7-28 days
and <2kg or ≤7 days and ≥2kg 25 mg/kg q8H; 7-28 days
≥ 2kg 25mg/kg q6H; ≥1 month and ≤20kg 50-100mg/kg
daily q6H; 50-100 mg/kg/day (QID)
Prep: Cap 250mg 500 mg, Oral solution Powder
125mg/5ml
Indication: Staphylococcal infections

ASFI2017
METOCLOPROMIDE
Dose: 10-15 mg TID-QID max 5days, but Max 12 weeks
for GERD
Pedia Dose: Oral 1mg/kg/day; IV/IM 0.25 mg/kg/dose
Elderly: 5mg/dose
Prep: Tab ; Syrup 5mg/5ml; Amp 5mg/ml, 10mg/2ml
Indication: Nausea and Vomiting, GERD, Diabetic
Gastric Stasis
***Taken on empty stomach ½ hour before meals, May
cause extrapyramidal symptoms and Tardive dyskinesia
(Give Benadryl)

ASFI2017
DIPHENHYDRAMINE HCL (BENADRYL)
Dose: 25-50 mg TID-QID
Pedia Dose: Oral 3-5 mg/kg/dise TID-QID; IV
1mg/kg/dose OD
Prep: Cap 25mg, 50 mg; Syrup 12.5 mg/5ml; Injection
50mg/mL; 1% or 2% Cream/gek/solution
Indication: Allergic Conditions, Treatment and
Prophylaxis of Motion sickness, Parkinson’s Disease,
Pruritic Skin Disoders (Apply to area TID-QID)

ASFI2017
PROCATEROL HCL (MEPTIN)
Dose: 50 mcg or 10 ml OD at bedtime or BID; Puff
20mcg (2 puff) max 8 puffs/day
Pedia Dose: ≥6 y/o 25 mcg or 5ml OD at bedtime or BID-
TID; <6y/o (1.25 mcg/kg) 0.25 mL/kg BID or TID; Puff
10mcg (1puff) max 4 puff/day
Prep: Tab 25mcg, 50mcg; Puff 10mcg/puff; Syrup
5mcg/mL
Indication: Bronchial asthma, Chronic Bronchitis,
Pulmonary emphysema ***Meptin Swinghaler should
be used only at onset of asthmatic attacks

ASFI2017
FOUR WARNING SIGNS OF PENUMONIA:
1. Inability to fee, poor suck, vomiting
2. Convulsion
3. Fast Breathing
4. Lethargy

ASFI2017
TETANUS TOXOID
<5 y/o – Td
>5y/o- TT
Give IM 3 doses (0-1-6)
Give at Vastus Lateralis

ASFI2017
HYPERTENSIVE EMERGENCY
Headache
Blurring of Vision
Dizziness
Vomiting

ASFI2017
UNCONTROLLED HYPERTENSION
For work up!
ECG
CBC, Na+, K+, Lipid profile, Urinalysis, Se Crea,
SGPT, FBS
Give Clonidine or Hydrochlorothiazide (very
high)

ASFI2017
RABIES
Vaccine (0-3-7-28 days) 1.0 mL IM Deltoid
Immune Globulins
- Human Rabies Immune Globulin
- Purified Equine Rabies Immune Globulin
HRIG- 20 IU/kg BW (150 IU/mL)
ERIG- 40 IU/kg BW (200 IU/mL)
*No need to give Antibacterial for asthma
*Give Colchicine only for symptomatic
Rheumatoid Arthritis
ASFI2017
*Diabetic Pts with Cough: Suspect TB or
Pneumonia
*Unresolved Cough- consider TB; for X-ray and
Sputum Exam, give Butamirate
*HPN unresolved with Clonidine upon
observation Give Losartan 50mg + 12.5
Hydrochlorothiazide Tablet

ASFI2017