Essential Drugs Dosage and Formulations (Medical Booklet Series by Dr. Aryan Part 22)

This is the 22nd part of medical booklet series created by Dr. Aryan in order to familiarize doctors and medical students about the basic doses of drugs. Many students remember the mechanism of actions and other details of drug very well and regard doses as unnecessary. While you prescribe, this becomes one of the most important aspect. This study material is focused to resolve such issues.

1. 100 Essential Drugs Dosage & Formulations Created by © Dr. Aryan (Anish Dhakal )

2. Preface This is the 22 nd part of medical booklet series created by Dr. Aryan in order to familiarize doctors and medical students about the basic doses of drugs. To access previous 21 booklets of the series, visit www.slideshare.net/AnishDhakal4 or any search engines Many students remember the mechanism of actions and other details of drug very well and regard doses as unnecessary to lessen burden in studies in medical school In reality, it is the one of the main things that seems to matter If you prescribe the right dose of Pantoprazole for right condition thinking it would block cell wall synthesis, it would still work wonders! In some cases, there might be multiple formulations and dosage of the same drug for the same indication. You need to remember at least one of them to prescribe. Images used are for representations. No conflict of interest declared. If you have any questions, comments or suggestions, feel free to drop a mail at [email protected] Dr. Aryan has granted the right to share the booklet for fair use (teaching, scholarship, education and research) anywhere in the world exclusively for non-monetary purposes

3. Paracetamol Syrup PCM 125mg/5mL 10-15 mg/kg/dose © Dr. Aryan (Anish Dhakal)

4. Ibuprofen Suspension Ibuprofen 100mg/5mL 4-10 mg/kg/dose © Dr. Aryan (Anish Dhakal)

5. Flexon Suspension 100 mg Ibuprofen & 125 mg paracetamol/5 mL Ibuprofen 4-10 mg/kg/dose & paracetamol 10-15 mg/kg/dose © Dr. Aryan (Anish Dhakal)

6. Metronidazole Suspension Metronidazole 200mg/5mL 30mg/kg/day (up to 50 mg/kg/day in amebiasis) © Dr. Aryan (Anish Dhakal)

7. Amoxicillin Suspension Amoxicillin 125mg/5mL 40-45 mg/kg/day (standard dose) © Dr. Aryan (Anish Dhakal)

8. Co- amoxiclav Suspension Amoxicillin 200 mg + Clavulanic acid 28.5 mg Co- amoxiclav 228.5mg/5mL Amoxicillin dose: 40-45 mg/kg © Dr. Aryan (Anish Dhakal)

9. Aspirin Mild to moderate Pain and Fever: 150-300 mg repeated 4-6 hourly ACS: 150-300 mg PO (within minutes of symptoms: chew nonenteric coated tablet). Thereafter, 75-300 mg OD. © Dr. Aryan (Anish Dhakal)

10. Ibuprofen Pain/Fever/Dysmenorrhea (prescription dosage): 400-800 mg QID (max. 3.2 g/day) © Dr. Aryan (Anish Dhakal)

11. Paracetamol 1-2 tablets (500 mg) every 4-6 hours (max. 4 g/day) Children 6-12 years: ½-1 tablet 3 to 4 times a day © Dr. Aryan (Anish Dhakal)

12. Cetirizine Adult and Children > 6 years: Tab. 10 mg OD or 5 mg BD © Dr. Aryan (Anish Dhakal)

13. Cetirizine Syrup Cetirizine 5mg/5mL Children >12 years: 10 mL daily (as adults) 6-11 years: 10 mL OD or 5 mL BD 2-5 years: 5 mL OD or 2.5 mL BD 1 teaspoon = 5 mL 1 tablespoon = 15 mL © Dr. Aryan (Anish Dhakal)

14. Levocetirizine > 12 years: Tab. 5 mg OD Children 6-11 years: 2.5 mg OD Children 6 months-5 years: 1.25 mg OD © Dr. Aryan (Anish Dhakal)

15. Levocetirizine Syrup 2.5mg/5mL Children 6-11 years: 5 mL OD Children 6 months-5 years: 2.5 mL OD © Dr. Aryan (Anish Dhakal)

16. Metronidazole Amoebiasis: 400-800 mg TDS for 5 to 10 days Anaerobic bacterial infection: 800 mg initially then 400 mg TDS for 7 days With Diloxanide Furoate: Metronidazole 400 mg + Diloxanide F uroate 500 mg for 7 to 10 days As a part of triple therapy: Omeprazole 20 mg BD Clarithromycin 500 mg BD Metronidazole 400 mg BD/Amoxicillin 1 g BD for 2 weeks As a part of cervicitis treatment: Cefixime 400 mg PO single dose Azithromycin 1 g PO single dose Metronidazole 400 mg BD for 7 days © Dr. Aryan (Anish Dhakal)

17. Tinidazole Amoebiasis: 2g/day PO for 3 days Bacterial vaginosis : 2g OD for 2 days or 1 g OD for 5 days Giardiasis/ Trichomoniasis : 2 g single dose © Dr. Aryan (Anish Dhakal)

18. Amoxicillin Susceptible infections: Cap. 250-500 mg TDS Amoxicillin + Clavulanic Acid: 375 mg Tablet TDS or 625 mg Tablet TDS © Dr. Aryan (Anish Dhakal)

19. Ciprofloxacin Eye/Ear drops Ciprofloxacin 0.3% E/E drops Ear drops: Children > 1 year: 3 drops BD Adults: 4 drops BD More frequent for severe (2-3 drops every 2-3 hours For at least 7 days Conjunctivitis: 1-2 drops Every 2 waking hours for 2 days, Every four waking hours for next 5 days © Dr. Aryan (Anish Dhakal)

20. Ciprofloxacin UTI: Acute uncomplicated UTI: Tab. 250 mg BD for 3 days, Mild/Moderate: 250 mg BD for 7 to 14 days, Severe: 500 mg BD for 7 to 14 days LRTI: Mild/Moderate: Tab. 500 mg BD for 7 to 14 days, Severe LRTI: 750 mg BD for 7-14 days Acute Sinusitis: Tab. 500 mg BD for 10 days Skin Infection: Mild moderate skin infection: Tab. 500 mg BD for 7 to 14 days, Severe infection: 750 mg BD for 7 to 14 days © Dr. Aryan (Anish Dhakal)

21. Chloramphenicol Serious infection by susceptible strains: Capsule 50 mg/kg/day in 4 divided doses © Dr. Aryan (Anish Dhakal)

22. Co- trimoxazole Dosage guide for Infections: 2 Tablets BD (Sulphamethoxazole: 400 mg + Trimethoprim: 80 mg) OR 1 DS Tablet BD (Sulphamethoxazole: 800 mg + Trimethoprim: 160 mg) Children>2months: 8 mg TMP/kg/day PO BD © Dr. Aryan (Anish Dhakal)

23. Doxycycline Adults: 200 mg OD or 100 BD on first day. Thereafter, 100 mg OD Uncomplicated Gonococcal I nfection: Cap. 100 mg BD for 7 days © Dr. Aryan (Anish Dhakal)

24. Azithromycin Community A cquired Pneumonia/AOM/Pharyngitis/Tonsillitis: 500 mg OD on first day. Thereafter 250 mg OD for 4 days. Adult Usual PO dose for Respiratory tract infections, Soft tissue and skin infections: Tab. 500 mg for 3 days Chancroid Ulcer: 1 g single dose Acute sinusitis: Tab. 500 mg OD for 3 days © Dr. Aryan (Anish Dhakal)

25. Azithromycin Suspension 200mg/5mL AOM: 10 mg/kg on first day. Thereafter 5 mg/kg/day for next 4 days OR 10 mg/kg O for 3 days CAP in Children ≥6 months: 10 mg/kg on first day. Thereafter 5 mg/kg/day for next 4 days Acute sinusitis: 10 mg/kg OD for 3 days Pharyngitis/Tonsillitis: 12 mg/kg OD for 5 days © Dr. Aryan (Anish Dhakal)

26. Cloxacillin Adult: Capsule 250-500 mg QID Indicated for Staphylococcus aureus infections © Dr. Aryan (Anish Dhakal)

27. Cloxacillin Suspension 125mg/mL Children <40 kg: 12.5-25 mg/kg/day divided QID (Severe infection: 50-100 mg/kg/day) Children ≥40 kg: 125-500 mg QID © Dr. Aryan (Anish Dhakal)

28. Fluconazole Gel Fluconazole Gel 0.5% 2-3 times/day for 1-2 weeks © Dr. Aryan (Anish Dhakal)

29. Clotrimazole Cream Clotrimazole 1% Cream Superficial Dermatologic Infection: Local application BD for 7 consecutive days Tinea pedis and Dermatomycoses: 4 weeks Onychomycosis: 6 months © Dr. Aryan (Anish Dhakal)

30. Fluconazole Vaginal Candidiasis: Uncomplicated Vaginal Candidiasis: 150 mg single dose Complicated: 150 mg 72 hourly for 3 doses Superficial Cutaneous Candidiasis: 50 mg/day (up to 100 mg/day) Dermatophytosis, Pityriasis versicolor: 50 mg/day for up to 6 weeks © Dr. Aryan (Anish Dhakal)

31. Acyclovir Acyclovir 5% ointment Local Application 5-6 times/day for 5-10 days © Dr. Aryan (Anish Dhakal)

32. Acyclovir Genital Herpes: 200 mg PO 4 hourly while awake (5 times daily) for 10 days or 400 mg PO TDS for 7-10 days Intermittent treatment for recurrence: 200 mg PO 4 hourly (q4hr) while awake (5 times daily ) Herpes Zoster (Shingles): 800 mg PO 4 hourly (q4hr) while awake (5 times daily) for 7-10 days © Dr. Aryan (Anish Dhakal)

33. Folic Acid Folate deficient megaloblastic anemia: 5 mg/day for 4 months © Dr. Aryan (Anish Dhakal)

34. Ferrous Sulphate Iron deficiency anemia: 100-200 mg elemental iron BD Prophylaxis: 60 mg elemental iron OD The equivalent of 60 mg of elemental iron is 300 mg ferrous sulfate heptahydrate , 180 mg ferrous fumarate or 500 mg of ferrous gluconate © Dr. Aryan (Anish Dhakal)

35. Hydrochlorothiazide Hypertension: 12.5 to 50 mg OD Oedema: 25-100 mg OD or BD © Dr. Aryan (Anish Dhakal)

36. Atenolol Hypertension: 25-50 mg OD (up to 100 mg/day) Angina: 50 mg/day (100 mg/day after a week) Post MI: 100 mg OD or 50 mg BD for 6 to 9 days after infarction © Dr. Aryan (Anish Dhakal)

37. Albendazole Neurocysticercosis : < 60 kg: 15 mg/kg/day divided BID PO x 8-30 days (max. 800 mg/day) >60 kg: 400 mg PO BD x 8-30 days Ancyclostoma , Ascariasis , Hookworm, Trichostrongylus : 400 mg PO once © Dr. Aryan (Anish Dhakal)

38. Albendazole Suspension Albendazole 400mg/10mL Children: 15 mg/kg/day (max. 800 mg/day) BD © Dr. Aryan (Anish Dhakal)

39. Calamine Lotion Calamine lotion 15%, 30 mL Local application 3 to 4 times a day © Dr. Aryan (Anish Dhakal)

40. Aluminum Hydroxide + Magnesium Hydroxide 1-2 Tab. (250 mg/250 mg) chewed TDS or as needed during dyspepsia for 2 weeks © Dr. Aryan (Anish Dhakal)

41. Aluminum Hydroxide + Magnesium Hydroxide Aluminum hydroxide Magnesium hydroxide suspension (200 mg+200 mg/5 mL) 10-20 mL up to 4 times a day © Dr. Aryan (Anish Dhakal)

42. Ranitidine Tab. 150 mg PO BD GERD: Tab. 300 mg at bedtime or 150 mg BD NSAID induced ulcer prophylaxis: 150 mg BD © Dr. Aryan (Anish Dhakal)

43. Buscopan (Hyoscine butylbromide) GI spasm, Genito-urinary spasm: 20 mg QID Symptomatic relief of IBS: 10 mg TDS (may increase up to 20 mg QID) Children 6-12 years: 10 mg TDS © Dr. Aryan (Anish Dhakal)

44. Clove Oil Local application with cotton bud in the tooth cavity as required © Dr. Aryan (Anish Dhakal)

45. Metoclopramide Diabetic Gastric Stasis: 10 mg QID for 2 to 8 weeks GERD: 10-15 mg PO QID before meals and at bedtime © Dr. Aryan (Anish Dhakal)

46. Promethazine Allergic conditions: 25 mg OD HS Nausea & Vomiting: 25 mg 4 to 6 hourly SOS Motion sickness: 25 mg 30-60 minutes before travel & 8-12 hourly. On succeeding days, 25 mg every morning and evening BD Motion sickness in children: 5-10 years: 10 mg 2-5 years: 5 mg © Dr. Aryan (Anish Dhakal)

47. Whitfield’s Ointment Benzoic acid 6% + Salicylic acid 3% Local application 2 to 3 times a day © Dr. Aryan (Anish Dhakal)

48. Furosemide Hypertension: 20-80 mg/day Oedema: 20-80 mg OD (may increase up to 20-40 mg TDS or QID) © Dr. Aryan (Anish Dhakal)

49. Amlodipine Stable angina, HTN, Prinzmetal’s angina: 5 mg OD (may increase to 10 mg OD) © Dr. Aryan (Anish Dhakal)

50. Salbutamol Tab. 2-4 mg TDS or QID Nebulizer: Adults and children >4 years: 2.5-5 mg up to 4 times a day SOS, Children 18 months to 4 years: 2.5 mg up to 4 times a day, Children <18 months: 1.25-2.5 mg up to 4 times a day Aerosol MDI: 180 mcg (2 puffs) inhaled 4 to 6 hourly (max. 12 inhalations/day) © Dr. Aryan (Anish Dhakal)

51. Salbutamol Syrup 2mg/5mL Children over 12 years: Syrup. 10 mL or Tablet dosing as adults (2-4 mg TDS or QID) Children 6 to 12 years: Syrup. 5 mL TDS or QID Children 2 to 6 years: Syrup. 2.5 mL TDS or QID © Dr. Aryan (Anish Dhakal)

52. Aminophylline 16 mg/kg/day or 400 mg/day whichever is less TDS or QID © Dr. Aryan (Anish Dhakal)

53. Prednisolone Allergic & Inflammatory conditions: 5-60 mg/day in 2 to 4 divided doses, Maintenance: 2.5-15 mg daily RA: 5-7.5 mg QID AE COPD: 30-40 mg/day for 10-14 days Inflammation in children: 0.1-2 mg/kg/day OD or 6 to 12 hourly Asthma exacerbation in children: 1-2 mg/kg/day OD or BD for 3-5 days Nephrotic syndrome: First 4 weeks: 60 mg/m 2 /day or 2 mg/kg/day TDS until urine protein free for 3 consecutive days (max. 28 days & max. daily dose 80 mg) Next 4 weeks: 40 mg/m 2 /day or 1-1.5 mg/kg/day alternate days Maintenance for frequent relapses: 0.5-1 mg/kg/day alternate days for 3-6 months © Dr. Aryan (Anish Dhakal)

54. Phenobarbitone Adults GTCS, Partial Seizures: 60-180 mg/day or 1-3 mg/kg/day in 1 to 2 divided doses initially Children Seizures: 1 to 6 mg/kg/day © Dr. Aryan (Anish Dhakal)

55. Chlorpromazine Psychosis: Tab. 25 mg TDS, Maintenance: 25-100 mg TDS Nausea & Vomiting: 10-25 mg 4 to 6 hourly SOS Intractable Hiccups: 25-50 mg PO TDS or QID © Dr. Aryan (Anish Dhakal)

56. Amitriptyline Depression: 25-50 mg HS initially (may increase by 25 mg every 5-7 days to 100-200 mg/day, max. 300 mg/day in severe cases) Neuropathic pain: 10-25 mg HS (up to 75 mg/day) Migraine prophylaxis: 10 mg/day HS, Maintenance 50-75 mg/day © Dr. Aryan (Anish Dhakal)

57. Pregabalin Neuropathic pain/Fibromyalgia: 150 mg/day BD or TDS (may increase up to 300 mg/day after 3-7 days) Anxiety: 150 mg/day (may increase in weekly 150 mg increments to max. 600 mg/day) Post herpetic neuralgia: 150-300 mg/day in divide doses (max. 600 mg /day) © Dr. Aryan (Anish Dhakal)

58. Metformin Initial dose: Tab. 500 mg BD or Tab. 800 mg OD with meals 9may be increase by 500 mg every week or 850 mg every 2 weeks to 2g/day) For patients going from 500 mg BD to 850 mg BD after 2 weeks, up to 2550 mg per day can be given if required (if >2g/day give TDS with meals) PCOS : 500 mg OD for 1 week, then 500 mg BD for 1 weeks. Thereafter 1500-1700 mg/day BD or TDS © Dr. Aryan (Anish Dhakal)

59. Digoxin AF: Loading dose in AF: 10-15 mcg/kg (50% at first then each 25% 6-8 hourly) Maintenance dose: 0.125-0.5 mg/day (may increase every 2 weeks with toxicity monitoring) Heart Failure: 0.125-0.25 mg/day © Dr. Aryan (Anish Dhakal)

60. Silver S ulphadiazine Local application onto affected area with 3 to 5 mm depth every 12 hours Reapplied if removed by any reasons © Dr. Aryan (Anish Dhakal)

61. Gentian Violet Local application 1 to 3 times/day © Dr. Aryan (Anish Dhakal)

62. Allopurinol Gout: Mild: 100 mg/day PO initially, increased weekly to 200-300 mg/day Moderate to severe: 100 mg/day PO initially; increased weekly to 400-600 mg/day © Dr. Aryan (Anish Dhakal)

63. Tetracycline Susceptible infections: Capsule 250 or 500 mg QID Gonorrhea: 500 mg QID for 7 days © Dr. Aryan (Anish Dhakal)

64. Carbamazepine Epilepsy: Tab. 200 mg BD (may increase by 200 mg every week until response) Trigeminal neuralgia: 400-800 mg/day in divided doses Postherpetic neuralgia: 100-200 mg OD Restless leg syndrome: 100-600 mg HS for 5 weeks © Dr. Aryan (Anish Dhakal)

65. Acetazolamide Acute altitude sickness: 500-1000 mg/day BD or TDS (24-48 hours before ascent and continued for 48 hours or longer at altitude) © Dr. Aryan (Anish Dhakal)

66. Oxymetazoline Nasal Drops Adults & Children >6 years: 2-3 drops/spray in each nostril BD for 3-5 days Children <6 years: 2-3 drops BD for 3-5 days © Dr. Aryan (Anish Dhakal)

67. Levothyroxine 1.7 mcg/kg or 50-100 mcg/day initially (may increase up to 100-200 mcg/day in 12.5-25 mcg increments every 4 to 6 weeks) © Dr. Aryan (Anish Dhakal)

68. Enalapril HTN: 5 mg OD HS initially, Maintenance dose: 10-20 mg OD (max. 40 mg/day) CHF: 2.5 mg/day OD initial, Maintenance dose: 20 mg OD (max. 40/day BD) © Dr. Aryan (Anish Dhakal)

69. Atorvastatin 10 mg or 20 mg OD initial (may be adjusted in 2-4 weeks as response) Maximum 80 mg/day © Dr. Aryan (Anish Dhakal)

70. Fluoxetine Depression: 20 mg/day (may increase after several weeks by 20 mg/day, max. 80 mg/day). 90 mg weekly can also be given. OCD: 20 mg/day (may increase by 20 mg/day up to 60 mg/day) Bulimia nervosa: 60 mg/day © Dr. Aryan (Anish Dhakal)

71. Local application TDS for up to 10 days Mupirocin Ointment © Dr. Aryan (Anish Dhakal)

72. Valproic acid 600 mg/day BD initial, may increase by 200 mg/day at 3-days intervals to max. 2.5 g/day. Usual maintenance dose: 1-2 g/day Children: 10-15 mg/kg/day PO initially, may increase by 5-10 mg/kg/day at weekly intervals up to 60 mg/kg/day Prophylaxis for migraine: 300 mg BD © Dr. Aryan (Anish Dhakal)

73. Trihexyphenidyl Parkinsonism: 1 mg/day initial, may increase in 2 mg increments to 6 to 10 mg/day in TDS or QID Drug induced extrapyramidal symptoms: 1 mg initial, may increase up to 5 to 15 mg TDS or QID © Dr. Aryan (Anish Dhakal)

74. Thiamine Mild deficiency (Adults & Children > 12 years): 50-100 mg OD Severe deficiency: 200-300 mg in divided doses © Dr. Aryan (Anish Dhakal)

75. Diclofenac Adults: 50-150 mg/day in divided doses with or after food Children: 1-3 mg/kg in divided doses © Dr. Aryan (Anish Dhakal)

76. DFO Gel Local application 3 to 4 times a day © Dr. Aryan (Anish Dhakal)

77. Aceclofenac Tab. Aceclofenac 100 mg BD with or after food © Dr. Aryan (Anish Dhakal)

78. Chlorpheniramine Adult: 4 mg every 4 to 6 hourly Children: 6-12 years: 2 mg every 4 to 6 hourly 2-5 years: 1 mg every 4 to 6 hourly 1-2 years: 1 mg BD © Dr. Aryan (Anish Dhakal)

79. Indomethacin Acute gouty arthritis: 50 mg TDS for 3-5 days Inflammatory/Rheumatoid disorders: 25-50 mg BD or TDS (max. 200 mg/day) © Dr. Aryan (Anish Dhakal)

80. Cefixime Adults & Children >6 years: 200 or 400 mg/day single dose or in divided doses Otitis media/ Pharyngitis/Tonsillitis/Uncomplicated UTI: 400 mg/day single dose or BD © Dr. Aryan (Anish Dhakal)

81. Cefixime Suspension 100mg/5mL Acute bronchitis/Otitis media/ Pharyngitis/Tonsillitis/Uncomplicated UTI: 6 months-12 years, ≤ 45 kg: 8 mg/kg/day in single or 2 divided doses >12 years, >45 kg: 400 mg/day single dose or in 2 divided doses BD © Dr. Aryan (Anish Dhakal)

82. Neomycin Ointment Local application sparingly 2 to 3 times a day (max. 5 days for children) © Dr. Aryan (Anish Dhakal)

83. Vitamin B Complex Usually: 1 Tab. Vitamin B-complex Tablet OD Syrup: 10-15 mL/day © Dr. Aryan (Anish Dhakal)

84. GBHC Lotion Local application of entire bottle below neck © Dr. Aryan (Anish Dhakal)

85. Alprazolam Adults (>18 years) Anxiety: 0.25-0.5 mg TDS (up to 3-4 mg/day if needed) Panic attacks: 0.5 mg TDS (may increase every 3-4 days by ≤1 mg/day) © Dr. Aryan (Anish Dhakal)

86. Pantoprazole 40 mg OD before food Duration: Duodenal Ulcer : 2-4 weeks Benign gastric ulceration: 4-8 weeks GERD: 4-8 weeks © Dr. Aryan (Anish Dhakal)

87. Flexon Adults: 1 Tab. (Ibuprofen 400 mg + Paracetamol 500 mg) TDS or QID Children: 1 Tab. (Ibuprofen 100 mg + Paracetamol 125 mg) TDS or SOS © Dr. Aryan (Anish Dhakal)

88. Methylcobalamin Usual dose: 500 mcg tablet three times a day (according to age an severity of symptoms) © Dr. Aryan (Anish Dhakal)

89. Calcium Carbonate Calcium Supplementation: 1 to 1.2 g/day divided 6-12 hourly with meals Hyperacidity: Chew Tablet 500 mg 2-4 Tablets (max. 15 tablets/day) © Dr. Aryan (Anish Dhakal)

90. Calcium Carbonate+Vitamin D 3 Calcium Carbonate (500 mg) + Vitamin D 3 (250 IU) 1 Tab. PO BD © Dr. Aryan (Anish Dhakal)

91. TusQ -X Syrup Guaifenesin 50 mg + Terbutaline 1.25 mg + Ambroxol 15 mg Adults and Children >12 years: 10 mL TDS Children 6-12 years: 5 mL TDS Children 2-6 years: 2.5 mL TDS © Dr. Aryan (Anish Dhakal)

92. TusQ-DX Syrup Dextromethorphan 15 mg + Chlorpheniramine 2 mg + Phenylephrine 5 mg Adults: 5-10 mL TDS or QID Children: 2.5 mL to 5 mL TDS © Dr. Aryan (Anish Dhakal)

93. Ondansetron Nausea/Vomiting in AGE: Adults: 8 mg PO TDS Children: 0.15 mg/kg Nausea/Vomiting in pregnancy: 8 mg BD or TDS © Dr. Aryan (Anish Dhakal)

94. Tranexamic Acid Menorrhagia: 2 Tablets (1 g) TDS for up to 4 days (max. 4 g) Epistaxis: 2 Tablets (1 g) TDS for 7 days © Dr. Aryan (Anish Dhakal)

95. Itraconazole Pityriasis versicolor: 200 mg/day for 7 days Oropharyngeal candidiasis: 100 mg/day for 15 days Vulvovaginal candidiasis: Capsule 200 mg twice daily for 1 day Tinea corporis, Tinea cruris: 100 mg/day for 15 days Tinea pedis, Tinea mannum: 100 mg/day for 30 days F ungal nail infections: 200 mg/day for 3 months Children: 5 mg/kg/day for superficial fungal infection. 10 mg/kg/day for systemic fungal infections © Dr. Aryan (Anish Dhakal)

96. Glimepiride 1-2 mg/day initially (may increase by 1-2 mg at 1-2 weeks interval) Maintenance dose: 4 mg/day © Dr. Aryan (Anish Dhakal)

97. Oroheal Gel Triamcinolone acetonide 0.1% Local Application BD or TDS © Dr. Aryan (Anish Dhakal)

98. Fexofenadine Symptoms of Allergic R hinitis: 120 mg OD or 60 mg BD Urticaria: 180 mg OD © Dr. Aryan (Anish Dhakal)

99. Fexofenadine 30mg/5mL Children 2-11 years: 30 mg (5 mL) BD Children 6 months- 2 years: 15 mg (2.5 mL) BD © Dr. Aryan (Anish Dhakal)

100. Cefpodoxime Community acquired pneumonia/Acute Bronchitis/Acute maxillary sinusitis: 200 mg BD for 10 days (CAP: 200 mg BD for 14 days) Uncomplicated UTI: 100 mg BD for 5-7 days (In complicated: 200 mg BD ) Pharyngitis/Tonsillitis: 100 mg BD for 5-10 days Skin/Skin Structures Infection: 400 mg BD for 7-14 days Uncomplicated gonorrhea: 200 mg single dose © Dr. Aryan (Anish Dhakal)

101. Pepsa Inflammation & oedema: 5-10 mg TDS © Dr. Aryan (Anish Dhakal)

102. Tamsulosin Tab. Tamsulosin 0.4 mg OD (may increase to 0.8 mg OD if no response after 2-4 weeks) BPH: Can be co-administered with Tab. Finasteride 5 mg OD © Dr. Aryan (Anish Dhakal)

103. Some places you can find Dr. Aryan at times Email: [email protected] Facebook : https:// www.facebook.com/draryananishdhakal Medium: https://medium.com/@anishdhakal718 Slideshare : https://www.slideshare.net/AnishDhakal4 Quora : https:// www.quora.com/profile/Dr-Aryan-Anish-Dhakal Amazon : https://www.amazon.com/gp/product/B08B59R7CM/

104. © Dr. Aryan (Anish Dhakal )