‫أﯾﻤﻦ إﺑﺮاھﯿﻢ‬/‫ﺗﻠﺨﯿﺺ ﻟﻠﻤﻀﺎدات اﻟﺤﯿﻮﯾﺔ إﻋﺪاد د‬

Antibiotics
Principles to choose antibiotics ‫ﻗﻮاﻋﺪ إﺧﺘﯿﺎر اﻟﻤﻀﺎد اﻟﺤﯿﻮي ﺑﺎﻟﺘﺮﺗﯿﺐ‬:
# Safety. # Economy. # Efficacy. # Side effects. # Drug interaction. # certain diseases.

Antibiotics groups

1) penicillins and its derivatives. 2) Cephalosporin. 3) Macrolides. 4) Quinolones.

5) Aminoglycosides. 6) Chloramphenicol. 7) Tetracycline.
8) Sulphamethozasathol, trimethoprim. 9) Others.
1/penicillin and its derivatives:
Advantage: safe, economic. Disadvantage: resistance, allergic reaction may be fatal.
Dose: 20-40 mg/kg/day every 8 hrs or 25-45 mg/kg/day every 12 hrs.
Uses: Upper respiratory tract infection (tonsillitis ‫ اﻟﺘﮭﺎب اﻟﻠﻮزﺗﯿﻦ‬, pharyngitis‫ اﻟﺘﮭﺎب اﻟﺒﻠﻌﻮم‬, otitis media
‫ )اﻟﺘﮭﺎب اﻷذن اﻟﻮﺳﻄﻰ‬,Skin infection , typhoid , Paratyphoid infection.
a) benzathine Penicillin vial (long lasting penicillin) ‫ ﺣﻘﻦ ﻃﻮﯾﻠﮫ اﻟﻤﻔﻌﻮل‬for prophylaxis in rheumatoid
fever ‫ اﻟﺤﻤﻲ اﻟﺮوﻣﺎﺗﺰﻣﯿﮫ‬e.x ( retarpen ,pencitard) , dose 1 vial every 2 – 4 weeks . ‫ﯾﺠﺐ ﻋﻤﻞ اﺧﺘﺒﺎر ﺣﺴﺎﺳﯿﮫ‬
‫ﻗﺒﻞ أﺧﺬھﺎ ﻗﺪ ﺗﺆدي اﻟﺤﺴﺎﺳﯿﺔ اﻟﺸﺪﯾﺪة ﻟﺼﺪﻣﺔ ﻗﻮﯾﺔ ﺗﺆدي اﻟﻲ اﻟﻤﻮت‬

b) Phenoxy methyl penicillin ex ( ospen tab ,susp ). ‫ﯾﻤﻜﻦ اﻋﻄﺎﺋﮭﺎ ﺑﺪﯾﻞ ﻟﺤﻘﻦ ﻃﻮﯾﻞ اﻟﻤﻔﻌﻮل‬
c ) ampicillin 500 ex ( epicocillin cap ,vials , susp ).
d ) amoxicillin 500 ex (amoxil cap,vial , susp).
We can increase ampicillin resistance by adding beta lactames group:
e.x ampicillin + cloxacillin ( ampiclox cap,susp).
Ampicillin + flucloxacillin (ampiflux cap ,susp, vial).
Ampicillin + sulbactam ( unictam cap.susp , vial).

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Amoxicillin + flucloxacillin (flumox cap.vial).
Amoxicillin + clavulinc acid ( curam ,augmentin tab,susp ,i.v vial) it may cause sever diarrhea in
infants below 9 months .
e) Beta lactames peniciilin carbapenems (strong, expensive). Taken after antibiotic culture ‫ﺑﻌﺪ ﻋﻤﻞ‬
‫ﻣﺰرﻋﮫ‬
* Azetronem e.x (azactam 500 vial ). * Meropenem e.x (meronem 500.1000 vial ).
* Imipenem e.x (tienem 500 vial ).
2/ Cephalosporin ‫أھﻢ ﻣﺠﻤﻮﻋﻪ‬
Uses: broad spectrum antibiotics ‫ ﺗﻐﻄﻲ ﻣﻌﻈﻢ اﻟﺒﻜﺘﺮﯾﺎ‬respiratory tract infection .urinary tract infection,
gonorrhea, skin infection, surgical infection prophylaxis.
c.i: pediatrics below 9 moths (cause severe diarrhea) . Allergic patient.
10% of patients with allergic sensitivity to penicillins and/or carbapenems also having cross-
sensitivity w25ith cephalosporins.
Dose: 25-50 > up to 100 in severe cases in 2 to 4 divided doses .
1st generation (more g+ve and less active g-ve)
tab,syp,vial (i.v , im) . (125 , 250 , 500 , 1000 mg ) dose (50 -80 mg/kg )
a ) cephalexin e.x ( ceporex ). b ) cephradin e.x ( velocef ).
c ) cephadroxil e.x (biodroxil ).
2nd generation (syp , tab) ( 125,250, 500 ) dose 20- 40 mg /kg a) cefaclor e.x ( bacticlor ). b)
cefuroxime e.x (zinnat ).
3rd generation (more g-ve and less g+ve ) ( 250, 500 ,1000,2000 mg )
a ) cefxime e.x (ximacef tab ,syp ). 8 mg/kg in one or two divided doses
b ) cefotaxime e.x ( cefotax,rametex vial i.v , i.m ) 75- 150 mg/kg
c ) cefdinir e.x ( omnicef tab syp ).
d ) cefeprozil e.x (cefzil tab ,syp ).
e) cefpodoxime e.x (podacef tab,syp). dose 10 mg/kg in 2 divided doses
f ) cefotriaxone e.x ( epicephen vial i.v.im > dose every 24 hr) ‫ اﻟﺤﻘﻦ اﻟﻌﻀﻞ ﺗﺤﻞ ﺑﺎﻟﯿﺪوﻛﺎﯾﻦ واﻟﻮرﯾﺪ ﺗﺤﻞ ﺑﺎﻟﻤﺎء‬.
g ) cefoperazone e.x (cefobid vial only i.v ,i.m ). c.i in pediatrics .
4th generation (vial only) (more g-ve and more g+ve) dose 50 – 100 mg/kg
a ) cefepime e.x (maxipime).
b ) ceftazidime e.x (fortum ).
3) Marolides
a) Azithromycin tab , syp e.x (zithromax , xithrone ) 10mg/kg/dayEvery 24 H
Use in URTI, skin infection, tobical in acne (aknemycin lotion).
Dose 1hr before meal or 2 hr after meal once daily.
Are not perfect options for otitis media ‫اﻟﺘﮭﺎب اﻻذن اﻟﻮﺳﻄﻲ ﻣﻨﺘﺸﺮ ﻓﻲ اﻻﻃﻔﺎل‬, however they are preferred for

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patients with severe penicillin allergy. Azithromycin and clarithromycin concentrate intracellularly,
not in the middle ear fluid, and are bacteriostatic, not bactericidal.

b ) clarithromycin 125 , 250 , 500 e.x (klacid)

Use in skin infection, ttt of helicobacter pylori , URTI .
S.E: pseudomembranous colitis ‫ أﺣﺪ ﻣﺴﺒﺒﺎت اﻹﺳﮭﺎل اﻟﻤﺘﻌﻠﻖ ﺑﺎﻟﻤﻀﺎدات اﻟﺤﯿﻮﯾﺔ‬، ‫إﻟﺘﮭﺎب اﻟﻘﻮﻟﻮن اﻟﻐﺸﺎﺋﻲ اﻟﻜﺎذب‬
c ) clindamycin 150,300 tab e.x ( clindam ,dalacin) use in oral infection ( anaerobic infection)
tooth extraction. Topical in acne (clindasol lotion).

d ) Erythromycin e.x (erythromycin tab , syp )

Used mainly in penicillin allergy patient in ttt of respiratory tract infection.
Erythromycin +sulpha drugs e.x (erythoprim ).
e ) lincomycin e.x ( lincocin amp 300,600 mg ): Used in bone, joint infection and skin infection.
f ) spiramycin e.x ( spirex ,rovac 1.5 , 3 i.u ) : Used in ttt of toxoplasmosis ‫ داء اﻟﻘﻄﻂ‬,dental
extraction.
spiramycin + metronidazole e.x (spirazol tab ) Used in ttt of mouth infection,helicobacter pylori).
g) Linezolide e.x ( averozolid ,respenzo 600 tab )
Dose : 1 tab evey 12 hr for 10days
Used in ttt of sever resistant infection usually after antibiotic cluture.
I ) roxithromycin e.x ( roxid 300 tab). Used : respiratory tract infection.
4) Quinolones.
Uses: .‫اﻟﻜﻮﯾﻨﻮﻟﻮن ﻣﺼﻄﻠﺢ ﯾﺴﺘﺨﺪم ﻟﻠﻌﻼﺟﺎت اﻟﻜﯿﻤﯿﺎﺋﯿﺔ اﻟﻤﺴﺘﺨﺪﻣﺔ ﻟﻤﻌﺎﻟﺠﺔ اﻟﺠﺮاﺛﯿﻢ اﻟﻘﻮﯾﺔ‬

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1) Drug of choice in urinary tract infection.
2) in complicated respiratory tract infection, skin infection ,after surgery.
3) used topical in eye infection e,x ( oflox eye dps ) , ( ciprocin eye oint ).
c.i : in pregnancy ,children under 18 year , elderly patient , epileptic patient ‫ﺗﺸﻨﺠﺎت‬
S.E: Common side effects include gastrointestinal effects such as nausea, vomiting, and diarrhea,
as well as headache and insomnia. , may cause arrhythmia ‫ ﻋﺪم اﻧﺘﻈﺎم ﻓﻲ ﺿﺮﺑﺎت اﻟﻘﻠﺐ‬.
DRUG INTERACTION: Products containing multications, such as aluminium- or magnesium-
containing antacids ‫ (ادوﯾﮫ ﻟﻌﻼج اﻟﺤﻤﻮﺿﮫ‬mucogel syp )and products containing calcium, iron, or zinc,
result in marked reduction of oral absorption of fluoroquinolones.[Other drugs that interact with
fluoroquinolones include sucralfate, theophylline, warfarin, antiviral agents, phenytoin,
From 1st gen. To 4th gen. Spectrum on G-ve bacteria increase and side effects decrease.
1st –generation nalidixic acid tab
2nd generation
a) Ciprofloxacin 500 e,x (ciprfar tab ciprobay ,ciprofloxacin injection ).
b) Lomefloxacin 400 e.x (lomex tab ). c) Ofloxacin 200,400 e.x (oflox tab).
d) Pefloxacin 400 . e) Norfloxacin 400 e.x (epinor tab).
Norfloxacin 400 + tindol 600 (tinifloxacin, conaz). used in G.I.T infection.

3rd generation
a)levofloxacin 250,500 e.x ( leeflox tab). b) Sparfloxacin200 e.x (spara tab).

4th -generation
a )gatifloxacin 200,400 e.x ( gatiflox ) . b) Gemifloxacin 320 e.x (quinabiotic tab ).
c )moxifloxacin400 e.x (moxiflox ).
5) Aminoglycosides
Use:, sever systemic infection ,include septicemia ‫ ﺗﺴﻤﻢ اﻟﺪم‬complicated intra abdominal infections,
complicated urinary tract infections , d
s.e: ototoxicity, nephrotoxicity especially when used with cephalosporins, loop diuretic .
1) Gentamicin 20, 40, 80 amp dose ( 5 mg / kg / day ) in 2 divided dose e.x (epigent amp ,
garamycin ). Also topical cream (garamycin ).
2) Amikacin 100,250,500 vial e.x (amikin vial). dose (10-15 mg / kg in 2 divided dose )
used Topical in skin infection (amikacin spray).
3) Tobramycin use now topical in eye infection ( eye dps ,oint ).
4) Neomycin 500 tab use in g.i.t surgery, hepatic encephalopathy ‫اﻻﻋﺘﻼل اﻟﻜﺒﺪي اﻟﺪﻣﺎﻏﻲ ﻟﺘﻄﮭﯿﺮ اﻟﺠﮭﺎز‬
‫اﻟﮭﻀﻤﻲ‬
5) Vancomycin 500,1000 vials e.x( vancomycin vial ).

6) Chloramphenicol:

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Uses:
1 ) drug of choice in typhoid infection, and severe diarrhea ‫ ﻻﺗﺴﺘﺠﯿﺐ ﻟﺒﺎﻗﻲ اﻟﻌﻼﺟﺎت‬.
2) used topical as dps or oint in ttt of eye conjunctivitis. ‫ اﻟﺘﮭﺎب اﻟﻤﻠﺘﺤﻤﮫ ﻋﻨﺪ اﻻﻃﻔﺎل‬.
3) ‫اﻟﻜﻮﻟﯿﺮا‬Cholera ‫ﯾﻤﻜﻦ اﺳﺘﺨﺪام اﻟﻜﻠﻮراﻣﻔﯿﻨﯿﻜﻮل ﻛﻌﺎﻣﻞ ﻣﺴﺎﻋﺪ ﺛﺎﻧﻲ ﻣﻊ اﻟﺘﺘﺮاﺳﺎﯾﻜﻠﯿﻦ ﻓﻲ ﻋﻼج‬
4) Cross B.B.B so used in ttt of brain abscesses ‫ ﻛﺨﻄﻮة أوﻟﻰ ﻟﻌﻼج اﻟﺘﮭﺎب اﻟﺴﺤﺎﯾﺎ‬meningitis.
S.E. 1) Bone marrow depression (cause A plastic anemia) . c.i in children below 5 years .
2 ) gray syndrome ‫ﺷﺤﻮب اﻟﻤﻮت‬
‫ﻓﻲ اﻷﻃﻔﺎل ﺣﺪﯾﺜﻲ اﻟﻮﻻدة واﻟﻤﺒﺘﺴﺮﯾﻦ ﻗﺪرة اﻟﻜﺒﺪ ﻋﻠﻰ ﻧﺰع ﺳﻤﯿﺔ اﻟﻜﻠﻮراﻣﻔﯿﻨﯿﻜﻮل وإﺧﺮاﺟﮫ ﻋﻦ ﻃﺮﯾﻖ اﻟﻜﻠﻰ ﺿﻌﯿﻔﺔ وﻟﻢ ﺗﻜﺘﻤﻞ ﻣﻤﺎﯾﺆدي‬
.‫إﻟﻰ ﺗﺮﻛﯿﺰ ﻋﺎﻟﻲ ﻣﻦ اﻟﻜﻠﻮراﻣﻔﯿﻨﯿﻜﻮل ﻓﻲ اﻟﺪم ﯾﻨﺘﺞ ﻋﻨﮫ ﺿﻌﻒ اﻟﺪورة اﻟﺪﻣﻮﯾﺔ وھﺒﻮط ﻓﻲ اﻟﺤﺮارة وﺷﺤﻮب اﻟﺠﻠﺪ‬
c.i : pregnant ,newborn , minor infection .
e,x (thiophenicol ,cidocetine cap, syp )
7) Tetracycline
Uses: manly in skin infection (acne) Cholera, Mycoplasma.
s.e: tooth descloration, g.i.t disturbance .
C.I : children below 12 year , pregnancy ,lactation and elderly patient ,
e.x a) doxycycline (vibramycin cap ). ‫ﺗﻨﺎول اﻟﻜﺒﺴﻮﻻت ﻗﺒﻞ اﻷﻛﻞ ﺑﻨﺼﻒ ﺳﺎﻋﺔ أو ﺑﻌﺪه ﺑﺴﺎﻋﺘﯿﻦ ﯾﺠﺐ اﻻﻣﺘﻨﺎع ﻋﻦ اﻛﻞ‬
. ‫اﻣﺘﺼﺎص اﻟﺪواء‬. ‫ وذﻟﻚ ﻻﻧﮭﺎ ﻗﺪ ﺗﻘﻠﻞ‬،‫ﻣﺸﺘﻘﺎت اﻟﺤﻠﯿﺐ ﺳﺎﻋﺔ واﺣﺪة ﻗﺒﻞ ﺗﻨﺎول اﻟﺪواء او ﺳﺎﻋﺘﯿﻦ ﺑﻌﺪ ﺗﻨﺎوﻟﮫ‬
b ) oxytetracycline used topical as in terramycin eye ,skin oint .
c ) Tetracycline (tetracid cap ) used now for animals because of high side effect .
8) Others
1 ) Sulphamethozasathol, trimethoprim ‫ ادوﯾﮫ اﻟﺴﻠﻔﺎ‬:
Uses: as adjunct therapy ‫ﻋﻼج ﻣﺴﺎﻋﺪ‬for urinary tract infection, respiratory tract infection.
s.e: allergy reaction, crystaluria with hexamine containing effervescent granules ‫زي اﻟﺒﺮوﻛﺴﯿﻤﻮل‬.
Not used for children below 2 year .
Ex septazole tab , syp . Septrin tab ,syp .
Dose: every 12 hr with a lot of water to avoid crystalurea.
2) Nitrofurantoin 50, 100 mg tab only: used in urinary tract infectant dose (1 cap /12 hr for 1
week) after meals , safe in pregnancy.
3) Sodium fucidate (tab, vail, susp): used in sever g+ve infection ,( septicemia
,endocarditit,pneumonia ). contraindicated in favism .
Topical as eye oint (fucithalmic eye oint) , skin oint (fucidin cr ).
4) Rifampicin tab , syp : mainly ttt of tuberculosis ‫اﻟﺴﻞ اﻟﺮﺋﻮي‬
Rifampicin +isoniazide (rimactazide tab )
5) RIFAXIMIN 200,550 mg e,x ( gastrobiotic tab ) (not absorbed from g.i.t)

01128470080 ‫ أﯾﻤﻦ اﺑﺮھﯿﻢ‬/‫د‬

‫‪Indication For the treatment of patients with travelers' diarrhea caused by Escherichia coli.‬‬
‫‪Rifaximin is also designated for adjunctive treatment of hepatic encephalopathy to reduce blood‬‬
‫‪ammonia concen .‬‬
‫ﺑﺮﻧﺎﻣﺞ ﻟﺤﺴﺎب ﺟﺮﻋﺎت اﻻدوﯾﮫ‬
‫‪http://www.mediafire.com/download.php?887ac8aa3nh293x‬‬
‫اﻟﺠﺮﻋﺔ اﻟﺘﻘﺮﻳﺒﯿﻪ ﻟﻠﻤﻀﺎدات اﻟﺤﯿﻮﻳﺔ‬
‫ﻛﯿﻔﯿﮫ ﺣﺴﺎب ﺟﺮﻋﮫ اﻟﻤﻀﺎد اﻟﺤﯿﻮى؟؟؟؟؟؟؟‪#‬‬
‫‪.‬ﻋﺸﺎن ﻧﺤﺴﺐ ﺟﺮﻋﮫ اﻟﻤﻀﺎد اﻟﺤﯿﻮى‪ ...‬ﻻزم ﻧﺤﺴﺒﮫ ﻣﻦ ﺧﻼل اﻟﻮزن‪....‬ﯾﻌﻨﻰ ﻻزم ﻧﺤﺴﺐ وزن اﻟﻄﻔﻞ اﻻول ﻣﻦ ﺧﻼل ﻣﻌﺮﻓﮫ ﻋﻤﺮه‪.‬‬
‫ﻋﻨﺪﻧﺎ ‪ 3‬ﻣﻌﺎدﻻت ﻻزم ﻧﺤﻔﻈﮭﻢ‪....‬ﻣﻦ ﺧﻼل اﻟﻤﻌﺎدﻻت ﻧﻘﺪر ﻧﺤﺴﺐ وزن اﻟﻄﻔﻞ ﺑﻤﺠﺮد ﻣﻌﺮﻓﮫ ﻋﻤﺮه‪.#‬‬
‫)‪ (1‬ﻟﻮ ﻋﻤﺮ اﻟﻄﻔﻞ اﻗﻞ ﻣﻦ ﺳﻨﮫ )ﻋﻤﺮ اﻟﻄﻔﻞ ﺑﺎﻟﺸﮭﻮر‪(9+‬واﻟﻨﺎﺗﺞ ﻧﻘﺴﻤﮫ ﻋﻠﻰ ‪2‬‬
‫‪#‬ﻣﺜﻼ ﻟﻮ اﻟﻄﻔﻞ ﻋﻤﺮه ‪ 3‬ﺷﮭﻮر ﯾﺒﻘﻰ وزﻧﮫ=‪ 3+9‬واﻟﻨﺎﺗﺞ ﻧﻘﺴﻤﮫ ﻋﻠﻰ ‪....2‬ﯾﻌﻨﻰ ھﺎﯾﻄﻠﻊ ‪ 6‬ﻛﯿﻠﻮﺟﺮام‬
‫)‪ (2‬ﻟﻮ ﻋﻤﺮ اﻟﻄﻔﻞ ﻣﻦ ﺳﻨﮫ اﻟﻰ ‪ 6‬ﺳﻨﯿﻦ )ﻋﻤﺮ اﻟﻄﻔﻞ ﺑﺎﻟﺴﻨﯿﻦ*‪8+(2‬‬
‫‪#‬ﻟﻮ ﻋﻤﺮ اﻟﻄﻔﻞ ‪ 3‬ﺳﻨﻮات ﯾﺒﻘﻰ وزﻧﮫ=‪ 2*3‬واﻟﻨﺎﺗﺞ ﻧﺠﻤﻌﮫ ﻋﻠﻰ ‪... 8‬ﯾﻌﻨﻰ ‪ 14‬ﻛﯿﻠﻮﺟﺮام‬
‫)‪ (3‬ﻟﻮ ﻋﻤﺮ اﻟﻄﻔﻞ اﻛﺘﺮ ﻣﻦ ‪ 6‬ﺳﻨﯿﻦ )ﻋﻤﺮ اﻟﻄﻔﻞ ﺑﺎﻟﺴﻨﯿﻦ*‪(7‬وﻧﻄﺮح ﻣﻦ اﻟﻨﺎﺗﺞ ‪ ....5‬ﺛﻢ ﻧﻘﺴﻢ اﻟﻨﺎﺗﺞ ﻋﻠﻰ ‪2‬‬
‫ﻟﻮ ﻋﻤﺮ اﻟﻄﻔﻞ ‪ 8‬ﺳﻨﻮات ﯾﺒﻘﻰ وزﻧﮫ=‪ 8*7‬ﯾﺒﻘﮫ ‪ 56‬واﻟﻨﺎﺗﺞ ﻧﻄﺮح ﻣﻨﮫ ‪ 5‬ﺛﻢ اﻟﻨﺎﺗﺞ ﻧﻘﺴﻤﮫ ﻋﻠﻰ ‪.... 2‬ﯾﻌﻨﻰ وزﻧﮫ‪ 25.5‬ﻛﯿﻠﻮﺟﺮام‪#‬‬
‫ﻧﯿﺠﻰ ﺑﻘﻰ ﻟﻜﯿﻔﯿﮫ ﺣﺴﺎب اﻟﺠﺮﻋﮫ؟؟؟؟‪.#‬‬
‫ﺟﺮﻋﺎت اﻟﻤﻀﺎد اﻟﺤﯿﻮى‬
‫‪#‬اﻟﺴﯿﻔﺎدروﻛﺴﯿﻞ ‪30‬ﻣﺠﻢ ﻟﻜﻞ ﻛﺠﻢ ﯾﻮﻣﯿﺎ‬
‫اﻟﺴﯿﻔﺮادﯾﻦ زى اﻟﺴﯿﻔﺎﻟﻜﺴﯿﻦ ﻣﻦ ‪ 25‬اﻟﻰ ‪ 50‬ﻣﺠﻢ ﻟﻜﻞ ﻛﺠﻢ ﯾﻮﻣﯿﺎ ﺧﻠﻰ ﺑﺎﻟﻚ ﺟﺮﻋﮫ اﻟﺴﯿﻔﺮادﯾﻦ او اﻟﺴﯿﻔﺎﻟﻜﺴﯿﻦ ﻣﻤﻜﻦ ﺗﺰﯾﺪ اﻟﻰ ‪ 75‬اﻟﻰ ‪100‬ﻣﺠﻢ ﻟﻜﻞ‬
‫ﻛﺠﻢ ﯾﻮﻣﯿﺎ ﻓﻰ ﺣﺎﻟﮫ‪.otitis media‬‬
‫‪#‬اﻻزﯾﺜﺮوﻣﯿﺴﯿﻦ ‪10‬ﻣﺠﻢ ﻟﻜﻞ ﻛﺠﻢ ﯾﻮﻣﯿﺎ ﻣﺮه واﺣﺪه ﻓﻰ اﻟﯿﻮم ﻗﺒﻞ اﻻﻛﻞ ﺑﺴﺎﻋﮫ او ﺑﻌﺪ اﻻﻛﻞ ﺑﺴﺎﻋﺘﯿﻦ ﻟﻤﺪه ‪ 3‬اﯾﺎم ‪.‬ﺧﻠﻰ ﺑﺎﻟﻚ اﻻزﯾﺜﺮوﻣﯿﺴﻦ ﻣﻤﻨﻮع ﻓﻰ‬
‫اﻻﻃﻔﺎل اﻗﻞ ﻣﻦ ‪ 6‬ﺷﮭﻮر‬
‫‪#‬اﻟﻜﻼرﯾﺜﺮوﻣﯿﺴﯿﻦ ‪ 15‬ﻣﺠﻢ ﻟﻜﻞ ﻛﺠﻢ ﯾﻮﻣﯿﺎ وھﻮ ﻣﻤﻨﻮع ﻓﻰ اﻻﻃﻔﺎل اﻗﻞ ﻣﻦ ‪ 20‬ﺷﮭﺮ‬
‫‪#‬اﻻرﯾﺜﺮوﻣﯿﺴﯿﻦ ‪30‬اﻟﻰ ‪ 50‬ﻣﺠﻢ ﻟﻜﻞ ﻛﺠﻢ ﯾﻮﻣﯿﺎ وﯾﻨﻔﻊ ﻟﻼﻃﻔﺎل ﻣﻦ اول ﯾﻮم‬
‫‪#‬اﻟﺴﯿﻔﺎﻛﻠﻮر ‪20‬اﻟﻰ ‪ 40‬ﻣﺠﻢ ﻟﻜﻞ ﻛﺠﻢ ﯾﻮﻣﯿﺎ وھﻮ ﻣﻤﻨﻮع ﻓﻰ اﻻﻃﻔﺎل اﻗﻞ ﻣﻦ ﺷﮭﺮ‬
‫‪#‬اﻟﺴﯿﻔﺘﺮاﯾﻜﺴﻮن ‪50‬ﻣﺠﻢ ﻟﻜﻞ ﻛﺠﻢ ﯾﻮﻣﯿﺎ ﻣﻤﻨﻮع ﻟﻼﻃﻔﺎل اﻗﻞ ﻣﻦ ‪ 6‬ﺷﮭﻮر‬
‫‪#‬اﻟﺴﯿﻔﻮﺗﺎﻛﺴﯿﻢ ‪50‬اﻟﻰ ‪200‬ﻣﺠﻢ ﻟﻜﻞ ﻛﺠﻢ ﯾﻮﻣﯿﺎ ‪.‬اﻟﺴﯿﻔﻮﺑﯿﺮازون زى اﻟﺴﯿﻔﻮﺗﺎﻛﺴﯿﻢ‬
‫‪#‬اﻟﺴﯿﻔﺘﺎزﯾﺪﯾﻢ ‪ 50 - 30‬ﻣﻠﺠﻢ ‪ /‬ﻛﺠﻢ ‪ /‬اﻟﺠﺮﻋﺔ و ﺗﻜﺮر اﻟﺠﺮﻋﺔ ﻛﻞ ‪ 12 - 8‬ﺳﺎﻋﺔ ‪ ..‬ﺣﺴﺐ اﻟﺤﺎﻟﺔ‪..‬‬
‫‪#‬اﻻوﺟﻤﻨﺘﯿﻦ ‪ 25‬اﻟﻰ ‪ 45‬ﻣﺠﻢ ﻟﻜﻞ ﻛﺠﻢ ﯾﻮﻣﯿﺎ‬
‫‪#‬اﻻﻣﻮﻛﺴﯿﺴﯿﻠﻠﯿﻦ ‪ 25‬اﻟﻰ ‪ 50‬ﻣﺠﻢ ﻟﻜﻞ ﻛﺠﻢ ﯾﻮﻣﯿﺎ‬
‫‪#‬اﻟﺴﯿﻔﻜﺴﯿﻢ ‪8‬ﻣﺠﻢ ﻟﻜﻞ ﻛﺠﻢ ﯾﻮﻣﯿﺎ ﻣﻤﻜﻦ ﻋﻠﻰ ﻣﺮه واﺣﺪه او ﻣﺮﺗﯿﻦ اھﻢ ﺣﺎﺟﮫ ﻣﺎﯾﻨﻔﻌﺶ ﻟﻼﻃﻔﺎل اﻗﻞ ﻣﻦ ‪6‬ﺷﮭﻮر‬
‫‪#‬اﻟﺴﯿﻔﺪﯾﻨﯿﺮ ‪ 14‬ﻣﺠﻢ ﻟﻜﻞ ﻛﺠﻢ ﯾﻮﻣﯿﺎ وﺑﺮده ﻣﺎﯾﻨﻔﻌﺶ ﻟﻼﻃﻔﺎل اﻗﻞ ﻣﻦ ‪ 6‬ﺷﮭﻮر‬
‫‪#‬اﻟﺴﯿﻔﺒﻮدﻛﺴﯿﻢ ‪ 5‬ﻣﺠﻢ ﻟﻜﻞ ﻛﺠﻢ ﻛﻞ ‪ 12‬ﺳﺎﻋﮫ اھﻢ ﺣﺎﺟﮫ اﻧﮫ ﻣﺎﯾﻨﻔﻌﺶ ﻟﻼﻃﻔﺎل اﻗﻞ ﻣﻦ ﺷﮭﺮي‬

‫ﻟﻮ ﻓﯿﮫ اي ﺣﺎﺟﮫ ﻣﺶ واﺿﺤﮫ ﯾﻤﻜﻨﻜﻢ اﻟﺘﻮاﺻﻞ ﻋﻠﻲ ھﺬا اﻻﻛﺎوﻧﺖ ‪https://www.facebook.com/ayman.ibrahim.7121614‬‬

‫ﻻ ﺗﻨﺴﻮﻧﺎ ﻣﻦ ﺻﺎﻟﺢ اﻟﺪﻋﺎء واﷲ اﻟﻤﻮﻓﻖ واﻟﻤﺴﺘﻌﺎن‬

‫د‪ /‬أﯾﻤﻦ اﺑﺮھﯿﻢ ‪01128470080‬‬