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Choice Medicine Approved
Choice Medicine Approved
Choice Medicine Approved
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(for Bronchial asthma, a/c & c/c bronchitis,bronchiolitis, other bronchospastic disorders)
10.Syp Mucolite /ambrolite 2tsp tds x 3 days (Ambroxol)
Syp Ambrodil (15/5 or 30/5) 2tsp tds <2y=7.5 mg bd, 2-5y=7.5 mg bd/tid, 6-12 y= 15 mg bid
Ambrodil/AX/xputum paed Dps (7.5 /1 ) <6 month- 0.5 ml bd,6-12 month- 1ml tds,12-24 month-
2ml tds
11.T Mucolite/ambrodil (ambroxol) 30 mg tds
12.T Bromex (BH) 8 mg bd/tds
13.T Mucinac 200/600 mg bd/tds (acetylcysteine)
For children: Syp Asthalin ( 2 /5 )(0.1-0.2 mg/kg/dose Q6H) after food.
For pregnant ladies give Syp Ascoril, Syp Grilinctus (DM hbr + guaiphenesin + CPM),
Syp Benylin expectorant(Guaifenesin +DM Hbr) or Syp Robitussin DM
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Analgesics
NSAIDS
1.T Voveran/Diclonac/Dicloran 50 mg bd(Diclofenac sodium)(suppository 12.5mg,
100mg available.TN:Jonac)
2.T Ibugesic/Brufen 400-600 mg tds(Ibuprofen) (other T N:- brufen, Ibuflammar)(100
mg/5 ml susp available)
3.T Meftal 250-500 mg tds(Mefenamic acid) (other T N:- Ponstan, Medol)(100 mg/5 ml
susp available)
4.T Dolokind 100mg bd(aceclofenac ) (other T N:- Aceclo, Zerodol)
5.T Ketanov 10 mg Qid( Ketorolac)(for Post operative, dental, a/c musculoskeletal, renal
colic, migraine, pain due to bony metastasis)
6.T Pirox 20 mg OD (piroxicam)(for osteo/rheumatoid/ acute gouty arthritis)
7.T indocid/ articid 25-50 mg BD-QID (indomethacin)(musculoskeletal & joint disorders)
8.T Etoshine/etody 60-120 mg OD(etoricoxib)(for osteo/rheumatoid/ acute gouty arthritis)
Note: Avoid NSAIDs in Dengue,severe liver/kidney d/s,active cerebral hemorrhage,GI
bleeding etc. NSAIDs may also increase the risk of having a stroke or MI in pt’s with existing
cardiovascular disease. In such cases give T Naproxen 250/500 mg bd(T.N Artagen)
Opioid Analgesics
1. T Trambax or Tramazac (tramadol) 50 mg tds
2.T Fortwin 25 mg Qid( Pentazocin)
Combinations
1.T Ultracet or Palitex or Dolzero or acuvin(Tramadol+ P’mol)
2.T Dynapar (Diclofenac + p’mol) (Inj available)
3.T Zerodol-P or aceclo plus or Hifenac-P or Dolokind-Plus (Aceclofenac+ P’mol)
4.T Durapain (Diclofenac sodium SR +Tramadol IR)
5.T Ibugesic Plus/combiflam (ibuprofen + P’mol)
Note:- for pregnant ladies give P’mol only
Injections: P/L, Diclofenac, Tramadol, Ketorolac, Piroxicam, Pentazocin etc
Tramadol may cause nausea( give emeset),dizziness,sleepiness,sweating, lowering of
seizure threshold
Abdominal Pain
Common causes: Renal calculi,appendicitis, pancreatitis, intestinal obstruction, peptic
ulcer, Gastroenteritis, cholecystitis, GERD,UTI, medications,mesenteric ischemia etc
Note:In case of renal colic there will be colicky pain radiating from the loin to groin and
h/o similar episodes in the past. All abd pain above the level of umbilicus, rule out
I.W.M.I. Also rule out DKA.
Examination of genitourinary system in men should be performed in all cases of a/c abd
pain to r/o testicular torsion.
The immediate treatment of renal pain/colic is bed rest & application of warmth to site.
Inv: S.amylase & lipase, URE,BRE, X-ray abdomen erect view, USS/CECT
abdomen, ECG, RFT etc. R/o pregnancy in female pt’s before subjecting to x-rays.
1.Inj Voveran 1 amp IM st ATD or
Inj Tramadol 1amp IM or IV st(+ emeset)