BEST GENERAL PRACTICE

Drugs in common use

Placeboes
B.co Vitamin C FeSO4 Ca lactate Folic acid 1 tab 1 tab 1 tab 1 tab 1 tab daily tds bd daily daily (1tab = 100mg) (1tab = 200mg) (1tab = 300mg) (1tab = 5mg)

Multivitamin syrup
Biolysine 120 ml ad lt ! 2 ts"#day$ c%ild ! 1 ts"#day &ne'(on ) C "l s 120 ml c%ild 1*12 y ! 1 ts"#day + lti"le, -elices (sy' "#d'o") .olybion 250 ml ad lt ! 2 ts"#day$ c%ild ! 1 ts"#bd / t'i0il 200 ml 3 ts" , bd be0o'e meal .ly(isol 100 ml 1 ts"#day Becade, 200 ml 2 ts"#day C'o(it 100 ml 1 ts"#day Cytacon (Cyanocobalamin) ad lt ! 2 ts" , bd$ c%ild ! 1 ts" , bd

B Co

(it B 12

Multivitamin syrup with iron

Fe'oso(ite Fe''adol Cysatone 1aem " 200 ml 300 ml li2 id#gems ad lt ! 2 ts" , tds ad lt ! 2 ts" , tds 2 ts" , bd 2 ts"#1 gem , bd i'on#B Co CI0 in children c%ild ! 1 ts" , tds

Multivitamin tablets
Bio0e' O"tilets ) + 3eest +at'i0o't 6 a'dian &(ion once a day once a day once a day once a day once a day once a day

Vit ! 4$ C$ &$ 5inc Vit ! 4$ -3$ C Vit. & 200mg$ 400mg$ 700mg

Multivitamin capsules
Vita "l s &ne'(on ) C Vit ) &C Co(it*+ 1 ca"#day 1 ca"#day 1 ca"#day Vit.C 8 B.Co Vit.& 200 mg 8 (it.c 150 mg

Product of Faculty of Medicine, Colombo.

Syrups
4mo,icillin 125mg#5ml 1 ca" = 250mg 9" to 10 yea's * 125mg#:1 4 gmentin in0ant d'o"s 72.5mg#ml , 20ml ( "o;de' 0o' s s"ension ) 9s al dose * 25mg#<g#day de(ided : 1 =0 se(e'e * 50mg#<g#day de(ided : 1 4 gmentin sy' " 157mg#5ml$ 22:mg#ml , >0ml$ 100ml B' 0en 100mg#5ml 1 tab = 200mg$ 400mg 1)2y * 50mg tds 3)>y * 100mg tds : ) 12 y * 200mg tds Ce"%ale,in 125mg#5ml$ 250mg#5ml 1 ca" = 250mg$ 500mg 9nde' 1 yea' * 125mg#121 1)5y * 125mg#:1 7 ) 12 y * 250mg#:1 Clo,acillin 125mg#5ml 1 ca" = 250mg 9nde' 2 y * 125mg#71 2)7y * 250mg#71 &'yt%'omycin 125mg#5ml 1 tab = 250mg 9"to 2 y * 125mg#71 2):y * 250mg#71 /alidi,ic acid 300mg#5ml O(e' 3#12 ! ma,. dose 50mg#<g daily in 4 de(ided doses .C+ 120mg#5ml 1 tab = 500mg 9nde' 2 mont%s * 70mg 0o' "ost imm! "y'e,ia 9nde' 3 mont%s * 10mg#<g +ay be 3#12 to 1 y * 70*120mg 'e"eated 1)5y * 120)250mg e(e'y 7 1 7 ) 12 y * 250)500mg .enicillin 125mg#5ml ( .%eno,ymet%yl"enicillin) 1 tab = 250mg 9"to 1 yea' * 72.5mg#71 1)5y * 125mg#71 7 ) 12 y * 250mg#71 .%ene'gan 5mg#5ml 1 tab = 10mg ?ess t%an 2 y * /ot 'ecommended 2)5y * 5mg#bd 5 ) 10 y * 10mg#bd .i'iton 2mg#5ml 1 tab = 4mg 9nde' 1 y * not 'ecommended 1)2y * 1mg#bd 2)5y * 1mg#71 7 ) 12 y * 2mg#71 Salb tamol 2mg#5ml ( Asthalin ) 1 tab = 2mg$ 4mg 2mg#10ml 4sco'il ?ess t%an 2 y * 100 mic.g#<g , tds 2)7y * 1 mg#tds 7 ) 12 y * 2 mg#tds

Product of Faculty of Medicine, Colombo.

General problems
Appetite stimulants
.e'itol Can be gi(en to in0ants$ c%ild'en and ad lts tds , > days sy' " , 150 ml 103 #= tablet 1.@0

Antiematic, Vertigo
-om"e'on -om"e'idone 10 mg tablets$ sy' " = 1 mg # ml , 30 ml 4d lt 1*2 tab 71 C%ild 0.3 mg # <g 7 1 ?ess 'is< o0 dystonic 'eactions +otili m -om"e'idone s "" = 30mg 4d lt 1 s "" :1 A2y 1#2 s "" bd +osa't +osa"'ide cit'ate tab = 2.5 mg$ 5 mg 5 mg tds before#after meals .%ene'gan .'omet%a5ine 10 mg$ 25 mg tablets 4d lt * 25 mg bd 5 ) 10 y * 10 mg bd 2)5y * 5 mg bd ?ess t%an 2 y * /ot 'ecommended +a,olon +etoclo"'amide tablets 5 mg # 10 mg$ sy' " 5 mg # 5 ml$ .aediat'ic li2 id 1 mg # ml 4d lt 10 mg tds Bo ng ad lts 5 mg tds @ ) 14 y (o(e' 30 <g) 5 mg tds 5 ) @ y (20 ) 2@ <g) 2.5 mg tds 3 ) 5 y (15 ) 1@ <g) 2 mg tds 1 ) 3 y (10 ) 14 <g) 1 mg tds 9"to 1 y ( "to 10 <g) 1 mg bd -ystonic 'eactions "a'tic la'ly in c%ild'en$ 0emales$ elde'ly C debilitated /e(e' se ;it% Stemetil -e,amet%asone also %as an anti*emetic e00ect

Vestibular vertigo, Menieres syndrome ( di55iness$ tinnit s$ na sea$ %eadac%e )

Betase'c Beta%istine di1C? tab = : mg$ 17 mg : ) 17 mg tds Stemetil (.'oc%lo'"e'a5ine) tab = 5 mg$ sy' " = 5 mg # 5 ml$ s "". = 5 mg 4d lt 10 mg tds C%ild o(e' 10 <g 250 mic.g # <g tds S "". not 'ecommended in c%ild'en -ystonic 'eactions "a'tic la'ly in c%ild'en$ elde'ly C debilitated /e(e' se ;it% +a,olon 4(omine .'omet%a5ine teoclate tab = 25mg 4d lt 1tab tds 5*10y 1#2 tab tds +otion sic<ness 1 tab D bedtime C 1 tab 2 %'s be0o'e t%e t'a(el Product of Faculty of Medicine, Colombo. 3

Cinna'i5ine 15 mg tablets Vestib la' diso'de's ( (e'tigo$ tinnit s$ na sea$ (omiting ) 4d lt 30 mg tds C%ild 5 ) 12 y 15 mg tds +otion sic<ness 4d lt 30 mg 2 %'s be0o'e t'a(el$ 15 mg e(e'y : 1 C%ild 5 ) 12 y 15 mg 2 %'s be0o'e t'a(el$ >.5 mg e(e'y : 1

Vomiting in pregnancy
.'omet%a5ine .'oc%lo'"e'a5ine +etoclo"'amide =V 0l id$ &lect'olyte co''ection$ / t'itional s ""o't =0 doesnEt settled in 4: %'s$ s"ecialist o"inion

Symptomatic treatment o allergy

Clo"%eni'amine .i'iton 4 mg daily Ceti'i5ine 4lle'cet$ Cet'i5et$ 4de5io 10 mg tablets F'i5 10 mg tablets$ sy' " 5mg#5ml 4d lt 10 mg bd C%ild o(e' 7 y 5 mg bd C%ild 2 ) 7 y 2.5 mg bd Ceti'i5ine di%yd'oc%lo'ide &GO/*-.F. 10mg daily Fe,o0enadine 1C? 4lleg'a tab = 30 mg$ 120 mg$ 1:0 mg 4lle'stat$ 4lti(a$ 4lle0ast tab = 120 mg$ 1:0 mg 4d lt C c%ild A= 12 y 70 mg bd # 120 mg once a day C%ild 7 ) 11 y 30 mg bd ?o'atadine 3eos$ ?o'a,$ Cla'ityne$ <la'ol tab = 10 mg$ sy' " = 5 mg # 5 ml , 70 ml ?o'idin 'a"itab tab = 10 mg 4d lt C c%ild A= 12 y 10 mg daily C%ild 7 ) 12 y A 30 <g 10 mg daily H 30 <g 5 mg daily 4stemi5ole Stemi5 once daily tab = 10mg$ s s". = 5mg#5ml .'omet%a5ine %yd'oc%lo'ide .%ene'gan tab = 10mg$ 25mg 4d lt 20mg tds 5*10 y 10mg bd 2*5 y 5mg bd H 2 y not 'ecommended inIection = 25mg#ml dee" =+ ad lt 25*50mg 5*10 y 7.25*12.5mg Slo; =V 25*50mg as a sol tion containing 2.5mg#ml in ;ate' 0o' inI. Product of Faculty of Medicine, Colombo. 4

.%eni'amine maleate 4(il A12y 1 tab .'ednisolone 4d lt 2 tab 1 tab J tab -e,amet%a5one 2 tab .C+ 4sti0en

25mg tablets tds 5 mg tablets bd 2 days bd 2 days bd 3 days 0.5 mg tablets tds 2 tab tds <etoti0en %yd'ogen 0 ma'ate Fab = 1 mg$ sy' " = 1 mg # 5 ml , 70 ml 4d lt 2 tab bd C%ild A3y 1 tab bd =0 ) prevention & treatment of multisystem allergies, allergic skin reactions, allergic rhinitis. not effective in aborting established attack of asthma 4sma0en tab = 1 mg$ sy' " = 1 mg # 5 ml , 70 ml 4d lt 2 tab bd C%ild A 3 y 1 tab bd =0 ) prevention & treatment of multisystem allergies, allergic skin reactions, allergic rhinitis. not effective in aborting established attack of asthma

!ental pain
+e0tal 4d lt C%ild (+e0enamic acid) ca"=250mg$ tab=500mg 500mg , tds 25mg#<g#day in de(ided doses

Migrain
Acute attack =0 on OC. sto" t%em .C+ 2 tab 71 o' 4s"i'in 3 tab 71 a0te' 0ood (1 tab = 300mg ) -iclo0enac .otassi m 50mg stat$ 'e"eated a0te' 2 1 C 7 1 ( ma,. 200mg#day ) Ca0e'got (&'gotamine ta't'ate = 1mg$ ca00eine = 100mg) 1)2 tab stat (donEt 'e"eat in less t%an 4 days) +a, ! 4 tabs#241$ : tabs#;ee< 1 s "". (&'gotamine ta't'ate = 2mg$ ca00eine = 100mg) 1 s "" stat (donEt 'e"eat in less t%an 4 days) +a, ! 2 s ""#241$ 4 s ""#;ee< C%ild not 'ecommended =mig'an (S mat'i"tan s ccinateK tab = 50mg) 50)100mg single dose =0 'es"onded$ anot%e' dose in 241 ( donEt e,ceed 300mg#241) =0 not 'e"onded donEt 'e"eat in same attac< -om"e'on 4d lt 1*2 tab 71 C%ild 0.3 mg#<g 71 .%ene'gan 25mg stat 8 bd

Product of Faculty of Medicine, Colombo.

Prophylaxis Fl na'in (Fl na'i5ine 1C?) tab = 5mg$ 10mg Given as a single dose in evening bcos of sedation 4d lt 10mg#day C%ild 5mg#day .'o"'anolol(=nde'al) 40mg bd 2 ;ee<s 4mit'i"tyline ( tab = 10 mg ) 10mg nocte$ maintnence o0 50)>5mg nocte 2 ;ee<s

Product of Faculty of Medicine, Colombo.

Musculoskeletal System
"ac#ache
B' 0en =b "'o0en (1 tab = 200mg$ 400mg$ 700mg) 400mg 71#tds (a0te' 0ood) ma,. dose 1.2 ) 1.: g#day -iclo0enac Sodi m Fab = 25mg$ 50mg K S "" = 12.5mg$ 25mg$ 50mg$ 100mg Volta'en SL tab = >5mg$ 100mg 25mg tds +a,. dose by any 'o te 150mg#day C%ild 1)12 y ! 1)3 mg#<g daily in de(ided doses Volta'en SL tab = >5mg$ 100mg once a day -iclo0enac .otassi m Fab = 25mg$ 50mg 25mg tds (+a,. dose 150mg#day) Celebid Celeco,ib ) selecti(e COM ) 2 in%ibito' (1 ca" = 100mg$ 200mg) 100mg daily#bd &so5 Ome"'a5ole Famotidine -igene -igene sy' " -ia5e"am 20mg 20mg 20mg 2 tab 1 ts" 10mg(2tab) bd Obd tds tds nocte

Musculos#eletal pain
Female not very significant !ale examine completely "ca prostate, renal, thyroid# B' 0en F'amadol (+o'"%ine salt) ca" = 50mg 50*100mg 71 (not mo'e t%an 400mg#day) $ombine %ith anti emetic -ia5e"am 1 tab nocte Alternatively =ndometacin ca" = 25mg$ 50mg 50mg , tds Volta'en 1tab tds Celeco,ib /a"'o,en tab = 250mg$ 500mg (&nder '( years not recommended# 500mg initially$ t%en 250mg , :1 +elo,icam tab = >.5mg$ 15mg >.5mg#day )ont exceed '*mg+day. ,hould be taken as a single dose during a meal. .i'o,icam ca" = 10mg$ 20mg initially 20mg#day$ maintenance 10mg#once a day Cont'aindication in c%ild'en /S4=- cont'aindicated in$ %y"e'sensiti(ity$ "'egnancy$ acti(e "e"tic lce' Ca tion in elde'ly$ 'enal$ %e"atic$ ca'diac im"ai'ment

Product of Faculty of Medicine, Colombo.

>

$heumatoid arthritis
=ndometacin 4l d'o, .'ednisolone Vit C $BCo 25mg (1 ca") 2 tab 10mg 1 tab tds a0te' meal tds bd tds

Cervical spondylosis
B' 0en 4l d'o, +et%ylsalicylate Vit C $BCo 1 tab 2 tab Balm 1 tab tds tds tds

%ood &oint unction

Noint ca'e 0o'te 1 tab , tds ;it% meals -emp. relief of osteoarthritis, increase .oint mobility Ca'tisa0e*0o'te 1tab , bd LeI calci m Ca'ti0i, ca"s les

Product of Faculty of Medicine, Colombo.

Cardio Vascular System

MI 6F/ 4s"i'in =S-/ .C+ 'ypertension 1CF F' semide 1 tab sos (0.5 mg) J tab nocte 1 tab tds 0o' 3 days 2 tabs tds 0o' 3 days ( 140#@0 mm1g 12.5*25mg mane 20*40mg mane

Product of Faculty of Medicine, Colombo.

Endocrine
!iabetes =,) FBS
12 % 0asting. Can d'in< ;ate'. *ormal + ,,0),-. mg/dl + !M ..BS 2 % a0te' l nc%. *ormal + ,00)-00 mg/dl + !M 1b41c cont'ol o(e' "'e(io s 3#12 .12 3 ) 210 3

Product of Faculty of Medicine, Colombo.

10

$espiratory System
Common cold
.C+ .i'iton Vitamin C 2 tab 1 tab 50mg tds nocte tds tab = 50mg$ 100mg$ 200mg$ 500mg

/f the patient pass yello% sputum 4mo,icillin 500mg tds Ce"%ale,in ca"s le = 250 mg$ 500 mg Bl ce0 tabs (ce"%ale,in s ga' 0la(o 'ed = 125mg$ 250mg) 4d lt 8 c%ild'en A 12 y 500 mg tds &'it%'omycin 250mg :1

4ever with cough

.anadeine (.C+ ! 500mg$ codeine "%os"%ate ! :mg) 4d lt 2 tab 71 C%ild J * 1 tab 71 0ot for A3 consecutive days

Cough 5 Productive
F sO ) M 4d lt 2 ts" tds 7 ) 12 y 1 ) 2 ts" tds 1)7y J * 1 ts" tds Ga'esal (B'om%e,ine 1C?!m colytic$ Salb tamol!b'onc%odilato') .i'iton e,"ecto'ant 1 tea s"oon ) tds

Cough 5 !ry
F sO ) 4d lt 2 ts" tds 7 ) 12 y 1 ) 2 ts" tds 1)7y J * 1 ts" tds Co'e, 1 tea s"oon ) tds Lest$ boiled ;ate'$ steam in%alation add ment%ol c'ystals

Sinusitis ( 0'ontal %eadac%e$ 0acial "ain C tende'ness$ nasal disc%a'ge )

4c te -o,ycycline 50mg bd ca" = 50mg$ 100mg Ce0aclo' 3>5mg bd tab = 125mg$ 250mg Co ) amo,icla( 725mg bd ?o'atadine 1tab mane .C+ 2 tab tds /asal decongestant Steam in%alation ;it% ment%ol c'ystals Product of Faculty of Medicine, Colombo. 10*14 days

11

/f severe -o,ycycline 100mg bd .'ednisolone C%'onic $hange from previous antibiotic Co ) amo,icla( 725mg bd Ce0 'o,ime 250mg bd

4#52 4#52

6onsillitis
.enicillin V .%eno,ymet%yl "enicillin tab = 250mg C%ild 250mg tds 10 days 4d lt 500mg tds 10 days 4mo,ycillin 500mg tds 10 days &'yt%'omycin 500mg 71 10 days .C+ 2 tab tds .i'iton 1 tab nocte o' bd .'ednisolone Salt ;ate' to ;as% t%e mo t%

*asal congestion
4d lt -econ nasal d'o"s C%ild /asa(ion "aediat'ic nasal d'o"s -econ "aediat'ic nasal d'o"s C%'onic ' nny nose$ nasal congestion$ snee5ing Beclate a2 anase (23:#=) A 7 y 1 s"'ay eac% nost'il , bd

Product of Faculty of Medicine, Colombo.

12

7ower respiratory tract conditions

Pneumonia
4mo,icillin O' ci"'o0lo,acin .C+ .i'iton Vit C $BCo * >days * Le0e' o' Clo,acillin Salb tamol Co g% 4mo,icillin Salb tamol =0 alle'gy ) .i'iton 500mg tds 500mg bd 2tabs tds 4mg bd 1 tab tds 250mg 7% 4mg nocte 250mg tds 4mg nocte

6P8
-&C (1et'a5an) 100mg (2tab) tds #21days (7mg#<g body ;eig%t) .'ednisolone 10mg tds #2days .i'iton 1tab nocte Vit C $BCo 1 tab tds Co'eM Sy' "

7o lers syndrome
+ebenda5ole .i'iton Vit C $BCo 100mg (1tab)bd #3days 2mg (1#2 tab)bd 1 tab tds

Chronic primary persistence cough

Codeine sy' " 1 teas"oon tds 1et'a5an 2tab bd #2;ee<s .'ednisolone 5mg bd .ead* -e,amet%a5one 1tab tds#2days Codeine PPP 1 teas"oon tds

Catarrh
4stemi5ole (Stemi5) .i'iton .'ednisolone &"%ed'ine nasal d'o"s Salb tamol 10mg nocte 4mg nocte #1mont% 10mg mane #3 ;ee<s 2mg nocte Product of Faculty of Medicine, Colombo.

13

Asthma
Salb tamol F%eo"%ylline 4d lt C%ild -e'i"%yllin .C+ .'ednisolone .i'iton /n children ) Salb tamol 4mg tds 4days

125 mg tds 125 mg#2 tds &to0ylline8F%eo"%ylline tab=150mg$ 300mg 2tab SOS 1tab nocte 7days

2mg#5ml ( Asthalin ) 1 tab = 2mg$ 4mg 2mg#10ml (Ascoril) ?ess t%an 2 y * 100 mic.g#<g , tds 2)7y * 1 mg#tds 7 ) 12 y * 2 mg#tds .'ednisolone 4mitone <etoti0en 0 ma'ate Fab = 1 mg$ sy' " = 1 mg # 5 ml , 100 ml 4d lt C adolescents 1 mg bd A3y 1 mg bd =n0ants 8 "to 3 y 0.25 ml # <g bd 1omen taking Amitone should not breast feed =0 ) chronic -x of mild atopic asthma, prophylactic agent to be used in continuous basis. 0ot effective in acute incidences. Getasma <etoti0en 0 ma'ate Fab = 1 mg 4d lts = tab bd 7#12*3 y J tab bd =0* prophylaxis of bronchial asthma, allergic skin conditions & multi system allergy. /eb lisation ="'at'o"i m B'omide 0.5 ml Salb tamol 0.5 ml /#Saline 1 ml

0o' 10 ) 15 min

,tatus asthmaticus /eb lise ;it% Salb tamol 1mg 8 /o'mal saline 2ml SOS # %o 'ly 1yd'oco'tisone 100mg =V .'ednisolone 20mg stat .C+ 2 tab 4mo,icillin 250mg tds BCo 1 tab 70Q O2 9hee:ing Salb tamol Steam in%alation

4 mg tds (2 tabs)

Product of Faculty of Medicine, Colombo.

14

%astro Intestinal 6ract

Apthous ulcer
1. Sim"le mo t% ;as%es =0 ) to 'elie(e t%e "ain o0 t'a matic lce'ation * sodi m c%lo'ide mo t% ;as% * F%ymol glyce'in mo t% ;as% 2. 4ntise"tic mo t% ;as%es =0 ) =='y bacte'ial in0ection * C%lo'%e,idine gl conate mo t% ;as% , bd S # & ) m cosal i''itation (discontin e i0 des2 amation) Ra'n abo t 'e(e'sible b'o;n staining o0 t%e teet% ?ea(e an inte'(al o0 at least 30 min ;it% mo t% ;as% C toot% "aste. (may be incom"atible ;it% some ing'edients o0 toot% "aste) * Betadine mo t% ;as% , 71 -onEt contin e 0o' mo'e t%an 14 days$ bEcos signi0icant amo nt o0 = a'e abso'bed) * O'alon gel (c%lo'%e,idine gl conate) * BonIela o'al gel 3. Co'ticoste'oids =0 ) o'al lce'ation$ 'ec ''ent a"t%o s lce'$ e'osi(e lic%enoid lesions. * 1yd'oco'tisone lo5enges , 71 4llo;ed to dissol(e slo;ly in t%e mo t% in contact ;it% t%e lce' 4. ?ocal analgesics * St'e"sils "ain 'elie0 "l sL ) lo5enges * St'e"sils "ain 'elie0 "l s s"'ayL

6raumatic ulcers
O''e"aste single#bd#tds

"iliary colic
B sco"an ( 1yoscine B tylb'omide 10 mg tab ) 4d lt 20 mg 71 7 ) 12 y 10 mg tds .'o ) Bant%ine ( .'o"ant%eline B'omide 15 mg tab ) 0ot recommended in children Fds ! 15 mg$ 15 mg$ 30 mg ( ma,. 120 mg daily ) Colos"as ( +ebe(e'ine 1C? tab = 135 mg ) 1 tab tds "'e0e'ably 20 min be0o'e meal 0o anti2cholinergic ,+3 +et'ogyl ( +et'onida5ole 400 mg tablets$ s s" = 200mg#5ml ) 4d lt 400 mg tds C%ild >.5 mg # <g tds

%astritis
&so5 &some"'a5ole tab=20mg$ 40mg Once daily , 4*:#52 -om"e'idone 10mg tds 4l d'o, 2 tab tds ( 1 %o ' a0te' meal) 4ctal 4l mini m %yd'o,ide tab = 370 mg 2 tab ;it% little ;ate' , 71$ b#; meals C at bed time Famotidine 20 mg bd Product of Faculty of Medicine, Colombo. 15

Ome"'a5ole 20mg one be0o'e meal once daily * 3 ;ee<s .'ednisolone 5mg mane .'e(ent diete'y %abits$ smo<ing $ d' gs$ %ead 'aise in slee"ing 45 .C+ 2 tab tds 4l d'o, 2tab tds -e,amet%a5one 1 tab bd 4cinil sy' " 2 ts" tds Famotidine 20 mg tds Ome"'a5ole 1 ca"s le daily mane -igene tablet#gel ,afe for use during pregnancy 6a(iscon li2 id s s" = 200ml 4d lt 8 A12 y 10*20ml 7*12 y 5*10ml After meals & at bed time

;pper abdomen 5 billiary

B sco"an O' .'obant%ine Le0e' C%ild'en .'obant%ine 10 mg tds (1tab) 15mg tds (1tab) J tab tds

7oss o appetite
.e'itol$ 4"etamin*. 2*7 y >*14 y 4d lt .e'idectinP Vit C $BCo F%e'ag'an Caminetine mint Cysatone sy' " Cy"'o%e"tadine 1C? tab = 4mg$ sy' " = 2mg#5ml , 150ml 1ts" , tds # Jtab , tds 1*2ts" , tds # 1tab , tds > days 2ts" , 71 # 1tab , 71 4mg tds 1 tab tds 1 tab #day 1 tea s"oon tds 2 tea s"oon bd

Constipation
Fo maintain 'eg la'ity ?ilac sy' " (?act lose) 110 #= Sta'ting dose (ml # day) +aintenance dose (ml # day) 4d lt 30 15 ) 30 7 ) 14 y 15 10 ) 15 1)5y 10 5 ) 10 =n0ants 5 2.5 ) 5 C'ema00in li2 id , 1>0 ml Can be sed sa0ely in "'egnancy. Best ta<en at bed time (2 ts") C i0 needed again in t%e mo'ning. Fibogel o'ange =s"ag% la % s< %ig% 0ib'e d'in< 1 sac%et in 150ml o0 cold ;ate' 4d lts C A12 y 1 sac%et in mo'ning C e(ening Product of Faculty of Medicine, Colombo. 17

- lcola, 2 tab nocte Glean enema 120#= After administration keeping same posture"P5 pos# for 62* min until desire to urge is strong Cold ;ate' P bd ) a0te' nocte meal Senalcot 2*4 tab nocte Vit C $BCo 1 tab tds =n c%ild'en - lcola, sy' "$ s ""ocite'y$ tab Small c%ild'en 'e0e' 'emorrhoids .C+ 2 tabs tds .i'iton 1 tab nocte - lcola, 10 mg nocte Fybogel sac%et ;it% ;ate' o' /o'mocol 1*2 sac%et FeSO4 1 tab tds 2Q lignocaine gel 6ly(inol 1 bd

9orm treatment H1 yea' /ot needed (Ra'm t, gi(en only a0te' age o0 1 yea') 1*2 yea's .y'antel "amoate ( Combant'in) tab = 125 mg$ sy' " = 50 mg # ml 7#12 ) 2 y 1 tab # J ts" 2)@y 2 tab # 1 ts" single dose @ ) 13 y 3 tab # 1J ts" A2 yea's +ebenda5ole 100 mg bd 3 days Combine ;it% .i'iton 4mg bd =0 H 2y's .%ene'gan 1ts" bd !iarrhea ) blood and m c s$ 0o l smelling$ b l<y$ I st a0te' 0ood +et'onida5ole Flagyl 9"to 1 y 1)5y 5 ) 10 y A 10 y F 'amide "For amoebiasis '7 days# .C+ .'obant%ine Vit C $BCo tab = 200 mg$ s s" = 200 mg # 5 ml 125 mg 250 mg : 1 , 3 d$ t%en 12 1 500 mg ad lt dose ( 400 mg , tds ) 500 mg : %o 'ly 2 tabs tds 15 mg tds 1 tab tds Product of Faculty of Medicine, Colombo. 1>

FeSO4 !iarrhea 5 watery OLS ?amotil ( tab = 2.5 mg) /alidi,ic acid Ci"'o0lo,acin 4d lt C%ild .'obant%ine F 'a5olidone .%ene'gan .C+ Vit BCo /f very severe ?amotil O' =mo'i m (?o"e'amide)

1 tab

2 tab stat$ 1 tab tds 0o' 2 days 1 tab tds 500 mg 250 mg 15 mg tds 1 tab tds 10 mg tds 2tab tds 1 tab tds bd bd 3d

100 mg (2 tab) stat$ 1 tab sos 2 tab stat

!iarrhea 5 blood and mucus, scanty stools, ever, tenesmus, increased re<uency &'yt%'omycin 250 mg 7 %o 'ly o' Fet'acycline 15 mg 7 %o 'ly .'obant%ine 15 mg tds .C+ 2 tab tds .%ene'gan 10 mg tds Vit C $BCo 1 tab tds F 'a5olidone 1tab 7 %o 'ly Advice to take lot of fluids 45 Ci"'o0lo,acin 6yphoid ever Ci"'o0lo,acin !iarrhea 5 in children F 'a5olidone /alidi,ic acid .%ene'gan .C+ Vit C $BCo 500mg , bd , 14days 1#2tab tds J tab tds J tab tds acco'ding to ;t 1 tab tds 500 mg , bd , >days

/f severe, /o'mal saline$ /alidi,ic acid$ lime I ice$ amo,icillin$ F 'a5olidone I vomiting -om"e'idone Persisting vomiting .%ene'gan 10mg stat (it is t%e best d' g 0o' (omiting t%ose ;%o %a(e dia''%oea) F%en 10mg tds 10 mg =+ stat$ 1 tab#sy' " tds Product of Faculty of Medicine, Colombo. 1:

.C+ If H. pylori suspect 4mo,ycillin +et'onida5ole Ome"'a5ole * 1;ee< Abdominal pain B sco"an OL .C+ .i'iton -ia5e"am .'obant%ine C%ild'en$ B sco"an

2 tab tds 500mg tds 400mg tds 20mg bd

2 tab tds 2 tab tds 1 tab 15 mg tds S tab tds

Vomiting =drug induce> +etoclo"'amide 10mg tds =0 %isto'y o0 (e'tigo * Stemetil 5mg tds O' any anti%istamine Cinna'i5ine .%ene'gan 'istory o motion sic#ness .'omet%a5ine 25mg nocte -ay be0o'e Io 'ney and 1 % be0o'e i0 necessa'y -om"e'idone 30mg s ""osito'y .'omet%a5ine 25mg =+ +etoclo"'amide 10mg =+ Rit% additional dist'ess +otili m 1tab tds In pregnancy .%ene'gan =0 not settle 'e0e' .'e(ent * .%ene'gan +a,olon Abdominal colics B sco"an ( 1tab in c%ild'en) O' .'obant%ine Ca'minate mint .%ene'gan 10mg tds =+ *25mg 10mg =+ 2 tab tds 15mg tds ( 1% be0o'e meal) 1 tea s"oon tds 10mg bd

1ig% "'otein ene'gy need d 'ing 'eco(e'y 0'om illness#s 'ge'y TLeso 'ce %ig% "'otein "'e"a'ationU ;it% mil< Product of Faculty of Medicine, Colombo. 1@

Genito Urinary Tract

;reteric colic B sco"an Volta'en Volta'en s ""osito'y Le0e' ;6I /it'o0 'antoin tab = 50 mg$ 100 mg Acute uncomplicated infection 50 mg , 71 , > d ( ;it% 0ood ) ,evere chronic recurrent infection 100 mg , 71 , > d ( ;it% 0ood ) 0ot given %hen less than 3#12 Paed dose o(e' 3#12 3 mg#<g daily in 4 di(ided doses ,afer in pregnancy Bl ce0 Ce"odem Ce0"odo,ime "'o,etil tab = 100mg$ 200mg 200mg , bd , 2#52 Ce0 'o,ime a,etil 125mg*250mg , bd , 2#52 /o'bactin /o'0lo,acin tab = 100mg$ 200mg$ 400mg$ :00mg 4c te 9F= 400mg , bd , >*10 days Lec ''ent#c%'oni#'ela"sing 400mg , bd , 4#52 Ci0'an ci"'o0lo,acin tab = 250mg$ 500mg +ild 250mg , bd , > days Se(e'e 500mg , bd , 14 days Vit C 1 tab tds (0o' acidity) 25mg =+ >5mg =+ 50mg

/n children 5mg#<g "e' day in 3 di(ided doses o' nalidi,ic acid 1gPPPP 7 %o 'ly 0o' > days C%ild 50 mg#<g O' Co*t'imo,a5ole 2 tab bd C%ild ) 4mo,icillin sy' " 8-+oedema 1CF 25 mg mane can inc'ease " to 100 mg O' 4tenolol 1 tab mane

Product of Faculty of Medicine, Colombo.

20

Infectious diseases
Varicella 5 :oster / 'erpes 5 :oster 4cyclo(i' tab = 200 mg$ 400 mg$ s s" = 200 mg#5 ml$ 400 mg#5 ml 4d lt :00 mg 5times#day > days C%ild 20 mg#<g 71 5 days A7 y :00 mg 71 5 days 2)5y 400 mg 71 5 days H2y 200 mg 71 5 days Malaria C%lo'o2 ine 1 tab (150 mg) -ay 1 4 tab -ay 2 4 tab -ay 3 2 tab -ay 1 10 mg#<g -ay 2 10 mg#<g -ay 3 5 mg#<g 15 mg#day 0o' 14 days ( 1tab >.5 mg) C%ild'en 250 mic'og'am#<g "e' day 0o' 14 days

a0te' 0ood

=n c%ild'en

.'ima2 ine C%emo"'o"%yla,is

C%lo'o2 ine o(e' 12 yea's 300 mg 7 to 12 yea's 225 mg ;ee<ly dose 5mg#<g 1 to 5 yea's 150 mg sta't 1 ;ee<s "'io' 7 ;ee<s to 1 yea' >5 mg and contin e ;ee<ly in t%e a'ea nde' 7 ;ee<s 3>.5 mg t%en contin e 0o' 4 ;ee<s a0te' coming C%i< n g nya C%lo'o2 ine 250mg , daily

Product of Faculty of Medicine, Colombo.

21

Dermatology
%radual bleeching o hyperpigmented s#in &ldo"a2 e (%a(e s nbloc<) F%in a""lication to t%e a00ected a'ea , bd. -o not ' b in. &ldo2 in (no s n bloc<) 4""ly same as abo(e. =ntended to nig%t time se only. !ry s#in 4loe and (itamin & c'eam Cota'yl c'eam bd , a0te' bat% (t be 50g) (t be 50g)

S#in ? wound sepsis Clo,acillin ad lt 500 mg , 71 2)7y 250 mg , 71 H2y 125 mg , 71 Ci"'o0lo,acin mild 500mg , bd , > days Se(e'e >50mg , bd , 14 days 8c:ema S "'ico't c'eam ( Fl ocinolone acetonide ) , 15g 4ll ec5eema$ "so'iasis$ sebo''%oeic de'matitis S "'ico't*/ c'eam , 15g R%en abo(e conditions a'e com"licated by bacte'ial in0ection Possible thinnest application. Acute2tds. 5esolving2single application. Condis "o;de' ;as% 1!3000 t'y 0o' 2 days Candid )B* C'eam ?4 bd Betamet%asone ("otent to"ical ste'oid) c'eam a""ly 2)3 times#day a00ected a'ea$ ;it%#;it%o t occl sion Betno(ate c'eam 5 g$ 15 g * all ec5ema Betno(ate ) / c'eam 5 g$ 15 g * all ec5ema 8 2'y bacte'ial in0ection Betno(ate ) C c'eam 5 g$ 15 g * all ec5ema 8 2'y bacte'ial in0ection 8#* 0 ngal =0 in0ected &'yt%'omycin# Clo,acillin# Beclometasone c'eam =nitiate .'ednisolone co 'se Lesistant de'matoses Clobetamil (clobetasol "'o"ionate) Clobetamil*6 (clobetasol "'o"ionate8gentamycin) )o not continue more than 9 days. 4ungal in ection 4nti0 ngal C anti ) in0lammato'y "'o"e'ties Cloben c'eam 15 g ( clot'ima5ole C beclometasone di"'o"ionate ) Bene5ole c'eam (Beclomet%asone di"'o"ionate$ /eomycin s l"%ate$ +icon5ole nit'ate) Candidiasis$ de'mato"%ytes ('ing ;o'm) o0 t%e s<in$ nail$ %ai'$ "ity'asis Getocona5ole 200 mg mane 0o' 14 days Clot'ima5ole (Candid) 15 mg 20 days Vitamine 4 and Candid c'eam 0o' 7#52 (%ash the area %ell & dry thoroughly) Candid*B c'eam ?4 0o' 0 ngal C ec5emato s 0eat 'es Product of Faculty of Medicine, Colombo. 22

Fo' nail S;eat 'as%

Canda5ole 1Q bd 0o' 2 ;ee<s Calamine lotion .'ic<ly %eat "o;de' 4nti*%istamine ) .i'iton .'ednisolone tab=125mg$ 500mg 250mg , bd 10mg#<g , daily

Systemic anti0 ngal 6'iseo0 l(in 4d lt C%ild Acne

& dyna c'eam &'yde'm C*mycin gel no'mal s<in C*mycin lotion oily s<in 5Q ben5oyl "e'o,ide sol tion bd (Beno,yl 5) Letin 4 c'eam 0.5Q 30g nocte F'etin m c'eam 0.025Q S ointment (s8 salicylic acid ) -o,icycillin 1tab nocte # 7*: ;ee< .eno,al c'eam bd Acne vulgaris 4lbiotin Clindamycin "%os"%ate sol tion 10mg#ml , 30ml F%in 0ilm to t%e a00ected a'ea , bd. S%a<e ;ell be0o'e se. Scabies Scaboma ( lotion C c'eam ) Single a""lication o0 bot% lotion C c'eam a0te' bat%$ 0'om nec< do;n;a'ds and le0t it 0o' 24 %o 's Scabion c'eam # lotion ( C'otamiton # S l"% ' ) !ore than * years 25Q BB c'eam ) a(oid %ead *24% t'eat t%e ;%ole %o se /f infected &'yt%'omycin o' Clo,acillin :ess than *years S ointment* 3Q s l"% ' "acterial s#in in ections &'it%'omycin S "i'ocin c'eam !andru /Seborrhoeic dermatitis Geto "l s s%am"oo (<etocona5ole$ 3inc "y'it%ione) F;ice a ;ee< 0o' 4 ;ee<s. F%en once ;ee<ly. F'iben*4- s%am"oo (<etocona5ole$ 3inc "y'it%ione) 3ino'al s%am"oo (<etocona5ole 2Q ;#() Sels n s%am"oo (seleni m s l"%ide 2.5Q) F;ice a ;ee< 0o' 2 ;ee<s. F%en ;ee<ly. -ansel lotion , 70ml Product of Faculty of Medicine, Colombo. 23

Anti lice 6@ / <en5 "e'met%'in 0.25Q 8mla ?ocal anaest%etic c'eam. 4""lied nde' occl si(e d'essing. .ea< anaest%etic e00ect a0te' minim m o0 70 min.

Product of Faculty of Medicine, Colombo.

24

Ear Nose T!roat

8pista@is Sitting " Contin o s "'ess 'e by t% mb 0o' 5 min +eas 'e B. 4oreign body in throat Fong e de"'esso' . t 0o'ce"s a0te' " tting in to %ot ;ate' 6onsillitis AcuteAtitis Media 45it%'omycin Atitis e@terna C%lo'am"%enicol$ 6enta$ Ci"'o0lo,acin o' Ce"%ale,in ea' d'o"s 2*3 d'o"s , tds .C+ 2tab , tds 4mo,icillin 250mg , tds -e,amet%a5one 8 /eomycin (-e, na) 2*3 d'o"s tds .%ene'gan 10 mg nocte (=0 (omiting o' slee"less) Bo'ic # S"i'it ea' d'o"s to 2'y ea' BCo )(it C 1tab tds Bo'ic "o;de' 8ar wa@ 2Q /a1CO3 ea' d'o"s tds #3days Lemo(e o' ;a,sol 0o' 2 days 1axsol ) 0ill t%e ea' ;it% ;a,sol ;it% d'o""e' "'o(ided on t%e ne,t nig%t a""ly ;a,sol as be0o'e Lemo(e .C+ 2tab tds -ia5e"am 5mg nocte .i'iton 1 tab nocte Vit C $BCo 1 tab tds 4mo,ycillin 250 mg tds 8c:ema o pinna Betamet%asone c'eam # ointment tds (Betno(ate) .i'iton 4mg (1tab) nocte 0o' 7 days .C+ 2tab tds Vit C $BCo 1 tab tds Clo,acillin 250 mg #7%o 'ly be0o'e meal 6emson Violet 1Q lotion 500mg#day , 3days

Product of Faculty of Medicine, Colombo.

25

"#!t!almology
04 ,-354/), C%lo'am"%enicol eye d'o"s 2 d'o"s # 4%o 'ly (/ot in alle'gic conI ncti(itis) OL 6entamicin eye d'o"s 2 d'o"s # 2% O" C%lo'am"%enicol ointment be0o'e slee" .C+ 2tab tds Vit C $BCo 1 tab tds FeSO4 1 tab B' 0en 200 mg tds Se"a'ate to;el$ ;a'm ;ate'$ 'est. Allergic con&unctivitis .atanol 1 d'o" bd /a c%'omoglycate eye d'o"s Ods O' Betamet%asone eye d'o"s .i'iton .'ednisolone 6entamicin :1 a"a't

%laucoma .iloca'"ine eye d'o"s tds Fimolol eye d'o"s bd (cont'aindicated in ast%ma$ CO.-$ 1F$ b'adica'dia) 4ceta5olamide 250mg bd (side e00ect* Ca'diac a''%yt%mias) "lepharitis /i5o'al s%am"oo /eomycin 8 1yd'oco'tisone d'o"s# ointment Allergic con&unctivitis C'omal (c'omaline sodi m) 1 d'o" 7 %o 'ly 0o' 2 mont%s S"e'salle'g 1 d'o" tds ?o'idil J nocte Fea's nat 'ale (a'ti0icial tea's) !ry eyes +oisol eye d'o"s

Product of Faculty of Medicine, Colombo.

27

Gynaecology
Impotense C "id (Sildena0il cit'ate) 50 mg 1 %' be0o'e se, al act. +a,. dose 100 mg 500 mg , tds

Menorrhegia +e0enamic acid (.onstan)

6o ensure menstruation /o'et%iste'one 10mg tds #2days ("'imolat )/ ) 5 mg tds #2days 5 mg tds #2days Postponement o menstruation /o'et%iste'one 5mg tds Sta't 3 days be0o'e t%e e,"ected date o0 menst' ationK bleeding occ 's 2*3 days a0te' sto""ing o0 d' g. !ysmenorrhea +e0enamic acid (.onston) 250*500 mg tds .C+ 2tab 7% O' -iclo0enac /a 50mg tds "leeding per vaginum +e0enamic acid 500 mg tds 0o' 5 ) > days at t%e beginning o0 t%e menses and contin e 7 cycles /o'et%iste'one 1 tab tds 0o' 10 days Vaginal candidiasis Candid V (aginal c'eam 0o' 2#52 (Clot'ima5ole) Candid V3 200mg (aginal tablets$ daily , 3 days /ystatin 500$000 nits 7 %o 'ly$ contin e 2 days a0te' lesions dissol(e. /ystatin 100$000 =9#ml s s"ension Candistatin 100$0009 (aginal tablet 7eucorrhea +et'onida5ole 200 mg tds 0o' > days 4mo,icillin 250 mg tds 0o' 5 days .i'iton o' -e,amet%a5one Pelvic in llamatory disease 4mo,ycillin 500 mg +et'onida5ole 400 mg !uring pregnancy nutritional supplement .'eglac mil< 8pisiotomy cut bleeding Clo,acillin tds tds

21 days

Product of Faculty of Medicine, Colombo.

2>

Ather $edical Certificate

F%is is to ce'ti0y t%at +' # +'s VVV.. %as been t'eated 0o' VVV.. and 'ecommended lea(e o0 VV days 0'om VV. to VVV

$edical Claim
F%is is to ce'ti0y t%at +' # +'s VVV %as been t'eated 0o' VVV.. and c%a'ged Ls VVV 0o' %is t'eatments.

Product of Faculty of Medicine, Colombo.

2: