Professional Documents
Culture Documents
1. Antimicrobial Drugs
a. Antibiotics
Drug Indications Forms Usual dose Trade &price Comments
-Augmentin
-Infections caused by beta- Tab. 375-625 mg Adult: Children 40kg
375 mg = 48 SR
lactamase producing 1g 375-625 mg 625 mg = 81 SR 20-40 mg/kg/day
156 mg = 22 SR amoxicillin with 5-10mg
strains. Sus. 156 mg/5ml q8h
-Amoclan
228 mg/5ml OR calvulanic acid in three
Co-Amoxiclav. -Sever dental infections 375 mg =34 SR
divided doses.
amoxicillin with spreading cellulites. 457 mg/5ml 1 g q12h -Amoclan forte
625mg = 44 SR
with -Megamox
clavulanic 375mg =36 SR
625mg =43 SR
acid 1g =75 SR
-Klavox
375mg = 44 SR
625 mg =76 SR
-Julmentin
375 mg = 40 SR
-Julmentin Forte
625 mg = 68 SR
1. The Antibiotics may decrease the activity of oral contraceptive. So the pt. should be instructed
to use additional method of contraception during the antibiotic course.
2. If the infection not improved within 3days, change the drug and do sensitivity test.
3. Recommended antibiotics during pregnancy : Penicillin & Cephalosporine.
4. Recommended antibiotics for lactating mother : Cephalosporine & Erythromycin.
Drug Indications Forms Usual dose Trade &price Comment
Herpes zoter: -It is contraindicated in
-Viral infections of: Tab. 400- 800 mg 800 mg q4h for -Zovirax patients with known
7-10 200 mg=149SR hypersensitivity to the
-Herpes zoster. Cap. 200 mg days
-Herpes simplex. Cream 2g 400 mg=697SR drug.
Chickenpox: Cream =23 SR -It should be used with
Acyclovir -Chickenpox. 20 mg/kg qid -Clovir caution in-patient with
-Prevention of for 5 days renal impairment.
recurrence of the viral
infections. -It used in the tengling
stage in the management
of HSV before
development of the lesion
vesicles
-It could cause glossitis.
-Postpone dental treatment
when oral herpetic lesions
are present.
b. Antifungal
-Oral and perioral Orabase: contains 2-4 times daily Kenalog in -Use is limited for 5 days
Triamcinolone lesions triacilmone 0.1% Orabase for children ,and short term
-Aphthous ulcers. in adhesive basis =7 SR for elderly.
orabase
-Contraindicated in the
presence of fungal, viral or
bacterial infections.
-Treatment of oral 10 ml with brush 3-4 times daily Norgine Not recommended for
Pyralvex ulcers. children under 12 years.
Lignocaine -Pain due to ulcers Jelly 2% When needed Xylocaine 5%
Hydrochloride Ointment 5% 35 g=11 SR _____________
Spray 80g =29 SR
lidocaine Spray 80 g
-Adults should be
Tab. 1 mg -Zymafluor expectorate after use &
Prevention of dental 1mg = 18 SR
not to eat, drink or rinse
caries & decrease teeth for 30 minutes.
Sodium fluoride hypersensitivity -Child ages 6-16y should be
expectorate after use, rinse
mouth thoroughly to avoid
swallowing fluoride.
-Must ascertain fluoride conc.
In-patients drinking water
before prescribing.
-Relief of muscle Tab. 10-25 mg 5 mg tid3 days Lioresal -Some pt. has
spasm. then, 10 mg tid 25 mg =121 SR hypersensitivity to the
3days then, medicament.
15 mg tid3 days -It may cause dry mouth
Baclofen then 20 mg tid
-The medicament has a
3days then
triturated to
sedative effect.
response, not to
exceed 80 mg/day
-Relief of muscle Tab. 250-500 mg Adult Parafon -Combination of the drug
spasm. (DSC) 250-750 mg 500 mg=19 SR with aspirin or NSAIDs
tid-qid will improve the
Chlorzoxazone
Child response.
20 mg/kg/day in
3-4 divided doses.
4. Mouthwashes
Mouthwash Indications Forms Usual dose Trade &price Comment
-Antibacterial mouth -Oral rinse 0.2% Swish 15ml Corsodyl - Contraindicated if pt. has
rinse undiluted oral =12 SR hypersensitivity
rinse around -Pt. instructed not to eat,
-Denture stomatitis drink or rinse mouth with
Chlorhexidine -Oral hygiene and in mouth for water after use for several
plaque inhibition. one minute, hours.
Mouth wash then expectorate -It my cause taste changes.
2 times daily -Do not swallow the
medication.
-Perform scaling before starting
rinse.
-It causes staining of teeth &
esthetic restorations.
5. The Antibiotics may decrease the activity of oral contraceptive pills, so the pt. should be instructed
to use additional method of contraception during the antibiotic course.
6. If the infection not improved within 3days, change the drug and do sensitivity test.
7. Recommended antibiotics during pregnancy: Penicillin & Cephalosporine.
8. Recommended antibiotics for lactating mother : Cephalosporine & Erythromycin.
Cardiovascular System
Cardiovascular System
Drug Trade Names Indications Considerations
Antiarrhythmics
-Cordarone -Arrhythmia. - It may cause dry mouth.
Amiodarone
Glyceryl Trinitrate -It could cause dry mouth & burning
NitrodermTTS10 -Treatment and prophylaxis sensation.
Nitroglycerin -Angised of angina pectoris. -Ensure that patients drug is easily
-Glyceryl
-CHF associated with acute available if angina occurs.
-Trinitrate
MI.
-Nitroderm
-Tridil
Respiratory System
Drug Trade Names Indications Considerations
Cough prep.
-Temporary relife of nasal - It cause dry mouth & lichenoid reaction
Triprolidine & congestion.
Pseudoephedrine - Actified -Decongest sinus opening.
-Running nose, sneezing.
-Itching of nose or throat.
-Hay fever or other upper
respiratory allergies.
-Watery eyes due to
common cold.
-Kafosed. - Dry or painful cough.
-Tusilar. -Non-productive cough.
Dextromethorphan -Contrasal.
-Romilar.
-Simatus.
-Nasal congestion due to
Topical Nasal seasonal allergic rhinitis.
-Otrivine
Decongestants -Chronic rhinitis and
-Nasivin
Xylometazoline rhinitis occurring with the
-Xylometazoline
Hydrochloride common cold & respiratory
tract infection.
Pseudoephedrine -Nasal congestion.
-Otrinol
Hydrochloride
Anti T.B. -Myambutol -Treatment of T.B. in the -Look for oral signs of T.B.
Ethambutol -Ethanbutol first 2 months -Avoid elective dental procedures in active
infections.
-Rimactan -T.B intial treatment. -Look for oral signs of T.B.
-Rifadin -Eradicate nasal colonis- -Avoid elective dental procedures in active
Rifampicin infections.
-Rimactazid ation in meningococcal
infections
-INH - Treatment and prevention -Look for oral signs of T.B.
-Rimifon of T.B -Avoid elective dental procedures in active
infections.
Isoniazid INH -Rimactazid INH+
Rifampicin
Respiratory System
Drug Trade Names Indications Considerations
-Euphylline -Reversible airway
Anti asthmatics
-Aminomal obstructions. -It increases the action of erythromycin.
Aminophylline
-Phyllocontin -Status asthmaticus & left - Ensure that patients drug is easily available
ventricular failure. if attach occurs.
-It causes adrenal suppression &
Beclomethasone -Bectoide Chronic airway obstructions candidal infection .
-Viorex -It could cause dry mouth & hoarseness.
-Pt. Instructed to gargle and rinse with water
after each dose to help in preventing
candidiasis.
- Ensure that patients drug is easily available
if attach occurs.
-Prophylaxis of asthma & -Frequently it cause mouth dryness &
Cromolyn Sodium -Intal allergic conditions. burning mouth senseation .
-Opticrom -Chronic bronchitis. - Ensure that patients drug is easily available
-Emphysema. if attach occurs.
-Asthmatic patients.
-Prophylaxis of asthma. - Ensure that patients drug is easily available
Ketotifen Fumarate -Zaditen if attach occurs.
-Bronchodilator for. -It may cause mouth & throat irritation.
-Ventolin treatment of asthma. - Ensure that patients drug is easily available
Salbutamol
-Butalin -Reversible airway if attach occurs.
obstruction.
-Bronchial asthma. - It could cause dry mouth.
Theophylline -Quibron-T/SR -Chronic obstructive - Ensure that patients drug is easily available
-Bronquim pulmonary disease. if attach occurs.
Central Nervous System
Antidepresents
Amitriptyline -Tryptizol -Depression.
- It cause dry mouth, stomatitis & salivary
-Saroten -Analgesic for certain chronic
gland pain.
-Elavil & neuropathic pain.
-Migraine prophylaxis.
-Depressive illness - It cause dry mouth & bleeding.
Clomipramine -Anafranil -Phobic & obsessional states
-Treatment of vascular
Antimigraine -Migril
headache migraine,
Ergotamine -Cafergot
-Cluster headache.
H2 receptor
antagonists
-Zantac -Reduction of gastric aciditiy -Long term therapy lead to vit. B12
-Tanidina -Benign gastric &duodenal deficiency.
Ranitidine -Antagonin ulcers . -Decrease absorption of diazepam &
-Reflux oesophagitis ketoconazole.
Endocrine System
Drug Trade Names Indications Considerations
Antidiabetes
-Diabetic pt. may be more susceptible to
Insulin Human Reg. -Humalin-R -Diabetes mellitus
infection & have delay wound healing.
Endocrine System
Drug Trade Names Indications Considerations
-In general, it is indicated in
Corticosteroids
autoimmune diseases. -Contraindicate in viral infections.
-Multiple sclerosis. It delays wound healing.
-Adrenocortical -It causes candidal infection & dry mouth.
-Prednisolone insufficiency -Symptoms of oral infection may be masked.
Prednisolone
-Deltacortef -Adreno-genital syndrom . -Assess need for supplemental doses for the
-Gupisone -Arthritis. dental treatment.
-Precortisly -Collagen diseases. -Prophylactic antibiotic may be indicated to
-Rheumatic carditis. prevent infection in surgery or deep
-Nephrotic syndrom scaling
-Skin disease.
eg.pemphigus
Forms:
-Ulcerative coltitis.
-Tablet:1 mg , 5 mg
-Throbocytopenia.
20 mg , 25 mg
-Organ transplantation
-Enema 20 mg/100 ml
-Acute asthma.
-Group of oral lesions eg.
L.P, pemphigus vulgaris,
EM &cicatrical pemphigoid
-Behcets disease.
-Prevention of post
herpetic neuralgia.
-Acute exacerbation of
-Decadron chronic allergic disorder As prednisolone
Dexamethasone -Oradexo -Cerebral edema.
-Multiple sclerosis
-Antiemetic with cancer
therapy.
-Replacement therapy in
-Cortef adrenal cortical
Hydrocorisone -Solu-cortef insufficiency salt-losing As prednisolone
-Cortiderm forms of congenital adrenal
-Hydrocortone hyperplasia syndromes.
-Addisons disease
1. Total dose of the children must not exceed the adult dose.
2. Do not prescribe cephalosporins if the pt. has immediate-type hypersensitivity
to penicillins due to the cross reaction between the tow drugs.