Common Cold (Rhinitis) Common Cold is a self Limiting condition, the aim is symptomatic relief. Steam inhalations. Vicks Inhaler, Vicks or halls lozenges. Tab. Disprin 1 tds (Aspirin ) OR Tab Crocin 1tds (Paracetamol for relief from bodyache, feverishness). Tab. Foristal 1 tds (Anti histaminics ). OR Combination drugs eg. -Tab. Rinostat 1/2-1 tds. or -Tab. Wikoryl 1 tds. Otrivin nasal drops if blocking of nostrils (Xylometazolin ). Tab. Celin 500 mg OD * 6-10 days (Vit-C). If it progresses to Pharyngitis or Bronchitis, then add antibiotics. Tab L-cin 500 mg od * 5 days or Ampicillin/Amoxycillin/Erythromycin/Ciprofloxaxin etc. IF Attacks are frequent, (Allergic Rhinitis). Tab CZ3 1 od * 30 days (Cetirizine). Tab Telekast 10/ Telekast-L1 od * 30 days (Monteleukast + Levocetrizine). High Protein diet and Regular exercises. Inj. Neurobion 2 cc IM daily * 5 Cap. Becadex bd * 30 days (Multivitamin). Tab. Ativan 1mg bd if anxiety / tension (Lorazepam) If sneezing and watery discharge, in
Typhoid Fever treatment Suspect when fever is high , continuous , lasting for over a week. Patient looks ill, with mild splenomegaly , relative bradycardia (no tachycardia), Leukopenia, and Wild test is positive. Treatment Bed rest. Small frequent feeds. Soft diet - Avoid chillies , spicy and oily foods. Maintain oral hygiene. IV. Ciplox 200 mg bd * 2-4 days, Then Tab. Ciplox 500 mg bd for 10-15 days (Ciprofloxacin) OR IV. Oflox 200 mg 12hrly * 2-4 days, then Tab. Oflox 500 mg bd for 10-15 days (Ofloxacin) OR IV. Chloromycetin 1 mg 6 hrly * 2-4 days, then cap. Chloromycetin 500 mg 6 hrly for 2 wks. (Chlor-amphenicol). Tab. Ultragin 6 hrly or S.O.S. when there is fever. (Paracetamol). Tab. Rantac 150 mg bd (Acid inhibitors). Tab. Wysolone 10 mg tds * 5 days, if the patient is toxic (Steroid ). Tab. Perinorm 1 tds - if there is vomiting (antiemetic) IV. Fluids - during acute phase, as and when necessary. If there is no response after 4-5 days Probably there is resistance to quinolones