Also known as GP note, "Pol" note, PP note
Medical students/ pre-interns/ Family physicians use various notes to guide their general practice at the begining, specially drug doses, common treatments for common diseases etc. These "guides" have been used by many seniors but need to be careful revision before prescribing. Hope to update once I go through them completely.
3. Dysmenorrhoea…………………….40
Post ponement……………………...41
Contraception………………………42
Vaginal candidiasis………………...43
Trichomonasasis …………………..44
Dermat……………………………..45
Itching …………………………….45
Eczema……………………………..46
For an uncertain lesion……………..47
Aluham……………………………..48
Dandruff……………………………49
Hair loss…………………………….50
Allergy……………………………...51
Acne………………………………...52
Chicken pox………………………...53
Burns………………………………..54
ENT…………………………………55
Ot externa…………………………...55
Ot media ……………………………56
Oral candidiasis……………………..57
Earache……………………………...58
Eye…………………………………..59
Injections…………………………….60
4. Suppositories………………………...61
Pyrexiaback
Respiratory
Asthma back
Inhalers back
LRTI back
PCM Tab strength;500mg tab
ADULT 2 tab qds ( 1g )
12-6 1 tab qds
<6…>15Kg ½ tab qds 2 tea spoon
<6…>15Kg ¼ tab qds 1 tea spoon
Remarks Syrup; 120 mg in 5 ml
Max dose; 60 mg/kg/D
Mefenamic acid Tab strength;500mg tab
ADULT 2 tab qds
12-6 1 tab qds
<6…>15Kg ½ tab qds 1 tea spoon
<6…>15Kg ¼ tab qds ½ tea spoon
Remarks Syrup; 125mg in 5 ml
Max dose;
Cough back
Solvin- (Bromhexine hydrochloride 8 mg/tab. 2 mg/ml )
Cosome- Cough suppressant with additional nasal decongestant and antihistaminic
properties. Usual adult dose is 1 to 2 ts tds
Ascoril- Albuterol Sulfate 2 mg; Bromhexine Hydrochloride 4 mg; Guaifenesin 100
mg; Menthol 1 mg / 10 ml
5. URTI back
Tonsillitis
Erythromycine Tab strength;
ADULT 500mg tds
12-6 250mg tds
<6…>15Kg 1 tea spoon bd
<6…>15Kg ½ tea spoon bd
Remarks Syrup; 125mg in 1 tea spoon
Max dose;
Roxythromycine Tab strength;
ADULT 150 mg bd
12-6 75 mg bd
<6…>15Kg
<6…>15Kg
Remarks Syrup;
Max dose;
Cold back
Antihistamine + Dexa
Piriton Tab strength; 4mg
ADULT 1 tab bd
12-6 ½ tab bd
<6…>15Kg 1 tea spoon
<6…>15Kg ½ tea spoon
Remarks Syrup;
Max dose;
Cetricine Tab strength; 10mg
ADULT 10mg mane
12-6 5 mg mane
<6…>15Kg 1 tea spoon
<6…>15Kg ½ tea spoon
6. Remarks; combine-
prit,noct+cetri,mane
Syrup;
Max dose;
Loratidine Tab strength; 10mg
ADULT 10mg mane
12-6 5 mg mane
<6…>15Kg
<6…>15Kg
Remarks Syrup;
Max dose;
Sinusitis back
Co-amoxyclov + steam inhal+ decongetions+ Mefen
Co-amoxyclov Tab strength; 625mg,375mg
ADULT 625mg tds
12-6 375mg tds
<6…>15Kg 1 tea spoon
<6…>15Kg ½ tea spoon
Remarks;nova-
cla375+amox 250 ok
Syrup;
Max dose;
Solvin Tab strength;8 mg
ADULT 1 tea spoon, 8mg tds
12-6 ½ tea spoon, 4 mg tds
<6…>15Kg ¼ tea spoon, 2mg tds
<6…>15Kg ¼ tea spoon
Remarks Syrup;
Max dose;
Mefenamic acid Tab strength;500mg tab
ADULT 2 tab qds
12-6 1 tab qds
<6…>15Kg ½ tab qds 1 tea spoon
<6…>15Kg ¼ tab qds ½ tea spoon
Remarks Syrup; 125mg in 5 ml
7. Max dose;
Catarrhal back
Decongestions + piriton
Decon Adult,Pead
ADULT 2 drops sos
12-6 1 drop sos
<6…>15Kg 2 drops sos pead
<6…>15Kg 1 drop sos pead
Remarks Syrup;
Max dose;
Cetricine Tab strength; 10mg
ADULT 10mg mane
12-6 5 mg mane
<6…>15Kg 1 tea spoon
<6…>15Kg ½ tea spoon
Remarks; combine-
prit,noct+cetri,mane
Syrup;
Max dose;
Nasivion Adult,Pead
ADULT 2 drops sos
12-6 1 drop sos
<6…>15Kg 2 drops sos pead
<6…>15Kg 1 drop sos pead
Remarks Syrup;
Max dose;
Beta -sol Tab strength;
ADULT 2 drops sos
12-6 1 drop sos
<6…>15Kg
<6…>15Kg
8. Remarks Syrup;
Max dose;
Piriton Tab strength; 4mg
ADULT 1 tab bd
12-6 ½ tab bd
<6…>15Kg 1 tea spoon
<6…>15Kg ½ tea spoon
Remarks Syrup;
Max dose;
Nasal sprays
Cycotide Tab strength;
ADULT 2 puffs sos
12-6 1 puff sos
<6…>15Kg
<6…>15Kg
Remarks Syrup;
Max dose;
Afrine Tab strength;
ADULT 2 puffs sos
12-6 1 puff sos
<6…>15Kg
<6…>15Kg
Remarks Syrup;
Max dose;
Fexopenadine Tab strength; 60mg,120,180
ADULT 120mg daily
12-6 60mg daily
<6…>15Kg
<6…>15Kg
Remarks Syrup;
9. Max dose;
GIT
Toothache back
Lignocaine cottn swab
Diclofenac/ Brufen/ Mef + pcm+metronidazole
Diclofenac Tab strength;
ADULT 50mg tds
12-6 25mg tds
<6…>15Kg 12.5mg tds
<6…>15Kg 6.25mg tds
Remarks Syrup;
Max dose;
Brufen Tab strength;400mg 200mg
ADULT 400mg tds
12-6 200mg tds
<6…>15Kg 100mg tds 1 tea spoon
<6…>15Kg 50mg tds ½ tea spoon
Remarks Syrup;
Max dose;
Mefenamic acid Tab strength;500mg tab
ADULT 2 tab qds
12-6 1 tab qds
<6…>15Kg ½ tab qds 1 tea spoon
<6…>15Kg ¼ tab qds ½ tea spoon
Remarks Syrup; 125mg in 5 ml
Max dose;
10. Metronidazole Tab strength; 400mg
ADULT 400mg tds
12-6 200 mg tds
<6…>15Kg
<6…>15Kg
Remarks; S/E Syrup;
Max dose;
Halitosis back
Chlorhexidine mouth wash sos
Metronidazole mouth wash sos
Aphthous ulcers back
Dentogel tds before and after meals
Kelalog
Orrepaste LA (anti-inflammatory, anti-pruritic & anti-allergic action)
Mucopain LA- (analgesic effect)
Ulcer heal
LOA back
Neutroplex Tab strength;
ADULT
12-6
<6…>15Kg 1 tea spoon bd
<6…>15Kg ½ spoon bd
Remarks Syrup;
Max dose;
Peritol Tab strength;
ADULT
12-6
<6…>15Kg 1 tea spoon bd
<6…>15Kg ½ spoon bd
15. Omeprazole 20 bd + ………….4 week
amoxy 1g bd + metro 400 tds……….. 1 weak
Europyl kit
GORD back
Gastritis + vomiting
Domperidone Tab strength; 10mg
ADULT 10mg tds ½ before meals
12-6 5mg
<6…>15Kg 1 tea spoon
<6…>15Kg ½ tea spoon
Remarks;
Galactorrhoea
Syrup;
Max dose;
Abdo fullness back
Anti flatulents;
Belcid antifltulent 1 tea spoon tds
Mucaine 1 tea spoon tds
Diarrhea back
Jeevani
Watery;…. Furosolidine
Mucoid;…….furo/ metro
Bld/muc;……both
Furazolidine Tab strength; 100mg
ADULT 100mg
12-6 50mg
<6…>15Kg 25mg 1tea spoon
<6…>15Kg ½ tea spoon
Remarks Syrup;
Max dose;
Metronidazole Tab strength; 400mg
16. ADULT 400mg tds
12-6 200 mg tds
<6…>15Kg
<6…>15Kg
Remarks; S/E Syrup;
Max dose;
Ciprofloxacine Tab strength;
ADULT 500mg tds
12-6
<6…>15Kg
<6…>15Kg
Remarks; over
18 years only
Syrup;
Max dose;
Anti diarrohials
Buscopan Tab strength; 10mg
ADULT Stat 4 tabs, 10mg tds
12-6 5 mg tds
<6…>15Kg No
<6…>15Kg N0
Remarks Syrup;
Max dose;
Propanthaline Tab strength; 15mg
ADULT 15mg tds
12-6
<6…>15Kg
<6…>15Kg
Remarks Syrup;
Max dose;
Lomotil 1 tab tds
Constipation back
17. Dulcolux 5mg nocte
Dulcolax Tab strength; 5 mg
ADULT 5 mg nocte
12-6
<6…>15Kg
<6…>15Kg
Remarks Syrup;
Max dose;
Lactulose Tab strength;
ADULT 2 tea spoon
12-6 1 tea spoon
<6…>15Kg ½ tea spoon
<6…>15Kg ¼ tea spoon
Remarks Syrup;
Max dose;
PR bleeding back
Metro
Anal fissures back
Lignocaine gel LA ¼ hour prior defecation
Lactulose syrup 10 ml tds/ liquid paraffin – stool softners
Hemorrhoids back
Pilocaine gel sos
Xyprost same
Lignocaine gel
metro
lactulose
Lactulose Tab strength;
18. ADULT 2 tea spoon
12-6 1 tea spoon
<6…>15Kg ½ tea spoon
<6…>15Kg ¼ tea spoon
Remarks Syrup;
Max dose;
Anti worm back
after 1 y
1-3 y………. Pyrantel 125mg/ ½ tea spoon repeat after 1 week
3-7y ………. Pyrantel 250mg stat. repeat after 1 week
>7y …………mebendazole 100mg bd bd
500mg stat
albendazole 400mg stat
Anti emetics back Beware of neurological S/E s.
Domperidone Tab strength; 10mg
ADULT 10mg tds ½ before meals
12-6 5mg
<6…>15Kg 1 tea spoon
<6…>15Kg ½ tea spoon
Remarks;
Galactorrhoea
Syrup;
Max dose;
Metoclopramide Tab strength; 10mg
ADULT 10mg tds
12-6 5mg tds
<6…>15Kg 2.5 mg tds
<6…>15Kg [0.25mg/kg/day]
Remarks Syrup;
Max dose; 500mg/kg/day
19. Cinnarazine Tab strength; 25mg tds
ADULT 25 mg tds
12-6 12.5 mg tds
<6…>15Kg
<6…>15Kg
Remarks Syrup;
Max dose;
Phenergan [promethazine] Tab strength; 25mg,10mg
ADULT 10-25mg daily
12-6 12.5mg daily
<6…>15Kg 1 tea spoon daily
<6…>15Kg ½ tea spoon daily
Remarks; <2y not
recommended
For mortion sickness
Syrup;
Max dose;
GUT
UTI back
Dysuria;
Cipro+ lasix 40 mg 1 tab stat mane
Pead
Nalidixic acid after 3 months 30mg/kg syrup; 300mg/5ml
Trimethoprim ; 1½ months-5months…….25mg bd syrup; 50mg/5ml
6 months to 5 years …….50mg bd
Calculi back
diclofenac + diazepam
buscopan t tab tds
20. CNS
Fits back
If settled……….rectal diazepam 5 mg
Diclofenc sup 12.5mg sup
Numbness back
B 12 10ml IM
2 ml EOD
Vertigo back
BP must
stematile proclopramide…. 1 tab tds
cinnarazine 25mg tds
Migraine back
pcm
mefenamic for 3 days
propranalol 40mg bd 3/12
Mefenamic acid Tab strength;500mg tab
ADULT 2 tab qds
12-6 1 tab qds
<6…>15Kg ½ tab qds 1 tea spoon
<6…>15Kg ¼ tab qds ½ tea spoon
Remarks Syrup; 125mg in 5 ml
Max dose;
CVS
Hypertension back
If high nifedipine soft gel capsule
Atenalol 50 mg bd daily 3 days
Maintain 25mg bd mane
Add HCT 12.5 mg mane
Nifedipine (20 mg tab) give 10mg mane
Lorsatan 25mg tabs
21. Valsartan 25mg tabs
Mus skel
Joint pain back
Diclof + dexa+ famtodine………..1 week
Diclofenac sr 100mg nocte
Diclo gel fastum gem
Diclofenac Tab strength;
ADULT 50mg tds
12-6 25mg tds
<6…>15Kg 12.5mg tds
<6…>15Kg 6.25mg tds
Remarks Syrup;
Max dose;
OA back
Pcm + NSAIDs [ibuprofen] + steroids+ gel
Brufen Tab strength;400mg 200mg
ADULT 400mg tds
12-6 200mg tds
<6…>15Kg 100mg tds 1 tea spoon
<6…>15Kg 50mg tds ½ tea spoon
Remarks
castritis
Syrup;
Max dose;
Indomethasine 7.5 mg bd
15 mg bd
add glycosamine 1500mg bd daily [carti safe 750mg joint safe]
ca lactate 1 tab mane
22. General.
Wt reduction
exercise
Gyn
Menorrhagia back
15-25y ; mef acid 500mg tds 5 days
25-35y ; mef+ northesterone [primolute-n] 5mg tds 5 days
last 2 days tail off north
35-45y ; primalute only 5 days
long standing bleeding or resistant
tranexemic acid-250mg tds for 3 days
up to 500 mg tds
if anaemic iron 1 noct
folic 1 mane
B Co 1 nocte
Vit c 1 nocte
Calcivita 1 bd
Ferro-vita 1 bd
B com IM 2 ml EOD
Oligomenorrhoea back
Test pregnancy
Primalute 5mg tds 5 days
Continue with ocp
If PCOD reduce weight, do FBS
Mithuri 60/=
Nordate 120/=
Dysmenorrhoea back
< 35y; mefenemic 500mg tds 3 days
>35y, Northesterone 500mg 3 days
with mef
23. Post ponement back
Northes 5mg tds start at least 5 days before
Max up to 21 days
Contraception back
DMPA after the first child
For 3/12 +5days
Date 1 week before that
In a menstruating day
Otherwise check for pregnancy
Shake the vial well…measure BP and weight
Emergency
Postinor 2
Mithuri 3 tabs repeat after 12 hrs
Vaginal candidiasis back
Cream both partners both inside and outside
Clotrimazole
Miconasole
Micoral
Ketoconazole
Vaginal pessaries; candid v3, 3 tabs on 3 consecative days.bed time
Severe v6, 6 days
If preg candid CI…… Nystatin pesarries
If elderly do FBS
If unmarried or resistant
Ketoconazole 200mg daily for 1 week
Fluconazole 150mg bd 7 days
Trichomonasasis back
400mg tds 7 days.
24. Dermat
Itching back
Anti histamine
Piriton 4 mg tds
Cetrizine 10mg bd
Loratidine 10mg bd
Fexofenedine 180mg daily oral sos- under 12 y not recommended
Calamine lortion
Axial or groin antifungal
Ketokonazole 200mg daily
Clean underwear
Eczema back
steroid cream
Hydrocortisone 0.5%
1% adult
in face 0.5% bd
beta methasone cream
If wound infected oral anti biotics erythromycine, amoxycilline
Erythromycine Tab strength;
ADULT 500mg tds
12-6 250mg tds
<6…>15Kg 1 tea spoon bd
<6…>15Kg ½ tea spoon bd
Remarks Syrup; 125mg in 1 tea spoon
Max dose;
Cream – beclomine bd
Enderm bd powerful steroids
Even effective for psoriesis
25. Eczema
Wash with condis
For an uncertain lesion back
Enderm
Beclomine
Betadine cream
Aluham back
Clotrimazole powder selson shampoo at bed time
If severe pulsatile fluconasole 150mg bd 2-3 weeks
Dandruff back
Inflamm- polytar shampoo keep for 10mins
Antifungal ; ketokonazole shampoo.
Hair loss back
Dandruff Rx
Vit E 400mic g daily for 2 weeks
Biotin-EX 1 month
Audace oil hair growth massage for 5 mins
2 drops when bathing
Allergy back
BP
Mild; piriton1 tds + phenagon tds+ dexa 1 tds for 3 days.
Moderate; stat 2 dexa+ 2 piriton+ phenagon 25 mg
Continue the same mx as above
If necessary famtodine
If severe hydrocortisone 200mg IM/IV
Adrenaline 1;1000 full vial
Children ½ vial
Acne back
26. Erythromycine cream
Irridone not for females
Retinoic acid not in pregnancy
Oral ; erythromycine 250mg tds 1st week
250mg daily 1 month
tetracycline ; same as above
doxycycline 100mg daily 3 months
Chicken pox back
acyclovir [200mg tabs] 5 times daily for 5 days or once in every 5 hour
Burns back
clean
n. saline
fucidine net
NSAIDs
diazepam
antibiotics: Eg cloxacilline 500mg tds
famotidine
ENT
Ot externa back
genta ear drops
chlorampenicol ear drops 3 drops tds for 5 days
oral antibiotics
amoxy for 5 days
for pain nsaids, diazepam
Ot media back
>18 cipro 500mg bd 5 days
cloxa 500mg tds
250mg
1 tea spoon
½ tea spoon
if fungal clotrimazole ear drops 2 drops tds
Oral candidiasis back
27. cotrimazle mouth paint
Earache back
look for FB
wax
infection
waxole ear drops 5 drops tds
refer to LRH
NaHCO3 ear drops 5 drops
FB remove
Eye back
Steroid eye drop; prednisolone 1drops tds
+gentamycine 1 drop tds
probeta-N 1 drop tds
Dexona-E 1 drop tds for 5 days
Fexofenadine HCl 120 mg daily 3 days
Injections back
Phenagon; 25mg IM/IV child; 12.5mg
Tramadol ; 50mg capsule tds, oral with anti emetics
Injection 50mg, IM/IV eg; Chikun Gunya with anti emetics
Tetanus ; no need up to 10 years
1 will protect for 10 years
1st 0, 2nd 6 weeks,3rd 6 months
buscopan ; severe abdo pain urinary coli
stematil vomiting, vertigo refer IM/IV
ranitidine ; severe gastritis 150mg, IM/IV beware of inferior MI
diazepam; 10mg
Suppositories back