This document provides medical guidelines and treatment recommendations for various conditions. It includes summaries of treatments for head lacerations, skin conditions like dandruff and eczema, hair loss, fungal infections, bacterial infections, burns, ENT issues, respiratory infections, gastrointestinal issues, genitourinary infections, cardiovascular conditions, allergies, vertigo, and gynecological/obstetric concerns. For each condition, it lists recommended medications, dosages, and treatment durations.

1. Guide to private practice in medicine- note 4
Head
Laceration
Remove hair
And particle with sprit + betadine
Ciprofloxacin 250 mg bd
Cloxacillin 500mg bd
+ pain killer
PCM 1g + diclofenac sodium 50mg/ mefenamic acid 500mg
Dress every other day
Remove suture 8 day
If nausea, vomiting - admit or take xray
Do not give sedative, advice not to take alcohol
Skin condition
Dandruff
2% ketocanazole
Micoral or nisoral or keto plus
2 times per week without touching eye
In case of seborrhoeic dermatitis-
1% hydrocortisone cream LA
10% cetrimide shampoo
Hair loss
Multi vitamin
Anemidox 1 tab nocte
Zincoper syrup 1 tsp bd - adult 2 tsp bd
Co vit - m 1 capsule nocte - 3 months
Fungal infection

2. Malasessia furfur
Generalized - itrakanozole 200mg capsule nocte 14 days
Dnt give to pregnant, lactating women, male fertile expecting
Local
Micanazole
Micral cream
Cotrimazole - candid b
2 times perday until disappear + after 1 week
Eczema + fungal infection
Betamethasone + neomycine + micanazole.. - beclomine
Beclazone - c - betamethasone + antifungal
Beclazone - n - betamethasone + neomycine - for infected eczema
Oinment good absorption for resistant cases
Groin itch
Candid b
Above combination cream
Treat family or contacts
Eczema
Dry eczema - steroid cream
Hydrocortisone - mild
Betamethasone - moderate
Powercoat cream - plobstone propionate - potent
Apply 2 times for a week
Betamethasone cream + remove the cause + Dexamethasone or prednisilone 5mg bd - 1 bd
Pritone 1/2 mane + 1 nocte

3. Non sedative
Cetrizine / levo cetrizine / phenagen 1/2 bd 5mg
Wet eczema - power coat cream + antibiotic
Ciprofloxacine dnt give for children <12 years
Ciprofloxacin - 500mg bd
Or 250 mg bd
Cefuroxime, Ciprofloxacin - bd
Cloxacillin, cephalexine, erythromycin - 6 hrly
Amoxicillin, clavulonic acid - tds
Nail bed infection
Antifungal solution - candid b - 2drop + antihistamin + pain killer + if infected - antibiotic
Or 200mg itrakanazole 14 days nocte
Ring block and remove the nail + tetanus toxoid
Bacterial infection
Abscess
Pain killer + antibiotic
Cut in cross with lignocaine
No suture
Put a betadine pack
Dress everyother day
Scabies
Lindane solution - 3 consecutive days
3% sulfa nocte 3 consecutive days. avoid mucosa
Antihistamine
Antibiotic
Treat other Children <2yr
Warts - duofilm - 1 time nocte only above the wart but not near to eye
If have to go for skin clinic - liquid nitogen

4. Callosities
Salicilic acid patch - corn plast (40% w/w salicylic acid)
Leave in place until it starts to detach.
Cut - give lignocaine around
Dress every other day
Pain killer
If infected, Toxoid /Antibiotic
Pimples
Antibiotic - 7 days - ciprofloxacillin/ doxycycline
Wash face before sleep
Isotrexin - 10mg - nocte
Eudiana - only in night
Burn
Dry skin
 Emoderm
 Quadril
Feet cleft
 Emoderm
Muscle cramp
Vitamin E 200mg - nocte 1 month
Polybion
Saline wash
Apply lignocaine gel over the burn
Silverine - silver sulpha diazine apply
Vaslin gauze
Diazepam
Pain killers
Antibiotic
Dressing every other day
Toxoid
ENT
Wax
Insect - put water 10cc syringe - butterfly
Crocodile forcep
Ear wash
Waxsol - 3 days consequtly come 4th day

5. Eye
Conjuctivitis
Chloramphenicol eyedrop 1 drop 6hrly 5 days
Gentamicin eye drop - metamycin
Antihistamine - phenagan/ mefenamic acid
Dexanel - neomycin + dexamethasone - inflammatory eye condition
Nose
Nasal bleeding
RTI
Upper RTI
Adult
Antibiotic
Ciprofloxacin , cefalexine, cefuroxime
Azithromycin, clarythromycin
Mouth wash - betadine -( 10ml betadine + 60 ml water)
1 tsp + 1 cup water - 3 times per day
Pain killer
PCM 1g tds
Mefenamic acid or diclofenac sodium
Cough -dexamethasone / prednisilone + Deryphyllin - 150mg SR bd / salbutamol
Piriton 1/2 mane + 1 nocte
Children syrup
Piriton syrup - 5mg in 5ml tsp
Salbutamol - 4mg in 5ml
Deryphyllin - 50mg in 5ml
Phenagon - 5mg in 5ml

6. + antibiotic syrup
Cephalexin syrup - 125mg in 5ml give 6 hrly
Erythromycin - 125 mg in 5ml give 6hrly
Amoxycillin, cephalexin - 125mg
Augmentin syrup
LRTI
PCM + diclofenac/ mefenamic acid
Brufen syrup
Syrup mefenamic acid - dollar
Cough syrup
Dry
Visex, venox - contain salbutamol
Ascodex
Productive cough
Hydrilline cough syrup
Ascoril
Ketotifen
<2yrs - 1/2 tsp tds
>2yrs - 1 tsp tds
Adult - 2 tsp tds/ qds
>3 weeks do FBC
If eosinophil
Hetrazan 6mg/kg day - tab 50mg course - 2tab tds - 2 weeks
GIT
Gastritis

7. Abdominal pain
Abdominal pain + vomiting
Domperidone 10mg tds / Phenagon 10 mg tds
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;
Phenagon Tab strength; 25mg,10mg
ADULT 10-25mg daily
12-6 12.5mg daily
<6…>15Kg 1 tea spoon
<6…>15Kg ½ tea spoon
Remarks Syrup;
Max dose;
Severe vomiting phenagon injection
Any hollow structure spasm
Propenthaline - 15mg tds
Buscopane - 10mg (hyosine euton bromide) - tds or 6hry
Propanthaline Tab strength; 15mg
ADULT 15mg tds
12-6
<6…>15Kg
<6…>15Kg
Remarks Syrup;
Max dose;
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;
If severe suppository or IM
Diclofenac sodium 100mg suppository

8. + antibiotic - ciprofloxacin
Celezib - 200mg bd
Jeevani
Lomotil in adults - if watery
1 tds one another day
Children
Antiotic syrup + jeewani + aanamalu + cream cracker
Furosolidone 100mg
Furazolidine Tab strength; 100mg
ADULT 100mg
12-6 50mg
<6…>15Kg 25mg 1tea spoon
<6…>15Kg ½ tea spoon
Remarks Syrup;
Max dose;
Gastritis
Moderate
Domperidone 10mg bd 5days
Famotidine 20mg tds (good) 5days
Cimetidine 200mg tds
Digene syrup
Omeprazole 20mg bd
Esmoprazole
If not responding triple therapy
Amoxycilline / metranidazole + omeprazole + clarythromycin
Constipation

9. Dulcolax 1 tab nocte 3 days. Or 10mg suppository
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;
Worm treatment
<2yrs -pyrantel pamoate /combatrin - syrup/tablet
Once in week 2 dose
>2yrs - mebendazole 100mg bd -3days + vitamin B complex
Iron deficiency in children
Iron supplement syrups- roofer, mumfer
Elemental iron 6mg/kg/day
UTI -
Increase water consumption
Frusemide - 40mg mane
NSAID + PCM
CIPROFLOXACIN/NORFLOXACIN/CEPHALEXIN 500mg tds/COAMOXYCLAV
Nitrofurantoin 50mg 6hrly (prophylaxis 100mg nocte) + Vit C 1 tab
<1 yr - send to a pediatrician
Candidiasis -
Candid b cream - 1 week
Female - candid V3/v6 pessary - pregnant

10. Urethritis
Broad spectrum antibiotic
UFR
Female - PID
Metranidazole + other antibiotic
Loss appetite
Multivitamin syrup
Peritol syrup - clohexfidine
Polybion injection
CVS
Hypertension
Check BP 3 days >140/90mmHg
Drug Usual dose Max dose daily
Captopril 6.25mg bd 150mg
Enalapril 5-20mg daily 40mg
Atenolol 25-50mg daily
Losartan 50mg daily 100mg
Nifedipine SR 10mg bd 40mg bd
Frusemide 40-80mg daily >50mg doses IV infusions only. Max 1.5g
Spironolactone 25mg daily
Atenolol – A/E- erectile dysfunction
Aspirin 75mg nocte- to ↓ CV event risk
Clopidogrel 75mg nocte
Dyslipidemia
Atovastatin 10-40 mg nocte (start if Total cholesterol is >200 & LDL >190)
Fenofibrate 100-200mg nocte (If TG is high & LDL is normal)
Still the diabetic pt with high TG → choice is Atovastatin
Allergies
Prednisilone 2 tds 1st day and 1 tds next day
Hydrocortisone iv 100mg
Nebulize 5mg salbutamol
Vertigo- vestibular causes

11. Stemetil 5mg tds (max. 30mg daily)
Betahistine 8-16mg tds
Cinnarizine 30mg tds
Motion sickness
Hyoscine hydrobromide 150-300 μg before 30 minutes (max. 900μg daily)
Cinnarizine 30mg 2h before journey→15mg 8hrly during journey SOS
(Domperidone, metochlopramide/ maxalon- ineffective)
Gyn and obs
PV bleeding-
Urine HCG
Norethisterone 5mg tds 7days
OCP -
DMPA - once in 90 days
Stop breast milk
 Bromocriptine 2.5mg bd 14 days