Rheumatoid How to treat

 

 

RheumatoidWhat is rheumatoidCauses that lead to disease rheumatoidSigns of rheumatoid diseaseSymptoms of rheumatoid diseaseGet rid of the disease rheumatoidHow to treat rheumatoid disease


First identify the disease rheumatoidRheumatoid ailments that afflict the body due to a disorder of the immune system works rheumatoid disease eroded tissue around the joints especially small joints Kmphasal wrists and hand joints, muscles and nerves casings leading to tireless those joints and distortedAs we mentioned that the disease rheumatoid arthritis is a chronic disease remains infected with a lifetimeHowever there are some cases that could be improved for a period with the possibility of the return of the disease againThe disease is characterized by its evolution it increases with time, but that at times may be mild

What are the causes of rheumatoid disease
There is no specific reason for rheumatoid disease may be the reasonHereditary genetic link may affect certain families may be involved in that diseaseBacterial infectionHormonal glandsCauses of allergic symptoms that accompany rheumatoid disease may very much like allergy symptoms owing to the imbalance Almitaboleezzm

Signs of rheumatoid disease
Rheumatoid disease appears successfully more females than malesThe patient feels temperature rise associated with rheumatic heart gradually lead to stiffness and arthritis with deviation in the path of the hands with dislocated joints hand lead to loss of joint movementThe presence of blisters on the skin of the legsPain occurs when the movement of joints with swellingTyibs
How to make sure the incidence of rheumatoid arthritis
Using X-ray work, which shows if there is erosion in the joints or distortedAs rheumatoid disease can be detected through a blood test and the presence of blood ESR deposition and the presence of rheumatoid factor and the presence of C - t - protein CRP
Treatment of rheumatoid disease

الروماتويد اسبابه اعراضه علاجه والتخلص منه

ما هو الروماتويد

الاسباب التى تئدى الى الإصابة بمرض الروماتويد

علامات الاصابة بمرض الروماتويد

أعراض الاصابة بمرض الروماتويد

التخلص من مرض الروماتويد

كيفية علاج مرض الروماتويد

 

 

 

أولا التعرف على مرض الروماتويد

الروماتويد من الامراض المزمنة التى تصيب الجسم بسبب اضطراب جهاز المناعة يعمل مرض الروماتويد على  تاّكل انسجة المحيطة بالمفاصل خاصة المفاصل الصغيرة كمفاصل الرسغين ومفاصل اليدين والعضلات وأغلفة الاعصاب  مما يؤدى الى تّكل تلك المفاصل وتشوهها

كما ذكرنا أن مرض الروماتويد مرض مزمن يبقى مع المصاب مدى الحياة

مع ذلك يوجد بعض الحالات التى يمكن أن تتحسن لفترة مع إمكانية عودة المرض مرة أخرى

ويتميز هذا المرض بتطوره فهو يزداد مع الوقت الا أنه فى بعض الاوقات قد يكون خفيفاً

 

 

ما هى اسباب الاصابة بمرض الروماتويد

 

لا يوجد سبب محدد لٌلإصابة بمرض الروماتويد فقد يكون السبب

علاقة جينية وراثية  قد يصيب عائلات بعينها قد تصاب بتلك المرض

عدوى بكتيرية

غدد هرمونية

اسباب حساسية الاعراض التى تصاحب مرض الروماتويد قد تشبة الى حد كبير أعراض الحساسية أسباب تعود الى الاختلال الميتابوليزم

 

 

علامات الاصابة بمرض الروماتويد

 

يظهر مرض الروماتويد قى الإناث أكثر من الذكور

يشعر المريض بإرتفاع درجة الحرارة مصاحبة بنوبات روماتزمية تؤدى تدريجيا الى تيبس وإلتهاب المفاصل مع انحراف فى مسار اليدين مع خلع فى مفاصل اليد تؤدى الى فقدان حركة المفاصل

وجود بثور على جلد الساقين

حدوث ألاّم عند حركة المفاصل مع تورمها

تييبس

 

كيفية التأكد من الإصابة بمرض الروماتويد

 

عن طريق عمل أشعة سينية التى تظهر اذا ما كان هناك تاّكل فى المفاصل او تشوهها

كما يمكن أكتشاف مرض الروماتويد من خلال فحص الدم ووجود ترسب الدم ESR ووجود عامل الروماتويد  ووجود سى –ر-بروتين CRP

 

                                                                                                                 علاج مرض الروماتويد

مدونة الصيدلية: Ways of treating vitiligo in childhood

مدونة الصيدلية: Ways of treating vitiligo in childhood: What are the treatment methods that can be used in childhood ?   Treating vitiligo depends on the type of vitiligo and ...

Ways of treating vitiligo in childhood

What are the treatment methods that can be used in childhood?

 

Treating vitiligo depends on the type of vitiligo and the age of the patient ... In cases of vitilig

 

children Naroband and Albrootopk (cream immune inhibitor) have achieved better therapeutic results

 

50% of patients begins with the appearance of vitiligo have before the age of twenty years.

There are many ways to treat, including:



_ Topical corticosteroids

Topical steroids are often the first choice for the treatment of vitiligo.

 

_ Topical immunomodulators:
With a topical immunomodulators such as (ointment Albrootopk cream Aledel), put many hope to be a cure for a number of skin problems including vitiligo.

There are a number of studies have shown the effectiveness of these treatments, which are close to effective topical Alstaruyat without the attendant side effects caused by steroids.

Since it is safe for long-term treatment, the topical immunomodulators drugs might be better used to treat small areas of vitiligo or in difficult locations such as the eyelids.

 

 

_ Naroband:

Narrow beams of ultraviolet (b) has emerged recently as a treatment for vitiligo rampant in children.

Analysis study in 1999 and found that Naroband is the most effective and safe for the treatment of vitiligo in children.



Later a number of children have been treated in this way and the best results on vitiligo existing face and neck and vitiligo modern history.
The vitiligo of the hands and feet were weak response.

 

_ Surgical treatments:
Surgical methods are other options in the treatment of vitiligo.

Cultivation of pigment cells from the same patient and sedentary in small places

 

 

Cosmetic creams hide the flaws:
If all treatments fail, the patient usually does not want to receive treatment, so the use of cosmetics and cover defects can be very useful.

 

_ Bleach:
Must focus here that this method does not allow for children.

 

 

 

Photo vitiligo in children

Hair can be also vulnerable to injury vitiligo
And may be associated with various other spots of the body
Body hair may change to white due to the development of vitiligo.

 

Vitiligo is hyperbolic nonsegmental
Spots bilateral and symmetrical
It is the most common
This type of vitiligo spots that are scattered in a symmetrical manner
Note in the picture (2) that vitiligo symmetrically in the eyes
The presence of spots on the side of symmetrically in the same the other side
And characterized by increasing in size and number of spots with the passage of time
This type appears to be at any age

These other forms of vitiligo is hyperbolic .. Metastatic

 

 

Limited or vitiligo
Characterized as non-symmetrical
But in a limited area of the body
And where are the white patches
Confined to one area of the body and on the path of a particular nerve,
The prevalence 72-95%
Beginning of his appearance at an early age

DECLOPHEN

DECLOPHEN Infantile Suppositories

12.5 & 25 MG 

 

Company name : Pharco Pharmaceuticals

Trade name : Declophen Infantile Suppositories 12.5 & 25 mg

 Generic name : Diclofenac Sodium

 COMPOSITION : Each suppository contains

 Diclofenac sodium 12.5 or 25 mg

 Pharmaceuticals form : Suppositories

PHARMACOLOGICAL ACTION:

Declophen is a non-steroidal anti-rheumatic, anti-inflammatory, analgesic and antipyretic properties. Diclofenac sodium, the active ingredient in declophen suppositories, has a potent inhibitory effect on the cyclo-oxygenase pathway of prostaglandin synthesis. This causes a remarkable decrease in the amount of prostaglandins and, in turn, the response to pain and inflammatory reactions or injurious agents is abolished.

 

PHARMACOKINETICS :

 Diclofenac shows a rapid onset of absorption from suppositories. The amount absorbed in linearly related to the size of the dose. Pharmacokinefic behaviour does not change after repeated administration. No accumulation occurs provided the recommended intervals are observed. The plasma concentrations attained in children given equivalent doses (mg/kg body weight) are similar to those obtained in adults.

 

 INDICATIONS:

 Juvenile rheumatoid arthritis. Post-traumatic and postoperative pain, inflammation, and swelling e.g. following orthopaedic surgery. As an adjuvant in severe painful inflammatory infections of the ear, nose. or throat, e.g. pharyngotonsillitis, otitis. In keeping with general therapeutic principles, the underlying disease should be treated with basic therapy, as appropriate. Fever alone is not an indication.

 

 DOSAGE:

 Children aged (1 - 12 years): 1 -3 mg/kg per day in divided doses (12.5 mg and 25 mg suppositories only). Children (aged 6-12  years) with acute post-operative pain 1 - 2 mg/kg per day in divided doses. Treatment of acute post-operative pain should be limited to 4 days treatment (12.5 mg and 25 mg suppositories only)

 

. CONTRAINDICATIONS:

 Gastric or intestinal ulcer. Known hypersensitivity to Diclofenac sodium. Like other non-steroidal anti-inflammatory drugs, Declophen is contraindicated in patients in whom attacks of asthma, or acute rhinitis by acetylsalicylic acid or other drugs with prostaglandins-synthetase

inhibiting activity. It is also contraindicated in proctitis.

 

SIDE EFFECTS:

Mild and infrequent gastro-intestinal disturbances (epigastric pain. nausea ), skin rash, pruritus, headache or oedema might occur in some patients.

 

DRUG INTERACTIONS:

 Lithium & digoxin: Declophen may increase plasma concentrations of lithium & digoxin.

 Anticoagulants : Close monitoring of patients is required when receiving concomitant anticoagulants and Declophen.

Cyclosporins

Cases of nephrotoxicity have been reported in patients receiving concomitant cyclosporin and Declophen.

 Methotrexate

 Cases of serious toxicity have been reported when methotrexate and NSAIDS are given within 24 hours of each other.

 

 Quinolone antimicrobials

Caution should be exercised when considering the use of quinolone in patients who are already receiving an NSA ID.

 

 Antidiabetics

Clinical studies have shown that Declophen can be given together with oral antidiabetic agents without influencing their clinical effect. However, there have been isolated reports of both hypoglycaemic and hyperglycaemic effects which have required adjustment to the dosage of hypoglycaemic agents.

 

 Diuretics

Concomitant treatment with potassium-sparing diuretics may be associated with increased serum potassium levels, which should therefore be monitored frequently.

 

Mifepristone

NSAIDS should not be used for 8 - 12 days after mifepristone administration.

 

WARNINGS & PRECAUTIONS:

Use under close medical supervision in case of gastro-intestinal disorders with a history of gastric or intestinal ulceration, with ulcerative colitis or with Crohn's disease and in severe impairment of hepatic function. Like other NSAIDS, Declophen may mask the signs and symptoms of infection. Avoid concomitant use of two or more NSAIDS. PACKING: A box containing 5 suppositories. STORAGE: Keep at temperature less than 5° C Keep all medicines out of the reach of children

 

Codaphen - N

Codaphen - N

Syrup

 Antitussive

 Composition :

 Each 5 ml contains:

 Active ingredients:

 Dextromethorphan hydrobromide 5 mg

 Chlorpheniramine maleate 1 mg

 Inactive ingredients:

 Methylparaben. Propylparaben. Sodium citrate anhydrous, Sucrose, Sorbitol solution 70 %, Ethyl alcohol, Propylene glycol. Derenine. Fraise lautier

Indications:

Temporarily relieves cold symptoms

 - Cough due to minor throat and bronchial irritation

 - Sneezing

 - Runny nose

 Dosage & Administration:

 As directed by the physician or as follows:-

• Repeat dose every 6 hours. as needed

Do not take more than 4 doses in any 24 hour period

 - 6 to 11 years. 1 tablespoonful (15 ml) every 6 hours

- Adults & Children 12 years and older: 2 tablespoonfuls (30 ml) every 6 hours

 Pharmacological Actions:

 Dextrornethorphan hydrobromide is a cough suppressant used for the relief of non-productive cough: it has a central action on the cough centre In the medulla It is also an antagonist of N-methyl-D-aspartate (NMDA) receptors. Chlorpheniramine maleate. an alkylamine denvatwe. is a sedating antihistamine that causes a moderate degree of sedatiomit also has antimuscarinic activity. It is used for the symptomatic relief of allergic conditions Including urticana and angioedema. rhinitis, conjunctivitis and in pruritic skin disorders. It is a common ingredient of compound preparations for symptomatic treatment of coughs and the common cold

Pharrnacokinetics:

Dextromethorphan is rapidly absorbed from the gastrointestinal tract. It is metabolised in the liver and excreted in the urine as unchanged dextromethorphan and demethylated metabolites including dextrorphan which has some cough suppressant activity Chforpheniramine maleate is absorbed relatively slowly from the gastrointestinal tract, peak plasma concentrations occurring about 25 to 6 hours after oral doses. About 70% of chlorpheniramine in the circulation is bound to plasma proteins There is wide interindividual variation in the pharmacokinetics of chlorpheniramine; values ranging from 2 to 43 hours have been reported for the half-life. Chtorpheniramine is widely distributed in the body and enters the CNS. Chlorpheniramine maleate is extensively metabolised. Metabolites include desmethyl- and didesmethylchlorpheniramme. Unchanged drug and metabolites are excreted pnmarily in the urine: excretion is dependent on urinary PH and flow rate. Only trace amounts have been found in the faeces.

Contraindications:

 Ask a doctor before use if you have - Trouble urinating due to an enlarged prostate gland - Glaucoma - A cough that occurs with too much phlegm (mucus) - A breathing problem or chronic cough that lasts a' as occurs will! smoking asthma, chronic bronchitis, Or emphysema - A sodium - restricted diet

Side Effects: When using this product-- Do not use more than directed - Marked drowsiness may occur -Avoid alcoholic drinks - Alcohol, sedatives and tranquilizers may increase drowsiness - Be careful when driving a motor vehicle or operating machinery - Excitability may occur, especially In children

Drug Interactions: Do not use if you are now taking a prescription monoarnine oxidase inhibitor (MA01) (certain drugs for depression, psychiatric, or emotional conditions, or Parkinson's disease), or for 2 weeks after stopping the MA01 drug. If you do not know if your prescription drug contains a MA01, ask a doctor or pharmacist before taking thus product. Ask a doctor or pharmacist before muse if you are taking sedatives or tranquilizers. Pregnancy & Lactation: If pregnant or breast - feeding, ask a health professional before use Precautions & Warnings: Do not use for children under 6 years. It is not recommended for use in diabetic patients It may cause allergic reactions (possibly delayed) If you have been told by your doctor that you have an intolerance to some sugars. contact your doctor before taking this medicinal product Stop use and ask a doctor if cough lasts more than 7 days. comes back or is accompanied by fever, rash, or persistent headache. These could be signs of a serious condition

Package & Storage:

 Carton box containing amber glass bottle (Type 111) 01120 ml and an inner pamphlet Store in airtight containers away from light. Store at a temperature not exceeding 30.0

-          Instructions to patients:

-           Keep out of the reach of children.

 

Cobal

Cobol

Mecobalamln 500 mcg

Folic acid 200 mcg

Composition:

Each Cobol F film-coated tablet contains:

Mecobalamln 500 mcg

Folic acid 200 mcg

Inactive ingredients: Lactose monohydrate, maize starch, ethanol 99%, magnesium stearate and hydroxypropyl methylcellulose ES.

Indications:

- Prevention of pregnancy complications such as: early abortion, low-birth weight, neural tube defects, pre-eclampsia, placental abruption, and maternal hyperhomocysteinaemia associated with increased risk of congenital heart disease.

 - Treatment and prevention of folate deficiency state.

 - Megaloblastic macroeytic anaemia.

 - Malaise and fatigue.

- Reduces risk of cardiovascular disorders, as it decreases homocysteine level in the blood.

 - In cases of inadequate nutrition. e.g. elderly people and vegetarians.

 - Osteoporosis and lumbago.

- Male and female infertility caused by hypovitaminosis B 12.

 Dosage and administration:

 Two to three tablets to be taken daily, or as prescribed by the physician.

 Pharmacodynamics: Cobal F is a combination of meeobalamin and folk acid. Mecobalamin, is a water-soluble vitamin 1312. Vitamin BI2 occurs in the body mainly as methylcobalamin (mecobalamin), adenosylcobalamin (cobaniamide) and hydroxycobalarnin. Mccobalamin, as one of the two active coenzyme forms of vitamin 1312 (the other being adenosylcobalamin), plays an important role as a coenzyme of methionine synthetase in the transmethylation of homocysteine to methionine. Mecobalamin removes the methyl group from methyltetrahydrofolate to form tetrahydrofolate which participates in purine, pyrimidine, and nucleic acid synthesis. Folic acid (pteroylglutamic acid), member of the vitamin 13 group, is the parent compound for a large number of derivatives collectively known as folates. Folic acid stimulates production of red, white blood cells and platelets in certain mcgaloblastic anaemias.

 Pharmacokinetics:

 Evidence indicates that mecobalamin is utilised more efficiently than cyanocobalamin to increase level of vitamin 812. It is stored in the liver, excreted in the bile, and undergoes extensive entcrohepatic recycling.  Human urinary excretion of mecobalamin is about one-third that of a similar dose of cyanocobalamin, indicating greater tissue retention. Folic acid is rapidly absorbed from the gastrointestinal tract, mainly from the duodenum and jejunum. Folic acid administered therapeutically enters the portal circulation largely unchanged. The principal storage site of folate is the liver; it is also actively concentrated in the CSE Mate metabolites arc eliminated in the urine and folate in excess of body requirements is excreted unchanged in the urine. Folate is distributed into breast milk. Folic acid is removed by haemodialys

Side effects:

 Mecobalamin and folic acid are generally well tolerated and no known toxicity. Gastrointestinal disturbances such as loss of appetite, nausea, diarrhoea or other symptoms of gastrointestinal upsets may infrequently appear. Hypersensitivity reactions or skin rash may rarely occur.

 Contraindications:

 Hypersensitivity reactions to mecobalamin, folic acid or any ingredient in the product.

Precautions:

 Caution is advised in patients who may have folate-dcpendent tumours.

 Drug Interactions:

 No drug interaction of major clinical significance has been reported with Mecobalamin. However, the gastrointestinal absorption of vitamin 1312 substances in general may be decreased by colchicine aminoglycoside, antibiotics, aminosalicylic acid and its salts, and by excessive alchohol intake lasting than 2 weeks.

 Pregnancy and lactation:

Studies have not been done in humans. In animals, mecobalamin was not found teratogenic. Mecobalamin is distributed into breast milk.

Presentation:

 Cobol F tablets are supplied in boxes of 20 tablets each. Store at temperature not exceeding 30°C, in dry place, away from light.

Keep out of reach of children

Clindam

Clindam

Capsules

Composition:

Each capsule contains: Clindamycin Hydrochloride equivalent to 150 mg or 300 mg Clindamycin.

 Properties:

Clindarnycin in-vitro activity covers the following organisms: Gram-Positive: Aerobic organisms: Staphylococcus aureus, Staphylococcus epidermis (both penicillinase and non-penicillinase producing strains), Streptococci (except S.faecalis), pneumococci. Anaerobic organisms: Non spore forming Bacilli such as Propionibacterium species. Gram-Negative: Anaerobic Bacilli such as Bacteroides species and Fusobacterium species.

 Indications:

 Infections with microorganisms susceptible to Clindamycin such as:

 - Respiratory tract infections.

 - Skin and soft tissue infections.

- Dental infections.

- Genital and post-surgical infections

. Contraindications:

Clindamycin demonstrates cross resistance with Lincomycin. Some Staphylococcus strains originally resistant to Erythromycin rapidly develop resistance to Clindamycin. Clindam is constrained in patients with history of hypersensitivity to Clindamycin or Lincomycin.

 Usage in pregnancy:

 Safety for use during pregnancy has not been established.

 Side Effects:

 Gastrointestinal disturbances: abdominal pain, nausea, vomiting and diarrhoea may occur.

Dosage:

 Mild to moderately severe infections: 150 to 300 mg every 6 hours. Severe infections: 300 to 450 mg every 6 hours.

 Presentation:

 Clindam 150 mg capsules: A box containing 2 blisters, each of 8 capsules. Clindam 300 mg capsules: A box containing 1 blister of 8 capsules. A box containing 2 blisters, each of 8 capsules.

 

CIPROCIN

For The Medical Profession Only

CIPROCIN

Film-Coated Tablets - Vials (IV) Broad - Spectrum Fluoroquinolone Antibacterial

Indications:

 -Treatment of infections due to susceptible micro-organisms:

 -Urinary tract infections.

 -Acute sinusitis, and malignant otitis externa.

-Lower respiratory tract infections.

 -Exacerbations of cystic fibrosis.

 -Bone and joint infections.

 -Skin and soft tissue infections.

 -Gastrointestinal tract infections including biliary tract infections, infectious diarrhea, typhoid and paratyphoid fevers.

 -Genital tract infections: prostatitis, gonorrhea and chancroid.

-Septicemia and peritonitis.

-Surgical infection prophylaxis.

 -Meningococcal meningitis prophylaxis.

 -Infections in immunocompromised patients (neutropenia).

 -Inhalation anthrax.

 Dosage and Administration:

Oral Route Clprocinn can be taken without regard to meals. CiprocIn8 Tablets should be given every 12 hours.

Properties:

 CiprocIn0 is one of the most potent of the fluoroquinolone antibacterial group. It is bactericidal acting by inhibition of the A subunit of DNA gyrase enzyme essential for bacterial DNA reproduction. Clprocin® has a broad spectrum of activity against most Gram-negative bacteria and many Gram-positive bacteria including Enterobacteriaceae. including E. coli. Proteus, Klebsiella, Salmonella, Shigella. Serratia, Citrobacter. Enterobacter, Providentia, Yersinia; Pseudomonas aeruginosa: Moraxella catarrhalis and Haemophilus inlluenzae (including beta-lactamase producing strains). Haemophilus parainfluenzae and ducreyi, Neisseria gnonorrhoeae (including beta-lactamase producing strains), Neisseria meningitidis. Campylobacter app., and Vibrio spp.; Staphylococci (including penicillinase-producing and penicillinase-nonproducing strains and some methicillin-resistant strains). Streptococci (including pyogenes, faecalis and

pneumoniae). Clprocin® has some activity against mycobacteria, and mycoplasmas.

Pharmacokinetics:

 Ciprofloxacin is rapidly and well absorbed from the gastrointestinal tract. Oral bioavailability is about 70% and a peak plasma concentration is achieved 1 - 2 hours after a dose of 500 mg by mouth. Absorption may be delayed by the presence of food but is not substantially affected overall. Plasma half-life is about 3.5 - 4.5 hours. Protein binding ranges from 20 - 40%. Ills widely distributed in the body and tissue penetration is generally good. High concentrations are achieved in bile. Ciprofloxacin is eliminated primarily by urinary excretion, but non-renal clearance may account for about a third of elimination and includes hepatic metabolism, biliary excretion and possible transluminal secretion across the intestinal mucosa. About 40 - 50% of the oral dose is excreted unchanged in urine and about 15% as metabolites which have antimicrobial activity, but are less active than unchanged ciprofloxacin. Up to 70% of the parenteral dose may be excreted unchanged and within 24 hours and 10% as metabolites. Fecal excretion over 5 days has accounted for 20- 30% of an oral dose and 15% of an intravenous dose.

 

Alexoprine

Indications & Usage :

mild to moderate pain pyrexia antiplatelet relief of all symptoms associated with common cold and influenza such as headache, pain and fever. • Antipyretic in febrile conditions including rheumatic fever. • Analgesic for pain of different etiologies as headache, toothache, migraine and rheumatic pain. • ills suitable for patients who suffer from hyperacidity or gastric ulcers and can not receive normal aspirin therapy. It can also be used for long term therapy without causing irritation or ulceration to gastric mucosa

Side effects :

Generally mild and infrequent but high incidence of gastrointestinal Irritation with slight asymptomatic blood loss, increased bleeding time, bronchospasm and skin reactions in hypersensitive patients

Warnings & Precautions :

 Asthma, allergic disease, impaired renal or hepatic function (avoid if severe), dehydration, pregnancy, elderly.

 Dosage & Administration :

 As directed by the physician or as follows. Children for 12 years '2 -3 Alexoprine 75 mg tablets 2 - 3 times daily after meals. Adults : 1 - 2 Alexoprine Forte tablets 3 times daily after meals. It is preferable to disintegrate the tablets in some water, stir and then drink

جاست ريج Gast reg

لعلاج إضطرابات الجهاز الهضمى والقولون ومضاد للتقلصات
gastrointestinal ,motility ,regulator

سعر العلبة 18جنيهاً

دواعى الإستعمال

القولون العصبى
حالات الإمساك المزمن
إضطرابات الهضم الوظيفية المصحوبة بآلام وتقلصات البطن
الإمتلاء
الإنتفاخ
الإمساك او الإسهال
بعد العمليات الجراحية لسرعة إستعادة حركية الجهاز الهضمى الطبيعية

موانع الإستعمال

الحساسية المفرطة للمادة الفعالة

الجرعة

الأقراص 100مج1-2قرص ثلاث مرات يومياً
الأقراص200مج قرص 3مرات يومياً
الشراب
الأطفال حتى 6 شهور 1\2 نصف معلقة صغيرة 2-3مرات يومياً
6شهور الى سنة ملعقة صغيرة مرتين يومياً
سنة الى 5سنوات ملعقة صغيرة 3مرات يومياً
أكثر من خمس سنوات 2 ملعقة صغيرة 10ملليلتر 3مرات
الحقن
الجرعة العادية فى البالغين50-100مج 1-2 أمبول فى اليوم
لاتزيد الجرعة اليومية عن طريق الحقن العضلى او الوريدى عن 400مجم فى الحالات الحادة

الأقماع
2-1 قمع يومياً

كليندام 300 Clindam 300

سعر العلبة 21 جنية

دواعى الاستعمال

الأصابة بالميكروبات الحساسة لكلينداميسين مثل

1-عدوى الجهاز التنفسى

2-عدوى الجلد والأنسجة الرخوة ,

3-عدوى الاسنان

4-عدوى الجهاز التناسلى وما بعد الجراحة

موانع الاستعمال

1-لا يستخدم فى المرضى المصابين بالحساسية لكلينداميسين او لينكوميسين

2-أثناء الحمل لم يثبت الآمان فى استخدامه خلال فترة الحمل

الجرعة

حالات العدوى الخفيفة والمتوسطة 50/300 كل 6 ساعات

حالات العدوى الشديدة 300/450 كل 6 ساعات

Cevamol

Indications:

 - Headaches of all types especially those accompanying fever and those due to weather conditions.

 - Influenza and other infectious conditions.

 - Toothache. - Neuritis, trigeminal neuralgia and sciatica.

 - Dysmenorrhoea.

- Painful wounds following operations and fractures.

Contra- indications:

- Hypersensitivity of paracetamol.

 - Should not be used for children under 12 years old.

Dosage:

 For adults 1-2 tablets in half a glass of water, the dose may be repeated every 4 hours.

Packing: 10 or 12 effervescent tablets.

Coughsed

Coughsed Paracetamol

Indications:

 Cough and respiratory tract infections

accompanied by fever.

 Bronchitis and common cold.

 Analgesic and antipyretic

Dosage & Administration:

Infants

1  - 12 months One infants suppository once or twice per 24 hours

12 - 24 months One infants suppository twice per 24 hours

 Children

2 - 6 years One children suppository once or twice per 24 hours

6 - 15 years One children suppository twice per 24 hours

Cough Cut

Indications

I- All types of acute cough due to any cause.

2- Pre and post operative cough suppression.

3- Whooping cough.

Side effects and precautions

Cough Cut is well tolerated .Rarely rashes , diarrhea, or dizziness , may occur which    disappears immediately after dose reduction or discontinuing the medication.

 Although no unfavorable reactions have been reported.

CoughCut should be avoided only in the first three months of pregnancy.

Dosage and administration

Unless otherwise prescribed by the physician.

Children :

 3-6 yrs I teaspoonful 1-3 times daily.

 6-12 yrs 2 teaspoonfuls 1-3 times daily.

Adults (above 12 yrs) I tablespoonful 1-3 times daily.

How supplied Bottle of 100

Cevarol

Indications:

 Cevarol tablets are indicated in the following cases :  

1- Prevention and treatment of scurvy

2- faulty bone, tooth development, bleeding gums and loosened teeth.

3- Cases of increased requirments of vitamin C such as tuberculosis ,hyperthyroidism, peptic ulcer, stress, neoplastic disease, pregnancy and lactation, bums, wound healing,

4- Patients with infections (rheumatic fever, whooping cough and pneumonia)

5- Symptomatic treatment of disulfiram -alcohol reaction

6- Common Cold.

Contra indications:

 It may be contraindicated in persons who have shown hypersensitivity to any component of the preparation.

 Side effects:

 Cevarol tablets are well tolerated .Large doeses, may cause diarrhea

Dosage and administration:

- Not less than 250 mg in divided doses.

- In the presence of scurvy, doses of 300 mg to 1 g daily are recommended

Calcitron

Calcitron contains calcium, essential elements and vitamins needed by the body during growth, pregnancy and lactation. Calcitron contains calcium and other elements combined with Amino acids in order to facilitate its absorption.

Indications:

Dietary supplement to improve some body functions.

Dose:

 One capsule twice daily.

 Package:

Box contains  20 capsules.

 Storage:

To be stored at room temperature.

 Keep away from reach of children

Cyrinol

Indications

 Cyrinol is indicated for the relief of non productive cough and upper respiratory symptoms associated with allergy and common cold.

Contraindications

• Hypersensitivity to any of the constituents

Side effects

 Cyrinol may causes nausea, vomiting, drowsiness, tachycardia and dry mouth

Pregnancy and Lactation

Cyrinol is contraindicated in both pregnancy and lactation

Instructions to patients

 Keep the bottle out of reach of children and store at room temperature

Dosage

 Adults :

1-2 teaspoonfuls 3-4 times daily.

 Children :

Above 6 years: 1 teaspoonful 3-4 times daily.

 3-6 years : 1/2 teaspoonful 3-4 times daily.

How supplied

Bottles of 60 ml or 120 ml

Citrocid magnesium plus

Indications & Usage:

For prevention of hyperoxaluria and as mild laxative

Contra - Indications:

This drug is contraindicated in some cases of impaired renal functions

Side Effects :

Hypermagnesaernia is uncommon except In the presence of renal impairment.

- Sensory neuropathy may be observed in individuals consuming more than 200 mg of pyridoxine daily to very tong periods.

- Citrocid  magnesium plus may cause G.1 irritation , and watery diarrhea

Dosage & Administration:

 One packet to be dissolved in half glass of water and taken during effervescing . two times daily or as prescribed by the physician.

Packing: 10 or 12 packets each of 5g.

Storage

 Store below 300 C . and R.H below 70 %