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GENERIC AND
TRADE NAME Tm
USE
DOSAGE
REMARKS AND SIDE - EFFECT
ANTISEPTICS

DETTOL ,SAVOLN TM

General disinfectant, wound Cleaning Sterilization of instrument hand

1this in 250 water 2 this in 100 ml water

External use only
LUGOL’S IODINE SOLUTION Water Skin starvation , leeches 3 or 4 drops in a liter of water leave 30 minutes before use paint on Use more or leave longer If cold or polluted water. May cause allergic rash; sting In open wound
BURN CREAM General antiseptic, burn Apply directly on
Affect area cleaning
External use only
PAINKILLLERS
PARACETAMOL Aches and pain , flu, headache fever, mild burn 500 to 1000 mg 6- hourly Safest pain killer at High altitude. may be given Ibuprofen
ASPRIN

Aches,pain,flu, headache, ever,arthritis, minor Burn, inflammation. Has ant clotting properties so many be used in DVT and heart attack

300 to600 mg 6- hourly

150 mg daily

May cause indigestion, retinal Bleeding. Take with
Food. Avoid if history of peptic ulcer or stomach bleeding. Avoid the Children.
IBUPROFEN Moderate to sever pain, pain with inflammation, ‘trekker’s knee’. Period pains, strains, bruising, arthritis 400 mg 8 - hourly Take with food, may cause indigestion, stomach bleeding. Avoid if history of
Peptic ulcer or Asthma

CODEINE PHOSPHATE OR
SULPHATE

Moderate to severe Pain, burns Cough., diarrhea
30 to 60 mg 8- hourly
15to30 mg 12- hourly
Strong painkiller, may cause constipation, respiratory
Depression. Do not given under one year old. Avoid alcohol
PENTAZOINE Sever pain, broken bones, sever burns etc 25 to 100 mg 3 to
4 - hourly
Very strong painkiller, may cause respiratory depression hallucinations. Avoid alcohol. Do not give under 12 year
XYLOCAINE TM
INJECTION
Ana esthetic for stitching or removing splinters 1 ml per 1 cm of wound to stitch Maximum 20 ml , do n not inject intravenously, takes 5 -10 minutes to takes effect.
ANTIBIOTICS
AMOXYCLLIN Respiratory, wound, kidney infection
Urinary infection
250 to 500 mg 6to 8- hourly for 5 to
14 days.
500 mg 8-houirly
Avoid in penicillin allergy avoid alcohol. Can cause skin rash , nausea, fainting, diarrhea
CEPHALEXIN Respiratory, wound, kidney infection 250 to 500mg 6 to8-hourly for 5 to 14 days
250 to 500 mg 8- hourly for 3 days
Avoid in penicillin allergy avoid alcohol Can cause skin rash, nausea, fainting, diarrhea.
CIPROFLOXACIN Respiratory, skin
Kidney and other infection
Diarrhea, urinary infection
Typhoid fever
500 mg 12-hourly
For 5 to14 days

500mg to12-hourly for 2 to3 days
500mg 8-hourlyfor 10 to 14 days

Avoid in quinolone allergy. First choice in bacterial diarrhea .
Give on empty stomach , keep patient
Dehydrated , avoid under 16 years avoid alcohol avoid in pregnancy.
CO-TRIMOXAZOLE Respiratory, skin , kidney,. Pelvic infection
Diarrhea, urinary infection
1 to12-hourly for 5 to14 days One 12- hourly for 3 days
Avoid in sulphur allergy. Second Choice for bacterial Diarrhea avoid alcohol. Avoid under two years.
DOXYCYLINE Respiratory, esp, sinus, infection
Pelvic inflammatory disease
Diarrhea…
Malaria prevention

100 mg12-hourly for 5 to 10 days
100mg 12-hourly
For 14 days
100mg 12-hourly
For 3 days
100 mg daily

Can cause skin sensitivity to sunlight, diarrhea, heartburn. Take with food. Avoid in pregnancy and under
8 years. For malaria prevention, start two days before entering malaria zone , continue for two weeks after leaving.
ERYTHROMYCIN
Respiratory, spheroid , skin infection
250 to6- hourly for 5 to10 days

 

A non penciling and non sulphur alternative take with food. Avoid alcohol.
METRONIDAZOLE
( flagyl Tm)

Guardia Amoebic dysentery Wounds, pelvic infection, pendicitis

2 gr daily in one dose for 3 days
600 to 800mg 8-hourly for 8 days
See chapter 10& 19
Take one hour before meal. May give a metallic taste, cause depression, nausea, heartburn avoid alcohol check dose for children 5 to12 avoid under 5 years. Avoid in pregnancy
Tinidazole (fasigynTm TitiniTm
TinibarTm)
Guardia

Amoebic dysentery

2 gr daily in one
Dose for one day
2 gr daily in one dose for 3 days
Take one hours before meal may give a metallic taste, cause depression heartburn Avoid Alcohol , For children5 to 12
50mg per kg once a dally avoid in pregnancy

EYE AND EAR

CHLORAMPHENICOL
SOFRAMYCIN tm NEOSPORIN tm
SULPHACETAMINDE tm
EYE OR EAR INFECTION
2 OR 3 DROPS
2 TO6 – HOURLY FOR MINIMUM 3 DAYS
OCCASIONALLY CAUSE LOCAL ALLERGIC RECTION, STOP IF SYMPTOMS GET WORSE
FUNGAL INFECTION      

MICONAZOLE ( DAKTRAIN tm) CLOTRIMAZOLE CANESTAN Tm

VEGINAL THRUSH, FUNGAL INFECTION, ATHLETE’S FOOT APPLY 8 TO 12 HOURLY FOR SKIN INFECTION,
CONTINUE FOR 5 DAYS
AFTER RASH HAS DISPEARED.
NAUSEA & VOMITING
MAXOLON Tm , STEMETLI Tm NAUSEA & VOMITING, VERTIGO TABLETS ONE 8-HOURLY
SUPPOSITORIES
5 TO 25 ONCE ONLY
START TABLETS AFTER 6 HOURS
MAY DEPRESS RESPIRATION, CAUSE HYPOTHERMIA, MAY DISTRUB BLANCE. CAUTION AT ALTITUDE. AVOID ALOCHOL, AVOID IN PREGENCY AND IN CHILDREN. SUPPOSITORIES ARE PUT IN THE RECTUM.
INDIGESTION
ANTARCID TABLES
( DIMAGEL Tm, GELUSIL Tm
INDIGESTION CHEW 2 TO 8 TABLES A DAYS HAVE REGULAR FREQUENT LIGHT MEALS . AVOID ALCOHOL , TOBACCO, CAFFEINE , FAT.
CONSTIPATION
LAXATIVE TABLETS
(DUROLAX tm , DUROLAX tm)
CONSIPATION 2 TO4 TABLES AT NIGHT INCREASE FIBRE AND FLUID IN TAKE
HAEMORRHOID MEDICATION (PILES)
RECTIONAL tm, ANUSOL tm PLIES/ Hemorrhoids SUPPOSITIO, ONE DAILYAND AFTER EACH STOOL
CREAM APPLY/
INSERT 3 TIMES DAILY
INSERT INTO RECTUM , PUT IN COLD WATER IF SUPPOSITORIES ARE TOO SOFT
ANTI MOTILITY (DIARRHEA)
LOPERAMIDE (IMMODIUM tm) TO SLOW DOWMN DIRRHEA 2 CAPS THEN ONE AFTER EACH STOOL DON’T STOP THE DIRRAHEA, JUST SLOW IT DOWN . DO NOT GIVE UNDER 12
DON’T STOP THE DIRRAHEA, JUST SLOW IT DOWN . DO NOT GIVE UNDER 12 TO SLOW DOWN DIARRHOEA 1 OR 2 TABS 8- HOURLY DON’T STOP THE DIARRHEA, JUST SLOW IT DOWN . MAY CAUSE DRY MOUTH , BLURRED VISION . DO NOT GIVE UNDER 12
RESPIRATOAY MEDICATION
PHENYLEPHRINE HCL 0.25 % ( DRISTAN tm ) NASAL DROPS NASAL CONGESTION, SINUSITIES, EARACH 3 OR 4 DROPS 6- TO - HOURLY INSTILLED WITH HEAD HANGING UPSIDE DOWN , OR RIGHT BACK AND TO ONE SIDE
SINUTAB tm, LEMOLATE tm FLU, CLOD, NASAL CONGESTION ONE TABLET 8-HOURLY MAY DREPRESS RESPIRATION, CAUSE DROWSINESS. AVOID WITH ANTI-DPRESSANT AND BP MEDICATION
ASTHMA SPRAY (VENTOLIN) ASTHMA ATTACK TWO PUFFS 4 TO6-HOURLY MAY CAUSE PALPITATIONS TO INCREASE EFFECTIVESS GIVE BY SPACER. IN SEVER ATTACKS, REFER TO PAGE 12

ANTI-ALLERGY AND ANTI INFLAMMOTORY

CHLORPHENIRAMINE
MELEATE (PIRITON
Tm, LONTAB tm)
ALLERIC RASHES, ITCHY BNITES, HAY FEVER , HEAD COLDS ONE TABLET 8-HOURLY MAY DEPRESS RESPIRATION , CAUSE
DROWSINESS. AVOID AT ALTITUDE AVOID ALCOHOL
HYDROCORTISONE CREAM (HYDROCORT tm) SKIN RASHES, ALLERGIES, MILD SUNBURN, MILD BURNS , PLIES APPLY DIRECTLY EXTERNAL USE ONLY . NOT TO BE USED ON INFECTED SKIN.
CALAMINE, CALADRYL tm INSECT BITES, ITCHLY SKIN, SUN BURN, PRICKLY HEAT APPLY DIRECTLY EXTERNAL USE ONLY
DENTAL
CLOVE OIL, DENTAIK tm W.L TOOTHACHE DROPS tm TOOTHACHE, BROKEN TEETH, LOST FILLINGS, SWOLLEN SORE GUMS APPLY DIRECTLY APPLY WITH COTTON- WOOL/BUD
ACUTE MOUNTAIN SICKNESS (AMS)
ACETOZOLAMIDE (DIAMOX tm) PREVENTION AND TREATMENT OF AMS 125 TO 250 MG MORING AND NIGHT MAY PRODUCE FELING OF TINGILING IN FIGURES, LIPS AND TOES THIS IS NOPT SERIOUS MAY XAUSE DEHYDRATION
NIFEDIPINE (ADALAT Tm) HIGH ALTITUDE CEREBAL EDEMA (HAPE) CAPSULES 20 TO 20 MG 8- HOURLY
TABLETS 10 TO20 MG 12- HOURLY
CAN HAVE SERIOUS SIDE-EFFECTS FALL IN BP, DIZXZINESS, FLUSHING HEADACHE
DEXAMETHAZONE HIGH ALTITUDE CEREBAL EDEMA HACE 4 MG 6- HOURLY START WITH 8 MG CAN HAVE SERIOUS SIDE –EFFECTS REDUCE DOSE SLOWLY
For more information contact us
 

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Klaus Töpfer
Hüssenerstr. 9
D - 45886 Gelsenkirchen
Tel: +49 (0)209-274699
info@himatrek.de

We are Register on the following Organization
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Govinda Poudel
PO Box 1235
Galkopkha / Kathmandu /Nepal Phone:+977-1-4359386
Fax: +977-1-4359257
info@himatreknepal.com
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