Sinusitis

#

1. Symptoms

    1. Headache

    2. Feeling of پری

    3. thick mucosal discharge

    4. fever

    5. Hx of URI more than 10 days ago

    6. a period of resolving symptoms then worsening of them

2. Treatment

    1. Amp ceftriaxone 50mg/kg IV stat

    2. Susp amoxicillin 250mg/5ml w/2cc bid for 10 days #1

        1. or susp co-amoxiclav 457mg/5ml w/2 bid

    3. Syrup acetaminophen 120mg/5ml w/2cc qid

    4. Elixir diphenhydramine 12.5mg/5ml w/3cc qid #1

        1. syrup guaifenesin qid

3. Trade Name

    1. Susp Farmentin 643 w/3 #1 bid (co-amoxiclav)

    2. susp Faramox 400mg/5ml (200mg/5ml) (Amoxicillin)

4. As tab

    1. Tab co-amoxiclav 625mg tds for 2 weeks

    2. Tab amoxicillin 500mg tds for 2 weeks

5. in case of Penicillin hypersensitivity:

    1. Levofloxacin 20mg/kg/day

        1. or Tab clindamycin 300mg tds for 3 weeks (30mg/kg/day)

6. If no response to treatment, refer to ENT man