Common cold

#

1. For FEVER:

    1. Acetaminophen

        1. Tab 325-500 mg (10-15 mg/kg) q6h

        2. Susp 120mg/5ml 1/2Weight cc

        3. Susp 125-325 q6h

        4. Drop 100mg/ml 2*W drop

        5. Soft gel Cap 325-500

    2. Ibuprofen 100mg/5ml (5mg/kg or 1-2cc/kg/d) q6h

    3. Elixir Diphenhydramine 12.5mg/5cc w/4 ccq6h (very sedative) (useful in 6m – 2 y/o)

    4. Syrup hydroxyzine 10mg/5cc w/4 cc q8h (very sedative)

        1. or Tab hydroxyzine 10-25 mg tds

    5. Elixir Loratadine 5mg/5ml 5cc bid or qd

    6. or Tab loratadine 5 mg qd

    7. Tab cetirizine 5, 10 mg bid or qd

    8. Syrup ketotifen 1 mg/5ml (6m-2y/o 2.5 cc — > 2 y/o 5 cc) bid

    9. or tab ketotifen 1 mg bid

2. Decongestant

    1. do not use for long-term, or alone, or >12y/o

    2. Nasal drop phenylephrine 0.25% or 0.5% tds

    3. syrup pseudoephedrine 30mg/5cc w/4 cc qid

    4. or cap pseudoephedrine  30mg qd

    5. nasal drop Naphazoline 0.5% qid

3. Dry Cough

    1. tab Dextromethorphan 15 mg

    2. or Syrup dextromethorphan 0.4cc/kg/day qid or 2.5 cc tds

    3. or Oral drop dextromethorphan 4mg/ml

    4. or Syrup dextromethorphan-phenylephrine

4. Wet cough

    1. Syrup expectorant 0.5cc/kg/d or w/6 cc tds

    2. syrup guaifenesin 100mg/5cc w/4 cc in <4 y/o tds

    3. Syrup bromhexine  4mg/5cc 2.5 cc tds

    4. Syrup prospan 5 cc q8h #1

    5. Syrup Ivora 5 cc q8h #1

5. If dyspnea

    1. Spray salbutamol PRN

    2. Spray fluticasone bid (Fixotide & Fixonate)

    3. Spray Mometasone bid (Asmanex & Nasonex)

6. Combined Drugs:

    1. Adult cold qid (include antihistamine)

    2. Cold stop qid #30 (include antihistamine)

    3. tab corizan qid #30

    4. Syrup pediatric grape w/4cc qid

7.