Lo Cum Guide Beta

8/6/2019 Lo Cum Guide Beta

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A Pragmatic Guide To GP Locumship

In SingaporeVer 2703062330beta incompleteLatest update at http://locum.esaurus.org/ in pdf formatCourtesy of: Panel anonymousCompliments for hosting: Esaurus.org

General stuff

1) Common difficulties encountered by new locums

- Alien pharmacopoeia. Repertoire of medications and prescribing culture aresignificantly dissimilar from that of government restructured hospitals

- Nurseless environment.Though often being fondly addressed as missies by thepublic, most clinic assistants in GP clinics are trained on-the-job and have no formalmedical background. Theres a wide variance in competency; experienced ones may bevery impressive. You are expected to perform tasks which will normally be done for youin hospital wards (eg nebulising, taking hypocounts, interpret dipstix results) yourselfunless the clinic assistants of that particular clinic have been trained to do so.

- Pharmaco-economics. Most clinics participate in some form of corporate practicescheme and the maximum fee per consultation for involved patients will be capped. Theirconsultation cards will usually be labeled with notes like IHP, cap: $25/visit or Aviva,MHS --> $5 only! . You have to work within the budget ie no high-end antihistamineslike Telfast, no high-end lozenges like Mac and consider giving I/I tds x 10 (even 6 or 8)and not II/II tds x 20 for certain medications if possible.

2) Words of advice

- Self-orientation. Each time you step into a new clinic, take time to find out where theequipment that you might need are placed : opthalmoscope/otoscope, spirit swabs,syringes + needles, injectables/vaccines, ECG machine, surgical sets, dressing sets,glucometer, memo pad for referrals, metal ear syringes, resus equipment etc. It would beawkward to fumble in front of patients looking for these stuff.

- Locum folder. Most clinics which employ locums on a regular basis will provide a file foryour reference. It usually contains the clinics drug list, MOH guidelines, product inserts,some specific advice regarding the practice culture of that particular clinic, the GPspersonal contact numbers etc. Do look for or request for it such that you will not wastetime writing prescriptions for drugs that are not available in that particular clinic

3) Some technicalities on documentation/ prescription

- Long documentation generally not welcomed. Strike a good balance between protectingyourself and saving paper. Examples below represent the max.

- Population psychology generally forbids monotherapy (Exceptions: Antihypertensives,viagra etc)
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- Do not write x 5/7, x 1/52 as in hospitals. For tablets/ capsules: Write the total numberof tab/cap you intend to give --> usually a nice number eg 10 and circle it (refer examplesbelow). For syrups/ suspensions: Except the high-end ones which are usuallydispensed in their original packaging, most syrups/ suspensions are re-distributed in 30ml,45ml, 60ml or 90ml bottles. Some clinics have 120ml bottles. As a rough guide, if thedosing of a certain syrup for a 2-year old kid is 2.5ml tds, a total amount of 30ml shouldsuffice. Write x 30 and circle the number. At the other end, an adult dosing of 10ml tdswould generally require a 90ml bottle. For creams that are not dispensed in their originalpackaging, they are usually redistributed in 5g and 10g containers.

- Unlike hospital practice:a) Do not write the dosing of any syrup/ suspension in mg. There is no pharmacist/ nurse to

do conversion for the patient. Instructions must be as layman-friendly as possible.b) Work flow is usually smoother if u use the proprietary names available in that particular

clinic, rather than writing generic drug names which the clinic assistant may not befamiliar with. Even paracetamol got bounced back once cos that lady only recognisesBiogesic. There is another reason. Both Augmentin and Curam are co-amoxiclav, butthe price is very different. Some clinics stock both. I shall not elaborate on who to givewhat.


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List of commonly used medications in local GP clinics

Cough suppressants (Anti-tussives)

Syrups

CommonProprietary Name(s)

Genericconstituent(s)

Default dosage(s) Default amount Remarks

DhasedylSunsedylSP-cosedylSedilixPromedyl-BEphedyl

Codeine phosphate +ephedrine +promethazine (inslightly differingproportions amongstbrands)

>12yr: 10 ml tds8-11yr: 7.5 ml tds4-8yr: 5 ml tds3-4yr: 3.5 ml tds2-3yr: 2.5 ml tds

x 90mlx 90mlx 60mlx 60mlx 30ml

Single most frequentlyprescribed drug in GPclinics. Addicts favtoo. Contra-indicatedin hypertensives,asthmatics andpatients on MAO-inhibitors

Dhasedyl DMSedilix DMEhedyl DM

Dextromethorphan +ephedrine/pseudoephedrine+promethazine (inslightly differingproportions amongstbrands)



Dextromethorphansubstituted forcodeine. DMP is anarcotic too, butproblem with physicaladdiction much lowercf to codeine

Promethazine Promethazine HCLavailable in 2concentrations:5mg/5ml15mg/5ml

( 5mg/5ml )>12yr: 10 ml tds7-9yr: 7.5 ml tds4-6yr: 5 ml tds2-4yr: 2.5 3.5 mltds

( 15mg/5ml )>12yr : 5 ml tds8-11yr: 3.5 ml tds4-7yr: 2.5 ml tds2-4yr: 1.5 ml tds

x 90mlx 90mlx 60mlx 30/45ml

x 60mlx 45mlx 30mlx 30ml

Antihistamine withantitussive and anti-emetic properties

Silomat Clobutinol 20mg/5ml >12yr: 10ml tds9-11yr: 7.5 ml tds6-9yr: 10 ml tds3-6yr: 7.5 ml tds1-3yr: 5 ml tds

Cough-en Dextromethorphan15mg/5ml,pseudoephedrine30mg/5ml, triprolidine1.25mg/5ml

Fedac Co

Levopront Levodropropizine60mg/10ml

> 12 yrs only:10ml bd-tds

X 60ml/120ml

Minimum of 6hbetween doses. Not tocontinue beyond 1week.


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LTR Codeine phosphate10mg/5ml

> 12 yrs only:10ml tds

X 90ml Pure codeine!

Metophan Dextrometophan HBr15mg/5ml

>12yr: 10 ml tds8-11yr: 7.5 ml tds4-8yr: 5 ml tds3-4yr: 3.5 ml tds

2-3yr: 2.5 ml tds


x 30ml

Actifed Co

Tablets




DexcophanBeathorphanPusiran

Dextromethorphan15mg

Adult:I/I - II/II tds-qdsChildren 7-12yr: tab to I/I tds

x 10 Not to exceed120mg/day for adultsand 60mg/day forchildren (7-12 yrs only)

Lozenges




Tussils Dextromethorphan15mg

Adult:II/II tds-qdsChildren 6-12yr:I/I qds

x 10 Obviously not meant tobe used like theantiseptic lozenges

Expectorants (Protussives)

Syrups




Phenexpect Ammoniumchloride135mg/5ml;diphenhydramine12.5mg/5ml



See alsoPhenexpect CDunder mixed coughpreparations

Benadryl Ammoniumchloride125mg/5ml;diphenhydramine12.5mg/5ml;

alcohol 5%

>12yr: 10 ml tds8-12yr: 7.5 ml tds5-8yr: 5 ml tds3-5yr: 3.5 ml tds

1-3yr: 2.5 ml tds


x 30ml

Diphen 10

Diphen 5

Mucolytics

Tab/ Capsules ( For > 12yrs unless otherwise stated )


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VasicanBisolvonBromxineSP-MucosovMucolix

Bromhexine 8mg tabI/I tds X 10

Vasican generallybetter known thanbisolvon in GP clinics

MucosolvanPolibroxolAmxol

Ambroxol HCl 30mg I/I tds X 10

Rhinathiol Carbocisteine 375mg I/I II/II tds X 10

Fluimucil N-acetylcysteine600mg

I/I OM or ON X 6, 8 or 10 Effervescent form oftablet available

Sachets (granules/ powder)




Fluimucil N-acetylcysteine in100mg and 200mgsatchets

(100mg sachets)>12yr: 1 sachet qds6-11yr: 1 sachet tds2-5 yr: 1 sachet bd

(200mg sachets)>12yr: 1 sachet bd6-11yr: sachet tds2-5 yr: sachet bd

X 4, 6 or 8

Mucotreis Carbocisteine300mg/sachet

>12yr: 1-2 sachet tds6-11yr: 1 sachet tds2-5 yr: sachet tds

X 4, 6 or 8

Syrups




Vasican

Rhinathiol Rhinathiol Childrenand Infants Syrup:Carbocisteine100mg/5mlRhinathiolExpectorant:Carbocisteine250mg/5ml

SP-mucoplex Carbocisteine250mg/5ml

Solmux Carbocisteine200mg/5ml

Non-specific / Mixed cough preparations

Syrups

Common Generic Default dosage(s) Default amount Remarks


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Proprietary Name(s) constituent(s)

Rhinathiol-promethazine

High-end coughmixture popular withyoung parents

Mucolexin* For kids only

11-12yr: 10ml tds7-10yr: 7.5ml tds

4-6 yr: 5ml tds2-3 yr. 3.5 ml tds< 1yr: 2.5ml tds

Phenexpect CD

Prospan

Sinupret

Anti-inflammatory enzymes




Default dosage (s) Default amount Remarks

DanzenKorzenSerrazymeSinsia

Serratiopeptidase5mg or 10mg tabs

(5mg tab)

I/I II/II tds(10mg tab)

I/I tds

10 - 20

NeufloNeuzymLeftose

Lysozyme 10mg tabs I/I II/II tds 10 - 20

Syrups




Leftose Lysozyme 5mg/ml 10-12yr: 5 ml tds6-10yr: 3.5 ml tds2-5yr: 2.5 ml tds 12yrs unless otherwise stated )

Common

Proprietary Name(s)

Generic

constituent(s)


Fedac Triprolidine 2.5mg +pseudoephedrine30mg

I/I tds-qds X 10 Do not give with otherpreps containingpseudoephedrine egDhasedyl

Fenfedrin Chlorpheniramine4mg +pseudoephedrine60mg

I/I tds-qds X 10 Do not give with otherpreps containingpseudoephedrine egDhasedyl


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PiritonAllersinChloramineAllerylAllerphen

Chlorpheniramine4mg

>12yr: I/I tds-qds6-11yr: tab tds-qds

X 10 Not to exceed 24mg/day for adults;12mg/day for children

PolaramineDexchloramineSominDextramine

Dexchlorpheniramine

2mg>12yr: I/I tds-qds6-11yr: tab tds-qds

X 10 Not to exceed12mg/day for adults;6mg/day for children

AtaraxHyzin

Hydroxyzine in 10mgor 25mg

I/I on/bd/tds titratedto effects desired/severity of allergies

X 10 Adults: Not to exceed100mg/day. Paeds (>3yr): 1mg/kg/day individed doses

Became Carbinoxamine 4mg+ pseudoephedrine60mg

6yr-adult:I/I tds-qds2-5yr:

tab tds-qds

X 10 Do not give with otherpreps containingpseudoephedrine egDhasedyl

Peacef Triprolidine 1.25mg +

pseudoephedrine30mg

>12yr: I/I tds-qds

6-11yr: tab tds-qds

X 10 Do not give with other

preps containingpseudoephedrine egDhasedyl

Syrups




ChlormineChloramineAntaminAllerphenAlleryl

Chlorpheniramine4mg/ 5ml

>10yr : 5 ml tds6-9yr: 3.5 ml tds3-5yr: 2.5 ml tds2-3yr: 1.5 ml tds1-2yr: 1.5 ml bd

X 60mlX 45mlX 30mlX 30mlX 30mll

Not to exceed12mg/day for children(5ml tds is max!)

(to be continued)

Antihistamines, non-sedating





ClarityneAllertynRoletraEzedeLoratyn

Loratadine 10mg I/I OM x 5 - 10

Clarinase Loratadine 5mg +pseudoephedrine120mg per tab

I/I bd X 10 Not to continue for > 3weeks.

ZyrtecAllertec

Cetirizine 10mg I/I OM x 5 - 10


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AdezioAlzytecTerizin

Cirrus Cetirizine HCl 5mg +pseudoephedrine120mg per capsule

I/I bd X 10

Telfast Fexofenadine 180mg I/I OM X 6 - 10 Esp good for chronicidiopathic urticaria

AeriusDesalex

Desloratadine 5mg >12yr: I/I OM6-11yr: tab OM

X 10

Xyzal Levocetirizine 5mg > 6yr: I/I OM X 10

SyrupsCommonProprietary Name(s)



(to be continued)

Zyrtec

Rhizin

Cetirizine 5mg/5ml

Alpha-adrenergic Nasal Decongestants

Tab/ Capsules




SudafedPseudorine

PseudoephedrineHCl 60mg

I/I tds X 10 Do not give withdhasedyl, cirrus,clarinase etc

Topical

CommonProprietary Name(s) Genericconstituent(s) Default dosage(s) Default amount Remarks

Iliadin nasaldrops

Oxymetazoline HClavailable in 0.01%,0.025% and 0.05%

6yr: 0.05%

1 drop tds

X 1 bottle Not to continuebeyond 5 days

Afrin nasalspray

Oxymetazoline0.05%

> 6yr: 1 drop tds X 1 bottle

Antiseptic lozenges/ Gargles

LozengesCommonProprietary Name(s)



DifflamTrachisan

MAC High endlozenges; tastelike Hacks.


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olution

me(s)Generic

(s)Default dosage(s) Default amount Remarks

SCommon

y NaProprietar constituent

Thymol gargle gargle tds x 1 bott Dilute 1 part with 3parts of water beforeuse

Difflam gargle gargle tds x 1 bott

Antibiotics Antibacterialsab/ Capsules

y Name(s)Generic


T

CommonProprietar constituent

AmoxilOspamox

g or (250mg)

ds 20

10AmoxicapAroxinMoxipen

Amoxycillin 250m500mg capsules I/I - II/II t

(500mg)

I/I tds

XX

CelexinFelexinSofilex

Cephalexin 250mg or (250mg)

ds 20

10

500mg tab/capsules II/II bd-t(500mg)

sI/I bd-td

XX

Augmentin Amoxycillin 500mg +

s

I/I bdCuramAugmexMoxiclavAmocla

Clavulanatepotassium 125mg

Moxiclav also has a(325mg type where theamoxicillin component i250mg only)

X 10

Ciprobay

l

250mg I/I bd X 10

ServifloxGinorectoCirokEnoxin

Ciprofloxacinor 500mg

Bexinor Norfloxacin 400mg I/I bd X 10Nolicin

InofloxOflox

Ofloxacin 200mg I/I bd X 10

Tarivid Ofloxacin 100mg I/I bd X 10

Avelox Moxifloxacin 400mg I/I OM ck (5tab)X 1 pa

Tequin Gatifloxacin 400mg I/I OM X 1 pack (7tab)

(to be continued)

Syrups

y Name(s)Generic

(s)Default dosage(s) Default amount RemarksCommon

Proprietar constituent


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(to be continued)

Anti-emetics/ Vestibular sedatives

ab/ capsules ( ForT > 12yrs unless otherwise stated )

s) Default amount RemarksCommonProprietary Name(s)


Default dosage(

DimenateDramamine

e s

Novomin

Dimenhydrinat50mg

Nausea/vomiting/Meniere

I/I tdsness:Motion sick

1 tab half hr before

X 10 Antihistamine

journey

Cinnaron Cinnarizine 25mg miting/Menieres

StugeronVertigon

Nausea/vo

I/I tdsness:Motion sick

1 tab 2 hrs beforejourney; tab q8hjourney

during

X 10

Stemetiline

Prochlorperazine omiting/Menieres

DhaperazProchlor

5mgNausea/v X 10 Not to exceed 30mgI/I tds (6 tab) per day

MaxalonPrimperan

Metoclopramide I/I tds X 10 Will worsen diarrhea

Pulin

10mg if present

Motilium Domperidone10mg

I/I tds X 10 Will worsen diarrheaif presentDomper

Dompel

Merislon (to be continued)

Betaserc

Buclizine

Cyclizine

yrupsS

Common

Proprietary Name(s)

Generic

(s)


constituent(to be continued)

Suppository

(s)Generic


Proprietary Name constituent

Domper Domperidone 10mg 2-3yr: I/I bd-tds


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per suppository >3yrs: Up toIII/III bd-tds

Primperan (to be continued)

Injectables

me(s)Generic


y NaProprietar constituent(to be continued)

Gastrointestinal anti-spasmodics/ Anti-flatulents/ Motility regulators

ab/ Capsules ( For >T 12yrs unless otherwise stated )

y Name(s) (s)age(s) Default amount RemarksCommon Generic Default dos


BuscopanDhacopan

FuconSpasmoliv

10mgI/I tds X 10

Vacopan

Hyoscine-N-butylbromide

Librax I/I tds-qds Can also be usedpreprandial

for ureteric spasm,dysmenorrhoea

Debridat Trimebutine maleate I II/II tds x 10-20Cerekinon 100mg

I/

MotiliumDomperDompel

Domperidone 10mg I/I tds X 10

Meteospasmyl Alverine citrate 60mg I/I bd-tds x 10+ simethicone 300mg

yrup

y Name(s)Generic


S


Buscopan

Colimix Dicyclomine HCl5mg/5ml,simethicone50mg/5ml

>10yr: 10ml tds est for wind5-10yr: 7.5ml tds2-4yr: 5ml tds6mth-2yr:3.5ml tds


B

Dentinox Activatede, dill oil

fant colic

infant colicdrops

dimethiconIn

after2.5ml with oreach feed

InfacolRidwind

Simethicone Infant colic

100mg/ml ed8 drops per fe


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Contraceptives

ral combined contraceptives

ommony Name(s)

Generic(s)

Administration Remarks

O

CProprietar constituent

GyneraMinulet

Gestodene 75mcg +ethinylestradiol30mcg

Marvelon Desogestrel 150mcg+ ethinylestradiol30mcg

Mercilon strel 150mcgDesoge+ ethinylestradiol20mcg

Yasmin enone 3mg +

1 to D21 of menstrual cycle

Drosipirethinylestradiol 0.03mg

Dfollowed by 7 tab-free days

Microgynon norgestrel D5 to D25 of menstrual cycleNordette

Levo150mcg +ethinylestradiol30mcg

followed by 7 tab-free days

mergency contraception (Morning-after)

ommony Name(s)

Generic(s)

Administration Remarks

ECProprietar constituent

Postinor Levonorgestrel 750 1st

tab within 48 hour post-coitusmcg x 2 tab per pack ( maximum 72 hours); 2

ndtab 12

hours later

epot contraceptives

ommon Proprietary Generic constituent(s) Administration Remarks

D

CName(s)

Depo- provera Medroxyprogesterone 150mg 3-monthly intramuscular Glutes please(50mg/ml x 3ml) injection

Evra orgestromin 150mcg/24hr + kly x 3 weeks Apply on hairless,,

NEthinyl estradiol 20mcg/24hr

1 patch weethen 1 patch-free week dry skin (Eg buttock

abdomen, lateralaspect of upper arm)Not over breast/axilla

Ophthalmic and ear preparations

ye-drops, for conjunctivitis of allergic/ irritantE etiology


13/16

Commony Name(s)

Generic(s)

Default dosage(s) Default amount RemarksProprietar constituent

Allerex 2 drops qds X 1 bott

Spersallerg Antazoline HCl

HCl

Adult: 1 dropn

1 drop

X 1 bott0.05%;

tetrahydrozoline0.04%

3hrly then weato bd-tdsChildren:bd

Naphcon-A Naphazoline HCline

drops 3-4hrly X 1 bott0.025%, phenirammaleate 0.3%

1-2

Octilia e 1-2 drops bd-tds X 1 bottTetrahydrozolin

Vividrin Disodiumcromoglycate

1 drop qds X 1 bott

ye-drops, for conjunctivitis of infectiveE etiology

ommony Name(s)

Generic(s)

Default dosage(s) Default amount RemarksCProprietar constituent

Optodexine Chloramphenicol, 2 drops qds X 1 bottdexamethasine andtetrahydrozoline

Optomycin 2 drops qds X 1 bott Compare optomycin

Xepanicol

Chloramphenicol0.5% ear drops

Optomycin D Chloramphenicol + 2 drops qds X 1 bottdexamethasone

Sofradex X 1 bott

Fucithalmic X 1 bott

Eye ointments, for conjunctivitis of infective etiology

ommony Name(s)

Generic(s)


Chlortalim Chlortetracycline 1% Instil intoal sac bd

MIMS says tds-qds but

conjunctiv commonly prescribedas on or bd, esp whengiven together witheye-drops

Fulcithalmic

Antibiotic ear-drops

ommony Name(s)

Generic(s)


Optomycin ear


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drops 5%

Hydrospor

Ceruminolytic ear-drops

y Name(s) (s)Default dosage(s) Default amount RemarksCommon Generic


Cerumol Arachis oil,chlorbutol,paradichlorobenzne

5 drops bd x 3 x 1 bott CI: Perforated TM,days active otitis

Waxsol 2 drops ON x 1-2 x 1 bott Not for more than 2Docusate Na 0.5%nights beforesyringing

nights. CI: PerforatedTM, active otitis

Tropex Phenazone 0.5% x 1 bott eres4-6 drops tds-

qds

Can use when thconcomitant otitis andear wax impaction

Olive oil

Anti-obesity / Anorexiants

ab/ Capsules ( For >T 12yrs unless otherwise stated )

y Name(s) (s)age(s) Default amount RemarksCommon Generic Default dos


DurominePanbesy

Phentermine 15mg or30mg

I/I OM X 30 For BMI > 30kg/m2.

,

Follow-up: MonitorBMI, BP, HR andwhether have

insomnia, tremorspalpitations etc.

Reductil Sibutramine HCl I/I OM X 2810mg or 15mg

As above

Xenical > 18yrs only:ch

X 84 Known for its sideea,

Orlistat 120mg

I/I tds with eameal

effects of steatorrhofaecal incontinence,greasy spotting etc

Drugs for erectile dysfunction

ab/ Capsules

y Name(s)Generic


T


Viagra Sildenafil citrate I/I ON/PRN 1 hr x 1 pack (4 tab) Not to exceedI: On

osa

50mg or 100mg inpacks of 4

before sexualactivity

100mg daily. Cnitrates, recent CVA/AMI, EF


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packs of 4 36hr before sexualactivity

individual window ofresponsiveness. CIas above.

Levitra Vardenafil 10mg or I/I ON/PRN 25- x 1 pack (4 tab) ed 20mg20mg in packs of 4 60min before

sexual activity

Not to excedaily. CI as above.

nnex A: Executive Summary of Paediatric Syrup DosingsA

AGE W PIRITON DMP

15 LPMZ

5 LPARACET PARACET PARACET DHASEDYL FEDAC TDS VASICAN PHEN-

EX DCOUGHLAX NAPAN NUROFENT

4MG/5MLTDS (ML)

MG/5MTDS (ML)

MG/5MTDS (ML)

125MG/5MLQDS (ML)

250MG/5MLQDS (ML)

500MG/5MLQDS (ML)

TDS (ML) (ML) 4MG/5MLTDS (ML)

PECT CTDS (ML)

TDS (ML) 125MG/5MLTDS (ML)

100MG/5MLQDS (ML)

3 MTH 6 - - - 2.5 - - - - - - -

6 MTH 8 - - - 2.5 - - - 2. d 2 2.55 b - - .5 tds

9 MTH 9 - - - 2.5 - - - 2.5 bd - - 2.5 2.5 tds

1 10 1.25 bd 2 2. 1.- - 5 .5 - - 2.5 bd 5 - 25 2.5 2.5

2 13 1.25 bd - 2 2 2.5 5 2.5 - .5 2.5 2.5 .5 1.25 2.5 2.5

3 15 1.25 - 3.5 5 2.5 - 2.5 2.5 2.5 2.5 2.5 5 2.5

4 17 1.25 - 5 7.5 3.5 - 2.5 2.5 2.5 2.5 2.5 5 2.5

5 19 1.25 - 5 7.5 3.5 - 2.5 2.5 2.5 2.5 2.5 5 5

6 21 2.5 - 5 10 5 2.5 5 5 5 5 2.5 5 5

7 23 2.5 2.5 7.5 10 5 2.5 5 5 5 5 2.5 7.5 5

8 25 2.5 2.5 7.5 10 5 2.5 5 5 5 5 2.5 7.5 5

9 27 2.5 2.5 7.5 - 7.5 3.5 5 5 5 5 2.5 7.5 5

10 30 5 5 10 - 7.5 3.5 5 5 5 5 2.5 10 10

11 34 5 5 10 - 10 5 5 5 10 5 2.5 10 10

12 38 5 5 10 - 10 5 10 10 10 10 2.5 10 10

AGE WT AMOXIL125MG DS

AMOXIL250MG DS

ERYTHROMYCIN CEPHALEXIN125MG

CEPHALEXIN AUGMENTIN156MG

AUGMENTIN228MG

CEFACLOR125MG S

KLACID125MG

BACTRIM BD (ML)/5ML T(ML)

/5ML T(ML)

200MG/5ML QDS(ML)

/5ML TDS(ML)

250MG/5ML TDS(ML)

/5ML TDS(ML)

/5ML BD(ML)

/5ML TD(ML)

/5ML BD(ML)

3 MTH 6 2.52.5 - 1 2.5 1.25 1.5 1.5 1.5 -

6 MTH 8 2.5 - 1 2.5 1.25 1.5 1.5 1.5 - 2.59 MTH 9 5 2.5 1 2.5 1.25 2.5 2.5 1.5 - 2.5

1 10 5 2.5 2.5 5 2.5 2.5 2.5 2.5 2.5 2.5

2 13 5 2.5 2.5 5 2.5 5 5 2.5 2.5 2.5

3 15 7.5 3.5 2.5 5 2.5 5 5 2.5 5 2.5

4 17 7.5 3.5 5 5 2.5 5 5 5 5 5

5 19 7.5 3.5 5 10 5 5 5 5 5 5

6 21 10 5 5 10 5 5 5 5 5 5

7 23 10 5 5 10 5 10 10 5 7.5 5

8 25 10 5 5 10 5 10 10 5 7.5 5

9 27 10 5 5 10 5 10 10 7.5 7.5 10

10 30 10 5 7.5 10 5 10 10 7.5 10 10

11 34 10 5 7.5 10 5 10 10 10 10 10

12 38 10 5 7.5 10 5 10 10 10 10 10

AGE WT VENTOLIN2MG S

KETOTIFEN BRICANYL DIMENATE BUSCOPAN5MG

MAXALON/5ML TD(ML)

1MG/5ML BD(ML)

1.5MG/5MLTDS (ML)

15MG/5MLTDS (ML)

/5ML TDS(ML)

5MG/5ML TD(ML)

SCOLIMIX TDS LOPERAMIDE KAOLIN QDS POT CITRATE AGAROL TDS VENTOLIN

(ML) 1MG/5ML TDS(ML)

(ML) TDS (ML) (ML) NEB (ML)

3 MTH 6 - - - - 2.5 1 bd 2.5 - - 2.5 - 0.15

6 MTH 8 1 2 2.5 .5 .5 - 2.5 1 bd 2.5 - - 2.5 - 0.20

9 MTH 9 1.5 2.5 2.5 - 2.5 1 bd 2.5 - - 2.5 - 0.25

1 10 2.5 2.5 2.5 2.5 2.5 1 2.5 - - 2.5 - 0.25

2 13 2.5 2.5 2.5 2.5 5 1 5 - - 5 - 0.25

3 15 2.5 2.5 2.5 2.5 5 2 5 - - 5 2.5 0.5

4 17 3.5 5 5 5 5 2 5 - - 5 2.5 0.5

5 19 3.5 5 5 5 5 2.5 5 5 - 5 2.5 0.5


16/16

6 21 3.5 5 5 5 10 2.5 5 5 10 10 5 0.5

7 23 5 5 5 5 10 2.5 5 5 10 10 5 0.75

8 25 5 5 5 10 10 2.5 10 5 10 10 5 0.75

9 27 5 5 5 10 10 5 10 5 10 10 5 0.75

10 30 7.5 5 5 10 10 5 10 10 10 10 5 0.75

11 34 7.5 5 5 10 10 5 10 10 10 10 10 0.75

12 38 10 5 5 10 10 5 10 10 10 10 10 0.75

Annex B:

POTENCY OF TOPICAL STEROIDS AND CLINICAL USE

POTENCY GRADE STEROID TYPES OF DERMATOSES

HIGH POTENCY Clobetasol propionate 0.05%

Lichen simplex chronicusus (non-facial)

palms

Discoid lupus erythematos

Hypertrophic lichen planusRecalcitrant psoriasis (hair line, legs)Recalcitrant hyperkeratotic eczema ofand soles

HIGH MODERATE

Betamethasone dipropionate

thasone valerate

ymethasone 0.25%

one acetonide

ide 0.05%ate 0.1%

Contact dermatitishenified areas)

emaatosus (face)

POTENCY

0.05%Betame0.1%DesoxDiflucortolone valerate 0.1%Fluclorolone acetonide0.025%Fluocinol0.025%FluocinonHydrocortisone butyrMometasone Furoate 0.1%

Atopic dermatitis (licLichen planusHand / feet eczDiscoid lupus erythemAcute sunburnInsect bite reactions

MODERATE

one butyrate 0.05%

ne acetonide

nolone acetonide

Atopic dermatitisdermatitis

emamatitis

xuresPOTENCY

Betamethasone valerate0.025%ClobetasFlucinolone acetonide0.00625%Triamcinolo0.1%Fluoci

0.01%

Extensive contactIntertrigoStasis eczSeborrhoeic derPsoriasis on face and flePityriasis roseaDiscoid eczemas

MILD POTENCY

Fluocinolone acetonide

sone 0.5% / 1%

Facial eczemans

children and elderly

0.0025%HydrocortiHydrocortisone acetate 1%

Anogenital lesioIntertrigoEczema inXerotic eczema

Documents

Lo Cum Guide Beta