Primary Care Drug List (Common Symptoms)
Generic Name Trade Names PreparationsGeneralised Aches and Pains
Ach
es
an
d P
ain
s
Paracetamol Panadol 500mg tabsDhamol 250mg/5mls
Tramadol Tramal, Pengesic 50mg tabsMefenami Acid Ponstan, Medicap 250mg tabs
Paracet/Ophenadrine Anarex P:450mg O:35mgNaproxen Na 275mg
Ketoprofen Ketotop PlasterPiroxicam GelCaffeine/ergotamine Cafergot
URTI Symptoms
Cetirizine Zyrtec 10mg tabCirrus C:5mg P:120mg
Loratidine Clarityn 10mg tabChlorpheniramine Piriton
Co
ug
h
Promethazine/ Codeine Procodin, Phensedyl
+ ephedrine Dhasedyl + E:6mgBromhexine Bisolvon 8mg tab or /5mlAcetylcysteine Flumicil 600mg
Gastro-Intestinal
Na
use
a/V
om
ittin
g
Metoclopramide Maxalon
Domperidone Motilium
Cinnarizine Stugeron 25mg tab
Prochlorperazine Stemetil
Dimenhydrinate Dimenate 50mg tabPyrodoxine/Meclozine Navidoxine
Dia
rrh
oe
a Charcoal (medicinal) UltraCarbon 250mg tabsDiphenoxylate/Atropine Lomotil D:2.5mg A:25mcgLoperamide Imodium
Co
lic/B
loa
ted Buscopan
Alverine/Simethicone Meteospasmyl A:60mgS:300mg tab
Na
sal
Co
ng
est
ion Cetirizine/
Pseudoephedrine
P:9mg, C:3.6mg /5ml
10mg tab/amp/ supp/5ml10mg tab, 5mg/5ml sus
5 mg tabs, 12.5 mg vials
M: 25mg, P: 50mg /tab
Hyoscine-N-Butylbromide
10mg tab, 20mg amp
Dosage RemarksGeneralised Aches and Pains
2 qdsAge-dependent syrup for kids2 tds2 tds
2 stat, then 1 tds
Topical MSK painqds Topical MSK pain2 stat, then 1 every 30 mins. Max 6 Migraine
URTI Symptoms
1 om Non-sedating1 bd less sedating
1 om non-sedatingsedating
5ml tds Suppressant
5ml tds Suppressant1 tds. Syrup age-dpdt Expectorant1 om Expectorant, COPD
Gastro-Intestinal
1 tds / 2sup per day / 2ml IM
2 stat then 1 tds
1 tds or 2hrs before journey
5mg tds, 12.5mg stat (IM)
1 tab ½ hr before journey For motion sickness1 tab ON
2 qds Adsorbent2 qds
1 tds 1 amp IM Anti-spasmodic1 amp IM1 tds
menstrual pain, give with Famotidine
MSK pain, give with Famotidine
For vertigo or motion sicknessCan also be used for anxiety, Schizophrenia
For morning sickness. Common in primips/twins/moles
Inhibition of peristalsis
Anti-spasmodic/ flatulence, IBS
Condition Drug
Gynaecological
NystatinMiconazole (2% cream)Keoconazole
Bacterial VaginosisTrichomoniasis
Co
ntr
ace
ptiv
es
Patch EvraNorelgestromin/Estradiol
Basic MicrogynonLevonorgestrel/Ethinyl EstradiolGynera / Minulet
Low Dose E/P Meliane
MercilonDesogestrel 150/Ethinylestradiol 20
Emergency Postinor-2Levonorgestrel
Urogenital
Infe
ctio
ns
UTI Ciprofloxacin
Co-AmoxiclavAugmentin / Curam
Gonorrhoea CeftriaxoneNGU Doxycycline
Dermatological
Infe
sta
tion
Scabies Malathion 0.5% lotionDerbac
Lice infestation Benzyl-Benzoate 25% emulsion
Topicals Tretinoin (Vit A) cream 0.025%
Acn
e Benzoyl Peroxide 2.5% gel
Erythromycin/Benzoyl PeroxideBenzamycin
Systemics Tetracycline
IsotretinoinRoaccutane
Fungal Miconazole 2% cream/powderDaktarin
Bacterial Mupirocin cream/ointment 2%
Treatment of less Common Symptoms
Va
gin
al
Dis
cha
rge
Vulvovaginal Candidiasis
Fluconazole (Diflucan)
Gestradene 75mcg/Ethinylestradiol 30 mcg
Gestradene 75mcg/Ethinylestradiol 20 mcg
Co-Trimoxazole (Septrin)
Citric Acid/NaCO3 (Citravescent)
[1st line]
In fe ct io u s
BactrobanFucidin (fusidic acid + betamethasone)Foban (Fobancort)silver sulfadiazine creamSilvazine
Osteoarthritis GlucosamineArtril
Ear Nose and ThroatOral Ulcers Chlorhex/lignocaine/triamcinolone
Oral-Aid
OphthalmicsConjunctivitis Chloramphenicol
Stye
Others
Wt
loss
PhentermineDuromine
↓ Fat absorption OrlistatXenical
Musculoskeletal
Fusidic Acid (Fusithalmic)Chlortetracycline (Chlortralim)
Appetite Suppressant
Dosage
Gynaecological1 (150mg) tab stat1 pessary OM x14DOD x7D200mg OD x14D
1patch/wk from D1 mensesUse 3 weeks, then break 1 week1tab/day from D1 menses
1tab/day from D1 menses
1tab/day from D1 menses
1tab/day from D1 menses
Urogenital1 (250mg) tab bd x3D
2 (80/400) tabs bd x10D
625mg tds/bd156.25 or 312.5mg/5ml susp1-2 sachets tds
250mg IM100mg bd x 7D
DermatologicalApply for 24 hours 1x/wk x 3 wks
Apply for 8 hours x 3D
Apply ON/BD
Apply bd
0.5mg/kg OM/BD x16W
Apply daily.
Apply tds
1 x 750mcg tab within 72 hrs, then 1 tab 12 hrs after
Start 2x/wk, then build up to nightly
Apply bd
Apply daily, 3-5mm
2 cap bd x 6-8wks
Ear Nose and Throat4 drops 2 hrly
Ophthalmics1 drop 4 hrly1 drop 4 hrlysapply tds
Others30mg OM
120mg with meals
Remarks
GynaecologicalFor uncomplicated VVC
For recurrent VVC. Also consider immunocompromise or non-albicans
Preferably 1st tab within 48 hrs
Urogenital
Using 156.25, give 10ml (7-12yo) or 5ml (2-7yo)Alkalinizes Urine
Gram negative intracellular diplococci. NotifiableNotifiable
DermatologicalColumn1
Efficacious, least resistance.
T: not for <9 yo or Px
Teratogenic. Must do UPT before + during therapy + use contraception
Con’t >1 wk after symptoms resolve
2nd line, more efficacious than augmentin
1st line, but resistance may be common
Can be used in both comedones and inflammatory lesions. Irritation of skin common. Not recommended in pregnancy
Can be used as 2nd line to tretinoin cream
Nasal Ointment available for elimination of nasal carriage of MRSA
Not to be used in or near eyes. CI in pregnancy and lactation
Ear Nose and Throat
Ophthalmics
Con't until 2D after symptoms improve.
OthersMonitor BMI
Steatorrhoea. Monitor BMI
Useful for antiseptic properties in burns
Paediatrics (detailed)
URTI
Symptoms Age Dosing 3 months 6 months 9 months 1 2Weight (kg) 6 8 9 10 13
Fever P250 (mg/5ml) 4 hrly 1 2.5 3 3 4P500 4 hrly 2Nurofen 8 hrly 3 3 5 5Chlormine tds 1.5 1.5 2.5 2.5Fedac tds 2.5 bd 2.5 bd 2.5 2.5Fedac Co tds 2.5 2.5Promethazine tds 2.5 bd 2.5 bd 2.5 2.5Dhasedyl tds 2.5Phenexpect CD tds 2.5 2.5Bisolvon tds 1.25 1.5 2 2.5 2.5
AsthmaAge Dosing 3 months 6 months 9 months 1 2Bricanyl tds 2.5 2.5 2.5 2.5Prednisolone tds 1.5 2 2.5 3 3.5Theophylline 6 hrly 4 5
GITSymptoms Age Dosing 3 months 6 months 9 months 1 2
Dimenate tds 1.5 1.5 2 2.5Colimix tds infacol 2.5 2.5 2.5 2.5Buscopan tds 2.5 2.5 2.5 2.5 2.5Kaolin tds 1.5om+LF 2.5 bd 2.5 bd 2.5 2.5Agarol tds
AntibioticsIndication Age Dosing 3 months 6 months 9 months 1 2
Amoxicillin tds 2.5 3 3.5 4 5Eryped bd 1.25 2.5 2.5 2.5 5Bactrim bd 2.5 2.5 3 5 5Cephelexin tds 2 2.5 3 3 4Augmentin tds 1.5 1.5 2.5 2.5 5Unasyn bd 2 2.5 3 3 4Klacid bd 2 2.5 3 3 4Zithro om 1.5 2 2.5 2.5 3.5
3 4 5 6 7 8 9 10 1115 17 19 21 23 24 27 30 34
4.5 53.5 3.5 3 3 4 4 4 4 57.5 7.5 10 10 10 10 10 10 102.5 5 5 5 7.5 7.5 7.5 10 10
5 5 5 5 7.5 7.5 7.5 10 102.5 5 5 5 7.5 7.5 7.5 10 10
5 5 5 5 7.5 7.5 7.5 10 102.5 2.5 5 5 7.5 7.5 7.5 10 102.5 2.5 5 5 7.5 7.5 7.5 10 102.5 2.5 5 5 7.5 7.5 7.5 10 10
3 4 5 6 7 8 9 10 115 5 5 5 7.5 7.5 7.5 10 104 4.5 5 5 7.5 7.5 7.5 10 105 6 6 6 7.5 7.5 7.5 10 10
3 4 5 6 7 8 9 10 112.5 4 5 5 7.5 7.5 7.5 10 10
5 5 5 5 7.5 7.5 7.5 10 105 5 5 5 7.5 7.5 7.5 10 105 5 5 5 7.5 7.5 7.5 10 10
2.5 2.5 5 5 7.5 7.5 7.5 10 10
3 4 5 6 7 8 9 10 116 7 7.5 7.5 10 10 10 10 105 5 5 5 7.5 7.5 7.5 7.5 7.55 5 5 5 7.5 7.5 10 10 105 5 6 6.5 7.5 7.5 7.5 10 105 5 5 5 10 10 10 10 10
4.5 5 6 6.5 7 7.5 8 9 104.5 5 6 6.5 7 7.5 8 9 103.5 4.5 4.5 5 5 6 6 7.5 7.5
1238
61010101010101010
12101010
121010101010
1210
7.5101010101010
Generic/Trade Name Age Dosage Remarks
An
ti-P
yre
tics Paracetamol syrup (250mg/5ml) 1-6 yrs 2.5-5ml
Dhamol 6-12 yrs 5-10ml tdsIbuprofen Syrup 1-6 yrs 5-10mlBrufen >6 yrs 10ml tdsParacetamol Supp 250mgDiclofenac Supp 12.5/25/50 mg
Respiratory Symptoms
Na
sal C
on
ge
stio
n
Dexchlorpheniramine <1 yr 1.25Polaramine, Rhiniramine 1-6 yr 2.5
6-12 yr 5ml tds2-6 yrs 2.5
Sudafed 6-12 yrs 5>12 yrs 10ml tds
Loratidine 6-12 yrs, <30kg 2.5
6-12 yrs, >30kg 5ml tdsCarbocysteine 1-2 yrs 20-30mg/kg/day
2-5 yrs 1 tsp bd>5 yrs 1 tsp tds
Cetirizine 2-6 yrs 5Zyrtec >6 yrs 10mg ODCarbinosamine/Pseudoeph. 1.5-6 yrs 0.5Became >6 yrs 1 tab tdsLysozyme <2 yrs 1 to 2Leftose 2-7 yrs 2 to 3
7-14 yrs 3-4ml tds>14 yrs ?30mg tds
Co
ug
h
Promethazine <2 yrs 1-2.5mlPromet./Codeine/Eph. 2-6 yrs 2.5Dhasedyl 6-12 yrs 5
>12 yrs 10ml tdsBromhexine/Bisolvon <2 yrs 1.25
2-6 yrs 2.56-12 yrs 5ml tds
Gastrointestinal Symptoms
Dia
rrh
oe
a
Lactobacilllus <1 0.5Lacteol Forte Inf 1
Child
Dioctahedral Smectite <1 1Smecta 1 to 2 1 to 2
>2 2-3 sachets ODKaopectate <3 yrs ??Kaolin 3-6 yrs 15-30ml
6-12 yrs 30-60ml>12 yrs 60-120mls
Loperamide 2-5 yrs
Imodium 5-8 yrs 28-12 yrs 3 tabs /day
Simethicone Infants 8 drops/bottle
2 sachets bd x 4D
1.5 tab stat, then ½ tab/10kg
Blo
ate
dn
ess
/D
sico
mfo
rt/C
olic
Simethicone/Dicyclomine 1-4 yrs 5ml before feedColimix 4-12 yrs 5-10ml qds
>12 10ml qdsHyoscine-N-Butylbromide <6 yrs 0.5ml/kg/doseBuscopan >6 yrs 10ml tdsDomperidone susp (1mg/ml) <5 yrs 1ml/kg/dayMotilium >5 yrs 2.5ml/10kg/dayMetoclopramide 1-5 yrs 2.5mlMaxalon 5-7 yrs 5ml tdsDimenhydrinate 2-6 yrs 2.5ml
6-8 yrs 5ml tds
Blo
ate
dn
ess
/D
sico
mfo
rt/C
olic
Na
use
a/
Vo
mitt
ing
Serve in 3 divided doses
May cause oculogyric crisis
For motion sickness
