If severe or refractory

1. Amoxicillin/clavulanate (Augmentin) 500 mg PO tid or 875 mg PO bid [B]

2. Cefuroxime axetil (Ceftin) 500 mg PO bid [B]

3. Cefpodoxime (Vantin) 200 mg PO bid [B]

4. Cefprozil (Cefzil) 250 mg PO bid [B] OR (if severe penicillin allergy or suspect DRSP)

5. Levofloxacin (Levaquin) 500 mg Po qd (if severe penicillin allergy or suspect DRSP; [C])

Course: 7 to 21 days (except azithromycin as noted)

Organisms: S. pneumoniae, H. influenzae, group A Streptococcus, M. catarrhalis, anaerobes Tonsillitis/Pharyngitis


Note: If patient exhibits signs or symptoms of severe swelling/edema (e.g., voice change, unable to swallow saliva), consider adding prednisone (1-2 mg/kg PO * 5 days) to the antibiotic regimen.

1. Penicillin V potassium (Pen VEE-K) 25-50 mg/kg/day PO divided tid-qid [B] Easy dose: 45 mg/kg/day = 15 mg/kg/dose PO tid

Maximum: 500 mg/dose

Available in suspensions of 125 mg and 250 mg/5 mL

2. Amoxicillin (Amoxil) 20-50 mg/kg/day PO divided tid [B] Easy dose: 30 mg/kg/day = 10 mg/kg/dose PO tid

Maximum: 250 mg/dose

Available in suspensions of 125 mg and 250 mg/5 mL

3. Erythromycin ethyl succinate (EES) 30-50 mg/kg/day PO divided qid [B] Easy dose: 40 mg/kg/day = 10 mg/kg/dose PO qid

Maximum: 500 mg/dose

Available in suspensions of 200 mg and 400 mg/5 mL

4. Azithromycin (Zithromax) 10 mg/kg PO initial dose, then 5 mg/kg/day for 4 days [B] Maximum: 500 mg day 1 and 250 mg days 2-5

Available in suspensions of 100 mg and 200 mg/5 mL

5. Benzathine penicillin G (Bicillin L-A)—single dose therapy [B] In children less than 60 lb: 600,000 units IM

In children greater than 60 lb: 1.2 million units IM

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Allergic To Everything

Allergic To Everything

The human body And Todays chemical infested world. Here is a news flash You are not allergic to pollen, pet dander, or whatever it is that makes your body revolt Rather, your body just can not handle that one thing, what ever it is, anymore, due to the massive barrage of toxic chemicals you and everyone else are ingesting every single day.

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