1.

Glaucoma:

2.

3.
4.

5.
6.

7.

8.

9.
10.

11.

i. Pilocarpine 0.5%
ii. Timolol 0.5%
iii. Epinephrine 0.5%
iv. Apraclonidine 0.5%
Organophosphate poisoning
i. Atropine 2mg i.v. every 10 min. till pupil dilates or secretions decrease or heart
rate become more than 100.
ii. Pralidoxime 2g slow I.v. infusion over 30 min.
Anaphylactic Shock
i. Adrenaline 0.5 ml of 1:1000 solution i.m. or s.c. (remember not i.v.)
Dopamine doses for different actions
i. 1-2 microg/kg/min.: Stimulate D1 receptors (Renal dose)
ii. 2-10 microg/kg/min.: Stimulate beta 1 (for CHF)
iii. More than 10 microg/kg/min.: Stimulate alpha 1 (For shock)
Furosemide: For most conditions with edema (like CHF): 20-40 mg oral or i.v.
Hypertension:
a. Mild: Hydrochlorthiazide 25 mg orally
b. Moderate: Hydrochlorthiazide 25 mg orally + Enalapril 5mg orally
c. Severe: Hydrochlorthiazide 25 mg orally + Enalapril 5mg orally + Amlodipine 5mg oral
d. Hypertensive emergency: Sodium Nitroprusside 1 microgram/Kg/min. i.v. infusion in
microdrip set
Angina pectoris:
i. Acute attack: Nitroglycerine 0.5 mg sublingual
ii. Prophylaxis: Nitroglycerine 5 mg twice a day oral
Myocardial Infarction:
i. Aspirin 325 mg oral or Clopidogrel 75 mg oral (if patient is allergic to aspirin)
ii. Nitroglycerine 0.5 mg sublingual
iii. Oxygen (2-4L/min.)
iv. Morphine 5 mg i.v.
v. If STEMI: Give Streptokinase also (15 million IU slow i.v. over 30 min.)
vi. Metoprolol 5mg i.v.
vii. After acute attack is over give long term treatment with aspirin (325 mg),
Atorvastatin 10mg and ACE inhibitors like enalapril 5mg
Allergic reactions: Cetirizine 10 mg at night
Migraine
i. Mild attack: Paracetamol 625 mg oral sos
ii. Moderate attack: Diclofenac 50 mg oral
iii. Acute severe attack: Sumatriptan 8 mg s.c.
iv. Prophylaxis (if many attacks per month): Propanolol 40 mg twice a day
Aspirin
i. Antiplatelet dose: 60-325 mg

ii. Antipyretic dose: 500 mg

iii. Analgesic dose: 1000 mg
iv. Anti-inflammatory dose: 3000 mg per day
12. Pain
i.
ii.
iii.
iv.
13. Peptic ulcer
i.
ii.
iii.

Paracetamol 625 mg
Aspirin: 1000 mg
Diclofenac: 50 mg
Morphine: 20 mg oral or 5 mg i.v.
Omeprazole 20 mg once a day
Ranitidine 150mg twice a day
Triple drug therapy for H pylori: Omeprazole (20 mg) + Metronidazole (500 mg)
+ Clarithromycin (500 mg) all drugs twice a day orally for 14 days

14. Anti-emetics

15.
16.
17.
18.

19.

20.

21.
22.

23.

i. Metoclopramide: 10 mg
ii. Domperidone: 10 mg
iii. Ondansetron: 10 mg
Anti-anxiety
i. Alprazolam 0.25 mg
Insomnia
i. Zolpidem 10 mg
Mania and bipolar disorder
i. Lithium 300-600 mg and monitoring
Epilepsy
i. Phenytoin 100 mg twice a day oral
ii. Valproate 300 mg twice a day oral
iii. Carbamazepine 100 mg twice a day oral
iv. Diazepam 20 mg i.v.
v. Status epilepticus: Remember the doses from KDT
Steroids:
i. Prednisolone 10-80 mg oral
ii. Hydrocortisone 100 mg i.v.
Oral contraceptive
i. Ethinyl estradiol 30 microgram + Norethindrone 1 mg
ii. Mifepristone 600 mg single dose (as post-coital contraceptive within 72 hours of
unprotected intercourse)
Hypothyroidism
i. L-thyroxine 100 microgram orally daily
Hyperthyroidism
i. Carbimazole 10 mg oral twice daily
ii. Propylthiouracil 100 mg thrice a day oral
Osteoporosis

24.

25.

26.

27.

28.

29.
30.

i. Alendronate: 70 mg oral once a week

Diabetes mellitus
a. Type 1 DM: Insulin subcutaneously (dose depending on blood sugar)
b. Type 2 DM:
i. Metformin 1000 mg Once a day oral
ii. Glipizide 5 mg once a day oral
c. Diabetic ketoacidosis: As discussed in class
Asthma
i. Acute attacks: Salbutamol inhalation by metered dose inhaler 2 puffs (100
microgram puff) sos
ii. Prophylaxis: Beclomethasone inhalational 2 puffs (250 microgram puff) once a
day
iii. Status asthmaticus (now known as acute severe asthma): Remember doses
from KDT
Anemia
a. Iron deficiency anemia (Microcytic hypochromic anemia):
i. Ferrous sulphate 200 mg tablet thrice a day orally till 2-3 months after the
desired hemoglobin levels have been obtained.
b. Megaloblastic anemia
i. Hydroxocobalamin 100 microgram i.m. on alternate days for 2 weeks
ii. Methylcobalamin 1000 microgram orally
iii. Folic acid 5 mg per day orally
Antimicrobials
i. Cotrimoxazole (Sulphamethoxazole 800 mg + Trimethoprim 160 mg) BD oral
ii. Ciprofloxacin 500 mg BD oral
iii. Levofloxacin 500 mg OD oral
iv. Amoxycillin 500 mg TDS oral
v. Cefixime 200 mg BD oral
vi. Ceftriaxone 2g i.v daily
vii. Amikacin 7.5 mg/Kg BD i.m. or i.v.
viii. Azithromycin 500 mg OD
ix. Doxycycline 100 mg BD
x. Albendazole 400 mg single dose
Tuberculosis (Regimens as discussed in class)
i. Isoniazid: 600 mg oral
ii. Rifampicin: 600 mg oral
iii. Pyrazinamide: 1500 mg oral
iv. Ethambutol 1200 mg oral
v. Streptomycin 750 mg i.m.
Leprosy
i. As discussed in class
Malaria (Regimens as discussed in class)

i. Chloroquine: 600 mg (to start) + 300 mg (after 8 hours) + 300 mg (on 2nd day) +
300 mg (on 3rd day) or newer 600 mg (day 1) + 600 mg (day 2) + 300 mg (day 3)
ii. Primaquine: 45 mg once for gameticidal action and 30 mg (older 15 mg) once a
day for 14 days for radical cure
iii. ACT: Artemether 20mg + Lumefantrine 120 mg
31. Metronidazole
a. Moderate ameobiasis: 400 mg TDS for 7 days
b. Hepatic ameobiasis: 800 mg TDS for 7 days
c. Giardiasis: 200 mg TDS for 7 days
d. Trichomoniasis: 400 mg TDS for 7 days
e. Pseudomembranous colitis: 500 mg TDS for 7 days