Index:
Analgesics, antipyrtics and muscle relaxants
Angina, hypertension and hypotension
BILIARY COLIC
breast
Cholestrol lowering drugs
Colics
Constipation
Cough
Dementia
Diarrhea
Diabetes
Diabetic neuropathy
Eye and Ear
Fatigue
ED
Endocrine drugs
ENT
Epilepsy
Fatigue
GERD, H pylori PUD
Infection
Insomnia, anxiety and depression
Liver disease
Mouth preparation in Egypt
Osteoprosis
Prostate
Parkinson
Skin and soft tissue, hemorrhoids all creams
smoking
Vaginal
Vascular insuffiency
Vitamin and minerals defiecny
vomiting
Urologic
Weight
ANALGESICS AND ANTI-INFLAMMATORY MEDICATIONS IN EGYPT
By: Maged Taman
NSAID?s: Aceclofenac
Amoflam, bristaflam, fenac all 100 mg one tab daily bristaflam more expensive about 1.4 LE per one tab
NSAID: Acemetacin
OST map 60 mg one cap about 0.5 LE
NSAID: Diclofenac Sodium
Diclfenac, voltaren, declophen, dolphin, olfen, epifenac, rheumafen, rheumarene all cheap most have 50, 100 mg pills usually given twice a day. Voltaren has cheap ampoules, SR pill one a day, voltaren suppository and cream.
NSAID: Diclofenac Potassium
Adwiflam, antiflam, cataflam, dolphin K, oflam, potfen, rapidus all have 25, 50 mg pills dose is twice a day less GI upset than diclofenac sodium. All cheap cataflam has 75 mg suppository and ampoules.
NSAID: Diflusinal
Doloban 250, dolozal 500
NSAID: Dexibuprofen
Dexa ibufen 400, extragesic 400 one tab three times daily as needed for pain. Both cheap 1 LE per on tab
NSAID: Ibuprofen
Brufen, profinal, ultrafen, all 200, 400, 600 mg, ibuprofen 400 mg all cheap average dose is 400 mg every 6 hour as needed. Brufen 100 mg/5ml 5-12 years old 10ml/q6h as needed for pain or fever, 1-5 years old 5 ml every 6 h PRN. Infant 20-40 mg/kg per dose.
NSAID: Fenoprofen
Fenoprofen 200, 300, 600 mg cheap
NSAID: loxoprofen
Loujain, roxonin and roxogesic all 60 mg all cheap
NSAID: Ibuprofen + paracetamol
Parofen 400/500 mg tab q 6 h prn, contafever 100/162.5/5ml both cheap.
NSAID: Indomethacin
Indomethacin 25, 50m g tab also indomethacin, indocid, indocin 100 mg suppository. All cheap.
NSAID: Ketoprofen
Alcofan, ketofan, ketoglin all 25 and 50 mg ketoprof, ketogesic, kupan SR 200, all cheap.
NSAID: Ketorolac
Adolor, fam, ketolac 30 mg initial dose 30-60 mg IM can repeat 30 mg IM every 6 hours as needed for 2 doses than follow by oral fam or ketolac 10 mg bid prn maximum 5 days.
NSAID: Naproxen
Naprofen, naprogesic 500 mg 1 tab bid prn cheap
NSAID: Piroxicam
Brexin, feldene, inflacam, piroxiden piroxifar, feldoral all 20 mg once daily, feldene has also 20 mg amp and 20 mg suppository all are cheap.
NSAID: Tenoxicam
Anoxicam, epicotil, soral, tenocam all 20 mg all are cheap once daily as needed for pain.
NSAID: Tolmetin
Rumatol 200 and 400, Tolmet DS 400 1 tab bid prn pain on cap about 2 LE.
NSAID: Mefenamic acid
Mefenam, pono, ponstan all 250 mg 2 tab to start then 1 tab Q 6 h prn pain, all cheap
Cyclo-oxygenase blocker or cox 2 inhibitors: Dexketoprofen
Dexketo care 25 and dextrafast 25 one tab 0.5 LE
Cox 2 inhibitors: Celecoxib
Arythrex, celebrex, celoxib, eurocox all 200 mg daily as needed Celecox about 1 LE per cap while celebrex is 5 LE per capsule
COX2 inhibiors: Lornoxicam
Lornoxicam, Rheuxicam, toprano, xefo, zeficam all 4 and 8 mg tab and all cheap dose 4-8 mg twice daily as needed.
COX 2 inhibitors: Meloxicam
Anti- cox II, medexaflam, melocam, meloxicam, mexicam, mobic, mobitil all 7.5 and 15 mg all cheap mobic most expensive about 2 LE per pill mobic has 15 mg IM ampoules.
COX 2 inhibitors: Nimesulide
Mesulid, nilsid, nimalox and sulide all 100 mg tab and nimalx 200 mg suppository dose is 100 mg 1-2 tab bid PRN or one supp bid prn.
Asprin either coated or buffered:
Asprotec 100 mg, bufferin 325 mg daily. Alexoprin 75 mg, Alexoprin forte 300 mg, all cheap all once daily with food.
Primrose plus 1000 mg Q PM for premenstrual pains, also atopic eczyma and aging.
Glucosamine/chondroitin:
Move free, shark cartilage
MSM:
MSM, nitora, both 1000 mg twice daily.
Tramadol
50 mg q 6 h prn pain, also amadol, and tramal, tramadol also come as 100 mg amp all cheap
For joint injections or muscles:
Kenacort A 40mg or depotmedrol 40 mg
COMMON ANALGESICS AND ANTIPYRTICS IN EGYPT:
Abimol, panadol, paramol, paracetamol, pyral ( paracetamol) 500 mg
Excedrin 20 tab 9 LE ASA/Paracetamol/caffeine 1 tab bid prn headache
Ponstan, farostan, mefenam 500 mg (mefenamic acid) cheap 1 tab q 8 h prn pain, fever
Novalgin (dipyrone or Metamizole) 500 mg bid PRN pain OR headache, however very rarely cause aganeulocytosis that can be fatal. Not used in many countries now.
Nabutone or rheumon (Nabumetone) 500 tab po 2tab with supper and 1 tab with breakfast
COMMONLY USED MUSCELE RELAXANTS IN EGYPT
Baclofen 10 and 25, Liorsal 10 and 25, mylobac 10 and 20mg (baclofen) start slowly 5 mg bid increase gradually maximum dose 80 mg per day divided tid to qid, baclofen is the cheapest of the three.
Multi-relax? 5 or 10 1 tab Qhs prn msucles spasticity, rigidity, spasms, cramps, adjuvant in insomnia. 20 tab of 5 mg 14 EP
Dimara (Methocarbamol ?500 mg + diclofenac? 50 mg? 1 tab bid prn pain/muscle spasm??? 10 tab 9.5 EP
Noreflex (orphenadrine) 100 mg? bid prn muscle spasms 20 tab 2.4 EP
Noregesic, orphamol? (orphenadrine 30 mg with paracetamol 450 mg) 1 tab tid PRN pain
COMMONLY USED DRUGS TO TREAT HYPERTENSION AND ANGINA IN EGYPT:
Atenolol, ateno, blokium, Tenormin, tenotens ( all atenolol) all 50, 100 mg tabs all around 1/2 LE per one tab.
Labipress 100 or 200 mg tab (labetolol) about 1/2 LE per one tab
bisobeta, bisocard, bistol, concor, egypro, soprol ( all bisprolol) most has 5 and 10 mg tab 5 mg daily is ususally the standard dose maximum 20 mg daily. one tab about ½ LE
Bistol plus 2.5/6.25 or 5/6.25 or 5/12.5, concor plus 5/12.5 and 10/25, lodoz 5/6.25, 5/12.5/10/6.25 (all are bisprolol + HCTZ) price about average concor cheapest.
Betaloc, low press (both are metoprolol) and both comes on 100 mg about 1/2 LE per one tab.
Nebilet, nevilob, Symbian, ( all are nebivolole) all are 5 mg tab. Nebilet is about 2.5 LE per one tab while the other two 2 LE per one tab
Betacor 80, sotaloc 160 ( both are sotalol) 1/2 to 1 LE per one tab.
Cardilol, carlol, carvena, carvid, carvipress, dilatrend, dilator, karvex (all Carvedilol) all cheap except dilatrend. karvex is cheap and have all doses 6.25, 12.5 and 25 mg
Amlodipine, Norvasc, alkapress, vasonorm, myodura, windipine. ( all amlodipine) most come 5 and 10 mg, 5mg about 1/2 LE while 10 mg about 1 LE Norvasc is very expensive. myodura appears the cheapest.
Felocor, plendil, plentopine (all are Feldopine) all are expensive, plentopine is about 1-2 LE per tab the cheapest.
Lacidac, lacipil, lodipine (all Lacidipine) all 2 and 4 mg once a day, lodipine is 7.25 and 10 LE respectively.
Angina:
Corconit 20,40, dinitra 10,20, isomack 10,20, isordil 5, 10(all Isosorbide Dinitrate) all cheap
Angised 0.5 mg SL (glyceryl trinitrate)PRN chest pain.
Effox 20,40 and 25, 50 for long acting, imdur 60, monomack 20,40 (all Isosorbid mononitrate) all cheap.
Adancor 10, Randil 20 (both Nicorandil) 10 mg bid to 60 mg bid about 1 LE per one tab
Angiopress, Captopril, capoten, hypopress, lotensine (all capoten) all cheap
Zapritens 1,2.5 and 5 mg (Cilazepril) ACE inhibitor about 2 LE for one tab, about 2.5 to 5 mg daily.
Acapril, enalapril, ezapril, lotrial, presslight ( all Enalapril) most have 5,10 and 20 mg and dose is 10-20 mg daily or bid
All cheap except lotrial
Monopril (fosinopril) 10, 20 mg about 1 and 2 LE per one tab 10-40 mg daily
Lisinopril, maxipril, sinopril, zestril (all lisniopril) all cheap 5-40 mg daily.
Primox (Moexpril) 7.5 and 15 mg daily
Corpril, Ramipril, tritace, (All are ramipril or altace in America) 1.25, 2.5 and 5 mg tritace is more expensive.
Atacand, candalkan, candeblock, candesar, candesartan (all are Candesartan) all cheap except atacand 4-16 mg daily most has 8 and 16 mg and all are tablets.
Irbesartan 75m 150 and 300 mg in America diovan. Also irbedrin, kenasartan and x-tension all about 1 to 2 LE per one tab.
Losartan ( in America cozaar) cozaar is very expensive others amosar, kanzar, lozapress. Most 50 and 100 mg tabs
Angiosartan, erastapex, normesar (all Olmesartan in America benicar.) all 20m, 40 mg dose about 1-2 LE per one tab, dose10-40 mg about daily
Angiosartan plus or erastapex plus 20/12.5, 20/25 40/12.5 and 40/25 ( all Olmesartan + HCTZ) about 1.5- 1.8 LE per one tab.
Biocardis, 40, chartoreg 80, micardis 40 and 80 mg (all are Telmisartan)micardis expensive about 3 LE for one tab.
Valscard 80 (Valsartan) cheap 30 tab 16 LE, others are disartan, lasaromep, tareg.
Aldomet (methyldopa) 250 mg tid max 3 gram/day others epidopa, alphadopa methyl dopa all are 250 mg all cheap.
Rogitine (Phentolamine)
Blokium diu 100/25, tenedone 50/25 and 100/25, tenoretic 50/12.5 and 100/12.5 all are atenolol + chlorthalidone) all are cheap
Atenoretic and hypers-D (both are atenolol 50, amiloride 2.5 and thiazide 25. Both cheap
Cibadrex 10/12.5 and 20 /25 (benzapril + HCTZ) one tab 3 LE
Capozide, farcopril plus, capojed H, hypopress-D ( all are captopril + HCTZ) all are cheap. All 50/25 mg
Combipress 20/12.5, enalazide 10/12.5 , ezapril-co 20/12.5, thiazopril 20/12.5 (all enalapril + HCTZ) all are cheap
Monozide 10/12.5 and 20/12.5 (Fosinoopril + HCTZ) 1.5-2.5 LE per one tab.
Lisitens, sinopril CO, zestoretic (all lisinopril + HCTZ) all 20/12.5 zestoretic more expensive about 2 LE per one tab
Tritace comp 2.5/12.5, 5/25/10/12.5 and 10/25 mg
Atacand plus, 16/12.5m sarcozide 16/12.5 (Candasartan + HCTZ)
Ibredrin diu 150/12.5 and 300/12.5, kansartan 150/12.5 and 300,12.5 x-tension plus 150/12.5 and 300/12.5 (all irbesartan + HCTZ) all average about 1.5-2 LE per one tab
Losazide 50/12.5 (Losartan + HCTZ) about 1.2 LE per one tab.
Alkapress plus 5/160, blokatens 5/160, 10/160, exforge 5/160, 10/160, exforge hctz 10/160/25 (all amlodipine + valsartan) all expensive about 5 LE per tab blokatens about 3 per tab amlobenzmir 2.5/10, 5/10, 5/20, 10/20 (amlodipine/benzapril) cheap one cap about 1 LE
Amlosterolen 5/20, 10/20, caduet 5/10, 10/10, lipclear 5/20, 10/10, 10/20, 20/40 (amlodipine + atrovastatin) caduet is expensive, others about 2 LE per one tab.
Logimax 5/50 mg (fledopine + metoprolol)
Brinerdin, hypoten ( both are combo of reserpine 0.1, clopamide 5, dihydroergocrisitne 0.5)
Hybisc, master hibiscus ( both karakda or hibiscus) about 1 LE per one cap.
COMMONLY USED DRUGS IN HYPOTENSION IN EGYPT:
Corasore 150 tablets or 150 /ml drops, hepta 150, heptaminol 150, respirin 150 (all are Heptaminol) and all very cheap.
Effortil 5 mg tab and 7.5mg /ml drops, vascon 5 mg tab or 10 mg/ml drops (all are Etilfrine) all cheap 1-2 tab tid or 10 drops tid
Astonin h 0.1 mg, cortilon 0.1 mg (Both are fludrocortisone) both very cheap. Start ½ tab q am and advance slowly.
Guttron 2.5 mg tab or 1 % drops, Midodrine 25 mg tablets and 10 mg/ml drops, morepress 25 mg tab (all are midodrine) all are very cheap.
COMMONLY USED DRUGS FOR BREAST ISSUES IN EGYPT:
Improve lactation:
Herbana, lacto-oil, lactoflow, lactomax, Lacto G, Lacto Ton, Siwa laco oil (all are contain fenugreek) about 20-30 capsule cost 20 to 30 dollars most of them lactoflow packs 10 pack is 3 LE.
TREATMENT OF BILLIARY COLIC IN EGYPT:
Rowachol or bilichol both are volatile oils in gall stones colics not obstruction or inflammation very cheap 12 capsules 1 tid
Urosodiol 250 mg one bid or tid in gall stones, 250 mg qid in primary biliary cirrhosis. (other ursodeoxycholic acid are biliver 450m egyresolve 250, egyurso 500, livagoal 450, ursofalk 250, ursochol 250, ursogall 450. All are capsules cheapist is urosodiol 30 capsules is 9 LE.
Cholicynar ( contain cynara and choline) sachets has diuretic, choleretic effects as well used for high cholestrol.
COMMONLY USED CHOLESTEROL AND LIPID LOWERING DRUGS IN EGYPT:
By: Maged Taman
Fibrates: mainly lower triglycerides and increase HDL
Bezalip-retard 400 mg (benzofibrate) about 0.3 LE per one tab
Lipo-Merz 500 mg (etofibrate) About 1.2 LE per one capsule
Lopid 600, regulip 300,600 (both are gemfibrozile) about 1 LE per capsule for regulip and 2 per tab for lopid
Finorate 100, fenorate retard 250, fenolip 100,300, lipanthyl 300, lipolex 200, 300 (all are fenofibrates). Fenorate and fenolip cheaper.
Statins: Mainly reduces LDL, usualy first drug of choice in high cholestrol patients given reduction of cardiovascular disease morbidity and mortality
Atrovastatin:
Ator 10,20,40, lipitor, atrostat 10,20,40, lipona, lipicole, lipiless, lipinorm all three 10,20, torstatin and trovast 20 and 40 mg, average pill 2-4 LE per one pill.
Fluvastatin
Lescol XL 80 mg (fluvastatin)
Paravastatin:
Cholilysis, low chol 10,20,40 (lovastatin) all about 1-3 LE per pill
Lipostat 10,20,40 about 3-4 LE per one pill
Rosuvastatin
Crestor, crestolip rosuvast all 5,10,20 all about 3-4 LE per pill, pentastatin 5 and 20 about 1.1 LE per one pill (all )
Simvistatin
Alkor 10,20,40, amristatin 20,80, simvacor 20,40,80, simvastat 20, zocor 20,40 (all are) all about 3-4 LE per pill.
Drug blocking cholestrol absorption in intesine Ezetimibe alone or in combinations:Mainly to help reach goal of LDL if statin alone does not do it or patients do not tolerate statin or increase dose of statin
Ezetimibe 10 mg ( ezetimibe) about 1.2 LE per 1 pill.
Atoreza 10/10, ezastatin 10/40 (both are atrovastatin + ezetimibe) about 4.5 LE per one pill
Alkor plus or zetalip 10/20,10/40, cazet, ingey, lipitrin, simvastimibe all 10/10,10/20,10/40, (all ezetimibe with simvistatin) all about 4 LE per pill.
Questrans: Cholestyramine maily lower LDL, likely to increase triglyceride
Cholestran 4gm per pack or questran 4 gm/pack about 1 LE per pack one pack twice a day. Welchol is not available yet in Egypt better tolerated than cholestyramine.
Nicotinic acid: extended relase niacin the best to increase HDL.
in Egypt Nicotipan 750 mg 1-2 tab daily.1 tab about 2 LE.
TREATMENT OF COLICS IN EGYPT
Hyoscine:
Spasmocin 10 mg oral, 15 mg suppository and 20mg IM injection for colics very cheap. Buscopan 10 mg po, 20 mg IM TID prn for colics. Spazaway 0.125 mg sublingual q 6 h prn. All cheap
Dicycolamine:
Spasomrest 10 or 20 mg tablets tid prn very cheap also for colics.
Tiemonium:
Spasmofree 25 mg tab po, 5m/2ml amp, visecralgine 50 mg po, 20 mg supp or 5mg/amp IM
Drotaverine more stronger than papverine and less toxic.
Spasmocure 60 mg oral, 40 mg amp, Do-spa 40 mg oral and 40 mg amp
Pipoxolane:
Rowapraxin 10 and mg tab, 10 mg supp tid prn
For patient who is pregnant, BPH or glaucoma rowapraxin (pipoxolane)
Camylofin + analgin:
Spasompyralgin po, amp or supp
Pediatric and newborn carminative antispasmodics:
All dose 1 / 4 to 1 dropper and 2.5 to 5 ml tid prn according to age
Aqua baby, aqua cid, aquacure, baby moon, baby drink, baby rest, calma baby, calm mix, ema calm, free baby, spasmotal, spasm away
Baby tea sachets:
Baby calm, baby drink
Drugs for Spastic colon:
Itropide:
Alkapride, ganaton, garopride, gastrorelif, itopride, movigit all 50 mg tid before meals daily all ok about 1 LE per pill or less
Mebeverine:
Colo relax, colospasmin, coloverin, mepacolon, spasmotalin, colona all tid 1 / 2 hour before meals. Colona has as well sulpiride 25 mg. all cheap
Pinaverine
Spasmopinaver 50 and 100 mg bid
Trimebutine:
Debridat 200, gast-reg 100,200 gast-reg 100 mg supp, tribudat 100, tritone 100, 200 tab one tid.
Clidinium + chlordiazpoxide:
Cidiaspasm, cloxide, dibrex and librax all 5 + 2.5 mg bid all cheap
Phenobarbitone + belladonna:
Bellacid
Otilonium bromide:
Spasmomen 40 mg
Pappermint oil:
Colomint 1 cap tid aftrer meals.
Natural fibers:
Bran 1-2 tab or bran mepaco daily
Oils:
Anisol, colostop, gestin, gesto, GIT forte, master-gest, regest, u-gest, ginger, all are tablets 1 hour before meals tid.
IBD meds:
Pentasa 500 mg tab, 1000 mg enema salofalk, salazine, salazopyrin all 500 mg tab. Dose 2 tab tid.
Cortisone containing enema:
Enemacort in UC.
Indigestion and antiflutalent preparations:
Digestant preparations:
After meals, amarase, digenorm, digestin, easy meal postine, spasmocanulase D, Zymogen forte, spasmodigestin,
Anti-flatulant preparations:
Disflatyl, flatidyl, simethicone, digestix (herbals)
A good combo for spastic colon:
Acute spasm one of the IM spasmolyitcs like , visecralgine 20 mg supp or 5mg/amp IM x 1
Chronic milder spasms, colona 1 tab tid + spasmocanulase D 1 tab or digestix tid PRN gases
Constipation: COMMONLY USED LAXATIVES IN EGYPT:
Laxative safe in pregnancy:
Laxeol, normalax, picolax, skilax all drops (sodium picosulfate) 7.5 mg/ml 10-15 drops daily PRN constipation. All cheap
Bisacodyl also safe in pregnancy abilaxine, Bisadyl both 5mg tab, 5 and 10 mg suppository. 2 tab or 1 supp daily prn constipation. All cheap
Laxatives:
Evak, evaculax both calcium polycarbophil 625 mg 2 tab tid prn for acute and chronic constipation. 20 tab 19 EP
Enema, enmaz, phosphate enema all has phosphate daily prn all cheap
Bisadyl enema
Glycerin supp adult or pediatric very cheap daily prn.
Lactulose, lexolac, duphalac all lactulose syrup 30 ml bid prn constipation, in hepatic encephalopathy about 30 ml qid all 6-10 EP
Adcostigmine and ubretid both are distigmine ?for postop ileus and bladder atony 0.5 mgIM or 5 mg po both are cheap
Amostigmine, prostigmine both 0.5 mg SQ or IM cheap for post-op ileus
Some of common Cough medicines (Egypt)
For Dry Cough:
Cough cut and sinecod both 7.5 mg/5ml 15 ml po q 8h prn ( both butamirate) both are cheap and has some bronchospasmolytic effect.
Notussil (clopersatine) for dry cough and antihistaminc 20mg/5ml 5 ml q8h prn cheap
Silomat 20 mg syrup and 40 mg tab both 40 mg q 8h prn
(colbutinol hcl) cheap
Rhinotus avoid for now for question of respiratory depression
Oxeladine 10 mg/5ml syrup, paxeladine 2% syrup or 40 mg tablets. (all oxeladine) all cheap and for dry cough
Selgon 20 mg tab q 8h prn cough (pipazthate), cheap
For dry cough also cabella, colfin, pectipro, tussapine
For wet cough:
Ambroxol 20 mg tab, bronchopro ret 75 mg caps, muco 15 mg/5ml syrup and 15 mg tablets, mucobroxol sr 75 mg, mucopect 15 mg/5ml and 15 mg tab, mucosin 15 mg/5 ml syrup, 15 mg lozenges (all are ambroxol) All cheap all q 8h prn except for the 75 mg is daily prn.
Mucomyst 200 sachets q 8h prn after meals (acetylcysteine). cheap
Bisolvon, bromhexine, muclear, mucolyte, solvin all 8mg tab, 4 mg/5ml (all Bromohexine hcl) all one tab or 10 mg q 8h prn. All cheap
Avichest, mucosol, solvex all caps or syrup (all carbocysteine) all for wet cough all cheap
Mucotec 150, 300 (erdosteine) 300 mg bid prn for wet cough, cheap
Combined cough medications:
avipect, bronchistal, brochofree, coldal, bronchicum (herbal), expectyl, isilin, pulmocare N, tussivan N, ultrasolv
Flu symptoms: night and day N one white tab q am and one yellow tab q pm for 5 days.
Aldol sinus tab (like tyleonl sinus in America one tid.
Dementia
Co-dergocrine cheap
Hydergine 1.5 mg tab one tab tid, 0.3 mg ampoules
Meclfenoxate cheap
Lucidril250, 500 mg 1 tab tid and 1000 mg amp
Nicergoline cheap
Dinacer 5mg bid
Piracetam: cheap
Cerebro 200 mg/ml syrup, cerebro forte 800 mg , nootropil and stimulan 400, 800 mg 400 to 800 mg tid.
Pyritinol cheap
Encephabol 80 mg/5ml
Ebcephabol forte 200 mg 200 mg tid
Glutamic: cheap
Glutamic acid 500 mg 3 x 3 tab cheap
Vincamine: cheap
Brain ox 30 , depotvinc 30 , oxybral, 30, vincebral SR 30 all caps all cheap 1 cap bid
Vinburnine: cheap
Cerebrine 20 mg cap one tid after meals
Vinpocetine: cheap
Cavalpha, angiovan, cavestine, cavinil, veinpo, vinporal all 5 mg all 1 tab tid after meals.
Donepezil:
Alzimer, alzepizil,, donepezil 5 and 10 mg 5 mg daily up to 10 mg daily after one month. Avdomontace, donezil, donepezil and donhimer 5 mg tab one pill about 7 LE, alzepizil cheaper.
Galantamine:
Reminyl PR 8 and 16 mg or oral solution 4 mg/ml. 8 mg with food for 4 weeks then 8 mg bid. One pill about 12 LE
Rivastigmine:
Exlon 1.5, 4.5 pills and 4.5 and 9.5 patches very expensive.
Memantine:
Alzmenda, condomania, dementexa, ebiax, mantine, memexa, ravemantine, all 10 mg Ebixa expensive 8 LE per one pill, condmania cheap 1 pill less than 2 LE 5 mg daily x 1 week then 5 mg bid x 1 week then 10 mg and 5 mg daily x 1 week then 10 mg bid
CNS Stimulants
Ethamivan: stimulate respiration
Alertin 20 mg cheap
Doxpram:
Dopram 100 mg amp expensive.
Methylphenidate:
Ritaline 10 mg amp cheap, anexnil 10 mg amp expensive
Riluzole for ALS
Rilutek 50 mg very expensive
Modafinil:
Provigil 100 mg expensive 30 tab 1104 LE
Anti-Diarrheal and anthelmintic
Streptophenicol capsules or susp 2-4 capsules every 6 h
Anti-peristalsis: Loperamide
Immodium 2 mg or sedomid 2 mg tid prn
Anti-peristalsis: Dophenoxylate + atropine
Lomotil 2.5/0.025 mg bid prn diarrhea
Anti-Ameba: Diloxanide + metronidazole
Dilozole, dimetrol, furazol farcozol all tab or suspension. Also tabs only farcozol plus, flagimide, furamebe forte, amoebyl. Doses 1-2 tab or 1-2 tsp q 8h for 7-10 days.
Absorb pathogens: Diosmecite
Disamect, diomacte, smecta all sachets one tid
Probiotic: Lactobacillus
Lacteol fort one tab or sachet tid.
Absorb enterotoxines: Kaolin + pectin
Kapect susp 5-10 ml tid
All above cheap
Anti-ameba/anti-bacterial: metronidazole
Amrizole, flagyl, flagicure all 250 or 500 mg flagyl has susp, also IV infusion both flagyl and metonidazole 500 mg. All cheap except IV one vial 17 and 10 LE respectively.
Metronidazole-like: Ornidazole
Ornidaz and tibezole 1 tab bid both about 2 LE per one pill
Gut Anti-bacterial: Nifuroxazide: safe during pregnancy, lactation and infancy
Antinal, diax, diafuryl, nifunal, Nifuroxazide all caps or susp 1cap tid or 2-5-5 ml tid.
Anti-crypto and anti-gardia: Nitazoxanide
Nanazoxid, nit clean, protostop 1 tab bid for 3 days.
GI antibiotic: Rifaximin
Gastrobiotic 200 mg 1 tab tid for 3 days.
Chronic intestinal ameba (cystic form): Secnidazole
Cipazole, eurazole, fladazole, senidal all 500 mg, amebazole 1000 mg dose is 2 gram daily for 3 days. Average one tab about 3 LE.
Chronic intestinal ameba (cystic form): tinidazole
Fasigyn , protozole both 500 mg cheap
Other antidiarrheals:
Entocid, intetrix, colisitn, all cheap
Anthelmintic: Praziquantel
Biltricide, distocide, praziquantel all 600 mg, all cheap, dose 20-40 mg /kg split in two doses for one day only for intestinal flukes
Anthelmintic: Albendazole
Alzental, bendax, vermizole all 200 mg dose is 400 mg single dose for entrob, ascaris, trich, trichostrong, hookworm and for 3 days for strong
Anthelmintic: Comiphora mukul
Loserol 100, mirazid 300 mg for cystodes,
Anthelmintic: Flubendazole:
Flub, fluvermal, fluver, verm all 100 mg for all dose is one tab or one tea spoon every 12 h for 3 days.
Anthelmintic: levamisole
Katrex 47 mg tab, wormine 40 mg susp dose 3 tab x 1 repeat after 2 & 4 weeks.
Anthelmintic: Mebendazole
Anthelmin, antiver, pentalmin, all 100 mg dose is 1 tab q 12 h for 3 day
repeat after 2 & 4 weeks.
Anthelmintic: Niclosamide
Niclosan and yomesan both 500 mg first day chew 4 tab then 2 tab daily for one week.
Anthelmintic: local ammoniated mercury
Ammoniate mercury, white precipitate apply to anal area bid for entrob.
All meds in this chapter cheap.
Anti-Diabetics
Insulin:
Insulin R vial 100 iu/ml 10 ml vial 10 LE
Insulin R caridge 5 x 3ml 80 LE
Insulin actrapid 100 iu/ ml 10 ml vial 31 LE
Insulin Actrapid penfill 5 penfills 95 LE
Apidera Solostar 5 x 3ml 250 LE
Insulin N 100 100 iu/ml 10 ml 14 LE
Insulin N 100 5 x 3ml cartidage 80 LE
Insulin mix 100 70/30 10 ml vial 27 LE
Insulin Lantus solostar: 5 x 3ml 5 pens 450 LE
Insulin novorapid flexpen 100 units 5 x 3ml cartidge 250 LE
Sulphonylurea: Glibenclamide = glyburide
Doanil , diaben, euglumide, glibenase 5mg 1/ 2 to 1 tab on am and 1 tab pm daily
All cheap
Sulphonylurea: Glibenclamide = glyburide + metformin
Glucovance, diavance, glimet fort, euglumide plus, metclamide all 2.5/500 mg and 5/500 mg dose 1 tab qam to 2 of 5/500 bid. All cheap
Sulphonylurea: Gliclazide
Diabetron 40 and 80 mg, diabyl, dianormal, gliclazide, glipicrone all 80 mg, diamicron 80 and 30 mg, unocron 30 and 60 mg all cheap dose is 80-240 mg on 2-3 doses per day.
Sulphonylurea: Glimepiride
Amaryl, conida, dolcyl, glimadel, glimaryl, glimitoid, glucoryl all 2 and 4 mg all cheap.
Sulphonylurea: Glimepiride + metformin cheap
Amaryl M 2/500 mg 1 tab bid
Sulphonylurea: Glimepiride + pioglitazone
Glimepiride plus: 4/30 mg half to one tab daily cheap
Sulphonylurea: Glipizide
Glupizide 5 mg half tab q am to 2 tab daily, cheap
Sulphonylurea: Glimepiride + metformin
Engilor 2.5/500 and 5/500 2.5/500 mg q am to 2 tab of 5/500 bid, cheap
Sulphonylurea: Gliquidone
Glurenor 30 mg daily cheap
Sulphonylurea: Tolbutamide
Diamol 500 mg 1 tab bid cheap
Repaglinide
Diarol, novonorm and repaglid all 0.5, 1 and 2mg tab, repaglinid 1 and repandin 1 and 2 mg. one tab 2 mg about 1 LE except for repaglid 0.6 LE
Pioglitazone:
actozone and glustazon 30 and 45, diabetin ensudyne, glustin and hi glitazon all 15 and 30 mg Actos 15 and 30 mg very expensive, most 3 LE per pill but glustazon 1 LE for one tab.
Pioglitazone + metfomrin
Pioglumet and glustacomb 15/850 mg 1-2 tab bid cheap about 1.2 LE per one tab
Acarbose:
Glucobay 50 and 100 mg up to 100 mg tid
Nateglinide:
Starelidine 60 and 120 mg
Sitaglipitin:
Januvia 100 mg tab daily, janumet 50/1000 mg bid januvia 1 tab 7 LE, janumet 1 tab 4 LE
Vildaglipitin + metformin
Galvus met 50/1000 mg 1 tab bid one tab about 3 LE.
Metfomrin:
Cidophage 500, retard 850 and retard 1000 mg glucophage 500 and 1000 mg diaphage 500, 850 and SR 1000 mg
Hypoglycemia:
Glucagon 1 mg sq or IM or IV 71 LE per one vial, Glucose chew tab cheap
Diabetic neuropathy:
Neurobion, neuroton, neurovit, tri b one tab bid or one IM twice weekly.
Alpha lipoic 600 mg q hs and milga 2 tab q am.
Eye and Ear drops
Eye antibiotics drops:
Cirpo, ciloxan, ciprocin, 0.3% eye drops one tid
Gentamycin eye oint 0.3% tid
Vigamox 0.5% one bid
Levoxin one bid
Ofloxin 0.3% one bid
Tobrex 0.3% one tid
Tobradex drops or oint bid
Maxitrol oint bid
Eye anti-inflammatory drops
Pred forte 1% tid
For eye allergy:
Naphcon A or visine or patanol 0.1% or citrizine 1% bid
Dry eyes:
Refresh tears bid
Ear wax:
Ear wax or remowax drops 2 tid for 3 days
Otitis externa:
Ciprocort 2 drops bid
Drugs for Erectile Dysfunction ED in Egypt:
PDE 5 inhibitors:
first drugs of choice in America viagra 25-100 mg, levitra 10-20 mg daily as needed 1 1/2 hour before sex or cialis 10-20 mg every 72 hours as needed start 1 1/2 hour before sex.
Viagra in Egypt expesive cheaper equivalent: erec, erecton, faroviga, phragra, silagra, viavag. virecta, cheapest appear to be sildava 100 mg 4 tab 9 LE.
Non-PDE 5 inhibitors
Can be added to PDE 5 inhibitors. Cream can be added to all meds as well
Argi gel cream apply bid + and pre-sex both sexes Argi B3 can be also tried.
One of the below medications can be added to the above.
Isophro 20 cap 20 Ep one tab bid gisneing and ginko biloba for dementia and ED
Tongati Ali 10 caps 46 LE one tab 2 hours before sex: has korean ginseng and eurycoma
Yohimbex 20 tablets 8 EP one tablet bid has yohimbine 5.4 mg
or patients with low or low normal testestrone:
Testenon 250 mg IM q 2h cheapest and most predictable.
For patients with low testetrone due to prolactinoma treat as such.
For patients suspected of having ED due to vascular cause: consider aggressive statin therapy with niacin to bring down LDL to less than 60 mg/dl.
For Premature Ejaculation:
If due to ED treat as ED, If due to primarly PE with no ED try EMLA anthetic cream or durjoy (Dapoxetine) 30-60 mg 1-2 hour before sex. both can be also tried for PE due to ED. pelvic or keagel exercises may help both. Durjoy is expensive 1 pill about 100 LE.
For women unable to acheive orgasm:
One of the gels applied 15 minutes before sex as well twice a day: Argi-Gel, Argi B3, aqua V, pre seed, tricogyn.Women can also try PDE 5 particularly those taking SSRI's. Keagel exercise may help women also to acheive orgasm. Sexual positions that allow friction of clitoris or manual stimulation can be tried during intercourse. Online cream that looks promising is scream cream. It contains a combination of ingredients described as blood flow enhancers and vasodilators. Scream Cream includes: Arginine 5%, Sildenafil 5% and Isosorbide 1.2% in a gentle warming gel. A pea-sized amount should be applied directly to the clitoris at least 30 minutes prior to anticipated sexual relations. Duration of effect ranges from 30 minutes to 2 hours and heightens both ease of stimulation and intensity of orgasm. Theoritcally this cream can improve ED in man however given the fear of priapism it need to be studied well first.
L arginine plus for erectile dysfunction ED
By: Maged Taman
L arginine enhances the production of nitric oxide, which in turn helps relax penile arterioles causing increase blood flow and erection. However given alone is not effective except for milder forms of ED or normal males want to augment erection. For most males with true ED it need to be added to another drug/drugs. Arginine dose in ED is 5 gram daily easier taken in powder form than large 5 pills (see GNC website).
5 grams of L arginine daily can be combined with:
1- 5-PDE inhibitors like viagra, levitra and cialis.
2- Pycnogenol 40 mg three times daily.
3- 6 mg of yohimbine daily.
4- choline supplements (1,000-3,000 mg) and vitamin B5 (Pantothenic acid), 500-1,500 mg).
5- sulbutiamine as arcalion 200 mg 2 tab every morning.
6- Local treament of ED: no current studies but theoritcally can help creams, intracaveronal injections and intraurethral insertions.
Citrulline can be used to augment arginine and prolong its duration.
A study in humans also showed the citrulline supplementation?s ?time release? effect on arginine production. In this study an oral dose of 3.8 grams of citrulline resulted in a 227% peak increase in plasma arginine levels after 4 hours, compared with a 90% peak increase with the same dose of arginine. There is small risk when you combine ED drugs so one has to go slow with doses and need to run to the ER if has painful erection for more than 4 hours.
SOME OF IMPORTANT ENDOCRINE DRUGS IN EGYPT
Growth hormone: very expensive
Genotropin 4 iu/vial, genotropin 16 iu/vial,
humatrope 4 iu/vial,
somatotropin 4 iu/vial
norditropin nordilet 1.5 ml pen 5 mg/1.5 ml
all expensive 4 iu vial of any about 110 LE.
Thyroid hormone: very cheap
Eltroxin, euthyrox, and T4 thyro 50 and 100 micrograms tabs all cheap
Androgen: testosterone: very cheap
Testonon 250 mg IM Q 2-3 weeks. draw by 18 needle guage and inject by 25 guage.
Kollidinogenase
Padutin one tab 5 LE for male infertility, PVD, expelling kidney stones.
Anti-thyroid meds: all cheap
Carbimazol and neomercazol both 5 mg tab, usual dose is 2.5 mg-40 mg daily once or in divided doses. (both are carbimazol)
Thyrocil 50 (propylthioracil) more safe in pregnancy than carbimazole.
For hyperparathyroidism and in renal failure:
Mimpara 30,60,90 mg or sensipar 30 (all are Cinacalcet)
Zemplar 1 micg (paricalcitol)
all very expensive over 1300 LE for 20 pills
Corticosteroids: all cheap
Deltazone 0.75 mg tab, dexazone 0.5 mg tab, orazone 0.5 mg tab (Dexamethazone). Dexamethazone 8 mg IM/IV amp.
Solucortef 100 mg vial IV/IM (Hydrocortisone)
Urbasone 4, 8 mg tab or Depot medrol 40 mg/vial (both methylprednisolone)
Hostacortin 5 mg (prednisone)
Hostacotin H, predilone, prednisolone, predsol, xiolne all 5 mg, solupred 5 and 20 mg (all prednisolone)
Kenacort A 4mg tab and Kenacort A 40 mg/vial (both are trimacinolone)
Betasone 0.5 mg tab, betafos, diprocotrin and diprofos all three are amp (all are betamethazone).
Antidiuretic hormone: Desmopressin
Minirin 0.1, 0.2 mg tab,
minirin nasal spray 10 ugm/dose,
minirin 4 mcg/ 1 amp.
ENT: Nasal drops
Direct vasoconstrictor: Oxymetazoline:
Afrin and oxymet adult 0.05%, pedi 0.025% 1 drop each nostril bid
Direct vasoconstrictor: Xylometazoline:
Balkis, nasostop, otrivin, Rhinex all 1% and pedi 0.5% one drop bid
Direct vasoconstrictor: Naphazoline + chlorpheniramine maleate
Neozoline, nostamine, prisoline, rhinosin eye/nasal drops one drop tid
Direct vasoconstrictor: Naphazoline + ephedrine
DeltaRhino nasal spray bid.
Saline:
Physiomer spray, salinex N drops, salinol gel all tid physiomer expensive 50 LE
Mast cell stabilizer: Sodium cromoglycate
Nazocrom and nasotal nasal drops and vividrin spray bid all cheap
Long acting antihistamine: Azelastine
Azelast 0.05% nasal drops. Zalastin 1 spray both bid cheap
Long acting antihistamine: levocabastine
Livostin 0.5mg/ml nasal spray bid expensive 40 LE
Corticosteroid nasal preparations:
Rhinocort, rhinocort Aqua 64 and 32, Avamys, flixonase, ticanase, beclo, nasocort all nasal sprays , rhinocrot aqua, avamys, and nasocort about 40 LE each beclo 200 doses only 19 LE
Sodium chloride + sodium bicarb + borax
Alkaline wash, alkamint, Alka-misr. Alka sachet, nasal clean all are cheap and all are sachets.
Anti-snoring preparations:
Snore nomore at bed time
Most nasal meds cheap except mentioned
Most nasal drops one drop
Steroid nasal sprays 2 each nostril
COMMONLY USED ANTI-EPILEPTICS IN EGYPT:
BY: Maged Taman
Clonazepam
Amotril, apetryl, klozapam, rivotril all 0.5 and 2 mg pills and all are cheap 0.25 mg to 6 mg daily.
Ethosuximide
Ethoxa 250/5ml, zarontin 250/5ml or caps dose is 25-250 mg daily according to age start slow. About 2 LE cost per day, best for absences seziures.
Famotrigine
Famotrine 25,100 mg 25 mg every other day, for 2 weeks, 25 mg daily for 2 weeks average dose 100-200 mg as single dose or twice a day.
Gabapentin
Conventin, gaptin, neuroglopentin all 100,300,400 mg. dose is 100-1800 mg daily in divided doses.
Pregabalin
Lyrica 75, 150, kemirica 50,75,100,150, lyribalin 50, 150 the last is the cheapest dose is 50-300 mg daily start slow use in divided doses.
Lamotrigine
Controlepsy, lamictal, lamotrine all 25,50 and 100 mg contralepsy is the cheapest about 1-1.5 LE per tab.
Start as 25 mg daily for 2 weeks then 50 mg daily for 2 weeks then maintain at 100-200 mg daily.
Levitiracetam
Keppra 250,500,1000, kepilepsy 250,500,750, 1000, kepradil 500, 1000 tiratam 500, 1000, all about 3-5 LE keppra is most expensive. Initial dose is 1 gram per day oral or IV infusion maximum is 3 gram per day decrease dose in renal and hepatic disease.
Oxcarbazepine
Oxaleptal and trileptal 300 and 600 mg dose is 300-600 mg daily oxaleptal is cheaper about 1.5 LE per pill
Topiramate
Topamax, topiramate 25, 100 (both t the last is cheaper about 1-3 LE per one tab. Starting dose 50 mg daily increase by 50 mg weekly maintainance dose 200-400 mg daily.
Valproate
Convulex 100,300,500, dekadol 200, depakine 200, 500 SR, valpokine 200,500 all price OK dose is 15-30 mg/kg/ daily.
Phenytoin
Epanutin 100, ipanten 50, 100, Phenytoin 50,100 phenytin 50,100, all cheap, Loading dose is 1 gram IV infusion or divided oral dose. Maintainance according to level average about 300 mg daily.
Carbamazepin
Tegretol or carbapex 100, 200, cr 200, cr 400 mg, all cheap average dose is 800-1200 mg daily for seizure follow tegretol level.
Fatigue
B12 1000 micg daily
Arcalion 200 one tab q am
Vitamax plus one tab qam
Regenerate (ATP) 1 tab bid or adenosin forte one amp twice weekly.
Vitacid C 1 gram
Testenon injection 250 mg IM twice weekly
GERD and ANTACID PREPARATIONS IN EGYPT:
By: Maged Taman
most antacids comes as tablets that you suck on until dissolves and then you swallow it or sachets that you mix with water or suspension that you have to shake every time before use. They are usually sold as combination of one or more antacids. It contains as well simethicone or dimethicone to help as well with abdominal gases. In renal failure try to avoid magnesium, aluminum or the combination magaldrate.
Antacids and Renal Impairment from drug.com
Aluminum Antacids: Long-term administration in patients with renal failure or chronic renal failure may result in hyperaluminemia since small amounts of aluminum are absorbed from the GI tract and excretion of aluminum is decreased in patients with renal failure.b Aluminum accumulation in the CNS may be the cause of dialysis encephalopathy, while aluminum accumulation in the bones may result in or worsen dialysis osteomalacia.b
Calcium Carbonate: Patients with renal impairment or dehydration and electrolyte imbalance are predisposed to developing the milk-alkali syndrome.b Hypercalcemia risk in chronic hemodialysis patients.b
Magnesium Antacids: In patients with severe renal impairment, hypermagnesemia characterized by hypotension, nausea, vomiting, ECG changes, respiratory or mental depression, and coma.b Do not administer in patients with renal failure, and antacids containing more than 50 mEq of magnesium in the recommended daily dosage should be used cautiously and only under the supervision of a clinician who should monitor electrolytes in patients with renal disease.
Sodium Bicarbonate: May cause metabolic alkalosis in patients with renal insufficiency.
Thus it appears to me that it is better not to use antacids in patients with renal impairment or possible very few doses until H2 blockers or proton pump inhibitors start to work.
Antacids in Egypt:
Dose in most is 15 ml or 1 chewable tablet 3-4 times daily as needed.
Antacids: acicone tab or susp, algicap susp, alkomag susp, alucal tab, antacid tab, fawar fruit sachetes, gevescon susp, glycodal-M susp, magna sachets, miopan sachets, mucogel susp, pharocola sachets, pharofruit sachet, rennie tb, xenos (cola, fruit, lemon) sachets
Antacids with fomatidine: antodine, famo-plus, peptifix all 10 mg chewable tablets bid prn all cheap
Antacids with anti-gas: acicone-s tab, alkasilon susp, alucal plus tab, antacidin plus tab, asylon tab, epicogel susp, gaviscon susp, glycodal tab, loburna susp, miopan plus syrup, maloox plus tabs or susp, magsilon tab or susp, sedo-mag all cheap except gaviscon 25 LE per bottle.
TREATMENT OF GERD and PEPTIC ULCER DISEASE IN EGYPT:
H2 Blockers: Rantidine:
Aciloc 75, 150 sachets, 300 mg, gastroprotect, ranitidine, ranitak, zantac 150, 300 mg, histac 75, 300 mg, histac and gastroprotect amp, noerosive 75 mg/5ml suspension. All cheap ranitidine cheaper.
Famotidine:
Antodine, famocid, famotak, famotin, peptic, gastrodomina all 20 and 40 mg
Antodine has also 20 mg amp
Nizatidine:
Nizatine, nizatect 150 and 300 mg ulcfree 150 mg
Proton Pump Inhibitors: Esomeprazole:
Esomepex, semopump, esmatac, Esoprotocol, ezogast, nexium all 40 mg all about 3 LE per pillm nexium 10 LE per pill
PPI: Lansoprazole:
Gastrocure, lantanon, lanzor, lopral, loral, peptazol, prevacid, zollipak all has 30 mg, lansoprazol 15 mg all about 3 LE per pill lanzor expensive
Omeprazole:
Epirazole 20 , fastcure, gastroloc, healsec, pepzol, risek all 40 mg all about 2-3 LE per caps prilosec is very expensive
Omeprazole+ Sod bicarb:
Azgovance 20, 40 mg.
Gastrofait 1000 is sucralfate cheap 20 tab 6.5 LE before meals and qhs
Pantoprazole:
Antopral, controloc, pantazol, pantoloc, protofix, Pantopi, all 40 mg all about 2-3 LE per pill with pantopi the cheapest.
Rabeprazol:
Bepra, idizole, pariet, rabezole, rabicid all 20 mg all about 2-3 LE per pill but pariet is expensive.
Misopristole
Cytotec or misoprost 200 mg 2 tab bid after meals for 8 weeks misoprost much cheaper
Rebamipride cytoprotective
Mucosta 100 mg tid 20 tab 30LE
TREATMENT OF H.PYLORI IN EGYPT:
Most meds are combination of 3 medications one is PPI and the other two are antibiotics. In Egypt common medications are: Peptic care, trio, trioclar, helicure or pyloact 42 caps 56 LE one cap tid. Other meds are trio and trio-clar. All about one tab three times daily for 2 weeks except trio-clar twice daily.
HELICOBACTER PYLORI OVERVIEW from up to date
Helicobacter pylori, also known as H. pylori, is a bacterium that is commonly found in the stomach. It is present in approximately one-half of the world's population.
The vast majority of people infected with H. pylori infection have no symptoms and will never develop problems. However, H. pylori is capable of causing a number of digestive problems, including ulcers, and, much less commonly, stomach cancer. It is not clear why some people with H. pylori get these conditions and others do not.
This article discusses the symptoms, testing, and treatment of H. pylori infections. Stomach ulcers, also known as peptic ulcers, are discussed separately.
H. PYLORI RISK FACTORS
H. pylori is probably spread by consuming food or water contaminated with fecal matter. H. pylori causes changes to the stomach and duodenum (the first part of the small intestine. The bacteria infect the protective tissue that lines the stomach. This leads to the release of certain enzymes and toxins and activation of the immune system. Together, these factors may directly or indirectly injure the cells of the stomach or duodenum. This causes chronic inflammation in the walls of the stomach (gastritis) or duodenum (duodenitis).
As a result of these changes, the stomach and duodenum are more vulnerable to damage from digestive juices, such as stomach acid.
In the United States and other developed countries, infection with H. pylori is unusual during childhood but becomes more common during adulthood. However, in developing countries, most children are infected with H. pylori before age 10.
H. PYLORI SYMPTOMS
Most individuals with chronic gastritis or duodenitis have no symptoms. However, some people develop more serious problems, including stomach or duodenal ulcers.
Ulcers can cause a variety of symptoms or no symptoms at all, with the most common ulcer symptoms including:
Ñ Pain or discomfort (usually in the upper abdomen)
Ñ Bloating
Ñ Feeling full after eating a small amount of food
Ñ Lack of appetite
Ñ Nausea or vomiting
Ñ Dark or tar-colored stools
Ulcers that bleed can cause a low blood count and fatigue (see
Less commonly, chronic gastritis causes abnormal changes in the stomach lining, which can lead to certain forms of cancer. It is uncommon to develop cancer as a result of H. pylori infection. Nevertheless, because so many people in the world are infected with H. pylori, it is considered to be an important cause of stomach cancer. People who live in countries in which H. pylori infection occurs at an early age are at greatest risk of stomach cancer.
H. PYLORI DIAGNOSIS
There are several ways to diagnose H. pylori. The most commonly used tests include the following:
Blood tests ╤ Blood tests can detect specific antibodies (proteins) that the body's immune system develops in response to the H. pylori bacterium.
Breath tests ╤ Breath tests (known as urea breath tests) require that you drink a specialized solution containing a substance that is broken down by the H. pylori bacterium. The breakdown products can be detected in your breath.
Stool tests ╤ Tests are available that detect H. pylori proteins in stool.
WHO SHOULD BE TESTED FOR H. PYLORI?
If you have symptoms ╤ Diagnostic testing for H. pylori infection is recommended if you have active gastric or duodenal ulcers or if you have a past history of ulcers.
Although H. pylori infection is the most common cause of ulcers, not all patients with ulcers have H. pylori. Certain medications (eg, aspirin, ibuprofen [Motrin, Advil], naproxen [Aleve]) can also cause peptic ulcers.
If you do not have symptoms ╤ H. pylori testing is usually not recommended if you have no symptoms and no past history of peptic ulcer disease. However, it may be considered for selected people, such as those with a family history or concern about stomach cancer, particularly individuals of Chinese, Korean, Japanese, or Central American descent; these groups have a higher incidence of stomach cancer.
H. PYLORI TREATMENT
People with a history of peptic ulcer disease, active gastric ulcer, or active duodenal ulcer associated with H. pylori infection should be treated. Successful treatment of H. pylori can help the ulcer to heal, prevent ulcers from coming back, and reduce the risk of ulcer complications (like bleeding).
Medications ╤ No single drug cures H. pylori infection. Treatment involves taking several medications for 7 to 14 days.
Ñ Most of the treatment regimens include a medication called a proton pump inhibitor. This medication decreases the stomach's production of acid, which allows the tissues damaged by the infection to heal. Examples of proton pump inhibitors include lansoprazole (Prevacid), omeprazole (Prilosec), pantoprazole (Protonix), rabeprazole (AcipHex), dexlansoprazole (Dexilant), and esomeprazole (Nexium).
Ñ Two antibiotics are also generally recommended; this reduces the risk of treatment failure and antibiotic resistance.
Ñ There are increasing numbers of patients with H. pylori infection that is resistant to antibiotics so it is important to take all the medications prescribed and to have a test that confirms that the infection has been cleared.
Although the optimal H. pylori treatment regimen continues to be investigated, the American College of Gastroenterology has recommended four specific drug regimens that use a combination of at least three medications. These regimens successfully cure infection in up to 90 percent of people. For the H. pylori treatment to be effective, it is important to take the entire course of all medications.
Side effects ╤ Up to 50 percent of patients have side effects while taking H. pylori treatment. Side effects are usually mild, and fewer than 10 percent of patients stop treatment because of side effects. For those who do experience side effects, it may be possible to make adjustments in the dose or timing of medication. Some of the most common side effects are described below.
Ñ Some of the treatment regimens use a medication called metronidazole (Flagyl) or clarithromycin (Biaxin). These medications can cause a metallic taste in the mouth.
Ñ Alcoholic beverages (eg, beer, wine) should be avoided while taking metronidazole; the combination can cause skin flushing, headache, nausea, vomiting, sweating and a rapid heart rate.
Ñ Bismuth, which is contained in some of the regimens, causes the stool to become black and may cause constipation.
Ñ Many of the regimens cause diarrhea and stomach cramps.
Treatment failure ╤ Up to 20 percent of patients with H. pylori infection are not cured after completing their first course of treatment. A second treatment regimen is usually recommended in this case. Retreatment usually requires that the patient take 14 days of a proton pump inhibitor and two antibiotics. At least one of the antibiotics is different from those used in the first treatment course.
Follow-up ╤ After completing H. pylori treatment, repeat testing is usually performed to ensure that the infection has resolved. This is typically done with a breath or stool test (see 'Breath tests' above). Blood tests are not recommended for follow up testing; the antibody detected by the blood test often remains in the blood for four or more months after treatment, even after the infection is eliminated.
SUMMARY
Ñ Helicobacter pylori, also known as H. pylori, is a bacterium that is commonly found in the stomach. Most people infected with H. pylori infection have no problems. However, some people develop problems, such as stomach ulcers.
Ñ Ulcers may cause no symptoms, or may cause pain or discomfort (usually in the upper abdomen), bloating, feeling full after eating a small amount of food, lack of appetite, nausea, vomiting, and dark or tar-colored stools. Ulcers that bleed can cause a low blood count.
Ñ H. pylori can be diagnosed with a test of the blood, breath, or stool.
Ñ H. pylori testing is recommended for anyone with a peptic (stomach or duodenal) ulcer.
Ñ Anyone diagnosed with H. pylori should be treated. H. pylori treatment helps to heal the ulcer, lowers the risk that the ulcer will return, and lowers the risk of bleeding from the ulcer.
Ñ H. pylori treatment usually includes several medicines. At least two of the medicines are antibiotics that help to kill the bacteria. The other medication causes the stomach to make less acid; lower acid levels help the ulcer to heal.
Ñ Most people are cured after finishing one to two weeks of medicine. Some people need to take another two weeks of medicine. It is important to finish all of the medicine to ensure that the bacteria are killed.
Ñ A breath or stool test is usually done after finishing the medication. This is done to be sure that the bacteria were killed.
Anti- Infection
DRUGS COMMONLY USED TO IMPORVE IMMUNITY IN EGYPT:
Echinecia, fluran 200, immune c, immulant, immuno plus, immuno flu, mulone (all has echinecia) all cheap one tid all capsules except mulone is syrup or drops.
Carnivita cotain L carnitine 500 mg one tab tid
Baraka ( nigella sativa) caps chaep as well for opiod dependence and reduce calculi.
Coenzyme Q10, 30 mg, co-Q10 30 mg, Euro Q 10 50 mg ( all coenzyme Q 10) all capsules and cheap about 1 capsule 1 LE
Oxyplex (grapeseed extract and green tea) one tab daily
olive leafs and grape seed extracts internet to order.
COMMON ANTIBIOTICS IN EGYPT
Ampecillin 500 mg tid
Amoxacillin 500 mg tid
Augmentin 625 mg bid
Amoclox 500 mg bid (amoxicillin + dicloxacillin)
Invanz 1 gram IM daily 285 LE VERY EXPENSIVE
Keflex 500 mg tid
Duricef 500 mg bid
Ceftriaxone 1 gram IM daily
Cefepime 1 gram Q 12 h IM 21 LE per one vial
Ceftazidime 1 gram IM q 12 h 25 EP per one vial
Garamycin 80 mg IM q 8h 3 vials 6 EP
Amikacin 15 mg/kg/day divided into 2 doses 500 mg vial is 9 EP
Togamycin (spectinomycin) 2000 one vial 13.70
Azomycin ( azithromycin) 250 mg daily 6 caps 21 EP
Clindacine (clindamycin) 300 mg tid 12 caps 10 EP
Erythroprim (erythro + trimethoprim) 400/100 1 tab bid 20 tab 10 EP
Averozolid 600 (linezolid) 10 tab 79 EP 1 tab bid
Cipro 500 mg 1 tab bid 10 tab 11.5 EP
Floxabact 500 tab 1 tab daily 5 tabs 7.5 EP
Rowamoxiflox 400 mg 1 tab daily (moxifloxacin like avelox) 5 tab 25 EP
Doxymycin (doxcycline) 100 mg 1 tab bid 10 caps 4 EP
Entrim 1 tab bid (like bactrim DS In America)
Azomycin 250 mg
Augmentin 625 mg or 1000 mg
Vibramycin 100 mg
Meronem 1000 mg
Penicid LA 1.2 millions iu
Keflex 500 mg
Amoxicillin 500 mg
Invanz 1 gram im
Tienem 500 mg (imipenm + cilastatin)
Zinacef 500 mg
Pracef 1 gram im bid (cefobid)
Omnicef 300 mg bid cheaper denrocef 300 mg
Ceftriaxone 1000 mg cheaper wintriaxone 1 gram
Cefepime 500-2 gram im bid
Ceftazidime 1 gram im bid cheaper sigmazidim
Gentamycin or garamycin 80 mg
Amikacin 500 mg 15mg/kg divided into two doses
Nebcin 80 mg (tobramycin)
Vancomycin 1 gram iv
Clindacine, delacine C, clinacyn 300 mg dalacin C 600 mg amp IM or IV
Averozolid 600 mg tab bid x 10 days cost 160 LE
Cipro 500 mg po or ciprofloxacin 500 mg IV
Floxabact 500 mg (levaquin) cheap oral levoxin 500 mg IV
Avalox 400 mg cheaper advancrib 5 tab 26 LE
Sutrim forte 1 tab bid
Acyclovir 400 mg
Tamiflu 75 and taminil 75 bid for 5 days
Valtrex 500 mg cheaper valtrovir and valysemex 1 gram tid cost 200 LE
Diflucan 150 mg cheaper amriflucan 150 mg 2 tab 7 LE one tab now repeat in 4 days once.
Itranox for fungal infections 100 mg 2 tab daily for one week. Cost 48 LE
Ketoconazole 200 mg daily for 10 days cost 20 LE
Lamisil 250 mg daily, cheaper Lamifen 250 mg daily
COMMONLY USED MEDS FOR INSOMNIA, ANXIETY, DEPRESSION IN EGYPT:
Xanax 0.25 and 0.5 as well restolam and zolam , alprax 1, (all alprazolam) all cheap
Amribromazepam, bropam, calmpam, lexotanil all 1.5 and 3 mg (all bromzepam) all cheap and works like valium.
Valium, neuril, farcozepam (all diazepam) all 2 and 5 mg valium expensive other two cheap
Busbar 10 and 15 mg, neurobus 5 and 10 mg (both buspirone) both about 1 LE per one tab 5 mg tid up to 60 mg daily
Kava 150 mg bid (kava kava) cheap
Abilia 15 and 20 mg dose 10-30 mg daily same as abilify but much cheaper. For schizophrenia or acute manic or mixed episodes.
Midathetic amp 5 mg/ 1ml (midazolum)
Seroquel 25 mg, 100 ,200 mg, psyquel, quitapex (all quetiapine) seroquel is much more expensive than the other two.
Dogmatil, dobrin, dogmapride, topmode all 50 and 200 mg (all Sulpiride) twice daily in peptic ulcer and spastic colon up to 200 mg daily and in schezophrenia bid up to 800 mg total daily
Sleep aid 5 and 10 mg (zaleplon) cheap but zaleplon itself very expensive
Treatment of Osteoprosis
Vit D
Calci-plus calcium 500 mg + vit D3 400 iu 1 tab bid.
Osteonate 70 4 tabs 40 EP one tab weekly
Osteo 60 mg daily cheaper than evista.
D3 natural drops 4500 one droplet daily--,
Vidrop 2800 iu one droplet daily.
Bone one and one alpha 0.25 mcg in osteoprosis and .5 and 1 mcg in renal failure.
Genecalcin 200 iu daily alternate nostrils
Forteo 20 mg sq daily one pen 3 ml 2500 LE
MOUTH PREPARATIONS IN EGYPT
TRETMENT OF APHHOUS ULCER IN EGYPT
Numb gel can be used to diminish pain of the ulcer as well can be used for other painful mouth lesions like dentocaine, dentocalm, dentogel + aphthatab 1-3 each ulcer daily for 10 days.
oral based steroid like trimacinolone orabase paste three times daily to the ulcer . According to rxlist.com
Aphthasol is Amlexanox oral paste, 5%, is indicated for the treatment of aphthous ulcers in people with normal immune systems. (Available in Egypt as adhesive tablets 20 tab 40 LE called Aphthatab).
DOSAGE AND ADMINISTRATION
The paste should be applied as soon as possible after noticing the symptoms of an aphthous ulcer and should be used four times daily, preferably following oral hygiene after breakfast, lunch, dinner, and at bedtime. Squeeze a dab of paste approximately ¼ inch (0.5 cm) onto a finger tip. With
gentle pressure, dab the paste onto each ulcer in the mouth. Use of the medication should be continued until the ulcer heals. If significant healing or pain reduction has not occurred in 10 days, consult your dentist or physician. (As well oral tablet is 1 tab apply to the ulcer 4 times daily x 10 days).
GINGIVITIS
DG Long, elgydium, emoform, sensogum all are gum pastes
Mouth washs MW like b-fresh, cepachol, biosterine, listerine, oraldene, oroguard, oramax, tricare, view, chloecol, perox and betadine. Mouth wash also for other oral and throat infections.
Oral thrush:
Nystatin swish and swallow 5 ml 4 times daily for 10 days. drops i ml 100,000 units.
Or
buccazole, daktarin, micazole, micoban miconaz (all oral gel all miconazole all cheap except daktarin 18 LE.
Or/and
Diflucan 100 mg daily for 7 days
Sensitive tooth
sensodyne gel/paste or sensigel price OK.
Dry mouth:
Treatment for Parkinson Egypt
Levodopa + carbidopa:
Sinmet 250 CR, 275 tab, levocar, lecardopa, all price OK , madopar 50 mg + benserazide 25 mg one tab about 3 LE
Entacapone + Levodopa + carbidopa:
Stalevo 262.5, 325, 387.5 one tab about 7 LE
Lysuride: like bromocriptine
Dopagon 5, dopergin 5 mg the later is expensive
Pramipexole: as bromocriptine
Sifrol 0.25, .0.7, 1 mg, mirapax 0.25, 0.5, 1 mg, ramixole 1 mg. very expensive except ramixole 1 tab 3 LE
Rosagiline: MAO type B
Parkintreat 1, rasanopark 1 both about 6 LE per one tab.
Selegiline: MAO type B
Jumex 5 mg, parkineast 5, tonus 5 5 mg tid about 0.75 LE per one tab
Antimuscarinic: Benzotropine
Cogenstin 2 mg tab , cogetropine 2 mg amp, cogintol 2 mg tab start 2 mg daily increase slowly
Antimuscarinic: Biperiden
Achtenon 2 mg tab, akineton 2 mg tab and 5 mg amp, kinoprid 5 mg amp price ok. 2 mg tid
Robinirole:
Tremodect 1 mg cheap
Prostate drugs in Egypt
Alpha blocker: Alfuzosin
Prosterol 10 mg, Xatral 5 mg , Xatral XL 10 mg 1 tab qhs after meal. Prosterol cheaper 1 tab about 1.2 LE
Alpha blocker: Tamsulosin
Block alpha, cure pro, firmazin, omnic, tamic, tamsul, tamsulin, all o.4 mg once daily Firmazin cheaper 1 cap 1.6 LE
Alpha blocker: Doxazosin
Cardura 1, 4, xl4 mg tab , doxazin 1 and 4 mg, doxacor 2 and 4 mg, dosin 1, 2 and 4 mg, duracin 1 and 4 mg, doxazosin 2 mg the cheapist about 0.7 LE per one tab,
Alpha blockers: terazosin
E-Ze- P 1, 2 and 5 mg, Itrin, prostasin, terazin all 2 and 5 mg. All chap, cheapist E-Ze-P about 0.5 LE per one cap.
5 alpha reductase inhibitor: Finasteride
proscar, prostec, prostaride, prostat all 5 mg tab all one tab daily. Cheapest prostaride one cap about 3 LE
5 alpha reductase inhibitor: Dustasteride
Avodart 0.5 mg cap daily 1 cap about 5.2 LE
Prostatic decongestant:
Decongestyl, De-prosteyl 2, prostalin all are suppository one twice daily. All cheap.
Herbal prostate medicines:
P plus has all important herbals one cap 2.3 LE
Others: prostacap, prostacure, procare, prosta-S, rostac, ?..
Anti-cholinergic for urinary incontinence: Solifenacin
In America vesicare, sofenacin 5 and 10 mg one tab daily one tab about 2 LE.
Anti-cholinergic for urinary incontinence: Oxybutynin
Detronin, detrusan, ditropan, dry tropan, uripan all 5 mg dry tropan and unripan 10 mg as well. Dose 5 mg tid or Uripan XR 10 mg faily all cheap except ditropan
Anti-cholinergic for urinary incontinence: Propiverine
Mictonorm 15 mg once daily may increase to bid or tid one pill 3 LE
Anti-cholinergic for urinary incontinence: Tolterodine
Detrusitol 2 and 4 mg retard, terodine 1, 2, uricontrol 2 Icontina LA 2 all OK except detrusitol expensive.
Evista 60 mg daily cheaper osteo 60 mg daily
Magnsium plus one tab qhs
Folic acid 500 mcg
Skin, hair and nails
Skin, hair, nail vitamins:
Biotin forte 5 mg daily
Taman Androgenic alopecia method
Most effective for androgenic alopeica is minoxidil and finestaride. Newly found is retina A. My method to my patients is:
Use the minoxidil 5 % for for men and 2% for women in America rogaine 5% and 2% in Egypt performa 5% and regaine 2% the usual daily dose to be divided in 3 portions:
1- In the morning minoxidil with finasteride 5 mg tab that is either in a capusle like prostaride in Egypt that you open and mix with minoxidil spray then apply in the areas of hair loss in the scalp. In America you will need to crush the fiastaride pill.
2- At night apply retina a 0.05% or cheaper in Egypt acretin apply in the areas of hair loss in the scalp in mix with minoxidil spray.
3- You can also try a mix cream of arginine+B3 like in Egypt argi-B3 with minoxidil in mid day.
Do not exceed the total daily recommended minoxidil 5% dose.
In women finasteride oral or topical is only for women who can not get pregnant since it is determintal for a boy infant.
Oral finasteride 1 mg as propecia in America and in Egypt nopcia or prohair can also be taken once daily for men and for women who can not get pregnant for hair loss. My recommendation is to avoid it particularly topical finasteride is likely better and some men can end by sexual problems from oral finasteride though quite low percent possibly less than 2% it is still high percent for young men. Topical finasteride is very mildly absorped and highly unlikely to affect men's sex life. However consider to hold if any sexual concern. Women in fertile age should not touch finasteride pill or topical application.
Brusies:
Hemoclar or thrombexx bid creams
Muscle, joint pain:
Maxi care or bioflex cream on am and voltaren pm
COMMONLY USED SKIN MEDICATIONS FOR WRINKELS, BLACK HALOS UNDER THE EYES AND ACNE IN EGYPT
for all of the three good cleaning of the face, retina A or cheaper acretin 0.05% at night and sun block on the morning like UV block SPF 50+. For acne added as well antibiotic cream and oral antibiotic like doxycyline 100 mg twice daily for 2 weeks. Dark under eyes cream appears to have best vitamins and antioxidants to the skin of the face and can be used particularly for dark under eyes and for wrinkles.
http://darkundereyes.com/products-page/product-category/dark-under-eyes-treatment-cream/
COMMONLY USED CREAMS FOR ANTI-SCAR AND ANTI-STRETCH POST-WEIGHT LOSS CREAM IN EGYPT:
Blendex, celisia, demark, derm pure, gincal, hyper dermo care, margena, Mira, jenico, stretch redux, streetal, vente cream most in the range of 30 dollars. Procream 120 and stretch redux 330 LE.
Hydroquinon:
Clearalique,eldoquin, quinol bid and avoid sun exposure use UB block
Non-hydroquinon whitening and anti-aging
Ageless, dana, white & bright , romix q 10 hand and nail, q 10 face, q 10 eye contour
Scar removing
Scarease, scarfix, scaro, scartex
Good and cheap antifungals:
Lamisil cream and lotion and nizoral cream
Scalp eczyma?:
Betnovate scalp solution 0.5% bid
COMMONLY USED ANTI-MICROBIAL AND ANTI-VIRALS CREAMS IN EGYPT:
Betadine, povidine-iodine? or povidin ointment (all Povidine Iodine) all ointments , 10% and all cheap
Argiderm-p, burnazin, dermazine, silvazine? (all silver-sulfadiazine) all creams for second and third degree burns, sounds, ulcers, fissures and bed sorees. Clean with normal saline, apply the cream with tongue depressor, apply telfa and dressing.
Bactroban, bactrocin, forderm, mupirocin, probactcin, mupirax (all 2/% mupirocin) to apply tid for10 days, particularly with MRSA all price reasonable about 15-22 dollars.
Altargo 1% (Retapamulin) ointment for MSSA and strept pyogenes? 31 LE
Fucidel, fucidin, fuci top, fusiderm, futasole,? fusi (all are 2% )Fusidic acid all have both cream and ointment and all are very cheap to apply bid to tid onskin wounds, folliculitisÉ..
Apigent, biogentacin, farocin, garamycin ( all gentamycin) all are ?creams all 1-2 per day, all are very cheap.
NPB oint, utopia neo oint or cram, trivatracin aresol, polybiotic spray,? polybiocid spray (all contain neomycin, bacitracin and polymyxin) all bid all price reasonable 7 to 22 LE.
Panthenol cream, panthoeva solution, or emulgel, adcopantin (All have d-panthol 5%) promotes healing a component of coenzyme A all very cheap. sensicare cream and wound healing cram both contain as well herbals. Topica cream is also herbal? for first degree burn.Mebo cream, pentaburn oint (both beta-sitosterol) bid for wound healing about 16 LE both.
Icthammol 10% for boils
Solcoseryl gel (deprotonized calves blood extract 5%
Mamy care cream for Cracked nipples
Acyclostad, acyclovir, novirus, virustat, zovirax (all acyclovir 5%) all creams, all cheap, all qid
Pandrocear cream ( penciclovir 1%) cream 10 LE qid
COMMONLY USED HEMORRHOIDAL PREPARATIONS IN EGYPT
Anusol ointment, supp (zinc, bisthmus, balsam) anusol HC oint or sup same but with hydrocortisone.
Factu oint or sup (policresuloen and cinchocaine)
GTN oint ( contain glyceril trinitrates) for anal fissure more.
H formula oint or sup contain? phenylephrine and dibucaine.
All above very cheap except GTN 25 LE and Faktu 18 LE
COMMONLY USED MEDS FOR SMOKING CESSATION IN EGYPT:
Champix like chantix in America very expensive. O.5 mg q am for one week then bid then 1 mg bid for 3-6 month
Nicorette gums 2 mg or 4 mg about 40-50 LE for 15 pieces. Chew every 2 h as needed.
COMMONLY USED MEDS FOR VAGINAL INFECTIONS IN EGYPT:
Dalcin 2% 30 LE, vagiclind 2% 15 LE one applicator daily for 3 days (both clindamycin) for bacterial vaginosis.
Butoconazole 2 % cream or pessary daily for 3 days for candida cheap.
Cansten or candistan vaginal tablets daily for 3 days. Locastan vaginal supp 1 daily for 3 days (all clotrimazole) all are cheap
Gyno-daktarin, gynozol, gynoconazole, micoban, monicure all has vaginal supp all cheap (miconazole )
Gynotrosyd, mipazol, gytro vaginal tab daily for 3 days all tioconazole all cheap
Amrizole n or krema-rosa or nystazole vaginal supp once daily for 2 weeks ( both metronidazole and both cheap.
Betadine vaginal ovules one q 12 h for 2-4 weeks cheap
Tergynan, mocicure nh vaginal daily for one week cheap and conver most vaginal infections and inflammation.
Be fresh, be sure, cleanza, clinso (all vaginal antiseptic solutions and cheap) one measure in one liter of warm water twice daily
Diflucan 150 mg cheaper amriflucan 150 mg 2 tab 7 LE one tab now repeat in 4 days once.
COMMONLY USED DRUGS FOR VASCULAR INSUFFICIENCY IN EGYPT:
Maxilase , medmylezen, megalase (all Alpha Amylase) all syrup 5 ml tid all cheap post-op reduces edema by inhibiting capillary permeability.
Bekcium, dilasal, doxium (all calcium dobesilate) all has 250 and 500 mg capsules one tid for venous inflammation, prevention of hemorrhage in gyna diseases.
Daflon, dantrex, diosed, dioven, veintonic, venowest (all Disomin) all inexpensive 300-500 mg tid for venous ciruculation disorder like VV, swollen legs, restless legs, acute hemorrhoidal attacks.
Ruta c, rutalex, rutin c (all contain rutin + vitamin c) 1-2 tab tid for increase blood capillary fragility
Noxylife, gervital, activin (all contain grape seed extract which contain proanthocyanidin) 1-2 capsules daily, cheapist is grevital 150 20 caps 15 LE Pine barck has also pine barck extract and grape seed.
Alphintern, ambezim, newbezim ( all contain chymotrypsin and trypsin) for post-op and post-trauma soft tissues swelling
Difrarel (vaccinium) one cap tid for one month
Reparil (aescin) one cap tid
Venotec ( procynidins) one cap tid
TREAMENT OF VITAMINS AND MINERAL DEFICIENCY IN EGYPT
Low Magnesium: Magnesuim plus (MGO 400 mg and Magnesium gluconate 100 mg) one tablet QHS. consider IV infusion of Magnesuim or IM Magnesium for levels below 1.4 normal about 1.6-2.2
Low Iron:
Iron SR natural iron supplement 1-3 per day. Consider IV infusion of iron in severe cases.
Low B12
B12 1000 tab or IM injection for tab once a day for injection IM once a month.
Low potassium
K-Chlor syrup 300 mg/ 5ml, Slow K 600 mg tab give according to K level. Level below 3.0 may need to give it IV slow infusion.
TREATMENT OF VOMITING IN EGYPT:
Domperidone 10 30 tab 6 LE ( EGYPTIAN POUND) one tab 1/2 hour before meals tid
Primperan 10 20 tabs 5 LE one tab ½ hours before meals.
Emedrotec 3mg (procholrperazine) 20 buccal tablets 12 LE 1-2 tab buccal tablets tid PRN for nausea.
Emezine 20 tab 12 LE (meclizine + vitamin B 6) safe in pregnancy 1 tab bid prn nausea, dizziness.
Cortigen B 6 for nausea one amp IM bid prn nausea, cheap
Ginger tablets 400 mg? cheap 30 tab 6 LE one tab tid for nausea particularly in pregnancy.
Urologic Dysuria, UTI and renal stones Meds in Egypt:
Individual ingradients: proximol (halfabarol) help renal spasm and expel stone, proximadiol urinary dilator help to dilate the ureter and expel renal stone, hexamine urinary antiseptic,
Pain control for renal stones:
In America usually agressive pain control with diludid or morphine IV 1-4 mg every 4 hour as needed with PRN nausea medicine like zofran 4 mg IV every 6 hour as needed.
In Egypt pain control but antispasmodics are more used as Khellalgine ampoules.
Antiseptics and antispasmodics:
Khellalgine ampoules
Or
Coli-urinal 60 mg granules bid has piperzine, hexamine and khellin for dysuria and antiseptic, similar to that is uricol Sachetes and renal S sachets.
Or
Rouatinex capsuls 1 tid is cheap ( has anethol, fenchone, camphene) Urinex capsules are similar
Expelling stone:
for bigger stones: lthotripys, cystouroscopy removal and stent or nephrostomy and stone extraction or cut surgery according to place of stone.
For smaller stones
Flomax 0.4 mg po daily or equivalent.
Or
Cystone or cystinol herbals cheap expel and prevent renal stones.
Or
Septobar (halfabar + hexamine 1gram /5 grams) propulsive expeller for uretric stones and urinary antiseptic Sachets
most stones are clacuim oxalate
Nephroflam or genurin SF ( both are Flavoxate) 1 tab bid for dysuria, cystitis, Quite cheap 30 tab 13 and 18 LE respectively.
Citrocid magnesium plus, epimag, jedcomag, xenomag (all Magnesium citrate) all are very cheap 12 sachets 4 LE one sachet in 100 ml water tid for prevention of oxalate stone.
Cranberry capsules on bid for recurrent UTIs.
Zyloric, no-uric (allopurinol) both comes as 100 and 300 mg tables both cheap. Comes also with combinations with piperzine that increase ureat solubility or/and atropine or khellin or/and halfabar that are antispasmodics.
Weight Loss Treamtent
By: Maged Taman
There is no magic pill for weight loss. If it is there it will be all around the news and at least 25% of us will take it not necessarly for weight loss but to cut down in diabetes. Many products comes and goes for weight loss some were dangerous like phen/phen and others did burn qucikly more than seeing people burn fat.
As we stand now my choice will be for combining mild weight loss drugs or supplements that are safe. There is no study to show this combination work and no study to show us it is completely safe. In the same time there apparently no biochemical reason at least evident now to say it is unsafe.
Thus it is the patient choice with this information honestly provided. This combination is:
1- GLA (gamma linolenic acid) : burn brown fat, take 90 mg daily
2- CLA (conjugated linoleic acid): Burn visceral fat, take 1 gram daily
3- Chitosan: block fat absorption when taken with meals, take two tablets 500 mg each with your large meal daily
4- Green tea extract: speeds up energy, take 100-200 mg daily.
5- Green coffee bean extract: Speed up energy through chlorogenic acid, dose is 400 mg of extract (200 mg of chlorogenic acid) 1/2 hour before meal twice daily. Green coffee bean supplement has only around 20 mg of caffeine per serving, whereas your daily cup of coffee has over 100 mg. If you use with green tea you can use decaffeinatted green tea and cut on caffeine through out the day.
I would advise one multivitamin daily like silver centrum, for women silver centrum women once daily. Reducing total calories and execricse is necessary. GLA, CLA, green tea or Green coffee bean extract burn fat mainly when you exercise.
In Egypt Chitosan is available in pharmacies as well green tea. GLA, CLA and green coffee Bean extract can be ordered over the internet from GNC and other famous health stores.
COMMONLY USED DRUGS FOR WEIGHT LOSS IN EGYPT:
Organo-orlistat, orlismart, orlistat, orly, quick slim, regimax, slim safe, xenical (all are orlistat) all are 120 mg capsules taken tid before or after meals. Cheapist is ragimax 30 capsules 40 LE.
Hydroxycut herbal capsules 30 caps 40 LE one capsule before meal bid has garcinia, green tea, phenylalanine, ginger root. Other herbals likely less effective.
Green tea one bag bid
Actlife, chromax, chromium, dieto Plex, Hi-Chrome (all are Chromium) hi-chrome cheapest 30 tab 20 LE. One capsule bid
Cate keen, chitocal, chitosan, del-fat, diet one, merti, superslim (all have Chitosan) most 500 mg of chitosan, trap fat and excreted as grease ball in stools, once a day with big meal. Cheapest delfat, diet one and merti about 1 LE for one capsule.
Appetite stimulants:
Mosegor 1 tab before meals bid
Periavit syrup 5 ml before meals bid
