Antibiotic List

Respiratory Tract Infection Antibiotic

Upper Respiratory Tract Infection Amoxycillin Clavulanic Acid 625 mg PO TID for 5 days
Or
Azithromycin 500mg/tab OD for 3 days or Azithomycin
500mg 1 dose than 250mg/day for 5 days
Acute Pharyngitis/ Tonsillitis Amoxycillin Clavulanic Acid 625 mg PO TID for 5 days
Sinusitis Acute Amoxycillin Clavulanic Acid 625 mg PO TID for 10 days
Acute Laryngitis 90% viral, no AB treatment
Acute Bronchitis Azithromycin 500mg/tab OD for 3 days or Azithomycin
500mg 1 dose than 250mg/day for 5 days
Or
Levofloxacin 500mg/tab OD for 5-7 days
Mild Pneumonia Amoxycillin Clavulanic Acid 625 mg PO TID for 5 days
Or
Azithromycin 500mg/tab OD for 3 days or Azithomycin
500mg 1 dose than 250mg/day for 5 days
Or
Levofloxacin 750mg/tab OD for 5-7 days
Moderate Risk Pneumonia Ceftriaxone 2 gr IV OD
Plus
Azithromycin 500mg IV/tab OD for 3 days
Or
Levofloxacin 750mg IV OD for 5-7 days
Asthma or COPD in acute exacerbation Amoxycillin Clavulanic Acid 625 mg PO TID for 5 days
Or
Azithromycin 500mg/tab OD for 3 days or Azithomycin
500mg 1 dose than 250mg/day for 5 days

Genitourinary Tract Infection Antibiotics

UTI uncomplicated (cystitis-urethritis) Ciprofloxacin 500mg/tab BID for 3 days
Or
Levofloxacine 250mg/tab OD for 3 days
UTI Complicated/catheters Ciprofloxacin 400mg IV BID for 2-3 weeks
Or
Levofloxacin 750mg IV OD
UTI Recurrent (>3 x/year) TMP-SMX 80mg/400mg /tab OD
TMP-SMX 320mg/1600mg OD post coitus
UTI with risk of STD Azithomycin 1 gr single dose
Or
Doxycicline 100mg tab BID for 7 days
UTI post menopause woman Ciprofloxacin 500mg/tab BID for 3 days
Or
Levofloxacine 250mg/tab OD for 3 days
Acute Pyelonephritis Ciprofloxacin 500mg/tab BID for 14 days
Acute Prostatitis Ciprofloxacin 500mg/tab BID for 10-14 days minimum
 Or
Levofloxacin 750 mg/tab OD for 10-14 days minimum
Acute Prostatitis with risk of STD Ceftriaxone 250mg Im Single dose
Or Cefixime 400mg PO single dose
Plus
Doxycycline 100mg PO BID for 10 days
Urethritis Gonorrhoea Ceftriaxone 250mg IM single dose
Plus
Azithromycin 1 gr single dose PO
Or Doxycycline 100mg PO BID for 10 days
Epididimytis Ceftriaxone 250mg IM once, plus
Doxycyclin 100mg tab BID for 10 days

If men > 35 yo, or practice receptive anal sex Ceftriaxone 250mg IM once
plus
Levofloxacin 500-750 mg IV/PO OD for 10-14 days
Or Ciprofloxacine 500mg PO, 2 times daily for 10-14
days
Herpes Genital
Initial Episodes Acyclovir 200 mg every 4 hours while awake (5
times/day) for 10 days or 400 mg 3 times/day for 7-10
days
Recurrent Episodes Acyclovir 200 mg every 4 hours while awake (5
times/day) for 5 days
Chronic Supression Acyclovir 400 mg twice daily or 200 mg 3-5 times/day,
for up to 12 months followed by re-evaluation
Bacterial Vaginosis Metronidazole 500mg/tab 2 times daily for 7 days
Or
Metronidazole Ovule 500mg 1 ovule daily 7-10 days
Candidiasis Vaginal Nystatin 100,000 IU ovule 1 ovule daily 7-10 days
PID, Salpingitis, Tuba Ovarian Abscess Ceftriaxone 250mg IM once
Plus
Metronidazole 500mg/tab, BID for 14 days
Plus
Doxycyclin 100mg tab BID for 14 days

Gastrointestinal Tract Infection Antibiotics

Traveller’s Diarrhoea Ciprofloxacin 500mg/tab BID for 3 days
Or
Levofloxacine 500mg/tab Once daily for 3 days
Or
Azithromycin 1gr tab single dose
Traveller’s Diarrhoea Pediatrics Azithro 10mg/kg/day IV/PO once daily for 3 days
Or
Ceftriaxone 50mg/kg/day IV once daily for 3 days
Ameobiasis Metronidazole 500mg/tab TID for 10 days, then
continue with
Paramomycin 500mg/tab TID for 7 days
H. Pylori eradications Nexium 40mg/tab OD +
Amoxycillin 500mg/tab TID +
 Clarithromycin 500mg/tab TID
All for 2 weeks
Diverticulitis Ciprofloxacin 500mg/tab BID + Metronidazole
500mg/tab TID for 10-14 days

Ear Infection Antibiotics

Acute Otitis Media
Acute Otitis Media pediatric (< 40kg)
Otitis Externa (swimmer’s Ear)
Amoxycillin Clavulanic Acid 625 mg PO TID for 5-7 days
If severe, up to 10 days
Amoxcilline 90mg/kg/day PO Divided 2-3 times daily for
5 days (< 2 years 10 days)
Or
Amoxcilline Clavulanic 90/6.4/kg/day po 2 times daily
for 5-7 days (< 2 years 10 days)
Ofloxacin ear drop 7 drops BID x 5 days

Eye Infections Antibiotics

Viral Conjunctivitis No treatment. Cold artificial tears may help.
Bacterial (Suppurative) Conjunctivitis
- Non- gonococcal; non-chlamydial Levofloxacin eye drops 0.5% 1-2 gtts q2h while awake
for the first 2 days, then q4-6h up to 7 days.

- Gonococcal Ceftriaxone 20-50 mg/kg IV/IM (not to exceed 125 mg)

as one dose in children; 1 gr IV/IM as one dose in adults
Blepharitis Doxycycline 100 mg PO 2 times daily for 2 weeks
Orbital Cellulitis Vanco 30-60mg/kg/day divided 2-3 doses
Plus
Ceftriaxone 2 gr IV once daily
Plus
Metronidazole 1 gr IV 2 times daily

Skin Infections Antibiotics

Cellulitis Ceftriaxone 2 gr IV once daily 1-3 days
Plus
Clindamycin 400mg/tab 4 times daily for 5-7 days
Erysipelas Ceftriaxone 2 gr IV once daily 1-3 days
Plus
Clindamycin 400mg/tab 4 times daily for 7 days
Folliculitis Mupirocin cream/ointment apply 2 times daily
With or Without
Amoxycillin Clavulanic Acid 625 mg PO TID for 5-7 days
Boils (Furunculosis, Carbuncle)
- Active lesions Clindamycin 400 mg PO 4 times daily 5-7 days
Or
Doxycicline 100 mg PO 2 times daily for 7-10 days.

- To lessen number of furuncle recurrences - 7-day therapy: Chlorhexidine (2%) washes daily
decolonization Plus
2% mupirocin ointment 2 times daily
 Plus
Rifampin 300 mg 2 times daily
Plus
Doxycycline 100 mg 2 times daily

- Hidradenitis suppurativa Clindamycin 1% topical cream

Abscess See Boils
Infected Cyst Amoxycillin Clavulanic Acid 625 mg PO TID for 5 days
Sea Water Cellulitis Ceftriaxone 2 gr IV once daily for 1-3 days
Plus
Doxycyclin 100mg/tab 2 times daily for 7 days
Necrotizing Fasciitis Refer to Surgeon ASAP
Paronychia
- Nail biting, manicuring Incision & drainage, do culture
TMP-SMX-DS 1-2tabs PO 2 times daily while waiting for
culture result
- Contact with oral mucosa – dentists, Acyclovir 400 mg PO 3 times daily for 10 days
anesthesiologists, wrestlers
- Dishwasher (prolonged water immersion) Topical Clotrimazole cream 2 times daily for 7 days

Systemic Infections Antibiotics

Dengue Fever None
Salmonella Bacterimia non thypoidal / Thyfoidal Ceftriaxone 2 gr IV once daily for 5days
Or
Azithromycin 1 gr PO one dose than 500mg once daily
for 5-7 days
Varicella Acyclovir 800 mg PO 5 times per day for 5-7 days (start
within 24 hours of rash)
Or
Valacyclovir 1000 mg PO times daily for 5 days
Herpes Zoster Acyclovir 800 mg PO 5 times per day for 7-10 days (start
within 24 hours of rash)
Or
Valacyclovir 1000 mg PO 3 times daily for for 7 days
Leptospirosis
- Severe Ilness: Pen G 1.5 million unit IV every 6 hours for 7 days
Or
Ceftriaxone 1 gr once daily for 7 days
- Mild Illness: Doxyxicline 100mg Iv/Po 2 times daily for 7 days