A child with a viral upper respiratory infection is prescribed a cough suppressant.
Which drug is contraindicated in very young children?
A) Honey (age >1 year)
B) Dextromethorphan
C) Saline drops
D) Fluids
Drugs to Avoid in Breastfeeding
Mnemonic: SMALL
🔹 S – Sulfonamides
Risk: Displaces bilirubin → Kernicterus (especially in neonates)
🔹 M – Methotrexate
Risk: Hepatotoxicity, immunosuppression, affects rapidly dividing cells
🔹 A – Aspirin
Risk: Associated with Reye syndrome in infants
🔹 L – Lithium
Risk: Neurotoxicity, may cause seizures, hypotonia
🔹 L – Levetiracetam
Risk: Generally considered relatively safer than others, but caution advised due to CNS effects in infant
A patient presents with fever, sore throat, and enlarged tonsils with exudate, diagnosed as streptococcal pharyngitis.
Drug of choice.? 🤔
A) Azithromycin
B) Amoxicillin
C) Ciprofloxacin
D) Doxycycline
Viral Hepatitis (A–E) - 2025 Update
A quick, practical breakdown of Hepatitis A, B, C, D & E with:
• Key transmission routes
• Acute vs chronic patterns
• Updated serology decoding
• Who actually needs antivirals
• ALT cutoffs (AASLD)
• HBV reactivation risk with biologics.
@MoarSahitoPTI Colchicine diarrhea?
Due to microtubule disruption in enterocytes → malabsorption/secretion.
Manage: Cut dose or pause ASAP, hydrate + ORS, short loperamide (non-bloody).
Use lowest dose & avoid CYP3A4 interactions.
Ice-cream headache is best described as: ?❓ #MedX ?
A. Tension-type headache
B. Sphenopalatine ganglioneuralgia
C. Cluster headache variant
D. Migraine with aura