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Pharmacology

Pharmacology Charts: Antibiotics, Analgesics & Doses for INBDE

NEET MDSINI-CET MDSINBDE

This high-yield revision note on Pharmacology Charts: Antibiotics, Analgesics & Doses for INBDE covers everything examiners typically test under Pharmacology — structured as quick-reference tables, clinical correlations, mnemonics and previous-year-style high-yield points. It's built for last-mile revision before NEET MDS, INI-CET MDS and INBDE, so you can scan it in minutes instead of re-reading a whole textbook chapter.

DrugTypical Adult DoseNote
Amoxicillin500mg three times daily for 5-7 daysFirst-line antibiotic for odontogenic infection
Amoxicillin-clavulanate625mg three times daily, or 1g twice dailyUsed for resistant or spreading infections
Metronidazole400mg three times daily for 5-7 daysProvides anaerobic coverage; avoid alcohol (disulfiram-like reaction)
Clindamycin300mg four times dailyAlternative in penicillin allergy; good bone penetration; carries a risk of C. difficile colitis
Azithromycin500mg once daily for 3 daysAlternative macrolide with a longer half-life
Ibuprofen400-600mg three times daily (maximum 2400mg/day)First-line NSAID analgesic for dental pain
Diclofenac50mg three times dailyAlternative NSAID
Paracetamol500-1000mg four times daily (maximum 4g/day)Combined with an NSAID for synergistic analgesia when NSAID alone is insufficient or contraindicated
Dexamethasone (pre-op for 3rd molar surgery)4-8mg single dose, IM/IV or oralReduces postoperative edema and trismus
Infective endocarditis prophylaxis (AHA)Amoxicillin 2g orally, 30-60 minutes before the procedure (Clindamycin 600mg if penicillin-allergic)Only indicated for HIGH-RISK cardiac conditions per current AHA guidance
Mnemonic: "Antibiotics ASSIST drainage, they don't REPLACE it" - antibiotics are always adjunctive to, never a substitute for, definitive source control (drainage/pulp extirpation/extraction).
HY: A well-evidenced and frequently tested point: combining an NSAID with paracetamol provides SUPERIOR analgesia for post-extraction pain compared to either drug used alone.
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