{ "schema_version": 1, "kind": "condition", "id": "balanitis", "name": "Balanitis (Acute Candidal & Bacterial)", "category": "infectious", "sources": "BASHH UK National Guideline for the Management of Balanoposthitis 2018 · Egyptian National Drug Formulary - Antimicrobial 2023 (fluconazole monograph)", "review_status": "reviewed", "verified_against": "BASHH UK National Guideline for the Management of Balanoposthitis 2018 · Egyptian National Drug Formulary - Antimicrobial 2023 (fluconazole monograph)", "verified_date": "2026-08", "treatments": [ { "id": 236, "generic": "Clotrimazole", "line": 1, "is_adjunct": false, "form": "topical", "strength_mg": null, "adult_dose": "Apply thin layer of 1% cream to glans penis and inner prepuce twice daily", "adult_duration": "7-14 days", "dose_source": "BASHH UK National Guideline for the Management of Balanoposthitis 2018", "rationale": "Topical imidazole antifungal that disrupts the fungal cell membrane, treating the Candida overgrowth responsible for most balanitis; first-line for the candidal form.", "cautions": [ "Candidal balanitis is the most frequent cause; screen for underlying Type 2 Diabetes Mellitus in recurrent cases.", "Advise hygiene: wash glans gently daily with warm water alone, dry thoroughly, avoid scented soaps.", "Treat female sexual partner if symptomatic for vulvovaginal candidiasis." ], "peds_mgkg_low": null, "peds_mgkg_high": null, "peds_max_mg": null, "peds_basis": null, "peds_unit": null, "peds_note": "Apply thin layer twice daily for 7-14 days for candidal balanitis", "peds_min_weight_kg": null, "peds_max_weight_kg": null, "peds_age_min_months": null, "peds_age_max_months": null, "peds_age_bands": null, "peds_doses": null, "brands": [ { "trade_name": "CANEMAZOLE 1% CREAM 20 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "UP PHARMA", "price_egp": 5.0, "pack_count": null, "unit_price": null, "strength_mg": 20000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "CANDISTAN 1% TOPICAL CREAM 15 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "KAHIRA > ARAB DRUG COMPANY (ADCO)", "price_egp": 7.25, "pack_count": null, "unit_price": null, "strength_mg": 15000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "DERMATIN 1% TOP. CREAM 14 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "PHARCO", "price_egp": 15.0, "pack_count": null, "unit_price": null, "strength_mg": 14000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "CANESTEN 1% CREAM 20 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "MEMPHIS > BAYER HEALTHCARE", "price_egp": 29.0, "pack_count": null, "unit_price": null, "strength_mg": 20000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "LOCASTEN 1% CREAM 20 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "ALEXANDRIA", "price_egp": 29.0, "pack_count": null, "unit_price": null, "strength_mg": 20000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "CANDISTAN 1% TOPICAL CREAM 40 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "KAHIRA > ARAB DRUG COMPANY (ADCO)", "price_egp": 36.0, "pack_count": null, "unit_price": null, "strength_mg": 40000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null } ], "condition_id": "balanitis" }, { "id": 239, "generic": "Nystatin", "line": 1, "is_adjunct": false, "form": "topical", "strength_mg": null, "adult_dose": "Apply to the affected area twice daily", "adult_duration": "Until healing is complete", "dose_source": "Balanitis - StatPearls - NCBI Bookshelf (NBK537143) - disease-level clinical article (balanitis-full.txt) for the indication - verbatim: \"Nystatin cream is an alternative for patients allergic to imidazoles.\" Dose from Egyptian National Drug Formulary - Antimicrobial 2023, nystatin monograph - verbatim, topical indication: \"Fungal infections (cutaneous and mucocutaneous): Treatment of cutaneous and mucocutaneous fungal infections caused by Candida albicans and other susceptible Candida species\", and dosing: \"Cream, ointment: Apply to the affected areas twice daily or as indicated until healing is complete\".", "rationale": "The antifungal for a man who cannot take an imidazole. Clotrimazole and miconazole are both imidazoles, so an allergy to one rules out both of the usual first-line creams. Nystatin is a different class, and is the source's named alternative.", "cautions": [ "Only for candidal balanitis. Nystatin has no antibacterial activity, so it does nothing for a secondary bacterial infection.", "Ask for the plain nystatin cream. Most nystatin creams sold in Egypt combine it with neomycin and triamcinolone, and a steroid-antibiotic combination is a different medicine from the one prescribed here." ], "peds_mgkg_low": null, "peds_mgkg_high": null, "peds_max_mg": null, "peds_basis": null, "peds_unit": null, "peds_note": "Apply to the affected area twice daily, the same as for an adult - the formulary states no weight-based topical dose.", "peds_min_weight_kg": null, "peds_max_weight_kg": null, "peds_age_min_months": null, "peds_age_max_months": null, "peds_age_bands": null, "peds_doses": null, "brands": [ { "trade_name": "NOCANDIDA 10 M.I.U. CREAM 20 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "PHAROPHARMA", "price_egp": 4.25, "pack_count": null, "unit_price": null, "strength_mg": 20000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null } ], "condition_id": "balanitis" }, { "id": 238, "generic": "Fluconazole", "line": 2, "is_adjunct": false, "form": "oral.solid", "strength_mg": 150.0, "adult_dose": "150 mg single oral dose for severe or recurrent candidal balanitis", "adult_duration": "single dose", "dose_source": "Egyptian National Drug Formulary - Antimicrobial 2023 (fluconazole monograph)", "rationale": "Oral triazole antifungal used when topical antifungal treatment fails or is poorly tolerated in severe or recurrent candidal balanitis.", "cautions": [ "Fluconazole is an oral option when topical therapy fails or is poorly tolerated.", "Check for CYP3A4 drug interactions." ], "peds_mgkg_low": null, "peds_mgkg_high": null, "peds_max_mg": null, "peds_basis": null, "peds_unit": null, "peds_note": "Specialist pediatric use only", "peds_min_weight_kg": null, "peds_max_weight_kg": null, "peds_age_min_months": null, "peds_age_max_months": null, "peds_age_bands": null, "peds_doses": null, "brands": [ { "trade_name": "JENFUNGA 150 MG 1 CAPS.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "EGPI > JENIKO MEDICINE PHARMACEUTICALS", "price_egp": 4.5, "pack_count": 1, "unit_price": 4.5, "strength_mg": 150.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "AMRIFLUCAN 150 MG 2 CAPS.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "AMRIYA", "price_egp": 11.0, "pack_count": 2, "unit_price": 5.5, "strength_mg": 150.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "FLUDCONRIZOLE 150 MG 1 CAPS.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "RIVA PHARMA S.A.E.", "price_egp": 6.0, "pack_count": 1, "unit_price": 6.0, "strength_mg": 150.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "FLUCORAL 150 MG 4 CAPS.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "SEDICO", "price_egp": 60.0, "pack_count": 4, "unit_price": 15.0, "strength_mg": 150.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "TRICONAL 150 MG 1 CAPS.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "T3A PHARMA > PAXAL", "price_egp": 26.5, "pack_count": 1, "unit_price": 26.5, "strength_mg": 150.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "NAVILUCA 150 MG 2 CAPS.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "INTERNATIONAL DRUG INDUSTRIES > ROTABIOGEN", "price_egp": 69.0, "pack_count": 2, "unit_price": 34.5, "strength_mg": 150.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "NAZOWELL 150 MG 3 CAPS.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "EGPI > HEALTH WELL", "price_egp": 108.0, "pack_count": 3, "unit_price": 36.0, "strength_mg": 150.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "DIFLUCAN 150 MG 1 CAPS.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "PFIZER", "price_egp": 111.0, "pack_count": 1, "unit_price": 111.0, "strength_mg": 150.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "DIFLUNAZOLE 25MG/5ML SYRUP 70ML", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "CID", "price_egp": 28.8, "pack_count": null, "unit_price": null, "strength_mg": 25.0, "exact_strength": false, "exact_form": false, "discontinued": false, "also_contains": null }, { "trade_name": "FLUCAZONIL 25MG/5ML SYRUP 70 ML", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "EL NILE.", "price_egp": 28.8, "pack_count": null, "unit_price": null, "strength_mg": 25.0, "exact_strength": false, "exact_form": false, "discontinued": false, "also_contains": null } ], "condition_id": "balanitis" }, { "id": 240, "generic": "Mupirocin", "line": 2, "is_adjunct": false, "form": "topical", "strength_mg": null, "adult_dose": "Apply 2% cream or ointment three times daily", "adult_duration": "7 to 14 days", "dose_source": "Balanitis - StatPearls - NCBI Bookshelf (NBK537143) - disease-level clinical article (balanitis-full.txt) - verbatim: \"Treatment with an oral antibiotic (dicloxacillin 500 mg or cephalexin QID × 7 days) and mupirocin topical cream applied TID for 7 to 14 days is appropriate if there is a concern for concomitant cellulitis or a secondary infection.\" The 2% strength is the only mupirocin marketed in Egypt.", "rationale": "Topical antibacterial cover where the glans looks secondarily infected rather than simply inflamed. The source pairs it with an oral antibiotic when cellulitis is a concern, not instead of one.", "cautions": [ "The source pairs this with an oral antibiotic where there is concern about cellulitis. Topical treatment alone does not cover a spreading infection.", "Reassess if there is no improvement. Failure of first-line treatment should raise the question of a second infection or an underlying malignancy, which needs a culture and a biopsy." ], "peds_mgkg_low": null, "peds_mgkg_high": null, "peds_max_mg": null, "peds_basis": null, "peds_unit": null, "peds_note": "Applied the same way in children - a topical dose is not weight-based.", "peds_min_weight_kg": null, "peds_max_weight_kg": null, "peds_age_min_months": null, "peds_age_max_months": null, "peds_age_bands": null, "peds_doses": null, "brands": [ { "trade_name": "BACTROFORM 2% TOP. OINT. 15 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "WESTERN PHARMACEUTICALS INDUSTRIES > WESTERN PHARMA", "price_egp": 35.0, "pack_count": null, "unit_price": null, "strength_mg": 15000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "MUPIROCIN SAJA 2% TOP. OINT. 15 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "BIOPHARM EGYPT > SAJA PHARMA", "price_egp": 35.0, "pack_count": null, "unit_price": null, "strength_mg": 15000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "MUPIRAX 2% OINT. 10 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "GLOBAL NAPI PHARMACEUTICALS", "price_egp": 48.0, "pack_count": null, "unit_price": null, "strength_mg": 10000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "MUPIROCIN SAJA 2% TOP. OINT. 20 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "BIOPHARM EGYPT > SAJA PHARMA", "price_egp": 83.0, "pack_count": null, "unit_price": null, "strength_mg": 20000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "MUPIRAX 2% OINT. 30 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "GLOBAL NAPI PHARMACEUTICALS", "price_egp": 118.0, "pack_count": null, "unit_price": null, "strength_mg": 30000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null } ], "condition_id": "balanitis" }, { "id": 241, "generic": "Amoxicillin + Clavulanic acid", "line": 2, "is_adjunct": false, "form": "oral.solid", "strength_mg": 1000.0, "adult_dose": "875/125 mg orally every 12 hours", "adult_duration": "5 to 7 days", "dose_source": "Balanitis - StatPearls - NCBI Bookshelf (NBK537143) - disease-level clinical article (balanitis-full.txt) for the indication - verbatim: \"Anaerobic infections can be treated with metronidazole, whereas aerobic infections may be treated with oral cephalosporins, erythromycin, or amoxicillin/clavulanic acid.\" Dose from Egyptian National Drug Formulary - Antimicrobial 2023, amoxicillin and clavulanic acid monograph - verbatim indication \"Skin and skin structure infections\", and dosing: \"Immediate release: 500 mg every 8 to 12 hours or 875 mg every 12 hours\" with \"Duration: 5 to 7 days for mild to moderate infection and 10 days for severe infection\".", "rationale": "Oral cover for the aerobic bacterial balanoposthitis the card's title claims and never treated. Twice-daily dosing matters for a 7-day course in a well outpatient.", "cautions": [ "Not for uncomplicated candidal balanitis. An antibiotic is for secondary bacterial infection or cellulitis, and giving one for simple candidal inflammation makes the candida worse.", "Ask about penicillin allergy before this one. Cefalexin is also a beta-lactam and is not the answer to a severe or immediate penicillin reaction.", "Reassess if there is no improvement. Failure of first-line treatment should raise the question of a second infection or an underlying malignancy, which needs a culture and a biopsy.", "Look for the diabetes. Recurrent or intractable balanoposthitis in an adult man is a reason to check the blood sugar." ], "peds_mgkg_low": null, "peds_mgkg_high": null, "peds_max_mg": null, "peds_basis": null, "peds_unit": null, "peds_note": "No weight-based dose here: the formulary sets paediatric co-amoxiclav by indication and states none for this one. Use cefalexin below for a child, which carries the formulary's general paediatric dose.", "peds_min_weight_kg": null, "peds_max_weight_kg": null, "peds_age_min_months": null, "peds_age_max_months": null, "peds_age_bands": null, "peds_doses": null, "brands": [ { "trade_name": "E-MOXCLAV 1G 10 F.C. TAB.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "EIPICO", "price_egp": 14.0, "pack_count": 10, "unit_price": 1.4, "strength_mg": 1000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "JULMENTIN 2X 1GM 15 TAB.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "JULPHAR", "price_egp": 57.5, "pack_count": 15, "unit_price": 3.83, "strength_mg": 1000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "DEXICLAVE 1 GM 10 F.C. TABS.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "RAMEDA > NOVELL PHARMA", "price_egp": 38.5, "pack_count": 10, "unit_price": 3.85, "strength_mg": 1000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "MACLAVEX 1 GM 14 F.C.TABS.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "MASH PREMIERE", "price_egp": 105.0, "pack_count": 14, "unit_price": 7.5, "strength_mg": 1000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "CLAVIMOX 1 GM 12 F.C.TABS.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "PHARCO", "price_egp": 130.0, "pack_count": 12, "unit_price": 10.83, "strength_mg": 1000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "MEGAMOX 1 GM 14 F.C. TABS.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "AL JAZEERA PHARMACEUTICAL > HIKMA PHARMA", "price_egp": 178.0, "pack_count": 14, "unit_price": 12.71, "strength_mg": 1000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "CLAVOCILLIN 1 GM 10 DISPERSIBLE TABS.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "RAMEDA > ORGANOPHARMA", "price_egp": 106.0, "pack_count": null, "unit_price": null, "strength_mg": 1000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "AUGMENTIN ADULTS 1GM/125MG 12 PWD. ORAL SUSP. SACHETS", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "GLAXO SMITHKLINE", "price_egp": 169.0, "pack_count": null, "unit_price": null, "strength_mg": 1000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "LARYNCLAVE 125/31 PD. FOR ORAL SUSP. 70ML", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "MISR > AL ROWAD PHARMACEUTICAL INDUSTRIAL CO.", "price_egp": 8.0, "pack_count": null, "unit_price": null, "strength_mg": null, "exact_strength": false, "exact_form": false, "discontinued": false, "also_contains": null }, { "trade_name": "MEGACLAVOX 156MG/5ML PD. FOR SUSP. 60 ML", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "CID", "price_egp": 8.0, "pack_count": null, "unit_price": null, "strength_mg": 156.0, "exact_strength": false, "exact_form": false, "discontinued": false, "also_contains": null } ], "condition_id": "balanitis" }, { "id": 242, "generic": "Cefalexin", "line": 2, "is_adjunct": false, "form": "oral.solid", "strength_mg": 500.0, "adult_dose": "500 mg orally every 6 hours", "adult_duration": "7 days", "dose_source": "Balanitis - StatPearls - NCBI Bookshelf (NBK537143) - disease-level clinical article (balanitis-full.txt) for the indication and the frequency and duration - verbatim: \"Treatment with an oral antibiotic (dicloxacillin 500 mg or cephalexin QID × 7 days) and mupirocin topical cream applied TID for 7 to 14 days is appropriate if there is a concern for concomitant cellulitis or a secondary infection.\" The article gives no strength for cephalexin - the 500 mg is from Egyptian National Drug Formulary - Antimicrobial 2023, cephalexin monograph - verbatim indication \"Skin and skin structure infections: Treatment of skin and skin structure infections caused by S. aureus and/or S. pyogenes\", and dosing: \"Usual adult dosage range: Oral: 250 to 1,000 mg every 6 hours or 500 mg every 12 hours (maximum: 4 g/day)\". QID is every 6 hours, so 500 mg every 6 hours sits inside the formulary range at the article's frequency.", "rationale": "The cephalosporin option, and the one to use in a child - its paediatric dose is the formulary's general figure for mild to moderate infection.", "cautions": [ "Four times a day. A missed dose matters more on a 6-hourly antibiotic than on a twice-daily one - say so when handing it over.", "Not for uncomplicated candidal balanitis. An antibiotic is for secondary bacterial infection or cellulitis.", "Tablets and oral suspension are not bioequivalent and must not be swapped milligram for milligram - Egyptian National Drug Formulary, cephalexin monograph.", "Avoid after a severe or immediate reaction to a penicillin." ], "peds_mgkg_low": 25.0, "peds_mgkg_high": 50.0, "peds_max_mg": 2000.0, "peds_basis": "day", "peds_unit": "mg", "peds_note": "25 to 50 mg/kg/day divided every 6 or 12 hours, maximum 2,000 mg/day (Egyptian National Drug Formulary, cephalexin monograph, general dosing for mild to moderate infection).", "peds_min_weight_kg": null, "peds_max_weight_kg": null, "peds_age_min_months": null, "peds_age_max_months": null, "peds_age_bands": null, "peds_doses": [ { "weight_kg": 10, "low_mg": 250, "high_mg": 500, "capped": false }, { "weight_kg": 20, "low_mg": 500, "high_mg": 1000, "capped": false }, { "weight_kg": 30, "low_mg": 750, "high_mg": 1500, "capped": false }, { "weight_kg": 40, "low_mg": 1000, "high_mg": 2000, "capped": false } ], "brands": [ { "trade_name": "CEFLODIX 500 MG 12 CAPS.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "ARAB CAPS > PHAROPHARMA", "price_egp": 9.0, "pack_count": 12, "unit_price": 0.75, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "CEPHALEXCID 500 MG 12 CAPS.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "CID", "price_egp": 10.3, "pack_count": 12, "unit_price": 0.86, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "CEPHOXIN 500MG 12 TAB.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "PHARCO B", "price_egp": 10.5, "pack_count": 12, "unit_price": 0.88, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "CEPHALEXIN 500MG 10 CAPS.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "ARAB DRUG COMPANY (ADCO)", "price_egp": 10.1, "pack_count": 10, "unit_price": 1.01, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "MEDICEFLEXIN 500 MG 20 CAPS.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "T3A PHARMA > RIVA PHARMA S.A.E.", "price_egp": 25.25, "pack_count": 20, "unit_price": 1.26, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "CEPHALEXIN 500MG 12 CAPS B.P.2007", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "SHIFA MEDICAL PRODUCTS > OCTOBER PHARMA", "price_egp": 27.0, "pack_count": 12, "unit_price": 2.25, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "KEFLEX 500 MG 12 CAPS.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "HIKMA PHARMA", "price_egp": 58.0, "pack_count": 12, "unit_price": 4.83, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "CEPOREX 500MG 12 TABS.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "GLAXO SMITHKLINE", "price_egp": 69.0, "pack_count": 12, "unit_price": 5.75, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "AMTHROST 125MG/5ML SUSP. 60ML", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "SIGMA > SABAA", "price_egp": 4.0, "pack_count": null, "unit_price": null, "strength_mg": 125.0, "exact_strength": false, "exact_form": false, "discontinued": false, "also_contains": null }, { "trade_name": "AMTHROST 250MG/5ML SUSP. 60ML", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "SIGMA > SABAA", "price_egp": 4.5, "pack_count": null, "unit_price": null, "strength_mg": 250.0, "exact_strength": false, "exact_form": false, "discontinued": false, "also_contains": null } ], "condition_id": "balanitis" }, { "id": 237, "generic": "Hydrocortisone", "line": 1, "is_adjunct": true, "form": "topical", "strength_mg": null, "adult_dose": "Apply thin layer of 1% cream twice daily for up to 7 days as anti-inflammatory adjunct for marked erythema and itching", "adult_duration": "up to 7 days", "dose_source": "BASHH UK National Guideline for the Management of Balanoposthitis 2018", "rationale": "Low-potency topical corticosteroid added to the antifungal to calm marked erythema and itching; used alongside the antifungal, never as monotherapy, since a steroid alone would let an active fungal infection worsen.", "cautions": [ "Co-administer with topical antifungal; avoid steroid monotherapy in active fungal infection.", "Avoid prolonged application to delicate penile skin." ], "peds_mgkg_low": null, "peds_mgkg_high": null, "peds_max_mg": null, "peds_basis": null, "peds_unit": null, "peds_note": "Apply thin layer twice daily for up to 5-7 days under medical advice", "peds_min_weight_kg": null, "peds_max_weight_kg": null, "peds_age_min_months": null, "peds_age_max_months": null, "peds_age_bands": null, "peds_doses": null, "brands": [ { "trade_name": "NOVACORTIN 1% CREAM 15 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "PHAROPHARMA", "price_egp": 4.75, "pack_count": null, "unit_price": null, "strength_mg": 15000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "NOVACORTIN 1% OINT. 15 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "PHAROPHARMA", "price_egp": 4.75, "pack_count": null, "unit_price": null, "strength_mg": 15000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "MICORT 1% CREAM 20 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "MISR", "price_egp": 12.5, "pack_count": null, "unit_price": null, "strength_mg": 20000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "HYDROCORTISONE 1% OINT. 20 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "MISR", "price_egp": 21.0, "pack_count": null, "unit_price": null, "strength_mg": 20000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null } ], "condition_id": "balanitis" } ] }