# Community-acquired pneumonia

- Category: infectious
- Review status: reviewed (every claim checked against a document named on this page)
- Sources: ATS/IDSA CAP Guideline 2019 · Egyptian National Drug Formulary - Antimicrobial 2023 (doxycycline monograph) · MSF Essential Drugs 2024 - paracetamol (oral)
- Verified date: 2026-08

## Verified against

- ATS/IDSA CAP Guideline 2019
- Egyptian National Drug Formulary - Antimicrobial 2023 (doxycycline monograph)
- MSF Essential Drugs 2024 - paracetamol (oral)
- Community-Acquired Pneumonia - disease-level clinical article (community-acquired-pneumonia-clinical.txt)

## Treatment metadata

- Amoxicillin — 500 mg — oral.solid
- Amoxicillin + Clavulanic acid — 1000 mg — oral.solid
- Referral & safety-netting (no drug therapy)
- Clarithromycin — 500 mg — oral.solid
- Levofloxacin — 500 mg — oral.solid
- Doxycycline — 100 mg — oral.solid
- Paracetamol — 500 mg — oral.solid

## Complete treatment card

```text
COMMUNITY-ACQUIRED PNEUMONIA
Sources: ATS/IDSA CAP Guideline 2019 · Egyptian National Drug Formulary - Antimicrobial 2023
         (doxycycline monograph) · MSF Essential Drugs 2024 - paracetamol (oral)
Review status: REVIEWED against ATS/IDSA CAP Guideline 2019, Egyptian National Drug Formulary -
               Antimicrobial 2023 (doxycycline monograph), MSF Essential Drugs 2024
               - paracetamol (oral), Community-Acquired Pneumonia - disease-level
               clinical article (community-acquired-pneumonia-clinical.txt)
               (2026-08)

IS IT THIS? - reference only, to read alongside your own examination
  RED FLAGS (2)
    - Cardiorespiratory failure or sepsis - refer whatever the score
    - Cannot take oral medicines
  SYMPTOMS - what the patient reports (2)
    - Acute lower respiratory tract symptoms with a clinical diagnosis of pneumonia - NG250 treats
      the primary-care diagnosis as clinical
    - Confusion, or new disorientation in person, place or time, is a scored feature and not a
      detail  [confusion]
  SIGNS - what you find (3)
    - Respiratory rate 30 or more per minute
    - Diastolic BP 60 mmHg or below, or systolic under 90 mmHg  [hypotension]
    - Age 65 or over counts towards risk in its own right
  TESTS (3)
    - Nothing is needed to score CRB65 - it is bedside
    - NG250 1.4.3 places baseline CRP at hospital admission, not in the clinic
    - NG250 1.4.5: do not routinely offer microbiological tests in low-severity disease
  Score   CRB65 - Can this pneumonia be managed at home?
  Source  NICE NG250 Pneumonia: diagnosis and management (2025)
  Status  traced to the source above

Rx: Antibiotic  |  If comorbidity or recent antibiotics  |  Main treatment  |  Pain and fever

ANTIBIOTIC - choose one
1. AMOXICILLIN                                            [1st line]
   Adult    500-1000 mg TID x 5-7 days
   Peds     80-90 mg/kg/day  [child max 1000 mg]
            (Divided BID-TID; targets penicillin-intermediate S. pneumoniae
            ENDF caps amoxicillin at 500 mg per dose for most indications; at
            the twice-daily schedule this regimen uses, that is 1,000 mg in a
            day, which is the ceiling applied to the table above (ENDF
            Antimicrobial 2023).)
            3kg -> 240-270 mg/day             4kg -> 320-360 mg/day
            5kg -> 400-450 mg/day             6kg -> 480-540 mg/day
            7kg -> 560-630 mg/day             8kg -> 640-720 mg/day
            9kg -> 720-810 mg/day             10kg -> 800-900 mg/day
            11kg -> 880-990 mg/day            12kg -> 960-1000 mg/day (upper capped)
            13kg -> 1000 mg/day (capped)      14kg -> 1000 mg/day (capped)
            15kg -> 1000 mg/day (capped)      16kg -> 1000 mg/day (capped)
            17kg -> 1000 mg/day (capped)      18kg -> 1000 mg/day (capped)
            19kg -> 1000 mg/day (capped)      20kg -> 1000 mg/day (capped)
            21kg -> 1000 mg/day (capped)      22kg -> 1000 mg/day (capped)
            23kg -> 1000 mg/day (capped)      24kg -> 1000 mg/day (capped)
            25kg -> 1000 mg/day (capped)      26kg -> 1000 mg/day (capped)
            27kg -> 1000 mg/day (capped)      28kg -> 1000 mg/day (capped)
            29kg -> 1000 mg/day (capped)      30kg -> 1000 mg/day (capped)
            31kg -> 1000 mg/day (capped)      32kg -> 1000 mg/day (capped)
            33kg -> 1000 mg/day (capped)      34kg -> 1000 mg/day (capped)
            35kg -> 1000 mg/day (capped)      36kg -> 1000 mg/day (capped)
            37kg -> 1000 mg/day (capped)      38kg -> 1000 mg/day (capped)
            39kg -> 1000 mg/day (capped)      40kg -> 1000 mg/day (capped)
            41kg -> 1000 mg/day (capped)      42kg -> 1000 mg/day (capped)
            43kg -> 1000 mg/day (capped)      44kg -> 1000 mg/day (capped)
            45kg -> 1000 mg/day (capped)      46kg -> 1000 mg/day (capped)
            47kg -> 1000 mg/day (capped)      48kg -> 1000 mg/day (capped)
            49kg -> 1000 mg/day (capped)      50kg -> 1000 mg/day (capped)
   Source   Egyptian National Drug Formulary - Antimicrobial 2023
   Why      Narrower-spectrum beta-lactam used first-line for mild community-acquired pneumonia
            without comorbidities, targeting the typical bacterial pathogens responsible for most
            uncomplicated cases.
   Caution  Switch to broad spectrum if no improvement in 48-72h.
            Amoxicillin is first-line for mild CAP without comorbidities.
            Penicillin hypersensitivity is a contraindication.
   Egypt    AMOXYCILLIN 500MG 10 CAPS B.P.2013 ARAB DRUG COMPANY (ADCO)         6.50 EGP (0.65/unit)
            AMOXICILLIN 500MG 12 CAPS. USP 28 OCTOBER PHARMA                    8.10 EGP (0.67/unit)
            AMOXIL 500MG 12 CAPS.            MUP > SMITHKL...     9.00 EGP (0.75/unit)
            AMOXICID 500 MG 12 CAPS.         CID                  9.50 EGP (0.79/unit)
            E-MOX 500 MG 16 CAPS.            EIPICO              15.60 EGP (0.97/unit)
            HICONCIL 500MG 12 CAPS.          PHARCO              11.60 EGP (0.97/unit)
            BIOMOX 500MG 12 CAPS.            SEDICO              19.50 EGP (1.62/unit)
            IBIAMOX 500 MG 12 CAPS.          AMOUN               45.00 EGP (3.75/unit)
            HICILLIN 125MG/5ML SUSP. 80ML    EL NASR              3.00 EGP
                -> ? strength differs, ? different route - not oral solid
            AMOXIL FORT 250MG/5ML SUSP. 60ML MUP > SMITHKL...     5.50 EGP
                -> ? strength differs, ? different route - not oral solid

2. CLARITHROMYCIN                                         [2nd line]
   Adult    500 mg BID x 7 days
   Peds     15 mg/kg/day  [child max 1000 mg]  (Divided BID for 7 days)
            3kg -> 45 mg/day    4kg -> 60 mg/day    5kg -> 75 mg/day    6kg -> 90 mg/day
            7kg -> 105 mg/day   8kg -> 120 mg/day   9kg -> 135 mg/day   10kg -> 150 mg/day
            11kg -> 165 mg/day  12kg -> 180 mg/day  13kg -> 195 mg/day  14kg -> 210 mg/day
            15kg -> 225 mg/day  16kg -> 240 mg/day  17kg -> 255 mg/day  18kg -> 270 mg/day
            19kg -> 285 mg/day  20kg -> 300 mg/day  21kg -> 315 mg/day  22kg -> 330 mg/day
            23kg -> 345 mg/day  24kg -> 360 mg/day  25kg -> 375 mg/day  26kg -> 390 mg/day
            27kg -> 405 mg/day  28kg -> 420 mg/day  29kg -> 435 mg/day  30kg -> 450 mg/day
            31kg -> 465 mg/day  32kg -> 480 mg/day  33kg -> 495 mg/day  34kg -> 510 mg/day
            35kg -> 525 mg/day  36kg -> 540 mg/day  37kg -> 555 mg/day  38kg -> 570 mg/day
            39kg -> 585 mg/day  40kg -> 600 mg/day  41kg -> 615 mg/day  42kg -> 630 mg/day
            43kg -> 645 mg/day  44kg -> 660 mg/day  45kg -> 675 mg/day  46kg -> 690 mg/day
            47kg -> 705 mg/day  48kg -> 720 mg/day  49kg -> 735 mg/day  50kg -> 750 mg/day
   AWaRe    WATCH group - carries resistance cost. Egyptian EML 2025.
   Source   Egyptian National Drug Formulary - Antimicrobial 2023
   Why      Not used alone here. The 2019 ATS/IDSA guidance prefers high-dose amoxicillin as empiric
            therapy for healthy outpatients 64 and under, and allows a macrolide alone only where
            local S. pneumoniae macrolide resistance stays under 25%. The same guidance reports
            resistance often above 30% in the US and above 25% across most of the rest of the world,
            and no Egyptian figure appears in the cited sources, so that 25% condition cannot be
            shown to hold here. The Egyptian formulary uses the same cutoff and also defaults to
            combination therapy. Combine with a beta-lactam, or use levofloxacin instead.
   Caution  Covers atypical pathogens (Mycoplasma, Chlamydia pneumoniae).
            Use in penicillin allergy or as add-on in moderate CAP.
            There is a risk of QT prolongation.
   Egypt    KAPIFECTIN 500 MG 14 F.C.TAB.    EVA PHARMA          37.00 EGP (2.64/unit)
            LARITHROCIN 500MG 14 F.C. TABS.  GLOBAL NAPI P...    40.00 EGP (2.86/unit)
            CAPRIVEXIN  500MG S.R. 14 F.C. TAB. HORUS FOR PHARMACEUTICAL...    58.00 EGP (4.14/unit)
            CLARINOTION XL 500 MG 14 F.C.TABS. RAMEDA > NOTION PHARMA          83.00 EGP (5.93/unit)
            KLARIMIX 500 MG 14 TAB.          SIGMA > OCTOB...   144.00 EGP (10.29/unit)
            INFECTOCURE 500 MG 14 F.C.TABS.  EGPI               156.00 EGP (11.14/unit)
            KLACID 500 MG 14 F.C.TABS.       KAHIRA > ABBO...   257.00 EGP (18.36/unit)
            KLACID XL 500 MG  14 F.C.TABS.   KAHIRA > ABBO...   299.00 EGP (21.36/unit)
            KLARIMIX 125MG/5ML SUSP. 60ML    SIGMA               36.00 EGP
                -> ? strength differs, ? different route - not oral solid
            KLARIMIX 250MG/5ML SUSP. 60ML    SIGMA               52.00 EGP
                -> ? strength differs, ? different route - not oral solid

3. LEVOFLOXACIN                                           [2nd line]
   Adult    750 mg once daily x 5-7 days
   Peds     Contraindicated in children under 18 years (arthropathy risk)
   AWaRe    WATCH group - carries resistance cost. Egyptian EML 2025.
   Source   ATS/IDSA CAP Guideline 2019
   Why      Respiratory fluoroquinolone with broad activity against both typical and atypical
            pneumonia pathogens; reserved for patients with comorbidities or those failing first-
            line beta-lactam therapy, rather than used as initial treatment.
   Caution  Reserve for comorbidities or failure of first-line agents.
            Levofloxacin can cause QT prolongation and glycemic dysregulation.
            There is a risk of tendinitis, tendon rupture, and aortic aneurysm.
   Egypt    FLOXABACT 500 MG 10 F.C.TABS.(NOW LEVOFLOXACIN-EVA) EVA PHARMA     40.00 EGP (4.00/unit)
            LEVOMAGICTAM 500 MG 5 F.C.TABS.  MEDIZEN PHARM...    27.00 EGP (5.40/unit)
            EXACINOP 500 MG 10 F.C.TABS.     EL-OBOUR > MA...    65.00 EGP (6.50/unit)
            ROYAFLOXACIN 500 MG 10 F.C.TABS. MEDIZEN PHARM...    92.00 EGP (9.20/unit)
            TAVIXINOR 500 MG 5 F.C. TABS.    MASH PREMIERE...    64.50 EGP (12.90/unit)
            BIOWORLD 500 MG 10 F.C. TABS.    EGPI > BIOWORLD    133.00 EGP (13.30/unit)
            TAVANIC 500 MG 5 F.C.TABS.       SANOFI             192.00 EGP (38.40/unit)
            ALFASPECT 500 MG 5 S.F.C.TABS.   SPIMACO PHARM...    70.00 EGP

4. DOXYCYCLINE                                            [2nd line]
   Adult    100 mg twice daily x 5-7 days
   Peds     2.2 mg/kg/dose  [child max 100 mg]
            (2.2 mg/kg per dose every 12 hours, maximum 100 mg per dose. The
            formulary restricts use under 8 years to severe or life-
            threatening infection, or where there is no better alternative -
            in practice that means a child with CAP gets amoxicillin, not
            this.)
            3kg -> 6.6 mg/dose                4kg -> 8.8 mg/dose
            5kg -> 11 mg/dose                 6kg -> 13.2 mg/dose
            7kg -> 15.4 mg/dose               8kg -> 17.6 mg/dose
            9kg -> 19.8 mg/dose               10kg -> 22 mg/dose
            11kg -> 24.2 mg/dose              12kg -> 26.4 mg/dose
            13kg -> 28.6 mg/dose              14kg -> 30.8 mg/dose
            15kg -> 33 mg/dose                16kg -> 35.2 mg/dose
            17kg -> 37.4 mg/dose              18kg -> 39.6 mg/dose
            19kg -> 41.8 mg/dose              20kg -> 44 mg/dose
            21kg -> 46.2 mg/dose              22kg -> 48.4 mg/dose
            23kg -> 50.6 mg/dose              24kg -> 52.8 mg/dose
            25kg -> 55 mg/dose                26kg -> 57.2 mg/dose
            27kg -> 59.4 mg/dose              28kg -> 61.6 mg/dose
            29kg -> 63.8 mg/dose              30kg -> 66 mg/dose
            31kg -> 68.2 mg/dose              32kg -> 70.4 mg/dose
            33kg -> 72.6 mg/dose              34kg -> 74.8 mg/dose
            35kg -> 77 mg/dose                36kg -> 79.2 mg/dose
            37kg -> 81.4 mg/dose              38kg -> 83.6 mg/dose
            39kg -> 85.8 mg/dose              40kg -> 88 mg/dose
            41kg -> 90.2 mg/dose              42kg -> 92.4 mg/dose
            43kg -> 94.6 mg/dose              44kg -> 96.8 mg/dose
            45kg -> 99 mg/dose                46kg -> 100 mg/dose (capped)
            47kg -> 100 mg/dose (capped)      48kg -> 100 mg/dose (capped)
            49kg -> 100 mg/dose (capped)      50kg -> 100 mg/dose (capped)
   Choice   Sourced preference. The Egyptian EML 2025 lists doxycycline as second choice for mild-
            to-moderate community-acquired pneumonia, and clarithromycin is demoted for local
            pneumococcal macrolide resistance above 40%.
   Source   Egyptian National Drug Formulary - Antimicrobial 2023 (doxycycline monograph)
   Why      The Egyptian EML 2025 lists doxycycline as second choice for mild-to-moderate community
            acquired pneumonia, and it sits in the Access group where clarithromycin and
            levofloxacin sit in Watch. It covers Mycoplasma, so it is the atypical cover to reach
            for where a macrolide is unsuitable.
   Caution  Access group - it does not carry the stewardship cost of clarithromycin or levofloxacin,
            both of which are Watch.
            Avoid in pregnancy from the second trimester, and in breastfeeding beyond short courses.
            Swallow with a full glass of water and stay sitting up for 30 minutes - it ulcerates the
            oesophagus if it lodges.
            Antacids, iron and calcium block absorption; separate them.
            Photosensitivity - relevant year-round in Egypt.
   Egypt    FARCODOXIN 100MG 10 CAPS.        PHARCO              11.00 EGP (1.10/unit)
            DOXY M.R.100 MG 10 CAPS.         ADWIA               12.00 EGP (1.20/unit)
            GRANUDOXY 100MG 10 F.C. TAB.     GLOBAL NAPI P...    12.00 EGP (1.20/unit)
            DOXYDOX 100 MG 10 CAPS.          EIPICO              23.00 EGP (2.30/unit)
            DOXYMYCIN 100 MG 10 CAPS.        EL NILE.            30.00 EGP (3.00/unit)
            TABOCINE 100MG 10 CAPS.          TABUK PHARMAC...    46.00 EGP (4.60/unit)
            VIBRAMYCIN 100MG 10 CAPS.        PFIZER              65.00 EGP (6.50/unit)


IF COMORBIDITY OR RECENT ANTIBIOTICS
5. AMOXICILLIN + CLAVULANIC ACID                          [1st line]
   Adult    1 g BID or 875/125 mg BID x 7 days
   Peds     80-90 mg/kg/day  [child max 3000 mg]
            (Of the amoxicillin component, divided BID (use 14:1 ES-600
            formulation to keep clavulanate <10 mg/kg/day))
            3kg -> 240-270 mg/day                    4kg -> 320-360 mg/day
            5kg -> 400-450 mg/day                    6kg -> 480-540 mg/day
            7kg -> 560-630 mg/day                    8kg -> 640-720 mg/day
            9kg -> 720-810 mg/day                    10kg -> 800-900 mg/day
            11kg -> 880-990 mg/day                   12kg -> 960-1080 mg/day
            13kg -> 1040-1170 mg/day                 14kg -> 1120-1260 mg/day
            15kg -> 1200-1350 mg/day                 16kg -> 1280-1440 mg/day
            17kg -> 1360-1530 mg/day                 18kg -> 1440-1620 mg/day
            19kg -> 1520-1710 mg/day                 20kg -> 1600-1800 mg/day
            21kg -> 1680-1890 mg/day                 22kg -> 1760-1980 mg/day
            23kg -> 1840-2070 mg/day                 24kg -> 1920-2160 mg/day
            25kg -> 2000-2250 mg/day                 26kg -> 2080-2340 mg/day
            27kg -> 2160-2430 mg/day                 28kg -> 2240-2520 mg/day
            29kg -> 2320-2610 mg/day                 30kg -> 2400-2700 mg/day
            31kg -> 2480-2790 mg/day                 32kg -> 2560-2880 mg/day
            33kg -> 2640-2970 mg/day                 34kg -> 2720-3000 mg/day (upper capped)
            35kg -> 2800-3000 mg/day (upper capped)  36kg -> 2880-3000 mg/day (upper capped)
            37kg -> 2960-3000 mg/day (upper capped)  38kg -> 3000 mg/day (capped)
            39kg -> 3000 mg/day (capped)             40kg -> 3000 mg/day (capped)
            41kg -> 3000 mg/day (capped)             42kg -> 3000 mg/day (capped)
            43kg -> 3000 mg/day (capped)             44kg -> 3000 mg/day (capped)
            45kg -> 3000 mg/day (capped)             46kg -> 3000 mg/day (capped)
            47kg -> 3000 mg/day (capped)             48kg -> 3000 mg/day (capped)
            49kg -> 3000 mg/day (capped)             50kg -> 3000 mg/day (capped)
   Source   Egyptian National Drug Formulary - Antimicrobial 2023
   Why      Beta-lactam combined with a beta-lactamase inhibitor, used as first-line empirical
            outpatient therapy for community-acquired pneumonia; the inhibitor restores activity
            against beta-lactamase-producing organisms that amoxicillin alone would miss.
   Caution  Take with food to minimize GI adverse effects.
            This combination is first-line outpatient empirical therapy in Egypt.
            There is a risk of cholestatic jaundice with prolonged use.
   Egypt    E-MOXCLAV 1G 10 F.C. TAB.        EIPICO              14.00 EGP (1.40/unit)
            JULMENTIN 2X 1GM 15 TAB.         JULPHAR             57.50 EGP (3.83/unit)
            DEXICLAVE 1 GM 10 F.C. TABS.     RAMEDA > NOVE...    38.50 EGP (3.85/unit)
            MACLAVEX 1 GM 14 F.C.TABS.       MASH PREMIERE      105.00 EGP (7.50/unit)
            CLAVIMOX 1 GM 12 F.C.TABS.       PHARCO             130.00 EGP (10.83/unit)
            MEGAMOX 1 GM 14 F.C. TABS.       AL JAZEERA PH...   178.00 EGP (12.71/unit)
            CLAVOCILLIN 1 GM 10 DISPERSIBLE TABS. RAMEDA > ORGANOPHARMA                   106.00 EGP
            AUGMENTIN ADULTS 1GM/125MG 12 PWD. ORAL SUSP. SACHETS GLAXO SMITHKLINE        169.00 EGP
            LARYNCLAVE 125/31 PD. FOR ORAL SUSP. 70ML MISR > AL ROWAD PHARMACEUTICAL...     8.00 EGP
                -> ? strength differs, ? different route - not oral solid
            MEGACLAVOX 156MG/5ML PD. FOR SUSP. 60 ML CID                                    8.00 EGP
                -> ? strength differs, ? different route - not oral solid


MAIN TREATMENT
6. REFERRAL & SAFETY-NETTING (NO DRUG THERAPY)            [1st line]
   Adult    
   Source   Community-Acquired Pneumonia - disease-level clinical article (community-acquired-
            pneumonia-clinical.txt)
   Why      Carries the referral criteria and warning signs for this condition, which apply
            whichever treatment is chosen.
   Caution  RED FLAG - The inpatient admission criterion is a CURB-65 score >= 2.


PAIN AND FEVER - give alongside
7. PARACETAMOL                                            [add-on - not a substitute]
   Adult    1 g three or four times daily, maximum 4 g in 24 hours - while febrile or the chest
            hurts, usually 3-5 days
   Peds     15 mg/kg/dose  [child max 500 mg]
            (15 mg/kg per dose every 6 hours. WHO restricts oral paracetamol
            to children 2 months and over with a fever of 39 C or more who are
            uncomfortable or distressed by it - do not treat a low fever.)
            3kg -> 45 mg/dose                 4kg -> 60 mg/dose
            5kg -> 75 mg/dose                 6kg -> 90 mg/dose
            7kg -> 105 mg/dose                8kg -> 120 mg/dose
            9kg -> 135 mg/dose                10kg -> 150 mg/dose
            11kg -> 165 mg/dose               12kg -> 180 mg/dose
            13kg -> 195 mg/dose               14kg -> 210 mg/dose
            15kg -> 225 mg/dose               16kg -> 240 mg/dose
            17kg -> 255 mg/dose               18kg -> 270 mg/dose
            19kg -> 285 mg/dose               20kg -> 300 mg/dose
            21kg -> 315 mg/dose               22kg -> 330 mg/dose
            23kg -> 345 mg/dose               24kg -> 360 mg/dose
            25kg -> 375 mg/dose               26kg -> 390 mg/dose
            27kg -> 405 mg/dose               28kg -> 420 mg/dose
            29kg -> 435 mg/dose               30kg -> 450 mg/dose
            31kg -> 465 mg/dose               32kg -> 480 mg/dose
            33kg -> 495 mg/dose               34kg -> 500 mg/dose (capped)
            35kg -> 500 mg/dose (capped)      36kg -> 500 mg/dose (capped)
            37kg -> 500 mg/dose (capped)      38kg -> 500 mg/dose (capped)
            39kg -> 500 mg/dose (capped)      40kg -> 500 mg/dose (capped)
            41kg -> 500 mg/dose (capped)      42kg -> 500 mg/dose (capped)
            43kg -> 500 mg/dose (capped)      44kg -> 500 mg/dose (capped)
            45kg -> 500 mg/dose (capped)      46kg -> 500 mg/dose (capped)
            47kg -> 500 mg/dose (capped)      48kg -> 500 mg/dose (capped)
            49kg -> 500 mg/dose (capped)      50kg -> 500 mg/dose (capped)
   Source   MSF Essential Drugs 2024 - paracetamol (oral)
   Why      The WHO pocket book instructs paracetamol for a child with pneumonia and a distressing
            fever of 39 C or more, and gives 15 mg/kg every 6 hours. The adult dose here is from the
            MSF drug reference. Paracetamol rather than an NSAID is deliberate - see the cautions.
   Caution  WHO treats fever only when it is 39 C or above and distressing the child - a moderate
            fever in pneumonia does not need suppressing.
            Paracetamol, not an NSAID, is the antipyretic of choice here: NSAID use in community-
            acquired pneumonia is associated with delayed diagnosis and with pleuropulmonary
            complications.
            Check every other product for paracetamol content before adding it.
            Reduce the maximum in liver disease or in an adult under 50 kg.
            500 mg is the per-dose ceiling used here for a child. 1000 mg is the adult dose and does
            not belong in a weight calculation - the daily 60 mg/kg limit is the one that binds
            first in any case.
   Egypt    FEBRIMOL 500 MG 20 TAB.          PHARCO               3.50 EGP (0.17/unit)
            CETAMOL 500 MG 20 TABS.          MEMPHIS              8.00 EGP (0.40/unit)
            PARACETAMOL-MUP 500MG B.P. 20 TABS. MUP                            13.00 EGP (0.65/unit)
            CETAL 500 MG 20 TABS.            EIPICO              24.00 EGP (1.20/unit)
            ARKADOLOW 500 MG 30 F.C. TABS.   UTOPIA              42.00 EGP (1.40/unit)
            PARAMOL 500MG 20 TAB.            MISR                38.00 EGP (1.90/unit)
            ADOL 500MG 24 CAPLETS            JULPHAR             32.00 EGP
            AUGICETAMIDE 500 MG 20 SACHETS   AUG PHARMA          50.00 EGP
            FEBRIMOL ORAL DROPS 20 ML        PHARCO               4.00 EGP
                -> ? strength differs, ? different route - not oral solid
            THERA-LO 3.2G/100ML ORAL SUSP. 100 ML PHAROPHARMA                               5.00 EGP
                -> ? strength differs, ? different route - not oral solid

Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy.
```

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