| 1 |
Skin / Oral Mucosa |
Intense itching (pruritus). Violaceous (purple) polygonal papules on wrists and ankles. Wickham striae (white lacy lines). Painful erosive oral lesions. Commonly affects skin of arms, legs, back and inside of mouth. |
Lichen Planus |
Clinical diagnosis. Skin biopsy if diagnosis uncertain. Check for Hepatitis C (associated). |
Symptoms: Intense pruritus, violaceous polygonal papules, Wickham striae, erosive oral lesions. Affects wrists, ankles, oral mucosa. |
- Omnacortil (Prednisolone)
- Pan-40 (Pantoprazole)
- Bilagra (Bilastine)
- Xyzal (Levocetirizine)
- Dersol 12% w/w Ointment (Salicylic Acid)
- Folitrax (Methotrexate)
|
Oral corticosteroid
Proton pump inhibitor (gastroprotection)
Antihistamine (2nd gen)
Antihistamin |
- Prednisolone 10 mg
- Pantoprazole 40 mg
- Bilastine 20 mg
- Levocetirizine 5 mg
- Salicylic Acid 12% oin
|
- As prescribed (tapering course)
- Once daily (before meal)
- Once daily
- Once daily
- As directed topic
|
As prescribed (tapered) |
No |
None
|
Prescribed at Chitra Dermatology clinic. |
Patient presents with symptoms of intense itching (pruritus). Violaceous (purple) polygonal papules on wrists and ankles. Wickham striae (white lacy lines). Painful erosive oral lesions. Commonly affects skin of arms, legs, back and inside of mouth. in the skin / Oral Mucosa. Recommended tests: clinical diagnosis. Skin biopsy if diagnosis uncertain. Check for Hepatitis C (associated).. Diagnosis suggests lichen Planus. Treatment includes Omnacortil (Prednisolone)
Pan-40 (Pantoprazole)
Bilagra (Bilastine)
Xyzal (Levocetirizine)
Dersol 12% w/w Ointment (Salicylic Acid)
Folitrax (Methotrexate) Prednisolone 10 mg
Pantoprazole 40 mg
Bilastine 20 mg
Levocetirizine 5 mg
Salicylic Acid 12% oin for As prescribed (tapered). |
|
| 2 |
Skin |
Itching, skin inflammation, dryness, rash |
Dermatitis / Eczema |
Patch test (contact dermatitis), skin biopsy if needed |
— |
- Nevlon Moisturizing Cream
- Xyzal (Levocetirizine)
- Tricort 40 mg injection (Triamcinolone acetonide)
- Bilastine (20 mg)
- Doxy-1 L-DR Forte (Doxycycline + Lactic Acid Bacillus)
|
Emollient / Moisturizer
Antihistamine (3rd gen)
Corticosteroid (injection)
Antihistamine (2nd gen |
- Nevlon — apply as directed
- Levocetirizine 5 mg
- Triamcinolone acetonide 40 mg
- Bilastine 20 mg
- Dox
|
- Twice daily (cream)
- Once daily
- Single dose or as directed
- Once daily
- As directed
|
As prescribed |
Yes |
None
|
Prescribed at Chitra Dermatology clinic. |
Patient presents with symptoms of itching, skin inflammation, dryness, rash in the skin. Recommended tests: patch test (contact dermatitis), skin biopsy if needed. Diagnosis suggests dermatitis / Eczema. Treatment includes Nevlon Moisturizing Cream
Xyzal (Levocetirizine)
Tricort 40 mg injection (Triamcinolone acetonide)
Bilastine (20 mg)
Doxy-1 L-DR Forte (Doxycycline + Lactic Acid Bacillus) Nevlon — apply as directed
Levocetirizine 5 mg
Triamcinolone acetonide 40 mg
Bilastine 20 mg
Dox for As prescribed. |
|
| 3 |
Brain / CNS / Psychiatry |
Psychiatric evaluation, various mental health conditions |
Psychiatry OP Drug Reference (28/12/25) |
— |
— |
- Risperidone
- Olanzapine
- Haloperidol
- Chlorpromazine
- Trihexyphenidyl
- Quetiapine
- Fluoxetine
- Escitalopram
- Imipramine
- Amitriptyline
- Sertraline
- Lorazepam
- Diazepam
- Nitrazepam
- Alprazolam
- Clonazepam
- Chlordiazepoxide
- Propranolol
- Sodium Valproate
- Carbamazepine
- Lithium
- Levothyroxine (Eltroxin)
- B-Complex (BCT)
- Multivitamin (MVT)
- Calcium tablet
|
Atypical antipsychotic
Atypical antipsychotic
Typical antipsychotic (high potency)
Typical antips |
- Risperidone 2 mg
- Olanzapine 2.5–5 mg
- Haloperidol 1.5–5 mg
- Chlorpromazine 25–100 mg
- Trihexyphenid
|
- As prescribed
- As prescribed
- As prescribed
- As prescribed
- As prescribed
- As prescribed
- Once daily
|
As prescribed by psychiatrist |
No |
None
|
Psychiatry OP prescription reference dated 28/12/2025. |
Patient presents with symptoms of psychiatric evaluation, various mental health conditions in the brain / CNS / Psychiatry. Diagnosis suggests psychiatry OP Drug Reference (28/12/25). Treatment includes Risperidone
Olanzapine
Haloperidol
Chlorpromazine
Trihexyphenidyl
Quetiapine
Fluoxetine
Escitalopram
Imipramine
Amitriptyline
Sertraline
Lorazepam
Diazepam
Nitrazepam
Alprazolam
Clonazepam
Chlordiazepoxide
Propranolol
Sodium Valproate
Carbamazepine
Lithium
Levothyroxine (Eltroxin)
B-Complex (BCT)
Multivitamin (MVT)
Calcium tablet Risperidone 2 mg
Olanzapine 2.5–5 mg
Haloperidol 1.5–5 mg
Chlorpromazine 25–100 mg
Trihexyphenid for As prescribed by psychiatrist. |
|
| 4 |
Ankle / Bone |
Ankle injury, pain and swelling |
Ankle Fracture (post-treatment) |
X-ray ankle (AP and lateral views) |
— |
- Aiofen SR (Aceclofenac + Rabeprazole)
- Serous-D (Serratiopeptidase + Diclofenac Potassium)
- Calsafe (Calcium supplement)
- Olgerd-D (Pantoprazole + Domperidone)
|
NSAID + PPI (gastroprotection)
Anti-inflammatory enzyme + NSAID
Calcium supplement
PPI + Prokinet |
- As directed
- As directed
- As directed
- As directed
|
- As prescribed
- As prescribed
- As prescribed
- As prescribed
|
As prescribed |
No |
None
|
Coimbatore Ortho doctor prescription. |
Patient presents with symptoms of ankle injury, pain and swelling in the ankle / Bone. Recommended tests: x-ray ankle (AP and lateral views). Diagnosis suggests ankle Fracture (post-treatment). Treatment includes Aiofen SR (Aceclofenac + Rabeprazole)
Serous-D (Serratiopeptidase + Diclofenac Potassium)
Calsafe (Calcium supplement)
Olgerd-D (Pantoprazole + Domperidone) As directed
As directed
As directed
As directed for As prescribed. |
|
| 5 |
Heart / Chest |
Squeezing / pressure chest pain. Pain radiating to left arm or jaw. Sweating. Nausea and vomiting. Breathlessness. |
Acute Myocardial Infarction (Heart Attack) |
ECG (12-lead), Cardiac troponin, CBC, RFT, Echo, Chest X-ray. Go to hospital with cath lab within 15–30 min. |
— |
- Aspirin
- Clopidogrel
- Atorvastatin
|
Antiplatelet
Antiplatelet (P2Y12 inhibitor)
Statin |
- Aspirin 300 mg (loading: 2×150 mg)
- Clopidogrel 300 mg (loading: 4×75 mg)
- Atorvastatin 80 mg (loadi
|
- Single loading dose
- Single loading dose
- Single loading dose
|
Loading dose only — then continue as prescribed by cardiologist |
No |
None
|
Reference: Dr. Siva Sundar (Instagram). |
Patient presents with symptoms of squeezing / pressure chest pain. Pain radiating to left arm or jaw. Sweating. Nausea and vomiting. Breathlessness. in the heart / Chest. Recommended tests: eCG (12-lead), Cardiac troponin, CBC, RFT, Echo, Chest X-ray. Go to hospital with cath lab within 15–30 min.. Diagnosis suggests acute Myocardial Infarction (Heart Attack). Treatment includes Aspirin
Clopidogrel
Atorvastatin Aspirin 300 mg (loading: 2×150 mg)
Clopidogrel 300 mg (loading: 4×75 mg)
Atorvastatin 80 mg (loadi for Loading dose only — then continue as prescribed by cardiologist. |
|
| 6 |
Respiratory / Head |
Cold, cough, headache |
URTI with headache |
— |
— |
- WINCOLD Z+ (Paracetamol + Phenylephrine HCl + Diphenhydramine HCl + Caffeine)
- INTAZIN-AM (Cetirizine HCl + Ambroxol HCl)
- ALMOX 250 mg (Amoxicillin)
|
Combination cold + antihistamine + decongestant
Antihistamine + Mucolytic
Penicillin antibiotic |
- WINCOLD Z+ — as directed
- INTAZIN-AM — as directed
- Amoxicillin 250 mg
|
- As directed
- As directed
- Thrice daily
|
As prescribed |
No |
None
|
|
Patient presents with symptoms of cold, cough, headache in the respiratory / Head. Diagnosis suggests uRTI with headache. Treatment includes WINCOLD Z+ (Paracetamol + Phenylephrine HCl + Diphenhydramine HCl + Caffeine)
INTAZIN-AM (Cetirizine HCl + Ambroxol HCl)
ALMOX 250 mg (Amoxicillin) WINCOLD Z+ — as directed
INTAZIN-AM — as directed
Amoxicillin 250 mg for As prescribed. |
|
| 7 |
Skin / Systemic |
Skin inflammation, allergic reaction |
Dermatological condition (Dr. Ramasamy) |
— |
— |
- Flexon (Ibuprofen 400 mg + Paracetamol 325 mg)
- Zen-MPS (Methylprednisolone)
- Ciplox (Ciprofloxacin HCl)
- Ducopan (Pantoprazole)
- Ebigo-20 (Ebastine)
- Venrax (Hydroxyzine HCl)
|
NSAID + Analgesic
Corticosteroid
Fluoroquinolone antibiotic
Proton pump inhibitor
Non-sedating a |
- Ibuprofen 400 mg + Paracetamol 325 mg
- Methylprednisolone 8 mg
- Ciprofloxacin 500 mg
- Pantoprazole 4
|
- As directed
- As directed
- Twice daily
- Once daily (before meal)
- Once daily
- As directed
|
As prescribed |
No |
None
|
Prescribed by Dr. Ramasamy (Skin specialist). |
Patient presents with symptoms of skin inflammation, allergic reaction in the skin / Systemic. Diagnosis suggests dermatological condition (Dr. Ramasamy). Treatment includes Flexon (Ibuprofen 400 mg + Paracetamol 325 mg)
Zen-MPS (Methylprednisolone)
Ciplox (Ciprofloxacin HCl)
Ducopan (Pantoprazole)
Ebigo-20 (Ebastine)
Venrax (Hydroxyzine HCl) Ibuprofen 400 mg + Paracetamol 325 mg
Methylprednisolone 8 mg
Ciprofloxacin 500 mg
Pantoprazole 4 for As prescribed. |
|
| 8 |
Musculoskeletal / General |
Pain and inflammation |
Pain management reference |
— |
— |
- Zerodol (Aceclofenac)
- Ultracet (Tramadol + Paracetamol)
|
NSAID
Opioid analgesic + Paracetamol |
- Aceclofenac 100 mg
- Tramadol 37.5 mg + Paracetamol 325 mg
|
- Twice daily
- As directed
|
As prescribed |
No |
None
|
|
Patient presents with symptoms of pain and inflammation in the musculoskeletal / General. Diagnosis suggests pain management reference. Treatment includes Zerodol (Aceclofenac)
Ultracet (Tramadol + Paracetamol) Aceclofenac 100 mg
Tramadol 37.5 mg + Paracetamol 325 mg for As prescribed. |
|
| 9 |
Head / Systemic |
Headache and fever |
Fever with headache |
— |
— |
Dolo-650 (Paracetamol) |
Analgesic / Antipyretic |
Paracetamol 650 mg |
Every 6 hours |
As needed |
No |
None
|
|
Patient presents with symptoms of headache and fever in the head / Systemic. Diagnosis suggests fever with headache. Treatment includes Dolo-650 (Paracetamol) Paracetamol 650 mg for As needed. |
|
| 10 |
Abdomen / GI Tract |
Diarrhoea, loose stools |
Acute Diarrhoea |
— |
— |
Eldoper (Loperamide HCl) |
Antidiarrhoeal |
As directed |
As directed |
Until resolved |
No |
None
|
|
Patient presents with symptoms of diarrhoea, loose stools in the abdomen / GI Tract. Diagnosis suggests acute Diarrhoea. Treatment includes Eldoper (Loperamide HCl) As directed for Until resolved. |
|
| 11 |
Abdomen / Stomach |
Stomach pain, abdominal cramps |
Abdominal Spasm / Colic |
— |
— |
Cyclopam (Dicyclomine HCl + Paracetamol) |
Antispasmodic + Analgesic |
As directed |
As directed |
As prescribed |
No |
None
|
|
Patient presents with symptoms of stomach pain, abdominal cramps in the abdomen / Stomach. Diagnosis suggests abdominal Spasm / Colic. Treatment includes Cyclopam (Dicyclomine HCl + Paracetamol) As directed for As prescribed. |
|
| 12 |
Respiratory |
Cold, nasal congestion |
Common Cold |
— |
— |
- Coldrix (Paracetamol + Chlorpheniramine maleate + Phenylephrine HCl)
- Almox-500 (Amoxicillin)
|
Combination cold tablet
Penicillin antibiotic |
- Coldrix — as directed
- Amoxicillin 500 mg
|
- As directed
- Thrice daily
|
As prescribed |
No |
None
|
|
Patient presents with symptoms of cold, nasal congestion in the respiratory. Diagnosis suggests common Cold. Treatment includes Coldrix (Paracetamol + Chlorpheniramine maleate + Phenylephrine HCl)
Almox-500 (Amoxicillin) Coldrix — as directed
Amoxicillin 500 mg for As prescribed. |
|
| 13 |
Systemic / Head |
Fever, cold, headache |
Viral URTI with fever |
— |
— |
- Cefixime (Cefi-200)
- Levocetirizine (Levizet)
- Mefenamic Acid + Paracetamol (Mefnetra-Forte)
- Merimol injection (Paracetamol IV)
|
Cephalosporin antibiotic
Antihistamine
NSAID + Analgesic
IV Analgesic/Antipyretic |
- Cefixime 200 mg
- Levocetirizine 5 mg
- Mefenamic Acid + Paracetamol (Forte)
- Merimol — as directed
|
- Twice daily
- Once daily
- As directed
- As directed
|
As prescribed |
Yes |
None
|
Prescribed at Ramana Hospital. |
Patient presents with symptoms of fever, cold, headache in the systemic / Head. Diagnosis suggests viral URTI with fever. Treatment includes Cefixime (Cefi-200)
Levocetirizine (Levizet)
Mefenamic Acid + Paracetamol (Mefnetra-Forte)
Merimol injection (Paracetamol IV) Cefixime 200 mg
Levocetirizine 5 mg
Mefenamic Acid + Paracetamol (Forte)
Merimol — as directed for As prescribed. |
|
| 14 |
Neck / Head |
Headache starting in neck and radiating to head. Worse with neck movements. |
Cervicogenic Headache |
Cervical spine X-ray or MRI (if spondylosis suspected) |
Cause: Neck muscle tension, cervical spondylosis |
- Ibuprofen (NSAID)
- Tizanidine (muscle relaxant)
- Thiocolchicoside (muscle relaxant)
|
NSAID
Muscle relaxant
Muscle relaxant |
- Ibuprofen 400 mg
- Tizanidine 2–4 mg
- Thiocolchicoside 4 mg
|
- Every 8 hours
- Twice daily
- Twice daily
|
As prescribed |
No |
None
|
|
Patient presents with symptoms of headache starting in neck and radiating to head. Worse with neck movements. in the neck / Head. Recommended tests: cervical spine X-ray or MRI (if spondylosis suspected). Diagnosis suggests cervicogenic Headache. Treatment includes Ibuprofen (NSAID)
Tizanidine (muscle relaxant)
Thiocolchicoside (muscle relaxant) Ibuprofen 400 mg
Tizanidine 2–4 mg
Thiocolchicoside 4 mg for As prescribed. |
|
| 15 |
Head |
Throbbing one-sided headache. Nausea and vomiting. Photophobia (light sensitivity). Phonophobia (sound sensitivity). Sometimes aura: flashes, zig-zag lines. |
Migraine |
Clinical diagnosis. Consider MRI Brain if atypical features. |
— |
- Paracetamol
- Ibuprofen (NSAID)
- Naproxen
- Sumatriptan (triptan)
|
Analgesic
NSAID
NSAID
Triptan (5-HT1B/1D agonist) |
- Paracetamol 1000 mg
- Ibuprofen 400–600 mg
- Naproxen 500 mg (then 250 mg after 6–8 hr)
- Sumatriptan 5
|
- Once at onset
- Once or every 8 hours
- Once at onset
- Once; may repeat after 2 hrs (max 200 mg/day)
|
As needed per attack |
No |
None
|
|
Patient presents with symptoms of throbbing one-sided headache. Nausea and vomiting. Photophobia (light sensitivity). Phonophobia (sound sensitivity). Sometimes aura: flashes, zig-zag lines. in the head. Recommended tests: clinical diagnosis. Consider MRI Brain if atypical features.. Diagnosis suggests migraine. Treatment includes Paracetamol
Ibuprofen (NSAID)
Naproxen
Sumatriptan (triptan) Paracetamol 1000 mg
Ibuprofen 400–600 mg
Naproxen 500 mg (then 250 mg after 6–8 hr)
Sumatriptan 5 for As needed per attack. |
|
| 16 |
Head |
Dull band-like tightness on both sides of head. No nausea or vomiting. Not worsened by routine activity. |
Tension Headache |
Clinical diagnosis — no tests required |
— |
- Paracetamol
- Ibuprofen (NSAID)
|
Analgesic
NSAID |
- Paracetamol 500–650 mg
- Ibuprofen 400 mg
|
- Every 6 hours
- Every 8 hours
|
As needed |
No |
None
|
Cause: Stress, long screen time, neck strain, poor sleep. |
Patient presents with symptoms of dull band-like tightness on both sides of head. No nausea or vomiting. Not worsened by routine activity. in the head. Recommended tests: clinical diagnosis — no tests required. Diagnosis suggests tension Headache. Treatment includes Paracetamol
Ibuprofen (NSAID) Paracetamol 500–650 mg
Ibuprofen 400 mg for As needed. |
|
| 17 |
Head |
Headache (general) |
Headache — differential diagnosis guide |
- MRI Brain (rule out tumor, stroke, MS, raised ICP, sinus headache)
- CT Scan Head (emergency headache, suspected bleed, trauma, thunderclap headache)
- Lumbar Puncture (suspected meningitis, SAH with normal CT, TB meningitis, viral CNS infection, idiopathic intracranial hypertension)
- Blood Tests: CBC, ESR, CRP, TFT (hypothyroidism), blood glucose, electrolytes (sodium imbalance)
- Eye Tests: visual acuity, refractive error, intraocular pressure, fundus exam
- Sinus X-ray (facial pain, postnasal drip, worse on bending, nasal congestion)
- EEG (seizures, confusion spells, altered consciousness)
|
Migraine, tension headache, cluster headache — diagnosed clinically; history and exam sufficient for most cases |
— |
|
— |
— |
— |
|
None
|
Most primary headaches (migraine, tension, cluster) require no investigations. Tests reserved for red-flag symptoms. |
Patient presents with symptoms of headache (general) in the head. Recommended tests: mRI Brain (rule out tumor, stroke, MS, raised ICP, sinus headache)
CT Scan Head (emergency headache, suspected bleed, trauma, thunderclap headache)
Lumbar Puncture (suspected meningitis, SAH with normal CT, TB meningitis, viral CNS infection, idiopathic intracranial hypertension)
Blood Tests: CBC, ESR, CRP, TFT (hypothyroidism), blood glucose, electrolytes (sodium imbalance)
Eye Tests: visual acuity, refractive error, intraocular pressure, fundus exam
Sinus X-ray (facial pain, postnasal drip, worse on bending, nasal congestion)
EEG (seizures, confusion spells, altered consciousness). Diagnosis suggests headache — differential diagnosis guide. |
|