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15. Pheniramine (Avil) Class H1 antihistamine Uses Acute allergic reactions Dose 25–50 mg IM/IV Notable points Used in anaphylaxis adjunct (not first-line; adrenaline is) 16. Dicyclomine Class Anticholinergic Uses Intestinal colic Dose 10–20 mg IM Notable points Relieves smooth muscle spasm 17. Meropenem Class Carbapenem (broad-spectrum β-lactam) Uses Severe infections (ICU, sepsis) Dose 500 mg–1 g IV TDS Notable points Reserved drug → antimicrobial stewardship 18. Amikacin Class Aminoglycoside Uses Gram-negative infections Dose 15 mg/kg/day IV/IM Notable points Nephrotoxicity + ototoxicity Monitor levels 19. Insulin Class Hormone Uses Diabetes mellitus Dose Individualized Notable points Only drug for type 1 DM Risk: hypoglycemia
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