Back to Resource Center Medical Emergency Kit


"Click" on the sheet below and go to the borrower's print function.
Take this sheet to your physician's office and ask your provider to fill it out.
travel | traveler's diarrhea | malaria | travel vaccinations | travel EMR kit | EMR transport

Medication
Indication
Dose
Rx
Imodium tablets - 60 tablets 1- 2 tablets after every bout of diarrhea   OTC
Doxycycline - 20 capsules E. Coli diarrhea (1 capsule 2 x day) 400 mg. Rx
Metronidazole - 30 tablets giardia and amoeba diarrhea (1 tablet 3 x day) 750 mg Rx
Tigan tablets - 30 tablets severe nausea (1 tablet 3 x day) 250 mg Rx
Zantec - 30 tablets severe indigestion and heart burn 75 mg OTC
Maalox liquid and tablets indigestion and heart burn 1 oz. OTC
Dramamine tablets or patch motion sickness (1-2 tablets 4 x day) 50 mg OTC
Tylenol pain and fever   OTC
Advil pain and fever 200 mg OTC
Excedrin PM pain, headaches and insomnia   OTC
Melatonin - 30 tablets jet lag, insomnia and seasonal depression 25 mg OTC
Benadril 12 hour capsules upper respiratory or nasal congestion   OTC
Afrin Nasal Spray nasal congestion   OTC
Clear eye solution eye irritation ( 2 drops 2 x day)   OTC
Neosporin ophthalmic solution pink eye and eye infections (1drop 3 x day)   Rx
Cerumnex / Debrax solution ear wax and dusty conditions (2 drops at night)   OTC
Coli-mycin S otic solution ear infections and ear aches ( 1-2 drops 3 x day)   Rx
Hydrocortisone cream allergic skin reactions and severe sun burns   Rx
Alovera cream skin irritation and mild sun burn   OTC
Sun block sun protection 30+ OTC
Topicort cream (2*) severe allergic skin reactions ( apply 2 x day ) 60 gm Rx
Medro Dosepack (2*) severe allergic skin reactions ( per instructions)   Rx
Ampicillin - 40 capsules upper respiratory and lung or kin infections (4 x day) 500 mg Rx
Bacitracin ointment cuts and bruises, boils, etc. 120 gm OTC
Lotrimin cream or spray fungal skin infection, athlete's food, etc. (2 x day) 120 gm OTC
Alcohol cleansing toiletry, combs and appliances 100 cc OTC
Betadine wound cleansing 100 cc OTC
Eliminate cream parasite cleansing 60 gm Rx
Nix head rinse head lice ( as per instructions) 2 fl. oz. Rx