🚨 Critical Daily Rules
NO ALCOHOL while taking Metrogyl (Metronidazole) and for 48 hours after. Causes severe nausea + vomiting + flushing.
Tranexamic Acid — ONLY when heavy vaginal bleeding. Do NOT take on schedule. Has blood-clot risk.
Xylid 250mg (antibiotic) — 30 min BEFORE meal. Empty stomach required for absorption.
All others — AFTER meal. Reduces stomach upset.
📊 Category Matrix
All 6 medications categorized by WHEN to take. Pick the right one based on time of day + symptoms.
| ⏰ 30 min BEFORE Meal | 🍽️ AFTER Meal | ⚠️ When Needed |
|---|---|---|
|
Xylid 250mg (Clarithromycin antibiotic) Dose: 2 tabs × 2/day Total: 16 tabs (until finished) Brand: Xylid 250mg From: Global Doctors Hospital Expiry: OK (within 2 years) Empty stomach = better absorption |
Metrogyl 400mg (Metronidazole antibiotic) Dose: 1 tab × 3/day Total: 12 tabs (until finished) Brand: Metrogyl From: Global Doctors Hospital NO alcohol (48h before/after) |
Tranexamic Acid 250mg (Antifibrinolytic) Dose: 4 caps × 3/day ONLY when heavy vaginal bleeding Total: 36 caps (as needed) ⚠️ Blood clot risk — ask doctor if unsure |
|
Ganaton 50mg (Itopride — wind/bloating) Dose: 1 tab × 3/day Duration: 4 DAYS ONLY Total: 12 tabs Stop after 4 days, even if symptoms persist |
Arcoxia 90mg (Etoricoxib — pain/inflammation) Dose: 1 tab/day Duration: Max 10 days (3-5 if pain) Total: 10 tabs Stop earlier if pain subsides |
Paracetamol 500mg (Axcel brand) Dose: 2 tabs × 3/day When: For pain, any time Total: 30 tabs Max: 8 tabs / 24h (liver risk) Safe to combine with Arcoxia |
🕐 Daily Timeline (Sample Day)
⏰ 7:00 AM — BEFORE breakfast
Xylid 250mg × 2 tabs (antibiotic, empty stomach)
Ganaton 50mg × 1 tab (wind, if days 1-4)
Ganaton 50mg × 1 tab (wind, if days 1-4)
🍽️ 7:30 AM — Breakfast
⏰ 12:00 PM — BEFORE lunch
Xylid 250mg × 2 tabs (last dose)
Ganaton 50mg × 1 tab (wind, if days 1-4)
Ganaton 50mg × 1 tab (wind, if days 1-4)
🍽️ 12:30 PM — Lunch
🍽️ 1:00 PM — AFTER lunch
Metrogyl 400mg × 1 tab (antibiotic)
Paracetamol 500mg × 2 tabs (if pain)
Arcoxia 90mg × 1 tab (if inflammation)
Paracetamol 500mg × 2 tabs (if pain)
Arcoxia 90mg × 1 tab (if inflammation)
⏰ 6:00 PM — BEFORE dinner
Ganaton 50mg × 1 tab (wind, if days 1-4)
🍽️ 7:00 PM — Dinner
🍽️ 7:30 PM — AFTER dinner
Metrogyl 400mg × 1 tab (antibiotic)
Paracetamol 500mg × 2 tabs (if pain)
Paracetamol 500mg × 2 tabs (if pain)
🍽️ 10:00 PM — Before bed (after snack)
Metrogyl 400mg × 1 tab (last dose)
Paracetamol 500mg × 2 tabs (if pain, max 8/day total)
Paracetamol 500mg × 2 tabs (if pain, max 8/day total)
⚠️ As Needed — All Day
Tranexamic Acid 250mg × 4 caps × 3/day — ONLY when heavy vaginal bleeding. Do not take on schedule.
📅 Daily Tracking (4-day antibiotic + 4-day wind course)
Click ✓ as you complete each day's full course. Page remembers in browser localStorage.
💡 Tip: Refresh page to reset checklist. All progress saved in your browser only (not synced to server).
📆 Duration & Stop Dates
| Medication | Course | Started | End Date | Notes |
|---|---|---|---|---|
| Xylid 250mg | Until finished (16 tabs ÷ 4/day = 4 days) | 27-Jun-2026 | ~1-Jul-2026 | Don't skip doses |
| Metrogyl 400mg | Until finished (12 tabs ÷ 3/day = 4 days) | 27-Jun-2026 | ~1-Jul-2026 | Don't skip doses |
| Ganaton 50mg | 4 DAYS ONLY (12 tabs ÷ 3/day) | 27-Jun-2026 | 30-Jun-2026 | Hard stop — don't continue |
| Arcoxia 90mg | Max 10 days (3-5 if pain subsides) | 27-Jun-2026 | ~7-Jul-2026 | Stop early if pain OK |
| Paracetamol 500mg | As needed for pain (30 tabs) | 27-Jun-2026 | Until 30 tabs done | Max 8 tabs/24h (liver risk) |
| Tranexamic Acid 250mg | Only when heavy bleeding (36 caps) | 27-Jun-2026 | Until 36 caps done | Don't take on schedule |
⚠️ Warning Signs (Contact Doctor If)
- Fever above 38°C that doesn't respond to Paracetamol
- Heavy bleeding (soaking more than 1 pad/hour for 2+ hours)
- Severe abdominal pain not relieved by painkillers
- Wound redness, swelling, or pus discharge
- Persistent nausea/vomiting preventing eating/drinking
- Difficulty breathing or chest pain (call 999 immediately)
- Leg pain, swelling, or redness (blood clot warning)
- Severe diarrhea from antibiotics (might need different antibiotic)
- Rash, hives, or swelling of face (allergic reaction)
📞 Contacts & Follow-up
| Follow-up appointment | 30-Jun-2026 (Tuesday) at 14:30 Global Doctors Hospital — Follow-up check |
| Hospital | Global Doctors Hospital (GDM Specialist Centre) Level 2A, 3A & 4A, No. 18 Kiara Designer Suite, Jalan Kiara 3, Mont Kiara, 50480 KL Tel: +603-2303 9911, +03-6203 0999 HP: +6012-5141536 Fax: +603-6203 0673 |
| Surgeon | Dr. A-Tarmizi (bowel adhesiolysis) |
| Hospital ward round | Dr. Shahmi (spoke to patient + family) |
📁 Source Documents
- 📄 Discharge summary:
PERMANENT/Family/medical/Yasmin_after_laproscopy/20260627_141708.jpg - 📄 Medication photos:
20260627_141902.jpgthrough20260627_142016.jpg - 📄 Full text summary:
PERMANENT/Family/medical/Yasmin_after_laproscopy/SUMMARY_2026-06-27.md
All saved locally + Drive-synced to botbot-oauth2:PERMANENT/Family/medical/Yasmin_after_laproscopy/