Paracetamol (first 2 weeks — no NSAIDs until dengue is excluded), Tramadol (pain not controlled by paracetamol), Naproxen (sub-acute joint pain, after dengue excluded), Prednisolone (sub-acute: severe synovitis or NSAID failure — never in the acute phase), Hydroxychloroquine (chronic arthritis over 3 months)
Investigations
First visit
Chikungunya RT-PCR or IgM ELISA — RT-PCR in the first week; IgM from day 5.
Dengue NS1/IgM and malaria RDT — Exclude dengue before giving any NSAID.
CBC — Baseline.
Only if indicated
LFT, creatinine — Elderly, comorbid, or atypical illness.
ESR, CRP, RA factor — Joint pain beyond 3 months, before starting a DMARD.
Locked
The adult dose for each drug
The child dose, where the card gives one
Indian brand names for each drug, with a link to buy
ICU Decoded — original critical-care and internal-medicine pathways by
Dr Javed Akhtar, each cited to a current guideline. For education and quick
reference; verify every dose against local protocols before prescribing.