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Amoxicillin treatment is strongly recommended for persistent OM (with or without effusion) among high-risk children (Leach et al., 2021), with amoxicillin-clavulanic acid or 2 nd -3 rd generation cephalosporins (e.g

Centella asiatica Asiatic acid , majorly found in Centella Asiatica is a pentacyclic triterpene and has gained much attention due to its pharmacological effects and application (Mushtaq et al., 2023