~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ This message is from PedTalk! To reply to the group, use "" ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ >>In a message dated 97-11-04 21:18:24 EST, (RAINBOWPED) >>writes: >> << Does anyone still use Ceclor? >> >At 03:38 AM 11/5/97 -0500, wrote: >I would guess one reason it is used less is that since it has gone generic >the Lily reps are few and far between. However, the reps for Suprax, Cedax, >etc. are frequent visitors. >Maureen McLellan, CPNP I'd also say that the development of Lorabid had a big impact. Lilly started pushing Lorabid rather than Ceclor even before Ceclor went Generic (BTW, I believe the main generic Cefaclor is also manufactured by Lilly and isn't all that much less expensive than brand-name Ceclor). When I've asked the Lilly reps if there is any reason to use Cefaclor over Lorabid they've essentially said, "No". From my perspective I see Lorabid (compared to Ceclor) being : More effective (on paper as well as clinically) Better tasting (by far the best tasting antibiotic I'm familiar with) "Truly" BID (a I.D. consultant told me that the pharmacokinetics of Ceclor are such that it should have remained TID and really doesn't have a long enough half-life to justify giving it BID, despite the manufacturers claims) Stable at room temperature (good for travelling) Less serum-sickness reactions (as I understand, but I'm not certain - the molecules are almost identical) Less expensive than Ceclor and not that much more expensive than generic Cefaclor So except for the parent who insists on Ceclor because "it always works on my child", I've not prescribed it in years. I also don't have stock in Lilly <g>, I just think Lorabid has a lot going for it when an antibiotic (other than Amoxil, Septra, or a Macrolide) is indicated. Has anybody else had a differing experience with Lorabid? Or for those who continue to use Ceclor and have a choice of prescribing Ceclor or Lorabid, what about Ceclor makes you choose it? Michael Sachs, M.D. General Pediatrician