~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ This message is from PedTalk! To reply to the group, use "" ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ In a message dated 11/5/97 8:41:06 AM, wrote: <<<< Does anyone still use Ceclor? >> 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 don't use Ceclor anymore unless I run out of alternatives, because the only cases of serum sickness I've encountered were due to Ceclor. There are so many other antibiotics out there which have the same coverage and are safer. Personally, for otitis, I prefer the old standbys, amoxicillin, trimeth-sulfa, and sometimes erythro-sulfa, for first and second line treatment. Research I've heard of claims the new agents have no superiority over the old ones. (The children who spit out and fight their parents get the antibiotics with convenience factors (QD dosing, good taste, etc) and people leaving on vacation get one that doesn't need refrigeration. Self-pay patients get samples if enough is on hand. But these cases are few and far between.) For strep I use Pen VK, narrow spectrum because the pathogen is known (no treatment failures so far). And I may be wrong, but I figure I'm thereby not contributing quite as much to the problem of widespread antimicrobial resistance. This is my own personal style, though. I've noticed others who do very differently usually have a good reason for THEIR decision. Stephanie Walker, RN, FNP