~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ This message is from PedTalk! To reply to the group, use "" ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ I remeber tasteting Zithromax when I first came out...I thought it was pretty good! Sincerely, Ryan Werstuik -----Original Message----- From: Michael Sachs <> To: <> Cc: <> Date: Monday, November 10, 1997 1:26 PM Subject: Re: Re: Ceclor >~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ >This message is from PedTalk! To reply to the group, use "" >~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ >At 09:15 PM 11/9/97 -0500, wrote: > >>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 >> > > >Good points, but I'd comment on the taste of TMP-SMX, ERTHRO-Sulfa, and >Pen-VK. >Granted, I haven't used Penicillin in quite awhile, but my recollection is >the taste is such that I'm willing to go slightly more broad-spectrum with >Amoxil in order to increase the compliance. And the taste of both TMP-SMX >and ERTHRO-Sulfa are pretty bad. The brands (which most people don't get >because of the cost) are just plain bad, the generics are even worse, in my >experience. I've pretty much given up on ERTHRO-sulfa in favor or >Zithromax or Biaxin. The efficacies of these two seem to be better, the >taste certainly isn't worse (close with Biaxin), and Zithromax isn't all >that much more expensive (even if insurance won't cover it, a lot of people >will still pay for five doses of Zithromax over thirty doses of Pediazole - >or generic). > >BTW, when prescribing Pediazole or erythromycin, does anybody still write >for qid? I found a long time ago that qid compliance is so impossible, I >might as well divide the total daily dose tid and be realistic (and even >tid compliance for 10 days is difficult enough). > >Michael Sachs, M.D. >General Pediatrician > >