III. Indications

  1. Respiratory tract infections
  2. Acute Sinusitis
  3. Otitis Media
  4. Community Acquired Pneumonia (esp. Cefuroxime and Cefprozil)
  5. Urinary Tract Infection (esp. Cefuroxime and Cefprozil)
  6. Skin and Soft Tissue Infection (esp. Cefuroxime and Cefprozil)

IV. Preparations

  1. Loracarbef (Lorabid)
    1. Adult: 200 to 400 mg po bid
    2. Child
      1. Otitis Media: 30 mg/kg/day divided bid
      2. Other infections: 15 mg/kg/day divided bid
    3. Directions
      1. Take more than 1 hour before or 2 hours after food
  2. Cefprozil (Cefzil)
    1. Adult: 250 to 500 mg orally divided daily to twice daily
    2. Child
      1. Otitis Media: 15 mg/kg/dose orally twice daily
      2. Pharyngitis: 7.5 mg/kg/dose orally twice daily for 10 days
  3. Cefuroxime (Ceftin, Zinacef)
    1. Adult
      1. Parenteral: 750 to 1500 mg IM or IV every 8 hours
      2. Oral: 250 to 500 mg orally twice daily
    2. Child
      1. Parenteral: 50-100 mg/kg/day IV divided every 6-8 hours
      2. Oral: 20-30 mg/kg/day orally divided twice daily
        1. Reported to have unpleasant taste
    3. Directions
      1. Take with food
  4. Cefaclor (Ceclor)
    1. Listed for historical reference only
    2. Risk of significant serum-sickness type reaction

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Cost: Medications

cefuroxime (on 5/17/2017 at Medicaid.Gov Survey of pharmacy drug pricing)
CEFUROXIME AXETIL 250 MG TAB Generic $0.84 each
CEFUROXIME AXETIL 500 MG TAB Generic $1.26 each
cefprozil (on 5/17/2017 at Medicaid.Gov Survey of pharmacy drug pricing)
CEFPROZIL 125 MG/5 ML SUSP Generic $0.24 per ml
CEFPROZIL 250 MG TABLET Generic $1.01 each
CEFPROZIL 250 MG/5 ML SUSP Generic $0.45 per ml
CEFPROZIL 500 MG TABLET Generic $1.35 each
ceftin (on 1/1/2017 at Medicaid.Gov Survey of pharmacy drug pricing)
CEFTIN 125 MG/5 ML ORAL SUSP $1.43 per ml
CEFTIN 250 MG/5 ML ORAL SUSP $2.37 per ml