Re: Vancomycin/Neomycin...Dr. McCandless?

[Guest guest]

Susi: I have never heard of using neomycin for the kind of gut problems our

kids have. It is a bacterial suppressant, whereas vancomycin is

bactericidal, and can practically sterilize the gut in a week. Why

vancomycin rather than metronidazole, which is a generic? Dr. JM

Vancomycin/Neomycin...Dr. McCandless?

>

> Dr. McCandless,

>

> Can neomycin be used with the same results as vancomycin? We've used

neomycin in the past and it seemed to get rid of the bacteria. We don't

have drug coverage under out insurance plan and the pharmacist just let me

know that the vancomycin would be $744 for one week....I nearly fainted. If

I recall neomycin was just over $100 for 2 weeks supply. Do you think it'd

be OK to use the less expensive one?

>

> Susi

>

>

>

[Guest guest]

Thanks for the clarification. This is just our regular pediatrician who

gave the 2 prescriptions. I doubt that he's ever Rx'd either very often if

at all from our conversation. I'll call the pharmacy and see if they have

the other and if they can call the pediatrician for a change of

prescription. Hope it's alot cheaper too...I'm still in shock at the cost

of the vancomycin.

Thanks,

Susi

Vancomycin/Neomycin...Dr. McCandless?

>

>

> >

> > Dr. McCandless,

> >

> > Can neomycin be used with the same results as vancomycin? We've used

> neomycin in the past and it seemed to get rid of the bacteria. We don't

> have drug coverage under out insurance plan and the pharmacist just let me

> know that the vancomycin would be $744 for one week....I nearly fainted.

If

> I recall neomycin was just over $100 for 2 weeks supply. Do you think

it'd

> be OK to use the less expensive one?

> >

> > Susi

> >

> >

> >

[Guest guest]

Dr. McCandless,

The pharmacy has the metronidazole and it's extremely cheap, so I just

called the pediatrician to see if we could have metronidazole instead and

he said he won't Rx flagyl because it causes uterine tumors. ?????? Should

I just continue with the neomycin then since he won't agree to the other?

Susi

Vancomycin/Neomycin...Dr. McCandless?

> >

> >

> > >

> > > Dr. McCandless,

> > >

> > > Can neomycin be used with the same results as vancomycin? We've used

> > neomycin in the past and it seemed to get rid of the bacteria. We don't

> > have drug coverage under out insurance plan and the pharmacist just let

me

> > know that the vancomycin would be $744 for one week....I nearly fainted.

> If

> > I recall neomycin was just over $100 for 2 weeks supply. Do you think

> it'd

> > be OK to use the less expensive one?

> > >

> > > Susi

> > >

> > >

> > >

[Guest guest]

Please ask your pediatrician for any scientific article that makes this

association. Some animal studies way back showed teratogenicity for

pregnant animals (rats) at extremely high doses, but no studies on humans

have shown this. One study followed women who used it extensively for 20

years without an association with cancer. At the doses we use and the

infrequency that we need to use it, it is an extremely safe drug, and many

of us have given it to kids for years without any problems. It has a long

history of 40 years of use, and is considered by everyone I know to be

extremely safe. I have no objection to the neomycin; I'm just not sure

there is anything as effective as metronidazole (which is a generic and very

reasonable) or vancomycin (which is incredibly expensive). Dr. JM

Vancomycin/Neomycin...Dr. McCandless?

> > >

> > >

> > > >

> > > > Dr. McCandless,

> > > >

> > > > Can neomycin be used with the same results as vancomycin? We've

used

> > > neomycin in the past and it seemed to get rid of the bacteria. We

don't

> > > have drug coverage under out insurance plan and the pharmacist just

let

> me

> > > know that the vancomycin would be $744 for one week....I nearly

fainted.

> > If

> > > I recall neomycin was just over $100 for 2 weeks supply. Do you think

> > it'd

> > > be OK to use the less expensive one?

> > > >

> > > > Susi

> > > >

> > > >

> > > >