Floxin vs Ciprodex

Please tell me - is there any reason for a ent to write ciprodex over floxin - just tell me one reason

Try a $45 out of pocket difference to a cash paying patient. OH, AND IT STINGS LIKE HELL, IT LEAVES A RESIDUE, ENTS THEY HATE ALCONS SALES TACTICS, THERE IS ENORMOUS WASTE IN THE BOTTLE, AND THEY KNOW YOU ARE FLAT ASS LYERS. NICE NEW FDA WARNING. I CANNOT WAIT TO GET MY HANDS ON YOUR DEAR DOCTOR LETTER THAT IS STARTING TO SHOW UP IN OFFICES. GOOD RIDDANCE CIPRO LINE OF PRODUCTS.

Or try the fact that Ciprodex is tier III on all plans while Floxin is Tier II. Full cash price of $100 for patients with a two tier drug plan verus $10-$15 for Floxin.

HA....HA....HA... Ciprodex is the #1 prescribed drop amongst ENT's. I wonder why? Could it be because Cipro is by far a better overall antibiotic? How much Floxin systemic gets written every year? None!!! Why? Because it sucks for bug coverage, has a lot of side effects and is considered a poor FQ. That doesn't change because you put it in a drop!!! Not to mention that FLoxin doesn't have a anti-inflammatory. All in all in less than 2 years Ciprodex is the gold standard for treatment. Just ask the FDA and the published results against Floxin in our PI.

So Floxin reps give me one reason to write Floxin?

BY the way can you say fungal overgrowth!!! This is a result from using a neutral Ph product in a ear with bacteria. Any right minded doctor knows that you need to reacidfy the ear. Ciprodex Ph is 5.0 while Floxin is 6.8.

Enjoy your weekend!
http://www.cafepharma.com/ubbthreads...lins/smile.gif

The fact that Floxin systemic has not been widely prescribed has prevented the antibiotic from developing resistance to common pathogens. Read the literature. The resistance to ciprofloxacin is increasing. That is the reason Alcon promotes Vigamox. Why not use generic Ciloxan?

You right by using a weak antibiotic with no coverage against the common pathogens then you would get resistance. That is why doctors don't use Floxin systemically.

Vigamox v. Ciloxan is a no brainer. When treating eye diseases the most common pathogens are gram +. 2nd gen FQ's have weak coverage against those bugs. That is why you should use Vigamox because not only doesn't it have potency against a wide variety of gram - bugs but also gram +. Take a look at the literature. Moxi is by far the best FQ available.

You are out of your mind................I dont need to say anymore.....................I've heard nothing but TERRIBLE things about Ciprodex and I dont use Floxin or Ciprodex. The ear stinging drug.

Ciprodex is the #1 Prescribed otic drop amongst ENTs. Enough said.

Regardless of all of the babbling comments Ciprodex/HC will bring in over 183 million dollars for Alcon. As an analyst that is impressive for a company with the eye as its core competency. Their primary care presence truly is their competitive advantage within the topical world. Many of the comments above may be competitors or bitter employees, however if you really want good advice, BUY STOCK as Alcon is outperforming the market over the past 4 years. No one is even close.

Yea, If CiproDex is such a great drug, why is Lisa R. in Tulsa always getting her ass whipped by Daiichi?????????

Yeah I second the comment above, I work in Tulsa and I have never even seen Ciprodex, plus my boy pimps the Floxin and looks to be kililng it!

How about a patients perspective.

I've gotten numerous ear infections in the last few years. Ciprodex is what a lot of doctors where prescribing well backed by lots of charts/ diagrams with their logo on it of course. Fact is that I had to go through 2 or 3 runs of ciprodex ontop of the pills in order to get rid of an ear infection Vs 2 or 3 days later with floxin and the pain being greatly reduced and on my way to healing quickly.

I speak out as a patient against ciprodex in every format I can. I never let doctors prescribe it to me and I advise them against prescribing it to others since its a terrible medication for ear infections. 200 bucks and it barely does anything.

if your case was the norm - then why does cipro have a 70 percent market share in my territory. Why dont i hear your stories more often. Maybe ciprodex didnt work for you, but i can count on one hand in 7 years when a doctor told me that cipro failed..sorry.

Originally Posted by Anonymous

if your case was the norm - then why does cipro have a 70 percent market share in my territory. Why dont i hear your stories more often. Maybe ciprodex didnt work for you, but i can count on one hand in 7 years when a doctor told me that cipro failed..sorry.

Very likely because you or the doctors you serve don't create and open environment where that feedback can occur from patients. Thus, the whole Healthcare IT overhaul system where doctors will be able to plug in a problem and see different treatments, prices associated with them, and their qualitative corresponding effectiveness on specific symptoms based on patient outcomes and professional reviews. This way the doctor can give their patient a number of different professional options to fit their needs.

Plus, its not that it didn't work, it just worked very slowly in comparison and required two to three times as much treatment as the Floxin did.

In my case, Floxin only takes 5-10 ml to treat what takes 15-30 ml of ciprodex to treat. Plus, the Effectiveness is higher and more immediate than ciprodex.

As a patient, I'm pissed about the extra price paid for something that should have had a more immediate effect.

Originally Posted by Kevin in LG

Very likely because you or the doctors you serve don't create and open environment where that feedback can occur from patients. Thus, the whole Healthcare IT overhaul system where doctors will be able to plug in a problem and see different treatments, prices associated with them, and their qualitative corresponding effectiveness on specific symptoms based on patient outcomes and professional reviews. This way the doctor can give their patient a number of different professional options to fit their needs.

Plus, its not that it didn't work, it just worked very slowly in comparison and required two to three times as much treatment as the Floxin did.

In my case, Floxin only takes 5-10 ml to treat what takes 15-30 ml of ciprodex to treat. Plus, the Effectiveness is higher and more immediate than ciprodex.

As a patient, I'm pissed about the extra price paid for something that should have had a more immediate effect.

Calling BS on this post. Ciprodex DOES NOT cost $200. Get over yourself buddy. plus maybe floxin worked faster because you already used Ciprodex and it did most of the work that floxin couldn't do. Ciprodex would not have the market share that it has if it didn't work the best. I think you should take issue up with your random ass pharmacy that you claim charged you $200 for the product. BS BS BS

Originally Posted by Kevin in LG

How about a patients perspective.

I've gotten numerous ear infections in the last few years. Ciprodex is what a lot of doctors where prescribing well backed by lots of charts/ diagrams with their logo on it of course. Fact is that I had to go through 2 or 3 runs of ciprodex ontop of the pills in order to get rid of an ear infection Vs 2 or 3 days later with floxin and the pain being greatly reduced and on my way to healing quickly.

I speak out as a patient against ciprodex in every format I can. I never let doctors prescribe it to me and I advise them against prescribing it to others since its a terrible medication for ear infections. 200 bucks and it barely does anything.

hilarious.


Or... which I will give you a pass since you are a "patient" (rolls eyes at "patients" posting on Cafe pharma)... how about the fact that your ears were just so F'd up- that it didn't matter WHAT you started with... it wouldn't have worked right away. You could have poured floxin in first and had the same problem.

This happens all the time with antibiotics- people are impatient when they have severe infections and claim the first med didn't work. However when they've used the full course- and the patient is on there way to a cure... they go and switch meds. Since they were already progressing, when they start the next med - it seems like a miracle! It worked!!

um... no. the first med got to do the dirty work in your dirty ass ears... and the 2nd one came in and got credit.

Originally Posted by Kevin in LG

Plus, its not that it didn't work, it just worked very slowly in comparison and required two to three times as much treatment as the Floxin did.

In my case, Floxin only takes 5-10 ml to treat what takes 15-30 ml of ciprodex to treat. Plus, the Effectiveness is higher and more immediate than ciprodex.

As a patient, I'm pissed about the extra price paid for something that should have had a more immediate effect.

I don't even work for Alcon and I know this is a joke. (I did for 1 year as a floater out of undergrad before opting to go back to grad school- I just started my residency this year in NC)


if you are really a concerned patient- read the SCIENTIFIC studies. If this is remotely true at all... you got something F'd up going on in your ear. The simple fact is ofloxacin vs. ciprofloxacin are 10 cents one way... a Dime the other when it comes to efficacy. The MIC's for both med's are pretty much the same for all pathogens. However, Cipro has been found to be better with Psuedamonas for some reason- which is the most common cause of otitis externa. This has been tried true and tested a thousand times over in controlled studies- in vitro and in vivo.

However- the reason CiproDEX is more effective is the "Dex"- the presence of a steroid simply allows the anti-infective to be more effective. If there is swelling/inflammation (which there IS in otitis MEDIA as well) then this will inhibit the antibacterial from getting to the true site of infection. If it can't get to the infection- it can't erradicate the infection- thus it will be less effective, hence why Ciprodex is MORE effective.

Whatever you CLAIM to have had happen in your ear is either garbage and your not really a patient... or you are a 1 off. If ciprodex is more effective 99% of the time- you just are lucky enough to be the minority.

I assure you that I'm really a patient. I had to go all the way through this process to a rupture and a typnoplasty . I've had doctors try to tell me that it's a good medicine only to end up getting foiled again. Thus, the reason I now outright refuse it. I've spent over 1k of my own money on this stuff. I assure you I've gotten a lot of experience with it and even a few other ear drop including Tobradex, A/B, Neomyacin & polymyxin B.

Though, Cipro pills that they give me while I have the infection at the doses they give for pneumonia patients pills twice a day really do clear up any extra acne I may have.

Take care,

-Kevin

Originally Posted by Kevin in LG

I assure you that I'm really a patient. I had to go all the way through this process to a rupture and a typnoplasty . I've had doctors try to tell me that it's a good medicine only to end up getting foiled again. Thus, the reason I now outright refuse it. I've spent over 1k of my own money on this stuff. I assure you I've gotten a lot of experience with it and even a few other ear drop including Tobradex, A/B, Neomyacin & polymyxin B.

Though, Cipro pills that they give me while I have the infection at the doses they give for pneumonia patients pills twice a day really do clear up any extra acne I may have.

Take care,

-Kevin

first and foremost... if you are paying out of pocket for these meds, but are saavy enough to post here about your thoughts... you'd think you'd be saavy enough to find cheaper places to buy then medications other then a Walgreens or CVS. I've seen pharmacies charge around $80-90 for it and have heard of online orders for $50-60. So if you paid $200... bad on you.

Fact #2... if you're infection is that bad, you obviously had quite a bit going on in your ear and if you had to try 4-5 different medications. I'd question the ENT you went to and why they didnt use something more potent or a fortified. If this process really happened- where they tried Tobradex (an eye drop with neutral pH like Floxin), and also an Aminoglycoside like Neomycin which are BOTH CONTRAINDICATED FOR USE IN THE MIDDLE EAR... because it can cause very bad side effects...he better have had GREAT reasons.

Then he wastes time going through multiple cycles of Floxin and Ciprodex which are relatively comparable in MIC's (how well it kills bacteria)...??? Well, you had a bad doctor. His actions should be questioned. No GOOD ENT will actively use step therapy starting with not 1, but TWO dangerous meds in the middle ear (causes cutaneous allergice reactions which compound the problem in about 1 of 8 patients and 1 of 8 also experience cochlear toxicity which can lead to hearing loss... both listed on the FDA approved package insert)... and then spend a few cycles using two comparative AI's. He was an idiot... and so are you for either putting up with it for that long and not being smarter about where you buy your meds... or for lying and faking this bull$hit story.

Originally Posted by Anonymous

first and foremost... if you are paying out of pocket for these meds, but are saavy enough to post here about your thoughts... you'd think you'd be saavy enough to find cheaper places to buy then medications other then a Walgreens or CVS. I've seen pharmacies charge around $80-90 for it and have heard of online orders for $50-60. So if you paid $200... bad on you.

Fact #2... if you're infection is that bad, you obviously had quite a bit going on in your ear and if you had to try 4-5 different medications. I'd question the ENT you went to and why they didnt use something more potent or a fortified. If this process really happened- where they tried Tobradex (an eye drop with neutral pH like Floxin), and also an Aminoglycoside like Neomycin which are BOTH CONTRAINDICATED FOR USE IN THE MIDDLE EAR... because it can cause very bad side effects...he better have had GREAT reasons.

Then he wastes time going through multiple cycles of Floxin and Ciprodex which are relatively comparable in MIC's (how well it kills bacteria)...??? Well, you had a bad doctor. His actions should be questioned. No GOOD ENT will actively use step therapy starting with not 1, but TWO dangerous meds in the middle ear (causes cutaneous allergice reactions which compound the problem in about 1 of 8 patients and 1 of 8 also experience cochlear toxicity which can lead to hearing loss... both listed on the FDA approved package insert)... and then spend a few cycles using two comparative AI's. He was an idiot... and so are you for either putting up with it for that long and not being smarter about where you buy your meds... or for lying and faking this bull$hit story.

WOW!

Originally Posted by Anonymous

WOW!

lol... let me reitterate that I haven't been a rep for 4 years now and just started my residency.


I'd isht myself if a pharma rep called out a doc without good cause.

Originally Posted by Anonymous

lol... let me reitterate that I haven't been a rep for 4 years now and just started my residency.


I'd isht myself if a pharma rep called out a doc without good cause.

The problem with reps. challenging someone like an ent is that reps. only know what we are told to say and intuition and logic can only go so far. So when a doc says 'what about x or y' that we haven't been instructed to discuss, you can only 'lasr' (alcon reps. will know this analogy) so much. Reps. need to admit that the Doctors know more than they do, my god they spent a decade in school for this shit and see it everyday. So while the rep. may have good marketing points on new drugs, etc., a Cdex rep. isn't an ear expert, they are pretty good at their one drop. Try tallking about ototoxicity about cortisporin with an ent that has used it in the middle ear for 25 years and has never had a problem with it and get them to care about the contraindications. yeah, thats a fun conversation....

Reps need to get over this "I am the expert" bullshit. They aren't. They are talking heads.