What is the first-line antibiotic for otitis media in children if indicated?

Amoxicillin is the first-line antibiotic for the treatment of otitis media in children when antibiotic therapy is indicated. This is primarily due to its efficacy against the most common pathogens associated with otitis media, such as Streptococcus pneumoniae and Haemophilus influenzae. It is generally well-tolerated and has a favorable safety profile, making it a preferred option.

In addition, amoxicillin is cost-effective and has a suitable dosing regimen, which is essential when prescribing for children. The choice of amoxicillin aligns with current clinical guidelines that recommend it for uncomplicated cases of acute otitis media, particularly in children who are not at high risk for complications.

Other antibiotics listed may be used in specific circumstances, such as in cases of recurrent otitis media or when the child is allergic to amoxicillin, but they are not considered first-line treatments for this condition.