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cefuroxime

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Brand names: Ceftin, Zinacef

Second-Generation Cephalosporin Rx

Cefuroxime is an antibiotic that fights bacterial infections. It belongs to a class of drugs called cephalosporins.

Drug Pricing (NADAC)

Generic Price

$0.26/unit

Generic Available

Yes (5 manufacturers)

Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →

What it does

Cefuroxime treats infections caused by bacteria.

Common side effects

Diarrhea, Nausea, Vomiting

Key warnings

Cefuroxime can cause severe allergic reactions.

How It Works

Cefuroxime works by stopping the growth of bacteria. It prevents bacteria from forming the cell walls they need to survive. This kills the bacteria and helps your body fight off the infection.

How to Take It

Take cefuroxime tablets with or without food. Swallow the tablets whole. Do not crush them, as they have a strong, bitter taste. Follow your doctor's directions for how much medicine to take and how often. Adults and children over 13 usually take 250-500mg every 12 hours for 7-20 days, depending on the infection.

Pregnancy & Breastfeeding

Tell your doctor if you are pregnant or plan to become pregnant. Studies haven't shown harm to the baby, but talk to your doctor to be sure it is right for you. Cefuroxime passes into breast milk. Talk to your doctor about risks of breastfeeding while taking this medicine.

Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule.

Storage

Store cefuroxime tablets at room temperature (68° to 77°F) in a closed container, away from moisture and heat.

Side Effects (from patient reports)

Based on 5,918 FDA adverse event reports.

Dyspnoea
738
Drug Ineffective
662
Pneumonia
607
Pyrexia
591
Off Label Use
585
Renal Failure
582
Chronic Kidney Disease
573
Diarrhoea
573
Acute Kidney Injury
561
Anxiety
446

FDA Adverse Event Report Analysis

Detailed analysis of 11,087 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2004–2025.

Total Reports

11,087

Death-Related Reports

1,324

Hospitalization Reports

5,229

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 5,856 (57%)
Male 4,276 (42%)

Age Distribution

0–17 692
18–44 1,661
45–64 2,559
65–74 1,774
75+ 1,558

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 DYSPNOEA 738
2 DRUG INEFFECTIVE 662
3 PNEUMONIA 607
4 PYREXIA 591
5 OFF LABEL USE 585
6 RENAL FAILURE 581
7 CHRONIC KIDNEY DISEASE 573
8 DIARRHOEA 573
9 ACUTE KIDNEY INJURY 561
10 ANXIETY 445
11 FATIGUE 438
12 CONDITION AGGRAVATED 436
13 NAUSEA 433
14 PAIN 419
15 RASH 397

Reactions in Death Reports

DEATH 307
RENAL FAILURE 162
DYSPNOEA 156
PNEUMONIA 147
PYREXIA 142
SEPSIS 120
CONDITION AGGRAVATED 109
ACUTE KIDNEY INJURY 105
ANXIETY 105
DRUG INEFFECTIVE 96

Reactions in Hospitalization Reports

DYSPNOEA 475
PNEUMONIA 455
PYREXIA 446
DIARRHOEA 377
DRUG INEFFECTIVE 352
ACUTE KIDNEY INJURY 282
CONDITION AGGRAVATED 273
OFF LABEL USE 266
NAUSEA 260
VOMITING 253

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

Cefuroxime can cause severe allergic reactions. If you are allergic to penicillins or other beta-lactam antibiotics, you should not take this medicine. Diarrhea can occur with almost all antibiotics, including cefuroxime, and can be severe. Tell your doctor if you have diarrhea while taking this medicine.

Known Drug Interactions

moderate probenecid

( 7.1 ) Coadministration with probenecid increases systemic exposure to cefuroxime axetil and is therefore not recommended. 7.2 Probenecid Concomitant administration of probenecid with cefuroxime axetil tablets increases serum concentrations of cefuroxime [see Clinical Pharmacology ( 12.3 )]. Coadministration of probenecid with cefuroxime axetil is not recommended.

Mechanism: Probenecid slows down the kidneys from removing the antibiotic from your blood. This leads to higher levels of the antibiotic in your body.

What to do: Taking these two drugs together is not recommended. Your doctor will likely choose a different treatment plan.

Common Questions

Can I crush the tablet if I have trouble swallowing?
No, the tablet has a strong, bitter taste if crushed. Ask your doctor about the oral suspension form if you cannot swallow pills.
Can I take this with antacids?
Take cefuroxime at least 1 hour before or 2 hours after taking short-acting antacids. Avoid H2 antagonists and proton pump inhibitors.
What should I do if I get a rash while taking this?
Stop taking the medicine and contact your doctor right away. It could be an allergic reaction.
Can this medicine affect my blood sugar?
Cefuroxime may cause false results with some urine glucose tests. If you have diabetes, talk to your doctor about how to monitor your blood sugar while taking this medicine.
How long should I take this medicine?
Take this medicine for the full number of days that your doctor prescribes it. Do not stop early, even if you feel better.
Can I drink alcohol while taking cefuroxime?
There is no known interaction between cefuroxime and alcohol, but it is best to avoid alcohol while you are sick.
What if my symptoms don't improve?
Contact your doctor if your symptoms do not improve within a few days, or if they get worse.
Is it okay to share this medicine with someone else?
No, never share your antibiotics with anyone else, even if they have the same symptoms as you.
What if I accidentally take too much?
Call your doctor or go to the nearest emergency room right away.
Can cefuroxime cause a yeast infection?
Yes, vaginal yeast infections are a possible side effect of cefuroxime.
What are the common side effects of cefuroxime?
The most commonly reported side effects of cefuroxime include Diarrhea, Nausea, Vomiting, Vaginal irritation or discharge. Based on 5,918 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
Does cefuroxime interact with other medications?
Yes, cefuroxime has 1 known drug interactions. Notable interactions include probenecid. Always inform your doctor about all medications you are taking.
What drug class is cefuroxime?
cefuroxime belongs to the Second-Generation Cephalosporin drug class. It requires a prescription (Rx). Cefuroxime treats infections caused by bacteria.
Is cefuroxime safe during pregnancy?
Tell your doctor if you are pregnant or plan to become pregnant. Studies haven't shown harm to the baby, but talk to your doctor to be sure it is right for you. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.
Has cefuroxime been recalled?
There is 1 recall associated with cefuroxime products. Lack of Assurance of Sterility: FDA inspection found the recalled products were produced in a manner than cannot guarantee the sterility of the products purported to be sterile. Check the recalls section below for full details and affected products.

Active Recalls

Class II October 7, 2022

Lack of Assurance of Sterility: FDA inspection found the recalled products were produced in a manner than cannot guarantee the sterility of the products purported to be sterile.

Pharmacy Plus, Inc. dba Vital Care Compounder

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What the FDA Data Shows for cefuroxime

The FDA label for cefuroxime (sold under brand names such as Ceftin, Zinacef) classifies it as a prescription-only medication in the Second-Generation Cephalosporin class. Cefuroxime treats infections caused by bacteria. Official labeling lists 4 commonly reported side effects, including Diarrhea, Nausea, Vomiting.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 5,918 voluntary reports. The database also lists 1 documented drug interaction derived from FDA labeling, with the top-flagged interaction rated moderate severity. NADAC pricing from CMS shows a generic unit cost of $0.26.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history (currently 1 recall record on file), and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: March 16, 2023

All federal data sources used on this page