Skip to main content

Medicines labeled for the same conditions

Alternatives to cilastatin and imipenem

22 other medicines are given the same way (intravenous) and in the same FDA class as cilastatin and imipenem or labeled mainly for the same use (bacterial infections); 1 is in its class, renal dehydropeptidase inhibitors: meropenem and vaborbactam; the others include 5 cephalosporin antibacterials, 2 beta lactamase inhibitors and 2 fluoroquinolone antibacterials (FDA labels read October 8, 2026).

Which medicines are labeled for the same conditions as cilastatin and imipenem?

Bacterial infections lists all 51 medicines labeled for it, by any route. Each row shows the conditions both labels name. They are listed as public records, not as substitutes: whether one can replace another depends on the person and is a prescriber's decision.

Medicine and FDA classShared indicationGeneric labelers (intravenous)Pharmacy costBoxed warningShortage
Cilastatin and imipenemrenal dehydropeptidase inhibitorthis medicine2 labelersn/aNoA presentation being discontinued
Meropenem and vaborbactampenem antibacterial · same classUrinary tract infectionsnone listedn/aNoNo current entry
Vancomycinglycopeptide antibacterialBacterial infections21 labelers$2.31 per vial 500 mg vialNoA presentation being discontinued
Piperacillin and tazobactambeta lactamase inhibitorBacterial infections15 labelers$3.49 per vial 3.375 g vialNoA presentation being discontinued
Levofloxacinfluoroquinolone antibacterialBacterial infections, Urinary tract infections8 labelersn/aYesNo current entry
Clindamycinlincosamide antibacterialBacterial infections6 labelersn/aYesIn shortage
Ampicillinpenicillin-class antibacterialBacterial infections, Urinary tract infections11 labelersn/aNoA presentation being discontinued
Linezolidoxazolidinone antibacterialBacterial infections9 labelersn/aNoNo current entry
Cefoxitincephalosporin antibacterialBacterial infections, Urinary tract infections5 labelersn/aNoNo current entry
Ceftriaxonecephalosporin antibacterialBacterial infections, Urinary tract infections7 labelers$1.44 per vial 1 g vialNoNo current entry
Ampicillin and sulbactambeta lactamase inhibitorBacterial infections7 labelersn/aNoNo current entry
Azithromycinmacrolide antimicrobialBacterial infections7 labelersn/aNoA presentation being discontinued
Metronidazolenitroimidazole antimicrobialBacterial infections7 labelersn/aYesIn shortage
Tobramycinaminoglycoside antibacterialBacterial infections, Urinary tract infections7 labelers$0.832 per mL 80 mg/2 mL vialNoA presentation being discontinued
Penicillin gpenicillin-class antibacterialBacterial infections6 labelersn/aNoNo current entry
Cefuroximecephalosporin antibacterialBacterial infections, Urinary tract infections2 labelersn/aNoNo current entry
Tigecyclinetetracycline-class antibacterialBacterial infections4 labelersn/aYesNo current entry
Sulfamethoxazole and trimethoprimsulfonamide antimicrobialBacterial infections, Urinary tract infections2 labelersn/aNoNo current entry
Ceftazidimecephalosporin antibacterialBacterial infections3 labelers$3.70 per vial 1 g vialNoA presentation being discontinued
Gentamicinaminoglycoside antibacterialBacterial infections1 labeler$1.30 per mL 80 mg/2 mL vialNoNo current entry
ErythromycinmacrolideBacterial infections3 labelersn/aNoNo current entry
Moxifloxacinfluoroquinolone antibacterialBacterial infections1 labelern/aYesA presentation being discontinued
Cefotaximecephalosporin antibacterialBacterial infections1 labelern/aNoIn shortage

Source: FDA drug labels (indications) via openFDA; FDA NDC Directory; CMS NADAC of October 7, 2026; FDA Drug Shortage Database (FDA files October 8, 2026)

What do pharmacies pay for each?

The headline NADAC price per unit of each medicine's most widely listed form; strengths differ, so compare like with like on each record.

Source: CMS National Average Drug Acquisition Cost (NADAC) survey, October 7, 2026: what retail pharmacies paid per unit; not a counter price

What next?

Cilastatin and imipenem: the full record
label, generics, price, shortages, recalls