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amikacin vs ampicillin/sulbactam

Side-by-side comparison of amikacin and ampicillin/sulbactam Data from FDA drug databases (Orange Book, NDC Directory, recalls, shortages) covering 20,000+ approved drugs, plus CMS pricing; see our methodology.

Drug Class
amikacin Aminoglycoside Antibiotic
ampicillin/sulbactam Penicillin / Beta-Lactamase Inhibitor
Type
amikacin Prescription
ampicillin/sulbactam Prescription
Summary
amikacin

Amikacin is an antibiotic medicine. It fights serious infections caused by certain types of bacteria.

ampicillin/sulbactam

Unasyn is a combination of two antibiotics that fights bacteria in your body. It contains ampicillin and sulbactam.

What It Treats
amikacin

Amikacin treats serious infections caused by bacteria. This includes infections in the blood, lungs, bones, joints, brain, skin, and abdomen. It can also treat burns, post-surgery infections, and complicated urinary tract infections.

ampicillin/sulbactam

Unasyn treats skin infections, infections in the stomach area, and infections in women's reproductive organs. It is used when these infections are caused by certain types of bacteria. Your doctor will test to make sure Unasyn is the right medicine for your infection.

How It Works
amikacin

Amikacin belongs to a class of drugs called aminoglycosides. It works by stopping the growth of bacteria. This helps your body fight off the infection.

ampicillin/sulbactam

Ampicillin kills bacteria. Sulbactam helps ampicillin work better by preventing bacteria from breaking down ampicillin. Together, they stop the growth of bacteria.

Common Side Effects
amikacin

No common side effects listed.

ampicillin/sulbactam
  • Pain at the injection site
  • Diarrhea
  • Rash
FAERS Reports
amikacin
  • Off Label Use 1,908
  • Drug Ineffective 1,673
  • Cough 1,620
  • Dyspnoea 1,556
  • Hospitalisation 1,360
ampicillin/sulbactam
  • Drug Ineffective 77
  • Pyrexia 71
  • Off Label Use 44
  • Pneumonia 44
  • Condition Aggravated 37
Serious Warnings
amikacin

Amikacin can potentially cause hearing loss and kidney damage. Tell your doctor if you have kidney problems or are taking other medicines that can affect your hearing or kidneys. Your doctor should closely monitor you for hearing and kidney problems during treatment. This drug can also cause muscle weakness or breathing problems, especially if you are also taking anesthesia or certain muscle relaxants.

ampicillin/sulbactam

You should not take Unasyn if you have had a severe allergic reaction to penicillins or cephalosporins. You should also not take it if you have had liver problems caused by Unasyn in the past.

Pregnancy
amikacin

Tell your doctor if you are pregnant or breastfeeding. Amikacin may harm your unborn baby. It is not known if amikacin passes into breast milk.

ampicillin/sulbactam

Tell your doctor if you are pregnant or plan to become pregnant. It is not known if Unasyn will harm your unborn baby. Talk to your doctor about the risks and benefits of taking Unasyn while breastfeeding.

Also Compare — Nearby Drugs

How to Read This amikacin vs ampicillin/sulbactam Comparison

amikacin is classified in the Aminoglycoside Antibiotic drug class, while ampicillin/sulbactam sits within the Penicillin / Beta-Lactamase Inhibitor class. Drugs from different classes work through distinct mechanisms, so a head-to-head comparison illustrates trade-offs rather than equivalence. Both drugs are prescription-only, so a licensed provider must authorize use.

Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, amikacin has 8,117 submissions while ampicillin/sulbactam has 273. Those figures reflect cumulative reporting volume — not per-patient risk — so older, widely dispensed drugs typically look worse on count alone. No direct interaction between these two drugs is listed in our FDA-derived dataset, though co-prescription still warrants pharmacist review. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot substitute for clinical judgment. Effectiveness, tolerability, drug-drug interactions with your other medications, kidney and liver function, pregnancy status, insurance formulary, and price all feed into a decision that only a licensed prescriber can make responsibly. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This page is for educational purposes only, is not medical advice, and should not be used to self-switch between amikacin and ampicillin/sulbactam — always consult your physician or pharmacist first.

Important: This comparison is for informational purposes only. Drug effects vary between individuals. Always consult your doctor or pharmacist for personalized medical advice.