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Two medicines, side by side

Amikacin vs ceftazidime

Amikacin and ceftazidime are both labeled for bacterial infections. Drugs@FDA records approvals of amikacin since 2018 and of ceftazidime since 1985. Pharmacies paid $2.33 per mL (Amikacin sulf 500 mg/2 mL vial) and $3.70 per ceftazidime 1 g vial (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. In FDA's classes, amikacin is an aminoglycoside antibacterial and ceftazidime a cephalosporin antibacterial.

Check it at the source: the amikacin FDA label on DailyMed (effective December 10, 2025); the ceftazidime FDA label on DailyMed (effective May 4, 2026).

Highlights of the amikacin record

Amikacin (Arikayce) · label of December 10, 2025

Boxed warning

Patients treated with parenteral aminoglycosides should be under close clinical observation because of the potential ototoxicity and nephrotoxicity associated with their use. Safety for treatment periods which are longer than 14 days has not been established.

Used for

From the label: indications

Amikacin Sulfate Injection is indicated in the short-term treatment of serious infections due to susceptible strains of Gram-negative bacteria, including Pseudomonas species, Escherichia coli, species of indole-positive and indole-negative Proteus, Providencia species, Klebsiella-Enterobacter-Serratia species, and Acinetobacter ( Mima-Herellea ) species. […]

On the market

Earliest approval on file
September 28, 2018
Generic labelers
6 labelers
Pharmacy cost
$2.33 per mL

Supply and safety

Shortage
No current entry
Recalls
4

Highlights of the ceftazidime record

Ceftazidime (Fortaz) · label of May 4, 2026

Used for

From the label: indications

Tazicef (ceftazidime for injection) is indicated for the treatment of patients with infections caused by susceptible strains of the designated organisms in the following diseases: 1. Lower Respiratory Tract Infections, including pneumonia, caused by Pseudomonas aeruginosa and other Pseudomonas spp.; Haemophilus influenzae, including ampicillin-resistant strains; Klebsiella spp.; Enterobacter spp.; Proteus mirabilis; […]

On the market

Earliest approval on file
July 19, 1985
Generic labelers
3 labelers
Pharmacy cost
$3.70 per vial

Supply and safety

Shortage
A presentation being discontinued
Recalls
1

Source: FDA drug labels via openFDA (Amikacin label of December 10, 2025, Ceftazidime label of May 4, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do amikacin and ceftazidime differ on the record?

In FDA's classes, amikacin is an aminoglycoside antibacterial and ceftazidime a cephalosporin antibacterial.

Half-life, in each label's words: Amikacin, “General Pharmacokinetic studies in normal adult subjects reveal the mean serum half-life to be slightly over 2 hours …”; Ceftazidime, “The half-life following IV administration was approximately 1.9 hours.”

Only the amikacin label carries a boxed warning.

Generics: amikacin since 1981; ceftazidime since 1985 (Drugs@FDA).

AmikacinCeftazidime
Labeled forBacterial infectionsBacterial infections
Pharmacologic classAminoglycoside AntibacterialCephalosporin Antibacterial
How it works (label)n/an/a
Half-life (label)General Pharmacokinetic studies in normal adult subjects reveal the mean serum half-life to be slightly over 2 hours with a mean total apparent volume of distribution of 24 liters (28% of the body weight).The half-life following IV administration was approximately 1.9 hours.
Earliest approval on file (Drugs@FDA)September 28, 2018July 19, 1985
First generic approvedJanuary 22, 1981November 20, 1985
Generic labelers (NDC)6 labelers3 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$2.33 per mL (Amikacin sulf 500 mg/2 mL vial)$3.70 per vial (Ceftazidime 1 g vial)
12-month price change-23%-4%
Boxed warningYesNo
Shortage nowNo current entryA presentation being discontinued
Recalls recorded41
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)18,6177,635
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

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