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Two medicines, side by side

Amoxicillin vs erythromycin

Amoxicillin and erythromycin are both labeled for bacterial infections. Drugs@FDA records approvals of amoxicillin since 1974 and of erythromycin since 1964. Pharmacies paid $0.0788 per amoxicillin 500 mg capsule and $1.96 per erythromycin 250 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. In FDA's classes, amoxicillin is a penicillin-class antibacterial and erythromycin a macrolide.

Check it at the source: the amoxicillin FDA label on DailyMed (effective February 22, 2024); the erythromycin FDA label on DailyMed (effective August 1, 2024).

Highlights of the amoxicillin record

Amoxicillin (Amoxil) · label of February 22, 2024

Used for

From the label: indications

Adults and Pediatric Patients • Upper Respiratory Tract Infections of the Ear, Nose, and Throat Amoxicillin is indicated in the treatment of infections due to susceptible (ONLY β-lactamase–negative) isolates of Streptococcus species. (α- and β-hemolytic isolates only), Streptococcus pneumoniae, Staphylococcus spp. , or Haemophilus influenzae. […]

On the market

Earliest approval on file
January 18, 1974
Generic labelers
38 labelers
Pharmacy cost
$0.0788 per capsule

Supply and safety

Shortage
No current entry
Recalls
12

Highlights of the erythromycin record

Erythromycin (Erythrocin) · label of August 1, 2024

Used for

From the label: indications

To reduce the development of drug-resistant bacteria and maintain the effectiveness of erythromycin tablets and other antibacterial drugs, erythromycin tablets should be used only to treat or prevent infections that are proven or strongly suspected to be caused by susceptible bacteria. When culture and susceptibility information are available, they should be considered in selecting or modifying antibacterial therapy. […]

On the market

Earliest approval on file
June 25, 1964
Generic labelers
38 labelers
Pharmacy cost
$1.96 per tablet

Supply and safety

Shortage
No current entry
Recalls
2

Source: FDA drug labels via openFDA (Amoxicillin label of February 22, 2024, Erythromycin label of August 1, 2024); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do amoxicillin and erythromycin differ on the record?

In FDA's classes, amoxicillin is a penicillin-class antibacterial and erythromycin a macrolide.

Generics: amoxicillin since 1974; erythromycin since 1964 (Drugs@FDA).

AmoxicillinErythromycin
Labeled forBacterial infections, Acid reflux and ulcersBacterial infections, Acne
Pharmacologic classPenicillin-class AntibacterialMacrolide, Macrolide Antimicrobial
How it works (label)Amoxicillin is an antibacterial drug [see Microbiology ( 12.4 )].n/a
Half-life (label)Metabolism and Excretion The half-life of amoxicillin is 61.3 minutes.n/a
Earliest approval on file (Drugs@FDA)January 18, 1974June 25, 1964
First generic approvedDecember 9, 1974June 24, 1964
Generic labelers (NDC)38 labelers38 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0788 per capsule (Amoxicillin 500 mg capsule)$1.96 per tablet (Erythromycin 250 mg tablet)
12-month price change-12%+12%
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded122
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)75,92618,956
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?

Alternatives to amoxicillin
every medicine labeled for the same conditions