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Two medicines, side by side

Ampicillin vs ceftriaxone

Ampicillin and ceftriaxone are both labeled for bacterial infections and urinary tract infections. Drugs@FDA records approvals of ampicillin since 1966 and of ceftriaxone since 1984. Pharmacies paid $0.441 per ampicillin 500 mg capsule and $1.44 per ceftriaxone 1 g vial (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. In FDA's classes, ampicillin is a penicillin-class antibacterial and ceftriaxone a cephalosporin antibacterial.

Check it at the source: the ampicillin FDA label on DailyMed (effective February 21, 2025); the ceftriaxone FDA label on DailyMed (effective February 4, 2026).

Highlights of the ampicillin record

Ampicillin (Penbritin-S) · label of February 21, 2025

Used for

From the label: indications

Ampicillin for injection is indicated in the treatment of infections caused by susceptible strains of the designated organisms in the following conditions: Respiratory Tract Infections caused by Streptococcus pneumoniae. Staphylococcus aureus (penicillinase and nonpenicillinase-producing), H. influenzae, and Group A beta-hemolytic streptococci. […]

On the market

Earliest approval on file
December 29, 1966
Generic labelers
17 labelers
Pharmacy cost
$0.441 per capsule

Supply and safety

Shortage
A presentation being discontinued
Recalls
3

Highlights of the ceftriaxone record

Ceftriaxone (Rocephin) · label of February 4, 2026

Used for

From the label: indications

Before instituting treatment with Ceftriaxone for injection, USP, appropriate specimens should be obtained for isolation of the causative organism and for determination of its susceptibility to the drug. Therapy may be instituted prior to obtaining results of susceptibility testing. […]

On the market

Earliest approval on file
December 21, 1984
Generic labelers
16 labelers
Pharmacy cost
$1.44 per vial

Supply and safety

Shortage
No current entry
Recalls
20

Source: FDA drug labels via openFDA (Ampicillin label of February 21, 2025, Ceftriaxone label of February 4, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do ampicillin and ceftriaxone differ on the record?

In FDA's classes, ampicillin is a penicillin-class antibacterial and ceftriaxone a cephalosporin antibacterial.

Half-life, in each label's words: Ampicillin, “Due to maturational changes in renal function, ampicillin half-life decreases as postmenstrual age (a sum of …”; Ceftriaxone, “Based on middle ear fluid ceftriaxone concentrations in the 23 to 25 hour and the 46 to 50 hour sampling time …”

Generics: ampicillin since 1971; ceftriaxone since 1987 (Drugs@FDA).

AmpicillinCeftriaxone
Labeled forBacterial infections, Urinary tract infectionsUrinary tract infections, Bacterial infections
Pharmacologic classPenicillin-class AntibacterialCephalosporin Antibacterial
How it works (label)n/aMicrobiology: Mechanism of Action Ceftriaxone is a bactericidal agent that acts by inhibition of bacterial cell wall synthesis.
Half-life (label)Due to maturational changes in renal function, ampicillin half-life decreases as postmenstrual age (a sum of gestational age and postnatal age) increases for infants with postnatal age of less than 28 days.Based on middle ear fluid ceftriaxone concentrations in the 23 to 25 hour and the 46 to 50 hour sampling time intervals, a half-life of 25 hours was calculated.
Earliest approval on file (Drugs@FDA)December 29, 1966December 21, 1984
First generic approvedMarch 3, 1971April 30, 1987
Generic labelers (NDC)17 labelers16 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.441 per capsule (Ampicillin 500 mg capsule)$1.44 per vial (Ceftriaxone 1 g vial)
12-month price change-8%-4%
Boxed warningNoNo
Shortage nowA presentation being discontinuedNo current entry
Recalls recorded320
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)8,24038,242
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 ampicillin
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