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Two medicines, side by side

Ampicillin vs cefuroxime

Ampicillin and cefuroxime are both labeled for bacterial infections and urinary tract infections. Drugs@FDA records approvals of ampicillin since 1966 and of cefuroxime since 1983. Pharmacies paid $0.441 per ampicillin 500 mg capsule and $0.280 per cefuroxime axetil 250 mg tablet (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 cefuroxime a cephalosporin antibacterial.

Check it at the source: the ampicillin FDA label on DailyMed (effective February 21, 2025); the cefuroxime FDA label on DailyMed (effective April 29, 2024).

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 cefuroxime record

Cefuroxime (Zinacef) · label of April 29, 2024

Used for

From the label: indications

Cefuroxime axetil tablets are a cephalosporin antibacterial drug indicated for the treatment of the following infections due to susceptible bacteria: ( 1 ) Pharyngitis/tonsillitis (adults and pediatric patients) ( 1.1 ) Acute bacterial otitis media (pediatric patients) ( 1.2 ) Acute bacterial maxillary sinusitis (adults and pediatric patients) ( 1.3 ) Acute bacterial exacerbations of chronic bronchitis (adults and […]

On the market

Earliest approval on file
October 19, 1983
Generic labelers
19 labelers
Pharmacy cost
$0.280 per tablet

Supply and safety

Shortage
No current entry
Recalls
1

Source: FDA drug labels via openFDA (Ampicillin label of February 21, 2025, Cefuroxime label of April 29, 2024); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do ampicillin and cefuroxime differ on the record?

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

Generics: ampicillin since 1971; cefuroxime since 1986 (Drugs@FDA).

AmpicillinCefuroxime
Labeled forBacterial infections, Urinary tract infectionsBacterial infections, Urinary tract infections
Pharmacologic classPenicillin-class AntibacterialCephalosporin Antibacterial
How it works (label)n/aCefuroxime axetil is an antibacterial drug [see Microbiology (12.4) ].
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.n/a
Earliest approval on file (Drugs@FDA)December 29, 1966October 19, 1983
First generic approvedMarch 3, 1971January 10, 1986
Generic labelers (NDC)17 labelers19 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.441 per capsule (Ampicillin 500 mg capsule)$0.280 per tablet (Cefuroxime axetil 250 mg tablet)
12-month price change-8%-3%
Boxed warningNoNo
Shortage nowA presentation being discontinuedNo current entry
Recalls recorded31
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)8,24015,670
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
every medicine labeled for the same conditions