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Two medicines, side by side

Ampicillin vs doxycycline

Ampicillin and doxycycline are both labeled for bacterial infections and urinary tract infections. Drugs@FDA records approvals of ampicillin since 1966 and of doxycycline since 1967. Pharmacies paid $0.441 per ampicillin 500 mg capsule and $0.118 per doxycycline hyclate 100 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. Doxycycline's other strengths are brand-only: $18.18 per Doryx mpc DR 60 mg tablet. In FDA's classes, ampicillin is a penicillin-class antibacterial and doxycycline a tetracycline-class drug.

Check it at the source: the ampicillin FDA label on DailyMed (effective February 21, 2025); the doxycycline FDA label on DailyMed (effective July 25, 2025).

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 doxycycline record

Doxycycline (Vibramycin) · label of July 25, 2025

Used for

From the label: indications

To reduce the development of drug-resistant bacteria and maintain effectiveness of doxycycline capsules and other antibacterial drugs, doxycycline capsules 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
December 5, 1967
Generic labelers
83 labelers
Pharmacy cost
$0.118 per tablet

Supply and safety

Shortage
A presentation being discontinued
Recalls
19

Source: FDA drug labels via openFDA (Ampicillin label of February 21, 2025, Doxycycline label of July 25, 2025); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do ampicillin and doxycycline differ on the record?

In FDA's classes, ampicillin is a penicillin-class antibacterial and doxycycline a tetracycline-class drug.

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 …”; Doxycycline, “1.62 0.95 0.37 0.15 (μg/mL) Average Observed Values Maximum Concentration 3.61 μg/mL (± 0.9 sd) Time of Maximum …”

Generics: ampicillin since 1971; doxycycline since 1973 (Drugs@FDA).

AmpicillinDoxycycline
Labeled forBacterial infections, Urinary tract infectionsUrinary tract infections, Bacterial infections, Acne
Pharmacologic classPenicillin-class AntibacterialTetracycline-class Drug
How it works (label)n/an/a
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.1.62 0.95 0.37 0.15 (μg/mL) Average Observed Values Maximum Concentration 3.61 μg/mL (± 0.9 sd) Time of Maximum Concentration 2.60 hr (± 1.10 sd) Elimination Rate Constant 0.049 per hr (± 0.030 sd) Half-Life 16.33 hr (± …
Earliest approval on file (Drugs@FDA)December 29, 1966December 5, 1967
First generic approvedMarch 3, 1971June 18, 1973
Generic labelers (NDC)17 labelers83 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.441 per capsule (Ampicillin 500 mg capsule)$0.118 per tablet (Doxycycline hyclate 100 mg tablet)
12-month price change-8%-2%
Boxed warningNoNo
Shortage nowA presentation being discontinuedA presentation being discontinued
Recalls recorded319
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)8,24069,571
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