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Two medicines, side by side

Cefadroxil vs levofloxacin

Cefadroxil and levofloxacin are both labeled for bacterial infections and urinary tract infections. Pharmacies paid $0.269 per cefadroxil 500 mg capsule and $0.259 per levofloxacin 750 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. In FDA's classes, cefadroxil is a cephalosporin antibacterial and levofloxacin a fluoroquinolone antibacterial.

Check it at the source: the cefadroxil FDA label on DailyMed (effective June 1, 2026); the levofloxacin FDA label on DailyMed (effective July 10, 2024).

Highlights of the cefadroxil record

Cefadroxil · label of June 1, 2026

Used for

From the label: indications

Cefadroxil Capsules USP are indicated for the treatment of patients with infection caused by susceptible strains of the designated organisms in the following diseases: Urinary tract infections caused by E. coli, P. mirabilis, and Klebsiella species. Skin and skin structure infections caused by staphylococci and/or streptococci. […]

On the market

Earliest approval on file
n/a
Generic labelers
19 labelers
Pharmacy cost
$0.269 per capsule

Supply and safety

Shortage
No current entry
Recalls
0

Highlights of the levofloxacin record

Levofloxacin (Levaquin) · label of July 10, 2024

Boxed warning

SERIOUS ADVERSE REACTIONS INCLUDING TENDINITIS, TENDON RUPTURE, PERIPHERAL NEUROPATHY, CENTRAL NERVOUS SYSTEM EFFECTS AND EXACERBATION OF MYASTHENIA GRAVIS See full prescribing information for complete boxed warning.

Used for

From the label: indications

Levofloxacin is a fluoroquinolone antibacterial indicated in adults (18 years of age and older) with infections caused by designated, susceptible bacteria and in pediatric patients where indicated ( 1 , 12.4 ). […]

On the market

Earliest approval on file
December 20, 1996
Generic labelers
44 labelers
Pharmacy cost
$0.259 per tablet

Supply and safety

Shortage
No current entry
Recalls
13

Source: FDA drug labels via openFDA (Cefadroxil label of June 1, 2026, Levofloxacin label of July 10, 2024); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do cefadroxil and levofloxacin differ on the record?

In FDA's classes, cefadroxil is a cephalosporin antibacterial and levofloxacin a fluoroquinolone antibacterial.

Only the levofloxacin label carries a boxed warning.

Generics: cefadroxil none approved; levofloxacin since 2010 (Drugs@FDA).

CefadroxilLevofloxacin
Labeled forBacterial infections, Urinary tract infectionsBacterial infections, Urinary tract infections
Pharmacologic classCephalosporin AntibacterialFluoroquinolone Antibacterial
How it works (label)n/aLevofloxacin is a member of the fluoroquinolone class of antibacterial agents [see Microbiology ( 12.4 )].
Half-life (label)n/aThe mean terminal plasma elimination half-life of levofloxacin ranges from approximately 6 to 8 hours following single or multiple doses of levofloxacin given orally or intravenously.
Earliest approval on file (Drugs@FDA)n/aDecember 20, 1996
First generic approvednoneDecember 20, 2010
Generic labelers (NDC)19 labelers44 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.269 per capsule (Cefadroxil 500 mg capsule)$0.259 per tablet (Levofloxacin 750 mg tablet)
12-month price change-9%-11%
Boxed warningNoYes
Shortage nowNo current entryNo current entry
Recalls recorded013
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)1,98059,954
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 cefadroxil
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