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Two medicines, side by side

Cefixime vs cefdinir

Cefixime and cefdinir are both labeled for bacterial infections. Drugs@FDA records approvals of cefixime since 1989 and of cefdinir since 1997. Pharmacies paid $10.03 per cefixime 400 mg capsule and $0.458 per cefdinir 300 mg capsule (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like.

Check it at the source: the cefixime FDA label on DailyMed (effective August 5, 2026); the cefdinir FDA label on DailyMed (effective October 14, 2025).

Highlights of the cefixime record

Cefixime (Suprax) · label of August 5, 2026

Used for

From the label: indications

Cefixime is a cephalosporin antibacterial drug indicated in the treatment of adults and pediatric patients six months and older with the following infections: Uncomplicated Urinary Tract Infections ( 1.1 ) Otitis Media ( 1.2 ) Pharyngitis and Tonsillitis ( 1.3 ) Acute Exacerbations of Chronic Bronchitis ( 1.4 ) Uncomplicated Gonorrhea (cervical/urethral) ( 1.5 ) Usage to Reduce Development of Drug-Resistant Bacteria […]

On the market

Earliest approval on file
April 28, 1989
Generic labelers
6 labelers
Pharmacy cost
$10.03 per capsule

Supply and safety

Shortage
No current entry
Recalls
8

Highlights of the cefdinir record

Cefdinir (Omnicef) · label of October 14, 2025

Used for

From the label: indications

To reduce the development of drug-resistant bacteria and maintain the effectiveness of cefdinir capsules and other antibacterial drugs, cefdinir 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 4, 1997
Generic labelers
26 labelers
Pharmacy cost
$0.458 per capsule

Supply and safety

Shortage
No current entry
Recalls
11

Source: FDA drug labels via openFDA (Cefixime label of August 5, 2026, Cefdinir label of October 14, 2025); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do cefixime and cefdinir differ on the record?

Both are in FDA's class cephalosporin antibacterials.

Generics: cefixime since 2004; cefdinir since 2006 (Drugs@FDA).

CefiximeCefdinir
Labeled forBacterial infections, Urinary tract infectionsBacterial infections
Pharmacologic classCephalosporin AntibacterialCephalosporin Antibacterial
How it works (label)Cefixime is a semisynthetic cephalosporin antibacterial drug [see Microbiology ( 12.4 )].n/a
Half-life (label)The serum half-life of cefixime in healthy subjects is independent of dosage form and averages 3 to 4 hours but may range up to 9 hours in some normal volunteers.n/a
Earliest approval on file (Drugs@FDA)April 28, 1989December 4, 1997
First generic approvedFebruary 12, 2004May 19, 2006
Generic labelers (NDC)6 labelers26 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$10.03 per capsule (Cefixime 400 mg capsule)$0.458 per capsule (Cefdinir 300 mg capsule)
12-month price change-0.6%+0.7%
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded811
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)2,9597,628
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 cefixime
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