cefixime vs ceftriaxone
Side-by-side comparison of cefixime and ceftriaxone Data from FDA drug databases (Orange Book, NDC Directory, recalls, shortages) covering 20,000+ approved drugs, plus CMS pricing; see our methodology.
Suprax
Rocephin
Cefixime is an antibiotic that fights bacteria in your body. It is used to treat several different types of bacterial infections.
Ceftriaxone is an antibiotic medicine. It fights bacteria in your body to treat different kinds of infections.
Cefixime treats infections like urinary tract infections, ear infections, and sore throats. It also treats bronchitis and gonorrhea. This medicine should only be used to treat infections that are proven or very likely to be caused by bacteria. This helps to prevent bacteria from becoming resistant to the medicine.
Ceftriaxone treats infections like pneumonia, ear infections, skin infections, and urinary tract infections. It can also treat gonorrhea and pelvic inflammatory disease. Your doctor will test to make sure the infection will respond to this medicine.
Cefixime belongs to a class of drugs called cephalosporins. It works by stopping the growth of bacteria. This helps your body fight off the infection.
Ceftriaxone belongs to a class of drugs called cephalosporins. It works by stopping the growth of bacteria. This helps your body fight off the infection.
- • Diarrhea (16%)
- • Nausea (7%)
- • Loose stools (6%)
- • Abdominal pain (3%)
- • Indigestion (3%)
- • Pain, hardness, or tenderness where you got the shot
- • Rash
- • Increased eosinophils (a type of white blood cell)
- • Increased platelets (cells that help blood clot)
- • Decreased white blood cells
- Drug Ineffective 276
- Off Label Use 268
- Pyrexia 162
- Nausea 155
- Diarrhoea 150
- Off Label Use 3,403
- Drug Ineffective 3,010
- Pyrexia 1,677
- Acute Kidney Injury 1,533
- Condition Aggravated 1,274
Cefixime can cause severe allergic reactions, including shock and death. Stop taking cefixime and get medical help right away if you have any signs of an allergic reaction. Cefixime can also cause severe diarrhea due to a bacteria called Clostridium difficile. Tell your doctor right away if you have diarrhea while taking cefixime.
Do not use ceftriaxone if you are allergic to it or other cephalosporin antibiotics. Newborns should not receive ceftriaxone if they are premature or have too much bilirubin in their blood. Ceftriaxone should not be mixed with IV solutions containing calcium, especially in newborns, due to the risk of serious complications.
Tell your doctor if you are pregnant or plan to become pregnant. Studies haven't shown harm to the fetus, but it's important to discuss the risks and benefits with your doctor. It is not known whether cefixime passes into breast milk.
Tell your doctor if you are pregnant or breastfeeding. It is not known if ceftriaxone will harm your unborn baby. Talk to your doctor about the risks and benefits.
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How to Read This cefixime vs ceftriaxone Comparison
cefixime is classified in the Third-Generation Cephalosporin drug class, while ceftriaxone sits within the Third-Generation Cephalosporin class. Because both drugs share the same classification, they are often considered interchangeable in theory — but clinical outcomes rarely track that cleanly. Both drugs are prescription-only, so a licensed provider must authorize use.
Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, cefixime has 1,011 submissions while ceftriaxone has 10,897. Those figures reflect cumulative reporting volume — not per-patient risk — so older, widely dispensed drugs typically look worse on count alone. No direct interaction between these two drugs is listed in our FDA-derived dataset, though co-prescription still warrants pharmacist review. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.
A table cannot substitute for clinical judgment. Effectiveness, tolerability, drug-drug interactions with your other medications, kidney and liver function, pregnancy status, insurance formulary, and price all feed into a decision that only a licensed prescriber can make responsibly. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This page is for educational purposes only, is not medical advice, and should not be used to self-switch between cefixime and ceftriaxone — always consult your physician or pharmacist first.
Important: This comparison is for informational purposes only. Drug effects vary between individuals. Always consult your doctor or pharmacist for personalized medical advice.