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Two medicines, side by side

Cefpodoxime vs levofloxacin

Cefpodoxime and levofloxacin are both labeled for bacterial infections. Drugs@FDA records approvals of cefpodoxime since 1992 and of levofloxacin since 1996. Pharmacies paid $1.04 per cefpodoxime 100 mg tablet 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, cefpodoxime is a cephalosporin antibacterial and levofloxacin a fluoroquinolone antibacterial.

Check it at the source: the cefpodoxime FDA label on DailyMed (effective July 30, 2026); the levofloxacin FDA label on DailyMed (effective July 10, 2024).

Highlights of the cefpodoxime record

Cefpodoxime (Vantin) · label of July 30, 2026

Used for

From the label: indications

Cefpodoxime proxetil is indicated for the treatment of patients with mild to moderate infections caused by susceptible strains of the designated microorganisms in the conditions listed below. Recommended dosages, durations of therapy, and applicable patient populations vary among these infections. Please see DOSAGE AND ADMINISTRATION for specific recommendations. […]

On the market

Earliest approval on file
August 7, 1992
Generic labelers
11 labelers
Pharmacy cost
$1.04 per tablet

Supply and safety

Shortage
No current entry
Recalls
1

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 (Cefpodoxime label of July 30, 2026, Levofloxacin label of July 10, 2024); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do cefpodoxime and levofloxacin differ on the record?

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

How each works, in its label's words: Cefpodoxime, “Mechanism of Action Cefpodoxime is a bactericidal agent that acts by inhibition of bacterial cell wall synthesis.”; Levofloxacin, “Levofloxacin is a member of the fluoroquinolone class of antibacterial agents [see Microbiology ( 12.4 )].”

Half-life, in each label's words: Cefpodoxime, “In subjects with mild impairment of renal function (50 to 80 mL/min creatinine clearance), the average plasma half-life …”; Levofloxacin, “The mean terminal plasma elimination half-life of levofloxacin ranges from approximately 6 to 8 hours following single …”

Only the levofloxacin label carries a boxed warning.

Generics: cefpodoxime since 2002; levofloxacin since 2010 (Drugs@FDA).

CefpodoximeLevofloxacin
Labeled forBacterial infectionsBacterial infections, Urinary tract infections
Pharmacologic classCephalosporin AntibacterialFluoroquinolone Antibacterial
How it works (label)Mechanism of Action Cefpodoxime is a bactericidal agent that acts by inhibition of bacterial cell wall synthesis.Levofloxacin is a member of the fluoroquinolone class of antibacterial agents [see Microbiology ( 12.4 )].
Half-life (label)In subjects with mild impairment of renal function (50 to 80 mL/min creatinine clearance), the average plasma half-life of cefpodoxime was 3.5 hours.The 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)August 7, 1992December 20, 1996
First generic approvedMay 31, 2002December 20, 2010
Generic labelers (NDC)11 labelers44 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$1.04 per tablet (Cefpodoxime 100 mg tablet)$0.259 per tablet (Levofloxacin 750 mg tablet)
12-month price change-14%-11%
Boxed warningNoYes
Shortage nowNo current entryNo current entry
Recalls recorded113
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)97659,954
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?

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