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Two medicines, side by side

Cefprozil vs cefpodoxime

Cefprozil and cefpodoxime are both labeled for bacterial infections. Drugs@FDA records approvals of cefprozil since 1991 and of cefpodoxime since 1992. Pharmacies paid $0.925 per cefprozil 500 mg tablet and $1.04 per cefpodoxime 100 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like.

Check it at the source: the cefprozil FDA label on DailyMed (effective May 5, 2024); the cefpodoxime FDA label on DailyMed (effective July 30, 2026).

Highlights of the cefprozil record

Cefprozil (Cefzil) · label of May 5, 2024

Used for

From the label: indications

To reduce the development of drug-resistant bacteria and maintain the effectiveness of cefprozil and other antibacterial drugs, cefprozil 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 23, 1991
Generic labelers
7 labelers
Pharmacy cost
$0.925 per tablet

Supply and safety

Shortage
No current entry
Recalls
1

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

Source: FDA drug labels via openFDA (Cefprozil label of May 5, 2024, Cefpodoxime label of July 30, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do cefprozil and cefpodoxime differ on the record?

Both are in FDA's class cephalosporin antibacterials.

Half-life, in each label's words: Cefprozil, “The average plasma half-life in normal subjects was 1.3 hours, while the steady-state volume of distribution was …”; Cefpodoxime, “In subjects with mild impairment of renal function (50 to 80 mL/min creatinine clearance), the average plasma half-life …”

Generics: cefprozil since 2005; cefpodoxime since 2002 (Drugs@FDA).

CefprozilCefpodoxime
Labeled forBacterial infectionsBacterial infections
Pharmacologic classCephalosporin AntibacterialCephalosporin Antibacterial
How it works (label)n/aMechanism of Action Cefpodoxime is a bactericidal agent that acts by inhibition of bacterial cell wall synthesis.
Half-life (label)The average plasma half-life in normal subjects was 1.3 hours, while the steady-state volume of distribution was estimated to be 0.23 L/kg.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.
Earliest approval on file (Drugs@FDA)December 23, 1991August 7, 1992
First generic approvedNovember 14, 2005May 31, 2002
Generic labelers (NDC)7 labelers11 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.925 per tablet (Cefprozil 500 mg tablet)$1.04 per tablet (Cefpodoxime 100 mg tablet)
12-month price change-11%-14%
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded11
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)780976
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 cefprozil
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