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Two medicines, side by side

Cefuroxime vs amoxicillin

Cefuroxime and amoxicillin are both labeled for bacterial infections. Drugs@FDA records approvals of cefuroxime since 1983 and of amoxicillin since 1974. Pharmacies paid $0.280 per cefuroxime axetil 250 mg tablet and $0.0788 per amoxicillin 500 mg capsule (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. In FDA's classes, cefuroxime is a cephalosporin antibacterial and amoxicillin a penicillin-class antibacterial.

Check it at the source: the cefuroxime FDA label on DailyMed (effective April 29, 2024); the amoxicillin FDA label on DailyMed (effective February 22, 2024).

Highlights of the cefuroxime record

Cefuroxime (Zinacef) · label of April 29, 2024

Used for

From the label: indications

Cefuroxime axetil tablets are a cephalosporin antibacterial drug indicated for the treatment of the following infections due to susceptible bacteria: ( 1 ) Pharyngitis/tonsillitis (adults and pediatric patients) ( 1.1 ) Acute bacterial otitis media (pediatric patients) ( 1.2 ) Acute bacterial maxillary sinusitis (adults and pediatric patients) ( 1.3 ) Acute bacterial exacerbations of chronic bronchitis (adults and […]

On the market

Earliest approval on file
October 19, 1983
Generic labelers
19 labelers
Pharmacy cost
$0.280 per tablet

Supply and safety

Shortage
No current entry
Recalls
1

Highlights of the amoxicillin record

Amoxicillin (Amoxil) · label of February 22, 2024

Used for

From the label: indications

Adults and Pediatric Patients • Upper Respiratory Tract Infections of the Ear, Nose, and Throat Amoxicillin is indicated in the treatment of infections due to susceptible (ONLY β-lactamase–negative) isolates of Streptococcus species. (α- and β-hemolytic isolates only), Streptococcus pneumoniae, Staphylococcus spp. , or Haemophilus influenzae. […]

On the market

Earliest approval on file
January 18, 1974
Generic labelers
38 labelers
Pharmacy cost
$0.0788 per capsule

Supply and safety

Shortage
No current entry
Recalls
12

Source: FDA drug labels via openFDA (Cefuroxime label of April 29, 2024, Amoxicillin label of February 22, 2024); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do cefuroxime and amoxicillin differ on the record?

In FDA's classes, cefuroxime is a cephalosporin antibacterial and amoxicillin a penicillin-class antibacterial.

How each works, in its label's words: Cefuroxime, “Cefuroxime axetil is an antibacterial drug [see Microbiology (12.4) ].”; Amoxicillin, “Amoxicillin is an antibacterial drug [see Microbiology ( 12.4 )].”

Generics: cefuroxime since 1986; amoxicillin since 1974 (Drugs@FDA).

CefuroximeAmoxicillin
Labeled forBacterial infections, Urinary tract infectionsBacterial infections, Acid reflux and ulcers
Pharmacologic classCephalosporin AntibacterialPenicillin-class Antibacterial
How it works (label)Cefuroxime axetil is an antibacterial drug [see Microbiology (12.4) ].Amoxicillin is an antibacterial drug [see Microbiology ( 12.4 )].
Half-life (label)n/aMetabolism and Excretion The half-life of amoxicillin is 61.3 minutes.
Earliest approval on file (Drugs@FDA)October 19, 1983January 18, 1974
First generic approvedJanuary 10, 1986December 9, 1974
Generic labelers (NDC)19 labelers38 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.280 per tablet (Cefuroxime axetil 250 mg tablet)$0.0788 per capsule (Amoxicillin 500 mg capsule)
12-month price change-3%-12%
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded112
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)15,67075,926
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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