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Two medicines, side by side

Cefuroxime vs erythromycin

Cefuroxime and erythromycin are both labeled for bacterial infections. Drugs@FDA records approvals of cefuroxime since 1983 and of erythromycin since 1964. Pharmacies paid $0.280 per cefuroxime axetil 250 mg tablet and $1.96 per erythromycin 250 mg tablet (NADAC, October 7, 2026). In FDA's classes, cefuroxime is a cephalosporin antibacterial and erythromycin a macrolide.

Check it at the source: the cefuroxime FDA label on DailyMed (effective April 29, 2024); the erythromycin FDA label on DailyMed (effective August 1, 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 erythromycin record

Erythromycin (Erythrocin) · label of August 1, 2024

Used for

From the label: indications

To reduce the development of drug-resistant bacteria and maintain the effectiveness of erythromycin tablets and other antibacterial drugs, erythromycin tablets 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
June 25, 1964
Generic labelers
38 labelers
Pharmacy cost
$1.96 per tablet

Supply and safety

Shortage
No current entry
Recalls
2

Source: FDA drug labels via openFDA (Cefuroxime label of April 29, 2024, Erythromycin label of August 1, 2024); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do cefuroxime and erythromycin differ on the record?

In FDA's classes, cefuroxime is a cephalosporin antibacterial and erythromycin a macrolide.

Generics: cefuroxime since 1986; erythromycin since 1964 (Drugs@FDA).

CefuroximeErythromycin
Labeled forBacterial infections, Urinary tract infectionsBacterial infections, Acne
Pharmacologic classCephalosporin AntibacterialMacrolide, Macrolide Antimicrobial
How it works (label)Cefuroxime axetil is an antibacterial drug [see Microbiology (12.4) ].n/a
Half-life (label)n/an/a
Earliest approval on file (Drugs@FDA)October 19, 1983June 25, 1964
First generic approvedJanuary 10, 1986June 24, 1964
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)$1.96 per tablet (Erythromycin 250 mg tablet)
12-month price change-3%+12%
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded12
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)15,67018,956
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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