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Two medicines, side by side

Erythromycin vs mupirocin

Erythromycin is labeled for bacterial infections and acne; mupirocin has no indication this site maps. Their labels share no use, so they are not alternatives to each other. Drugs@FDA records approvals of erythromycin since 1964 and of mupirocin since 1987. Pharmacies paid $1.96 per erythromycin 250 mg tablet and $0.854 per gram (Mupirocin 2% cream) (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. In FDA's classes, erythromycin is a macrolide and mupirocin a rna synthetase inhibitor antibacterial.

Check it at the source: the erythromycin FDA label on DailyMed (effective August 1, 2024); the mupirocin FDA label on DailyMed (effective October 28, 2025).

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

Highlights of the mupirocin record

Mupirocin (Bactroban) · label of October 28, 2025

Used for

From the label: indications

Mupirocin ointment is indicated for the topical treatment of impetigo due to susceptible isolates of Staphylococcus aureus (S. aureus) and Streptococcus pyogenes (S. pyogenes). Mupirocin ointment is an RNA synthetase inhibitor antibacterial indicated for the topical treatment of impetigo due to susceptible isolates of Staphylococcus aureus and Streptococcus pyogenes.

On the market

Earliest approval on file
December 31, 1987
Generic labelers
27 labelers
Pharmacy cost
$0.854 per gram

Supply and safety

Shortage
No current entry
Recalls
3

Source: FDA drug labels via openFDA (Erythromycin label of August 1, 2024, Mupirocin label of October 28, 2025); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do erythromycin and mupirocin differ on the record?

In FDA's classes, erythromycin is a macrolide and mupirocin a rna synthetase inhibitor antibacterial.

Generics: erythromycin since 1964; mupirocin since 2003 (Drugs@FDA).

ErythromycinMupirocin
Labeled forBacterial infections, Acnen/a
Pharmacologic classMacrolide, Macrolide AntimicrobialRNA Synthetase Inhibitor Antibacterial
How it works (label)n/aMupirocin is an RNA synthetase inhibitor antibacterial [see Microbiology ( 12.4 )].
Half-life (label)n/aElimination In a trial conducted in 7 healthy adult male subjects, the elimination half-life after intravenous administration of mupirocin was 20 to 40 minutes for mupirocin and 30 to 80 minutes for monic acid.
Earliest approval on file (Drugs@FDA)June 25, 1964December 31, 1987
First generic approvedJune 24, 1964November 7, 2003
Generic labelers (NDC)38 labelers27 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$1.96 per tablet (Erythromycin 250 mg tablet)$0.854 per gram (Mupirocin 2% cream)
12-month price change+12%-15%
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded23
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)18,95613,755
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 erythromycin
every medicine labeled for the same conditions