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Two medicines, side by side

Erythromycin vs tetracycline

Erythromycin and tetracycline are both labeled for bacterial infections. Drugs@FDA records approvals of erythromycin since 1964 and of tetracycline since 1953. Pharmacies paid $1.96 per erythromycin 250 mg tablet and $0.247 per tetracycline 250 mg capsule (NADAC, October 7, 2026). In FDA's classes, erythromycin is a macrolide and tetracycline a tetracycline-class antimicrobial.

Check it at the source: the erythromycin FDA label on DailyMed (effective August 1, 2024); the tetracycline FDA label on DailyMed (effective March 18, 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 tetracycline record

Tetracycline (Achromycin) · label of March 18, 2025

Used for

From the label: indications

To reduce the development of drug-resistant bacteria and maintain the effectiveness of tetracycline hydrochloride and other antibacterial drugs, tetracycline hydrochloride should be used only to treat 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
November 19, 1953
Generic labelers
10 labelers
Pharmacy cost
$0.247 per capsule

Supply and safety

Shortage
No current entry
Recalls
2

Source: FDA drug labels via openFDA (Erythromycin label of August 1, 2024, Tetracycline label of March 18, 2025); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do erythromycin and tetracycline differ on the record?

In FDA's classes, erythromycin is a macrolide and tetracycline a tetracycline-class antimicrobial.

Generics: erythromycin since 1964; tetracycline since 1954 (Drugs@FDA).

ErythromycinTetracycline
Labeled forBacterial infections, AcneBacterial infections
Pharmacologic classMacrolide, Macrolide AntimicrobialTetracycline-class Antimicrobial
How it works (label)n/an/a
Half-life (label)n/an/a
Earliest approval on file (Drugs@FDA)June 25, 1964November 19, 1953
First generic approvedJune 24, 1964September 17, 1954
Generic labelers (NDC)38 labelers10 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$1.96 per tablet (Erythromycin 250 mg tablet)$0.247 per capsule (Tetracycline 250 mg capsule)
12-month price change+12%-65%
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded22
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)18,956767
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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