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Two medicines, side by side

Moxifloxacin vs amoxicillin

Moxifloxacin and amoxicillin are both labeled for bacterial infections. Drugs@FDA records approvals of moxifloxacin since 1999 and of amoxicillin since 1974. Pharmacies paid $1.60 per mL (Moxifloxacin 0.5% eye drops) 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, moxifloxacin is a fluoroquinolone antibacterial and amoxicillin a penicillin-class antibacterial.

Check it at the source: the moxifloxacin FDA label on DailyMed (effective March 17, 2026); the amoxicillin FDA label on DailyMed (effective February 22, 2024).

Highlights of the moxifloxacin record

Moxifloxacin (Avelox) · label of March 17, 2026

Boxed warning

SERIOUS ADVERSE REACTIONS INCLUDING TENDINITIS, TENDON RUPTURE, PERIPHERAL NEUROPATHY, CENTRAL NERVOUS SYSTEM EFFECTS andEXACERBATION OF MYASTHENIA GRAVIS Fluoroquinolones, including moxifloxacin tablets, have been associated with disabling and potentially irreversible serious adverse reactions that have occurred together [see Warnings and Precautions ( 5.1 )], including: Tendinitis and tendon rupture [see Warnings and Precautions ( 5.2 )] Peripheral neuropathy [see Warnings and Precautions (

Used for

From the label: indications

Moxifloxacin tablets are a fluoroquinolone antibacterial indicated for treating infections in adults 18 years of age and older caused by designated susceptible bacteria, in the conditions listed below: Community Acquired Pneumonia ( 1.1 ) Skin and Skin Structure Infections: Uncomplicated ( 1.2 ) and Complicated ( 1.3 ) Complicated Intra-Abdominal Infections ( 1.4 ) Plague ( 1.5 ) Acute Bacterial Sinusitis ( 1.6 ) […]

On the market

Earliest approval on file
December 10, 1999
Generic labelers
32 labelers
Pharmacy cost
$1.60 per mL

Supply and safety

Shortage
A presentation being discontinued
Recalls
10

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 (Moxifloxacin label of March 17, 2026, Amoxicillin label of February 22, 2024); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do moxifloxacin and amoxicillin differ on the record?

In FDA's classes, moxifloxacin is a fluoroquinolone antibacterial and amoxicillin a penicillin-class antibacterial.

How each works, in its label's words: Moxifloxacin, “Moxifloxacin is a member of the fluoroquinolone class of antibacterial agents [see Microbiology ( 12.4 )].”; Amoxicillin, “Amoxicillin is an antibacterial drug [see Microbiology ( 12.4 )].”

Half-life, in each label's words: Moxifloxacin, “The mean (± SD) elimination half-life from plasma is 12 ± 1.3 hours; steady-state is achieved after at least three days …”; Amoxicillin, “Metabolism and Excretion The half-life of amoxicillin is 61.3 minutes.”

Only the moxifloxacin label carries a boxed warning.

Generics: moxifloxacin since 2014; amoxicillin since 1974 (Drugs@FDA).

MoxifloxacinAmoxicillin
Labeled forBacterial infectionsBacterial infections, Acid reflux and ulcers
Pharmacologic classFluoroquinolone Antibacterial, Quinolone AntimicrobialPenicillin-class Antibacterial
How it works (label)Moxifloxacin is a member of the fluoroquinolone class of antibacterial agents [see Microbiology ( 12.4 )].Amoxicillin is an antibacterial drug [see Microbiology ( 12.4 )].
Half-life (label)The mean (± SD) elimination half-life from plasma is 12 ± 1.3 hours; steady-state is achieved after at least three days with a 400 mg once daily regimen.Metabolism and Excretion The half-life of amoxicillin is 61.3 minutes.
Earliest approval on file (Drugs@FDA)December 10, 1999January 18, 1974
First generic approvedFebruary 18, 2014December 9, 1974
Generic labelers (NDC)32 labelers38 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$1.60 per mL (Moxifloxacin 0.5% eye drops)$0.0788 per capsule (Amoxicillin 500 mg capsule)
12-month price change-14%-12%
Boxed warningYesNo
Shortage nowA presentation being discontinuedNo current entry
Recalls recorded1012
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)20,16875,926
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?

Alternatives to moxifloxacin
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