Skip to main content

Two medicines, side by side

Nitrofurantoin vs cefdinir

Nitrofurantoin and cefdinir are both labeled for bacterial infections. Drugs@FDA records approvals of nitrofurantoin since 1953 and of cefdinir since 1997. Pharmacies paid $0.165 per nitrofurantoin mcr 50 mg capsule and $0.458 per cefdinir 300 mg capsule (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. In FDA's classes, nitrofurantoin is a nitrofuran antibacterial and cefdinir a cephalosporin antibacterial.

Check it at the source: the nitrofurantoin FDA label on DailyMed (effective June 24, 2026); the cefdinir FDA label on DailyMed (effective October 14, 2025).

Highlights of the nitrofurantoin record

Nitrofurantoin (Macrobid) · label of June 24, 2026

Used for

From the label: indications

Nitrofurantoin capsules (monohydrate/macrocrystals) are indicated only for the treatment of acute uncomplicated urinary tract infections (acute cystitis) caused by susceptible strains of Escherichia coli or Staphylococcus saprophyticus. Nitrofurantoin is not indicated for the treatment of pyelonephritis or perinephric abscesses. […]

On the market

Earliest approval on file
February 6, 1953
Generic labelers
47 labelers
Pharmacy cost
$0.165 per capsule

Supply and safety

Shortage
A presentation being discontinued
Recalls
13

Highlights of the cefdinir record

Cefdinir (Omnicef) · label of October 14, 2025

Used for

From the label: indications

To reduce the development of drug-resistant bacteria and maintain the effectiveness of cefdinir capsules and other antibacterial drugs, cefdinir capsules 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
December 4, 1997
Generic labelers
26 labelers
Pharmacy cost
$0.458 per capsule

Supply and safety

Shortage
No current entry
Recalls
11

Source: FDA drug labels via openFDA (Nitrofurantoin label of June 24, 2026, Cefdinir label of October 14, 2025); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do nitrofurantoin and cefdinir differ on the record?

In FDA's classes, nitrofurantoin is a nitrofuran antibacterial and cefdinir a cephalosporin antibacterial.

Generics: nitrofurantoin since 1970; cefdinir since 2006 (Drugs@FDA).

NitrofurantoinCefdinir
Labeled forUrinary tract infections, Bacterial infectionsBacterial infections
Pharmacologic classNitrofuran AntibacterialCephalosporin Antibacterial
How it works (label)Mechanism of Action The mechanism of the antimicrobial action of nitrofurantoin is unusual among antibacterials.n/a
Half-life (label)n/an/a
Earliest approval on file (Drugs@FDA)February 6, 1953December 4, 1997
First generic approvedSeptember 30, 1970May 19, 2006
Generic labelers (NDC)47 labelers26 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.165 per capsule (Nitrofurantoin mcr 50 mg capsule)$0.458 per capsule (Cefdinir 300 mg capsule)
12-month price change-12%+0.7%
Boxed warningNoNo
Shortage nowA presentation being discontinuedNo current entry
Recalls recorded1311
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)22,7557,628
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 nitrofurantoin
every medicine labeled for the same conditions