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cefazolin

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Brand names: Ancef, Kefzol

First-Generation Cephalosporin Rx

Cefazolin is an antibiotic medicine. It fights bacterial infections in your body.

Drug Pricing (NADAC)

Generic Price

$1.00/unit

Generic Available

Yes (9 manufacturers)

Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →

What it does

Cefazolin treats serious infections caused by certain bacteria.

Common side effects

Diarrhea, Oral thrush (a yeast infection in your mouth), Vomiting

Key warnings

You should not take cefazolin if you are allergic to cephalosporin antibiotics.

How It Works

Cefazolin belongs to a class of drugs called cephalosporins. It works by stopping the growth of bacteria. This helps your body fight off the infection.

How to Take It

A healthcare provider will give you cefazolin as an injection into a muscle or vein. The dose and how often you get it depends on the type and severity of your infection. It also depends on how well your kidneys are working. The usual adult dose for moderate to severe infections is 500 mg to 1 gram every 6 to 8 hours.

Pregnancy & Breastfeeding

Tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. It is not known if cefazolin will harm an unborn baby or pass into breast milk.

Missed Dose

Since a healthcare provider gives you this medicine, you are not likely to miss a dose. If you have concerns, talk to your doctor.

Storage

Keep the medicine away from light and store it at room temperature (68° to 77°F).

Side Effects (from patient reports)

Based on 4,238 FDA adverse event reports.

Drug Ineffective
586
Hypotension
542
Anaphylactic Reaction
470
Rash
454
Renal Failure
435
Pain
385
Pyrexia
371
Acute Kidney Injury
360
Anaphylactic Shock
325
Off Label Use
310

FDA Adverse Event Report Analysis

Detailed analysis of 8,788 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2004–2025.

Total Reports

8,788

Death-Related Reports

1,005

Hospitalization Reports

4,522

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 3,959 (49%)
Male 4,092 (51%)

Age Distribution

0–17 622
18–44 1,607
45–64 2,325
65–74 1,478
75+ 1,088

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 DRUG INEFFECTIVE 586
2 HYPOTENSION 542
3 ANAPHYLACTIC REACTION 470
4 RASH 454
5 RENAL FAILURE 435
6 PAIN 385
7 PYREXIA 371
8 ACUTE KIDNEY INJURY 360
9 ANAPHYLACTIC SHOCK 325
10 OFF LABEL USE 310
11 DRUG HYPERSENSITIVITY 303
12 ANXIETY 296
13 NAUSEA 279
14 URTICARIA 273
15 DYSPNOEA 255

Reactions in Death Reports

DEATH 180
RENAL FAILURE 176
PAIN 132
INJURY 118
ANXIETY 110
UNEVALUABLE EVENT 103
MULTI-ORGAN FAILURE 91
RENAL INJURY 91
DRUG INEFFECTIVE 88
FEAR 86

Reactions in Hospitalization Reports

DRUG INEFFECTIVE 328
RASH 282
PYREXIA 253
HYPOTENSION 244
RENAL FAILURE 214
PAIN 207
ACUTE KIDNEY INJURY 206
ANAPHYLACTIC REACTION 194
DRUG INTERACTION 174
OFF LABEL USE 172

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

You should not take cefazolin if you are allergic to cephalosporin antibiotics. Symptoms of pseudomembranous colitis (severe diarrhea) can occur during or after treatment with cefazolin. Tell your doctor right away if you have severe diarrhea.

Known Drug Interactions

Drug Interactions Probenecid may decrease renal tubular secretion of cephalosporins when used concurrently, resulting in increased and more prolonged cephalosporin blood levels.

Mechanism: Probenecid slows down how fast your kidneys remove cefazolin from your body, causing the antibiotic to stay in your blood longer.

What to do: Your doctor will monitor you closely because this combination can lead to higher and longer-lasting levels of the antibiotic in your system.

Common Questions

What if I am allergic to penicillin?
Tell your doctor if you are allergic to penicillin. They will decide if cefazolin is safe for you.
Can cefazolin affect my blood?
Yes, cefazolin can sometimes cause changes in your blood cell counts. Your doctor may check your blood while you are taking this medicine.
Can cefazolin affect my liver?
Yes, cefazolin can sometimes cause changes in liver function tests. Your doctor may check your liver function while you are taking this medicine.
Can cefazolin affect my kidneys?
Yes, cefazolin can sometimes cause kidney problems. Your doctor may check your kidney function while you are taking this medicine.
Can cefazolin interact with other medications?
Yes, some medicines can interact with cefazolin. Tell your doctor about all the medicines you take, including prescription and over-the-counter drugs, vitamins, and herbal supplements.
Can cefazolin cause a rash?
Yes, a skin rash is a possible side effect of cefazolin. Tell your doctor if you develop a rash.
Can cefazolin cause itching?
Yes, itching is a possible side effect of cefazolin. Tell your doctor if you experience itching.
Can cefazolin cause fever?
Yes, drug fever is a possible side effect of cefazolin. Tell your doctor if you develop a fever.
Can cefazolin cause pain at the injection site?
Yes, pain at the injection site is a possible side effect of cefazolin.
Can cefazolin cause genital itching?
Yes, genital itching is a possible side effect of cefazolin.
What are the common side effects of cefazolin?
The most commonly reported side effects of cefazolin include Diarrhea, Oral thrush (a yeast infection in your mouth), Vomiting, Nausea, Stomach cramps. Based on 4,238 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
Does cefazolin interact with other medications?
Yes, cefazolin has 1 known drug interactions. Notable interactions include probenecid. Always inform your doctor about all medications you are taking.
What drug class is cefazolin?
cefazolin belongs to the First-Generation Cephalosporin drug class. It requires a prescription (Rx). Cefazolin treats serious infections caused by certain bacteria.
Is cefazolin safe during pregnancy?
Tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. It is not known if cefazolin will harm an unborn baby or pass into breast milk. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.
Has cefazolin been recalled?
There is 1 recall associated with cefazolin products. Labeling: Label Mix-Up; cartons of Cefazolin for Injection, USP 1 gram were found to contain vials labeled as penicillin G potassium for Injection, USP, 20 million Unit. Check the recalls section below for full details and affected products.

Active Recalls

Class I June 27, 2025

Labeling: Label Mix-Up; cartons of Cefazolin for Injection, USP 1 gram were found to contain vials labeled as penicillin G potassium for Injection, USP, 20 million Unit. The vials contained Cefozalin

Sandoz Inc

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Medication Guides

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What the FDA Data Shows for cefazolin

The FDA label for cefazolin (sold under brand names such as Ancef, Kefzol) classifies it as a prescription-only medication in the First-Generation Cephalosporin class. Cefazolin treats serious infections caused by certain bacteria. Official labeling lists 6 commonly reported side effects, including Diarrhea, Oral thrush (a yeast infection in your mouth), Vomiting.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 4,238 voluntary reports. The database also lists 1 documented drug interaction derived from FDA labeling, with the top-flagged interaction rated minor severity. NADAC pricing from CMS shows a generic unit cost of $1.00.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history (currently 1 recall record on file), and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: January 7, 2026

All federal data sources used on this page