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Compare Augmentin vs. Azithromycin

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Amoxicillin/clavulanate (Augmentin) and azithromycin (Zithromax) are both antibiotics used to treat various bacterial infections, such as sinus infections and skin infections. However, they belong to different medication classes. Amoxicillin-clavulanate is a penicillin antibiotic combined with a beta-lactamase inhibitor, while azithromycin is a macrolide antibiotic. Augmentin is available in tablets, chewable tablets, and liquid suspensions, and is typically taken two to three times daily. In contrast, Zithromax is taken once daily, often for a shorter duration of 3 to 5 days, and is available as tablets and liquid suspension. Both medications are available as lower-cost generics. Both medications can cause side effects like diarrhea and nausea, but azithromycin may also lead to stomach pain and QT prolongation, a heart rhythm problem. Both medications can interact with warfarin, while Zithromax can also interact with antiarrhythmics and statins, potentially leading to serious heart rhythm issues.

  • Augmentin (amoxicillin / clavulanate)
    Azithromycin (Zithromax)
  • Augmentin (amoxicillin / clavulanate)
    Azithromycin (Zithromax)

  • Summary of Augmentin vs. Azithromycin

    Summary for Penicillin antibiotic / Beta-lactamase inhibitor
    Prescription only

    Augmentin (amoxicillin / clavulanate) is an antibiotic medication. It contains a penicillin and a beta-lactamase inhibitor. This antibiotic treats many types of bacterial infections, like urinary tract infection (UTI), sinus infection, and ear infection, among others. It fights infections by preventing bacteria from protecting themselves from harm. This medication comes as tablets, chewable tablets, and a suspension that are taken by mouth typically two to three times daily. It's approved for use in adults and children. Common side effects include diarrhea, nausea, and rash.

    Summary for Macrolide antibiotic
    Prescription only

    Azithromycin (Zithromax) is a macrolide antibiotic. It's used to treat many types of infections in children and adults, including strep throat, sinus infection, and pneumonia. Azithromycin (Zithromax) is taken by mouth once daily. Typically, the length of treatment ranges from 3 to 5 days, depending on the type of infection you have. For convenience, azithromycin (Zithromax) also comes pre-packaged as Z-Pak. Some of the more common side effects of azithromycin (Zithromax) include diarrhea, stomach pain, and nausea.

  • Indications of Augmentin vs. Azithromycin

    Indications for
    •Ear infections
    •Sinus infections
    •Lower respiratory tract infections
    •Skin infections (e.g., cellulitis)
    •Urinary tract infections (UTIs)
    Indications for

    Adults

    Azithromycin (Zithromax) can treat certain types of:

    •Sudden worsening of chronic obstructive pulmonary disease (COPD) from a bacterial infection
    •Bronchitis
    •Sinus infections
    •Pneumonia
    •Strep throat
    •Tonsil infections
    •Skin infections (e.g., cellulitis)
    •Urethra or cervix infections
    •Genital ulcer disease (chancroid)

    Children

    Azithromycin (Zithromax) can treat certain types of:

    •Ear infections (ages 6 months and older)
    •Pneumonia (ages 6 months and older)
    •Strep throat (ages 2 years and older)
    •Tonsil infections (ages 2 years and older)

  • Pros and Cons of Augmentin vs. Azithromycin

    Pros and Const for Penicillin antibiotic / Beta-lactamase inhibitor
    Pros
    •Treats many types of bacterial infections in children and adults
    •Available as a tablet, chewable tablet, and oral suspension
    •Available as a lower-cost generic
    •Safe to use while pregnant and while breastfeeding
    Cons
    •Typically need to take 2 or 3 times daily
    •Might not be able to take this antibiotic if you've had a severe penicillin allergy
    •Can cause stomach side effects like nausea, vomiting, and diarrhea
    Pros and Const for Macrolide antibiotic
    Pros
    •Taken by mouth once daily
    •Treatment typically lasts only 3 to 5 days
    •Comes as a liquid; good option for people who've trouble swallowing tablets
    •Available as a lower-cost generic
    Cons
    •Might not be the best choice for people with severe liver problems or certain heart problems
    •Can cause stomach-related side effects, like diarrhea and stomach pain
    •Some bugs might be resistant to azithromycin (Zithromax)

  • Common Side Effects of Augmentin vs. Azithromycin

    Common Side Effects for

    Immediate-release tablets, chewable tablets, and suspension

    •Diarrhea or loose stools (9%)
    •Nausea (3%)
    •Skin rash (3%)

    Extended-release tablets

    •Diarrhea (15%)
    •Vaginal yeast infection (3%)

    Augmentin ES-600 (amoxicillin / clavulanate) suspension

    •Vomiting (7%)
    •Fever (6%)
    •Rash (6%)
    •Upper respiratory tract infection (e.g., common cold; 4%)
    •Diarrhea (4%)
    Common Side Effects for

    Adults

    •Diarrhea (4-5%)
    •Nausea (3%)
    •Stomach pain (2-3%)

    Children

    •Diarrhea (2-6%)
    •Vomiting (1-6%)
    •Stomach pain (1-3%)

  • Warnings of Augmentin vs. Azithromycin

    Common Side Effects for
    •Severe allergic reactions and skin reactions
    •Liver problems
    •Diarrhea from Clostridioides difficile infection
    •Caution use in people with phenylketonuria (PKU) - for chewable tablets and suspension
    Common Side Effects for
    •Severe allergic and skin reactions
    •Liver damage
    •Heart rhythm problems (QT prolongation)
    •Possible higher risk of death from heart problems
    •Diarrhea from Clostridioides difficile infection
    •Worsening of certain muscle problems (myasthenia gravis)
    •Doesn't treat syphilis

  • Prices with our coupons for Augmentin vs. Azithromycin

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    Learn more about Azithromycin

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