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Azithromycin vs. Penicillin

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

Key takeaways

Azithromycin (Zithromax) and penicillin V potassium (Penicillin VK) are both antibiotics used to treat bacterial infections, including strep throat and certain respiratory infections. However, they belong to different medication classes. Azithromycin is a macrolide antibiotic, while penicillin V potassium is a penicillin antibiotic. Azithromycin is typically taken once daily for 3 to 5 days, whereas penicillin V potassium is taken every 6 to 12 hours for 10 days. Both medications are availible as a generic and come in tablet and liquid forms. 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. Azithromycin can interact with medications like antiarrhythmics and statins, increasing the risk of heart rhythm problems and muscle issues, respectively. Both medications require a prescription and should be taken as directed by your healthcare professional.

Azithromycin

(Zithromax)

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Penicillin V potassium

(Penicillin VK)

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Summary for Azithromycin

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 for Azithromycin

Adults

Azithromycin (Zithromax) can treat certain types of:

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 for Azithromycin

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 for Azithromycin

Adults

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

Children

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

Warnings for Azithromycin

  • 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

Summary for Penicillin

Prescription only

Penicillin V potassium (Penicillin VK) is an antibiotic used to treat several types of infections throughout the body in adults and children. It's available as tablets and suspension that are taken by mouth. The dosage depends on the type of infection you have and how severe it is, but the medication is typically taken every 6 to 12 hours. Side effects include nausea, diarrhea, and vomiting.

Indications for Penicillin

Pros and Cons for Penicillin

Pros

  • Works well to treat many different bacterial infections
  • Can use for adults and children
  • Can be taken with or without food
  • Available as a tablet and suspension

Cons

  • Can cause stomach side effects like nausea, vomiting, and diarrhea
  • Might not be able to take this medication if you've had a severe allergy to penicillin
  • Not recommended for treating a cold or the flu because these are viral infections
  • Needs to be taken every 6 to 8 hours

Common Side Effects for Penicillin

  • Nausea
  • Vomiting
  • Stomach upset
  • Diarrhea

Warnings for Penicillin

  • Allergic reaction
  • Infectious diarrhea
  • Development of drug-resistant bacteria

Prices with our coupons for Azithromycin vs. Penicillin

Price Card Drug Icon
Azithromycin1 z-pak / 6 tablets of 250mg
$9.38$35.99
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Penicillin V Potassium28 tablets / 500mg
$13.97-
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