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Cefixime vs. Cefdinir

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

Key takeaways

Cefixime (Suprax) and cefdinir (formerly Omnicef) are both cephalosporin antibiotics used to treat bacterial infections. They share some common uses, such as treating ear infections and strep throat. However, cefdinir is also used for pneumonia and sinus infections, while cefixime is approved for urinary tract infections and gonorrhea. Cefixime is available as a tablet, chewable tablet, and suspension, while cefdinir comes in capsules and suspension forms. Cefixime is typically taken once a day, but cefdinir can be taken once or twice a day depending on the infection. Both medications can cause diarrhea, nausea, and rash. Cefdinir has specific interactions with antacids and iron supplements, which should be taken at different times to avoid absorption issues. Both medications are available as generics, but cefixime tends to be more expensive. If you have a penicillin allergy, you should be cautious with both medications due to potential cross-reactivity.

Cefixime

(Suprax)

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Cefdinir

 

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Summary for Cefixime

Prescription only

Cefixime (Suprax) is a cephalosporin antibiotic that treats many types of bacterial infections, but it tends to cause diarrhea and stomach upset, and is more expensive than other similar antibiotics.

Indications for Cefixime

  • Urinary tract infections
  • Ear infections (otitis media)
  • Throat and tonsil infections (strep throat, tonsillitis)
  • Bronchitis with bacterial infection
  • Gonorrhea

Pros and Cons for Cefixime

Pros

  • Treats many types of bacterial infections
  • May be a good choice for people who have gonorrhea and don't like getting shots
  • Available as a suspension and chewable tablet for people who cannot swallow pills
  • Can be taken once a day, which is convenient
  • Available as a generic

Cons

  • About 30% of people who take cefixime (Suprax) experience a stomach or intestinal side effect, such as nausea and diarrhea.
  • Not recommended to be used for the cold or flu, or for bronchitis that is not bacterial
  • If you're allergic to penicillins or other cephalosporin antibiotics, you might not be able to take this medicine.
  • Though it is available as a generic, cefixime (Suprax) costs more than other antibiotics that are used for the same types of infections.

Common Side Effects for Cefixime

  • Diarrhea (16%)
  • Nausea (7%)
  • Loose or frequent stools (6%)
  • Passing gas (4%)
  • Abdominal pain (3%)
  • Indigestion (3%)

Warnings for Cefixime

  • ALLERGIC REACTION
  • C. DIFFICILE DIARRHEA
  • KIDNEY PROBLEMS
  • HIGHER RISK OF BLEEDING
  • DRUG-RESISTANT BACTERIA
  • PHENYLKETONURIA (PKU) PROBLEMS

Summary for Cefdinir

Prescription only

Cefdinir, also known by its brand name Omnicef, is a cephalosporin antibiotic that can treat several types of bacterial infections, such as pneumonia, sinus infections, and ear infections. Although the brand name is no longer available, its generic can still be prescribed for adults and children. Cefdinir comes as capsules and a suspension that are taken once or twice per day by mouth. Side effects can include diarrhea, nausea, and rash.

Indications for Cefdinir

Pros and Cons for Cefdinir

Pros

  • Available as a capsule and oral suspension
  • Can be used for children and adults
  • Might be able to take once per day, depending on the infection
  • Can keep oral suspension at room temperature for up to 10 days

Cons

  • Might not be able to take this antibiotic if you've had a severe allergic reaction to penicillins or other cephalosporin antibiotics
  • Must separate when you take cefdinir and antacids or iron supplements by at least 2 hours
  • Oral suspension contains sugar, so people with diabetes might have higher blood sugar levels while they're taking the antibiotic
  • Not recommended for the cold or flu, since they're not caused by a bacterial infection

Common Side Effects for Cefdinir

  • Diarrhea (up to 15%)

Warnings for Cefdinir

  • Severe allergic reactions
  • Diarrhea from Clostridioides difficile infection
  • Possible development of drug-resistant bacteria

Prices with our coupons for Cefixime vs. Cefdinir

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Cefixime2 capsules / 400mg
$17.71$38.33
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Cefdinir20 capsules / 300mg
$19.03$91.55
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