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Cefpodoxime vs. Cephalexin

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

Key takeaways

Cefpodoxime and cephalexin are both cephalosporin antibiotics used to treat bacterial infections, including urinary tract infections (UTIs) and ear infections. However, they differ in several ways. Cefpodoxime, available as a generic, is typically taken twice a day and is used for a wider range of infections, such as gonorrhea. Cephalexin, also available as a generic, is taken 2 to 4 times a day and is used for infections like bone and reproductive system infections. While both medications can cause side effects like diarrhea and nausea, cephalexin may also cause indigestion and dizziness. Cefpodoxime should be taken with food to improve absorption, whereas cephalexin can be taken with or without food. Both medications can interact with other drugs like probenecid, but cephalexin has specific interactions with metformin. Additionally, cephalexin carries a risk of seizures and bleeding, especially in people with kidney problems or those taking high doses.

Cefpodoxime

 

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Cephalexin

 

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Summary for Cefpodoxime

Prescription only

Cefpodoxime is a cephalosporin antibiotic. It's used to treat several types of bacterial infections, such as urinary tract infection (UTI), pneumonia, and strep throat, in adults and children. The brand-name product Vantin is discontinued, but the antibiotic is still available as a lower-cost generic tablet and suspension. The dosage depends on your age and the type of infection you have, but cefpodoxime is typically taken twice per day by mouth. Side effects include diarrhea and nausea.

Indications for Cefpodoxime

Pros and Cons for Cefpodoxime

Pros

  • Treats many types of bacterial infections throughout the body
  • Can use to treat infections in both children and adults
  • Available as a tablet and liquid suspension
  • Available as a lower-cost generic

Cons

  • Need to take twice per day to treat most infections
  • Might not be able to take if you have a severe allergy to penicillins or other cephalosporin antibiotics
  • Not recommended for the cold or flu, since they're not caused by a bacterial infection

Common Side Effects for Cefpodoxime

  • Diaper rash or fungal skin rash in children (up to 9%)
  • Diarrhea (up to 7% in adults; up to 13% in children under 2 years old)
  • Nausea (3%)
  • Vomiting (2%)

Warnings for Cefpodoxime

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

Summary for Cephalexin

Prescription only

Cephalexin, also commonly known as Keflex, is a cephalosporin antibiotic for people ages 1 year and older. It can treat many types of bacterial infections. This includes ear infections, skin infections like cellulitis, urinary tract infections (UTIs), and strep throat. Cephalexin comes as capsules, tablets, and a liquid suspension. It's taken by mouth 2 to 4 times per day. Side effects can include nausea, vomiting, and diarrhea. Cephalexin is a generic medication; its brand name Keflex is no longer available.

Indications for Cephalexin

Pros and Cons for Cephalexin

Pros

  • Treats several common types of bacterial infections
  • Okay for children as young as 1 year old to take
  • Available as a liquid for people who have trouble swallowing pills

Cons

  • Usually need to take a few times per day
  • Might not be able to take if you're allergic to penicillins or other cephalosporin antibiotics
  • Not recommended for the cold or flu (these are viral illnesses, not bacterial infections)

Common Side Effects for Cephalexin

  • Diarrhea
  • Nausea
  • Vomiting
  • Indigestion
  • Stomach pain

Warnings for Cephalexin

  • Allergic reactions
  • Diarrhea from Clostridioides difficile infection
  • Seizures
  • Higher risk of bleeding
  • Possible development of drug-resistant bacteria

Prices with our coupons for Cefpodoxime vs. Cephalexin

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Cefpodoxime14 tablets / 200mg
$29.65$85.77
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Cephalexin28 capsules / 500mg
$10.68$29.98
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