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Macrobid vs. Amoxil

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

Key takeaways

Nitrofurantoin (Macrobid) and amoxicillin (Amoxil) are both antibiotics, but they belong to different classes and treat different types of infections. Nitrofurantoin is a nitrofuran antibiotic mainly used to treat or prevent urinary tract infections (UTIs) by targeting bacteria in the urinary tract. In contrast, amoxicillin is a penicillin antibiotic that treats a wider range of infections, including respiratory, skin, and UTIs. Nitrofurantoin is typically taken with food to improve absorption and reduce stomach upset, while amoxicillin can be taken with or without food. Nitrofurantoin is not suitable for people with severe kidney problems or those in the last weeks of pregnancy, whereas amoxicillin is generally safe during pregnancy but not recommended for those with severe penicillin allergies. Common side effects of nitrofurantoin include nausea and headache, while amoxicillin often causes diarrhea and rash. Both medications are available in generic forms, making them more affordable options.

Nitrofurantoin

(Macrobid)

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Amoxicillin

(Amoxil)

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Summary for Macrobid

Prescription only

Nitrofurantoin (Macrobid) is an antibiotic used to treat or prevent a urinary tract infection (UTI). Some side effects include nausea, headache, and gas. It can also make your urine turn dark yellow or brown. Nitrofurantoin (Macrobid) doesn't have many interactions with other medications. There's a lower-cost generic version of nitrofurantoin (Macrobid) available.

Indications for Macrobid

  • Treatment or prevention of urinary tract infections

Pros and Cons for Macrobid

Pros

Cons

  • Might need to take up to four times a day (depending on the formulation)
  • Can interact with certain types of antacids, travel vaccines, and lab tests
  • Can harm your lungs, liver, and nerves if taken for a long period of time

Common Side Effects for Macrobid

  • Nausea (8%)
  • Headache (6%)
  • Gas (2%)

Warnings for Macrobid

  • Lung damage
  • Liver damage
  • Nerve damage (neuropathy)
  • Breakdown of red blood cells (hemolytic anemia)
  • Severe diarrhea

Summary for Amoxil

Prescription only

Amoxicillin (Amoxil) is a penicillin antibiotic that's used to treat a wide variety of bacterial infections, such as sinus infections, ear infections, strep throat, and urinary tract infections (UTIs). It's available as oral pills, a chewable tablet, and an oral liquid. Amoxicillin (Amoxil) is well-tolerated, but possible side effects include diarrhea, vomiting, and rash.

Indications for Amoxil

Pros and Cons for Amoxil

Pros

  • Works well to treat many different bacterial infections
  • Can use for adults and children
  • Available in many forms (e.g., oral tablet, chewable tablet, capsule, liquid)
  • Liquid form comes in many different flavors to make it taste better

Cons

  • Might need to take up to three times per day
  • Can cause stomach side effects like nausea, vomiting, and diarrhea
  • Not the best option if you have severe kidney problems
  • Might not be able to take this medication if you've had a severe allergy to penicillin

Common Side Effects for Amoxil

  • Diarrhea
  • Nausea
  • Vomiting
  • Rash

Warnings for Amoxil

  • Severe allergic and skin reactions
  • Diarrhea from Clostridioides difficile infection
  • Development of drug-resistant bacteria

Prices with our coupons for Macrobid vs. Amoxil

Price Card Drug Icon
Nitrofurantoin14 capsules / 100mg
$16.49$34.43
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Price Card Drug Icon
Amoxicillin21 capsules / 500mg
$9.09$12.20
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