Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Ceftriaxone (generic name) and Cefepime (brand name Maxipime) are both cephalosporin antibiotics used to treat bacterial infections, but they have some differences. Ceftriaxone is typically given once a day and can be administered either intravenously or intramuscularly, making it versatile for various settings, including home use. In contrast, Cefepime is usually given every 8 to 12 hours and is primarily administered intravenously, though it can be given intramuscularly for certain urinary tract infections. Cefepime is a fourth-generation cephalosporin, which means it can treat some infections caused by resistant bacteria, including Pseudomonas aeruginosa, whereas Ceftriaxone is not as effective against resistant bacteria. Both medications can cause similar side effects, such as diarrhea and nervous system issues, but Cefepime may require more frequent dosing and closer monitoring, especially in people with kidney problems. Additionally, Ceftriaxone is generally considered safe during pregnancy until close to delivery, while Cefepime's safety in pregnancy isn't specified.
Ceftriaxone
Cefepime (Maxipime)
Ceftriaxone
Cefepime (Maxipime)
Summary of Rocephin vs. Maxipime
Summary for Cephalosporin antibiotic
Prescription only
Ceftriaxone is one of the most commonly used antibiotics because of its low risk for side effects and its ability to treat several types of bacterial infections. Ceftriaxone is an injection given either into the veins or into the muscle, so it's used most often in the hospital or a clinic setting (e.g., nursing home, provider's office). But it can also be used at home in certain situations. The dosage depends on the type and severity of your infection, but it's usually given once per day. If you have a penicillin allergy, you might still be able to receive ceftriaxone depending on your reaction to penicillin.
Summary for Cephalosporin antibiotic
Prescription only
Cefepime (also known by its brand name, Maxipime) is an antibiotic that treats a wide range of bacterial infections, including pneumonia, skin infections, stomach infections, and urinary tract infections (UTIs). It belongs to the cephalosporin drug class (fourth generation). Cefepime (Maxipime) is typically given as an injection through the veins (intravenous or IV). It can also be given as an injection into the muscle for certain UTIs. Your provider will decide on the dose depending on the type and severity of the infection and your kidney health. Some side effects include reactions at the injection site, like pain and inflammation.