Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Cefpodoxime (Vantin) and sulfamethoxazole/trimethoprim (Bactrim) are both antibiotics used to treat bacterial infections, but they belong to different classes and work in different ways. Cefpodoxime, available as a generic, is a cephalosporin antibiotic that kills bacteria by preventing them from forming a protective covering. It's typically taken twice a day and treats infections like strep throat, pneumonia, and UTIs. On the other hand, sulfamethoxazole/trimethoprim, also available as a generic, is a combination of a sulfonamide and an antifolate that stops bacteria from making folic acid, which is essential for their growth. This antibiotic is used for UTIs, ear infections, and certain types of pneumonia, and it can be taken as a tablet, liquid, or injection. While both medications can cause side effects like nausea and diarrhea, sulfamethoxazole/trimethoprim can also make your skin more sensitive to the sun and is not recommended during pregnancy. Additionally, sulfamethoxazole/trimethoprim should not be taken if you have a sulfa allergy, whereas cefpodoxime might not be suitable if you have a severe penicillin allergy.
Cefpodoxime
Sulfamethoxazole/trimethoprim
Cefpodoxime
Sulfamethoxazole/trimethoprim
Summary of Vantin vs. Bactrim
Summary for Cephalosporin antibiotic
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.
Summary for Sulfonamide antibiotic
Prescription only
Sulfamethoxazole/trimethoprim (sometimes known as SMZ/TMP) is a combination medication containing an antifolate and sulfa antibiotic. It's used to treat different types of infections, such as urinary tract infections (UTIs), ear infections, and lung infections. This antibiotic has two different brand names, Bactrim and Septra, and it's also available as a lower-cost generic. It's a tablet that's taken by mouth, typically twice daily for most types of infections. This antibiotic also comes as a suspension under the brand name Sulfatrim for people who can't swallow tablets and as an injection for people in the hospital. Common side effects include nausea, diarrhea, and rash.