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Xenleta vs. Ceftin

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

Key takeaways

Xenleta (lefamulin) and cefuroxime axetil (Ceftin) are both antibiotics used to treat bacterial infections, but they belong to different medication classes and have different uses. Xenleta (lefamulin) is specifically FDA-approved for treating community-acquired bacterial pneumonia (CABP) in adults. It comes as an oral tablet and an intravenous (IV) infusion. In contrast, cefuroxime is a cephalosporin antibiotic that treats a wide range of infections, including sinus infections, ear infections, urinary tract infections (UTIs), and Lyme disease. Cefuroxime is available as a generic tablet and injection. While both medications can cause side effects like diarrhea and nausea, Xenleta (lefamulin) has a risk of causing QT prolongation, a serious heart rhythm problem, especially when taken with certain other medications. Cefuroxime has a higher risk of allergic reactions, especially for those with penicillin allergies. Additionally, Xenleta (lefamulin) is not recommended during pregnancy, whereas cefuroxime is generally considered safe during pregnancy.

Xenleta

(lefamulin)

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Cefuroxime

 

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Summary for Xenleta

Prescription only

Xenleta (lefamulin) is FDA approved to treat adults with community-acquired bacterial pneumonia (CABP). This medication is a type of antibiotic called a pleuromutilin antibiotic. Xenleta (lefamulin) is a tablet that's taken by mouth twice a day for 5 days. It's also available as an intravenous (IV) infusion that's given by a healthcare professional for 5 to 7 days. Side effects aren't common but can include diarrhea and nausea.

Indications for Xenleta

Pros and Cons for Xenleta

Pros

  • Available as a tablet and an IV infusion
  • Treatment typically lasts 5 to 7 days

Cons

Common Side Effects for Xenleta

Xenleta (lefamulin) tablets:

  • Diarrhea (12%)
  • Nausea (5%)

Xenleta (lefamulin) injection:

  • Pain, swollen vein, or other reactions at the injection site (7%)

Warnings for Xenleta

  • Risk for serious abnormal heart rhythm (QT prolongation)
  • Harm to an unborn baby
  • Diarrhea from Clostridioides difficile infection
  • Drug-resistant bacteria

Summary for Ceftin

Prescription only

Cefuroxime, also known by its brand name Ceftin, is a cephalosporin antibiotic that treats bacterial infections throughout the body. These infections can include sinus infection, ear infection, and urinary tract infection (UTI), among others. The brand name Ceftin has been discontinued, but generic cefuroxime is still available as a tablet and an injection. The tablets are taken by mouth typically every 12 hours, but the dosage depends on your infection and kidney function. Side effects aren't common, but can include diarrhea, nausea, and vomiting.

Indications for Ceftin

Cefuroxime tablets:

Cefuroxime injection:

Pros and Cons for Ceftin

Pros

  • Treats many types of bacterial infections throughout your body
  • Has generally few side effects
  • Can be used for children and adults
  • Available as a lower-cost generic

Cons

  • Might not be able to take this medication if you've had a severe allergy to penicillins or other cephalosporin antibiotics
  • No oral liquid available for people who have trouble swallowing pills
  • Not recommended for the cold or flu, since these infections aren't typically caused by bacteria

Common Side Effects for Ceftin

  • Diarrhea (4%)
  • Nausea or vomiting (3%)

Warnings for Ceftin

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

Prices with our coupons for Xenleta vs. Ceftin

Price Card Drug Icon
Xenleta30 tablets / 600mg
$3,966.25$5,566.45
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Cefuroxime Axetil14 tablets / 500mg
$17.12$41.65
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