{"id":12363,"date":"2020-06-23T09:31:54","date_gmt":"2020-06-23T13:31:54","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=12363"},"modified":"2026-04-16T13:40:15","modified_gmt":"2026-04-16T09:40:15","slug":"azithromycin-vs-amoxicillin","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/azithromycin-vs-amoxicillin\/","title":{"rendered":"Azithromycin vs. amoxicillin: Differences, similarities, and which is better for you"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">If you&#8217;ve ever had a sinus infection, strep throat, or another bacterial illness, there&#8217;s a good chance you&#8217;ve taken <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/azithromycin\"><span style=\"font-weight: 400;\">azithromycin<\/span><\/a><span style=\"font-weight: 400;\"> or <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/amoxicillin\"><span style=\"font-weight: 400;\">amoxicillin<\/span><\/a><span style=\"font-weight: 400;\">. Both of these antibiotics, which are approved by the Food and Drug Administration (FDA), are commonly prescribed to treat various bacterial infections, but they work in different ways and have different uses, side effects, and costs. So, which one is better for you?<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th><span class=\"title\">Main differences between azithromycin and amoxicillin<\/span><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><span style=\"font-weight: 400;\">\u00a0<\/span><\/td>\n<td><b>Azithromycin<\/b><\/td>\n<td><b>Amoxicillin<\/b><\/td>\n<\/tr>\n<tr>\n<td><b>Drug class<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Macrolide antibiotic<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Penicillin antibiotic<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Brand\/generic status<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Brand and generic<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Generic<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>What is the brand name?<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Zithromax<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Amoxil<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>What form(s) does the drug come in?<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Tablets, suspension, injection, powder packet,<\/span><\/p>\n<p><span style=\"font-weight: 400;\">eye drops (AzaSite)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Capsule, suspension, tablet, chewable tablet<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Also: tablet, chewable tablet, and suspension in combination with clavulanic acid (amoxicillin-clavulanate) as <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/amoxicillin-vs-augmentin\/\"><span style=\"font-weight: 400;\">Augmentin<\/span><\/a><span style=\"font-weight: 400;\">; in combination with lansoprazole and clarithromycin as generic Prevpac<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>What is the standard dosage?<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Z-Pak: 2 tablets by mouth on day 1, then 1 tablet daily on days 2 through 5<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Varies; example: 500 mg by mouth 3 times a day for 10 days<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>How long is the typical treatment?<\/b><\/td>\n<td><span style=\"font-weight: 400;\">5 days; varies<\/span><\/td>\n<td><span style=\"font-weight: 400;\">7-10 days; varies<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Who typically uses the medication?<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Adults and children<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Adults and children<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 id=\"what-are-the-main-differences-between-azithromycin-and-amoxicillin\"><b>What are the main differences between azithromycin and amoxicillin?<\/b><\/h2>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/azithromycin\"><span style=\"font-weight: 400;\">Azithromycin<\/span><\/a><span style=\"font-weight: 400;\"> is a macrolide antibiotic, known by its brand name Zithromax. Zithromax is made by Pfizer. <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/azithromycin\/what-is\"><span style=\"font-weight: 400;\">Azithromycin<\/span><\/a><span style=\"font-weight: 400;\"> is commonly prescribed as a tablet, in the form of a Zithromax Z-Pak (a six-tablet, 5-day course of azithromycin) or <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/zithromax-tri-pak\"><span style=\"font-weight: 400;\">Zithromax Tri-Pak<\/span><\/a><span style=\"font-weight: 400;\"> (a 3-day course of azithromycin). Used in both adults and children, the dosage varies by indication. Other macrolide antibiotics you may have heard of include erythromycin and clarithromycin.<\/span><\/p>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/amoxicillin\"><span style=\"font-weight: 400;\">Amoxicillin<\/span><\/a><span style=\"font-weight: 400;\"> is a penicillin antibiotic known by the brand name Amoxil. It is most commonly prescribed as capsules or as a combination drug called Augmentin that also contains clavulanic acid (to prevent resistance). <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/amoxicillin\/what-is\"><span style=\"font-weight: 400;\">Amoxicillin<\/span><\/a><span style=\"font-weight: 400;\"> is commonly used in adults and children, and the <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/amoxicillin\/dosage\"><span style=\"font-weight: 400;\">dosage<\/span><\/a><span style=\"font-weight: 400;\"> varies by indication. (Unless noted, this article will focus on amoxicillin, not Augmentin.)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It\u2019s important to note that when prescribed an antibiotic, you should take it as directed and <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/finish-antibiotics\/\"><span style=\"font-weight: 400;\">finish the full course<\/span><\/a><span style=\"font-weight: 400;\"> of treatment, even if you start to feel better. However, if you have been taking an antibiotic for several days and feel worse or do not feel any better, contact your healthcare provider for guidance.<\/span><\/p>\n<h2 id=\"conditions-treated-by-azithromycin-and-amoxicillin\"><b>Conditions treated by azithromycin and amoxicillin<\/b><\/h2>\n<h3 id=\"azithromycin\"><span style=\"font-weight: 400;\">Azithromycin<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Azithromycin is used to treat various bacterial infections in both adults and children. It is often used in people allergic to penicillin or need a shorter treatment course.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Azithromycin may be prescribed for bacterial infections such as:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Acute bronchitis<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sinusitis (sinus infections)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Community-acquired pneumonia\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Strep throat\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Skin infections<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Certain sexually transmitted infections (STIs), such as chlamydia or gonorrhea<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Acute otitis media, or middle ear infections (in pediatric patients over 6 months)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Many of these infections are caused by <\/span><i><span style=\"font-weight: 400;\">Streptococcus pneumoniae<\/span><\/i><span style=\"font-weight: 400;\">, a common type of bacteria.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Azithromycin should not be used for pneumonia in people who are older, hospitalized, or have weakened immune systems.<\/span><\/p>\n<h3 id=\"amoxicillin\"><span style=\"font-weight: 400;\">Amoxicillin<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Amoxicillin is also used to treat many common bacterial infectious diseases in adults and children. It is often considered a first-line treatment for ear, nose, and throat infections.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Amoxicillin may be prescribed for:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ear infections<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sinusitis<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Strep throat and tonsillitis<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Skin infections<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Urinary tract infections (UTIs)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lower respiratory tract infections, such as pneumonia<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Certain sexually transmitted infections, such as gonorrhea<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stomach infections caused by <\/span><i><span style=\"font-weight: 400;\">H. pylori<\/span><\/i><span style=\"font-weight: 400;\">, as part of combination therapy<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">To reduce the development of antibiotic resistance, azithromycin or amoxicillin should only be used in bacterial infections when your healthcare provider determines it is appropriate. In fact, the Centers for Disease Control and Prevention (<\/span><a href=\"https:\/\/www.cdc.gov\/antibiotic-use\/stewardship-report\/index.html\"><span style=\"font-weight: 400;\">CDC<\/span><\/a><span style=\"font-weight: 400;\">) is promoting the appropriate use of antibiotics by helping healthcare providers choose the right antibiotic (including the right dose and duration) and reduce unnecessary antibiotic use. This is called <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/antibiotic-stewardship\/\"><span style=\"font-weight: 400;\">antibiotic stewardship<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h2 id=\"is-azithromycin-or-amoxicillin-more-effective\"><b>Is azithromycin or amoxicillin more effective?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Both azithromycin and amoxicillin are very commonly prescribed and generally well-tolerated. If you think you have a bacterial infection, see your healthcare provider as soon as possible. They can examine you, assess your need for antibiotics, and determine which one is most appropriate based on your symptoms and medical history, along with other drugs you take that may interact with azithromycin or amoxicillin.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Effectiveness depends on the infection and the bacteria involved. For example, both are effective for middle ear infections and pneumonia. Some research suggests <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8070272\/\"><span style=\"font-weight: 400;\">azithromycin may be better tolerated<\/span><\/a><span style=\"font-weight: 400;\"> in children due to fewer gastrointestinal side effects.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A <\/span><a href=\"https:\/\/jptcp.com\/index.php\/jptcp\/article\/view\/9317\"><span style=\"font-weight: 400;\">2024 study<\/span><\/a><span style=\"font-weight: 400;\"> compared azithromycin and amoxicillin for pediatric community-acquired pneumonia. The researchers found that both drugs were similarly effective in treating this condition.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ultimately, only your healthcare provider can advise which antibiotic is right for you based on your condition, medical history, and current medications.<\/span><\/p>\n<table class=\" singlecare-table\" role=\"table\">\n<thead>\n<tr>\n<th colspan=\"3\">\n<h2 id=\"compare-azithromycin-vs-amoxicillin-cost-coverage\" style=\"text-align: center;\"><span style=\"font-weight: 400;\">Compare azithromycin vs. amoxicillin cost &amp; coverage<\/span><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b> Cost\/coverage details<\/b><\/td>\n<td><b>Azithromycin<\/b><\/td>\n<td><b>Amoxicillin<\/b><\/td>\n<\/tr>\n<tr>\n<td><b>Typically covered by insurance?<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Typically covered by Medicare prescription plans?<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Standard dosage<\/b><\/td>\n<td><span style=\"font-weight: 400;\">1 Z-Pak (6, 500 mg tablets)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">21, 500 mg capsules<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Average retail price<\/b><\/td>\n<td><span style=\"font-weight: 400;\"><span class=\"scdp scdp-unc-price\">$28.25<\/span><\/span><\/td>\n<td><span style=\"font-weight: 400;\"><span class=\"scdp scdp-unc-price\">$12.50<\/span><\/span><\/td>\n<\/tr>\n<tr>\n<td><b>SingleCare cost<\/b><\/td>\n<td><span style=\"font-weight: 400;\"><span class=\"scdp scdp-pharmacy-price\">$6.85 at Walmart<\/span><\/span><\/td>\n<td><span style=\"font-weight: 400;\"><span class=\"scdp scdp-pharmacy-price\">$4.90 at Walmart<\/span><\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/resources\/antibiotics\"><b>Free coupons for common antibiotics<\/b><\/a><\/p>\n<h2 id=\"common-side-effects-of-azithromycin-vs-amoxicillin\"><b>Common side effects of azithromycin vs. amoxicillin<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">The most common side effects of azithromycin are <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/antibiotics-that-cause-c-diff\/\"><span style=\"font-weight: 400;\">diarrhea<\/span><\/a><span style=\"font-weight: 400;\">, nausea, and abdominal pain. Other side effects, which are less common and occur in less than 1% of patients, include vomiting, gas, dizziness, headache, sleepiness, and rash.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The most common side effects of amoxicillin are related to penicillin sensitivity. They include nausea, vomiting, diarrhea, a black\/hairy tongue, and rash\/hypersensitivity reactions.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In general, antibiotic therapy may make you more susceptible to a yeast infection. Ask your healthcare provider if you should take a <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/taking-probiotics-with-antibiotics\/\"><span style=\"font-weight: 400;\">probiotic<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This is not a full list of side effects. Other side effects may occur. Consult your healthcare provider for a full list of potential adverse events.<\/span><\/p>\n<h2 id=\"drug-interactions-of-azithromycin-vs-amoxicillin\"><b>Drug interactions of azithromycin vs. amoxicillin<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Taking either azithromycin or amoxicillin in combination with an anticoagulant (blood thinner) such as warfarin may increase the risk of bleeding, which can be life-threatening. Patients should be closely monitored during antibiotic treatment if this combination is prescribed.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Oral contraceptives (birth control pills), when taken in combination with antibiotics, can be less effective\u2014though evidence is limited. Still, it\u2019s a good idea to consult your healthcare provider about the need for effective backup birth control to prevent pregnancy, such as a condom, while you are on an antibiotic.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Azithromycin drug interactions may also occur with digoxin or colchicine. Drugs that prolong the QT interval, including certain antiarrhythmics, should not be taken with azithromycin due to the risk of life-threatening or fatal arrhythmia.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Allopurinol in combination with amoxicillin can lead to a greater incidence of rash.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This is not a complete list of drug interactions. Other drug interactions may occur. Consult your healthcare provider for professional medical advice.<\/span><\/p>\n<table class=\" singlecare-table\">\n<tbody>\n<tr class=\"header-row\">\n<td><b>Drug<\/b><\/td>\n<td><b>Drug Class<\/b><\/td>\n<td><b>Azithromycin<\/b><\/td>\n<td><b>Amoxicillin<\/b><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/amitriptyline-hcl\"><span style=\"font-weight: 400;\">Amitriptyline<\/span><\/a><\/p>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/desipramine-hcl\"><span style=\"font-weight: 400;\">Desipramine<\/span><\/a><\/p>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/fluoxetine-hcl\"><span style=\"font-weight: 400;\">Fluoxetine<\/span><\/a><\/p>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/haloperidol\"><span style=\"font-weight: 400;\">Haloperidol<\/span><\/a><\/p>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/methadone-hcl\"><span style=\"font-weight: 400;\">Methadone<\/span><\/a><\/p>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/quetiapine-fumarate\"><span style=\"font-weight: 400;\">Quetiapine<\/span><\/a><\/p>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/sertraline-hcl\"><span style=\"font-weight: 400;\">Sertraline<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">Drugs that prolong the QT interval<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/colchicine\"><span style=\"font-weight: 400;\">Colchicine<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">Anti-gout agent<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Coumadin (warfarin)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Blood thinner<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes\u00a0<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Lanoxin (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/digoxin\"><span style=\"font-weight: 400;\">digoxin<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Cardiac glycosides<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Oral contraceptives<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Oral contraceptives<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Viracept (nelfinavir)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Protease inhibitor<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Zyloprim (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/allopurinol\"><span style=\"font-weight: 400;\">allopurinol<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Xanthine oxidase inhibitor (used for gout)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 id=\"warnings-of-azithromycin-and-amoxicillin\"><b>Warnings of azithromycin and amoxicillin<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">You should not take azithromycin or amoxicillin if you&#8217;ve had a serious allergic reaction to similar antibiotics. Be sure to tell your healthcare provider if you are allergic to <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/macrolides\"><span style=\"font-weight: 400;\">macrolide antibiotics<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/penicillins\"><span style=\"font-weight: 400;\">penicillins<\/span><\/a><span style=\"font-weight: 400;\">, or <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/cephalosporins\"><span style=\"font-weight: 400;\">cephalosporins<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Serious warnings, which require immediate or urgent medical attention, include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b><i>C. diff<\/i><\/b><b>-associated diarrhea<\/b><span style=\"font-weight: 400;\">: Can occur during or up to several months after treatment\u2014report watery diarrhea or bloody stools to your healthcare provider right away<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Liver toxicity<\/b><span style=\"font-weight: 400;\">: Especially with azithromycin<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Severe allergic reactions<\/b><span style=\"font-weight: 400;\">: Anaphylaxis can be life-threatening\u2014get emergency medical help for symptoms like hives, trouble breathing, or swelling of the face, lips, tongue, or throat<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>QT prolongation<\/b><span style=\"font-weight: 400;\">: Azithromycin may increase the risk of heart arrhythmias<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Drug-induced enterocolitis syndrome (DIES):<\/b><span style=\"font-weight: 400;\"> A rare but serious allergic reaction associated with amoxicillin that usually occurs in children. It can cause vomiting up to four hours after taking this medicine, along with symptoms like fatigue, pale skin, or diarrhea.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Tell your healthcare provider if you are pregnant, planning to become pregnant, or breastfeeding.\u00a0<\/span><\/p>\n<h2 id=\"frequently-asked-questions-about-azithromycin-vs-amoxicillin\"><b>Frequently asked questions about azithromycin vs. amoxicillin<\/b><\/h2>\n<h3 id=\"are-azithromycin-and-amoxicillin-the-same\"><b>Are azithromycin and amoxicillin the same?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Both medications are used to treat bacterial infections in adults and children. Azithromycin is a macrolide antibiotic, while amoxicillin is a beta-lactam\/penicillin antibiotic. They work in different ways and have some differences, such as in indications and drug interactions.<\/span><\/p>\n<h3 id=\"can-i-take-amoxicillin-with-azithromycin\"><b>Can I take amoxicillin with azithromycin?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Not usually. Your provider may prescribe both in rare cases, such as when multiple bacteria may be involved.<\/span><\/p>\n<h3 id=\"is-azithromycin-or-amoxicillin-better\"><b>Is azithromycin or amoxicillin better?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">While both drugs are effective, your healthcare provider can determine if you have a bacterial infection. A viral infection does not respond to antibiotics and can increase drug resistance. Your healthcare provider can decide if one of these drugs is appropriate for you based on the type of infection and which particular bacteria are suspected or known to be causing it.<\/span><\/p>\n<h3 id=\"can-i-use-azithromycin-or-amoxicillin-while-pregnant-or-breastfeeding\"><b>Can I use azithromycin or amoxicillin while pregnant or breastfeeding?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Both are considered relatively safe but should only be taken under medical supervision. Tell your healthcare provider if you are pregnant, planning to become pregnant, or breastfeeding.<\/span><\/p>\n<h3 id=\"can-i-use-azithromycin-or-amoxicillin-with-alcohol\"><b>Can I use azithromycin or amoxicillin with alcohol?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">While not strictly prohibited, alcohol can <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/alcohol-with-antibiotics\/\"><span style=\"font-weight: 400;\">worsen side effects<\/span><\/a><span style=\"font-weight: 400;\"> and delay recovery.<\/span><\/p>\n<h3 id=\"azithromycin-vs-amoxicillin-which-is-stronger\"><b>Azithromycin vs amoxicillin: Which is stronger?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Neither is inherently stronger. Effectiveness depends on the infection and bacterial resistance.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>If you&#8217;ve ever had a sinus infection, strep throat, or another bacterial illness, there&#8217;s a good chance you&#8217;ve taken azithromycin or amoxicillin. Both of these antibiotics, which are approved by the Food and Drug Administration (FDA), are commonly prescribed to treat various bacterial infections, but they work in different ways and have different uses, side [&hellip;]<\/p>\n","protected":false},"author":87,"featured_media":12364,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8313],"tags":[715,20954,20795],"coauthors":[10668],"class_list":["post-12363","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-vs-drug","tag-antibiotics","tag-infections","tag-respiratory-illness","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Azithromycin vs. amoxicillin: Differences, similarities, and which is better for you<\/title>\n<meta name=\"description\" content=\"Azithromycin and amoxicillin are antibiotics used to treat bacterial infections, but they work differently. Compare their side effects and costs to determine which is better.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.singlecare.com\/blog\/azithromycin-vs-amoxicillin\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Azithromycin vs. amoxicillin: Which works better?\" \/>\n<meta property=\"og:description\" content=\"We compare the two antibiotic medications\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.singlecare.com\/blog\/azithromycin-vs-amoxicillin\/\" \/>\n<meta property=\"og:site_name\" content=\"The Checkup\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/singlecare\" \/>\n<meta property=\"article:published_time\" content=\"2020-06-23T13:31:54+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-04-16T09:40:15+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2020\/06\/Azithromycin-vs.-amoxicillin.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Karen Berger, Pharm.D.\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:title\" content=\"Azithromycin vs. amoxicillin: Which works better?\" \/>\n<meta name=\"twitter:description\" content=\"We compare the two antibiotic medications\" \/>\n<meta name=\"twitter:creator\" content=\"@SingleCare\" \/>\n<meta name=\"twitter:site\" content=\"@SingleCare\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Karen Berger, Pharm.D.\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/azithromycin-vs-amoxicillin\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/azithromycin-vs-amoxicillin\\\/\"},\"author\":{\"name\":\"Kelsey Roadruck\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/#\\\/schema\\\/person\\\/166518d9621e8b3bf1a33e7fdaa6dd41\"},\"headline\":\"Azithromycin vs. amoxicillin: Differences, similarities, and which is better for you\",\"datePublished\":\"2020-06-23T13:31:54+00:00\",\"dateModified\":\"2026-04-16T09:40:15+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/azithromycin-vs-amoxicillin\\\/\"},\"wordCount\":1572,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/azithromycin-vs-amoxicillin\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/wp-content\\\/uploads\\\/2020\\\/06\\\/Azithromycin-vs.-amoxicillin.png\",\"keywords\":[\"Antibiotics\",\"Infections\",\"Respiratory illness\"],\"articleSection\":[\"Drug vs. Drug\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/azithromycin-vs-amoxicillin\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/azithromycin-vs-amoxicillin\\\/\",\"url\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/azithromycin-vs-amoxicillin\\\/\",\"name\":\"Azithromycin vs. amoxicillin: Differences, similarities, and which is better for you\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/azithromycin-vs-amoxicillin\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/azithromycin-vs-amoxicillin\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/wp-content\\\/uploads\\\/2020\\\/06\\\/Azithromycin-vs.-amoxicillin.png\",\"datePublished\":\"2020-06-23T13:31:54+00:00\",\"dateModified\":\"2026-04-16T09:40:15+00:00\",\"description\":\"Azithromycin and amoxicillin are antibiotics used to treat bacterial infections, but they work differently. 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