Cefixime and Ceftriaxone interaction

Cefixime and Ceftriaxone: both prescribing labels flag this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Cefixime label · effective 2026-08-05

Major

Contraindicated in patients with known allergy to cefixime or other cephalosporins.

Contraindicationsby drug classView label on DailyMed
Major

Cefixime is contraindicated in patients with known allergy to cefixime or other cephalosporins.

Contraindicationsby drug classView label on DailyMed
Minor

A false positive direct Coombs test has been reported during treatment with other cephalosporins; therefore, it should be recognized that a positive Coombs test may be due to the drug.

Drug interactionsby drug classView label on DailyMed

From the Ceftriaxone (CEFTRIAXONE AND DEXTROSE) label · effective 2022-01-13

Major

Anaphylaxis to ceftriaxone or other cephalosporin class antibacterials, penicillins, or other beta-lactam antibacterials ( 4.1 )

Contraindicationsby drug classView label on DailyMed
Major

Anaphylaxis to Ceftriaxone or the Cephalosporin Class of Antibacterials, Penicillins, or Other Beta-lactam Antibacterials Ceftriaxone for Injection and Dextrose Injection is contraindicated in patients who have a history of anaphylaxis to ceftriaxone or the cephalosporin class of antibacterials, penicillins, or other beta-lactam antibacterials [see Warnings and…

Contraindicationsby drug classView label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.