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Independent analysis of NHS open data
PharmaInsight

Cefalexin vs Nitrofurantoin

National NHS prescribing compared (Prescription Cost Analysis)
Data updated May 2026

Nitrofurantoin was dispensed 4.5× as often as Cefalexin in May 2026 — 333,741 items versus 74,615 in England.

74,615items

Cefalexin · May 2026

NHSBSA Prescription Cost Analysis

333,741items

Nitrofurantoin · May 2026

NHSBSA Prescription Cost Analysis

Figure 1. Cefalexin versus Nitrofurantoin: national items dispensed by month

▬ Cefalexin   ·   ╌ Nitrofurantoin

0 204k 408k Jan 2021 Nov 2021 Sep 2022 Jul 2023 May 2024 Mar 2025 May 2026 Nitrofurantoin 74,615 Jan 2021: 68k Feb 2021: 63k Mar 2021: 71k Apr 2021: 66k May 2021: 64k Jun 2021: 67k Jul 2021: 70k Aug 2021: 68k Sep 2021: 71k Oct 2021: 70k Nov 2021: 72k Dec 2021: 76k Jan 2022: 72k Feb 2022: 66k Mar 2022: 74k Apr 2022: 68k May 2022: 71k Jun 2022: 69k Jul 2022: 70k Aug 2022: 73k Sep 2022: 74k Oct 2022: 75k Nov 2022: 77k Dec 2022: 91k Jan 2023: 82k Feb 2023: 73k Mar 2023: 81k Apr 2023: 69k May 2023: 74k Jun 2023: 74k Jul 2023: 76k Aug 2023: 77k Sep 2023: 76k Oct 2023: 78k Nov 2023: 77k Dec 2023: 77k Jan 2024: 79k Feb 2024: 72k Mar 2024: 70k Apr 2024: 72k May 2024: 73k Jun 2024: 69k Jul 2024: 76k Aug 2024: 73k Sep 2024: 74k Oct 2024: 79k Nov 2024: 75k Dec 2024: 77k Jan 2025: 78k Feb 2025: 70k Mar 2025: 72k Apr 2025: 71k May 2025: 73k Jun 2025: 73k Jul 2025: 79k Aug 2025: 74k Sep 2025: 80k Oct 2025: 84k Nov 2025: 77k Dec 2025: 83k Jan 2026: 81k Feb 2026: 74k Mar 2026: 79k Apr 2026: 76k May 2026: 75k

Source: NHSBSA Prescription Cost Analysis, to May 2026

Cefalexin versus Nitrofurantoin, May 2026
Measure Cefalexin Nitrofurantoin
Items, May 2026 74,615 333,741
Items, last 12 months 933,545 4,416,505
Net ingredient cost, May 2026 £235,083 £2,268,636

See the full profile for Cefalexin or Nitrofurantoin.