The current study represented a novel nano-silver amalgam pastes microelectrode (nano-Ag-APME) as a suitable alternative for the assay of cefadroxil contents in pharmaceutical formulations and biological specimen. The proposed electrode prepared in a plastic tip of micropipette tied with the nano-silver amalgam pastes mainly comprise of silver nano-powder and pure mercury (1:9, w/w). The commercial silver nanopowder and nano-silver amalgam paste were characterized using scanning electron microscope–energy dispersive X-ray spectrometer and X-Ray Diffraction (XRD). These analyses depicted that nano-Ag amalgam paste formed Ag-Hg clusters consisting of a crystalline solid. The EDX analysis showed that all the chemical composition of the starting materials (silver nanopowder) consisted of the nano-Ag amalgam paste having Ag and Hg only. The optimization of different characteristics such as voltammetric modes, pH, type of supporting electrolytes, electrolyte volume, stirring rate, accumulation potential, and accumulation time for the determination of cefadroxil by SW-AdSV examined in detailed. The proposed method based on the square-wave stripping voltammetry for the measurement of cefadroxil at pH 4 in Britton–Robinson buffer, manifested a well-defined reduction peak at −0.160 V. The comparative study of SW-AdSV and spectrophotometric methods showed the linear response for CFL at a linear dynamic ranged from 0.033–0.304 and 10–70 µM, respectively. The analytical performance for the quantification of CFL by the SW-AdSV method was significantly good as compared to the spectrophotometric method (p < 0.01). Moreover, it has been indicated that the SW-AdSV is more sensitive and selective for precise routine analysis of CFL than the spectrophotometric method.