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Flagyl vs. Clotrimazole non-prescription

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

Key takeaways

Metronidazole (Flagyl) and clotrimazole vaginal cream are used to treat different types of infections. Metronidazole (Flagyl) is an oral antibiotic that treats bacterial and parasitic infections, such as bacterial vaginosis and trichomoniasis. It is taken by mouth, usually three times a day, and is available as a lower-cost generic. Common side effects include diarrhea, nausea, and vomiting, and you should avoid alcohol while taking it. On the other hand, clotrimazole vaginal cream is an over-the-counter antifungal medication used to treat vaginal yeast infections. It is applied inside the vagina or on the surrounding skin, typically once a day at bedtime for 3 or 7 days, depending on the strength. Clotrimazole can cause vaginal irritation, itching, and burning. Unlike metronidazole, clotrimazole is not taken orally and does not have serious interactions with alcohol. Both medications are available as generics, but they treat different types of infections and are used in different ways.

Metronidazole

(Flagyl)

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Clotrimazole

 

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Summary for Flagyl

Prescription only

Metronidazole (Flagyl) is an oral antibiotic for adults and children. It's used to treat certain bacterial and parasitic infections, including bacterial vaginosis (a type of vaginal bacteria infection) and trichomoniasis (a sexually transmitted infection, or STI). Metronidazole (Flagyl) is taken by mouth, typically 3 times a day. Some common side effects of this medication include diarrhea, nausea, and vomiting. Avoid drinking alcohol while taking and for 3 days after stopping metronidazole (Flagyl) because this combination can cause a serious reaction. Metronidazole (Flagyl) is available as a lower-cost generic.

Indications for Flagyl

Treatment of certain bacterial and parasitic infections, including:

Pros and Cons for Flagyl

Pros

  • Taken by mouth
  • Available as a lower-cost generic medication
  • Can be used to treat different types of bacterial infection
  • Immediate-release formulations can be taken with or without food

Cons

Common Side Effects for Flagyl

Please note: These are common side effects reported by people who took extended-release metronidazole (Flagyl)

  • Headache (18%)
  • Inflammation of the vagina (15%)
  • Nausea (10%)
  • Metallic taste (9%)
  • Flu-like symptoms (6%)

Warnings for Flagyl

  • Possible risk of cancer
  • Serious allergic reactions
  • Brain and nerve problems
  • Liver and kidney problems
  • Risk of fungal infection
  • Risk of drug resistance
  • Lower white blood cell counts
  • Interaction with other medications

Summary for Clotrimazole non-prescription

Over-the-counter

Clotrimazole is an antifungal cream that's placed inside the vagina or onto the surrounding skin. It's used to treat vaginal yeast infections. This medication also helps relieve related symptoms, like itching, burning, and discomfort. Clotrimazole vaginal cream comes in 3-day and 7-day treatment courses, both of which are available over the counter as a lower-cost generic medication. Possible side effects of this vaginal cream include vaginal irritation, itching, and burning.

Indications for Clotrimazole non-prescription

Pros and Cons for Clotrimazole non-prescription

Pros

  • Can treat most vaginal yeast infections in 3 or 7 days, depending on the strength of the cream you have
  • Only need to use once a day (for treating vaginal yeast infection)
  • Available over the counter as a lower-cost generic

Cons

  • Can leak out after inserting into the vagina, which can be messy or cause discomfort
  • Can cause vaginal burning or irritation
  • Not recommended to have vaginal sex during treatment

Common Side Effects for Clotrimazole non-prescription

  • Burning feeling in the vagina or in the area around the opening of the vagina (less than 10%)

Warnings for Clotrimazole non-prescription

  • Might not be appropriate for undiagnosed vaginal symptoms
  • Contact a healthcare professional for frequent or severe vaginal symptoms

Prices with our coupons for Flagyl vs. Clotrimazole non-prescription

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Metronidazole14 tablets / 500mg
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Clotrimazole Non-Prescription1 tube / 45g of 1%
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