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Macrobid vs. Cipro

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

Key takeaways

Nitrofurantoin (Macrobid) and Ciprofloxacin (Cipro) are both antibiotics used to treat urinary tract infections (UTIs), but they belong to different drug classes and have distinct uses and side effects. Nitrofurantoin is a nitrofuran antibiotic that specifically targets bacteria in the urinary tract, making it effective for treating and preventing UTIs. It is typically taken with food to improve absorption and reduce stomach-related side effects. Common side effects include nausea, headache, and gas. Ciprofloxacin, on the other hand, is a fluoroquinolone antibiotic that can treat a broader range of infections, including skin, bone, and respiratory infections, in addition to UTIs. It can be taken with or without food but should be avoided with dairy products and certain supplements. Ciprofloxacin has more serious potential side effects, such as tendon rupture and nerve damage, and is usually reserved for more severe infections. Both medications are available in generic forms, making them more affordable options. While Nitrofurantoin is generally safer with fewer interactions, Ciprofloxacin requires careful monitoring due to its extensive list of possible severe side effects and interactions with other medications.

Nitrofurantoin

(Macrobid)

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Ciprofloxacin

(Cipro)

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Summary for Macrobid

Prescription only

Nitrofurantoin (Macrobid) is an antibiotic used to treat or prevent a urinary tract infection (UTI). Some side effects include nausea, headache, and gas. It can also make your urine turn dark yellow or brown. Nitrofurantoin (Macrobid) doesn't have many interactions with other medications. There's a lower-cost generic version of nitrofurantoin (Macrobid) available.

Indications for Macrobid

  • Treatment or prevention of urinary tract infections

Pros and Cons for Macrobid

Pros

Cons

  • Might need to take up to four times a day (depending on the formulation)
  • Can interact with certain types of antacids, travel vaccines, and lab tests
  • Can harm your lungs, liver, and nerves if taken for a long period of time

Common Side Effects for Macrobid

  • Nausea (8%)
  • Headache (6%)
  • Gas (2%)

Warnings for Macrobid

  • Lung damage
  • Liver damage
  • Nerve damage (neuropathy)
  • Breakdown of red blood cells (hemolytic anemia)
  • Severe diarrhea

Summary for Cipro

Prescription only

Ciprofloxacin (Cipro) is a fluoroquinolone antibiotic. It can treat many types of bacterial infections, including sinus infections and urinary tract infections (UTIs). But because ciprofloxacin (Cipro) can cause serious side effects, such as tendon rupture and nerve damage, it's usually only prescribed for more serious infections or when there aren't any safer options. Ciprofloxacin (Cipro) is taken by mouth, typically twice daily. It's available as a pill and oral solution. Some of the more common side effects of this medication include nausea and diarrhea.

Indications for Cipro

Adults only

Adults and children

Pros and Cons for Cipro

Pros

  • Can take with or without food
  • Available as tablets, oral liquid, and injection
  • Possible option for people with penicillin allergy

Cons

Common Side Effects for Cipro

  • Nausea
  • Diarrhea
  • Vomiting
  • Rash
  • Abnormal liver blood test results

Warnings for Cipro

  • Tendon inflammation and rupture
  • Effects on the brain, nerves, and mental health
  • Worsening of myasthenia gravis
  • Severe allergic and skin reactions
  • Liver damage
  • Severe damage to a major blood vessel
  • Infectious diarrhea
  • Life-threatening abnormal heart rhythm (QT prolongation)
  • Muscle, bone, or joint problems in children
  • Sun and light sensitivity
  • Kidney problems

Prices with our coupons for Macrobid vs. Cipro

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Nitrofurantoin14 capsules / 100mg
$13.26$34.47
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Ciprofloxacin14 tablets / 500mg
$10.88$13.08
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