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Metronidazole vs. Cipro

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

Key takeaways

Metronidazole (Flagyl) and ciprofloxacin (Cipro) are both antibiotics used to treat bacterial infections, but they belong to different medication classes. Metronidazole is a nitroimidazole antibiotic, while ciprofloxacin is a fluoroquinolone antibiotic. Both medications can treat certain types of bacterial infections, but ciprofloxacin is also used for urinary tract infections (UTIs) and anthrax exposure, which metronidazole is not approved for. Metronidazole is typically taken three times a day, whereas ciprofloxacin is usually taken twice daily. Both medications are available as a lower-cost generic and come in tablet, oral liquid, and injectable forms. Common side effects of metronidazole include nausea and a metallic taste, while ciprofloxacin can cause nausea and diarrhea. Ciprofloxacin has more serious potential side effects, such as tendon rupture and nerve damage, and it interacts with many medications, including supplements like calcium and iron. Both medications require you to avoid alcohol, but ciprofloxacin also requires caution with sun exposure due to increased skin sensitivity.

Metronidazole

(Flagyl)

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Ciprofloxacin

(Cipro)

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Summary for Metronidazole

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 Metronidazole

Treatment of certain bacterial and parasitic infections, including:

Pros and Cons for Metronidazole

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 Metronidazole

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 Metronidazole

  • 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 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 Metronidazole vs. Cipro

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Metronidazole14 tablets / 500mg
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Ciprofloxacin14 tablets / 500mg
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