Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Metronidazole (Flagyl) and doxycycline hyclate (Vibramycin, Doryx) are both antibiotics used to treat bacterial infections, but they belong to different medication classes. Metronidazole is a nitroimidazole antibiotic, while doxycycline hyclate is a tetracycline antibiotic. Both medications can treat sexually transmitted infections (STIs), but doxycycline hyclate is also used for conditions like acne, respiratory infections, and urinary tract infections (UTIs), which are not treated by metronidazole. Metronidazole is typically taken three times a day, whereas doxycycline hyclate is usually taken once or twice daily. Both medications are available as a lower-cost generic. Metronidazole should not be taken with alcohol due to serious interactions, while doxycycline hyclate does not have this restriction but can cause sun sensitivity. Common side effects of metronidazole include nausea and a metallic taste, while doxycycline hyclate can cause stomach upset and sunburn. Both medications can interact with blood thinners, but metronidazole also interacts with disulfiram and lithium, whereas doxycycline hyclate can affect birth control effectiveness.
Doxycycline hyclate is used to prevent malaria due to the parasite Plasmodium falciparum and to treat many different infections caused by bacteria. Some examples include:
•Respiratory tract infections, including in the nose, throat, and lungs
•Infections caused by ticks, mites, or fleas (Rocky Mountain spotted fever or typhus fever)
•Sexually-transmitted infections (STIs) like chlamydia, gonorrhea, chancroid, and syphilis
•Lyme disease
•Urinary tract infections (UTIs)
•Severe acne
•Anthrax
•Plague
•Cholera
Pros and Cons of Metronidazole vs. Vibramycin
Pros and Const for Nitroimidazole antibiotic
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
•Immediate-release formulations needs to be taken multiple times a day for most infections