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Metronidazole vs. Mupirocin

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

Key takeaways

Metronidazole (Flagyl) and mupirocin (Bactroban) are both antibiotics used to treat infections, but they differ in their forms and specific uses. Metronidazole is an oral and injectable nitroimidazole antibiotic used to treat various bacterial and parasitic infections, such as trichomoniasis and amebiasis, and is also used off-label for bacterial vaginosis. It is taken by mouth, typically three times a day, and is available as a lower-cost generic. Common side effects include nausea, diarrhea, and a metallic taste. You should avoid alcohol while taking metronidazole due to the risk of a serious reaction. Mupirocin, on the other hand, is a topical antibiotic used to treat skin infections like impetigo. It comes as a cream or ointment applied to the skin three times a day for up to 10 days. Mupirocin is generally well-tolerated, with some people experiencing mild side effects like burning or stinging at the application site. Unlike metronidazole, mupirocin should not be used on open wounds or in the nose, mouth, or private areas. While both medications require a prescription, they are used in different ways and for different types of infections.

Metronidazole

(Flagyl)

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Mupirocin

 

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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 Mupirocin

Prescription only

Mupirocin is a topical antibiotic that's used to treat small areas of bacterial skin infections such as impetigo or a "Staph" infection on the skin. It comes as a cream and an ointment that are applied onto the skin a few times a day for 10 days. This medication can be used on adults or children (over the age of 2 months for the ointment, and over the age of 3 months for the cream). Although mupirocin has very few side effects, some people can experience headache, nausea, or burning at the application site.

Indications for Mupirocin

  • Impetigo - ointment
  • Bacterial skin infection that happens after skin gets damaged (e.g., from a cut or other wound) - cream

Pros and Cons for Mupirocin

Pros

  • Can use for children as young as 2 months old (ointment) or 3 months old (cream)
  • Can easily apply directly where the skin infection is
  • Generally well-tolerated; few people experience side effects
  • Available as a lower-cost generic

Cons

  • Only available by prescription
  • Need to remember to use three times a day
  • Ointment might not be a good option for people with kidney problems because of risk of harm

Common Side Effects for Mupirocin

  • Headache (2%)
  • Burning, stinging, or pain at the application site (up to 2%; more common with ointment)
  • Rash (1%)
  • Nausea (1%)

Warnings for Mupirocin

  • Severe allergic reaction
  • Diarrhea from Clostridioides difficile infection
  • Development of hard-to-treat infections
  • Caution use in people with kidney problems (ointment only)

Prices with our coupons for Metronidazole vs. Mupirocin

Price Card Drug Icon
Metronidazole14 tablets / 500mg
$10.73$14.75
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Mupirocin1 tube / 22g of 2%
$11.84$15.23
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