Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Vancomycin (Vancocin) and sulfamethoxazole/trimethoprim (Bactrim) are both antibiotics, but they treat different types of infections and belong to different drug classes. Vancomycin is a glycopeptide antibiotic that is taken by mouth 3 to 4 times a day and is available in both capsule and liquid forms. When administered orally, it is used mainly for treating *Clostridioides difficile* (C. diff) diarrhea and severe gut infections. Vancomycin is also availible as an injection to treat other types of infections. On the other hand, sulfamethoxazole/trimethoprim is a combination of a sulfonamide and an antifolate antibiotic, used to treat a variety of infections including urinary tract infections (UTIs), ear infections, and lung infections. It is typically taken twice a day and is available as tablets, liquid, and an injection. Vancomycin can cause side effects like nausea and stomach pain. Although less common with oral forms of vancomycin, vancomycin still has a risk of kidney damage and hearing problems, especially in older adults. Sulfamethoxazole/trimethoprim can also cause nausea, diarrhea, and rash, and it can make your skin more sensitive to the sun. It is not recommended for people with liver or kidney problems, or those who are pregnant. Both medications require a prescription and should be taken exactly as directed by your healthcare provider.
Vancomycin (Vancocin)
Sulfamethoxazole/trimethoprim
Vancomycin (Vancocin)
Sulfamethoxazole/trimethoprim
Summary of Vancocin vs. Bactrim
Summary for Glycopeptide
Prescription only
Vancomycin (Vancocin) is an antibiotic medication that's used to treat Clostridioides difficile (C. diff) diarrhea and certain severe gut infections in both adults and children. Vancomycin (Vancocin) is taken by mouth, typically 3 to 4 times a day. It's available as both oral capsules and a liquid. Common side effects of vancomycin (Vancocin) include nausea and stomach pain.
Summary for Sulfonamide antibiotic
Prescription only
Sulfamethoxazole/trimethoprim (sometimes known as SMZ/TMP) is a combination medication containing an antifolate and sulfa antibiotic. It's used to treat different types of infections, such as urinary tract infections (UTIs), ear infections, and lung infections. This antibiotic has two different brand names, Bactrim and Septra, and it's also available as a lower-cost generic. It's a tablet that's taken by mouth, typically twice daily for most types of infections. This antibiotic also comes as a suspension under the brand name Sulfatrim for people who can't swallow tablets and as an injection for people in the hospital. Common side effects include nausea, diarrhea, and rash.
Indications of Vancocin vs. Bactrim
Indications for
•Infectious diarrhea caused by Clostridioides difficile (C. diff)
•Gut inflammation (enterocolitis) caused by Staphylococcus aureus (S. aureus)