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Xifaxan vs. Cipro

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

Key takeaways

Xifaxan (rifaximin) and Cipro (ciprofloxacin) are both antibiotics, but they belong to different classes and treat different conditions. Xifaxan is a rifamycin antibiotic used to treat travelers' diarrhea caused by *E. coli*, irritable bowel syndrome with diarrhea (IBS-D), and to prevent hepatic encephalopathy (HE) in adults. It works by preventing bacteria in the gut from making proteins they need to survive. On the other hand, Cipro is a fluoroquinolone antibiotic that treats a wide range of infections, including sinus infections, urinary tract infections (UTIs), and skin infections. It works by blocking enzymes that bacteria need to grow and repair their DNA. Xifaxan is typically taken 2 to 3 times a day, while Cipro is usually taken 2 times a day. Cipro has more serious potential side effects, such as tendon rupture and nerve damage. Xifaxan's common side effects include swelling, dizziness, and fatigue, whereas Cipro commonly causes nausea and diarrhea. Cipro is available in multiple forms, including tablets, oral liquid, and an injection, while Xifaxan is only available as tablets.

Xifaxan

(rifaximin)

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Ciprofloxacin

(Cipro)

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Summary for Xifaxan

Prescription only

Xifaxan (rifaximin) is a rifamycin antibiotic. It's used to treat people 12 years and older with travelers' diarrhea caused by Escherichia coli (E. coli). It can also treat irritable bowel syndrome with diarrhea (IBS-D) in adults. In addition, this medication can help prevent hepatic encephalopathy (HE) in adults. Xifaxan (rifaximin) is a tablet that's taken by mouth a few times per day. Side effects generally include swelling, dizziness, and fatigue.

Indications for Xifaxan

Pros and Cons for Xifaxan

Pros

  • Can treat travelers' diarrhea in children 12 years and older
  • A recommended option for adults with IBS-D
  • Can help prevent repeat episodes of hepatic encephalopathy (brain damage in adults with advanced liver problems)

Cons

  • Need to take 2 or 3 times per day, depending on your condition
  • Doesn't treat travelers' diarrhea caused by other germs besides E. coli
  • Only available as tablets

Common Side Effects for Xifaxan

Travelers' diarrhea:

  • Headache (10%)

IBS-D:

  • Nausea (2-3%)

HE:

  • Swelling in the hands, ankles, or feet (15%)
  • Nausea (14%)
  • Dizziness (13%)
  • Tiredness (12%)
  • Fluid buildup in the stomach and swelling of the stomach (11%)

Warnings for Xifaxan

  • Doesn't work well for travelers' diarrhea caused by other germs besides E. coli
  • Diarrhea from Clostridioides difficile infection
  • Caution use in people with severe liver problems
  • Caution use with certain 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 Xifaxan vs. Cipro

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Xifaxan42 tablets / 550mg
$2,204.87$3,019.88
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Ciprofloxacin14 tablets / 500mg
$10.88$13.08
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