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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 that's used to treat people 12 years and older with travelers' diarrhea caused by Escherichia coli (E. coli). The medication can also treat irritable bowel syndrome with diarrhea (IBS-D) and prevent hepatic encephalopathy (HE) in adults. Xifaxan (rifaximin) is a tablet that's taken by mouth 2 to 3 times per day, depending on the medical condition you're using it for. Side effects generally include swelling, dizziness, and fatigue.

Indications for Xifaxan

Pros and Cons for Xifaxan

Pros

  • Works well for travelers' diarrhea, HE, and IBS-D
  • Can treat travelers' diarrhea in children 12 years and older
  • Can take with or without food

Cons

  • Need to take 2 to 3 times per day, depending on why you're taking it
  • Only available as tablets
  • Might not be the best option for people with severe liver problems

Common Side Effects for Xifaxan

Travelers' diarrhea:

  • Headache (10%)

IBS-D:

  • Nausea (2-3%)

HE:

  • Swelling in hands and feet (15%)
  • Nausea (14%)
  • Dizziness (13%)
  • Tiredness (12%)
  • Extra stomach fluid and swelling (11%)

Warnings for Xifaxan

  • Worsening of travelers' diarrhea
  • Diarrhea from Clostridioides difficile infection

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

Price Card Drug Icon
Xifaxan42 tablets / 550mg
$2,717.43$3,391.90
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Ciprofloxacin14 tablets / 500mg
$10.88$13.08
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