Skip to main content

Compare
Zithromax vs. Cipro

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

Key takeaways

Azithromycin (Zithromax) and Ciprofloxacin (Cipro) are both antibiotics, but they belong to different classes and treat infections differently. Azithromycin is a macrolide antibiotic that stops bacteria from making proteins, while Ciprofloxacin is a fluoroquinolone that blocks enzymes bacteria need to grow and repair DNA. Azithromycin is typically taken once daily for 3 to 5 days, whereas Ciprofloxacin is usually taken twice daily. Azithromycin is often used for respiratory infections, skin infections, and sexually transmitted infections, while Ciprofloxacin is used for more serious infections like bone and joint infections, and urinary tract infections. Ciprofloxacin has more serious side effects, such as tendon rupture and nerve damage, and is usually prescribed when other options are not available. Both medications can cause diarrhea and nausea. Both are available as a lower-cost generic, making it a more affordable option for many people.

Azithromycin

(Zithromax)

Get free coupons

Ciprofloxacin

(Cipro)

Get free coupons

Summary for Zithromax

Prescription only

Azithromycin (Zithromax) is a macrolide antibiotic. It's used to treat many types of infections in children and adults, including strep throat, sinus infection, and pneumonia. Azithromycin (Zithromax) is taken by mouth once daily. Typically, the length of treatment ranges from 3 to 5 days, depending on the type of infection you have. For convenience, azithromycin (Zithromax) also comes pre-packaged as Z-Pak. Some of the more common side effects of azithromycin (Zithromax) include diarrhea, stomach pain, and nausea.

Indications for Zithromax

Adults

Azithromycin (Zithromax) can treat certain types of:

Children

Azithromycin (Zithromax) can treat certain types of:

  • Ear infections (ages 6 months and older)
  • Pneumonia (ages 6 months and older)
  • Strep throat (ages 2 years and older)
  • Tonsil infections (ages 2 years and older)

Pros and Cons for Zithromax

Pros

  • Taken by mouth once daily
  • Treatment typically lasts only 3 to 5 days
  • Comes as a liquid; good option for people who've trouble swallowing tablets
  • Available as a lower-cost generic

Cons

  • Might not be the best choice for people with severe liver problems or certain heart problems
  • Can cause stomach-related side effects, like diarrhea and stomach pain
  • Some bugs might be resistant to azithromycin (Zithromax)

Common Side Effects for Zithromax

Adults

  • Diarrhea (4-5%)
  • Nausea (3%)
  • Stomach pain (2-3%)

Children

  • Diarrhea (2-6%)
  • Vomiting (1-6%)
  • Stomach pain (1-3%)

Warnings for Zithromax

  • Severe allergic and skin reactions
  • Liver damage
  • Heart rhythm problems (QT prolongation)
  • Possible higher risk of death from heart problems
  • Diarrhea from Clostridioides difficile infection
  • Worsening of certain muscle problems (myasthenia gravis)
  • Doesn't treat syphilis

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 Zithromax vs. Cipro

Price Card Drug Icon
Azithromycin1 z-pak / 6 tablets of 250mg
$9.38$35.99
Get free coupons
More Information
Price Card Drug Icon
Ciprofloxacin14 tablets / 500mg
$10.88$13.21
Get free coupons
More Information

Browse medications by letter

Show All

Browse prescription and over-the-counter medications from A to Z, compare drug prices, and start saving.