Drug | Dosage | Mode of administration | Efficacy | Side effects | Price* | Advantages and disadvantages |
---|---|---|---|---|---|---|
Metronidazole (Flagyl) | 500 mg orally every six to eight hours for 10 to 14 days Alternatives: 250 mg every six hours for 10 to 14 days and 500 mg IV every eight hours for 10 to 14 days | Oral and IV | > 90% | Nausea, vomiting Metallic taste Potentiation of warfarin (Coumadin) Disulfiram-like reaction | $256 (36 to 40): 500 mg orally every six hours for 14 days $678 (103 to 644): 500 mg IV every eight hours for 14 days | Effective by IV administration Less expensive than vancomycin More side effects than vancomycin |
Vancomycin (Vancocin) | 125 to 500 mg orally every six hours for 10 to 14 days | Oral only† Nasogastric tube Retention enema | > 90% | Minimal; can include unpleasant taste, mouth irritation, nausea or vomiting; rarely, rash | $1,724: 500 mg orally every six hours for 14 days | Safe for use in pregnant women High cost Use may lead to resistance |
Vancomycin retention enemas | Uncertain | Variable |