DrugDosageMode of administrationEfficacySide effectsPrice*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 daysOral 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 daysSafe for use in pregnant women
High cost
Use may lead to resistance
Vancomycin retention enemasUncertainVariable