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Tinidazole (Oral)

tye-NYE-da-zole

Oral route(Tablet)

Carcinogenicity has been seen in mice and rats treated chronically with metronidazole, another nitroimidazole agent . Although such data have not been reported for tinidazole, the two drugs are structurally related and have similar biologic effects. Limit use of tinidazole to approved indication only. Avoid chronic use .

Medically reviewed by Drugs.com. Last updated on May 23, 2019.

Commonly used brand name(s)

In the U.S.

  • Tindamax

Available Dosage Forms:

  • Tablet

Therapeutic Class: Antibiotic

Uses for tinidazole

Tinidazole is used to treat infections caused by protozoa (eg, trichomoniasis, giardiasis, and amebiasis). It is also used to treat adult women with vaginal infections (bacterial vaginosis).

Tinidazole belongs to the group of medicines called antiprotozoals. These medicines are used to treat infections caused by protozoa (tiny, one-celled animals).

Tinidazole is available only with your doctor's prescription.

Before using tinidazole

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For tinidazole, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to tinidazole or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies have not been performed on the relationship of age to the effects of tinidazole in children 3 years of age and younger. Safety and efficacy have not been established. It is only used in children older than 3 years of age for the treatment of giardiasis and amebiasis.

Geriatric

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of tinidazole in the elderly. However, elderly patients are more likely to have age-related liver, kidney, or heart problems, which may require an adjustment in the dose for patients receiving tinidazole.

Breastfeeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Interactions with medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking tinidazole, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using tinidazole with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Capecitabine
  • Disulfiram
  • Doxifluridine
  • Fluorouracil
  • Tegafur

Interactions with food/tobacco/alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using tinidazole with any of the following is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use tinidazole, or give you special instructions about the use of food, alcohol, or tobacco.

  • Ethanol

Other medical problems

The presence of other medical problems may affect the use of tinidazole. Make sure you tell your doctor if you have any other medical problems, especially:

  • Blood disease, or a history of or
  • Peripheral neuropathy (nerve problem), history of or
  • Seizures, history of or
  • Vaginal yeast infection (Candida infection)—Use with caution. May make these conditions worse.
  • Kidney disease, including dialysis patients or
  • Liver disease, severe—Use with caution. The effects may be increased because of slower removal of the medicine from the body.

Proper use of tinidazole

Take tinidazole only as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered.

If tinidazole upsets your stomach, it may be taken with meals or a snack. If stomach upset (nausea, vomiting, stomach pain, or diarrhea) continues, check with your doctor.

To help clear up your infection completely, keep taking tinidazole for the full time of treatment, even if you begin to feel better after a few days. If you stop taking tinidazole too soon, your symptoms may return.

Tinidazole works best when there is a constant amount in the blood. To help keep the amount constant, do not miss any doses. Also, it is best to take the doses at evenly spaced times during the day. If you need help planning the best times to take your medicine, check with your doctor.

If you cannot swallow the tablet, it may be crushed in artificial cherry syrup. Shake this mixture well before drinking.

Dosing

The dose of tinidazole will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of tinidazole. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • For oral dosage form (tablets):
    • For amebic liver abscess:
      • Adults—2 grams (g) one time a day for 3 to 5 days.
      • Children older than 3 years of age—Dose is based on body weight and must be determined by your doctor. The dose is usually 50 milligrams (mg) per kilogram (kg) of body weight per day (up to 2 g per day) for 3 to 5 days.
      • Children 3 years of age and younger—Use and dose must be determined by your doctor.
    • For bacterial vaginosis:
      • Adults— 2 grams (g) one time a day for 2 days or 1 g one time a day for 5 days.
      • Children—Use and dose must be determined by your doctor.
    • For giardiasis:
      • Adults—2 grams (g) given as a single dose.
      • Children older than 3 years of age—Dose is based on body weight and must be determined by your doctor. The dose is usually 50 milligrams (mg) per kilogram (kg) of body weight (up to 2 g) given as a single dose.
      • Children 3 years of age and younger—Use and dose must be determined by your doctor.
    • For intestinal amebiasis:
      • Adults—2 grams (g) one time a day for 3 days.
      • Children older than 3 years of age—Dose is based on body weight and must be determined by your doctor. The dose is usually 50 milligrams (mg) per kilogram (kg) of body weight per day (up to 2 g per day) for 3 days.
      • Children 3 years of age and younger—Use and dose must be determined by your doctor.
    • For trichomoniasis:
      • Adults— 2 grams (g) given once as a single dose.
      • Children—Use and dose must be determined by your doctor.

Missed dose

If you miss a dose of tinidazole, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

You may store the oral liquid (crushed tablets in artificial cherry syrup) at room temperature up to 7 days.

Precautions while using tinidazole

It is important that your doctor check your progress at regular visits to make sure that the infection is cleared up. Blood tests may be needed to check for unwanted effects.

If your symptoms do not improve within a few days, or if they become worse, check with your doctor.

Do not use tinidazole if you have taken disulfiram (Antabuse®) within the last two weeks. Also, do not take alcohol or alcoholic products (eg, propylene glycol) during treatment with tinidazole and for at least 3 days after your last dose.

Tinidazole may increase your risk for cancer. Talk to your doctor about this risk.

Check with your doctor right away if you have burning, numbness, tingling, or painful sensations in the arms, hands, legs, or feet. These could be symptoms of a condition called peripheral neuropathy.

Tinidazole may cause a vaginal yeast infection. Check with your doctor right away if you have itching of the vagina or genitals or thick, white vaginal discharge with mild or no odor.

If you are taking tinidazole for trichomoniasis (an infection of the sex organs in men or women), your doctor may want to treat your sexual partner at the same time you are being treated, even if he or she has no symptoms. Also, it may be desirable to use a condom (rubber) during intercourse. These measures will help to keep you from getting the infection back again from your partner. If you have any questions about this, talk with your doctor.

If you plan to have children, talk with your doctor before using tinidazole. Some men using tinidazole have become infertile (unable to have children).

Before you have any medical tests, tell the medical doctor in charge that you are taking tinidazole. The results of some tests may be affected by tinidazole.

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

Tinidazole side effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Rare

  • Change in consciousness
  • cough
  • loss of consciousness
  • tightness in chest
  • troubled breathing

Incidence not known

  • Black, tarry stools
  • bleeding gums
  • blood in urine or stools
  • burning, numbness, tingling, or painful sensations
  • chest pain
  • chills
  • difficulty swallowing
  • fast, irregular, pounding, or racing heartbeat or pulse
  • fever
  • hives, itching, rash
  • large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
  • lower back or side pain
  • nausea
  • painful or difficult urination
  • pale skin
  • pinpoint red spots on the skin
  • reddening of the skin, especially around ears
  • seizures
  • sore throat
  • sores, ulcers, or white spots on the lips or in the mouth
  • swelling of eyes, face, or inside of the nose
  • swollen glands
  • ulcers
  • unsteadiness or awkwardness
  • unusual bleeding or bruising
  • unusual tiredness or weakness
  • weakness in the arms, hands, legs, or feet

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

  • Bitter taste
  • metallic taste

Less common

  • Acid or sour stomach
  • belching
  • cramps
  • difficulty having a bowel movement
  • dizziness
  • general feeling of discomfort or illness
  • headache
  • heartburn
  • indigestion
  • loss of appetite
  • pain or discomfort in the chest, upper stomach, or throat
  • vomiting
  • weight loss

Rare

  • Body aches or pain
  • coating on tongue
  • depression
  • hoarseness
  • mood or mental changes
  • runny nose
  • tender, swollen glands in the neck
  • voice changes

Incidence not known

  • Darkened urine
  • diarrhea
  • difficulty in moving
  • feeling of constant movement of self or surroundings
  • giddiness
  • lightheadedness
  • muscle pain or stiffness
  • pain, swelling, or redness in joints
  • sensation of spinning
  • shakiness and unsteady walk
  • sleepiness
  • swelling of the mouth
  • tongue discoloration
  • trembling, or other problems with muscle control or coordination
  • trouble sleeping
  • unable to sleep
  • white or brownish vaginal discharge
  • white patches in the mouth or throat or on the tongue

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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