Nitazoxanide: Uses, Side Effects & Warnings
Nitazoxanide belongs to the thiazolide class of antiparasitic medications. It is available in tablet and oral suspension (liquid) forms.

Nitazoxanide 200 mg is an antiprotozoal and antiviral medication used to treat various parasitic and viral infections. It is primarily prescribed for diarrheal diseases caused by protozoa such as Giardia lamblia and Cryptosporidium parvum. Additionally, ongoing research suggests its potential role in treating viral infections, including certain strains of influenza and rotavirus.
This article provides an in-depth overview of Nitazoxanide, including its uses, dosage, side effects, and precautions to ensure safe and effective use.
What is Nitazoxanide?
Nitazoxanide belongs to the thiazolide class of antiparasitic medications. It is available in tablet and oral suspension (liquid) forms and works by interfering with the energy metabolism of parasites and viruses, ultimately eliminating the infection.
Uses of Nitazoxanide
1. Treatment of Parasitic Infections
Nitazoxanide is FDA-approved for treating diarrheal diseases caused by:
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Giardia lamblia – A parasite that causes giardiasis, leading to watery diarrhea, stomach cramps, and bloating.
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Cryptosporidium parvum – A parasite responsible for cryptosporidiosis, often causing severe diarrhea, particularly in immunocompromised individuals (e.g., those with HIV/AIDS).
2. Antiviral Potential
While primarily used as an antiparasitic agent, Nitazoxanide has demonstrated antiviral properties against:
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Rotavirus and Norovirus – Common causes of viral gastroenteritis.
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Influenza (Flu) Viruses – Some studies suggest its effectiveness in reducing flu symptoms.
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Hepatitis B & C Viruses – Under investigation for its role in viral suppression.
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COVID-19 – Research is ongoing to evaluate its effectiveness against SARS-CoV-2.
3. Other Potential Uses
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Clostridium difficile infections (CDI): Some studies indicate its ability to combat C. difficile-related diarrhea.
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Helminth Infections: May be used in cases of certain worm infestations.
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Immune Modulation: Shows promise in enhancing immune responses against infections.
Dosage and Administration
Recommended Dosage for Diarrheal Diseases
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Adults & Children (12 years and older): 500 mg (one tablet) every 12 hours for 3 days.
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Children (1-11 years): Dosage varies based on weight, usually 100-200 mg every 12 hours for 3 days.
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Infants (6-11 months): 100 mg every 12 hours for 3 days.
Administration Guidelines
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Take Nitazoxanide with food to enhance absorption.
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For oral suspension, shake the bottle well before each use.
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Complete the full course of medication, even if symptoms improve early.
Side Effects of Nitazoxanide
Most people tolerate Buy Niclosamide well, but some may experience mild to moderate side effects.
Common Side Effects
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Gastrointestinal Issues: Nausea, vomiting, diarrhea, stomach pain.
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Headache & Dizziness: Mild and transient in most cases.
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Discolored Urine: May cause a yellow-green tint, which is harmless.
Serious Side Effects (Rare)
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Allergic Reactions: Rash, itching, swelling of the face or throat, severe dizziness, or difficulty breathing.
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Liver Issues: Jaundice (yellowing of skin/eyes), dark urine, severe abdominal pain.
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Blood Disorders: Rare cases of hemolytic anemia (destruction of red blood cells).
Warnings and Precautions
1. Drug Interactions
Nitazoxanide can interact with certain medications, altering their effects. Inform your doctor if you take:
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Blood Thinners (e.g., Warfarin): May increase the risk of bleeding.
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Immunosuppressants (e.g., Tacrolimus, Cyclosporine): Could alter drug metabolism.
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Antiviral Drugs: May enhance or reduce effectiveness when combined with Nitazoxanide.
2. Special Populations
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Pregnancy & Breastfeeding: Limited data on safety. Consult a doctor before use.
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Liver or Kidney Disease: Adjusted dosage may be needed due to potential drug accumulation.
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Immunocompromised Patients: May require longer or repeated treatment.
Nitazoxanide vs. Other Antiparasitic Drugs
Feature | Nitazoxanide | Metronidazole | Albendazole |
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Targeted Infections | Giardia, Cryptosporidium, Viruses | Bacterial & Parasitic Infections | Helminths & Tapeworms |
Dosage Duration | 3 Days | 5-10 Days | Single or Multiple Doses |
Side Effects | Mild (GI symptoms) | Metallic taste, nausea | Liver toxicity, headache |
Drug Interactions | Minimal | Alcohol (severe reaction) | Moderate |
Where to Buy Nitazoxanide
Nitazoxanide is available in pharmacies with a prescription. Generic versions are widely accessible and may be more affordable than brand-name alternatives like Alinia.
Conclusion
Nitazoxanide is a versatile medication with broad applications in treating parasitic and viral infections. While it is generally safe, users should be aware of potential side effects and drug interactions. Always consult a healthcare professional before using Nitazoxanide to ensure proper dosage and safety.
By following the prescribed guidelines and precautions, patients can effectively use Nitazoxanide to combat infections while minimizing risks.
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