Dosing

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It is advisable to take tinidazole with food to minimize the incidence of epigastric discomfort and other gastrointestinal side-effects. Food does not affect the oral bioavailability of tinidazole. Alcoholic beverages should be avoided when taking tinidazole and for 3 days afterwards.

Bacterial vaginosis

The recommended dose in non-pregnant females is a 1 g oral dose once daily for 5 days taken with food or a 2 g oral dose once daily for 2 days taken with food. The use of tinidazole in pregnant patients has not been studied for bacterial vaginosis.

Two convenient dosing options for BV
2 g/2-day dosing4 x 500 mg tablets once daily for 2 days, taken with food 1 g/5-day dosing2 x 500 mg tablets once daily for 5 days, taken with food
Day 1: 4 x 500 mg Tindamax tablets Day 1: 2 x 500 mg Tindamax tablets
Day 2: 4 x 500 mg Tindamax tablets Day 2: 2 x 500 mg Tindamax tablets
  Day 3: 2 x 500 mg Tindamax tablets
Day 4: 2 x 500 mg Tindamax tablets
Day 5: 2 x 500 mg Tindamax tablets
Table 1

Trichomoniasis

The recommended dose in both females and males is a single 2 g oral dose taken with food. Since trichomoniasis is a sexually transmitted disease, sexual partners should be treated with the same dose and at the same time.

Giardiasis

The recommended dose in adults is a single 2 g dose taken with food. In pediatric patients older than three years of age, the recommended dose is a single dose of 50 mg/kg (up to 2 g) with food.

Amebiasis

Intestinal

The recommended dose in adults is a 2 g dose per day for 3 days taken with food. In pediatric patients older than three years of age, the recommended dose is 50 mg/kg/day (up to 2 g per day) for 3 days with food.

Amebic liver abscess

The recommended dose in adults is a 2 g dose per day for 3-5 days taken with food. In pediatric patients older than three years of age, the recommended dose is 50 mg/kg/day (up to 2 g per day) for 3-5 days with food. There are limited pediatric data on durations of therapy exceeding 3 days, although a small number of children were treated for 5 days without additional reported adverse reactions. Children should be closely monitored when treatment durations exceed 3 days.

Tindamax® dosing recommendations
Indication Adults Children > 3 Years of Age
Trichomoniasis 2 g single dose* n/a
Giardiasis 2 g single dose 50 mg/kg single dose
(up to 2 g)
Intestinal Amebiasis 2 g QD
× 3 days
50 mg/kg QD
× 3 days
(up to 2 g/day)
Amebic Liver Abscess 2 g QD
× 3-5 days
50 mg/kg QD
× 3-5 days
(up to 2 g/day)

* Treat sexual partners with the same dose and at the same time.

Please see full Prescribing Information.

Table 2

Only Tindamax® is approved to treat both bacterial vaginosis and trichomoniasis (TV).

Clinical Insight

Oral vs vaginal cream therapy: Patient preference for oral dosing is demonstrated to be 84%. More»

Beyond BV

Tindamax® may be prescribed for other infections including: