amicline plus tablet - Ornidazole (250mg) + Diloxanide (375mg) medicine

Amicline Plus Tablet: Comprehensive Guide to Uses, Dosage, and Safety

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🏭 Franco-Indian Pharmaceuticals Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 25, 2026
⚠️ Hepatotoxicity Risk 🤰 Pregnancy Category Not established from the available information. Ornidazole crosses the placenta and is not recommended during the first trimester. Diloxanide is poorly absorbed, but its safety in pregnancy is not well established. Consult your doctor before use. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate
Reviewed by
SaathiMed Expert Panel | Sep 25, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Blood in stool or vomit
  • Severe abdominal pain
  • Yellowing of skin or eyes
  • Dark urine
  • Numbness or tingling in hands or feet
  • Unusual bleeding or bruising
  • Severe allergic reaction (rash, swelling, difficulty breathing)
  • Seizures

If experiencing severe symptoms, call emergency services immediately.

What is amicline plus tablet used for?

This medicine is a combination of Ornidazole and Diloxanide used to treat intestinal amoebiasis and other protozoal infections. It works by killing parasites in both the gut tissue and lumen. Take it exactly as prescribed, avoid alcohol, and complete the full course.

  • Generic Name: Ornidazole + Diloxanide
  • Manufacturer: Franco-Indian Pharmaceuticals Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 amicline plus tablet के बारे में (Hindi Summary)

उपयोग: यह दवा ओर्निडाजोल और डाइलोक्सानाइड का संयोजन है, जिसका उपयोग आंतों के अमीबियासिस (अमीबिक पेचिश) और अन्य प्रोटोजोआ संक्रमणों के इलाज के लिए किया जाता है। यह आंतों में परजीवियों को मारती है और दस्त, पेट दर्द, और बुखार जैसे लक्षणों से राहत देती है।

साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, उल्टी, पेट में असुविधा, मुंह में धातु जैसा स्वाद, सिरदर्द और चक्कर आना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन एलर्जी, रक्त विकार, और यकृत विषाक्तता हो सकती है। कोई भी असामान्य लक्षण दिखने पर तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। उपचार के दौरान और अंतिम खुराक के 48 घंटे बाद तक शराब का सेवन बिल्कुल न करें। यकृत या गुर्दे की बीमारी हो तो डॉक्टर को बताएं। पूरा कोर्स पूरा करें चाहे आप बेहतर महसूस करें।

💡 Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

💊 amicline plus tablet Uses & Benefits

[{"condition":"Intestinal amoebiasis","description":"Treatment of amoebic dysentery and non-dysenteric intestinal amoebiasis caused by Entamoeba histolytica.","evidence":"Well-established"},{"condition":"Giardiasis","description":"Treatment of giardiasis caused by Giardia lamblia, especially when a luminal agent is needed.","evidence":"Moderate"},{"condition":"Trichomoniasis","description":"Treatment of trichomoniasis caused by Trichomonas vaginalis, often in combination with other agents.","evidence":"Moderate"},{"condition":"Amoebic liver abscess","description":"Adjunct treatment for amoebic liver abscess after tissue amoebicide therapy.","evidence":"Limited"}]

Off-label uses: [{"condition":"Bacterial vaginosis","description":"Sometimes used off-label for bacterial vaginosis due to anaerobic coverage.","evidence":"Limited"},{"condition":"Crohn's disease","description":"Rarely used off-label for perianal fistulizing Crohn's disease based on small studies.","evidence":"Limited"}]

Primary treatment for: Intestinal amoebiasis

Also treats: Giardiasis, Trichomoniasis, Amoebic liver abscess

📋 Drug Information

Generic Name(s)Ornidazole + Diloxanide
Brand NameAmicline Plus Tablet
ManufacturerFranco-Indian Pharmaceuticals Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI INFECTIVES
Action ClassAntiprotozoal and Amebicide
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep in the original container.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine with food to reduce stomach upset.
2
Avoid alcohol completely during treatment and for 48 hours after the last dose.
3
Complete the full course even if you feel better to prevent relapse.
4
Stay well hydrated, especially if you have diarrhea.
5
Report any numbness, tingling, or weakness in hands or feet immediately.
6
Do not share this medicine with others, even if they have similar symptoms.
7
Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Bloody diarrhea
This medicine is commonly prescribed for amoebic dysentery.
Likely Use
✅
Abdominal pain
This medicine treats intestinal infections causing pain.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionOrnidazole is well absorbed from the gastrointestinal tract after oral administration. Diloxanide furoate is poorly absorbed, with about 90% of the drug remaining in the gut lumen. The combination ensures both systemic and luminal effects.
DistributionOrnidazole distributes widely into body tissues and fluids, including cerebrospinal fluid, bile, and saliva. Diloxanide remains primarily in the intestinal lumen due to its poor absorption.
Protein BindingOrnidazole is approximately 13% bound to plasma proteins. Diloxanide furoate is about 90% bound to plasma proteins, but this is of limited clinical significance due to its poor absorption.
MetabolismOrnidazole is metabolized in the liver by cytochrome P450 enzymes, primarily CYP3A4, to inactive metabolites. Diloxanide furoate is hydrolyzed in the gut to diloxanide and furoic acid, and diloxanide is then conjugated in the liver.
Half-LifeThe elimination half-life of ornidazole is approximately 12-14 hours. The half-life of diloxanide is not well established due to its poor absorption.
ExcretionOrnidazole and its metabolites are excreted mainly in the urine, with a small amount in feces. Diloxanide is excreted primarily in the feces as unchanged drug and metabolites.
BioavailabilityOrnidazole has a bioavailability of approximately 90% after oral administration. Diloxanide furoate has low systemic bioavailability due to poor absorption.
Onset of ActionThe onset of action for ornidazole is typically within 1-2 hours after oral administration. Diloxanide acts locally in the gut, and its onset is not well defined.
Peak Plasma TimePeak plasma concentration of ornidazole is reached within 2-3 hours after oral administration. Diloxanide furoate peak plasma levels are low and variable.
Duration of ActionThe duration of action for ornidazole is approximately 12-24 hours, allowing for once or twice daily dosing. Diloxanide's local action lasts as long as it remains in the gut.

How It Works

Ornidazole is a nitroimidazole derivative that enters susceptible protozoal cells and undergoes reductive activation by ferredoxin-like electron transport proteins. The reduced nitro group forms reactive intermediates that bind to DNA, causing strand breakage and inhibition of nucleic acid synthesis, which leads to cell death. Diloxanide is a luminal amoebicide that acts by inhibiting protein synthesis in Entamoeba histolytica trophozoites residing in the intestinal lumen. It is poorly absorbed from the gastrointestinal tract, allowing high concentrations in the gut to eliminate luminal parasites. Together, they provide both tissue and luminal amoebicidal activity.

Mechanism Steps

1
Ornidazole uptake and activation: Ornidazole diffuses into protozoal cells and is reductively activated by intracellular electron transport proteins.
2
DNA damage: The reduced nitro intermediates bind to DNA, causing strand breaks and inhibiting DNA synthesis.
3
Cell death: The damaged DNA leads to failure of replication and transcription, resulting in parasite death.
4
Diloxanide luminal action: Diloxanide remains in the gut lumen and inhibits protein synthesis in Entamoeba histolytica trophozoites.
5
Elimination of luminal parasites: Diloxanide eradicates amoebae that are not reached by tissue amoebicides, preventing relapse.

💡 How to Take amicline plus tablet

Strength: Each tablet contains Ornidazole 250 mg and Diloxanide 375 mg.

1Take this medicine orally with a full glass of water.
2Take with food to reduce stomach upset.
3Swallow the tablet whole; do not crush or chew.
4Take at evenly spaced intervals as prescribed.
5Complete the full course even if you feel better.
6Do not take with alcohol.

Dosage Information

Adult DosageThe usual adult dose of this medicine is one tablet taken orally two to three times daily, depending on the severity of the infection and the treating doctor's judgment. The duration of treatment typically ranges from 5 to 10 days for intestinal amoebiasis. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-medicate or adjust the dose without medical advice.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may have reduced liver and kidney function, which can affect drug clearance. Dose adjustment may be necessary. Use with caution and monitor for side effects. Consult a doctor for appropriate dosing.
Renal ImpairmentIn patients with severe renal impairment (creatinine clearance less than 30 mL/min), dose reduction may be necessary. Monitor for side effects. Consult a doctor for appropriate dosing.
Hepatic ImpairmentIn patients with severe hepatic impairment, dose reduction or avoidance may be necessary. Monitor liver function. Consult a doctor for appropriate dosing.
Maximum Daily DoseThe maximum recommended daily dose is 750 mg of ornidazole and 1125 mg of diloxanide (three tablets per day). Do not exceed the prescribed dose.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset and nausea.
Alcohol
Avoid
Can cause disulfiram-like reaction.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of amicline plus tablet

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food to reduce nausea. If it persists, consult your doctor.
Metallic taste (Common (5-10%))
Usually temporary. Chewing sugar-free gum or rinsing mouth may help.
Headache (Common (5-10%))
Rest and stay hydrated. Consult doctor if severe or persistent.
Dizziness (Uncommon (1-5%))
Avoid driving or operating machinery until you know how it affects you.
Abdominal pain (Uncommon (1-5%))
Take with food. If pain is severe, contact your doctor.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience rash, itching, swelling of face or throat, or difficulty breathing.
Blood disorders (e.g., leukopenia, thrombocytopenia) (Rare (<0.1%))
Report unusual bleeding, bruising, or signs of infection to your doctor immediately.
Peripheral neuropathy (Rare (<0.1%))
Report numbness, tingling, or weakness in hands or feet to your doctor.
Liver toxicity (Rare (<0.1%))
Seek medical help if you notice yellowing of skin or eyes, dark urine, or severe abdominal pain.
Seizures (Very rare (<0.01%))
Seek emergency medical attention if seizures occur.

⚠️ Rare Side Effects

Pancreatitis
Seek immediate medical attention if you experience severe upper abdominal pain radiating to back.
Stevens-Johnson syndrome
Seek emergency care if you develop rash with blisters, peeling skin, or sores in mouth.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Alcohol Major
Lithium Major
Phenytoin Moderate
Cimetidine Moderate
Fluconazole Moderate
Antacids Minor

🚨 Major Interactions

  • Warfarin
  • Alcohol
  • Lithium

⚡ Moderate Interactions

  • Phenytoin
  • Cimetidine
  • Fluconazole

🍷 Alcohol Interaction

Alcohol must be strictly avoided while taking this medicine and for at least 48 hours after the last dose. Combining alcohol with ornidazole can cause a disulfiram-like reaction characterized by severe nausea, vomiting, flushing, headache, and rapid heartbeat. This reaction can be dangerous and requires immediate medical attention if it occurs.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to ornidazole, diloxanide, or other nitroimidazoles.","First trimester of pregnancy.","Severe hepatic impairment.","Use of alcohol during treatment and for 48 hours after.","Breastfeeding without medical advice."]

⚠️ Warnings & Precautions

["Avoid alcohol during treatment and for 48 hours after the last dose.","Use with caution in patients with liver disease; dose adjustment may be needed.","Use with caution in patients with kidney disease; dose adjustment may be needed.","May cause dizziness; avoid driving or operating machinery until you know how it affects you.","May cause peripheral neuropathy with prolonged use; report numbness or tingling.","May cause blood disorders; report unusual bleeding or bruising.","Use effective contraception during treatment if of childbearing age.","Do not breastfeed while taking this medicine without consulting your doctor.","Complete the full course as prescribed to prevent relapse and resistance."]

🤱 Lactation Safety

Ornidazole is excreted in breast milk. Due to the potential for serious adverse reactions in nursing infants, a decision should be made whether to discontinue nursing or discontinue the drug, taking into account the importance of the drug to the mother. Consult your doctor.

💊 Overdose Management

Overdose may cause nausea, vomiting, dizziness, and headache. In case of overdose, seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote. Gastric lavage may be considered if ingestion is recent. Monitor vital signs and provide supportive care.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose to catch up.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not share it with others. Avoid alcohol completely during treatment and for at least 48 hours after the last dose, as it can cause a disulfiram-like reaction with severe nausea and vomiting. Inform your doctor if you have liver disease, kidney disease, or any blood disorder. Use effective contraception during treatment if you are of childbearing age. Do not breastfeed while taking this medicine without consulting your doctor. Complete the full course even if you feel better to prevent recurrence.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the side effects of this medicine, especially dizziness and neurological effects. Dose adjustment may be needed based on liver and kidney function. Regular monitoring is advised.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before taking this medicine. It is not recommended during the first trimester. Use effective contraception during treatment. Discuss the risks and benefits with your doctor.

🏥 Post-Surgery Considerations

If you have recently undergone surgery, inform your surgeon that you are taking this medicine. It may interact with other medications used during surgery. Your doctor will decide if it is safe to continue.

🦷 Dental Procedures

Inform your dentist that you are taking this medicine before any dental procedure. It may interact with medications used during dental work. Your dentist may advise you to stop temporarily.

💚 Lifestyle Tips for Better Results

🏃
Maintain good hand hygiene to prevent reinfection.
🥗
Drink boiled or filtered water.
😴
Wash fruits and vegetables thoroughly before eating.
💧
Avoid raw or undercooked meat and seafood.
🧘
Get adequate rest to support recovery.
🌞
Stay well hydrated, especially if you have diarrhea.

🏋️ Exercise Considerations

If you experience dizziness or fatigue, avoid strenuous exercise until you feel better. Light activity is generally safe, but listen to your body and rest when needed.

🥗 Diet Recommendations

Eat bland, easily digestible foods like rice, bananas, and toast.
Avoid spicy, oily, and processed foods.
Stay well hydrated with oral rehydration solutions.
Include probiotics like yogurt to restore gut flora.
Avoid alcohol and caffeine.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or fatigue in some people. Avoid driving or operating heavy machinery until you know how it affects you. Most people can continue their daily activities with caution. If you have severe diarrhea, rest and hydration are important.

🛑 When to Stop This Medicine

Do not stop taking this medicine without consulting your doctor, even if you feel better. Stopping early can lead to relapse and resistance. If you experience severe side effects, contact your doctor immediately for advice.

📅 Long-Term Use Effects

Long-term use of this medicine is not recommended unless prescribed by a doctor. Prolonged use may increase the risk of peripheral neuropathy, blood disorders, and liver toxicity. Regular monitoring of liver function and blood counts may be required if extended treatment is necessary. Always follow your doctor's advice regarding duration of treatment.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Metronidazole + Diloxanide

Alternative combination for intestinal amoebiasis.

Evidence: Well-established
Tinidazole + Diloxanide

Alternative with longer half-life, shorter course.

Evidence: Moderate
Paromomycin

Luminal amoebicide for mild intestinal amoebiasis.

Evidence: Moderate

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

There are no known interactions between this medicine and vaccines. However, if you are due for any vaccine, inform your doctor that you are taking this medicine.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and protect from direct sunlight. If traveling across time zones, adjust dosing intervals as advised by your doctor. Check customs regulations for carrying prescription medicines. Always carry enough supply for your entire trip.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old man with amoebic dysentery
He was prescribed this medicine for bloody diarrhea and abdominal pain. After 3 days, his symptoms improved significantly. He completed the 7-day course and avoided alcohol as advised. He reported mild nausea initially, which subsided when he took the tablet with food.
💡 Lesson: Taking the medicine with food reduces nausea, and completing the full course prevents relapse.
👤 A 28-year-old woman with giardiasis
She had persistent diarrhea and bloating. This medicine was prescribed for 5 days. She noticed a metallic taste but no other side effects. Her symptoms resolved completely after the course. She was advised to practice good hand hygiene to prevent reinfection.
💡 Lesson: Metallic taste is a common but temporary side effect. Good hygiene helps prevent reinfection.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may start feeling better within 2-3 days, but it is important to complete the full course as prescribed.

Q: Can I take this medicine with food?

A: Yes, taking it with food helps reduce stomach upset.

Q: What should I do if I miss a dose?

A: Take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.

Q: Is it safe to drink alcohol while taking this medicine?

A: No, alcohol can cause a severe reaction. Avoid alcohol completely during treatment and for 48 hours after the last dose.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for amicline plus tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can cure any type of diarrhea.
    Fact: This medicine is specifically for protozoal infections like amoebiasis. It is not effective for viral or bacterial diarrhea.
  • Myth: You can stop taking this medicine once you feel better.
    Fact: You must complete the full course to prevent relapse and resistance.
  • Myth: It is safe to drink alcohol while taking this medicine.
    Fact: Alcohol can cause a severe disulfiram-like reaction. Avoid completely.

🔄 Alternative Options

Generic Alternatives

  • Ornidazole + Diloxanide combination generics

Brand Alternatives

  • Amicline Plus
  • Diloxanide Ornidazole
  • Ornidazole Diloxanide

📊 Comparison with Similar Medicines

[{"medicine":"Ornidazole + Diloxanide","composition":"Ornidazole 250mg + Diloxanide 375mg","uses":"Intestinal amoebiasis, giardiasis","notes":"Dual action: tissue and luminal amoebicide."},{"medicine":"Metronidazole + Diloxanide","composition":"Metronidazole 200mg + Diloxanide 500mg","uses":"Intestinal amoebiasis","notes":"Similar combination but different nitroimidazole."},{"medicine":"Tinidazole + Diloxanide","composition":"Tinidazole 500mg + Diloxanide 500mg","uses":"Intestinal amoebiasis","notes":"Longer half-life, shorter course."}]

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