nizonide 200mg tablet dt - Nitazoxanide (200mg) medicine

Nizonide 200mg Tablet Dt: Complete Medicine Guide

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🏭 Lupin Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 29, 2026
⚠️ Hepatotoxicity Risk 🤰 Pregnancy Category This medicine is classified as Pregnancy Category B by the FDA. Animal studies have not shown a risk to the fetus, but there are no adequate studies in pregnant women. It should be used during pregnancy only if clearly needed. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for cryptosporidiosis and giardiasis; moderate for other uses.
Reviewed by
SaathiMed Expert Panel | Oct 29, 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
  • Chest pain or difficulty breathing
  • Severe headache with visual changes
  • Sudden swelling of face, lips, or throat
  • Yellowing of skin or eyes
  • Decreased urine output

If experiencing severe symptoms, call emergency services immediately.

What is nizonide 200mg tablet dt used for?

This medicine is an antiprotozoal and anthelmintic agent used to treat intestinal infections caused by parasites such as Cryptosporidium and Giardia. It works by disrupting the energy metabolism of the parasites, leading to their death. It is available as a dispersible tablet and is usually taken for 3 days.

  • Generic Name: Nitazoxanide (200mg)
  • Manufacturer: Lupin Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 nizonide 200mg tablet dt के बारे में (Hindi Summary)

उपयोग: यह दवा नाइटाज़ोक्सानाइड 200 मिलीग्राम डिस्पर्सिबल टैबलेट के रूप में उपलब्ध है। यह मुख्य रूप से आंतों में होने वाले परजीवी संक्रमणों जैसे क्रिप्टोस्पोरिडियोसिस और जिआर्डियासिस के इलाज के लिए इस्तेमाल की जाती है। यह दवा परजीवियों के ऊर्जा चयापचय को बाधित करके उन्हें मार देती है। यह दवा डॉक्टर के पर्चे पर ही लेनी चाहिए और पूरा कोर्स पूरा करना चाहिए।

साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में पेट दर्द, जी मिचलाना, सिरदर्द और दस्त शामिल हैं। ये आमतौर पर हल्के होते हैं और अपने आप ठीक हो जाते हैं। दुर्लभ मामलों में एलर्जी, रक्त विकार या लीवर की समस्या हो सकती है। अगर आपको त्वचा पर चकत्ते, सूजन, या आंखों का पीला होना जैसे लक्षण दिखें तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को लेने से पहले अपने डॉक्टर को अपनी सभी दवाओं और एलर्जी के बारे में बताएं। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर की सलाह के बिना यह दवा न लें। यह दवा नींद या चक्कर ला सकती है, इसलिए वाहन चलाने या मशीनरी चलाने से बचें। दवा को बच्चों की पहुंच से दूर रखें और निर्देशानुसार ही सेवन करें।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 nizonide 200mg tablet dt Uses & Benefits

[{"condition":"Cryptosporidiosis","description":"This medicine is used to treat diarrhoea caused by Cryptosporidium parvum in immunocompetent patients.","evidence":"Well-established"},{"condition":"Giardiasis","description":"This medicine is effective against Giardia lamblia infection, which causes diarrhoea and malabsorption.","evidence":"Well-established"},{"condition":"Amoebiasis","description":"This medicine may be used in the treatment of intestinal amoebiasis caused by Entamoeba histolytica.","evidence":"Moderate"},{"condition":"Helminth infections","description":"This medicine has shown activity against certain intestinal worms, such as Ascaris lumbricoides and Trichuris trichiura.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Chronic hepatitis B","description":"Some studies have explored the use of this medicine in chronic hepatitis B, but it is not approved for this indication.","evidence":"Limited"},{"condition":"Chronic hepatitis C","description":"This medicine has been studied in combination with other agents for hepatitis C, but it is not a standard treatment.","evidence":"Limited"}]

Primary treatment for: Intestinal parasitic infections

Also treats: Cryptosporidiosis, Giardiasis, Amoebiasis

📋 Drug Information

Generic Name(s)Nitazoxanide (200mg)
Brand Namenizonide 200mg tablet dt
ManufacturerLupin Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI INFECTIVES
Action ClassAntiprotozoal agents
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep out of reach of children.
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
Complete the full course as prescribed, even if you feel better.
3
Stay well hydrated while taking this medicine.
4
Avoid alcohol during treatment.
5
Inform your doctor if you have liver or kidney problems.
6
Do not share this medicine with others.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Chronic diarrhoea
This medicine is commonly prescribed for parasitic diarrhoea.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionThis medicine is rapidly absorbed from the gastrointestinal tract after oral administration. It is available as a dispersible tablet, which may be dispersed in water for easier administration.
DistributionNot established from the available information.
Protein BindingNot established from the available information.
MetabolismThis medicine is extensively metabolized in the liver, primarily by hydrolysis and subsequent conjugation. The main metabolite is tizoxanide, which is also active against parasites.
Half-LifeThe elimination half-life of the active metabolite, tizoxanide, is approximately 1.5 hours.
ExcretionThis medicine and its metabolites are excreted mainly in the faeces and urine.
BioavailabilityNot established from the available information.
Onset of ActionNot established from the available information.
Peak Plasma TimePeak plasma concentrations of the active metabolite, tizoxanide, are reached approximately 1 to 2 hours after oral administration.
Duration of ActionNot established from the available information.

How It Works

This medicine works by inhibiting the pyruvate:ferredoxin oxidoreductase (PFOR) enzyme-dependent electron transfer reaction, which is essential for the anaerobic energy metabolism of protozoa and helminths. This disruption leads to the inability of the parasite to produce energy, resulting in its death. This medicine is effective against a range of intestinal parasites without significantly affecting human cells.

Mechanism Steps

1
Uptake by parasite: This medicine is taken up by the parasite from the intestinal lumen.
2
Inhibition of PFOR enzyme: Inside the parasite, this medicine inhibits the pyruvate:ferredoxin oxidoreductase enzyme, which is crucial for anaerobic energy production.
3
Disruption of energy metabolism: The inhibition leads to a failure in the parasite's energy supply, causing its death.

💡 How to Take nizonide 200mg tablet dt

Strength: Dispersible tablet, 200 mg

1Disperse the tablet in a small amount of water, milk, or juice.
2Stir the mixture well and drink it immediately.
3Take this medicine with food to reduce stomach upset.
4Follow the dosage schedule prescribed by your doctor.
5Complete the full course of treatment even if you feel better.

Dosage Information

Adult DosageThe usual adult dose of this medicine for intestinal infections is 500 mg (two and a half 200 mg tablets) taken orally every 12 hours for 3 days. However, the dose and duration may vary depending on the specific infection being treated and the patient's condition. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageClinical studies of this medicine did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. In general, dose selection for an elderly patient should be cautious, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy.
Renal ImpairmentNo dosage adjustment is recommended for patients with mild to moderate renal impairment. This medicine should be used with caution in patients with severe renal impairment.
Hepatic ImpairmentNo dosage adjustment is recommended for patients with mild to moderate hepatic impairment. This medicine is contraindicated in patients with severe hepatic impairment.
Maximum Daily DoseThe maximum recommended daily dose is 1000 mg (five 200 mg tablets) for adults.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset and improves absorption.

⏰ 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 nizonide 200mg tablet dt

✅ Common Side Effects

Stomach pain (Common (1-10%))
Take the medicine with food to reduce stomach upset. If pain persists, consult your doctor.
Nausea (Common (1-10%))
Take with a meal and stay hydrated. If nausea is severe, contact your doctor.
Headache (Common (1-10%))
Rest and stay hydrated. Consult your doctor if headache is persistent or severe.
Diarrhoea (Common (1-10%))
Drink plenty of fluids to prevent dehydration. If diarrhoea worsens, seek medical advice.

🚨 Serious Side Effects

Allergic reactions (Rare (<0.1%))
Seek immediate medical attention if you experience rash, itching, swelling of the face, lips, or throat, or difficulty breathing.
Blood disorders (Rare (<0.1%))
Report any unusual bleeding, bruising, or signs of infection to your doctor immediately.
Liver problems (Rare (<0.1%))
Contact your doctor if you notice yellowing of the skin or eyes, dark urine, or severe abdominal pain.

⚠️ Rare Side Effects

Seizures
Seek emergency medical help if seizures occur.
Severe skin reactions
Discontinue the medicine and seek immediate medical attention if you develop a severe rash with blistering or peeling skin.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Methotrexate Moderate
Antacids Minor

🚨 Major Interactions

  • Warfarin

⚡ Moderate Interactions

  • Methotrexate

🍷 Alcohol Interaction

Alcohol may worsen the side effects of this medicine, such as dizziness and stomach upset. It is advisable to avoid alcohol while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to Nitazoxanide or any component of the formulation","Severe hepatic impairment","Severe renal impairment"]

⚠️ Warnings & Precautions

["This medicine should be used with caution in patients with liver disease.","This medicine should be used with caution in patients with kidney disease.","This medicine may cause dizziness; avoid driving or operating machinery until you know how it affects you.","This medicine should not be used for longer than prescribed without medical advice.","Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding."]

🤱 Lactation Safety

It is not known whether this medicine is excreted in human breast milk. Because many drugs are excreted in human milk, caution should be exercised when this medicine is administered to a nursing woman. Consult your doctor before breastfeeding.

💊 Overdose Management

There is no specific antidote for overdose with this medicine. In case of overdose, seek immediate medical attention. Treatment should be symptomatic and supportive. Gastric lavage may be considered if the overdose is recent and the patient is seen within a short time.

⏰ 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 take a double dose to make up for a missed one.

Additional Safety Advice

General Safety

Before taking this medicine, tell your doctor if you are allergic to Nitazoxanide or any other medicines. Inform your doctor about all the medicines you are taking, including prescription, over-the-counter, and herbal products, as this medicine may interact with them. Do not take this medicine without a prescription. It is important to take this medicine exactly as prescribed by your doctor. Do not change the dose or stop taking it without consulting your doctor. If you are pregnant, planning to become pregnant, or breastfeeding, inform your doctor before taking this medicine. This medicine may make you feel dizzy or sleepy; avoid driving or operating heavy machinery until you know how it affects you. Keep this medicine out of the reach of children. Store it in a cool, dry place away from direct sunlight. Do not use it after the expiry date.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the side effects of this medicine. Dose selection should be cautious, and liver and kidney function should be monitored.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before taking this medicine. It should be used during pregnancy only if clearly needed.

🏥 Post-Surgery Considerations

If you have recently undergone surgery, inform your surgeon and anaesthesiologist that you are taking this medicine. It may interact with other medications used during surgery.

🦷 Dental Procedures

Inform your dentist that you are taking this medicine before any dental procedure. No specific precautions are usually needed, but it is important for your dentist to know your medication history.

💚 Lifestyle Tips for Better Results

🏃
Maintain good hand hygiene to prevent reinfection.
🥗
Drink boiled or filtered water.
😴
Avoid raw or undercooked food.
💧
Wash fruits and vegetables thoroughly before eating.
🧘
Get adequate rest to support your immune system.

🏋️ Exercise Considerations

This medicine may cause dizziness or fatigue. Avoid strenuous exercise until you know how it affects you. Light activity is generally safe.

🥗 Diet Recommendations

Stay well hydrated with oral rehydration solutions.
Eat bland, easy-to-digest foods like bananas, rice, applesauce, and toast.
Avoid spicy, oily, and processed foods.
Include probiotics like yogurt to support gut health.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or drowsiness. Avoid driving or operating heavy machinery until you know how it affects you. Most people can continue their daily activities with caution.

🛑 When to Stop This Medicine

Stop taking this medicine only after completing the prescribed course or as directed by your doctor. Do not stop early, as it may lead to treatment failure or resistance. If you experience severe side effects, contact your doctor immediately.

📅 Long-Term Use Effects

This medicine is usually prescribed for a short duration (3 days). Long-term use is not recommended without medical supervision. If you need to take it for a longer period, your doctor will monitor your liver and kidney function regularly.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Oral rehydration therapy

Helps prevent dehydration caused by diarrhoea.

Evidence: Well-established
Probiotics

May help restore gut flora during and after infection.

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 a 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

When travelling, carry this medicine in its original packaging along with a copy of your prescription. Store it at room temperature and protect it from direct sunlight. If you are crossing time zones, adjust your dosing schedule accordingly, but do not take a double dose. Check the customs regulations of your destination country regarding prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old man with persistent diarrhoea
He was diagnosed with giardiasis and prescribed this medicine. After taking it for 3 days as directed, his diarrhoea resolved completely. He experienced mild nausea, which went away after taking the medicine with food.
💡 Lesson: Taking this medicine with food can reduce stomach upset and improve tolerability.
👤 A 28-year-old woman with cryptosporidiosis
She had a weakened immune system and developed cryptosporidiosis. Her doctor prescribed this medicine, and she noticed improvement in her symptoms within 2 days. She completed the full course and recovered fully.
💡 Lesson: It is important to complete the full course of this medicine to ensure the infection is fully cleared.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine usually starts working within 1-2 days, but you must complete the full course as prescribed.

Q: Can I take this medicine with food?

A: Yes, taking this medicine with food can reduce stomach upset and improve absorption.

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

A: 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.

🤔 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 nizonide 200mg tablet dt

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 all types of diarrhoea.
    Fact: This medicine is only effective against specific parasitic infections. It is not effective for diarrhoea caused by viruses or bacteria.
  • Myth: This medicine is safe to take without a prescription.
    Fact: This medicine is a prescription drug and should only be taken under a doctor's supervision.
  • Myth: You can stop taking this medicine as soon as you feel better.
    Fact: It is important to complete the full course as prescribed to ensure the infection is fully cleared and to prevent resistance.

🔄 Alternative Options

Generic Alternatives

  • Nitazoxanide 200 mg dispersible tablet

Brand Alternatives

  • Nizonide 200mg Tablet DT

📊 Comparison with Similar Medicines

[{"medicine":"Nitazoxanide","class":"Antiprotozoal","indication":"Cryptosporidiosis, Giardiasis","route":"Oral","frequency":"Twice daily"},{"medicine":"Metronidazole","class":"Antiprotozoal","indication":"Giardiasis, Amoebiasis","route":"Oral","frequency":"Three times daily"},{"medicine":"Tinidazole","class":"Antiprotozoal","indication":"Giardiasis, Amoebiasis","route":"Oral","frequency":"Single dose"}]

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