Tidox TZ 100mg/600mg Tablet - Doxycycline (100mg) + Tinidazole (600mg) medicine

Doxylin TZ 100mg/600mg Tablet: Complete Medicine Guide

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🏭 Oyster Labs Ltd 📦 strip of 10 tablets 💊 Allopathy 📅 Updated: Oct 22, 2026
🤰 Pregnancy Category Doxycycline is contraindicated in pregnancy due to the risk of fetal harm, including dental staining and effects on bone growth. Tinidazole is also not recommended during pregnancy, especially in the first trimester. This medicine should not be used during pregnancy unless clearly needed and prescribed by a doctor. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for approved indications.
Reviewed by
SaathiMed Expert Panel | Oct 22, 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

  • Severe allergic reaction: swelling of face, lips, throat, difficulty breathing, or widespread rash.
  • Severe diarrhea, abdominal cramps, or fever, which may indicate pseudomembranous colitis.
  • Yellowing of skin or eyes, dark urine, or severe abdominal pain, which may indicate liver toxicity.
  • Unusual bruising or bleeding, which may indicate a blood disorder.
  • Numbness, tingling, or burning in hands or feet, which may indicate peripheral neuropathy.
  • Severe headache with vision changes or ringing in the ears, which may indicate intracranial hypertension.

If experiencing severe symptoms, call emergency services immediately.

What is Tidox TZ 100mg/600mg Tablet used for?

This medicine is a combination antibiotic containing doxycycline and tinidazole. It is used to treat mixed bacterial and protozoal infections, such as dental infections, pelvic inflammatory disease, and certain parasitic infections. It works by inhibiting bacterial protein synthesis and damaging DNA of susceptible organisms. It must be taken exactly as prescribed, and alcohol must be avoided.

  • Generic Name: Doxycycline (100mg) + Tinidazole (600mg)
  • Manufacturer: Oyster Labs Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 Tidox TZ 100mg/600mg Tablet के बारे में (Hindi Summary)

उपयोग: यह दवा डॉक्सीसाइक्लिन और टिनिडाजोल का संयोजन है, जिसका उपयोग विभिन्न प्रकार के बैक्टीरियल और प्रोटोज़ोअल संक्रमणों के इलाज के लिए किया जाता है। इसमें दांतों के संक्रमण, पेल्विक इन्फ्लेमेटरी डिजीज, बैक्टीरियल वेजिनोसिस, ट्राइकोमोनिएसिस, जिआर्डियासिस और अमीबियासिस शामिल हैं। यह दवा बैक्टीरिया के प्रोटीन संश्लेषण को रोककर और प्रोटोज़ोआ के डीएनए को नुकसान पहुंचाकर काम करती है। इसे डॉक्टर के निर्देशानुसार ही लें और कोर्स पूरा करें।

साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, उल्टी, दस्त, पेट दर्द, भूख न लगना, मुंह में धातु जैसा स्वाद और सिरदर्द शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन एलर्जी, गंभीर दस्त, यकृत की समस्या, या रक्त विकार हो सकते हैं। धूप से बचें क्योंकि यह दवा त्वचा को संवेदनशील बना सकती है। शराब का सेवन बिल्कुल न करें।

सुरक्षा सलाह: इस दवा को भोजन के साथ और भरपूर पानी के साथ लें। लेटने से पहले पानी पिएं। शराब का सेवन पूरी तरह बंद करें। धूप से बचाव करें और सनस्क्रीन का उपयोग करें। एंटासिड, आयरन या कैल्शियम सप्लीमेंट के साथ 2 घंटे का अंतराल रखें। गर्भावस्था और स्तनपान के दौरान इसका उपयोग न करें। कोर्स पूरा करें।

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

💊 Tidox TZ 100mg/600mg Tablet Uses & Benefits

[{"condition":"Dental infections (periodontitis, pericoronitis)","description":"Used to treat mixed aerobic and anaerobic bacterial infections of the gums and surrounding tissues.","evidence":"Well-established"},{"condition":"Pelvic inflammatory disease","description":"Often prescribed as part of combination therapy to cover a broad range of bacteria and protozoa.","evidence":"Well-established"},{"condition":"Bacterial vaginosis","description":"Tinidazole is effective against anaerobic bacteria, and doxycycline covers other potential pathogens.","evidence":"Moderate"},{"condition":"Trichomoniasis","description":"Tinidazole is a first-line treatment for trichomoniasis, and doxycycline may be added for co-infections.","evidence":"Well-established"},{"condition":"Giardiasis","description":"Tinidazole is highly effective against Giardia lamblia, and doxycycline may be included for mixed infections.","evidence":"Well-established"},{"condition":"Amebiasis","description":"Tinidazole treats intestinal and hepatic amebiasis; doxycycline may be added for bacterial co-infections.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Rosacea","description":"Doxycycline at low doses is sometimes used for its anti-inflammatory effects, but the combination with tinidazole is not standard.","evidence":"Limited"},{"condition":"Malaria prophylaxis","description":"Doxycycline alone is used for malaria prevention, but the combination is not recommended for this purpose.","evidence":"Limited"}]

Primary treatment for: Mixed bacterial and protozoal infections

Also treats: Dental infections, Pelvic inflammatory disease, Bacterial vaginosis, Trichomoniasis, Giardiasis, Amebiasis

📋 Drug Information

Generic Name(s)Doxycycline (100mg) + Tinidazole (600mg)
Brand NameTidox TZ 100mg/600mg Tablet
ManufacturerOyster Labs Ltd
Packaging / Formstrip of 10 tablets (Allopathy)
Therapeutic Class
Action Class
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. 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
Always take this medicine with food and a full glass of water to reduce stomach upset and prevent esophageal irritation.
2
Avoid alcohol completely during treatment and for at least 3 days after the last dose to prevent a disulfiram-like reaction.
3
Use sunscreen and protective clothing when outdoors, as this medicine can make your skin more sensitive to sunlight.
4
Do not take antacids, iron, or calcium supplements within 2 hours of this medicine, as they can reduce its absorption.
5
Complete the full course as prescribed, even if you feel better, to prevent the infection from returning and to avoid antibiotic resistance.
6
Inform your doctor if you are taking blood thinners, oral contraceptives, or have liver or kidney problems.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Dental pain and swelling
This medicine is commonly prescribed for dental infections.
Likely Use
✅
Pelvic pain and discharge
This medicine may be used for pelvic inflammatory disease.
Likely Use
❌
Fever
This medicine is not a primary fever reducer; it treats the underlying infection.
Not Primary
❌
Common cold
This medicine is not effective against viral infections.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionDoxycycline is well absorbed from the gastrointestinal tract, with absorption not significantly affected by food, though it may be reduced by antacids and iron. Tinidazole is also well absorbed orally, with peak levels reached within 2 hours.
DistributionDoxycycline is highly lipophilic and distributes widely into tissues and body fluids, including bile, synovial fluid, and cerebrospinal fluid. Tinidazole also distributes widely, including into cerebrospinal fluid and brain tissue.
Protein BindingDoxycycline is approximately 90% protein-bound. Tinidazole is about 12% protein-bound.
MetabolismDoxycycline is partially metabolized in the liver, but it is not a major route of elimination. Tinidazole is metabolized in the liver, primarily by oxidation and glucuronidation.
Half-LifeThe elimination half-life of doxycycline is approximately 18-22 hours. Tinidazole has a half-life of about 12-14 hours.
ExcretionDoxycycline is excreted mainly in bile and feces, with a small amount in urine. Tinidazole is excreted primarily in urine, with some in feces.
BioavailabilityDoxycycline has a bioavailability of about 90-100%. Tinidazole bioavailability is also high, approximately 90%.
Onset of ActionThe onset of action for doxycycline is typically within 1-2 hours after oral administration. Tinidazole onset is also within 1-2 hours.
Peak Plasma TimeDoxycycline peak plasma concentration occurs 2-3 hours after oral administration. Tinidazole peak plasma concentration occurs within 2 hours.
Duration of ActionThe duration of action for doxycycline is about 24 hours, allowing once or twice daily dosing. Tinidazole duration is also about 24 hours.

How It Works

This medicine combines two agents with distinct mechanisms. Doxycycline is a broad-spectrum tetracycline antibiotic that reversibly binds to the 30S ribosomal subunit of susceptible bacteria, blocking the binding of aminoacyl-tRNA to the mRNA-ribosome complex. This inhibits protein synthesis and prevents bacterial growth. Tinidazole is a nitroimidazole that enters susceptible anaerobic bacteria and protozoa, where its nitro group is reduced to reactive intermediates. These intermediates damage DNA, leading to cell death. The combination provides coverage against a wide range of aerobic and anaerobic bacteria, as well as certain protozoa.

Mechanism Steps

1
Doxycycline entry into bacteria: Doxycycline passes through the bacterial cell wall and binds to the 30S ribosomal subunit.
2
Inhibition of protein synthesis: It blocks the addition of amino acids to the growing peptide chain, preventing bacterial growth.
3
Tinidazole uptake by anaerobes: Tinidazole is taken up by anaerobic bacteria and protozoa, where its nitro group is reduced.
4
DNA damage: The reduced intermediates cause DNA strand breaks, leading to cell death.

💡 How to Take Tidox TZ 100mg/600mg Tablet

Strength: Each tablet contains doxycycline 100 mg and tinidazole 600 mg.

1Take this medicine orally with a full glass of water.
2Take with food to reduce stomach upset.
3Do not lie down immediately after taking to prevent esophageal irritation.
4Avoid alcohol completely during treatment and for 3 days after.
5Do not take antacids, iron, or calcium supplements within 2 hours of this medicine.
6Complete the full course as prescribed by your doctor.

Dosage Information

Adult DosageThe usual adult dose is one tablet taken orally once or twice daily, depending on the infection being treated. The exact dose and duration must be individualized by a qualified clinician based on the indication, severity of infection, age, weight, renal and hepatic function. Do not self-adjust the dose. Complete the full course as prescribed.
Pediatric DosagePediatric dosing is not established from available information. This medicine is contraindicated in children under 12 years. Consult a pediatrician for appropriate alternatives.
Elderly DosageElderly patients may be more susceptible to side effects. Dose adjustment may be needed based on renal and hepatic function. Use with caution and monitor closely.
Renal ImpairmentDoxycycline usually does not require dose adjustment in renal impairment. Tinidazole may require dose adjustment in severe renal impairment (creatinine clearance < 30 mL/min). Consult your doctor for individualized dosing.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Dose reduction may be necessary. Monitor liver function tests. Contraindicated in severe liver disease.
Maximum Daily DoseThe maximum recommended daily dose is one tablet twice daily (doxycycline 200 mg and tinidazole 1200 mg). Do not exceed the prescribed dose.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Dairy products
Avoid within 2 hours
Calcium reduces absorption of doxycycline.
Iron-rich foods
Separate by 2 hours
Iron reduces absorption of doxycycline.
Alcohol
Avoid completely
Can cause disulfiram-like reaction with tinidazole.

⏰ 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 Tidox TZ 100mg/600mg Tablet

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food to reduce nausea. If it persists, consult your doctor.
Diarrhea (Common (5-10%))
Stay hydrated. If diarrhea is severe or bloody, contact your doctor immediately.
Metallic taste (Common (5-10%))
Usually temporary. Chewing sugar-free gum or rinsing mouth may help.
Headache (Common (5-10%))
Rest and stay hydrated. If headache is severe or persistent, consult your doctor.
Stomach pain (Common (5-10%))
Take with food. If pain is severe, seek medical advice.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek emergency medical help immediately if you experience swelling of face, lips, throat, difficulty breathing, or a widespread rash.
Pseudomembranous colitis (Rare (<0.1%))
Contact your doctor if you develop severe diarrhea, abdominal cramps, or fever. Do not treat with anti-diarrheal medicines without medical advice.
Liver toxicity (Rare (<0.1%))
Report yellowing of skin or eyes, dark urine, or severe abdominal pain to your doctor immediately.
Blood disorders (e.g., leukopenia, thrombocytopenia) (Rare (<0.1%))
If you notice unusual bruising, bleeding, or signs of infection, seek medical attention.
Peripheral neuropathy (Rare (<0.1%))
Report numbness, tingling, or burning in hands or feet to your doctor.

⚠️ Rare Side Effects

Intracranial hypertension
Seek immediate medical attention if you experience severe headaches, vision changes, or ringing in the ears.
Photosensitivity
Avoid sun exposure, use sunscreen, and wear protective clothing. If you develop a severe sunburn, contact your doctor.
Esophageal ulceration
Take with a full glass of water and do not lie down immediately after taking. If you experience painful swallowing, consult your doctor.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Alcohol Major
Antacids Major
Iron supplements Major
Isotretinoin Major
Methotrexate Major
Phenytoin Moderate
Oral contraceptives Moderate
Cyclosporine Moderate
Lithium Moderate

🚨 Major Interactions

  • Warfarin
  • Alcohol
  • Antacids, iron, calcium, magnesium
  • Isotretinoin
  • Methotrexate

⚡ Moderate Interactions

  • Phenytoin, carbamazepine, phenobarbital
  • Oral contraceptives
  • Cyclosporine
  • Lithium

🍷 Alcohol Interaction

Alcohol must be strictly avoided while taking this medicine and for at least 3 days after the last dose. Tinidazole can cause a disulfiram-like reaction, which may lead to 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 allergy to doxycycline, tinidazole, or other tetracyclines or nitroimidazoles","Pregnancy","Breastfeeding","Children under 12 years of age","Severe liver disease","Blood dyscrasias","Concurrent use with alcohol or disulfiram"]

⚠️ Warnings & Precautions

["Avoid alcohol during and for 3 days after treatment.","May cause photosensitivity; use sunscreen and protective clothing.","Take with plenty of water to prevent esophageal irritation.","Do not take antacids, iron, or calcium within 2 hours of this medicine.","May reduce the effectiveness of oral contraceptives; use backup contraception.","Prolonged use may lead to fungal or bacterial superinfections.","Use with caution in patients with liver or kidney disease.","May cause dizziness; avoid driving or operating machinery until you know how it affects you."]

🤱 Lactation Safety

Doxycycline and tinidazole are excreted in breast milk. Because of the potential for serious adverse reactions in nursing infants, this medicine is not recommended during breastfeeding. Consult your doctor for alternative treatments.

💊 Overdose Management

Overdose may cause nausea, vomiting, and diarrhea. There is no specific antidote. Treatment is supportive and symptomatic. If overdose is suspected, seek immediate medical attention. Gastric lavage may be considered if taken recently.

⏰ 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

Take this medicine with a full glass of water, with or without food, but preferably with food to reduce stomach upset. Do not lie down immediately after taking it to avoid irritation of the food pipe. Avoid alcohol completely while taking this medicine and for at least 3 days after finishing it, as it can cause a severe reaction. Use effective sunscreen and protective clothing when outdoors because this medicine can make your skin more sensitive to sunlight. Complete the full course as prescribed, even if you feel better, to prevent the infection from returning. Do not take antacids, iron supplements, or calcium supplements within 2 hours before or after this medicine, as they can reduce its absorption. Inform your doctor if you have liver or kidney problems, or if you are taking blood thinners. Do not use this medicine during pregnancy or while breastfeeding.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more susceptible to side effects such as dizziness, nausea, and liver or kidney toxicity. Dose adjustment may be needed based on organ function. Monitor closely.

🤰 Pregnancy Planning (TTC)

This medicine is contraindicated during pregnancy. If you are planning pregnancy, consult your doctor for alternative treatment. Use effective contraception during treatment and for at least 3 days after.

🏥 Post-Surgery Considerations

Inform your surgeon if you are taking this medicine before surgery. It may interact with anesthetics and increase bleeding risk. Your doctor may advise you to stop temporarily.

🦷 Dental Procedures

This medicine is often prescribed for dental infections. Inform your dentist if you are taking it before any dental procedure. It may interact with certain dental anesthetics.

💚 Lifestyle Tips for Better Results

🏃
Maintain good oral hygiene to prevent dental infections.
🥗
Practice safe sex to reduce the risk of pelvic inflammatory disease.
😴
Stay well hydrated throughout the day.
💧
Avoid alcohol and smoking.
🧘
Get adequate rest to support recovery.
🌞
Follow a balanced diet rich in fruits and vegetables.

🏋️ Exercise Considerations

This medicine may cause dizziness. Avoid driving or operating heavy machinery until you know how it affects you. Mild exercise is generally safe, but listen to your body and rest if you feel unwell.

🥗 Diet Recommendations

Take the medicine with food to reduce stomach upset.
Avoid dairy products and iron-rich foods within 2 hours of taking the medicine.
Stay well hydrated.
Avoid alcohol completely.
Include probiotics like yogurt (but separate by 2 hours) to prevent diarrhea.

💼 Impact on Daily Work & Life

This medicine may cause dizziness, nausea, or headache, which can affect your ability to drive or operate machinery. Avoid these activities until you know how the medicine affects you. Take sick leave if needed to rest and recover.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. Complete the full course as prescribed, even if you feel better. If you experience severe side effects, contact your doctor immediately; they may advise you to stop.

📅 Long-Term Use Effects

Long-term use of this medicine may lead to fungal or bacterial superinfections, liver toxicity, blood disorders, and peripheral neuropathy. Regular monitoring of liver function, renal function, and complete blood count may be required. Use only for the prescribed duration.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Doxycycline alone

May be used if protozoal infection is not suspected.

Evidence: Well-established
Tinidazole alone

May be used for protozoal infections without bacterial co-infection.

Evidence: Well-established
Metronidazole + Doxycycline

Alternative combination with similar coverage.

Evidence: Moderate

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

This medicine may reduce the effectiveness of live bacterial vaccines. Consult your doctor about vaccination timing.

📦 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 light and moisture. If traveling across time zones, adjust dosing schedule as advised by your doctor. Avoid alcohol during travel. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with pelvic inflammatory disease
She was prescribed this medicine for pelvic inflammatory disease. She took it with food as directed and avoided alcohol. Her symptoms improved within 5 days, but she completed the full 14-day course. She experienced mild nausea initially, which subsided after taking it with meals.
💡 Lesson: Taking the medicine with food reduces nausea, and completing the full course is essential to prevent recurrence.
👤 A 50-year-old man with a dental abscess
He was prescribed this medicine for a dental abscess. He was advised to avoid alcohol and use sunscreen. He noticed a metallic taste in his mouth, which was temporary. The infection resolved after 7 days of treatment.
💡 Lesson: Metallic taste is a common but temporary side effect. Adhering to safety advice ensures successful treatment.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may start feeling better within 2-3 days, but you must complete the full course as prescribed.

Q: Can I take this medicine with food?

A: Yes, take it with food to reduce stomach upset. Avoid dairy and iron-rich foods within 2 hours.

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

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

Q: Is this medicine safe during pregnancy?

A: No, this medicine is contraindicated during pregnancy. Consult your doctor for alternative treatment.

Q: Can I drink alcohol while taking this medicine?

A: No, alcohol must be strictly avoided during treatment and for at least 3 days 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 Tidox TZ 100mg/600mg 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 be stopped as soon as you feel better.
    Fact: You must complete the full course to prevent recurrence and resistance.
  • Myth: It is safe to drink alcohol while taking this medicine.
    Fact: Alcohol can cause a severe reaction with tinidazole and must be avoided.
  • Myth: This medicine can be taken during pregnancy.
    Fact: It is contraindicated in pregnancy due to risk of fetal harm.
  • Myth: You can take antacids with this medicine.
    Fact: Antacids reduce absorption of doxycycline and should be separated by 2 hours.

🔄 Alternative Options

Generic Alternatives

  • Doxycycline 100 mg + Tinidazole 600 mg tablet (generic)

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","composition":"Doxycycline 100 mg + Tinidazole 600 mg","uses":"Mixed bacterial and protozoal infections","notes":"Combination therapy"},{"medicine":"Doxycycline alone","composition":"Doxycycline 100 mg","uses":"Bacterial infections, acne, malaria prophylaxis","notes":"No protozoal coverage"},{"medicine":"Tinidazole alone","composition":"Tinidazole 500 mg or 600 mg","uses":"Protozoal infections, bacterial vaginosis","notes":"No broad-spectrum bacterial coverage"}]

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