ALINIA Tablet / Oral suspension Ref.[50382] Active ingredients: Nitazoxanide

Source: FDA, National Drug Code (US)  Revision Year: 2022 

1. Indications and Usage

Diarrhea caused by Giardia lamblia or Cryptosporidium parvum

ALINIA for Oral Suspension (patients 1 year of age and older) and ALINIA Tablets (patients 12 years and older) are indicated for the treatment of diarrhea caused by Giardia lamblia or Cryptosporidium parvum.

Limitations of Use:

ALINIA for Oral Suspension and ALINIA Tablets have not been shown to be effective for the treatment of diarrhea caused by Cryptosporidium parvum in HIV-infected or immunodeficient patients [see Clinical Studies (14.2)].

2. Dosage and Administration

2.1 Recommended Dosage and Important Administration Instructions

Important Administration Instructions for Pediatric Patients 11 years of Age or Younger

ALINIA tablets should not be administered to pediatric patients 11 years of age or younger because a single tablet contains a greater amount of nitazoxanide than the recommended dosing in this pediatric age group.

Table 1. Recommended Dosage:

AgeDosageDuration
1-3 years 5 mL of ALINIA for Oral suspension
(100 mg nitazoxanide) taken orally every 12 hours with food
3 Days
4-11 years 10 mL of ALINIA for Oral Suspension
(200 mg nitazoxanide) taken orally every 12 hours with food
12 years and older One ALINIA Tablet (500 mg nitazoxanide) taken orally every 12 hours
with food or 25 mL of ALINIA for Oral Suspension (500 mg
nitazoxanide) taken orally every 12 hours with food

2.2 Directions for Mixing ALINIA for Oral Suspension

Reconstitute ALINIA for Oral Suspension as follows:

  • Measure 48 mL of water for preparation of the 100 mg/5 mL suspension
  • Tap bottle until all powder flows freely.
  • Add approximately one-half of the 48 mL of water required for reconstitution and shake vigorously to suspend powder.
  • Add remainder of water and again shake vigorously

Keep container tightly closed, and shake the suspension well before each administration. The reconstituted suspension may be stored for 7 days at room temperature, after which any unused portion must be discarded.

10. Overdosage

Limited information on nitazoxanide overdosage is available. In the event of overdose, gastric lavage may be appropriate soon after oral administration. Patients should be observed and given symptomatic and supportive treatment. There is no specific antidote for overdose with ALINIA. Because tizoxanide is highly protein bound (>99.9%), dialysis is unlikely to significantly reduce plasma concentrations of the drug.

16.2. Storage and Handling

ALINIA Tablets (500 mg):

Store the tablets at 25°C (77°F); excursions permitted to 15°C-30°C (59°F-86°F) [See USP Controlled Room Temperature].

ALINIA for Oral Suspension (100 mg/5 mL):

Store the unsuspended powder at 25°C (77°F); excursions permitted to 15°C-30°C (59°F-86°F) [See USP Controlled Room Temperature].

The reconstituted suspension may be stored for 7 days at room temperature, after which any unused portion must be discarded [see Dosage and Administration (2.2)].

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