NITAZOXANIDE tablet, film coated

Nitazoxanide by

Drug Labeling and Warnings

Nitazoxanide by is a Prescription medication manufactured, distributed, or labeled by Rising Pharmaceuticals, Inc., Suven Life Sciences. Drug facts, warnings, and ingredients follow.

Drug Details [pdf]

  • 1 INDICATIONS AND USAGE

    Diarrhea caused by Giardia lamblia or Cryptosporidium parvum:
    Nitazoxanide tablets (patients 12 years and older) are indicated for the treatment of diarrhea caused by Giardia lamblia or Cryptosporidium parvum.

    Limitations of Use
    Nitazoxanide 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:
    Nitazoxanide 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



    Age

    Dosage
    Duration
    12 years and older
    One Nitazoxanide tablet (500 mg nitazoxanide) taken orally every 12 hours with food.
    3 days
  • 3 DOSAGE FORMS AND STRENGTHS

    3.1 Nitazoxanide Tablets (500 mg)

    Round, yellow colored film coated tablet, debossed with “SUVEN” on one side and “500” on the other side. Each tablet contains 500 mg of nitazoxanide.

  • 4 CONTRAINDICATIONS

    4.1 Hypersensitivity

    Nitazoxanide tablets are contraindicated in patients with a prior hypersensitivity to nitazoxanide or any other ingredient in the formulations.

  • 6 ADVERSE REACTIONS

    6.1 Clinical Trials Experience

    Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice.

    The safety of nitazoxanide was evaluated in 2177 HIV-uninfected subjects 12 months of age and older who received nitazoxanide tablets or nitazoxanide for oral suspension at the recommended dose for at least three days. In pooled controlled clinical trials involving 536 HIV-uninfected subjects treated with nitazoxanide tablets or nitazoxanide for oral suspension, the most common adverse reactions were abdominal pain, headache, chromaturia and nausea (≥2%).

    Safety data were analyzed separately for 280 HIV-uninfected subjects ≥12 years of age receiving nitazoxanide at the recommended dose for at least three days in 5 placebo-controlled clinical trials and for 256 HIV-uninfected subjects 1 through 11 years of age in 7 controlled clinical trials. There were no differences between the adverse reactions reported for nitazoxanide-treated subjects based upon age.

    6.2 Postmarketing Experience

    The following adverse reactions have been identified during post approval use of nitazoxanide. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure. The following is a list of adverse reactions spontaneously reported with nitazoxanide tablets which were not included in clinical trial listings:

    Gastrointestinal disorders: diarrhea, gastroesophageal reflux disease
    Nervous System disorders: dizziness
    Respiratory, thoracic and mediastinal disorders: dyspnea
    Skin and subcutaneous tissue disorders: rash, urticaria

  • 7 DRUG INTERACTIONS

    7.1 Highly Protein Bound Drugs with Narrow Therapeutic Indices

    Tizoxanide (the active metabolite of nitazoxanide) is highly bound to plasma protein (>99.9%). Therefore, monitor for adverse reactions when administering nitazoxanide concurrently with other highly plasma protein-bound drugs with narrow therapeutic indices, as competition for binding sites may occur (e.g., warfarin).

  • 8 USE IN SPECIFIC POPULATIONS

    8.1 Pregnancy

    Risk Summary

    There are no data with nitazoxanide in pregnant women to inform a drug-associated risk. No teratogenicity or fetotoxicity was observed in animal reproduction studies with administration of nitazoxanide to pregnant rats and rabbits during organogenesis at exposures 30 and 2 times, respectively, the exposure at the maximum recommended human dose of 500 mg twice daily based on body surface area (BSA).

    In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2% to 4% and 15% to 20%, respectively.


    Data

    Animal Data

    Nitazoxanide was administered orally to pregnant rats at doses of 0, 200, 800 or 3200 mg/kg/day on gestation days 6 to 15. Nitazoxanide produced no evidence of systemic maternal toxicity when administered once daily via oral gavage to pregnant female rats at levels up to 3200 mg/kg/day during the period of organogenesis.

    In rabbits, nitazoxanide administered at doses of 0, 25, 50, or 100 mg/kg/day on gestation days 7 to 20. Oral treatment of pregnant rabbits with nitazoxanide during organogenesis resulted in minimal maternal toxicity and no external fetal anomalies.

    8.2 Lactation

    Risk Summary
    No information regarding the presence of nitazoxanide in human milk, the effects on the breastfed infant, or the effects on milk production is available. The development and health benefits of breastfeeding should be considered along with the mother’s clinical need for nitazoxanide and any potential adverse effects on the breastfed infant from nitazoxanide or from the underlying maternal condition.


    8.4 Pediatric Use

    The safety and efficacy of ALINIA for Oral Suspension for the treatment of diarrhea caused by G. lamblia or C. parvum in pediatric patients 1 to 11 years of age has been established based on three (3) randomized, controlled studies with 104 pediatric subjects treated with ALINIA for Oral Suspension 100 mg/5 mL. Furthermore, the safety and efficacy of ALINIA for Oral Suspension for the treatment of diarrhea caused by G. lamblia or C. parvum in pediatric patients 12 to 17 years of age has been established based on two (2) randomized controlled studies with 44 pediatric subjects treated with ALINIA for Oral Suspension 100 mg/5 mL. [see Clinical Studies (14.1)]

    The safety and efficacy of nitazoxanide tablets for the treatment of diarrhea caused by G. lamblia or C. parvum in pediatric patients 12 to 17 years of age has been established based on three (3) randomized controlled studies with 47 pediatric subjects treated with nitazoxanide tablets 500 mg.

    A single nitazoxanide tablet contains a greater amount of nitazoxanide than is recommended for use in pediatric patients 11 years or younger. [see Dosage and Administration (2.1)].

    Safety and efficacy of ALINIA for Oral Suspension in pediatric patients less than one year of age has not been studied.

    8.5 Geriatric Use

    Clinical studies of nitazoxanide tablets and Alinia for oral suspension did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. In general, the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy in elderly patients should be considered when prescribing nitazoxanide tablets and Alinia for oral suspension.

    8.6 Renal and Hepatic Impairment

    The pharmacokinetics of nitazoxanide in patients with compromised renal or hepatic function has not been studied.

    8.7 HIV-Infected or Immunodeficient Patients

    Nitazoxanide tablets and Alinia for oral suspension have not been studied for the treatment of diarrhea caused by G. lamblia in HIV-infected or immunodeficient patients. Nitazoxanide tablets and Alinia for oral suspension have not been shown to be superior to placebo for the treatment of diarrhea caused by C. parvum in HIV-infected or immunodeficient patients [see Clinical Studies (14)].

  • 10 OVERDOSAGE

    Limited information on nitazoxanide overdosage is available. Single oral doses of up to 4000 mg nitazoxanide have been administered to healthy adult volunteers without significant adverse effects. 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 nitazoxanide. Because tizoxanide is highly protein bound (>99.9%), dialysis is unlikely to significantly reduce plasma concentrations of the drug.

  • 11 DESCRIPTION

    Nitazoxanide tablets contain the active ingredient, nitazoxanide, a synthetic antiprotozoal for oral administration. Nitazoxanide is a pale yellow to yellow crystalline powder. It is poorly soluble in ethanol and practically insoluble in water. Chemically, nitazoxanide is 2-acetyloxy-N-(5-nitro-2-thiazolyl) benzamide. The molecular formula is C12H9N3O5S and the molecular weight is 307.3. The structural formula is:


    struct-1

    Nitazoxanide tablets contain 500 mg of nitazoxanide and the following inactive ingredients: Maize Starch, Partially Pregelatinized Maize Starch, Sodium Starch Glycolate, Hypromellose, Talc, Magnesium Stearate, Soy Lecithin, Polyvinyl Alcohol, Xanthan Gum, Titanium Dioxide, D&C Yellow No.10 Aluminum Lake, FD&C Yellow No. 6 Aluminum Lake and FD&C Blue No.2 Aluminum Lake.

  • 12 CLINICAL PHARMACOLOGY

    12.1 Mechanism of Action

    Nitazoxanide is an antiprotozoal [see Microbiology (12.4)].

    12.3 Pharmacokinetics

    Absorption
    Single Dosing:
    Following oral administration of nitazoxanide tablets or oral suspension, the parent drug, nitazoxanide, is not detected in plasma. The pharmacokinetic parameters of the metabolites, tizoxanide and tizoxanide glucuronide are shown in Tables 2 and 3 below.

    Table 2. Mean (+/- SD) plasma pharmacokinetic parameters of tizoxanide and tizoxanide glucuronide following administration of a single dose of one 500 mg nitazoxanide tablets with food to subjects ≥12 years of age

     
    Tizoxanide
    Tizoxanide Glucuronide
    Age
    Cmax (μg/mL)
    *Tmax
    (hr)
    AUCԏ
    (μghr/mL)
    Cmax
    (μg/mL)
    *Tmax
    (hr)
    AUCԏ
    (μghr/mL)
    12-17 years
    ≥18 years
    9.1 (6.1)
    10.6 (2.0)
    4.0 (1-4)
    3.0 (2-4)
    39.5 (24.2)
    41.9 (6.0)
    7.3 (1.9)
    10.5 (1.4)
    4.0 (2-8)
    4.5 (4-6)
    46.5 (18.2)
    63.0 (12.3)

    * Tmax is given as a Mean (Range)
    Table 3. Mean (+/- SD) plasma pharmacokinetic of tizoxanide and tizoxanide glucuronide parameter values following administration of a single dose of nitazoxanide for oral suspension with food to subjects ≥1 year of age


     
    Tizoxanide
    Tizoxanide Glucuronide
    Age
    Dose
    Cmax (μg/mL)
    *Tmax
    (hr)
    AUCinf (μghr/mL)
    Cmax (μg/mL)
    *Tmax
    (hr)
    AUCinf (μghr/mL)
    1-3 years
    100 mg
    3.11 (2.0)
    3.5 (2-4)
    11.7 (4.46)
    3.64 (1.16)
    4.0 (3-4)
    19.0 (5.03)
    4-11 years
    200 mg
    3.00 (0.99)
    2.0 (1-4)
    13.5 (3.3)
    2.84 (0.97)
    4.0 (2-4)
    16.9 (5.00)
    ≥18 years
    500 mg
    5.49 (2.06)
    2.5 (1-5)
    30.2 (12.3)
    3.21 (1.05)
    4.0 (2.5-6)
    22.8 (6.49)

    * Tmax is given as a Mean (Range)
    Multiple dosing:
    Following oral administration of a single nitazoxanide tablet every 12 hours for 7 consecutive days, there was no significant accumulation of nitazoxanide metabolites tizoxanide or tizoxanide glucuronide detected in plasma.

    Bioavailability:
    Nitazoxanide for oral suspension is not bioequivalent to nitazoxanide tablets. The relative bioavailability of the suspension compared to the tablet was 70%.

    When nitazoxanide tablets are administered with food, the AUCԏ of tizoxanide and tizoxanide glucuronide in plasma is increased almost two-fold and the Cmax is increased by almost 50%.

    When nitazoxanide for oral suspension was administered with food, the AUCԏ of tizoxanide and tizoxanide glucuronide increased by about 45-50% and the Cmax increased by ≤10%.

    Nitazoxanide tablets and nitazoxanide for oral suspension were administered with food in clinical trials and hence they are recommended to be administered with food [see Dosage and Administration (2.1)].

    Distribution
    In plasma, more than 99% of tizoxanide is bound to proteins.

    Elimination
    Metabolism
    Following oral administration in humans, nitazoxanide is rapidly hydrolyzed to an active metabolite, tizoxanide (desacetyl-nitazoxanide). Tizoxanide then undergoes conjugation, primarily by glucuronidation.

    Excretion
    Tizoxanide is excreted in the urine, bile and feces, and tizoxanide glucuronide is excreted in urine and bile. Approximately two-thirds of the oral dose of nitazoxanide is excreted in the feces and one-third in the urine.

    Specific Populations

    Pediatric Patients
    The pharmacokinetics of tizoxanide and tizoxanide glucuronide following administration of nitazoxanide tablets in pediatric patients 12-17 years of age are provided above in Table 2. The pharmacokinetics of tizoxanide and tizoxanide glucuronide following administration of nitazoxanide for oral suspension in pediatric patients 1-11 years of age are provided above in Table 3.

    Drug Interaction Studies
    In vitro studies demonstrated that tizoxanide has no significant inhibitory effect on cytochrome P450 enzymes.


    12.4 Microbiology

    Mechanism of Action
    The antiprotozoal activity of nitazoxanide is believed to be due to interference with the pyruvate:ferredoxin oxidoreductase (PFOR) enzyme-dependent electron transfer reaction which is essential to anaerobic energy metabolism. Studies have shown that the PFOR enzyme from G. lamblia directly reduces nitazoxanide by transfer of electrons in the absence of ferredoxin. The DNA-derived PFOR protein sequence of C. parvum appears to be similar to that of G. lamblia.

    Interference with the PFOR enzyme-dependent electron transfer reaction may not be the only pathway by which nitazoxanide exhibits antiprotozoal activity.

    Resistance

    A potential for development of resistance by C. parvum or G. lamblia to nitazoxanide has not been examined.

    Antimicrobial Activity
    Nitazoxanide and its metabolite, tizoxanide, are active in vitro in inhibiting the growth of (i) sporozoites and oocysts of C. parvum and (ii) trophozoites of G. lamblia.

    Susceptibility Test Methods
    For protozoa such as C. parvum and G. lamblia, standardized tests for use in clinical microbiology laboratories are not available.

  • 13 NONCLINICAL TOXICOLOGY

    13.1 Carcinogenesis, Mutagenesis, Impairment Of Fertility

    Carcinogenesis
    Long-term carcinogenicity studies have not been conducted.

    Mutagenesis
    Nitazoxanide was not genotoxic in the Chinese hamster ovary (CHO) cell chromosomal aberration assay or the mouse micronucleus assay. Nitazoxanide was genotoxic in one tester strain (TA 100) in the Ames bacterial mutation assay.

    Impairment of Fertility
    Nitazoxanide did not adversely affect male or female fertility in the rat at 2400 mg/kg/day (approximately 20 times the clinical adult dose adjusted for body surface area).

  • 14 CLINICAL STUDIES

    14.1 Diarrhea Caused by G. lamblia

    Diarrhea caused by G. lamblia in adults and adolescents 12 years of age or older:

    In a double-blind, controlled trial (Study 1) conducted in Peru and Egypt in adults and adolescents with diarrhea and with one or more enteric symptoms (e.g., abdominal pain, nausea, vomiting, fever, abdominal distention, loss of appetite, flatulence) caused by G. lamblia, a three-day course of treatment with nitazoxanide tablets administered 500 mg BID was compared with a placebo tablet for 3 days. A third group of patients received open-label nitazoxanide for oral suspension administered 500 mg/25 mL of suspension BID for 3 days. A second double-blind, controlled trial (Study 2) conducted in Egypt in adults and adolescents with diarrhea and with or without enteric symptoms (e.g., abdominal colic, abdominal tenderness, abdominal cramps, abdominal distention, fever, bloody stool) caused by G. lamblia compared nitazoxanide tablets administered 500 mg BID for 3 days to a placebo tablet. For both of these studies, clinical response was evaluated 4 to 7 days following the end of treatment. A clinical response of ‘well’ was defined as ‘no symptoms, no watery stools and no more than 2 soft stools with no hematochezia within the past 24 hours’ or ‘no symptoms and no unformed stools within the past 48 hours.’ The following clinical response rates were obtained:
    Table 4. Adult and Adolescent Patients with Diarrhea Caused by G. lamblia
    Clinical Response Rates* 4 to 7 Days Post-therapy
    % (Number of Successes/Total)

     
    Nitazoxanide Tablets
    Nitazoxanide for Oral Suspension
    Placebo Tablets
    Study 1
    85% (46/54) ¶ §
    83% (45/54) ¶ §
    44% (12/27)
    Study 2
    100% (8/8)
    -
    30% (3/10)

    *Includes all patients randomized with G. lamblia as the sole pathogen. Patients failing to complete the studies were treated as failures.
    Clinical response rates statistically significantly higher when compared to placebo.
    §The 95% confidence interval of the difference in response rates for the tablet and suspension is (-14%, 17%).
    Some patients with ‘well’ clinical responses had G. lamblia cysts in their stool samples 4 to 7 days following the end of treatment. The relevance of stool examination results in these patients is unknown. Patients should be managed based upon clinical response to treatment.
    Diarrhea caused by G. lamblia in pediatric patients 1 through 11 years of age:
    In a randomized, controlled trial conducted in Peru in 110 pediatric patients with diarrhea and with or without enteric symptoms (e.g., abdominal distention, right iliac fossa tenderness) caused by G. lamblia, a three-day course of treatment with nitazoxanide (100 mg BID in pediatric patients ages 24-47 months, 200 mg BID in pediatric patients ages 4 through 11 years) was compared to a five-day course of treatment with metronidazole (125 mg BID in pediatric patients ages 2 through 5 years, 250 mg BID in pediatric patients ages 6 through 11 years). Clinical response was evaluated 7 to 10 days following initiation of treatment with a ‘well’ response defined as ‘no symptoms, no watery stools and no more than 2 soft stools with no hematochezia within the past 24 hours’ or ‘no symptoms and no unformed stools within the past 48 hours.’ The following clinical response rates were obtained:
    Table 5. Clinical Response Rates in Pediatric Patients 7 to 10 Days Following Initiation of Therapy
    Intent-to-Treat and Per Protocol Analyses
    % (Number of Successes/Total), [95% Confidence Interval]

    Population
    Nitazoxanide (3 days)
    Metronidazole (5 days)
    95% CI Diff§
    Intent-to-treat analysis
    85% (47/55)
    80% (44/55)
    [-9%, 20%]
    Per protocol analysis
    90% (43/48)
    83% (39/47)
    [-8%, 21%]

    Intent-to-treat analysis includes all patients randomized with patients not completing the study treated as failures.
    Per protocol analysis includes only patients who took all of their medication and completed the study. Seven patients in each treatment group missed at least one dose of medication and one in the metronidazole treatment group was lost to follow-up.
    §95% Confidence Interval on the difference in response rates (nitazoxanide-metronidazole).
    Some patients with ‘well’ clinical responses had G. lamblia cysts in their stool samples 4 to 7 days following the end of treatment. The relevance of stool examination results in these patients is unknown. Patients should be managed based upon clinical response to treatment.

    14.2 Diarrhea Caused by C. parvum

    Diarrhea caused by C. parvum in adults and adolescents 12 years of age or older:
    In a double-blind, controlled trial conducted in Egypt in adults and adolescents with diarrhea and with or without enteric symptoms (e.g., abdominal pain/cramps, nausea, vomiting) caused by C. parvum, a three-day course of treatment with nitazoxanide tablets administered 500 mg BID was compared with a placebo tablet for 3 days. A third group of patients received open-label nitazoxanide for oral suspension administered 500 mg/25 mL of suspension BID for 3 days. Clinical response was evaluated 4 to 7 days following the end of treatment. A clinical response of ‘well’ was defined as ‘no symptoms, no watery stools and no more than 2 soft stools within the past 24 hours’ or ‘no symptoms and no unformed stools within the past 48 hours.’ The following clinical response rates were obtained:
    Table 6. Clinical Response Rates in Adult and Adolescent Patients 4 to 7 Days Post-therapy
    % (Number of Successes/Total)

     
    Nitazoxanide Tablets
    Nitazoxanide Suspension
    Placebo Tablets
    Intent-to-treat analysis*
    96% (27/28) ¶ §
    87% (27/31) ¶ §
    41% (11/27)

    *Includes all patients randomized with C. parvum as the sole pathogen. Patients failing to complete the study were treated as failures.
    Clinical response rates statistically significantly higher when compared to placebo.
    §The 95% confidence interval of the difference in response rates for the tablet and suspension is ( -10%, 28%).


    In a second double-blind, placebo-controlled trial of nitazoxanide tablets conducted in Egypt in adults and adolescents with diarrhea and with or without enteric symptoms (e.g., abdominal colic, abdominal cramps, epigastric pain) caused by C. parvum as the sole pathogen, clinical and parasitological response rates showed a similar trend to the first study. Clinical response rates, evaluated 2 to 6 days following the end of treatment, were 71% (15/21) in the nitazoxanide group and 42.9% (9/21) in the placebo group.

    Some patients with ‘well’ clinical responses had C. parvum oocysts in their stool samples 4 to 7 days following the end of treatment. The relevance of stool examination results in these patients is unknown. Patients should be managed based upon clinical response to treatment.

    Diarrhea caused by C. parvum in pediatric patients 1 through 11 years of age:
    In two double-blind, controlled trials in pediatric patients with diarrhea and with or without enteric symptoms (e.g., abdominal distention, colic, left iliac fossa tenderness) caused by C. parvum, a three-day course of treatment with nitazoxanide (100 mg BID in pediatric patients ages 12-47 months, 200 mg BID in pediatric patients ages 4 through 11 years) was compared with a placebo. One study was conducted in Egypt in outpatients ages 1 through 11 years with diarrhea caused by C. parvum. Another study was conducted in Zambia in malnourished pediatric patients admitted to the hospital with diarrhea caused by C. parvum. Clinical response was evaluated 3 to 7 days post-therapy with a ‘well’ response defined as ‘no symptoms, no watery stools and no more than 2 soft stools within the past 24 hours’ or ‘no symptoms and no unformed stools within the past 48 hours.’ The following clinical response rates were obtained:
    Table 7. Clinical Response Rates in Pediatric Patients 3 to 7 Days Post-therapy Intent-to-Treat Analyses
    % (Number of Successes/Total)

    Population
     
    Nitazoxanide*
     
    Placebo
     
    Outpatient Study, age 1 -11 years
    88% (21/24)
    38% (9/24)
    Inpatient Study, Malnourished, age 12-35 months
    56% (14/25)
    23% (5/22)

    *Clinical response rates statistically significantly higher compared to placebo.
    60% considered severely underweight, 19% moderately underweight, 17% mild underweight.
    Some patients with ‘well’ clinical responses had C. parvum oocysts in their stool samples 3 to 7 days following the end of treatment. The relevance of stool examination results in these patients is unknown. Patients should be managed based upon clinical response to treatment.
    Diarrhea caused by C. parvum in Acquired Immune Deficiency Syndrome (AIDS) patients:
    A double-blind, placebo-controlled trial did not produce clinical cure rates that were significantly different from the placebo control when conducted in hospitalized, severely malnourished pediatric patients with acquired immune deficiency syndrome (AIDS) in Zambia. In this study, the pediatric patients received a three day course of nitazoxanide suspension (100 mg BID in pediatric patients ages 12-47 months, 200 mg BID in pediatric patients ages 4 through 11 years) and were evaluated for response four days after the end of treatment.

  • 16 HOW SUPPLIED/STORAGE AND HANDLING

    16.1 Nitazoxanide Tablets (500 mg)

    Nitazoxanide tablets are round, yellow colored film coated tablet, debossed with “SUVEN” on one side and “500” on the other side. Each tablet contains 500 mg of nitazoxanide. The tablets are packaged in HDPE bottles of 6, 12, 18 and 30 tablets.


    Bottles of 6 tablets NDC: 64980-526-60
    Bottles of 12 tabletsNDC: 64980-526-21
    Bottles of 18 tabletsNDC: 64980-526-81
    Bottles of 30 tablets NDC: 64980-526-03 

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

  • 17 PATIENT COUNSELING INFORMATION

    Advise patients and parents/caregivers of pediatric patients taking nitazoxanide tablets of the following information:

    Dosage and Administration: Nitazoxanide tablets should be taken with food.

    Drug-drug Interactions:
    Avoid concurrent warfarin use.
    Manufactured by:
    Suven Pharmaceuticals Limited
    Pashamylaram, Telangana 502307, India

    Manufactured for:
    Rising Pharmaceuticals, Inc.
    Saddle Brook, NJ 07663

    Made in India

    ALINIA for Oral Suspension is distributed by Lupin Pharmaceuticals, Inc. under license from Romark.
    ALINIA is a registered trademark of Romark.
    ML No. 24/MD/AP/2009/F/CC

    Revised: 03/2021

    PIR52603-02

  • PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

    Rising®           NDC: 64980-526-60

    Nitazoxanide
     Tablets
     500 mg

     6 Tablets             Rx only

    nitazoxanide 6ct label

    Rising®           NDC: 64980-526-21

    Nitazoxanide
     Tablets
     500 mg

     12 Tablets             Rx only
    12ct label.jpg

    Rising®           NDC: 64980-526-81



    Nitazoxanide
     Tablets
     500 mg

     18 Tablets             Rx only

    label 18ct



    Rising®           NDC: 64980-526-03



    Nitazoxanide
     Tablets
     500 mg

     30 Tablets             Rx only
    30ct label.jpg


  • INGREDIENTS AND APPEARANCE
    NITAZOXANIDE 
    nitazoxanide tablet, film coated
    Product Information
    Product TypeHUMAN PRESCRIPTION DRUGItem Code (Source)NDC: 64980-526
    Route of AdministrationORAL
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    NITAZOXANIDE (UNII: SOA12P041N) (NITAZOXANIDE - UNII:SOA12P041N) NITAZOXANIDE500 mg
    Inactive Ingredients
    Ingredient NameStrength
    STARCH, CORN (UNII: O8232NY3SJ)  
    SODIUM STARCH GLYCOLATE TYPE A CORN (UNII: AG9B65PV6B)  
    HYPROMELLOSE 2910 (15000 MPA.S) (UNII: 288VBX44JC)  
    TALC (UNII: 7SEV7J4R1U)  
    MAGNESIUM STEARATE (UNII: 70097M6I30)  
    Product Characteristics
    ColorYELLOWScoreno score
    ShapeROUNDSize13mm
    FlavorImprint Code SUVEN;500
    Contains    
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NDC: 64980-526-606 in 1 BOTTLE; Type 0: Not a Combination Product11/27/2020
    2NDC: 64980-526-2112 in 1 BOTTLE; Type 0: Not a Combination Product11/27/2020
    3NDC: 64980-526-8118 in 1 BOTTLE; Type 0: Not a Combination Product11/27/2020
    4NDC: 64980-526-0330 in 1 BOTTLE; Type 0: Not a Combination Product11/27/2020
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    ANDAANDA21382011/27/2020
    Labeler - Rising Pharmaceuticals, Inc. (041241766)
    Establishment
    NameAddressID/FEIBusiness Operations
    Suven Life Sciences677604288MANUFACTURE(64980-526)

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