Dianide Uses

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What is Dianide?

Dianide belongs to a group of medicines called antiprotozoals. It is used to treat diarrhea that is caused by certain types of protozoa (tiny, one-celled animals).

Dianide is available only with your healthcare professional's prescription.

Once a medicine has been approved for marketing for a certain use, experience may show that it is also useful for other medical problems. Although this use is not included in product labeling, Dianide is used in certain patients with the following medical condition:

Dianide indications

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Diarrhea Caused by Giardia Lamblia or Cryptosporidium Parvum

Dianide for

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

Limitations Of Use

Dianide for

Oral Suspension and Dianide Tablets have not been shown to be effective for the treatment of diarrhea caused by Cryptosporidium parvum in HIV-infected or immunodeficient patients.

How should I use Dianide?

Use Dianide suspension as directed by your doctor. Check the label on the medicine for exact dosing instructions.

Ask your health care provider any questions you may have about how to use Dianide suspension.

Uses of Dianide in details

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Use: Labeled Indications

Diarrhea, infectious: Treatment of diarrhea caused by Cryptosporidium parvum or Giardia lamblia

Off Label Uses

Clostridioides (formerly Clostridium) difficile infection

Current evidence from small, controlled trials regarding the use of Dianide in the management of C. difficile infection suggests that it may be comparable to the use of oral metronidazole or vancomycin. The Infectious Diseases Society of America (IDSA) and the Society for Healthcare Epidemiology (SHEA) clinical practice guidelines for C. difficile infection state that Dianide is considered a probable effective alternative for primary C. difficile infection in adults without specific recommendations for use. Larger controlled trials are needed.

Cryptosporidiosis-associated diarrhea in HIV-infected patients

Based on the US Department of Health and Human Services (HHS) Guidelines for Prevention and Treatment of Opportunistic Infections in HIV-Infected Adults and Adolescents, Dianide may be considered as an alternative agent in the management of diarrhea caused by Cryptosporidium in HIV-infected patients (must be used in combination with optimized antiretroviral therapy (ART), electrolyte replacement, and symptomatic treatment and rehydration).

Dianide description

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Dianide, also known by the brand name Dianide, is a synthetic nitrothiazolyl-salicylamide derivative and an anti-protozoal agent. It is approved for treatment of infectious diarrhea caused by Cryptosporidium parvum and Giardia lamblia in patients 1 year of age and older. Following oral administration it is rapidly hydrolyzed to its active metabolite, tizoxanide, which is 99% protein bound. Peak concentrations are observed 1–4 hours after administration. It is excreted in the urine, bile and feces. Untoward effects include abdominal pain, vomiting and diarrhea. [Wikipedia]

Dianide dosage

Dianide Dosage

Generic name: Dianide 500mg

Dosage form: tablet; powder, for oral suspension

The information at Drugs.com is not a substitute for medical advice. Always consult your doctor or pharmacist.

2.1 Recommended Dosage and Important Administration Instructions

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

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

Table 1. Recommended Dosage

Age Dosage Duration
1-3 years

5 mL of Dianide for

Oral suspension

(100 mg Dianide) taken orally every 12 hours with food

4-11 years

10 mL of Dianide for

Oral Suspension

(200 mg Dianide) taken orally every 12 hours with food

3 Days
12 years and older One Dianide Tablet (500 mg Dianide) taken orally every 12 hours with food or 25 mL of Dianide for

Oral Suspension (500 mg Dianide) taken orally every 12 hours with food

2.2 Directions for Mixing Dianide for

Oral Suspension

Reconstitute Dianide for

Oral Suspension as follows:

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.

More about Dianide (Dianide)

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Dianide interactions

See also:
What other drugs will affect Dianide?

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Tizoxanide is highly bound to plasma protein (>99.9%). Therefore, caution should be used when administering Dianide concurrently with other highly plasma protein-bound drugs with narrow therapeutic indices, as competition for binding sites may occur (e.g., warfarin). In vitro metabolism studies have demonstrated that tizoxanide has no significant inhibitory effect on cytochrome P450 enzymes. Although no drug-drug interaction studies have been conducted in vivo, it is expected that no significant interaction would occur when Dianide is co-administered with drugs that either are metabolized by or inhibit cytochrome P450 enzymes.

Dianide side effects

See also:
What are the possible side effects of Dianide?

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 Dianide was evaluated in 2177 HIV-uninfected subjects 12 months of age and older who received Dianide Tablets or Dianide for

Oral Suspension at the recommended dose for at least three days. In pooled controlled clinical trials involving 536 HIV-uninfected subjects treated with Dianide Tablets or Dianide 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 Dianide 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 Dianide-treated subjects based upon age.

Postmarketing Experience

The following adverse reactions have been identified during post approval use of Dianide. 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 Dianide 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

Dianide contraindications

See also:
What is the most important information I should know about Dianide?

Hypersensitivity

Dianide Tablets and Dianide for

Oral Suspension are contraindicated in patients with a prior hypersensitivity to Dianide or any other ingredient in the formulations.

Active ingredient matches for Dianide:

Nitazoxanide in Bangladesh.


List of Dianide substitutes (brand and generic names)

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Unit description / dosage (Manufacturer)Price, USD
Diarid Nitazoxanide 500 mg, Ofloxacin200 mg TAB / 10x10 (Veliko)$ 12.04
DIARID tab 10's (Veliko)$ 1.20
Suspension; Oral; Nitazoxanide 100 mg / 5 ml (Unipharm)
Tablet, Dispersible; Oral; Nitazoxanide 200 mg (Unipharm)
Tablet; Oral; Nitazoxanide 500 mg (Unipharm)
N-TEE dry syr 100 mg x 5 mL x 30ml (Olcare)$ 0.43
Netazox 200mg DT- TAB / 60 (Ind-Swift Limited)$ 3.99
Netazox 500mg FC- TAB / 60 (Ind-Swift Limited)$ 5.57
Netazox 100mg/5mL SUSP / 30ml (Ind-Swift Limited)$ 0.30
100 mg x 5 mL x 30ml (Ind-Swift Limited)$ 0.30
200 mg x 60's (Ind-Swift Limited)$ 3.99
500 mg x 60's (Ind-Swift Limited)$ 5.57
Netazox 30 ml Suspension (Ind-Swift Limited)$ 0.05
NETAZOX 100MG SUSPENSION 1 bottle / 30 ML suspension each (Ind-Swift Limited)$ 0.49
NETAZOX 200MG TABLET 1 strip / 6 tablets each (Ind-Swift Limited)$ 0.65
NETAZOX 500MG TABLET 1 strip / 6 tablets each (Ind-Swift Limited)$ 0.91
NETAZOX DT 200 MG TABLET 1 strip / 10 tablets each (Ind-Swift Limited)$ 0.59
NETAZOX dry syr 100 mg x 5 mL x 30ml (Ind-Swift Limited)$ 0.30
NETAZOX dispertab 200 mg x 6's (Ind-Swift Limited)$ 0.40
NETAZOX film-coated tab 500 mg x 6's (Ind-Swift Limited)$ 0.56
Netazox 100mg/5ml Suspension (Ind-Swift Limited)$ 0.49
Netazox 200mg Tablet (Ind-Swift Limited)$ 0.12
Netazox 200mg Tablet DT (Ind-Swift Limited)$ 0.06
Netazox 500mg Tablet (Ind-Swift Limited)$ 0.17
Netazox -OF Nitazoxanide 100mg, Ofloxacin50mg/5mL SUSP / 50ml$ 0.72

References

  1. DailyMed. "NITAZOXANIDE: DailyMed provides trustworthy information about marketed drugs in the United States. DailyMed is the official provider of FDA label information (package inserts).". https://dailymed.nlm.nih.gov/dailyme... (accessed September 17, 2018).
  2. PubChem. "NITAZOXANIDE". https://pubchem.ncbi.nlm.nih.gov/com... (accessed September 17, 2018).
  3. DrugBank. "NITAZOXANIDE". http://www.drugbank.ca/drugs/DB00507 (accessed September 17, 2018).

Reviews

The results of a survey conducted on ndrugs.com for Dianide are given in detail below. The results of the survey conducted are based on the impressions and views of the website users and consumers taking Dianide. We implore you to kindly base your medical condition or therapeutic choices on the result or test conducted by a physician or licensed medical practitioners.

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1 consumer reported age

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Information checked by Dr. Sachin Kumar, MD Pharmacology

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