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Current Approaches to the Treatment of Gastrointestinal Infections: Focus on Nitazoxanide

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2077 Article Views

Publication Date: 20 Apr 2009

Journal: Clinical Medicine Insights: Therapeutics

Citation: Clinical Medicine: Therapeutics 2009:1 263-275

CMIt
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Jennifer L. Halsey

Specialty Pharmacy Coordinator, Aurora West Allis Medical Center, 8901 West Lincoln Avenue, West Allis, Wisconsin 53227.

Abstract

Nitazoxanide is a broad-spectrum agent active against several protozoa, helminths, and bacteria, including C. difficile and H. pylori. It is available as an oral tablet and suspension, both with adequate bioavailability. Nitazoxanide is associated with minimal side effects, has an acceptable safety profile, and has been classified as a pregnancy category B agent. It is 99% protein bound, which could result in drug interactions. It is the preferred agent for the treatment of Cryptospordiosis and Giardiasis in immunocompetent patients and has shown promise for the treatment of rotavirus, mild to moderate initial C. difficile infection, refractory C. difficile infection, Amoebiasis, Blastocystosis, and Taenia saginata.


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