Disulfiram and Tinidazole interaction

Disulfiram and Tinidazole: the Tinidazole prescribing label flags this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Tinidazole label · effective 2025-12-01

Major

Alcohols, Disulfiram: Alcoholic beverages and preparations containing ethanol or propylene glycol should be avoided during tinidazole therapy and for 3 days afterward because abdominal cramps, nausea, vomiting, headaches, and flushing may occur.

Drug interactionsnames DisulfiramView label on DailyMed
Minor

Psychotic reactions have been reported in alcoholic patients using metronidazole and disulfiram concurrently.

Drug interactionsnames DisulfiramView label on DailyMed
Minor

Though no similar reactions have been reported with tinidazole, tinidazole should not be given to patients who have taken disulfiram within the last two weeks.

Drug interactionsnames DisulfiramView label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.