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Drug interactions

Cholestyramine + Tinidazole

Severity: Moderate

Cholestyramine and Tinidazole: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Cholestyramine is a bile acid sequestrant that can bind other oral drugs in the gut and reduce their absorption. Tinidazole absorption may be reduced, which could lower its effectiveness.

What this interaction means in plain words

Cholestyramine and Tinidazole can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Cholestyramine belongs to Cardiovascular; Tinidazole belongs to Anti Parasitic.

Evidence level: Moderate

Why it happens

Cholestyramine binds tinidazole in the gastrointestinal tract, reducing its oral bioavailability.

What to do

Give tinidazole at least 1 hour before or 4 to 6 hours after cholestyramine. Monitor clinical response.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Cholestyramine with Tinidazole?

MediHelp rates the interaction as moderate. Cholestyramine and Tinidazole can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Cholestyramine is a bile acid sequestrant that can bind other oral drugs in the gut and reduce their absorption. Tinidazole absorption may be reduced, which could lower its effectiveness.

How serious is the interaction between Cholestyramine and Tinidazole?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Give tinidazole at least 1 hour before or 4 to 6 hours after cholestyramine. Monitor clinical response.

What other medicines interact with Tinidazole?

MediHelp also lists interactions of Tinidazole with, for example, Disulfiram, Ethanol, Fexinidazole. The full list is on the Tinidazole page.

Full monographs, dosing and an interaction checker in the MediHelp app

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