HomeTacrolimusTacrolimus + Tinidazole

Does Tacrolimus Interact with Tinidazole?

Tacrolimus and Tinidazole have a moderate drug interaction according to U.S. FDA drug labeling data. Tinidazole may increase tacrolimus levels. Monitor for signs of calcineurin-inhibitor associated toxicities during co-administration. The mechanism involves increased tacrolimus levels. Patients taking both medications should consult their healthcare provider before starting, stopping, or changing the dosage of either drug. This information is based on official FDA drug labeling sourced from OpenFDA and the NIH National Library of Medicine.

Severity
Moderate
Tacrolimus Class
Calcineurin Inhibitor Immunosuppressant
Tinidazole Class
Nitroimidazole Antimicrobial
Management
Monitor for effects
Data Source
U.S. FDA via OpenFDA

How This Interaction Works

The interaction between Tacrolimus and Tinidazole occurs because increased tacrolimus levels. Clinically, this means tinidazole may increase tacrolimus levels. monitor for signs of calcineurin-inhibitor associated toxicities during co-administration. This is classified as a moderate interaction. While it may not require stopping either medication, your healthcare provider should be aware you are taking both so they can monitor for potential effects and adjust treatment if necessary.

What To Tell Your Doctor or Pharmacist

If you are taking Tacrolimus and your doctor is considering prescribing Tinidazole (or vice versa), make sure to:

  • Inform your doctor and pharmacist of all current medications, including over-the-counter drugs and supplements
  • Ask whether the benefits of combining these medications outweigh the risks for your specific situation
  • Ask what symptoms to watch for that would indicate the interaction is causing problems
  • Ask whether any dosage adjustments are needed
  • Never stop or change either medication without first consulting your healthcare provider
💊 Tacrolimus(Astagraf)+💊 Tinidazole(Tindamax)

Severity & Interaction Details

🟡
moderate
Be aware — moderate interaction
Documented interaction with manageable risk. May require dose adjustment or monitoring.
Severity scale
MinorContra
On record
Yes
Drug A class
Calcineurin Inhibitor Immunosuppressant
Drug B class
Nitroimidazole Antimicrobial
Source
NLP:tinidazole

What this means in plain English

Tinidazole may increase tacrolimus levels. Monitor for signs of calcineurin-inhibitor associated toxicities during co-administration.

About Tacrolimus and Tinidazole

Tacrolimus is a Calcineurin Inhibitor Immunosuppressant, while Tinidazole is a Nitroimidazole Antimicrobial. You may recognize them by the brand names Astagraf and Tindamax. Tacrolimus is given by intravenous (IV) infusion, whereas Tinidazole is taken by mouth. Both Tacrolimus and Tinidazole carry an FDA boxed warning — the agency's most serious safety designation.

What the FDA label says

"Increased tacrolimus levels"

📖 Source: NLP:tinidazole

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Data integrity: Every interaction shown is extracted directly from official U.S. FDA drug labeling via openFDA and the U.S. National Library of Medicine (NIH) — no interactions are invented, inferred, or manually edited. Maintained by CheckDrugInteractions.com. See our methodology or report a correction at support@checkdruginteractions.com.

Data sourced from U.S. FDA drug labeling via openFDA and the NIH National Library of Medicine, supplemented with a small number of well-established interactions from curated clinical references. For informational purposes only. Always consult your pharmacist or physician.