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Anti-infective Agents - Misc. WHO AWaRe: Watch Prescription only

Tinidazole — Compare Prices at US & Canada Pharmacies

Compare real Tinidazole prices at US and Canadian pharmacies, see official FDA uses and warnings, and find generic alternatives. Save up to 80% by comparing Canada pharmacy prices.

Drug class
Anti-infective Agents - Misc.
Common forms
Tablet
Generic available
Yes
Legal status
Prescription only
AWaRe category
Watch
Boxed warning
Potential carcinogenicity risk (class-wide caution shared with metronidazole)

What is the typical out-of-pocket cost for tinidazole without health insurance?

The average cash price for tinidazole is approximately $60.98 for four 500mg tablets. However, actual costs can vary significantly between pharmacies. Many people find that discount coupons or pharmacy price-comparison tools can reduce their out-of-pocket expense considerably. Checking prices across multiple local pharmacies or using online comparison resources may reveal substantially lower options.

How much will tinidazole cost if I have insurance coverage?

Tinidazole copay amounts depend entirely on your insurance plan's formulary and your specific coverage tier. Your out-of-pocket cost may range anywhere from minimal to moderate, depending on whether tinidazole is designated as a preferred or nonpreferred medication under your plan. To determine your exact copay, contact your insurance provider directly or check your plan documents. Some patients find that their copay is lower than the uninsured cash price, while others may benefit from using discount programs in addition to their insurance.

What brand names are available for tinidazole?

Tinidazole is marketed under the brand names Tindamax and Fasigyn. Multiple pharmaceutical manufacturers produce generic versions of tinidazole, including Hikma Pharmaceuticals, Edenbridge Pharmaceuticals, and Novel Laboratories. Generic tinidazole is bioequivalent to brand-name formulations and typically costs significantly less.

🇺🇸 United States
Lowest found, per pill
$2.94
Oral tablet/capsule, discount-card price
🇨🇦 Canada
Lowest found, per pill
$0.60
Oral tablet/capsule, USD equivalent
Canada is typically cheaper for Tinidazole Save up to 80%

"As low as" figures compare the single lowest oral tablet/capsule price found on each side — not necessarily the same strength or pack size. Always check the full tables below for your exact dose. Prices updated 2026-08-21.

Tinidazole prices at US pharmacies

(Tinidazole) — tablet, 500mg, qty 4

PharmacyRetail priceWith discount card
Kroger Pharmacy Lowest $14.74 $11.74
Harris Teeter Pharmacy $14.74 $11.74
Food Lion $19.70 —
Costco $23.90 —
CVS Pharmacy $30.87 $27.87
Publix $34.39 $31.39
Walgreens $42.81 $39.81
Walmart Neighborhood Market $46.82 $43.82

Tinidazole — tablet, 500mg, qty 4

PharmacyRetail priceWith discount card
Kroger Pharmacy Lowest $14.74 $11.74
Harris Teeter Pharmacy $14.74 $11.74
Food Lion $19.70 —
Costco $23.90 —
CVS Pharmacy $30.87 $27.87
Publix $34.39 $31.39
Walgreens $42.81 $39.81
Walmart Neighborhood Market $46.82 $43.82

Tinidazole prices at Canadian pharmacies

StrengthPharmacyPer pill (USD)Pack total
Default InhalersOnline.com $0.60 $59.50 / 100
Default InhalersOnline.com $8.07 $32.29 / 4

Canada prices are converted to USD at time of collection and shown per tablet where available. Ordering from Canadian pharmacies is legal for personal use in most cases but subject to FDA/CBSA rules — see US vs Canada, explained.

What is Tinidazole used for?

Tinidazole (Tindamax) is a nitroimidazole, structurally and functionally close to metronidazole, but with a longer half-life that allows shorter treatment courses — often a single dose or 2–5 days versus metronidazole's typical 5–7. It's approved for trichomoniasis, giardiasis, and amebiasis in patients 3 and older, plus bacterial vaginosis in adult women, and it's frequently reached for as a second-line option when metronidazole hasn't worked, isn't tolerated, or a shorter course is preferred — its side effect profile is broadly similar to metronidazole's, and it shares the class's signature caution around alcohol, which should be avoided during treatment and for 3 days afterward due to the risk of a disulfiram-like reaction.

The boxed warning is a class-wide precaution rather than something unique to tinidazole specifically: chronic administration of metronidazole, tinidazole's close chemical relative, has caused cancer in long-term animal studies, and although this hasn't been directly demonstrated for tinidazole itself, the FDA extends the same caution to it given the structural and biological similarity between the two drugs. This is why tinidazole's label limits its use to the approved short-course indications and specifically advises against chronic or repeated use.

Like metronidazole and secnidazole, tinidazole is contraindicated in patients with Cockayne syndrome, since nitroimidazole drugs have caused severe, sometimes fatal liver failure in that specific patient population. Drug interactions mirror metronidazole's as well: warfarin's anticoagulant effect may need dose adjustment during and for up to 8 days after treatment, and lithium levels should be monitored, since tinidazole can raise them.

How Tinidazole works

  1. Enters susceptible cells

    Tinidazole is absorbed into anaerobic bacteria and protozoa, where it's activated by the organism's own metabolism.

  2. Damages DNA

    The activated drug disrupts the DNA of susceptible organisms, preventing them from surviving and reproducing.

  3. Clears the infection

    With its DNA damaged, the organism dies off; tinidazole's longer half-life keeps drug levels active longer than metronidazole after each dose, allowing shorter courses.

Typical dosage forms & strengths

UseTypical adult doseForm
Trichomoniasis or bacterial vaginosis2 g orally as a single dose (regimens vary by indication)Tablet
Giardiasis or amebiasis2 g orally once daily for 3 days (varies by infection and age)Tablet

General reference dosing from the FDA label — not personalized advice. Your prescribed dose may differ based on your infection, kidney function, age, and weight. Always follow your prescriber's instructions.

Related & alternative drugs

Commonly used for

Warnings & interactions

This is a summary of the official FDA label text, not personalized medical advice. It does not list every possible interaction or side effect. Always tell your prescriber and pharmacist about every medicine and supplement you take.

Common, usually mild

  • Nausea, vomiting, or diarrhea
  • Metallic taste
  • Headache or dizziness
  • Fatigue

Serious — seek care promptly

  • Seizures or peripheral neuropathy (numbness, tingling)
  • Signs of a severe allergic reaction, including Stevens-Johnson syndrome
  • Signs of low white blood cell count (fever, unusual infections)

Boxed warning

WARNING: POTENTIAL RISK FOR CARCINOGENICITY Carcinogenicity has been seen in mice and rats treated chronically with metronidazole, another nitroimidazole agent [see Nonclinical Toxicology ( 13.1 )]. Although such data have not been reported for tinidazole, the two drugs are structurally related and have similar biologic effects. Limit use of Tinidazole Tablets to approved indications only [see Indications and Usage ( 1.1 , 1.2 , 1.3 )]. Avoid chronic use [see Warnings and Precautions ( 5.1 )]. WARNING: POTENTIAL RISK FOR CARCINOGENICITY See full prescribing information for complete boxed warning.

Contraindications

4 CONTRAINDICATIONS The use of tinidazole is contraindicated: In patients with a previous history of hypersensitivity to tinidazole or other nitroimidazole derivatives. Reported reactions have ranged in severity from urticaria to Stevens-Johnson syndrome [see Adverse Reactions ( 6.1 , 6.2 )]. In patients with Cockayne syndrome.

Notable drug interactions

Drug / substanceWhat can happen
AlcoholCan cause a disulfiram-like reaction (flushing, nausea, rapid heartbeat); avoid during and for 3 days after treatment
WarfarinMay enhance anticoagulant effect; monitor and adjust dose during and up to 8 days after treatment
LithiumTinidazole can raise lithium levels; monitor serum concentrations

Pregnancy & breastfeeding

8.1 Pregnancy Risk Summary Available published data from a case-control study and case report with Tinidazole Tablets use in pregnant women are insufficient to identify a risk of major birth defects, miscarriage or adverse maternal or fetal outcomes. There are risks associated with untreated lower genital tract infections during pregnancy (see Clinical Considerations) .

Tinidazole, by the numbers

Additional public data points beyond retail pricing — useful context, not a price quote.

$0.4M
Medicare Part D spend, 2024
9.3K
Medicare Part D claims, 2024
5
FDA-listed manufacturers (Orange Book)
$19.79
Federal (VA) contract price per pack (12)

Frequently asked questions

How much does Tinidazole cost without insurance?
Retail (no-insurance) prices we found for Tinidazole range up to about $46.82 depending on pharmacy, form, and quantity. With a free pharmacy discount card, the lowest price we found was $11.74. Your actual price depends on the exact strength, quantity, and pharmacy — see the tables above.
Is Tinidazole cheaper in Canada or the US?
Based on the oral tablet/capsule prices in our data, Canada was cheaper for Tinidazole — as low as $2.94/pill in the US versus $0.60/pill in Canada, a difference of about 80%. This compares the single lowest price found on each side, not necessarily the same exact strength.
Is there a generic version of Tinidazole?
Yes — our pricing data includes at least one generic listing for Tinidazole. Generics contain the same active ingredient and are typically the lowest-cost option; check the price tables above for the generic rows specifically.
What drug class is Tinidazole in?
Tinidazole belongs to the anti-infective agents - misc. class of antibiotics. WHO classifies it as an 'Watch' antibiotic under its AWaRe stewardship framework.

Learn more about Tinidazole

In-depth answers to common Tinidazole questions, fact-checked against the sources cited in each.

What is tinidazole and how does it work?

Tinidazole is a nitroimidazole antimicrobial agent that works by disrupting the growth and reproduction of certain bacteria and parasites. It is prescribed to treat bacterial vaginosis, trichomoniasis, and parasitic infections including giardiasis and amebiasis. As an oral medication, it must be taken exactly as prescribed to maximize effectiveness and reduce the risk of antibiotic resistance. Completing the full prescribed course is essential, even if symptoms resolve sooner. Tinidazole is ineffective against viral or fungal infections. Before beginning tinidazole, inform your healthcare provider of any existing medical conditions, all current medications (prescription and over-the-counter), and whether you are pregnant or nursing—tinidazole can harm a developing fetus or nursing infant. The medication is generally recommended to be taken with food to improve tolerance.

What side effects can tinidazole cause?

Common side effects of tinidazole include nausea, vomiting, headache, dizziness, constipation, weight loss, fatigue, weakness, and a persistent bitter or metallic taste. Some patients also experience diarrhea, abdominal discomfort, or indigestion. Serious but uncommon side effects include seizures, peripheral neuropathy, vaginal yeast infections, and decreased white blood cell counts. Seek immediate medical care if you develop signs of an allergic reaction—such as rash, facial or throat swelling, or breathing difficulty. This list does not include all possible side effects. Discuss any concerning symptoms with your healthcare provider, and report serious adverse effects to the FDA through their MedWatch program.


Sources

Page info

Prices last checked 2026-08-21. Reviewed against FDA and DailyMed official sources — see our review process. Not a substitute for professional medical advice.