Positives

• A patient found tinidazole easier on the stomach than metronidazole, with a longer half-life allowing shorter courses withPower.
  
  
• A patient used tinidazole successfully when metronidazole had failed for Giardia and protozoal co-infection Pharmaserve.
  
  

Negatives

• A patient described metallic taste, nausea and abdominal cramping similar to metronidazole, plus strict alcohol-avoidance for days after dosing withPower.
  
  
• A patient reported neurological side effects including peripheral tingling that caused them to stop early European Review.
  
  

Hurdles & Side Effects

• A patient noted tinidazole is more costly and less stocked at US pharmacies than metronidazole, often requiring special order Pharmaserve.
  
  
• A patient struggled to get clinicians to use it for SIBO, since most guidelines default to rifaximin or metronidazole first PMC.