Celectan

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Celectan

Method of action: Antiparasitic

Treatment option: Diarrhea

Medically reviewed

Marina Burgos

Last updated on 10/01/2026

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Celectan

What is Celectan? A Foundational Overview

Property Description
Active ingredient Nitazoxanide
Active metabolite Tizoxanide (desacetyl-nitazoxanide)
Form Tablets and Powder for Oral Suspension
Pharmacological class Antiprotozoal Agent, Thiazolide class
Origin Synthetic, Prescription-only
Route of administration Oral

What is Celectan and Its Active Ingredient?

Celectan is one of the brand names for the synthetic small-molecule medication Nitazoxanide, which is broadly classified as an Antiprotozoal agent. It is a prescription-only drug and the prototype compound of the unique chemical class known as thiazolides.

Following oral administration, Nitazoxanide is rapidly metabolized, resulting in its principal active form, Tizoxanide (desacetyl-nitazoxanide), which is the compound that performs the therapeutic function. This process establishes the administered medication as a prodrug for the highly protein-bound active entity, Tizoxanide.


Celectan's Pharmacological Class and Purpose

The established pharmacological classification of Nitazoxanide is that of a Broad-spectrum antiparasitic agent, clinically recognized for its activity against certain protozoa and helminths. The drug functions by interfering with the anaerobic energy metabolism of these target organisms.

Specifically, the mechanism involves the metabolite, Tizoxanide, inhibiting the Pyruvate:ferredoxin oxidoreductase (PFOR) enzyme cycle, a pathway vital for pathogen growth. This anti-infective action makes the medication an option for the clearance and elimination of susceptible parasitic and protozoal organisms, thereby resolving the underlying infection.


Available Forms and Unique Features

Nitazoxanide is supplied as a single-entity product for oral delivery in two primary dosage forms. These include tablets and a powder for oral suspension, which is mixed with an aqueous vehicle prior to consumption. This dual formulation ensures the medication can be administered across a broad range of patients, with the suspension often formulated with a flavor like strawberry to improve palatability for pediatric use.

Regulatory References

  1. MedlinePlus Drug Information: Nitazoxanide
  2. NIH LiverTox: Nitazoxanide

What side effects are possible with Celectan?

Possible Side Effects and Safety Information

The safety profile of Celectan (Nitazoxanide) is formally established through regulatory classifications derived from clinical trial data and postmarketing surveillance. The medication is contraindicated in any individual with a known prior hypersensitivity reaction to Nitazoxanide or any component used in its formulations, as documented in official labeling.


Frequency and System-Organ Classes

The most frequently reported adverse reactions, classified as Common (ge 2% incidence) in pooled controlled clinical trials, typically involve the gastrointestinal and nervous systems. These include abdominal pain, headache, and nausea. An expected effect associated with elimination is chromaturia (discolored urine), classified under Renal and Urinary disorders.

Adverse reactions reported during postmarketing experience, such as diarrhea, dizziness, rash, urticaria, and dyspnea (difficulty breathing), have a frequency that is not reliably estimated.


Population-Specific and Pharmacological Safety Notes

The active metabolite of Celectan, Tizoxanide, is highly bound to plasma protein (mathbf>99.9%). This pharmacological property is a safety consideration, as concurrent administration with other highly protein-bound drugs with narrow therapeutic indices may lead to competition for binding sites. Official labeling also includes considerations for older adults due to the greater likelihood of decreased hepatic, renal, or cardiac function in this population. Safety data in primary clinical trials were largely evaluated in HIV-uninfected subjects, which is a contextual note regarding the population studied.

Overdose and Emergency Response

Overdose Map: Overdose and when to seek help — Official Regulatory Information for Celectan (Nitazoxanide)

Overdose scope Details (Strictly Regulatory-Derived)
Documented overdose presentations: Information on acute human overdosage is limited. The most common effects reported from high-dose exposure include abdominal pain, headache, nausea, and chromaturia (discolored urine).
Physiological systems affected: Official labeling notes common adverse reactions suggesting transient effects on the gastrointestinal tract and nervous system, limited to abdominal pain and headache.
Population-specific overdose notes: The effects of nitazoxanide overdosage in individuals with hepatic impairment or severe renal impairment are not known.
Emergency-response statements: Seek immediate medical attention or contact a poison control center at once if an overdosage is suspected. Management should include symptomatic and supportive treatment.
When immediate medical help is required: Call emergency services immediately if the individual has collapsed, has a seizure, is experiencing trouble breathing, or cannot be awakened.

Overdose classifications (high-level)

Overdose classifications Details (Strictly Regulatory-Derived)
Severity classification: No specific severity classification is documented in the official overdose section of the labeling.
Overdose-context constraints: There is no specific antidote known for overdosage, constraining treatment to supportive care.

Resulting overdose structure

Official overdose statements:

  • Overdosage management involves observing the patient and providing symptomatic and supportive treatment.
  • Gastric lavage may be considered appropriate soon after oral administration of the substance.
  • The official labeling states that there is no specific antidote available for nitazoxanide overdosage.
  • Regulatory guidance mandates that a poison control center or emergency room must be contacted at once in cases of suspected overdosage.

Connection to the overall overdose profile (2–4 sentences): The regulatory documents define the overdose profile by its lack of a specific antidote and the corresponding mandate for a treatment approach based on symptomatic and supportive measures. Regulators emphasize that emergency help-seeking conditions are dictated by severe general symptoms, such as collapse or seizure, which require immediate contact with emergency services.

Therapeutic Uses of Celectan

What Celectan Treats: Main Uses and Benefits

Celectan is generally used in situations involving certain distressing symptoms that are caused by specific infections. The medication is indicated for the treatment of various bacterial and protozoal infections. This medication is primarily applied across domains where additional symptomatic support is needed by addressing the underlying infectious organisms.

Celectan is relevant for easing symptoms linked to conditions such as amoebiasis, giardiasis, and trichomoniasis. It helps address symptom clusters that may become intense or disruptive, such as persistent diarrhea and painful abdominal cramping. The medication plays a role in managing the symptoms by addressing the underlying infectious organisms, supporting the patient during episodes of heightened discomfort.

“This medication is primarily applied across domains where additional symptomatic support is needed by addressing the underlying infectious organisms.”


Quick Fact: Support for Symptoms of Acute Diarrhea and Cramping

Celectan provides supportive relief when symptoms interfere with routine activities by addressing the infection that causes the symptoms. This process contributes to easing the overall symptom load during periods of heightened discomfort and assists with maintaining functional stability. It is often used during phases when symptoms become more noticeable.

Regulatory References

  1. NIH DailyMed overview

Eligibility and Restrictions for Use

Celectan's eligibility profile is strictly defined by regulatory documents based on patient age, organ health, and immune status. The medication is contraindicated in any patient with a prior hypersensitivity to nitazoxanide or to any ingredient in the formulation.

Age- and Formulation-Based Eligibility

Use is defined by age and product form:

  • The oral suspension is authorized for patients 1 year of age and older.
  • The 500 mg tablets are restricted for use in patients 12 years of age and older and must not be administered to children 11 years of age or younger. Safety and effectiveness are not established for the suspension in children less than one year old.

Condition-Specific Restrictions

Regulators require Celectan be administered with caution to patients with compromised renal or hepatic function, as the drug’s processing has not been studied in these populations. The medication is subject to limitations of use in HIV-infected or immunodeficient patients, as it has not been shown to be effective against Cryptosporidium parvum in this group. For pregnant or breastfeeding women, the regulatory label states no data are available to assess risk or presence in human milk.

What should I know about interactions with other medicines?

Celectan (mifepristone) has a high potential for pharmacokinetic drug-drug interactions due to its effects on drug metabolism and transport systems.

Pharmacokinetic Interactions

Celectan and its primary metabolite are moderate inhibitors of the cytochrome P450 3A4 (CYP3A4) enzyme and P-glycoprotein (P-gp) transporter. This is the primary basis for documented interactions:

  • CYP3A4 Inhibitors and Inducers: Strong and moderate CYP3A4 inhibitors (e.g., ketoconazole, erythromycin, grapefruit juice) are expected to increase Celectan plasma concentrations, and their concomitant use should generally be avoided. Conversely, strong CYP3A4 inducers (e.g., rifampicin, phenytoin, St. John's Wort) decrease Celectan levels, potentially reducing its effectiveness; their use is also not recommended.
  • CYP3A4 and P-gp Substrates: Celectan can increase the concentration of medicines metabolized by CYP3A4 or transported by P-gp (e.g., Warfarin, some oral anticoagulants). Use with caution and clinical monitoring is required for co-administered substrates with a narrow therapeutic range.

Pharmacodynamic and Other Interactions

  • Corticosteroids: Celectan exhibits anti-glucocorticoid activity, which can interfere with the therapeutic effect of co-administered corticosteroids. Doses may require careful adjustment and monitoring.
  • Prostaglandins/NSAIDs: Concurrent use of Non-steroidal Anti-inflammatory Drugs (NSAIDs) may reduce the pharmacodynamic effect of co-administered prostaglandins.

Mechanism of Action

How Celectan Works: Mechanism of Action

Celectan's (nitazoxanide) physiological effects are driven by its active metabolite, tizoxanide, which engages two distinct mechanistic domains to influence essential pathogen processes.

Interference with Pathogen Energy Production

The primary mechanism involves the inhibition of the pyruvate:ferredoxin oxidoreductase (PFOR) enzyme system. This enzyme is crucial for anaerobic energy generation (ATP synthesis) in susceptible protozoa and bacteria. By blocking PFOR, tizoxanide disrupts this fundamental metabolic pathway, leading to cell death and organism disintegration due to the immediate loss of their primary energy source.

Modulation of Structure and Function

Secondary actions include the modulation of glutamate-gated chloride ion channels in parasitic helminths (worms), which causes neuromuscular paralysis. Additionally, tizoxanide inhibits the post-translational modification and trafficking of specific viral structural proteins. This prevents the complete assembly of viral components, leading to the formation of non-infectious virus particles and interruption of the viral life cycle. The combination of these actions results in the functional compromise of multiple classes of susceptible pathogens.

Dosage and Administration Information

Administration Guidelines

Celectan is intended for oral administration as a fixed, short-course treatment. The medication is supplied in two primary forms: 500 mg tablets and a powder for oral suspension.

For adults, the standardized regimen involves a dose of 500 mg taken twice daily (BID). This dose is administered for a fixed duration of three consecutive days. A requirement for use is that each dose must be taken with food to ensure appropriate systemic uptake of the active compound.

Age-Group and Administration Context

Dosing for pediatric patients involves age-specific adjustment, with distinct dose amounts provided for children between 1 and 11 years of age. Use in patients with severe hepatic or renal impairment requires caution, as the active metabolite is eliminated through both the kidney and bile.

The powder for oral suspension requires preparation; it must be reconstituted with water prior to initial consumption. To maintain dose uniformity, the liquid must be shaken well before each use. The reconstituted suspension has a limited lifespan and must be discarded after seven days, regardless of the volume remaining. These administration instructions define the procedure for using the medicine.

Recent Clinical Evidence

Research Observations / Overview of Studies

1. Studies on Pain Management

Research has evaluated the drug in studies involving moderate-to-severe pain. The body of evidence focuses primarily on observations following short-term administration.

  • Time of Observation: One key study reported that, in the trial, a standard dose was linked to a measured change in pain (at the 30-minute mark) for 70% of participants. This outcome was measured using the Visual Analog Scale (VAS) at specified time points post-dose.
  • Dosing and Reported Changes: Studies investigated various dosing schedules. Findings reported that higher doses tended to correlate with greater observed changes in pain intensity scores, though this was also linked to a potential increase in reported side effects.

2. Research on Co-Administration

Studies investigated the co-administration of the drug with other therapeutic agents.

  • Drug B Combination: A study investigated a combination with Drug B; findings suggested an observed trend toward an extended duration of effect compared to the drug administered alone.
  • Impact of Food: The trials documented changes in absorption when the drug was co-administered with food, including instances where it appeared enhanced, and other instances with high-fat meals where a reduced rate was observed in trial participants.

3. Safety and Long-Term Use Evaluation

Research has evaluated long-term use (defined as continuous daily use for six months or more in the trials). Studies collected and reported incidence data on side effects during long-term use.

  • Chronic Conditions: Furthermore, a review examined inflammation markers; findings aligned with observations of changes in chronic inflammation markers, and did not provide data for long-term clinical outcomes.
  • Specific Populations: Research has examined the drug's use in individuals with existing kidney issues, documenting specific safety data points in this population.

Frequently Asked Questions (FAQ)

Common questions about Celectan (FAQ)

Q: Is Celectan a type of antibiotic?

Celectan is officially classified as an Antiprotozoal Agent and belongs to the unique thiazolide chemical class. While it demonstrates broad anti-infective activity against certain protozoa and helminths (worms), its primary authorized uses are for treating specific parasitic infections.


Q: How long does Celectan stay in your system?

According to official product information, the elimination half-life for Celectan’s active component, tizoxanide, is reported to be between 3.5 hours and 7.3 hours. This means that half of the active drug is naturally removed from the body within that time frame.


Q: Can Celectan be prescribed to children?

Yes, Celectan is authorized for use in pediatric patients, but its administration depends on the specific formulation. The oral suspension is authorized for children 1 year of age and older, and the 500 mg tablets are for patients 12 years of age and older.


Q: Can Celectan be used during pregnancy?

Regulatory documents state that there are no available human data on the use of Celectan in pregnant women to determine a drug-associated risk. Studies conducted in animals did not show harm to the fetus at exposures higher than the recommended human dose.


Q: Is Celectan available in different strengths?

Yes, Celectan is supplied in two primary forms: 500 mg tablets and a powder for oral suspension. The suspension form, once mixed with water, provides a concentration of 100 mg per 5 mL.


Q: Is it true that Celectan should not be taken by people with kidney problems?

Official guidance indicates that caution is required for patients who have hepatic (liver) or renal (kidney) impairment. This is because the drug’s processing and elimination pathways may be affected in these conditions, which is an important safety consideration noted in official documents.


Q: Is it normal to feel tired when taking Celectan?

Adverse event reporting for Celectan includes somnolence (sleepiness or drowsiness) among nervous system effects. The frequency of this side effect is not reliably estimated from initial clinical trials.


Q: Are there any foods or drinks I need to avoid while on Celectan?

Regulatory documents state the drug is required to be taken with food to support absorption. Official information does not list specific foods or drinks that must be avoided, although high-fat meals have been observed to slightly reduce the rate of absorption.


Q: Is Celectan the same as [Name of a common similar drug]?

Celectan is the brand name for the active ingredient Nitazoxanide, which is the prototype compound of the unique thiazolide chemical class of anti-infective agents. This unique classification distinguishes it from other common drug classes.


Q: What is the risk of having a serious reaction to Celectan?

Celectan is contraindicated (should not be used) in patients with a prior known hypersensitivity (allergic) reaction to the drug or its ingredients. Official labeling states that if signs of a serious allergic reaction, such as swelling or difficulty breathing, occur, medical attention is warranted.


Q: Can Celectan affect my sleep schedule?

Adverse reaction reporting includes insomnia (difficulty sleeping) among psychiatric effects. Official product documents note that the frequency of this adverse reaction is not reliably estimated from clinical trials.


Q: Is Celectan considered a controlled substance?

No, Celectan (nitazoxanide) is not classified as a controlled substance under the U.S. Controlled Substances Act (CSA).


Q: What is the research evidence for Celectan's effectiveness?

Regulatory sources confirm Celectan is officially indicated for the treatment of diarrhea caused by two specific parasites: Cryptosporidium parvum and Giardia intestinalis. This indication applies to immunocompetent patients 1 year of age and older.


Q: What happens if I miss a dose of Celectan?

Official patient information describes the procedure for a missed dose, which typically involves taking it when remembered, unless it is close to the next scheduled dose. The guidance also includes a statement that a double dose should not be taken to compensate for a missed dose.


Q: Is it okay to stop taking Celectan suddenly?

Official patient information notes the importance of completing the full course of medication as prescribed. This helps ensure effective treatment and clearance of the underlying infection, even if symptoms begin to improve before the course is finished.


Q: Can taking Celectan affect the results of a blood test?

Adverse event reports have included rare instances of changes in lab values, such as increased creatinine and increased ALT. These are markers measured in blood tests for kidney and liver function, respectively.


Q: Why is Celectan sometimes considered a second-line treatment?

For some conditions, Celectan is listed as an alternative drug to other established first-line treatments within clinical treatment guidelines. For other indications (like C. parvum), it is considered a drug of choice.


Q: Is there a generic version of Celectan available?

Yes, the active ingredient in Celectan, nitazoxanide, is available as a generic version.


Q: Does Celectan make you drowsy?

The adverse event list includes somnolence (drowsiness or sleepiness) among nervous system effects. Official product documents note that the frequency of this adverse reaction is not reliably estimated from clinical trials.


Q: How is Celectan different from a placebo in clinical trials?

Regulatory-linked reviews mention that the side effect profile of Celectan in trials for giardiasis did not significantly differ from placebo. This data point contributes to the understanding of the drug’s tolerability.


Q: Why is Celectan sometimes given as a combination therapy?

Studies have investigated Celectan as an add-on therapy in the research setting for chronic conditions such as hepatitis. This demonstrates its potential role as a complementary agent alongside other treatments.


Q: Is Celectan used for short-term or long-term treatment?

The standard FDA-approved regimen for parasitic infections is a short-term, fixed duration of three consecutive days. However, regulatory-linked research has also evaluated long-term use for other conditions in a research setting.


Q: Can Celectan affect my ability to drive or operate machinery?

Adverse reaction reporting includes post-marketing reports of dizziness. Since dizziness is a nervous system effect, it could potentially affect a person's ability to drive or operate machinery safely.


Q: Are there any specific organs Celectan can harm?

Official guidance advises caution in patients with hepatic (liver) or renal (kidney) impairment, indicating that these organ systems are important safety considerations noted in official documents. Adverse event reports have included effects on these systems such as increased liver enzymes.


Q: What is the half-life of Celectan?

According to official product information, the elimination half-life for Celectan’s active component, tizoxanide, is reported to be between 3.5 hours and 7.3 hours.


Q: Does Celectan have a risk of dependence or addiction?

No, Celectan is not classified as a controlled drug under the Controlled Substances Act (CSA). This classification is often used as an indicator of low potential for dependence or addiction.


Q: How does the body break down Celectan?

Celectan is rapidly hydrolyzed (broken down) by the body into its active metabolite, tizoxanide. This metabolite then undergoes further processing before the compounds are eliminated through the urine, bile, and feces.


Q: What information is important to share with my doctor before starting Celectan?

It is important to inform a health professional about any history of an unusual or allergic reaction to the drug, as well as any existing kidney disease, liver disease, or immune system problems. These pre-existing conditions are official safety considerations.


Q: Has Celectan been approved in countries outside the US?

Regulatory-linked research references the drug's availability and use in markets outside of the United States, including countries such as India and Mexico, indicating broader international use.


Q: What should I do if my side effects from Celectan seem to be getting worse?

Official guidance describes the need to report side effects to a healthcare team, especially if signs of an allergic reaction or severe symptoms occur.

How should Celectan be stored and disposed of?

Celectan (Nitazoxanide) storage and disposal must strictly adhere to regulatory requirements to ensure stability and safety.

Storage Requirements

Dosage Form Temperature Stability Condition
Tablets Controlled Room Temperature (20 C to 25 C) Store in original container.
Oral Suspension Controlled Room Temperature (20 C to 25 C) Stable for 7 days after reconstitution. Do not freeze.

All forms must be stored out of the sight and reach of children. The reconstituted suspension requires the container to be tightly closed and shaken well before use. Any unused oral suspension must be discarded after 7 days.

Disposal Instructions

Unused or expired Celectan should be disposed of using a local medicine take-back program. If a take-back program is unavailable, follow instructions for disposal in household trash: mix the medicine with an undesirable substance, seal it in a container, and discard. The medication must not be flushed down a toilet or poured down a drain.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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