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References

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1. Shane AL, Mody RK, Crump JA, et al. 2017 Infectious Diseases Society of America Clinical Practices Guidelines for the Diagnosis and Management of Infectious Diarrhea.

Clin Infect Dis 2017;65(12):e45-e80.

2. Smalley W, Falck-Ytter C, Carrasco-Labra A, Wani S, Lytvyn L, Falck-Ytter Y. AGA Clinical Practice Guidelines on the Laboratory Evaluation of Functional Diarrhea and

Diarrhea-Predominant Irritable Bowel Syndrome in Adults (IBS-D). Gastroenterology 2019;157(3):851-854.

3. Beer KD, Collier SA, Du F, Gargano JW. Giardiasis Diagnosis and Treatment Practices Among Commercially Insured Persons in the United States. Clin Infect Dis

2017;64(9):1244-1250.

4. Attias E, Czinn SJ, Harro C, Munoz FM, Sockolow RE, Black JT. Emerging Issues in Managing Pediatric Parasitic Infections: An Assessment of Clinical and Epidemiological

Knowledge of Giardiasis and Cryptosporidiosis. Pediatr Therapeutics 2015;5(3):1-7.

5. Litleskare S, Rortveit G, Eide GE, Hanevik K, Langeland N, Wensaas K-A. Prevalence of Irritable Bowel Syndrome and Chronic Fatigue 10 Years After Giardia Infection.

Clin Gastroenterol H 2018;16(7): 1064-1072.e4.

6. Scallan E, Hoekstra RM, Angulo FJ, et al. Foodborne illness acquired in the United States—major pathogens. Emerg Infect Dis 2011;17:7–15.

7. Painter JE, Gargano JW, Collier SA, Yoder JS; Centers for Disease Control and Prevention. Giardiasis surveillance—United States, 2011–2012. MMWR Morb Mortal Wkly

Rep Suppl 2015; 64(3):15–25.

8. Chute CG, Smith RP, Baron JA. Risk factors for endemic giardiasis. Am J Public Health. 1987;77:585–7.

9. Hlavsa MC, Cikesh BL, Roberts VA, et al. Outbreaks Associated with Treated Recreational Water — United States, 2000–2014. MMWR Morb Mortal Wkly Rep

2018;67:547–551.

10. Painter JE, Hlavsa MC, Collier SA, et al. Cryptosporidiosis Surveillance, 2011-2012. MMWR Morb Mortal Wkly Rep Suppl 2015;64(3):1-13.

11. Okhuysen PC, et al. Infectivity of a Cryptosporidium parvum Isolate of Cervine Origin for Healthy Adults and Interferon-y Knockout Mice. J Infect Dis. 2002;185:1320-9.

12. Okhuysen PC, et al. Virulence of Three Distinct Cryptosporidium parvum Isolates for Healthy Adults. J Infect Dis. 1999;180:1275-81

13. ALINIA (nitazoxanide) Prescribing Information. June 2019.

14. Romark L.C., data on file.

Alinia is a registered trademark of Romark, L.C. Intended only for Healthcare Professionals of the United States of America. ©2020, Romark L.C. RM-AL-094-01V1 R10.20

*Indications

ALINIA ® for Oral Suspension (patients 1 year of age and older) and ALINIA Tablets (patients 12 years and older)

are indicated for the treatment of diarrhea caused by Giardia lamblia or Cryptosporidium parvum.

Limitations of Use: ALINIA for Oral Suspension and ALINIA Tablets have not been shown to be effective for the

treatment of diarrhea caused by Cryptosporidium parvum in HIV-infected or immunodeficient patients.

Important Safety Information

• ALINIA Tablets and ALINIA for Oral Suspension are contraindicated in patients with a prior hypersensitivity

to nitazoxanide or any other ingredient in the formulations.

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