Albendazole

Ancylostomiasis, Clonorchiasis ... show more

DRUG STATUS

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Approvals

US(FDA)

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Essential Medicine

YES

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Teratogenicity

N/A

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Pharmaceutical Class

Anthelmintic

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Drug Ingredient

Albendazole

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Summary

  • Albendazole is primarily used for treating Neurocysticercosis, an infection caused by larval forms of the pork tapeworm, and Hydatid Disease, a cystic hydatid disease caused by the dog tapeworm.

  • Albendazole works by inhibiting the polymerization of tubulin, disrupting microtubule formation in parasites. This leads to impaired glucose uptake and energy depletion, ultimately resulting in the death of the parasite.

  • The duration of treatment with Albendazole depends on the condition. For hydatid disease, treatment lasts for 28 days followed by a break. For neurocysticercosis, it can range from 8 to 30 days. Albendazole should be taken with food to enhance absorption.

  • Possible adverse effects include bone marrow suppression, elevated liver enzymes, gastrointestinal issues such as nausea and abdominal pain, and neurological symptoms in patients treated for neurocysticercosis due to inflammatory reactions.

  • Patients with known hypersensitivity to benzimidazoles should avoid Albendazole. Caution is advised for those with liver disease or bone marrow suppression risks.

Indications and Purpose

What is Albendazole used for?

Albendazole is primarily used for:

  • Neurocysticercosis: Infection caused by larval forms of the pork tapeworm.
  • Hydatid Disease: Cystic hydatid disease caused by the dog tapeworm

How does Albendazole work?

Albendazole works by inhibiting the polymerization of tubulin, which disrupts microtubule formation in parasites. This leads to impaired glucose uptake and energy depletion, ultimately resulting in the death of the parasite

Is Albendazole effective?

Albendazole has been shown to be effective against various parasitic infections. Its efficacy can depend on factors such as the type of parasite and the site of infection

How does one know if Albendazole is working?

Patients can generally assess if Albendazole is working through clinical improvement in symptoms associated with their parasitic infection. Follow-up imaging or laboratory tests may also be conducted to confirm resolution of infection

Directions for Use

How do I take Albendazole?

Albendazole should be taken with food to enhance absorption. The tablets can be crushed or chewed and swallowed with water

For how long do I take Albendazole?

The duration of treatment with Albendazole depends on the condition:

  • For hydatid disease, treatment lasts for 28 days, followed by a break.
  • For neurocysticercosis, it can range from 8 to 30 days

How long does it take for Albendazole to start working?

Albendazole typically begins to work within a few days after administration, but the exact time frame can vary depending on the type of infection and individual patient factors

How should I store Albendazole?

Albendazole should be stored at room temperature, away from moisture and heat, to maintain its effectiveness

Warnings and Precautions

Who should avoid taking Albendazole?

Patients with known hypersensitivity to benzimidazoles should avoid Albendazole. Caution is advised for those with liver disease or bone marrow suppression risks

Can I take Albendazole with other prescription drugs?

Albendazole is a medicine. When taken with certain other medicines like dexamethasone, praziquantel, or cimetidine, it makes the albendazole work more strongly. This means there's more of the active part of the medicine in the body. However, taking albendazole with theophylline doesn't seem to affect the theophylline levels, but it's still a good idea to keep an eye on things. Essentially, some medicines boost albendazole's effects, while others don't appear to interact, but monitoring is still wise.

Can I take Albendazole with vitamins or supplements?

Albendazole can typically be taken with vitamins or supplements, but it is advisable to consult a healthcare provider before doing so. There are no specific contraindications regarding the simultaneous use of Albendazole with vitamins or dietary supplements

Can Albendazole be taken safely while pregnant?

Albendazole is not recommended for use during pregnancy due to potential risks to the fetus. Animal studies have shown that it can cause embryotoxicity and skeletal malformations when administered during organogenesis. Although limited human data have not identified significant risks for major birth defects or adverse outcomes, caution is advised. Women of reproductive potential should undergo pregnancy testing before starting treatment and are advised to use effective contraception during and for three days after treatment with Albendazole to mitigate risks to the fetus

Can Albendazole be taken safely while breastfeeding?

Albendazole is considered to be safe for use while breastfeeding, as concentrations of the drug and its active metabolite in human breast milk are low. There are no reported adverse effects on breastfed infants, but it is recommended to weigh the benefits of breastfeeding against the mother's need for the medication.

Is Albendazole safe for the elderly?

Albendazole can generally be used safely in elderly individuals, but caution is recommended. Older adults may be more sensitive to side effects, particularly those related to the liver, kidneys, or gastrointestinal system. Additionally, those with existing liver or kidney issues may require dose adjustments or closer monitoring during treatment. It's important for elderly patients to use albendazole under the guidance of a healthcare provider, who can assess any potential risks or necessary modifications to the treatment.

Is it safe to exercise while taking Albendazole?

Albendazole can affect your ability to exercise, especially if you experience side effects like dizziness, nausea, or headaches, which are common. If you feel lightheaded or unwell, it’s best to avoid strenuous activities until you feel better. However, many people can still engage in moderate exercise without issues. Always listen to your body and consult your doctor if you have concerns about exercising while on Albendazole.

Is it safe to drink alcohol while taking Albendazole?

Drinking alcohol occasionally or moderately while taking Albendazole is generally not recommended. While side effects from this combination are rare and mild, alcohol may increase the risk of liver toxicity and other adverse effects. It's best to consult your doctor before consuming alcohol to ensure your safety and the effectiveness of the medication. Always follow your healthcare provider's advice regarding alcohol use during treatment.