Albendazole

Glaxo SmithKline Pharmaceuticals Ltd ,

Glaxo SmithKline Pharmaceuticals Ltd

Zentel Tablet 1s ,

Zentel Oral Suspension

Ancylostomiasis ,

Clonorchiasis

DRUG STATUS

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Approvals

US. FDA / uk mhra / ema / pdma

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Essential Medicine

WHO / India

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Use in Pregnancy

Not Advised / Caution

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Pharmaceutical Class

ama / pdma

Summary

  • Albendazole is an antiparasitic medication used to treat infections caused by worms, including roundworm, hookworm, pinworm, and tapeworm. It's also used to treat conditions like cysticercosis and hydatid disease.

  • Albendazole works by inhibiting the ability of parasites to absorb glucose, which depletes their energy stores and ultimately leads to their death. It interferes with the formation of microtubules, essential for the parasite's cell structure and function.

  • For intestinal worm infections, the typical dose is 400 mg taken once daily for 3 days. For cysticercosis or hydatid disease, the dose is usually 400 mg twice a day for 28 days. Albendazole should be taken with food to enhance absorption.

  • Common side effects include upset stomach, fever, dizziness, headache, and unsteadiness. Serious side effects include a decrease in blood cells, which can lead to infections and bleeding, and rare cases of liver failure and inflammation.

  • Albendazole should be used cautiously in individuals with liver disease or a history of liver problems. It is contraindicated during pregnancy, especially in the first trimester, and breastfeeding should be avoided. It should also be avoided in individuals with hypersensitivity to Albendazole.

Indications and Purpose

How does Albendazole work?

Albendazole works by inhibiting the polymerization of tubulin, a protein necessary for the formation of microtubules. This disrupts the cells' ability to absorb glucose, leading to a depletion of energy stores in the parasites. The lack of energy ultimately causes the death of the parasites, including worms and larvae, effectively treating various parasitic infections in the body.

 

 

How does one know if Albendazole is working?

The effectiveness of Albendazole is typically evaluated through clinical observation, laboratory tests, and imaging studies. Doctors assess the reduction or elimination of the parasitic infection by monitoring symptoms, performing stool exams, blood tests, or imaging to observe any changes in infected organs or tissues. The presence or absence of the parasite after treatment confirms the drug's success. Follow-up visits may be conducted to ensure complete eradication of the infection.

 

 

Is Albendazole effective?

Albendazole has been shown to be effective in treating a variety of parasitic infections, including those caused by tapeworms, roundworms, and hookworms. Clinical studies and trials have demonstrated its ability to reduce or eliminate parasitic organisms by inhibiting their ability to absorb glucose, effectively starving and killing them. Albendazole's effectiveness has been proven in both adults and children across different types of infections.

 

 

What is Albendazole used for?

Albendazole is used to treat various parasitic infections, including hydatid disease, neurocysticercosis, ascariasis, hookworm, giardiasis, pinworm, whipworm, and strongyloidiasis. It works by inhibiting the ability of worms to absorb glucose, depleting their energy stores and eventually leading to their death. It's effective against both intestinal and tissue-based parasitic infections.

 

 

Directions for Use

How do I take Albendazole?

Albendazole should be taken with food to increase its absorption, especially when treating parasitic infections like tapeworms. There are no specific food restrictions while taking Albendazole, but it is advised to follow a balanced diet to support the treatment process. If the doctor has prescribed a specific regimen (e.g., a 3-day or 28-day course), it is important to complete the full course as directed, even if symptoms improve before finishing the medication.

 

 

How long does it take for Albendazole to start working?

Albendazole typically starts working within a few hours of taking the medication, but the full effects may take several days to weeks, depending on the type of parasitic infection being treated. For certain infections, symptoms might begin to improve after a few days, but it's essential to complete the full course of treatment as prescribed to ensure the infection is fully eradicated.

 

 

How should I dispose of Albendazole?

If you can, bring unused medicines to a drug take-back program or collection site at a pharmacy or hospital. They will dispose of the medicines properly so they don't harm people or the environment. If you can't find a take-back program, you can throw most medicines in the trash at home. But first, take them out of their original containers, mix them with something undesirable like used coffee grounds, seal the mixture in a plastic bag and throw it away.

How should I store Albendazole?

Store this medication at room temperature between 68° to 77°F (20° to 25°C).

What are the consequences to stopping Albendazole?

Yes, stopping Albendazole once it is started can reduce its effectiveness in fully treating the infection. Parasitic infections often require a full course of treatment to ensure the medication completely clears the infection. Discontinuing early may result in the infection not being fully eradicated, leading to a relapse or the development of resistance. It is important to follow the prescribed dosage and complete the full treatment course, even if symptoms improve.

 

 

What is Albendazole’s dose and duration?

The usual daily dosage of Albendazole for adults depends on the condition being treated:

  1. For intestinal worm infections (e.g., roundworm, hookworm, pinworm, etc.), the typical dose is 400 mg taken once daily for 3 days.
  2. For cysticercosis or hydatid disease, the dose is usually 400 mg twice a day for 28 days, and the cycle may be repeated.

Albendazole should be taken with food to enhance absorption, especially for treatment of tapeworm infections. If prescribed for longer-term use, periodic liver function tests may be required to monitor for potential side effects.

 

What should I do if I miss a dose of Albendazole?

If you forget to take one or more doses: take your next dose at the normal time and in the normal amount. Do not take any more than your doctor prescribed.

Warnings and Precautions

Can Albendazole be taken safely while breastfeeding?

Albendazole is excreted in breast milk, but there is limited data on its effects on a breastfeeding infant. Due to potential risks, it is advised to either avoid breastfeeding during treatment or temporarily discontinue nursing while taking Albendazole. If the medication is necessary, a healthcare provider may recommend a suitable alternative or temporary cessation of breastfeeding to reduce the infant's exposure. Always consult a doctor before use.

 

 

Can Albendazole be taken safely while pregnant?

Albendazole is classified as a Category C drug during pregnancy, meaning that its use may pose risks to the fetus. Animal studies have shown adverse effects, such as developmental abnormalities, but there is insufficient human data. It is generally recommended to avoid using Albendazole during pregnancy, especially in the first trimester, unless the benefits outweigh the potential risks. If used, it should be prescribed with caution and under medical supervision.

 

 

Can Albendazole be taken safely while trying to conceive?

There is limited data on the effects of Albendazole on fertility in humans. However, animal studies suggest that high doses may have some impact on fertility, such as testicular toxicity in males. While these effects were seen at much higher doses than typically prescribed, it is recommended to use Albendazole cautiously in individuals planning for conception. Always consult a healthcare provider for personalized advice.

 

 

Can I take Albendazole with other prescription drugs?

Albendazole can interact with several prescription medications. Notably, it can interact with cimetidine (a histamine blocker) and dexamethasone (a corticosteroid), both of which may increase Albendazole's blood levels, potentially increasing the risk of side effects. Carbamazepine and phenytoin, anticonvulsants, can reduce Albendazole's effectiveness by increasing its metabolism. Always consult with a healthcare provider before combining Albendazole with other medications.

 

 

Can I take Albendazole with vitamins or supplements?

Albendazole can interact with certain vitamins and supplements, particularly those that affect liver enzyme activity. For example, supplements that promote liver enzyme activity may reduce Albendazole’s effectiveness by speeding up its metabolism. Additionally, the use of high doses of vitamins like vitamin A could increase the risk of liver toxicity when combined with Albendazole. Always consult a healthcare provider before taking supplements with Albendazole.

 

 

What are Albendazole possible harms and risks?

Common side effects of this medication include upset stomach, feeling sick, and throwing up. Other side effects include fever, feeling dizzy, headache, and feeling unsteady. Serious side effects include a decrease in blood cells, which can lead to infections and bleeding. There have also been rare cases of liver failure and inflammation.

Who should avoid taking Albendazole?

Albendazole should be used cautiously in individuals with liver disease or a history of liver problems, as it can cause liver toxicity. It is contraindicated during pregnancy, especially in the first trimester, due to potential fetal harm. Breastfeeding should be avoided, as the drug passes into breast milk. It should also be avoided in individuals with hypersensitivity to Albendazole or any of its components. Regular monitoring of liver function is advised during treatment.

 

 

Forms / Brands

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