ANTHELMINTIC DRUGS

 

ANTHELMINTIC DRUGS

PREPARED BY MR. ABHIJIT DAS

Infections caused by helminths(worms) are very common in India.

Helminths are of three types.

1.    Tape worms

2.    Flukes

3.    Round worms

Anthelmintics- These are drugs used against infections by helminths.

Most commonly used anthelmintics are described below

·       Mebendazole

·       Albendazole

·       Thiabendazole

·       Ivermectin

·       Piperazine

MEBENDAZOLE

MOA

Mebendazole binds to beta tubulin of parasite and inhibits synthesis of microtubules (microtubules form part of cytoskeleton and provides structure and shape).

Mebendazole also inhibits glucose uptake in parasites. Ultimately death of parasite occurs.

ADVERSE EFFECTS

Ø Diarrhea

Ø Abdominal pain

Ø Nausea

Ø Allergic reaction

Ø Loss of hair

Ø Granulocytopenia

USES

Ø Used for both roundworm and hookworm infections

ALBENDAZOLE

MOA

Same mechanism as that of mebendazole

ADVERSE EFFECT

Ø Liver insufficiency

Ø Skin rashes

Ø GI upset

USES

Ø Used in Ascaris infection

Ø Used in trichinosis infection

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