Antihelminthic Drugs Flashcards
Drugs against nematode (r.worms)
Albendazole
Diethylcarbamazine
Ivermectin
Mebendazole
Pyrantel pamoate
Drugs against trematodes (flukes)
Bithionol
Metrifonate
Oxamniquine
Praziquantel
Drugs against cestodes (tapeworms)
Albendazole
Mebendazole
Niclosamide
Praziquantel
Albendazole drug of choice for
ascariasis, hookworm, pinworm and whipworm infections
Albendazole toxicity
reversible leukopenia
alopecia
LFTs elevated
Diethylcarbamazine drug of choice for
filariasis caused by wucheria bancrofti & brugia malayi and for eye worm disease (loa-loa)
Diethylcarbamazine toxicity
headache
malaise
anorexia
fever, rashes, ocular damage, joint/muscle pain in filariasis
hypotension, pyrexia, respiratory distress, prostration in onchocerciasis
MoA of Diethylcarbamazine
immobilizes microfilariae
MoA of Ivermectin
intensifies GABA mediated neurotransmission in nematodes and causes its immobilization
Ivermectin drug of choice for
onchocerciasis
cutaneous larva migrans
strongyloidiasis
Toxicity of ivermectin
fever
rashes
pruritis
tachycardia
hypotension
muscle and joint pain
Mebendazole drug of choice for
ascariasis
pinworm and whipworm infections
drug interactions for mebendazole
plasma levels decreased by carbamazepine or phenytoin and increased by cimetidine
mebendazole toxicity
GI irritation
granulocytopenia and alopecia at higher doses
Pyrantel pamoate moa
stimulates nicotinic receptors of nematodes which leads to depolarization induced paralysis
- kills adult worm in the colon but not the eggs
schistosoma
blood flukes
clonorchis sinensis
liver fluke
paragonimus westermani
lung fluke