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
Praziquantel drug of choice for
schistosomiasis
clonorchiaisis
paragonimiasis
intestinal flukes
toxicity of praziquantel
headache
dizziness
drowsiness
malaise
Bithionol drug of choice for
co-drug of choice (with triclabendazole) for fascioliasis
taenia saginata
beef tapeworm
taenia solium
pork tapeworm
diphyllobothrium latum
fish tapeworm
echinococcus granulosus
dog tapeworm
niclosamide drug of choice for
alternate drug for praziquantel
drug for Ascaris lumbricoides (roundworm)
Albendazole or mebendazole or pyrantel pamoate
drug for Necator americanus and Ancylostoma duodenale (hookworm)
Pyrantel pamoate or albendazole or mebendazole
drug for Trichuris trichiura (whipworm)
Albendazole or mebendazole
drug for Strongyloides stercoralis (threadworm)
Ivermectin
drug for Enterobius vermicularis (pinworm)
Mebendazole or pyrantel pamoate
drug for Trichinella spiralis (trichinosis)
Mebendazole (+/– corticosteroids)
drug for Cutaneous larva migrans
Albendazole or ivermectin
drug for Wuchereria bancrofti and Brugia malayi (filariasis)
Diethylcarbamazine
drug for Onchocerca volvulus (onchocerciasis)
Ivermectin
drug for Schistosoma haematobium
Praziquantel
drug for Schistosoma mansoni
Praziquantel
drug for Schistosoma japonicum
Praziquantel
drug for Paragonimus westermani
Praziquantel
drug for Fasciola hepatica (sheep liver fluke)
Bithional or triclabendazole
drug for Fasciolopsis buski (large intestinal fluke)
Praziquantel or niclosamide
drug for Taenia saginata (beef tapeworm)
Praziquantel or niclosamide
drug for Taenia solium (pork tapeworm)
Praziquantel or niclosamide
drug for Cysticercosis (pork tapeworm larval stage)
Albendazole
drug for Diphyllobothrium latum (fish tapeworm)
Praziquantel or niclosamide