Antihelminthic Drugs Flashcards
Drugs active against nematodes
albendazole diethylcarbamazine Ivermectin Mebendazole Pyrantel pamoate
Drugs active against trematodes
praziquantel
bithionol
metrifonate
oxamniquine
Drugs active against cestodes
niclosamide
praziquantel
Nematodes
Ascaris lumbricoides Trichuris trichuria Necator ancylostoma/americanus Strongyloids stercoralis Enterobius vermicularis Trichinela spiralis Trichostrongylus spp Cutaneous larvae migrans Angiostrongylus Wuchereria, Brugia, Loa loa Onchocerca volvulus Dracunculus Capillaria
MOA of albendazole
inhibits microtubule assembly, larvicidal and ovicidal
DOC for hydatid disease
albendazole
has improved penetration of subarachnoid space for neurocysticercosis
praziquantel
CI of albendazole
cirrhosis
selectively inhibits microtubule synthesis andf glucose uptake in nematodes
ovicidal
mebendazole
drug of choice for whipworm infections (Trichuris trichuria)
mebendazole
immobilizes microfilariae and alters their surface structure -> more susceptible to host defense mechanisms
diethylcarbamazepine
DOC filariasis
DEC
DEC when used for oncocerciasis may cause
Mazzotti reaction
can be life-threatening, and are characterized by fever, urticaria, swollen and tender lymph nodes, tachycardia, hypotension, arthralgias, oedema, and abdominal pain that occur within seven days of treatment of microfilariasis.
Mazzotti reactions
intensifies GABA mediated neutrotrabsmission in nematodes , immobilizes parasites
ivermectin