antihelminthics Flashcards
What is an anthelminthic?
kills worms (helminths)
Parasiticide
Drug that kills parasites
Pesticide
Drug usually used for external parasites/arthropods (Ectoparasiticide)
includes insecticides and acaricide (ticks/mites)
Insecticide
kills insects
Acaricide
kills ticks/mites
3 major gorups of anthelminthics
- Benzimidazoles (BZD) and pro-benzimidazoles
- Nicotinic agonists
- Macrocyclic Lactones (ML)
Benzimidazoles and pro-benzimidazoles
Generic names in this group usually end in -azole
Fenbendazole
Albendazole
Febantel
Others: Oxibendazole, oxfendazole
Benzimidazoles and pro-benzimidazoles mode of action
Prevents microtubule assembly
Interferes with cell internal structure and metabolism
Causes slow parasite death
Need to stay around for awhile to work
* Rumen and cecum act as reservoir for absorption in ruminants and horses, respectively (only 1 dose needed)
* Small animals usually need several doses
Benzimidazoles and pro-benzimidazoles spectrum of action
Nematodes - primarily
* Adulticidal, larvicidal, and ovicidal activity
Trematodes and Cestodes - adulticidal ONLY IN RUMINANTS
(essentially in ruminant flukes and tapeworms)
Benzimidazoles and pro-benzimidazoles administration
Oral only, not very water soluble
Benzimidazoles and pro-benzimidazoles safety
Generally very safe
Exceptions: on the label, follow directions
* Albendazole: ruminants during early pregnancy (teratogenic)
* Febantel: dogs during pregnancy
Occasionally, toxicity with extra-label use in exotic species - check before use it
Which Benzimidazoles and pro-benzimidazoles are used for which species?
Dogs - widely used
* Febantel, fenbendazole
* Albendazole not approved
Horses - widely used
* Fenbendazole
Ruminants - widely used
* Albendazole, fenbendazole
Pigs and poultry - widely used
* Fenbendazole
nicotinic agonists families
Two families:
* Imidazothiazoles (levamisole)
* tetrahydropyrimidines (pyrantel, morantel)
nicotonic agonists mode of action
They act selectively as agonists at nicotinic receptors on nematode muscle cells: depolarizing neuromuscular-blocking drugs
Contraction, and rapid spastic paralysis of worms
nicotinic agonists administration
primarily oral
nicotinic agonists spectrum of action
only work against adults
Lung worms adults and larval stages
Pyrantel and morantel not absorbed from the gut
* only work against worms in the lumen (adults)
* can use in puppies under 2 weeks