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Albenza Alternatives Over The Counter

Albenza may also be used for purposes not listed in this medication guide. Important Information Albenza should not be used during pregnancy, unless there is no alternate treatment. You may need to have a negative pregnancy test before starting this treatment. Before taking this medicine You should not use Albenza if you are allergic to Albenza, or to similar drugs such as mebendazole Vermox. To make sure Albenza is safe for you, tell your doctor if you have: It is not known whether this medicine will harm an unborn baby. Albenza should not be used during pregnancy, unless there is no alternate treatment. Tell your doctor if you are pregnant or plan to become pregnant while using this medicine.

Use effective birth control to prevent pregnancy while taking this medicine and for at least 1 month after your treatment ends. It is not known whether albendazole passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby. How should I take Albenza? Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended. Take with food. In a young child or anyone who is unable to swallow a whole Albenza tablet , the tablet should be crushed or chewed and swallowed with a full glass of water.

You may be given other medicines to prevent certain side effects of albendazole, or certain effects that can result when the parasites die within your body. Tell your doctor if you have any changes in weight. Albenza doses are based on weight. Use this medicine for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. However, when treating filariasis, a single dose is effective in reducing symptoms for many months but rarely induces remission. Repeat doses may be needed once or twice yearly for several years until the infection eventually subsides.

Reactions due to microfilariae death may occur within the first 2 days of treatment and include arthralgias, myalgias, hypotension, tachycardia, lymphadenitis, lymphangitis, and peripheral edema. Pyrantel is available OTC and is primarily used for the treatment of enterobiasis, commonly called pinworms Enterobius vermicularis. Enterobius usually infects only the gastrointestinal GI tract, but can also occasionally infect the female genitourinary system and may increase the rates of bacterial urinary tract infections. Therefore, adverse effects are usually GI in nature, although dizziness, headache, or somnolence may occur. Albendazole is at least as efficacious as mebendazole for the treatment of many helminth infections.

Pyrantel pamoate, available OTC for the treatment of pinworms enterobiasis , may also be a reasonable choice for ascariasis. There are some important pharmacokinetic properties to consider. Albendazole may be taken with or without food, and the ideal choice is based on the location of the parasitic infection. Because very little is systemically absorbed, the dosing for intestinal infections in children and adults is similar. It is important to understand that food increases albendazole absorption, particularly a fatty meal. For systemic or extraintestinal infections, albendazole can be given with food to enhance absorption. Occasionally, serious adverse effects can occur with albendazole, especially during prolonged therapy or during certain infections ocular and CNS infections are discussed below.

In any extended treatment course more than 1 or 2 single doses , and especially in hydatid disease, liver enzymes and blood cell counts should be monitored every 2 weeks and before each repeat treatment course. Ongoing physical examinations are necessary and must include monitoring for liver toxicity. Albendazole should be avoided or discontinued if liver transaminases are elevated or if the white blood cell count is depressed. The prescribing information includes a warning not to use in pregnancy and to avoid pregnancy for 1 month after discontinuation of albendazole.

Fortunately, conclusive evidence indicating severe teratogenicity is lacking and is based on animal models; if it occurs, it is infrequent. Adverse effects that might be attributed to a drug are highly dependent on the infection being treated and the duration of therapy. An interesting example of the infection-specific adverse-effect profile of these medications is the prevalence of liver enzyme elevation in albendazole therapy for hydatid disease versus neurocysticercosis. In hydatid disease, abnormal liver function tests are seen 15. Interestingly, this infection is an increasingly emerging infection within the U. In the U. Neurocysticercosis is the most common cause of symptomatic seizures worldwide.

GI absorption and distribution to the site of action must be considered. As previously mentioned, treatment of extraintestinal infections with albendazole may be enhanced by giving the drug with food. The use of a glucocorticoid e. Praziquantel in particular should be avoided when treating ocular infections, and rarely is it indicated when there are signs of CNS involvement. Use of praziquantel for infections in these sensitive tissues is further complicated by drug interactions with dexamethasone and perhaps prednisone , as coadministration significantly reduces plasma praziquantel levels.

Availability of Antiparasitic Agents Many of the most toxic agents used for parasitic infections around the world are not available in the U. Because of this low occurrence, there has also been little financial incentive for the pharmaceutical industry in the U. If there is a need for agents not approved for use in the U. There is no clear single alternative, but the pharmacist can help guide the prescriber and patient to the appropriate use and dosage of albendazole, pyrantel pamoate, or other antihelminthic agent. Kok M, Pechere JC. Nature and pathogenicity of micro-organisms. Infectious Diseases. New York, NY: Mosby Elsevier; 2010: Accessed July 6, 2012.

Toxoplasma gondii. Philadelphia, PA: Churchill Livingstone Elsevier; 2010: Maguire JH. Intestinal nematodes roundworms. Updated November 2, 2010. Accessed February 16, 2012. The Global Burden of Disease: World Health Organization: Geneva, Switzerland; 2008: Updated February 1, 2012. Rosenthal PJ. Antiprotozoal drugs. Basic and Clinical Pharmacology. McGraw-Hill Lange; 2012: Supervised versus unsupervised intake of six-dose artemether-lumefantrine for treatment of acute, uncomplicated Plasmodium falciparum malaria in Mbarra, Uganda: Arguin PM, Mali S. Chapter 3—Malaria. The Yellow Book. Updated November 8, 2011.

Accessed February 20, 2012. Atovaquone; Proguanil. MD Consult [subscription required]. Accessed March 15, 2012. Updated October 26, 2011. Lange Medical Publications; 2009: Petri WA, Haque R. Entamoeba species, including amebiasis.

Information about Albenza.

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Worms In Adult & Children?? Albendazole is Used in Treatment

Albenza Alternatives Over The Counter

Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended. Take with food. In a young child or anyone who is unable to swallow a whole Albenza tablet , the tablet should be crushed or chewed and swallowed with a full glass of water. You may be given other medicines to prevent certain side effects of albendazole, or certain effects that can result when the parasites die within your body. Tell your doctor if you have any changes in weight. Albenza doses are based on weight. Use this medicine for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Skipping doses may also increase your risk of further infection that is resistant to antibiotics.

Albenza will not treat a viral infection such as the flu or a common cold. Albenza can weaken your immune system. Your blood may need to be tested often. You will need frequent blood tests every 2 weeks to check your liver function. Store at room temperature away from moisture and heat. What happens if I miss a dose? Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. The same arsenal of drugs is used for both prevention and treatment of malaria. Atovaquone-proguanil is an exception and only needs to be continued for 1 week after returning.

Antimalarial drugs do not prevent the acquisition of malaria nor do they sufficiently prevent parasitic migration to or occupation of the liver. Instead, these drugs treat the later blood stages that cause clinical malaria. Therefore, when used for prophylaxis, these drugs must be continued for a time after the traveler returns from the malaria-endemic area in case of unknown acquisition of a Plasmodium species. Pharmacists should also inform their patients that while pharmacologic prophylaxis is important, the best way to prevent malaria is to avoid the bite of the Anopheles mosquito, which is most active in the early evening.

Preventive methods include wearing long-sleeved and long-legged clothing, applying strong insect repellants, and using mosquito nets. For example, amodiaquine and hydroxychloroquine are infrequently used for monotherapy against Plasmodium falciparum today due to resistance although they are occasionally effective against chloroquine-resistant strains. Metronidazole and Tinidazole: Metronidazole, or alternatively tinidazole, is the basis of therapy for giardiasis, trichomoniasis, and amebiasis. Of these, amebiasis presents the greatest challenge because metronidazole alone is often not sufficient to eradicate this intestinal parasite.

If the infection is only luminal and the patient is asymptomatic, then a luminal agent may be used alone. Metronidazole 750 mg is given orally three times daily or 500 mg intravenously every 6 hours for 10 days. Tetracycline when available is the most commonly used alternative systemic agent for mild-to-severe intestinal infection; another alternative, erythromycin, can be considered for mild or moderate infection. For a hepatic abscess or other extraintestinal disease, metronidazole or tinidazole is still the preferred agent and may be combined with chloroquine for added efficacy.

For cases of resistance or intolerance to metronidazole and tinidazole, rarely dehydroemetine or emetine plus chloroquine for 21 to 23 days may have to be used. Dehydroemetine and emetine must be given either subcutaneously or intramuscularly and are not commercially available in the U. If metronidazole or tinidazole cannot be used or is ineffective, nitazoxanide or paromomycin is also an option. However, this large single dose frequently causes dyspepsia, and alternatively metronidazole 500 mg twice daily over 7 days or similar regimen may be prescribed. Tinidazole may also be substituted for metronidazole and is at least as effective. It is important to note that intravaginal metronidazole is intended for bacterial vaginosis, not Trichomonas vaginalis.

Some neurologic reactions are common, like dizziness or headache, but severe neurologic reactions may also occur, including peripheral neuropathy, seizure, and disorders of special senses optic or auditory nerve disorders. Other serious adverse effects may include leukopenia, aseptic meningitis, encephalopathy, and hemolytic uremic syndrome. Alcohol should be avoided due to the risk of a disulfiram-like reaction. Ivermectin is one of the more frequently used antiparasitic drugs in the U. While it is FDA approved for systemic infections by Onchocerca volvulus microfilariae, not adult and intestinal strongyloidiasis, it is most frequently used in the U. Ivermectin intensifies GABA-mediated transmission, which causes postsynaptic neuron hyperpolarization in susceptible helminths.

However, when treating filariasis, a single dose is effective in reducing symptoms for many months but rarely induces remission. Repeat doses may be needed once or twice yearly for several years until the infection eventually subsides. Reactions due to microfilariae death may occur within the first 2 days of treatment and include arthralgias, myalgias, hypotension, tachycardia, lymphadenitis, lymphangitis, and peripheral edema. Pyrantel is available OTC and is primarily used for the treatment of enterobiasis, commonly called pinworms Enterobius vermicularis. Enterobius usually infects only the gastrointestinal GI tract, but can also occasionally infect the female genitourinary system and may increase the rates of bacterial urinary tract infections.

Therefore, adverse effects are usually GI in nature, although dizziness, headache, or somnolence may occur. Albendazole is at least as efficacious as mebendazole for the treatment of many helminth infections. Pyrantel pamoate, available OTC for the treatment of pinworms enterobiasis , may also be a reasonable choice for ascariasis. There are some important pharmacokinetic properties to consider. Albendazole may be taken with or without food, and the ideal choice is based on the location of the parasitic infection. Because very little is systemically absorbed, the dosing for intestinal infections in children and adults is similar.

It is important to understand that food increases albendazole absorption, particularly a fatty meal. For systemic or extraintestinal infections, albendazole can be given with food to enhance absorption. Occasionally, serious adverse effects can occur with albendazole, especially during prolonged therapy or during certain infections ocular and CNS infections are discussed below. In any extended treatment course more than 1 or 2 single doses , and especially in hydatid disease, liver enzymes and blood cell counts should be monitored every 2 weeks and before each repeat treatment course.

Ongoing physical examinations are necessary and must include monitoring for liver toxicity. Albendazole should be avoided or discontinued if liver transaminases are elevated or if the white blood cell count is depressed. The prescribing information includes a warning not to use in pregnancy and to avoid pregnancy for 1 month after discontinuation of albendazole. Fortunately, conclusive evidence indicating severe teratogenicity is lacking and is based on animal models; if it occurs, it is infrequent. Adverse effects that might be attributed to a drug are highly dependent on the infection being treated and the duration of therapy.

An interesting example of the infection-specific adverse-effect profile of these medications is the prevalence of liver enzyme elevation in albendazole therapy for hydatid disease versus neurocysticercosis. In hydatid disease, abnormal liver function tests are seen 15. Interestingly, this infection is an increasingly emerging infection within the U. In the U. Neurocysticercosis is the most common cause of symptomatic seizures worldwide. GI absorption and distribution to the site of action must be considered. As previously mentioned, treatment of extraintestinal infections with albendazole may be enhanced by giving the drug with food. The use of a glucocorticoid e.

Praziquantel in particular should be avoided when treating ocular infections, and rarely is it indicated when there are signs of CNS involvement. Use of praziquantel for infections in these sensitive tissues is further complicated by drug interactions with dexamethasone and perhaps prednisone , as coadministration significantly reduces plasma praziquantel levels. Availability of Antiparasitic Agents Many of the most toxic agents used for parasitic infections around the world are not available in the U. Because of this low occurrence, there has also been little financial incentive for the pharmaceutical industry in the U.

If there is a need for agents not approved for use in the U. There is no clear single alternative, but the pharmacist can help guide the prescriber and patient to the appropriate use and dosage of albendazole, pyrantel pamoate, or other antihelminthic agent. Kok M, Pechere JC. Nature and pathogenicity of micro-organisms. Infectious Diseases. New York, NY: Mosby Elsevier; 2010: Accessed July 6, 2012. Toxoplasma gondii.

Albenza Alternatives Over The Counter Albenza Alternatives Over The Counter

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