Anthelmintic Drugs Lipincott And kadzung Review for screening test and interview preparation
Drugs for Nematode
Mebendazole
DOC in infections of Whipworm (Trichuris trichiura), Pinworm(Entrobius vermicularis), Hookworm (Necator americanus), Roundworm(Ascaris lumbricoides)
MOA
bind to Parasite‟s microtubules…↓Glucose uptake.. Parasite expel with feces… Embryotoxic & Teratogenic
Pyrantal Pamoate
Depolarizing agent..Neuromuscular blocker...Paralyzed parasite
Thiabendazole
👍used in Strongloidiasis & Trichinosis…interefer with microtubules…
❌contraindicated in pregnancy
Ivermectin
DOC in Onchocerciasis (river blindness) by O.vulvulus….↑CI- influx…
Hyperpolarization, paralysis of Parasite…Contraindicated in Meningitis, Pregnancy
👉Killing of Microfilaria result in Mazotti-like reaction (fever, hypotension,headache)
Diethylcarbamazepine
used in Filariasis….
S.E
anthralgia, Myalgia, Leukocytosis.
Drugs for Trematode
Fluke leaf-shaped…affect liver, lung, intestinal, blood
Praziquantal
DOC in Schistosomiasis & Cysticercosis…
Ca++↑… ↑contraction,
Paralysis used in pregnancy,,,
S.E
Anorexia,malaise.
Drugs for Cestode
True Tapeworm, Segmented,flat, attach to intestine
Niclosamide
DOC for cestode…ϴMitochondrial phosphorylation of ADP….ϴ of ATP..
Albendazole
ϴmicrotubule synthesis,↓Glucose uptake…used in Cysticercosis,Hydatid disease…
S.E
hepatotoxicity, Agranulocytosis, Hyperthermia…Contra in pregnancy
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