Albendazole

CLINICAL USE

  • Treatment ofEchinococcus granulosus
    (hydatid disease), in combination with
    surgery
  • Treatment of nematode infections

    DOSE IN NORMAL RENAL FUNCTION

    Echinococcus granulosus:

  • >60 kg: 400 mg twice daily for 28 days
  • <60 kg: 15 mg/kg in 2 divided doses to amaximum of 800 mg daily
    Treatment of nematode infections: 400 mg as
    a single dose

    PHARMACOKINETICS

  • Molecular weight                           :
    265.3
  • %Protein binding                           :
    70
  • %Excreted unchanged in urine     :
    <1
  • Volume of distribution (L/kg)       :
    No data
  • half-life – normal/ESRD (hrs)      :
    8–12 (metabolite)/
    Probably unchanged

    DOSE IN RENAL IMPAIRMENT

    GFR (mL/MIN)

  • 20 to 50     : Dose as in normal renal function
  • 10 to 20     : Dose as in normal renal function
  • <10           :
    Dose as in normal renal function

    DOSE IN PATIENTS UNDERGOING RENAL REPLACEMENT THERAPIES

  • CAPD                :
    Unlikely dialysability. Dose as in
    normal renal function
  • HD                     :
    Not dialysed. Dose as in normal renal function
  • HDF/high flux   :
    Unknown dialysability. Dose as in
    normal renal function
  • CAV/VVHD      :
    Unlikely dialysability. Dose as in
    normal renal function

    IMPORTANT DRUG INTERACTIONS

    Potentially hazardous interactions with other drugs
    Dexamethasone: increased concentrations

    of metabolite of albendazole

    ADMINISTRATION

    Reconstition

    Route

    Oral

    Rate of Administration

    Comments

    OTHER INFORMATION

    Available on a named patient basis from

    IDIS (Zentel®)
    Undergoes first pass metabolism

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