CLINICAL USE


Treatment of tapeworm Hymenolepis nana Schistosoma haematobium worms infections

DOSE IN NORMAL RENAL FUNCTION

Tapeworm: 5–10 mg/kg after a light breakfastHymenolepis nana: 25 mg/kg Schistosomiasis: 20 mg/kg repeated after 4–6 hoursS. japonicum : 60 mg/kg in 3 divided doses on 1 day

PHARMACOKINETICS

  • Molecular weight &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp :312.4
  • %Protein binding &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp :80
  • %Excreted unchanged in urine &nbsp &nbsp : 80% as metabolites
  • Volume of distribution (L/kg) &nbsp &nbsp &nbsp :No data
  • half-life – normal/ESRD (hrs)&nbsp &nbsp &nbsp :1–1.5 (metabolites 4 hours)/Slightly increased

    DOSE IN RENAL IMPAIRMENT

    GFR (mL/MIN)

  • 20 to 50 &nbsp &nbsp : Dose as in normal renal function
  • 10 to 20 &nbsp &nbsp : Dose as in normal renal function
  • <10 &nbsp &nbsp &nbsp &nbsp &nbsp : Dose as in normal renal function Use lower dose with caution

    DOSE IN PATIENTS UNDERGOING RENAL REPLACEMENT THERAPIES

  • CAPD &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp:Not dialysed. Dose as in GFR <10 mL/min

  • HD &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp :Not dialysed. Dose as in GFR <10 mL/min
  • HDF/high flux &nbsp :Unknown dialysability. Dose as in GFR <10 mL/min
  • CAV/VVHD &nbsp &nbsp &nbsp:Not dialysed. Dose as in normal renal function

    IMPORTANT DRUG INTERACTIONS

    Potentially hazardous interactions with other drugsCarbamazepine, phenytoin, chloroquine: reduce bioavailability of praziquantelCimetidine and albendazole: increases bioavailability

    ADMINISTRATION

    Reconstition

    Route

    Oral

    Rate of Administration

    Comments

    OTHER INFORMATION

    Available on a named patient basis from Merck (Cysticide)One study did not show any adverse effects in a haemodialysis patient