• Title/Summary/Keyword: albendazole

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Albendazole and Mebendazole as Anti-Parasitic and Anti-Cancer Agents: an Update

  • Chai, Jong-Yil;Jung, Bong-Kwang;Hong, Sung-Jong
    • Parasites, Hosts and Diseases
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    • v.59 no.3
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    • pp.189-225
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    • 2021
  • The use of albendazole and mebendazole, i.e., benzimidazole broad-spectrum anthelmintics, in treatment of parasitic infections, as well as cancers, is briefly reviewed. These drugs are known to block the microtubule systems of parasites and mammalian cells leading to inhibition of glucose uptake and transport and finally cell death. Eventually they exhibit ovicidal, larvicidal, and vermicidal effects on parasites, and tumoricidal effects on hosts. Albendazole and mebendazole are most frequently prescribed for treatment of intestinal nematode infections (ascariasis, hookworm infections, trichuriasis, strongyloidiasis, and enterobiasis) and can also be used for intestinal tapeworm infections (taeniases and hymenolepiasis). However, these drugs also exhibit considerable therapeutic effects against tissue nematode/cestode infections (visceral, ocular, neural, and cutaneous larva migrans, anisakiasis, trichinosis, hepatic and intestinal capillariasis, angiostrongyliasis, gnathostomiasis, gongylonemiasis, thelaziasis, dracunculiasis, cerebral and subcutaneous cysticercosis, and echinococcosis). Albendazole is also used for treatment of filarial infections (lymphatic filariasis, onchocerciasis, loiasis, mansonellosis, and dirofilariasis) alone or in combination with other drugs, such as ivermectin or diethylcarbamazine. Albendazole was tried even for treatment of trematode (fascioliasis, clonorchiasis, opisthorchiasis, and intestinal fluke infections) and protozoan infections (giardiasis, vaginal trichomoniasis, cryptosporidiosis, and microsporidiosis). These drugs are generally safe with few side effects; however, when they are used for prolonged time (>14-28 days) or even only 1 time, liver toxicity and other side reactions may occur. In hookworms, Trichuris trichiura, possibly Ascaris lumbricoides, Wuchereria bancrofti, and Giardia sp., there are emerging issues of drug resistance. It is of particular note that albendazole and mebendazole have been repositioned as promising anti-cancer drugs. These drugs have been shown to be active in vitro and in vivo (animals) against liver, lung, ovary, prostate, colorectal, breast, head and neck cancers, and melanoma. Two clinical reports for albendazole and 2 case reports for mebendazole have revealed promising effects of these drugs in human patients having variable types of cancers. However, because of the toxicity of albendazole, for example, neutropenia due to myelosuppression, if high doses are used for a prolonged time, mebendazole is currently more popularly used than albendazole in anti-cancer clinical trials.

Metabolism and Pharmacokinetics of Albendazole in Korean Native Cattle (한우에서 Albendazole의 대사 및 약물동태학)

  • Yun, Hyo-in;Park, Byung-Kwon;Park, Kyoung-hwan;Lim, Jong-hwan;Hwang, Youn-hwan
    • Journal of Veterinary Clinics
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    • v.18 no.3
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    • pp.195-200
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    • 2001
  • Metabolism and phamacokinetics of albendazole have been studied in Korean native cattle after oral administration of 5 mg/kg of albendazole. As ABZ is known to be rapidly biotransformed to many metabolites in most animal species, it is very imperative to establish the analytical conditions for its metabolites. LC/MS methods for ABZSO and ABZS $O_2$met every requirement enough to study the metabolism of pharmacokinetics of albendazole in Korean native cattle. The parent drug (ABZ) was only measured at first two time points of 0.5 h and 1h, whereas two metabolites were consistently formed between 0.5 h to 48-72 h post-treatment. Formation kinetics for ABZSO and ABZS $O_2$were similar. Time to peak concentration (Tmax) of ABZ-SO appeared at 12h post-treatment of ABZ, faster than that of ABZS $O_2$at 24h. Cmax of ABZS $O_2$(1.05$\pm$0.05 ug/ml) was 1.09 times higher than that of ABZSO (0.96$\pm$0.15). Elimination half-life of ABZS $O_2$(4.2 h) was much shorter than ABZS $O_2$(7.0h) (p<0.005). ABZSO was detected until 48h post-administration but ABZS $O_2$was measurable even at 72h post-dosing. AU $C_{0longrightarrow{\infty}}$ of ABZSO was smaller than that of ABZS $O_2$. Regimen of ABZ is advised to take into consideration is metabolite profiles, especially that of ABZSO, an active metabolite.

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A Case of Ocular Toxocariasis Successfully Treated with Albendazole and Triamcinolon

  • Seong, San;Moon, Daruchi;Lee, Dong Kyu;Kim, Hyung Eun;Oh, Hyun Sup;Kim, Soon Hyun;Kwon, Oh Woong;You, Yong Sung
    • Parasites, Hosts and Diseases
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    • v.52 no.5
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    • pp.537-540
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    • 2014
  • We present a case of ocular toxocariasis treated successfully with oral albendazole in combination with steroids. A 26-year-old male visited the authors' clinic with the chief complaint of flying flies in his right eye. The fundus photograph showed a whitish epiretinal scar, and the fluorescein angiography revealed a hypofluorescein lesion of the scar and late leakage at the margin. An elevated retinal surface and posterior acoustic shadowing of the scar were observed in the optical coherence tomography, and Toxocara IgG was positive. The patient was diagnosed with toxocariasis, and the condition was treated with albendazole (400 mg twice a day) for a month and oral triamcinolone (16 mg for 2 weeks, once a day, and then 8 mg for 1 week, once a day) from day 13 of the albendazole treatment. The lesions decreased after the treatment. Based on this study, oral albendazole combined with steroids can be a simple and effective regimen for treating ocular toxocariasis.

Anthelmintic Effects of Albendazole (ZentelR) against Helminthic Infections (광범위(廣範圍) 구충제(駒蟲劑) Albendazole의 인체연충류감염(人體蠕虫類感染)에 대한 구충효과)

  • Rim, Han-Jong;Joo, Kyoung-Hwan;Lee, Joon-Sang;Wang, Jin-Sung
    • Journal of agricultural medicine and community health
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    • v.9 no.1
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    • pp.67-73
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    • 1984
  • Albendazole, a new broad spectrum anthelmintic drug, was evaluated for anthelmintic effects in 74 patients with single or mixed infections of Ascaris lumbricoides, Trichuris trichiura. Enterobius vermicularis, Metagonimus yokogawai, Clonorchis sinensis and Taenia spp. Albendazole was administered as a single dose of 400 mg. The cure rate for A. lumbricoides and E. vermicularis was 91.4% and 98.1% respectively at day 30 post-treatment: for T. trichiura it was 51.1% and for M. yakogawai and C. sinensis it was 33.3% and 13.3% respectively. The egg reduction rate at day 30 was 98.5% in A. lumbricoides, 76.5% for T. trichiura : 60.0% for M. yokogawai and 59.6% for C. sinensis However it was not cured in all 5 cases of taeniasis at three months follow-up examination. On the other hand, the various dosages of albendazole were given to the patients infected with C. sinensis and Taenia spp. respectively. The follow-up examinations were carried out at 30 days after treatment in clonorchiasis and at 3 months after treatment in taeniasis. In the results, the recommended dosage of albendazole for clonorchiasis is $3{\times}400mg$ for 3 consecutive days and for taeniasis $2{\times}400mg$ for 3 consecutive days. There were no side effects with the above dosages except only a mild abdominal pain and dizziness in a few patients. Albendazole appears to be more effective than the other available broad spectrum anthelmintic drugs.

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The Efficacy of Albendazole, Fenbendazole and Metronidazole for Treatment of Canine Giardia (개의 Giardia 감염에 따른 Albendazole, Fenbendazole, Metronidazole의 치료 효과)

  • Kim Nam-soo;Chon Seung-ki
    • Journal of Veterinary Clinics
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    • v.22 no.3
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    • pp.239-243
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    • 2005
  • Current treatments for canine Giardia infections include albendazole, fenbendazole and metronidazole in the most cases. To compare efficacy of these antimicrobial drugs for treating naturally infected giardiasis in dogs, we used the zinc sulfate concentration technique(ZSCT) to figure out naturally infected with Giardia. In this study, feces were collected from 150 asymptomatic dogs at a kennel, 28 asymptomatic Giardia infected dogs were used by the allocated four group to receive albendazole(group A, 25 mg/kg, PO, bid, 7 days), fenbendazole(group F, 50 mg/kg, PO, sid, 7 days), metronidazole (group M, 50 mg/kg, PO, sid, 7 days), nontreated control(group NC) respectively. Fecal samples from each dog were examined for Giardia cysts within 3 days of the last treatment. Giardia cysts were not detected in the feces of any dog in group F. Cysts were detected in the feces 1 of 7 dogs in group A or in the feces 2 of 7 dogs in group M. In the group NC, cysts were detected in the feces of 7 of 7 dogs. Finally, there was significant difference for efficacy between antimicrobial drugs against Giardia in dogs. Fenbendazo1e is the most efficacy to have giardiacidal activity.

Anthelmintic Efficacy of Albendazole and Ivermectin Against Gastrointestinal Nematodes, Trematodes and Cestode in Korean Native Goats (반추수(反芻獸)의 내부기생충(內部寄生蟲)에 대한 Albendazole과 Ivermectin의 구충효과(驅蟲效果))

  • Suh, Myung-deuk
    • Korean Journal of Veterinary Research
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    • v.26 no.2
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    • pp.321-327
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    • 1986
  • The anthelmintic efficacy of Albendazo1e and Ivermectin against gastrointestinal nematodes, trematodes and cestode was tested in naturally infected Korean native goats. Albendazole was medicated at a dose rate of 10mg/kg of body weight orally and Ivermectin was injected at a dose rate of 0.2mg/kg of body weight subcutaneously. The efficacy was measured by faecal examinations on the day 7th and the day 14th :after treatment. The results obtained were summarized as follows : 1. The efficacy of Albendazole against trematodes and cestode was shown 91.7% in Fasciola hepatica, 68.8% in Paramphislomum spp., 66.7% in Eurytrema pancreaticum and 100% in Moniezia expansa(cestode). 2. The efficacy of Ivermectin against trematodes and cestode was shown 38.8% in Fasciola hepalica, 26.1% in Paramphistomum spp., 22,2% in Eurytrema pancreaticum and 100% in Moniezia expansa(cestode). 3. The anthelmintic efficacy of Albendazole against gastrointestinal nematodes was shown 97.7% in Haemonchus contorus and 100% in Oesophagostomum spp., Ostertagia spp., Bunostomum trigonocephalum, Trichostrongylus spp., Strongyloides papillosus and Cooperia spp. 4. The efficacy of Ivermectin against gastrointestinal nematodes was shown 96.6% in Haemonchus contortus, 94.1% in Trichostrongylus spp. and 100% in Oesophagostomum spp., Ostertagia spp., Bunostomum trigonocephalum, Strongyloides papillosus and Cooperia spp.

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Anthelmintic Efficiency of Albendazole against Fasciola hepatica, Paramphistomun sp., Eurytrema pancreaticum and Moniezia expansa in Korean Native Goat (재래흑산양의 흡충류(간질, 쌍구흡충, 췌질)와 조충에 대한 Albendazole의 구충효과 시험)

  • Suh Myung-deuk
    • Journal of the korean veterinary medical association
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    • v.20 no.10
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    • pp.631-636
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    • 1984
  • The anthelmintic efficiency of Albendazole(Valbazen bolus) at a dose rate of 10 mg/kg of body weight was tested in naturally infected Korean native goat (Black goat) against Fasciola hepatica, Paramphistomum sp., Eurytrema pancreaticum and Moniezia expansa.

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Field Trials on the Efficacy of New Broad-Spectrum Anthelmintics 1. Anthelmintic Efficacy of Albendazole Against Gastrointestinal Nematodes, Trematodes and Cestode in Korean Native Goat (반추수의 내부기생충에 대한 신종 광범위구충제의 구충효과 - I. Albendazole (Valbazen-B)의 구충효과)

  • Suh Myung-Deuk;Lee Soon-Sun;Cho Hee-Taek
    • Journal of the korean veterinary medical association
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    • v.21 no.10
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    • pp.605-611
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    • 1985
  • The anthelmintic efficacy of Albendazole(Valbazen-B) at a dose rate of 10mg /kg of body weight was tested in naturally infected Korean native goats against gastrointestinal nematodes, trematodes and cestode. The drug was administered with Valbazen-B bolus

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Studies on the efficacy of anthelmintics to goats infected with internal parasites (내부기생충 감염 흑염소의 각종 구충제 효능에 관한 연구)

  • 박노찬;도재철;김수웅;송해범
    • Korean Journal of Veterinary Service
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    • v.21 no.4
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    • pp.439-449
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    • 1998
  • From September 1997 to August 1998, Korean indigeous goats infected with internal parasites were examined for efficacy of anthelminthics by fecal egg counts. Efficacy of anthelmintic drugs against gastointestinal Haemonchus contortus in goats were effective with Ivermectin(94.9%), Piperazine(92.8%), Levamisole(88.3%), Albendazole(68.2%), respectively. Albendazole was effective against goats with Haemonchus contortus in 3 herds, but not effective in 1 herds. Efficacy of anthelmintic drugs against gastointestinal Paramphistomim sp in goats were effective with Ivermectin(95.3%), Piperazine(93.3%), Albendazole(92.9%), Levamisole(91.1%), respectively. Efficacy of anthelmintic drugs against Eimeria sp in goats were effective with Toltrazuril(92.6%), Diclazuril(90.4% ), Nicarbazin (87.5%), Amprolium(70.0%), respectively. Amprolium was effective against goats with Eimeria sp in 3 herds, but not effective in 1 herds.

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A Case Report of Intravitreal Dexamethasone Implant with Exudative Retinal Detachment for Ocular Toxocariasis Treatment

  • Cai, Youran;Yang, Ye;Zhong, Xin
    • Parasites, Hosts and Diseases
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    • v.60 no.2
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    • pp.133-137
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    • 2022
  • Toxocariasis is one of the most common geohelminth infections in several parts of the world. We describe a rare case of ocular toxocariasis with secondary exudative retinal detachment treated with albendazole and an intravitreal dexamethasone implant. A 13-year-old boy with counting finger vision was diagnosed with retinal vasculitis and exudative retinal detachment in his right eye. Fundoscopic examination revealed retinal hemorrhage, retinal vasculitis, and exudative retinal detachment. Serological test using serum and intraocular aqueous humor were positive for anti-Toxocara specific IgG antibodies. He received repeated doses of intravitreal dexamethasone implants combined with oral albendazole. A sequential follow-up optical coherence tomography revealed that the retina was successfully reattached. His visual acuity subsequently improved to 20/400.