Albendazole Uses, Dosage, and Side Effects: A Complete Guide

Key Points About Albendazole

Albendazole is a prescription medication used to treat parasitic infections such as neurocysticercosis, echinococcosis, and others. It works by preventing parasites from absorbing sugar, which they need to survive. Albendazole is typically prescribed for a short duration, but the exact dosage and length of treatment depend on the specific condition being addressed. Always consult a healthcare provider, such as one of our telemedicine doctors, before starting or adjusting your dose.

Albendazole: Brand and Generic Names

US Brand Name: Albenza (Albendazole)

Medications often have two names: a brand name and a generic name. The generic name refers to the active ingredient in the medication, which is listed in parentheses.

Pharmacologic Category of Albendazole

Albendazole belongs to a class of medications known as anthelmintics, which are used to treat infections caused by parasitic worms. Other medications in this category include:

1. Mebendazole
2. Ivermectin
3. Praziquantel

Albendazole Dosage Guidelines

Albendazole is used to treat a variety of parasitic infections. The dosage and duration of treatment vary depending on the specific condition. Always consult your doctor or one of our telemedicine providers before making any changes to your dose.

Albendazole Dosage for Neurocysticercosis

Dosage: 400 mg twice daily for 8-30 days, depending on the severity of the infection.

Albendazole Dosage for Echinococcosis

Dosage: 400 mg twice daily for 28 days, followed by a 14-day break. This cycle may be repeated for a total of 3 cycles.

Albendazole Dosage for Ascariasis

Dosage: 400 mg as a single dose.

Albendazole Dosage for Hookworm Infection

Dosage: 400 mg as a single dose.

Albendazole Dosage for Trichuriasis (Whipworm Infection)

Dosage: 400 mg as a single dose.

Albendazole Dosage for Strongyloidiasis

Dosage: 400 mg once daily for 3 days.

Albendazole Dosage for Giardiasis

Dosage: 400 mg once daily for 5 days.

Albendazole Dosage for Filariasis

Dosage: 400 mg twice daily for 10-12 days.

Albendazole Dosage for Taeniasis (Tapeworm Infection)

Dosage: 400 mg as a single dose.

Albendazole Dosage Forms and Strengths

Albendazole is available in the following forms and strengths:

1. Tablet: 200 mg, 400 mg
2. Oral suspension: 100 mg/5 mL

How to Take Albendazole: Administration Instructions

Albendazole should be taken with food to improve absorption. If you’re taking the tablet form, swallow it whole with water. If you have difficulty swallowing, you can crush or chew the tablet and take it with water. For the oral suspension, shake the bottle well before each use. Follow your healthcare provider’s instructions carefully. If you have any questions or concerns, our telemedicine providers are available to assist you.

Albendazole Contraindications

A contraindication is a specific condition where a medication should not be used because it may cause harm. If you have any of the following conditions, you should not take Albendazole, or you may need to discuss alternative treatments with your healthcare provider.

1. Allergy to Albendazole or similar medications: If you’re allergic to Albendazole or other benzimidazole derivatives (such as mebendazole), taking this medication could trigger a severe allergic reaction, including rash, swelling, or difficulty breathing.
2. Liver disease: Albendazole is processed by the liver, and if you have liver disease, taking this medication could lead to liver damage or worsen your condition.
3. Bone marrow suppression: Albendazole can reduce blood cell production, which may be dangerous for individuals with pre-existing bone marrow issues or blood disorders.
4. Pregnancy: Albendazole is not recommended during pregnancy, especially in the first trimester, as it may harm the developing fetus (see more details in the pregnancy section below).

If you have any of these conditions, it’s important to talk to your healthcare provider before starting Albendazole. Our telemedicine providers are available to review your health history and help you find the safest treatment options.

Albendazole Drug Interactions

Albendazole can interact with other medications, which may affect its effectiveness or increase the risk of side effects. Inform your healthcare provider about all the medications you’re taking, including over-the-counter drugs, supplements, and herbal products. Some drugs that may interact with Albendazole include:

1. Dexamethasone (Decadron): This corticosteroid may increase Albendazole levels in your blood, potentially leading to more side effects.
2. Cimetidine (Tagamet): This medication, used to treat heartburn and ulcers, can raise Albendazole levels in the bloodstream, increasing the risk of side effects.
3. Phenytoin (Dilantin): This anti-seizure medication may reduce Albendazole’s effectiveness by lowering its concentration in the blood.
4. Ritonavir (Norvir): This antiviral drug used to treat HIV can affect how Albendazole is metabolized, potentially increasing the risk of side effects.

If you’re taking any of these medications, your healthcare provider may need to adjust your Albendazole dose or monitor you more closely. You can discuss these interactions with one of our telemedicine providers to ensure your treatment plan is safe and effective.

Albendazole in Pregnancy

Is it safe to take Albendazole when pregnant?

Albendazole is generally not recommended during pregnancy, especially in the first trimester, as it may pose risks to the developing fetus. Animal studies have shown evidence of harm, and while human data is limited, the potential risks are significant enough to advise against its use unless absolutely necessary. If you are pregnant or planning to become pregnant, it is important to consult your healthcare provider to discuss safer alternatives. If you believe you have taken Albendazole while pregnant, contact your healthcare provider immediately. Our telemedicine providers are available to guide you through your options and ensure the well-being of both you and your baby.

Albendazole while Breastfeeding

Is it safe to take Albendazole while breastfeeding?

There is limited information regarding the safety of Albendazole during breastfeeding. It is unclear whether the medication passes into breast milk, but due to the potential for serious side effects in nursing infants, it is generally recommended to avoid breastfeeding while taking Albendazole. If you are breastfeeding and need treatment for a parasitic infection, consult your healthcare provider to carefully weigh the risks and benefits. They can help you decide whether to continue Albendazole or explore alternative treatments. Our telemedicine providers are also available to assist you in making an informed decision based on your individual circumstances.

Estimated Cost of Albendazole Medication

The cost of Albendazole can vary depending on your location and pharmacy. Without insurance, the estimated price for a 30-day supply using a GoodRx coupon typically ranges from $50 to $200. Prices may fluctuate, so it’s a good idea to check with your pharmacy or use a discount service like GoodRx to find the most affordable option.

Possible Alternatives to Albendazole

Depending on the type of parasitic infection, there may be alternative medications or treatment approaches available. Always consult your healthcare provider before making any changes to your treatment plan. Our telemedicine providers are here to help you explore these options and find the best course of action for your condition.

1. Neurocysticercosis: In addition to Albendazole, corticosteroids and anticonvulsants may be prescribed to manage symptoms. In severe cases, surgery may be required.
2. Echinococcosis: Surgery is often the preferred treatment for hydatid cysts caused by Echinococcus infection. In some cases, other antiparasitic medications like mebendazole may be used.
3. Ascariasis: Mebendazole or ivermectin are alternative medications for treating this roundworm infection.
4. Hookworm infection: Mebendazole or pyrantel pamoate are commonly used alternatives to Albendazole for treating hookworm infections.
5. Trichuriasis (Whipworm infection): Mebendazole is another option for treating this parasitic infection.
6. Strongyloidiasis: Ivermectin is often the preferred treatment, though Albendazole may still be used in some cases.
7. Giardiasis: Metronidazole or tinidazole are common alternatives to Albendazole for treating Giardia infections.
8. Filariasis: Diethylcarbamazine (DEC) is the first-line treatment for filariasis, but Albendazole may be used in combination with other medications.
9. Taeniasis (Tapeworm infection): Praziquantel is another medication that can treat tapeworm infections.

Recent Updates on Albendazole Research

Recent research has focused on enhancing Albendazole’s effectiveness in treating parasitic infections. Studies are exploring combination therapies, such as Albendazole with ivermectin or praziquantel, to improve outcomes for conditions like neurocysticercosis and filariasis. Additionally, ongoing research is investigating Albendazole’s potential in treating other diseases, including certain cancers, due to its ability to inhibit cell growth. While these studies are still in the early stages, they offer promising insights into broader applications for Albendazole. Always consult your healthcare provider before considering any new or experimental treatments.

If you have any questions about Albendazole or your treatment plan, our telemedicine providers are here to assist you. Schedule a virtual appointment today to receive personalized care from the comfort of your home.

James Kingsley

Learn More