Flubendazole
An anthelmintic drug used to treat parasitic worm infections
Flubendazole is a benzimidazole anthelmintic drug used primarily in the treatment of parasitic worm infections. It is particularly effective against gastrointestinal nematodes and is commonly used in both human and veterinary medicine.
Mechanism of Action
Flubendazole works by inhibiting the polymerization of tubulin into microtubules, which are essential components of the cellular structure in eukaryotic cells. This disruption of microtubule formation impairs the uptake of glucose by the parasite, leading to energy depletion and eventual death of the worm. The drug is effective against a wide range of nematodes, including those that cause ascariasis, trichuriasis, and hookworm infections.
Pharmacokinetics
Flubendazole is poorly absorbed from the gastrointestinal tract, which limits its systemic availability but makes it highly effective against intestinal parasites. The drug is metabolized in the liver and excreted primarily in the feces. Its low solubility in water contributes to its limited absorption and systemic distribution.
Uses in Medicine
Flubendazole is used to treat a variety of helminth infections in humans, including:
- Ascariasis
- Trichuriasis
- Hookworm infections
- Enterobiasis (pinworm infection)
In veterinary medicine, flubendazole is used to treat similar infections in animals, particularly in livestock and poultry. It is often administered as a feed additive to control parasitic infections in large groups of animals.
Side Effects
Flubendazole is generally well-tolerated, with most side effects being mild and transient. Common side effects include gastrointestinal disturbances such as nausea, vomiting, and abdominal pain. Rarely, allergic reactions may occur.
Safety and Precautions
Flubendazole should be used with caution in pregnant women, as animal studies have shown potential teratogenic effects. It is important to follow prescribed dosages and treatment durations to minimize the risk of adverse effects and resistance development.
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Contributors: Prab R. Tumpati, MD