Levamisole Hydrochloride

Indications

Levamisole Hydrochloride is indicated in-
  • Ascariasis
  • Hookworm infections
Effective against Enterobius vermi-cularis, Trichuris trichiura, Strongyloide stercoralis and Trichostrongylus colubriformis etc.

Pharmacology

Levamisole is the active laevo-isomer of tetramisole. It works by paralysing susceptible intestinal worms which are then excreted from the intestines. Levamisole also enhances cellular immune responses in humans.

Dosage & Administration

The following doses of Levamisole are given as a single administration, preferably after a light meal.
  • Age 1-4 year: 1 Tablets or 5 ml Syrup
  • Age 5-15 year: 2 Tablets or 10 ml Syrup
  • Age 16 year and over: 3 Tablets or 15 ml Syrup
In cases of severe hookworm infection it is suggested that a second standard dose be given one or seven days after the first, whichever timing is feasible.

Interaction

May increase toxicity of phenytoin. Increases bioavailability of ivermectin; decreases bioavailability of albendazole. Alcohol causes disulfiram-like reaction.

Contraindications

It is contraindicated in patients hypersensitive to Levamisole. Levamisole should not be given during pregnancy.

Side Effects

Side effects are infrequent. They are usually mild and transient and include nausea, vomiting, abdominal pain, giddiness (dizziness) and headache. An encephalopathy like syndrome has been reported to have occurred in a few patients two or three weeks after treatment.

Pregnancy & Lactation

Although studies in animals have shown that Levamisole produces no teratogenic effects, current medical practice requires that the benefits of any drug used during pregnancy should be weighed against the possible dangers.

Precautions & Warnings

Effect on ability to drive or operate machinery: There is no evidence to suggest that Levamisole , used for anthelmintic purpose, will produce sedation. Mild and transient giddiness is an infrequent side-effect of treatment. No precautions are suggested concerning the ability to drive or operate machinery.

In case of concurrent microfilaraemia transient fever may occur.

Therapeutic Class

Anthelmintic

Storage Conditions

Keep all medicines out of reach of children. Store in a cool and dry place protected from light

Available Brand Names