Anthelmintic, broad-spectrum benzimidazole
Albendazole
Brand name: Albenza
Albendazole inhibits microtubule formation in susceptible parasites. It is generally taken with food, often a fat-containing meal, to improve absorption. Liver enzyme monitoring is appropriate for longer courses. Albendazole is contraindicated in pregnancy in the first trimester and used with caution thereafter.
Common targets in adult practice
- Ascaris lumbricoides
- Hookworm
- Trichuris
- Enterobius
- Tapeworms (Taenia, Hymenolepis, Echinococcus)
- Tissue-invasive larvae in select indications
Anthelmintic, macrocyclic lactone
Ivermectin
Brand name: Stromectol
Ivermectin is the standard of care for strongyloidiasis. Multi-dose regimens are supported by the Strong Treat trials and are reflected in current CDC guidance. Caution applies in patients with possible Loa loa coinfection from endemic regions of Central Africa, where pretreatment screening is appropriate.
Common targets in adult practice
- Strongyloides stercoralis
- Ascaris
- Trichuris (in select regimens)
- Onchocerca
- Lymphatic filariasis (combination regimens)
- Ectoparasites (scabies)
The presence of a medication on this page is not a prescription and is not a guarantee that any patient will be prescribed it. All prescribing decisions are made by a licensed clinician during or after the consultation, based on the individual patient's history, examination, laboratory results, and clinical context.