| Mebendazole: Indications
Mebendazole is the drug of choice for the treatment of Trichuris
trichuria (whipworm), Enterobius vermicularis (horse pinworm,
pinworm), Ascaris lumbricoides (roundworm), as well as hookworm
Ancylostoma duodenale and Necator americanus. For all these
helminth mebendazole has success rates of at least 90 to 95%.
Mebendazole is an appropriately named broad spectrum antihelmintic
agent; only Clonorchis sinensis is totally resistant. Some parasites
(e.g. filaries, Guinea worm, Strongyloides stercoralis) cannot
always be eradicated.
The effect of mebendazole on intestinal tapeworms is not sufficiently
documented. Long-term mebendazole therapy may represent a supplement
or an alternative to surgery for Echinococcosis: Echinococcus granulosus
can be eradicated and Echinococcus multilocularis can at least
be inhibited in growth. (For this inidication, albendazole, not available
on the Swiss market, is probably even more effective.) High doses of
mebendazole (here also as an alternative to albendazole) are also effective
against trichinosis (Trichinella spiralis).
Table of Contents | Pharmacology | Adverse Reactions & Interactions | Contraindications & Cautions | Risk Groups | References |