Praziquantel

Praziquantel is an anthelmintic drug. It is a synthetic isoquinoline pyrazine derivative. Praziquantel is effective in schistosomal infection of all species and most other trematodes and cestodes infections.


Brands
Adult Dose
Dose: 10 to 40 mg/kg
Single Dose: 25 (25)
Frequency: 8 hourly
Route: PO
Instructions: -
Neonatal
Paedriatic
Dose: 20 to 25 mg/kg
Single Dose: 22 (22.5)
Frequency: 8 hourly
Route: Oral
Instructions: -
Characteristics
. It is of Synthetic origin and belongs to Isoquinolones. It belongs to Anthelmintics pharmacological group.The Molecular Weight of Praziquantel is 312.40. Its pKa is > 3.
Contraindications
Praziquantel is contraindicated in conditions like Ocular cysticercosis.
Effects
The severe or irreversible adverse effects of Praziquantel, which give rise to further complications include Abdominal pain, Jaundice.The symptomatic adverse reactions produced by Praziquantel are more or less tolerable and if they become severe, they can be treated symptomatically, these include Sleepiness, Dizziness, Fever, Skin reactions.
Indications
Praziquantel is primarily indicated in conditions like Fluke infections, Helminth infection, Schistosomiasis.
Interactions
Praziquantel is known to interact with other drugs, the details of drug interactions is as follows:DrugDetailsSeverityOnsetManagementAlbendazoleAlcoholCarbamazepineChloroquineCimetidine (HCl)FosphenytoinPhenytoin (Na)VORICONAZOLEVoriconazole may increase the serum concentration of praziquantel by decreasing its metabolism. Monitor for changes in the therapeutic and adverse effects . These interactions are sometimes beneficial and sometimes may pose threats to life. Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required.
Interfrence
Haemoglobinopathies Tests G6PD Tests
Risks
Drug should not be given to Pregnant Mothers, Geriatrics, and Neonates.If prescribing authority justifies the benefits of the drug against the possible damages he/she should reevaluate them and consult the reference material and previous studies.
Storage
Tab Store Below 30°C.
Warnings
Patients should be observed caution while driving or performing other tasks requiring alertness, because it may produced drowsiness or dizziness. Avoid use of praziquantel during lactation.
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