Mebendazole

Chemical formula: C₁₆H₁₃N₃O₃  Molecular mass: 295.293 g/mol  PubChem compound: 4030

Interactions

Mebendazole interacts in the following cases:

Carbamazepine, hydantoins

at least one of
Hydantoin derivatives
Carbamazepine

Cimetidine

Concomitant treatment with cimetidine may inhibit the metabolism of mebendazole in the liver, resulting in increased plasma concentrations of the drug.

Patients with Trichinellosis and severe chronic liver disease and/or bone marrow suppression

Infection caused by Trichinella and additionally at least one of
Chronic liver disease
Myelosuppression

Pregnancy

Since mebendazole is contraindicated in pregnancy, patients who think they are, or may be, pregnant should not take this preparation.

Nursing mothers

Limited data from case reports demonstrate that a small amount of mebendazole is present in human milk following oral administration. Therefore, caution should be exercised when mebendazole is administered to breast-feeding women.

Effects on ability to drive and use machines

Mebendazole has no influence on the ability to drive and use machines.

Adverse reactions


Adverse reactions are adverse events that were considered to be reasonably associated with the use of mebendazole based on the comprehensive assessment of the available adverse event information. A causal relationship with mebendazole cannot be reliably established in individual cases. Further, because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in clinical practice.

The safety of mebendazole was evaluated in 6276 subjects who participated in 39 clinical trials for the treatment of single or mixed parasitic infestations of the gastrointestinal tract. In these 39 clinical trials, no adverse drug reactions (ADRs) occurred in ≥1% of mebendazole-treated subjects.

ADRs identified from clinical trials and post-marketing experience with mebendazole are included in the following table. The displayed frequency categories use the following convention:

Very common (≥1/10); Common (≥1/100 to <1/10); Uncommon (≥1/1000 to <1/100); Rare (≥1/10,000 to <1/1000); Very rare (<1/10,000), Not known (cannot be estimated from the available data).

Adverse Drug Reactions Reported in Clinical Trials and Post-marketing Experience for mebendazole:

System Organ ClassAdverse Drug Reactions
Frequency Category
Common
(≥1/100 to <1/10)
Uncommon
(≥1/1000 to <1/100)
Rare
(≥1/10,000 to <1/1000)
Blood and Lymphatic
System Disorders
  Neutropeniab
Agranulocytosisb*
Immune System
Disorders
  Hypersensitivity including
anaphylactic reaction and
anaphylactoid reactionb
Nervous System
Disorders
  Convulsionsb
Dizzinessa
Gastrointestinal
Disorders
Abdominal paina Abdominal discomforta;
Diarrhoeaa;
Flatulencea
Nauseaa, Vomitinga
 
Hepatobiliary
Disorders
  Hepatitisb; Abnormal liver function
testsb
Skin and
Subcutaneous Tissue
Disorders
  Rasha
Toxic epidermal necrolysisb;
Stevens-Johnson syndromeb;
Exanthemab;
Angioedemab;
Urticariab;
Alopeciab
Renal and Urinary
Disorders
  Glomerulonephritisb*

a ADR frequency data derived from Clinical Trials or Epidemiological Studies
b ADRs not observed in clinical trials and frequency calculated based on 6276 patients exposed in clinical trials and epidemiological studies, divided by 3 (Frequency = 1/2092).
* Observed in higher and prolonged doses

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