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Levamisole

About

Levamisole belongs to a class 'anti-parasitic', primarily used for the treatment of roundworm and hookworm infections. Roundworms are parasites that live in your intestine and cause ascariasis (an infection of the small intestine caused by Ascaris lumbricoides, which is a species of roundworm), and it also causes infection in the lungs. Hookworms are parasites; they live on other living things and cause ancylostomiasis (an infection of the small intestine caused by ancylostoma, a hookworm species), and it also causes infection in the lungs and skin.

Levamisole is composed of 'levamisole'. It works by suppressing the enzyme activity in the worm's muscle; this leads to paralysis and death. In this way, it kills worms and treats your infection.

You are advised to take Levamisole for as long as your doctor has prescribed it for you, depending upon your medical condition. The most common side effects of a Levamisole include headache, dizziness, vomiting, nausea, and abdominal pain. These side effects resolve on their own. However, if the side effects are persistent, stop the medicine and consult your doctor immediately.

Before starting Levamisole inform your doctor if you are allergic to Levamisole or any other medications. Inform your doctor if you are taking any prescription or nonprescription medications, herbal or dietary supplements. Use the Levamisole as advised by your doctor. Tell your doctor if you are pregnant or planning to get pregnant or breastfeeding. Do not recommend the Levamisole to kidney disease, liver disease and pre-existing blood disorders.

Uses of Levamisole

Ascariasis, Ancylostomiasis and Mixed ascariasis-hook worm infections.

Medicinal Benefits

Levamisole is composed of 'levamisole' belonging to a class 'anti-parasitic', primarily used for treating roundworm and hookworm infections. It works by suppressing the enzyme activity in the worm's muscle; this leads to paralysis and death. In this way, it kills worms and treats your infection. Levamisole is also used in the treatment of mixed ascariasis hookworm infections. It is also used in colon cancer in combination with cancer medicine to work effectively against colon cancer.

Directions for Use

Tablet/capsule: Swallow it as a whole with a glass full of water. Do not chew, crush or break it. Oral liquid/Syrup: Shake the bottle well before use. Take the prescribed dose by mouth using the pack's measuring cup/dosing syringe/dropper.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Levamisole

  • Vomiting
  • Headache
  • Dizziness
  • Nausea
  • Abdominal pain
  • Mouth sores
  • Loss of appetite
  • Stomach pain
  • Change in taste and smell
  • Muscle aches
  • Fatigue
  • Skin rash

In-Depth Precautions and Warning

Drug Warnings

Before starting Levamisole inform your doctor if you are allergic to Levamisole or any other medications. Inform your doctor if you are taking any prescription or nonprescription medications, herbal or dietary supplements. Use the Levamisole as advised by your doctor. Tell your doctor if you are pregnant or planning to get pregnant or breastfeeding. Do not recommend the Levamisole to kidney disease, liver disease and pre-existing blood disorders. This Levamisole should be used with caution in patients with a history of liver diseases, kidney diseases due to the increased risk of severe adverse effects. Levamisole is also not recommended in rheumatoid arthritis. Caution should be taken while using Levamisole in Sjogren's syndrome ( disorder of your immune system identified by its two most common symptoms — dry eyes and a dry mouth).

Drug Interactions

Drug-Drug Interactions: Levamisole may interact with anti-helminthics (albendazole, ivermectin),anti-cancer drugs (doxifluridine, capecitibine), antiepileptic drugs (phenytoin) and anti-coagulants (heparin, warfarin).

Drug-Food Interactions: Levamisole may interact with alcohol.

Drug-Disease Interactions: Levamisole should be used with caution in patients with kidney problems, liver problems, rheumatoid arthritis and Sjogren's syndrome.

Drug-Drug Interactions Checker List:

  • IVERMECTIN
  • CAPECITABINE
  • WARFARIN
  • ALBENDAZOLE
  • PHENYTOIN
  • ALCOHOL
  • DOXIFLURIDINE
  • Safety Advice

    • Safety Warning

      Alcohol

      unsafe

      Levamisole is not recommended with the consumption of alcohol while receiving this medicine since it may increase the risk of adverse effects such as severe headaches, nausea, vomiting, dizziness, etc.

    • Safety Warning

      Pregnancy

      caution

      Levamisole is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine. Your doctor may prescribe a suitable alternative based on your clinical condition.

    • Safety Warning

      Breast Feeding

      caution

      Levamisole is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine. Your doctor may prescribe a suitable alternative based on your clinical condition

    • Safety Warning

      Driving

      caution

      Use of this may cause symptoms such as dizziness, sleepiness, etc., in some patients. It is advised that you do not perform any activities such as driving a vehicle or operating machinery if you experience any of these symptoms.

    • Safety Warning

      Liver

      caution

      Levamisole should be used with caution in patients with a history of liver diseases due to the increased risk of severe adverse effects. Regular monitoring of liver function tests, appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition of the patient.

    • Safety Warning

      Kidney

      caution

      Levamisole should be used with caution in patients with a history of kidney diseases due to the increased risk of severe adverse effects. Regular monitoring of kidney function tests, appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition of the patient.

    • Safety Warning

      Children

      caution

      Levamisole should be prescribed by the advice of your doctor. Because dose adjustments were done based on the height and weight of the child.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Wash your hands with soap and water before handling food.
    • Teach children the importance of washing hands to prevent infection.
    • Wash, peel or cook all raw vegetables and fruits before eating, particularly those that have been grown in soil that has been fertilized with manure.
    • Take milk, papaya, nuts, oats, eggs into your regular diet.
    • Eat berries, fish, veggies.
    • Avoid oily food and spicy foods.

    Special Advise

    • Do not skip doses and finish the prescribed course, even if you start to feel better. Stopping it early may increase your risk of further infection.
    • Avoid being near people who are sick or have infections. Inform your doctor if you develop signs of infection.
    • Monitor your blood counts and liver function before you start taking this medicine and regularly throughout your treatment.

    Patients Concern

    Disease/Condition Glossary

    Roundworms: Roundworms are parasites that live in your intestine. They are contagious through contact with the infected stool of people or animals. Roundworms can also be contracted by contact with infected surfaces (usually soil and dirt). It causes ascariasis, an small intestine infection caused by Ascaris lumbricoides, a roundworm species. Mostly it is transmitted through poor hygiene. It is usually found in human faeces and is transmitted from hand to mouth. Symptoms include live worm in your stool, wheezing, cough, fever, severe abdominal pain, vomiting, restlessness, disturbed sleep, weight loss, and loss of appetite. Sometimes it also affects the lungs; symptoms include coughing, wheezing, chest discomfort, fever and blood in the mucus.

    Hookworms: Hookworms are parasites. This means they live on other living things. Hookworms affect your lungs, skin, and small intestine. Hookworm causes ancylostomiasis, an infection of the small intestine that is caused by  Ancylostoma hookworm. Hookworm is passed by human faeces onto the ground. It is transmitted by walking barefoot on contaminated soil or by the ingestion of contaminated food/by directly passing through the skin. Symptoms include diarrhoea, barely noticeable abdominal pain, intestinal cramps, colic, nausea and serious anaemia. People in good health may not have any symptoms at all.

    Mixed Ascariasis-Hookworm infections: There are mixed infections caused by Ascaris lumbricoides (giant roundworms) and hookworms.

    FAQs

    Levamisole works by suppressing the enzyme activity in the worm's muscle because of this it leads to paralysis and death. In this way, it kills worms and treats your infection.

    No, you should not stop taking Levamisole by yourself even if you feel better, take the advice of your doctor before stopping Levamisole. Because there may be a chance of reoccurrence of infection.

    If you forget a dose of Levamisole, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take the next scheduled dose at the prescribed time. Do not double the dose to make up for the missed one as this may increase the chances of developing side effects.

    Levamisole may make you feel dizzy. Avoid driving, operating on machinery, working at heights or participating in potentially dangerous activities, especially during the initial days of your treatment. However, if your condition does not improve, consult your doctor.

    Available Medicines for

    Levamisole

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