Praziquantel: Difference between revisions

(Remove disease-specific entries now covered by AntibioticDose (1 sections))
(Add peer-reviewed reference)
 
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==Administration==
==Administration==
*Type: [[Antiparasitic]], anthelmintic
*Type: [[Antiparasitic]], anthelmintic<ref>Cioli D, et al. Schistosomiasis control: praziquantel forever? Mol Biochem Parasitol. 2014;195(1):23-29. PMID 24955523</ref>
*Dosage Forms: 600
*Dosage Forms: 600
*Routes of Administration: Oral
*Routes of Administration: Oral

Latest revision as of 10:18, 22 March 2026

Administration

  • Type: Antiparasitic, anthelmintic[1]
  • Dosage Forms: 600
  • Routes of Administration: Oral
  • Common Trade Names: Biltricide

Adult Dosing

  • Schistosomiasis: 20mg/kg PO tid x1 day
    • Separate doses by 4-6h
    • Give with food
    • Do not crush/chew
  • Liver flukes: 25mg/kg PO tid x1 day
    • Separate doses by 4-6h
  • Cysticercosis: 50mg/kg/day PO divided q8h x14 days
    • Off label use
  • Tapeworms: 5-25mg/kg PO x1
    • Off label use


Indications by Disease

Pediatric Dosing

Indications by Disease

Special Populations

  • Pregnancy Risk Factor B

Renal Dosing

  • No renal dosing defined

Hepatic Dosing

  • Caution advised with Child-Pugh Class B or C

Contraindications

  • Allergy to class/drug
  • ocular schistosomiasis
  • ocular cysticercosis
  • CNS lesions
  • seizure history

Adverse Reactions

Serious

  • Generalized hypersensitivity reaction
  • polyserositis
  • arrhythmias
  • bradycardia
  • ventricular fibrillation
  • AV block
  • diarrhea, bloody
  • seizures
  • Jarisch-Herxheimer reaction

Common

  • malaise
  • headache
  • dizziness
  • abdominal pain/nausea and vomiting

Pharmacology

  • Half-life: 1-1.5hr
  • Metabolism: CYP450
  • Excretion: Urine

Mechanism of Action

  • Increases cell membrane permeability

Comments

See Also

References

<Epocrates, UpToDate>

  1. Cioli D, et al. Schistosomiasis control: praziquantel forever? Mol Biochem Parasitol. 2014;195(1):23-29. PMID 24955523