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Kerala State Drug Formulary.pdf

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Antifilarial drugs<br />

SCHISTOSOMICIDES<br />

Praziquantel<br />

I: Schistosomiasis; liver,lung and intestinal fluke<br />

infections;tape worm infections.<br />

C/I: Ocular cysticercosis, known hypersensitivity to<br />

praziquantel.<br />

P/C: Severe hepatic disease; patients with cerebral<br />

cysticercosis require hospitalization<br />

A/E: Dizziness, headache, malaise, abdominal pain, loss of<br />

appetite, nausea,vomiting, sweating; skin rash, itching,<br />

CSF reaction syndrome in patients being treated for<br />

neurocysticercosis, fever, diarrhoea.<br />

Dose: Schistosomiasis: Oral 20mg/kg/dose 2-3 times a day<br />

at 4 to 6 hour intervals.<br />

Flukes: Oral 25mg/kg/dose every 8 hours for 1-2 days.<br />

Cysticercosis: Oral 50mg/kg/day divided every 8 hours<br />

for 14 days.<br />

Tapeworm: Oral 10-20mg/kg as a single dose.<br />

P/A: Tablets 600mg(20)Rs 850-920/-<br />

ANTIFILARIAL DRUGS<br />

Diethylcarbamazine citrate<br />

l: Effective drug available for filariasis caused by<br />

W.bancrofti, B.malayi, Loa loa,O volvulus and tropical<br />

eosinophilia<br />

C/I: Pregnancy, hypersensitivity.<br />

P/C: The first dose should be given with caution since<br />

intense allergic reactions may follow.<br />

A/E: Nausea, loss of appetite, headache, dizziness,<br />

febrile reaction with rash, pruritus, and enlargement<br />

of lymphnodes.<br />

P/A: Tablets 50 and 100mg to be taken after meals<br />

Dose: Filariasis: Oral 1 mg/kg on 1 st day increased gradually<br />

over 3 days to 6 mg/kg daily in divided doses for 21<br />

days<br />

Tropical eosinophilia: 2-4mg/kg three times daily for<br />

10 days<br />

Cost: Tab 100 mg (10) Rs 7.70/-, Tab 50mg (10) Rs 2.90-44.30<br />

101

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