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Benzimidazoles<br />

43<br />

Agents: albendazole, thiabendazole<br />

These drugs are used primarily to treat infections<br />

caused by helminthes (worms), ranging from the<br />

common pinworms found in children to pathogens<br />

causing massive cystic lesions in the brain. Most<br />

intestinal worm infections can be cured with a single<br />

dose of these drugs; for tissue-invasive disease,<br />

prolonged courses are necessary.<br />

Mechanism of Action<br />

The benzimidazoles interfere with elongation of<br />

the microtubules that are responsible for parasitic<br />

cellular structure, leading to a disruption of growth<br />

and division.<br />

Spectrum<br />

Nematodes (roundworms): Ascaris lumbricoides<br />

(roundworm), Enterobius vermicularis (pinworm),<br />

Necator americanus (hookworm), Stron gyloides<br />

stercoralis (threadworm)<br />

Cestodes (tapeworms): Echinococcus (liver abscess),<br />

Taenia solium (neurocysticercosis)

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