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Antiparasitic (benzimidazole anthelmintic)

Albendazole: uses, side effects & precautions

Also known as Albenza, Zentel.

This information is for general guidance only and does not constitute medical advice. Always consult a qualified healthcare professional for personal medical concerns. In an emergency, call your local emergency number.

What it is used for

  • Intestinal worm infections such as roundworm, hookworm, whipworm, pinworm, and threadworm
  • Tissue parasite infections such as hydatid disease and neurocysticercosis
  • Some other worm infections like strongyloidiasis

How it works

Albendazole stops worms from absorbing the sugar (glucose) they need for energy, so the parasites lose their energy supply, are unable to survive, and are cleared from the body.

How it is taken

Taken as oral tablets (including chewable forms) or a liquid suspension. For tissue infections it is often taken with a fatty meal to help absorption and given over a longer period, while intestinal worms may need only a short course. Take it exactly as your doctor or pharmacist directs.

No doses here on purpose. The right strength and schedule depend on you — only a doctor or pharmacist should set them. Always follow your prescription and the label.

Common side effects

  • Stomach pain or upset
  • Nausea or vomiting
  • Headache
  • Dizziness
  • Temporary hair thinning with long courses
  • Mild changes in liver tests

Serious effects — get help

  • Signs of liver problems such as yellowing of skin or eyes, dark urine, or severe tummy pain — seek urgent care
  • Sore throat, fever, or unusual bruising suggesting a drop in blood counts — seek urgent care
  • Severe allergic or skin reaction — seek emergency care
  • New or worsening seizures or severe headache during treatment of brain cysts — seek urgent care

If a reaction is severe — for example trouble breathing, swelling of the face or throat, or collapse — go to the nearest emergency room now or call your local emergency number. Do not wait for an online consultation.

Interactions to watch

  • Some medicines that affect liver enzymes (dexamethasone, cimetidine, praziquantel can raise drug levels)
  • Certain antiepileptic medicines
  • Other medicines that can affect the liver

Who should take care

  • Long courses need monitoring of blood counts and liver function
  • Tell your clinician if you could be pregnant — pregnancy should usually be excluded before longer courses
  • Report liver disease or bone-marrow problems
  • Inform your clinician if breastfeeding
  • Treating household contacts may be advised for some worms — ask your clinician

Frequently asked questions

Do I need to treat my whole family?
For some worms like pinworm, treating household members and good hygiene reduce reinfection. Ask your clinician or pharmacist whether this applies to you.
Why take it with fatty food for some infections?
For tissue or organ infections, a fatty meal helps your body absorb more of the medicine so it reaches the parasites. For simple gut worms this is less important. Follow your directions.
Why might I need blood tests during treatment?
Longer courses can affect the liver and blood counts, so monitoring keeps you safe. Attend any tests your clinician arranges.
Can I take it in pregnancy?
Longer courses are generally avoided in pregnancy, and clinicians usually exclude pregnancy first. Tell your clinician if you are or might be pregnant.
Is Albendazole safe to take?
For most people it is safe when taken exactly as a doctor or pharmacist advises and as printed on the label. Tell your clinician about your other medicines and health conditions, and seek urgent care for any serious reaction.

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