Universal reference book for medicines
Product name: HELMINTOX (HELMINTOX)

Active substance: pyrantel

Type: Anthelmintic preparation

Manufacturer: Laboratoire INNOTECH INTERNATIONAL (France) manufactured by INNOTHERA CHOUZY (France)
Composition, form of production and packaging
Tablets covered with a film coating of
yellow-orange color, oblong, with a risk on one side;
on the cross section - the core of lemon yellow color.
1 tab.

pyrantel embonate 360.5 mg,

which corresponds to the content of pyrantel 125 mg

Excipients: corn pregelatinized corn starch - 34 mg, sodium carboxymethyl starch - 18.5 mg, magnesium stearate - 7 mg.

The composition of the film sheath: Sepyphylm 002 (hypromellose, methyl hydroxypropyl cellulose, macrogol 400 monostearate) - 12.5 mg, Sepipers AP3065 yellow (propylene glycol, titanium dioxide (E171), dye sunset yellow (E110)) 7.5 mg, talc 100 μg.

6 pcs.
- blisters (1) - packs of cardboard.
Tablets covered with a film coating of yellow-orange color, oblong, with a risk on one side;
on the cross section - the core of lemon yellow color.
1 tab.

pyrantel embonate 721 mg,

which corresponds to the content of pyrantel 250 mg

Excipients: corn pregelatinized corn starch - 68 mg, sodium carboxymethyl starch - 31.5 mg, magnesium stearate - 14.5 mg.

The composition of the film sheath: Sepiphilm 002 (hypromellose, methyl hydroxypropylcellulose, macrogol 400 monostearate) - 28.2 mg, Sepipers AP3065 yellow (propylene glycol, titanium dioxide (E171), dye sunset yellow (E110)) 16.8 mg, talc 200 μg.

3 pcs.
- blisters (1) - packs of cardboard.
Suspension for ingestion of light yellow color, homogeneous, with characteristic odor;
precipitation may occur; when agitated, the particles are easily again transferred to the suspension.
100 ml

pyrantel embonate 14.42 g,

which corresponds to the content of pyrantel 5 g

Auxiliary substances: sorbitol crystallized - 72.1 g, glycerol 6.07 g, polysorbate 80-100 mg, soy lecithin 250 mg, polyvidone 60 mg, citric acid 30 mg, sodium benzoate 236 mg, silicone emulsion 50 mg, flavoring black currant caramel - 600 mg, magnesium aluminosilicate - 330 mg, purified water - up to 100 ml.

15 ml - bottles of dark glass (1) complete with a measuring spoon with a capacity of 2.5 ml - packs of cardboard.

INSTRUCTION FOR THE SPECIALIST.

The description of the drug was approved by the manufacturer for the 2006 print edition.

PHARMACHOLOGIC EFFECT

Anthelmintic preparation.
It causes neuromuscular blockade of sensitive helminths and ensures their expulsion from the gastrointestinal tract without stimulation and stimulation of migration of affected helminths. In the lumen of the intestine is effective against mature and immature sensitive helminths of both sexes.
Highly effective against infestations caused by pinworms (Enterobius vermicularis), ascaris (Ascaris lumbricoides), hookworms (Ankylostoma duodenale and Necator americanus).

PHARMACOKINETICS

Suction

Virtually not absorbed from the digestive tract.
After taking a single dose of 12.5 mg / kg body weight, the concentration of pyrantel in the blood plasma for 1 to 3 hours is 0.05-0.13 μg / ml.
Metabolism and excretion

Partially metabolized in the liver to K-methyl-1,3-propanediamine.

It is excreted through the intestine (about 93%) unchanged, kidneys (7%) - unchanged or in the form of a metabolite.

INDICATIONS

- Ascaridosis;

- Enterobiosis;

- ankylostomidosis.

DOSING MODE

Tablets are prescribed for adults and children over the age of 6 years .
Children aged less than 6 years and weighing more than 12 kg are recommended to prescribe the drug in the form of a suspension. Before use, the suspension should be shaken.
1 ml of the suspension contains 50 mg of pyrantel, 1 measuring spoon (2.5 ml) contains 125 mg of pyrantel.

Helmintox can be taken at any time of the day, without prior intake of laxatives, not necessarily on an empty stomach.

The drug is administered once.

In the treatment of enterobiasis and ascariasis, the drug is prescribed once for 12.5 mg / kg of body weight.

Patients Suspension for ingestion Tablets 125 mg Tablets 250 mg

Children younger than 6 years 1 measuring spoon / 10 kg body weight - -

Children over 6 years 1 measuring spoon / 10 kg body weight 1 tab. / 10 kg body weight -

Adults with a body weight of less than 75 kg 6 measuring spoons 6 tab.
3 tab.
Adults with a body weight of more than 75 kg 8 measuring spoons 8 tab.
4 tab.
To prevent re-infection, it is recommended to repeat the drug after 3 weeks.

In endemia zones, in case of Necator americanus infection or in case of severe infection with Ankylostoma duodenale, the dose is 25 mg / kg of body weight / day (1-2 times) for 2-3 days.

Patients Dose of the drug

Children 250 mg / 10 kg body weight daily

Adults with a body weight of less than 75 kg 1.5 g / day

Adults with a body weight of more than 75 kg 2 g / day

In case of infection of Ankylostoma duodenale outside the endemic zones (it proceeds more easily), the drug is prescribed in a dose of 12.5 mg / kg once.

SIDE EFFECT

On the part of the digestive system: sometimes - nausea, vomiting, abdominal pain, diarrhea, loss of appetite (most often these symptoms are caused by death of helminths), a slight transient increase in liver transaminase activity.

From the central nervous system and peripheral nervous system: headache, dizziness, fatigue, drowsiness or insomnia, hearing loss, hallucinations, confusion, paresthesia.

Allergic reactions: itching, hives, exanthema.

Other: hyperthermia.

CONTRAINDICATIONS

- Myasthenia gravis;

- liver failure;

- hypersensitivity to pyrantel and other components of the drug.

With caution should prescribe the drug to children under 6 months.

PREGNANCY AND LACTATION

In pregnancy, the drug should be used only in case of emergency.

Pyrantel is excreted in breast milk.
Therefore, it is not recommended to use Helmintox during breastfeeding.
APPLICATION FOR VIOLATIONS OF THE FUNCTION OF KIDNEYS

Contraindicated in liver failure.

APPLICATION FOR CHILDREN

With caution should prescribe the drug to children under 6 months.

SPECIAL INSTRUCTIONS

With caution should prescribe the drug for liver disease.

The patient should be informed that in order to avoid re-infection it is necessary to strictly observe hygiene rules: wash hands, cut and clean nails, do not allow combing of the perineal area, change bed and underwear daily.
At the same time, treatment of all family members is recommended. Infection often may not show any symptoms.
After completion of the treatment, it is necessary to conduct a control study of feces for the presence of helminth eggs.

It is not recommended simultaneous administration of levamisole, piperazine.

OVERDOSE

When overdosed, no symptoms of severe intoxication.
There is no specific antidote. It is recommended to wash the stomach, if necessary, perform symptomatic therapy.
DRUG INTERACTION

With simultaneous application of pyrantel increases the concentration of theophylline in the blood plasma.

TERMS OF RELEASE FROM PHARMACY

The drug is released by prescription.

TERMS AND CONDITIONS OF STORAGE

List B. The drug should be stored in a dry, protected from light, out of reach of children at a temperature of no higher than 25 ° C.
Shelf life - 3 years.
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