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Generic Albendazole Information
Introduction
Albendazole is an antiparasitic medication widely used in the United Kingdom for the treatment of a range of helminth infections. The active compound, albendazole, belongs to the benzimidazole class and works by disrupting the metabolism of parasites. It is prescribed for diseases such as neurocysticercosis, echinococcosis, and various soil‑transmitted nematodes. In addition to its primary antiparasitic role, albendazole is sometimes employed off‑label for certain protozoal infections, reflecting its broad spectrum of activity.
What is Albendazole?
Albendazole is the generic version of the original brand‑name products Albenza (Johnson & Johnson) and Zentel, containing the same active compound – albendazole. It is classified as a broad‑spectrum anthelmintic belonging the benzimidazole group. The drug was first synthesized in the 197s by Janssen Pharmaceutica and has since become a cornerstone of parasitic disease control worldwide. Our online pharmacy provides this generic alternative as a cost‑effective treatment option, meeting the same quality standards as the branded formulations.
How Albendazole Works
Albendazole exerts its effect by binding to β‑tubulin in parasite cells, preventing polymerisation of microtubules. This disruption interferes with glucose uptake, depleting the parasite’s energy stores and leading to immobilisation and eventual death. After oral administration, the drug is rapidly absorbed and undergoes extensive first‑pass metabolism in the liver, producing the active metabolite albendazole sulfoxide. This metabolite circulates systemically, achieving therapeutic concentrations in the blood, cerebrospinal fluid, and tissues, which is essential for treating invasive infections such as neurocysticercosis. Onset of action typically occurs within 24 hours, and the drug is eliminated primarily via hepatic pathways with a half‑life of 8–12 hours for the sulfoxide metabolite.
Conditions Treated with Albendazole
- Neurocysticercosis – infection of the central nervous system by the larval form of Taenia solium. Albendazole penetrates the blood‑brain barrier, reducing cyst burden and seizure frequency.
- Echinococcosis (hydatid disease) – caused by Echinococcus granulosus or E. multilocularis. Albendazole is used pre‑operatively and post‑operatively to prevent cyst recurrence.
- Cysticercosis (extra‑neural) – subcutaneous or ocular larval cysts respond to albendazole therapy, often in combination with steroids to limit inflammation.
- Intestinal nematodes – including Ascaris lumbricoides, Enterobius vermicularis, Ancylostoma duodenale and Necator americanus. A single dose is sufficient for most infections.
- Trichinellosis – infection with Trichinella spiralis; albendazole reduces larval burden when administered early.
- Giardiasis (off‑label) – some clinicians use albendazole when metronidazole is contraindicated, owing to its activity against Giardia duodenalis.
In the UK, these conditions affect an estimated 1–2 % of the population annually for soil‑transmitted helminths, with neurocysticercosis and echinococcosis representing the most clinically significant invasive infections.
Who is Albendazole For?
Albendazole is indicated for adults and children over two years of age who have been diagnosed with the infections listed above. It is particularly valuable for:
- Patients with cerebral or ocular cysticercosis where surgical options are limited.
- Individuals undergoing pre‑operative preparation for hydatid cyst removal.
- Travelers returning from endemic regions who present with symptomatic intestinal helminths.
- Immunocompromised patients (e.g., those with HIV) where prolonged therapy may be required to achieve parasitic clearance.
Albendazole should be avoided or used with caution in pregnant women (especially during the first trimester), patients with severe hepatic impairment, and those with known hypersensitivity to benzimidazole compounds.
Risks, Side Effects, and Interactions
Common
- Gastrointestinal upset – nausea, abdominal pain, and diarrhoea are the most frequently reported complaints.
- Headache – mild to moderate intensity, often transient.
- Elevated liver enzymes – alanine transaminase (ALT) and aspartate transaminase (AST) may rise during treatment, typically returning to baseline after discontinuation.
Rare
- Hair loss (alopecia) – observed in prolonged courses exceeding four weeks.
- Rash or pruritus – cutaneous hypersensitivity reactions that usually resolve with drug cessation.
- Hematological changes – mild leukopenia or thrombocytopenia may occur, warranting periodic blood counts in extended therapy.
Serious
- Severe hepatotoxicity – rare cases of clinically significant hepatitis have been reported, particularly in patients with pre‑existing liver disease. Prompt discontinuation and monitoring are essential.
- Bone marrow suppression – agranulocytosis or aplastic anaemia, though extremely uncommon, require immediate medical attention.
- Severe allergic reactions – anaphylaxis characterised by bronchospasm, hypotension, and angio‑oedema demands emergency care.
Clinically Relevant Interactions
- CYP450 inducers (e.g., carbamazepine, phenytoin, rifampicin) reduce albendazole plasma levels, potentially compromising efficacy.
- CYP450 inhibitors (e.g., cimetidine) may increase systemic exposure to albendazole sulfoxide, heightening the risk of hepatic adverse events.
- Concurrent use with warfarin has been associated with enhanced anticoagulant effect; INR should be monitored closely.
- Concurrent anti‑epileptic therapy may necessitate dose adjustments because some seizures are precipitated by inflammatory responses to dying cysts.
Patients should disclose all prescribed, over‑the‑counter, and herbal products before initiating albendazole.
Practical Use: Dosing, Missed Dose, Overdose
- Standard dosing for most intestinal helminths is a single 400 mg tablet taken with a meal to improve absorption. For neurocysticercosis and echinococcosis, the regimen commonly involves 400 mg twice daily for 28 days, often extended based on radiological response.
- Missed dose – If a dose is forgotten within 12 hours, take it as soon as remembered. If more than 12 hours have passed, skip the missed dose and resume the regular schedule; do not double‑dose.
- Overdose – Symptoms may include severe nausea, vomiting, abdominal pain, and hepatic disturbance. Immediate medical evaluation is required; supportive care and activated charcoal may be administered in the acute setting.
- Food and alcohol – High‑fat meals increase albendazole absorption; therefore, taking the medication with food is advised. Alcohol should be avoided during prolonged therapy because of additive hepatotoxic potential.
- Comorbidities – In patients with hepatic insufficiency, dose reduction or alternative agents should be considered, and liver function tests must be monitored weekly.
Buying Albendazole from Our Online Pharmacy
Albendazole can be purchased safely from our online pharmacy in the UK. We specialise in providing verified, high‑quality generic medications at prices close to manufacturer cost, making treatment affordable for patients who face limited access through conventional channels.
- Affordable – Our sourcing agreements with licensed overseas suppliers enable us to offer albendazole at a fraction of retail cost without compromising quality.
- Verified quality – Every batch is supplied by accredited manufacturers that meet EU‑GMP standards, and we conduct independent quality checks before dispatch.
- Guaranteed delivery – Discreet, reliable shipping options include express delivery within 7 days and standard airmail arriving in approximately 3 weeks. Tracking is provided for all orders.
- Online‑only access – As a pharmacy broker service, we work with overseas licensed pharmacies, allowing us to source medications that may not be stocked locally, while maintaining strict confidentiality and respecting patient privacy.
Our service offers a safe, cost‑effective route for adults in the UK who need albendazole but encounter barriers such as high prescription charges or limited stock in local pharmacies.
FAQ
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Is Albendazole available in both brand‑name and generic forms in the UK?
Yes. In the UK the drug is marketed under brand names such as Zentel, while generic albendazole tablets contain the identical active ingredient. Generic versions are typically less expensive and are therapeutically equivalent. -
What should I do if I need to travel with albendazole?
Carry the medication in its original packaging with a copy of the prescription or a doctor’s note, and store it at room temperature away from direct sunlight. Check the UK customs guidelines to ensure personal import limits are respected. -
Does albendazole require any special storage conditions?
Albendazole tablets should be stored at a temperature between 15 °C and 30 °C, protected from moisture and light. No refrigeration is necessary, but avoid storing the medication in bathrooms or near heat sources. -
What are the inactive ingredients in typical albendazole tablets?
Common excipients include microcrystalline cellulose, lactose monohydrate, magnesium stearate, and colloidal silicon dioxide. Patients with severe lactose intolerance should verify the formulation with the supplier. -
Can albendazole be imported for personal use under UK law?
Personal import of a three‑month supply of a medication for personal use is permitted under the UK’s Medicines and Healthcare products Regulatory Agency (MHRA) guidance, provided the product is from a licensed source and has a valid prescription. -
Are there any known differences between albendazole formulations sold in the EU and those produced in Asia?
The active ingredient concentration is required to be the same, but excipient composition may vary. Some Asian formulations use different binders or fillers, which can affect tolerability in sensitive individuals. Always check the product leaflet for specific ingredient lists. -
How long does it take for liver enzyme elevations to return to normal after stopping albendazole?
In most patients, elevated ALT and AST levels normalize within 2–4 weeks after discontinuation, assuming no underlying liver disease. Persistent elevation warrants further clinical investigation. -
Is albendazole safe for people with mild renal impairment?
Albendazole is predominantly metabolised by the liver, and renal excretion plays a minor role; therefore, mild to moderate renal impairment generally does not require dose adjustment. Severe renal failure should be discussed with a clinician. -
What is the historical significance of albendazole in global health?
Introduced in the late 197s, albendazole became a key component of WHO’s neglected tropical disease control programmes. Its broad spectrum and oral administration facilitated mass‑drug administration campaigns that dramatically reduced the prevalence of soil‑transmitted helminth infections worldwide. -
How does albendazole compare with mebendazole for treating hookworm?
Both belong to the benzimidazole class, but albendazole typically achieves higher systemic levels, making it more effective for tissue‑invasive parasites (e.g., Echinococcus). For simple intestinal hookworm, mebendazole is equally effective, though albendazole may be preferred when co‑infection with other helminths is suspected.
Glossary
- Benzimidazole
- A chemical class of compounds that interfere with parasite microtubule formation, underpinning the antiparasitic activity of albendazole.
- First‑pass metabolism
- The rapid uptake and biotransformation of a drug by the liver immediately after oral ingestion, which converts albendazole into its active metabolite, albendazole sulfoxide.
- Cysticercosis
- Infection caused by the larval stage of the pork tapeworm (Taenia solium), which can form cysts in the brain, muscle, or other tissues.
- Hepatotoxicity
- Chemical‑ind injury that can manifest as elevated liver enzymes, jaundice, or, in severe cases, liver failure.
⚠️ Disclaimer
The information provided about Albendazole is for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Albendazole for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.