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treatment of mild to moderate disease [unlicensed

indication].

A combination of clindamycin p. 535 and primaquine

p. 618 by mouth is used in the treatment of mild to moderate

disease [unlicensed indication]; this combination is

associated with considerable toxicity.

Severe disease

Co-trimoxazole in high dosage, given by mouth or by

intravenous infusion, is the drug of choice for the treatment

of severe pneumocystis pneumonia. Pentamidine isetionate

below given by intravenous infusion is an alternative for

patients who cannot tolerate co-trimoxazole, or who have

not responded to it. Pentamidine isetionate is a potentially

toxic drug that can cause severe hypotension during or

immediately after infusion.

Corticosteroid treatment can be lifesaving in those with

severe pneumocystis pneumonia.

Adjunctive therapy

In moderate to severe infections associated with HIV

infection, prednisolone p. 678 is given by mouth for 5 days

(alternatively, hydrocortisone p. 676 may be given

parenterally); the dose is then reduced to complete 21 days

of treatment. Corticosteroid treatment should ideally be

started at the same time as the anti-pneumocystis therapy

and certainly no later than 24–72 hours afterwards. The

corticosteroid should be withdrawn before antipneumocystis treatment is complete.

Prophylaxis

Prophylaxis against pneumocystis pneumonia should be

given to all patients with a history of the infection.

Prophylaxis against pneumocystis pneumonia should also be

considered for severely immunocompromised patients.

Prophylaxis should continue until immunity recovers

sufficiently. It should not be discontinued if the patient has

oral candidiasis, continues to lose weight, or is receiving

cytotoxic therapy or long-term immunosuppressant therapy.

Co-trimoxazole by mouth is the drug of choice for

prophylaxis against pneumocystis pneumonia. It is given

daily or on alternate days (3 times a week); the dose may be

reduced to improve tolerance.

Inhaled pentamidine isetionate is better tolerated than

parenteral pentamidine isetionate. Intermittent inhalation

of pentamidine isetionate is used for prophylaxis against

pneumocystis pneumonia in patients unable to tolerate cotrimoxazole. It is effective but patients may be prone to

extrapulmonary infection. Alternatively, dapsone can be

used. Atovaquone has also been used for prophylaxis

[unlicensed indication].

ANTIPROTOZOALS

Atovaquone 20-Aug-2018

l INDICATIONS AND DOSE

Treatment of mild to moderate Pneumocystis jirovecii

(Pneumocystis carinii) pneumonia in patients intolerant

of co-trimoxazole

▶ BY MOUTH

▶ Adult: 750 mg twice daily for 21 days, dose to be taken

with food, particularly high fat food

Prophylaxis against pneumocystis pneumonia

▶ BY MOUTH

▶ Adult: 750 mg twice daily

l UNLICENSED USE Not licensed for prophylaxis against

pneumocystis pneumonia.

l CAUTIONS Other causes of pulmonary disease should be

sought and treated . elderly . initial diarrhoea and difficulty

in taking with food may reduce absorption (and require

alternative therapy)

l INTERACTIONS → Appendix 1: antimalarials

l SIDE-EFFECTS

▶ Common or very common Anaemia . angioedema . bronchospasm . diarrhoea . headache . hypersensitivity . hyponatraemia . insomnia . nausea . neutropenia . skin

reactions .throat tightness . vomiting

▶ Frequency not known Stevens-Johnson syndrome

l PREGNANCY Manufacturer advises avoid unless potential

benefit outweighs risk—no information available.

l BREAST FEEDING Manufacturer advises avoid.

l HEPATIC IMPAIRMENT Manufacturer advises use with

caution in significant impairment and monitor closely—no

information available.

l RENAL IMPAIRMENT Manufacturer advises caution.

Monitoring Monitor more closely in renal impairment.

l PRESCRIBING AND DISPENSING INFORMATION Flavours of

oral liquid formulations may include tutti-frutti.

l MEDICINAL FORMS There can be variation in the licensing of

different medicines containing the same drug.

Oral suspension

CAUTIONARY AND ADVISORY LABELS 21

▶ Wellvone (GlaxoSmithKline UK Ltd)

Atovaquone 150 mg per 1 ml Wellvone 750mg/5ml oral suspension

sugar-free | 226 ml P £486.37 DT = £486.37

Pentamidine isetionate

l INDICATIONS AND DOSE

Treatment of Pneumocystis jirovecii (Pneumocystis

carinii) pneumonia (specialist use only)

▶ BY INTRAVENOUS INFUSION

▶ Adult: 4 mg/kg once daily for at least 14 days

Prophylaxis of Pneumocystis jirovecii (Pneumocystis

carinii) pneumonia (specialist use only)

▶ BY INHALATION OF NEBULISED SOLUTION

▶ Adult: 300 mg every 4 weeks, alternatively 150 mg

every 2 weeks, using suitable equipment—consult

product literature

Visceral leishmaniasis (specialist use only)

▶ BY DEEP INTRAMUSCULAR INJECTION

▶ Adult: 3–4 mg/kg once daily on alternate days,

maximum total of 10 injections, course may be

repeated if necessary

Cutaneous leishmaniasis (specialist use only)

▶ BY DEEP INTRAMUSCULAR INJECTION

▶ Adult: 3–4 mg/kg 1–2 times a week until condition

resolves

Trypanosomiasis (specialist use only)

▶ BY DEEP INTRAMUSCULAR INJECTION, OR BY INTRAVENOUS

INFUSION

▶ Adult: 4 mg/kg once daily or on alternate days for a

total of 7–10 injections

l UNLICENSED USE Not licensed for primary prevention of

Pneumocystis jirovecii (Pneumocystis carinii) pneumonia by

inhalation of nebulised solution.

l CAUTIONS Anaemia . bradycardia . coronary heart disease . history of ventricular arrhythmias . hyperglycaemia . hypertension . hypoglycaemia . hypokalaemia . hypomagnesaemia . hypotension . leucopenia .risk of

severe hypotension following administration . thrombocytopenia

l INTERACTIONS → Appendix 1: pentamidine

l SIDE-EFFECTS

GENERAL SIDE-EFFECTS

▶ Common or very common Dizziness . hypoglycaemia (can

be severe and sometimes fatal). hypotension (can be

602 Fungal infection BNF 78

Infection

5

severe and sometimes fatal). local reaction . nausea .rash . taste altered

▶ Rare or very rare QT interval prolongation

▶ Frequency not known Pancreatitis acute (can be severe and

sometimes fatal)

SPECIFIC SIDE-EFFECTS

▶ Common or very common

▶ When used by inhalation Cough . dyspnoea .respiratory

disorders

▶ With parenteral use Acute kidney injury . anaemia . azotaemia . electrolyte imbalance . flushing . haematuria . hyperglycaemia . induration . leucopenia . localised pain . myopathy . syncope .thrombocytopenia . vomiting

▶ Rare or very rare

▶ With parenteral use Arrhythmia (can be severe and

sometimes fatal). pancreatitis (can be severe and

sometimes fatal)

▶ Frequency not known

▶ When used by inhalation Angioedema . appetite decreased . bradycardia . fatigue .renal failure

▶ With parenteral use Arrhythmias . perioral hypoaesthesia . sensation abnormal . Stevens-Johnson syndrome

l PREGNANCY Manufacturer advises avoid unless essential.

l BREAST FEEDING Manufacturer advises avoid unless

essential—no information available.

l HEPATIC IMPAIRMENT Manufacturer advises caution.

l RENAL IMPAIRMENT

Dose adjustments Reduce intravenous dose for

pneumocystis pneumonia if creatinine clearance less than

10 mL/minute: in life-threatening infection, use 4 mg/kg

once daily for 7–10 days, then 4 mg/kg on alternate days to

complete course of at least 14 doses; in less severe infection,

use 4 mg/kg on alternate days for at least 14 doses.

l MONITORING REQUIREMENTS

▶ Monitor blood pressure before starting treatment, during

administration, and at regular intervals, until treatment

concluded.

▶ Carry out laboratory monitoring according to product

literature.

l DIRECTIONS FOR ADMINISTRATION Patient should be lying

down when receiving drug parenterally. Direct intravenous

injection should be avoided whenever possible and never

given rapidly; intramuscular injections should be deep and

preferably given into the buttock. For intravenous infusion,

reconstitute 300 mg with 3–5 mL Water for Injections

(displacement value may be significant), then dilute

required dose with 50–250 mL Glucose 5% or Sodium

Chloride 0.9%; give over at least 60 minutes.

Powder for injection (dissolved in water for injection)

may be used for nebulisation.

l HANDLING AND STORAGE Pentamidine isetionate is toxic

and personnel should be adequately protected during

handling and administration—consult product literature.

l MEDICINAL FORMS There can be variation in the licensing of

different medicines containing the same drug.

Powder for solution for injection

▶ Pentacarinat (Sanofi)

Pentamidine isetionate 300 mg Pentacarinat 300mg powder for

solution for injection vials | 5 vial P £158.86

4 Helminth infection

Helminth infections

Specialist centres

Advice on prophylaxis and treatment of helminth infections

is available from the following specialist centres:

Birmingham (0121) 424 0357

Scotland Contact local Infectious Diseases Unit

Liverpool (0151) 705 3100

London 0845 155 5000 (treatment)

Threadworms

Anthelmintics are effective in threadworm (pinworms,

Enterobius vermicularis) infections, but their use needs to be

combined with hygienic measures to break the cycle of autoinfection. All members of the family require treatment.

Adult threadworms do not live for longer than 6 weeks and

for development of fresh worms, ova must be swallowed and

exposed to the action of digestive juices in the upper

intestinal tract. Direct multiplication of worms does not take

place in the large bowel. Adult female worms lay ova on the

perianal skin which causes pruritus; scratching the area then

leads to ova being transmitted on fingers to the mouth, often

via food eaten with unwashed hands. Washing hands and

scrubbing nails before each meal and after each visit to the

toilet is essential. A bath taken immediately after rising will

remove ova laid during the night.

Mebendazole p. 605 is the drug of choice for treating

threadworm infection in patients of all ages over 6 months.

It is given as a single dose; as reinfection is very common, a

second dose may be given after 2 weeks.

Ascaricides (common roundworm infections)

Mebendazole is effective against Ascaris lumbricoides and is

generally considered to be the drug of choice.

Levamisole p. 605 [unlicensed] (available from ‘specialorder’ manufacturers or specialist importing companies) is

an alternative when mebendazole cannot be used. It is very

well tolerated.

Tapeworm infections

Taenicides

Niclosamide [unlicensed] (available from ‘special-order’

manufacturers or specialist importing companies) is the

most widely used drug for tapeworm infections and sideeffects are limited to occasional gastro-intestinal upset,

lightheadedness, and pruritus; it is not effective against

larval worms. Fears of developing cysticercosis in Taenia

solium infections have proved unfounded. All the same, an

antiemetic can be given before treatment and a laxative can

be given 2 hours after niclosamide.

Praziquantel p. 605 [unlicensed] (available from ‘specialorder’ manufacturers or specialist importing companies) is

as effective as niclosamide.

Hydatid disease

Cysts caused by Echinococcus granulosus grow slowly and

asymptomatic patients do not always require treatment.

Surgical treatment remains the method of choice in many

situations. Albendazole p. 604 [unlicensed] (available from

‘special-order’ manufacturers or specialist importing

companies) is used in conjunction with surgery to reduce the

risk of recurrence or as primary treatment in inoperable

cases. Alveolar echinococcosis due to E. multilocularis is

usually fatal if untreated. Surgical removal with albendazole

cover is the treatment of choice, but where effective surgery

is impossible, repeated cycles of albendazole (for a year or

more) may help. Careful monitoring of liver function is

particularly important during drug treatment.

Hookworms

Hookworms (ancylostomiasis, necatoriasis) live in the upper

small intestine and draw blood from the point of their

attachment to their host. An iron-deficiency anaemia may

occur and, if present, effective treatment of the infection

BNF 78 Helminth infection 603

Infection

5

requires not only expulsion of the worms but treatment of

the anaemia.

Mebendazole has a useful broad-spectrum activity, and is

effective against hookworms. Albendazole [unlicensed]

(available from ‘special-order’ manufacturers or specialist

importing companies) is an alternative. Levamisole is also is

also effective in children.

Schistosomicides (bilharziasis)

Adult Schistosoma haematobium worms live in the genitourinary veins and adult S. mansoni in those of the colon and

mesentery. S. japonicum is more widely distributed in veins

of the alimentary tract and portal system.

Praziquantel [unlicensed] is available from Merck Serono

(Cysticide ®) and is effective against all human schistosomes.

No serious adverse effects have been reported. Of all the

available schistosomicides, it has the most attractive

combination of effectiveness, broad-spectrum activity, and

low toxicity.

Filaricides

Diethylcarbamazine [unlicensed] (available from ‘specialorder’ manufacturers or specialist importing companies) is

effective against microfilariae and adults of Loa loa,

Wuchereria bancrofti, and Brugia malayi. To minimise

reactions, treatment in adults and children over 1 month, is

commenced with a dose of diethylcarbamazine citrate on the

first day and increased gradually over 3 days. Length of

treatment varies according to infection type, and usually

gives a radical cure for these infections. Close medical

supervision is necessary particularly in the early phase of

treatment.

In heavy infections there may be a febrile reaction, and in

heavy Loa loa infection there is a small risk of

encephalopathy. In such cases specialist advice should be

sought, and treatment must be given under careful inpatient supervision and stopped at the first sign of cerebral

involvement.

Ivermectin below [unlicensed] (available from ‘specialorder’ manufacturers or specialist importing companies) is

very effective in onchocerciasis and it is now the drug of

choice; reactions are usually slight. Diethylcarbamazine or

suramin should no longer be used for onchocerciasis because

of their toxicity.

Cutaneous larva migrans (creeping eruption)

Dog and cat hookworm larvae may enter human skin where

they produce slowly extending itching tracks usually on the

foot. Single tracks can be treated with topical tiabendazole

(no commercial preparation available). Multiple infections

respond to ivermectin, albendazole or tiabendazole

(thiabendazole) by mouth [all unlicensed] (available from

‘special-order’ manufacturers or specialist importing

companies).

Strongyloidiasis

Adult Strongyloides stercoralis live in the gut and produce

larvae which penetrate the gut wall and invade the tissues,

setting up a cycle of auto-infection. Ivermectin [unlicensed]

(available from ‘special-order’ manufacturers or specialist

importing companies) is the treatment of choice for chronic

Strongyloides infection in adults and children over 5 years.

Albendazole [unlicensed] (available from ‘special order’

manufacturers or specialist importing companies) is an

alternative given to adults and children over 2 years.

ANTHELMINTICS

Albendazole

l INDICATIONS AND DOSE

Chronic Strongyloides infection

▶ BY MOUTH

▶ Adult: 400 mg twice daily for 3 days, dose may be

repeated after 3 weeks if necessary

Hydatid disease, in conjunction with surgery to reduce the

risk of recurrence or as primary treatment in inoperable

cases

▶ BY MOUTH

▶ Adult: (consult product literature)

Hookworm infections

▶ BY MOUTH

▶ Adult: 400 mg for 1 dose

l UNLICENSED USE Albendazole is an unlicensed drug.

l INTERACTIONS → Appendix 1: albendazole

l MEDICINAL FORMS There can be variation in the licensing of

different medicines containing the same drug. Forms available

from special-order manufacturers include: tablet, chewable

tablet, oral suspension

Tablet

CAUTIONARY AND ADVISORY LABELS 9

▶ Eskazole (Imported (France))

Albendazole 400 mg Eskazole 400mg tablets | 60 tablet P s

Chewable tablet

CAUTIONARY AND ADVISORY LABELS 9

▶ Zentel (Imported)

Albendazole 200 mg Zentel 200mg chewable tablets | 6 tablet P s

Albendazole 400 mg Zentel 400mg chewable tablets |

1 tablet P s

Diethylcarbamazine

l INDICATIONS AND DOSE

Wuchereria bancrofti infections | Brugia malayi infections

▶ BY MOUTH

▶ Adult: Initially 1 mg/kg daily on the first day, then

increased to 6 mg/kg daily in divided doses, dose to be

increased gradually over 3 days

Loa loa infections

▶ BY MOUTH

▶ Adult: Initially 1 mg/kg daily on the first day, then

increased to 6 mg/kg daily in divided doses, dose to be

increased gradually over 3 days; maximum 9 mg/kg per

day

l UNLICENSED USE Diethylcarbamazine is an unlicensed

drug.

l MEDICINAL FORMS No licensed medicines listed.

Ivermectin 17-May-2017

l INDICATIONS AND DOSE

Chronic Strongyloides infection

▶ BY MOUTH

▶ Adult: 200 micrograms/kg daily for 2 days

Onchocerciasis

▶ BY MOUTH

▶ Adult: 150 micrograms/kg for 1 dose, retreatment at

intervals of 6 to 12 months, depending on symptoms,

must be given until the adult worms die out

604 Helminth infection BNF 78

Infection

5

Scabies, in combination with topical drugs, for the

treatment of hyperkeratotic (crusted or ‘Norwegian’)

scabies that does not respond to topical treatment alone

▶ BY MOUTH

▶ Adult: 200 micrograms/kg for 1 dose, further doses of

200 micrograms/kg may be required

l UNLICENSED USE Ivermectin is unlicensed.

l INTERACTIONS → Appendix 1: ivermectin

l SIDE-EFFECTS

▶ Common or very common Skin reactions

l MEDICINAL FORMS There can be variation in the licensing of

different medicines containing the same drug. Forms available

from special-order manufacturers include: tablet

Tablet

▶ Stromectol (Imported (France))

Ivermectin 3 mg Stromectol 3mg tablets | 4 tablet P s

Levamisole

l INDICATIONS AND DOSE

Roundworm infections

▶ BY MOUTH

▶ Adult: 120–150 mg for 1 dose

l UNLICENSED USE Not licensed.

l CONTRA-INDICATIONS Blood disorders

l CAUTIONS Epilepsy . Sjögren’s syndrome

l INTERACTIONS → Appendix 1: levamisole

l SIDE-EFFECTS Arthralgia (long term use). blood disorder

(long term use). diarrhoea . dizziness . headache . influenza like illness (long term use). insomnia (long term

use). myalgia (long term use). nausea .rash (long term

use). seizure (long term use).taste altered (long term use) . vasculitis (long term use). vomiting

l PREGNANCY Embryotoxic in animal studies, avoid if

possible.

l BREAST FEEDING No information available.

l HEPATIC IMPAIRMENT

Dose adjustments Use with caution—dose adjustment may

be necessary.

l MEDICINAL FORMS There can be variation in the licensing of

different medicines containing the same drug. Forms available

from special-order manufacturers include: tablet

Tablet

CAUTIONARY AND ADVISORY LABELS 4

▶ Ergamisol (Imported (Belgium))

Levamisole (as Levamisole hydrochloride) 50 mg Ergamisol 50mg

tablets | 20 tablet P s

Mebendazole

l INDICATIONS AND DOSE

Threadworm infections

▶ BY MOUTH

▶ Child 6 months–17 years: 100 mg for 1 dose, if

reinfection occurs, second dose may be needed after

2 weeks

▶ Adult: 100 mg for 1 dose, if reinfection occurs, second

dose may be needed after 2 weeks

Whipworm infections | Hookworm infections

▶ BY MOUTH

▶ Child 1–17 years: 100 mg twice daily for 3 days

▶ Adult: 100 mg twice daily for 3 days

Roundworm infections

▶ BY MOUTH

▶ Child 1 year: 100 mg twice daily for 3 days

▶ Child 2–17 years: 100 mg twice daily for 3 days,

alternatively 500 mg for 1 dose

▶ Adult: 100 mg twice daily for 3 days, alternatively

500 mg for 1 dose

l UNLICENSED USE Not licensed for use as a single dose of

500 mg in roundworm infections.

▶ In children Not licensed for use in children under 2 years.

l INTERACTIONS → Appendix 1: mebendazole

l SIDE-EFFECTS

▶ Common or very common Gastrointestinal discomfort

▶ Uncommon Diarrhoea . flatulence

▶ Rare or very rare Alopecia . dizziness . hepatitis . neutropenia . seizure . severe cutaneous adverse reactions

(SCARs). skin reactions

l PREGNANCY Manufacturer advises avoid—toxicity in

animal studies.

l BREAST FEEDING Amount present in milk too small to be

harmful but manufacturer advises avoid.

l PRESCRIBING AND DISPENSING INFORMATION Flavours of

oral liquid formulations may include banana.

l PATIENT AND CARER ADVICE

Medicines for Children leaflet: Mebendazole for worm infections

www.medicinesforchildren.org.uk/mebendazole-worminfections

l EXCEPTIONS TO LEGAL CATEGORY Mebendazole tablets can

be sold to the public if supplied for oral use in the

treatment of enterobiasis in adults and children over

2 years provided its container or package is labelled to

show a max. single dose of 100 mg and it is supplied in a

container or package containing not more than 800 mg.

l MEDICINAL FORMS There can be variation in the licensing of

different medicines containing the same drug.

Oral suspension

▶ Vermox (Janssen-Cilag Ltd)

Mebendazole 20 mg per 1 ml Vermox 100mg/5ml oral suspension

| 30 ml P £1.55 DT = £1.55

Chewable tablet

▶ Vermox (Janssen-Cilag Ltd)

Mebendazole 100 mg Vermox 100mg chewable tablets sugar-free | 6 tablet P £1.34 DT = £1.34

Praziquantel

l INDICATIONS AND DOSE

Tapeworm infections (Taenia solium)

▶ BY MOUTH

▶ Adult: 5–10 mg/kg for 1 dose, to be taken after a light

breakfast

Tapeworm infections (Hymenolepis nana)

▶ BY MOUTH

▶ Adult: 25 mg/kg for 1 dose, to be taken after a light

breakfast

Schistosoma haematobium worm infections | Schistosoma

mansoni worm infections

▶ BY MOUTH

▶ Adult: 20 mg/kg, followed by 20 mg/kg after 4–6 hours

Schistosoma japonicum worm infections

▶ BY MOUTH

▶ Adult: 20 mg/kg 3 times a day for 1 day

l UNLICENSED USE Praziquantel is an unlicensed drug.

l INTERACTIONS → Appendix 1: praziquantel

l MEDICINAL FORMS There can be variation in the licensing of

different medicines containing the same drug. Forms available

from special-order manufacturers include: tablet

Tablet

▶ Praziquantel (Imported (Germany))

Praziquantel 600 mg Biltricide 600mg tablets | 6 tablet P s

BNF 78 Helminth infection 605

Infection

5

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