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Pronunciation |
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(ni
KLOE sa
mide) |
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U.S. Brand
Names |
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Niclocide® |
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Generic
Available |
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No |
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Pharmacological Index |
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Anthelmintic |
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Use |
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Treatment of intestinal beef and fish tapeworm infections and dwarf tapeworm
infections |
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Pregnancy Risk
Factor |
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B |
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Contraindications |
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Known hypersensitivity to niclosamide |
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Warnings/Precautions |
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Affects cestodes of the intestine only; it is without effect in
cysticercosis |
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Adverse
Reactions |
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1% to 10%:
Central nervous system: Drowsiness, dizziness, headache
Gastrointestinal: Nausea, vomiting, loss of appetite, diarrhea
<1%: Rash, pruritus ani, oral irritation, fever, rectal bleeding,
weakness, bad taste in mouth, diaphoresis, palpitations, constipation, alopecia,
edema in the arm, backache |
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Overdosage/Toxicology |
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Signs and symptoms of overdose include nausea, vomiting, anorexia
In the event of an overdose, do not administer ipecac |
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Drug
Interactions |
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No data reported |
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Mechanism of
Action |
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Inhibits the synthesis of ATP through inhibition of oxidative phosphorylation
in the mitochondria of cestodes |
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Pharmacodynamics/Kinetics |
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Absorption: Oral: Not significantly absorbed
Metabolism: Not appreciably metabolized by mammalian host, but may be
metabolized in GI tract by the worm
Elimination: Excreted in feces |
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Usual Dosage |
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Oral:
Children:
11-34 kg: 1 g (2 tablets) as a single dose
>34 kg: 1.5 g (3 tablets) as a single dose
Adults: 2 g (4 tablets) in a single dose
May require a second course of treatment 7 days later
Dwarf tapeworm:
Children:
11-34 g: 1 g (2 tablets) chewed thoroughly in a single dose the first day,
then 500 mg/day (1 tablet) for next 6 days
>34 g: 1.5 g (3 tablets) in a single dose the first day, then 1 g/day for
6 days
Adults: 2 g (4 tablets) in a single daily dose for 7 days
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|
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Monitoring
Parameters |
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Stool cultures |
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Mental Health: Effects
on Mental Status |
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May cause drowsiness or dizziness |
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Mental Health:
Effects on Psychiatric
Treatment |
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None reported |
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|
Dental Health: Local
Anesthetic/Vasoconstrictor
Precautions |
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No information available to require special precautions |
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Dental Health:
Effects on Dental Treatment |
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No effects or complications reported |
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Patient
Information |
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Chew tablets thoroughly; tablets can be pulverized and mixed with water to
form a paste for administration to children; can be taken with food; a mild
laxative can be used for constipation |
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Nursing
Implications |
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Administer a laxative 2-3 hours after the niclosamide dose if treating
Taenia solium infections to prevent the development of
cysticercosis |
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Dosage Forms |
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Tablet, chewable (vanilla flavor): 500 mg |
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References |
|
"Drugs for Parasitic Infections," Med Lett Drugs Ther, 1993,
35(911):111-22. |
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