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Anthelmintic · Benzimidazole anthelmintic

Bandy (Albendazole)

Also sold as: Bandy, Zentel, Albend, Wormin

Pregnancy

Cat C

Lactation

Safe

Schedule

H

Forms

Tablet 400mg +1

Indications

Adult Dosing

Common worms (single dose)

400 mg PO single dose; repeat in 2-3 weeks for pinworm

With fatty meal

Hydatid disease

15 mg/kg/day BD × 28 days, then 14-day break, repeat for 1-3 cycles

Neurocysticercosis

15 mg/kg/day × 8-30 days with steroid

Maximum daily dose: 800 mg/day

Pediatric Dosing

Age Range: >1 year
Dose: 400 mg single dose if >2y; 200 mg if 1-2y

Govt of India deworming program: 1-2y: 200mg; >2y: 400mg every 6 months

Calculate exact mL by weight →

Renal Dose Adjustment

CrCl / eGFRDose Adjustment
No adjustment neededNo CrCl-based dose adjustment required
Calculate eGFR / CrCl →

Hepatic Adjustment

Caution in severe hepatic disease

Pregnancy & Lactation

Pregnancy: Category C

Avoid in 1st trimester; later trimesters acceptable for severe infections.

Lactation: Safe

Safe with single dose

Top Drug Interactions

Interacting DrugEffectSeverity
CimetidineIncreased albendazole levelsModerate
Carbamazepine, phenytoin, phenobarbitalReduced albendazole levels (CYP induction)Moderate
TheophyllineIncreased theophylline levelsModerate
Grapefruit juiceIncreased levelsMinor

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Side Effects

Common

  • Abdominal pain
  • Nausea
  • Headache
  • Dizziness
  • Reversible hair loss (high-dose)

Serious / Discontinue If

  • Hepatotoxicity (with prolonged use)
  • Bone marrow suppression (rare, prolonged use)
  • SJS (very rare)

Contraindications

Available Indian Brands

BrandManufacturerPrice (approx)
Bandy 400Mankind1 tab ₹15
Zentel 400GSK1 tab ₹35
Albend 400Cipla1 tab ₹18

Monitoring Required

Patient Counseling Points

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References

  • BNF
  • Lexicomp Drug Information
  • Indian National Formulary
  • Specialty society guidelines (RSSDI/CSI/IAP)
Disclaimer: This information is for clinical reference only. It is not exhaustive and does not substitute clinical judgement. Always verify current dosing against the manufacturer's prescribing information and current treatment guidelines. Drug prices are approximate and may vary.