Levamisole + Triclabendazole

Levamisole + Triclabendazole is a anthelmintic (nematocide and flukicide) medicine available in Bangladesh under many brand names. Below are its uses, dosage, side effects and precautions — and all brands with their current prices.

• Veterinary use, where licensed: treatment and control of susceptible gastrointestinal roundworms and lungworms in livestock.
• Veterinary use, where licensed: treatment and control of Fasciola species liver fluke infestation in livestock.
• Use for mixed worm and liver fluke infestation only when the parasites are susceptible and treatment is appropriate.
• This fixed-combination bolus is not a routine human medicine; human worm or fluke infections require assessment and treatment with appropriate licensed medicines.

There is no universal dose for Levamisole + Triclabendazole bolus. The correct dose depends on the animal species, accurate body weight, product strength, local label directions, and veterinary assessment. Do not guess the dose or split/administer boluses without professional instruction. For human adults, a standard dosing regimen for this fixed-combination bolus is not established; use only if specifically prescribed by a registered doctor.

• Digestive upset such as reduced appetite, vomiting, diarrhoea, or abdominal discomfort may occur.
• Levamisole-related toxicity can cause excessive salivation, tremors, restlessness, weakness, incoordination, breathing difficulty, or collapse, especially after overdose.
• Triclabendazole may cause transient gastrointestinal signs and, rarely, allergic-type reactions.
• Serious reactions such as severe weakness, seizures, severe allergic reaction, or signs of liver problems require urgent professional care.

Use with caution in debilitated, very young, underweight, or severely stressed animals, and in animals with significant liver disease or heavy parasite burden. Accurate body-weight estimation is essential to avoid underdosing or toxicity. Observe any legally required meat or milk withdrawal period for food-producing animals. Use under a registered doctor's or pharmacist's guidance; for animals, also follow the advice of a registered veterinarian.

• Do not combine with other cholinergic or nicotinic anthelmintics unless advised by a professional, as toxicity risk may increase.
• Avoid giving with organophosphate or other cholinesterase-inhibiting pesticides/medicines around the same time unless specifically advised.
• Using multiple dewormers together can increase adverse effects and should only be done under professional supervision.
• No specific food interaction is well established, but administration should follow the product label or professional advice.

• Known hypersensitivity to levamisole, triclabendazole, benzimidazole-related drugs, or any component of the product.
• Do not use in species for which the product is not licensed or recommended.
• Do not use in humans unless specifically prescribed by a registered doctor.
• Avoid use in severely ill or severely debilitated animals unless a veterinarian decides the benefit outweighs the risk.

Safety in pregnancy and lactation depends on the animal species, stage of pregnancy, dose, and product label. Use in pregnant or lactating animals only on veterinary advice. For pregnant or breastfeeding humans, this fixed-combination bolus should not be used unless a registered doctor specifically determines it is necessary and appropriate.

Store in a cool, dry place away from direct sunlight and moisture. Keep in the original container, tightly closed, and out of reach of children and animals. Do not use after the expiry date or if the bolus is damaged or contaminated.