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Beworm Plus Suspension

Beworm Plus Suspension (albendazole 200 mg + ivermectin 1.5 mg per 5 ml) — paediatric broad-spectrum antiparasitic oral suspension for mixed worm burden, strongyloides, and scabies. Weight-banded paediatric dosing.

Lékařsky ověřeno Morgan Ellis — Pharmacy Researcher · 8 years experience Last reviewed: May 2026

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Quick Answer — What is Beworm Plus Suspension?

Beworm Plus Suspension is a fixed-dose combination of albendazole 200 mg/5 ml + ivermectin 1.5 mg/5 ml as a oral suspension from Indoco. The combination provides single-dose cover for the broadest range of intestinal nematodes plus strongyloides and (in mass-treatment programmes) lymphatic filariasis — one tablet does the work of two separate prescriptions.

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What is Beworm Plus Suspension?

Beworm Plus Suspension from Indoco combines albendazole (a benzimidazole anthelmintic that depletes parasite glucose stores by binding β-tubulin) and ivermectin (a glutamate-gated chloride channel agonist that paralyses nematodes and ectoparasites). The two molecules attack parasites by different mechanisms and cover overlapping but non-identical species ranges — the combination is broader-spectrum than either alone.

When the combination matters

WHO uses albendazole + ivermectin combination therapy for two indications:

  • Lymphatic filariasis mass drug administration (MDA) — annual single-dose, has driven LF elimination across multiple endemic countries
  • Mixed nematode infections with concurrent strongyloides — albendazole alone is unreliable for strongyloides, ivermectin alone misses whipworm

For straightforward isolated pinworm or hookworm, albendazole monotherapy is adequate. For people who suspect mixed infection, who have travelled in tropical settings, or whose stool sample showed multiple species, the fixed-dose combination is convenient.

Beworm Plus Suspension dosing

Body weightSuspension volumeSchedule
15–25 kg5 mlSingle dose, repeat at 2 weeks for pinworm
26–44 kg10 mlSingle dose
≥ 45 kg15 mlSingle dose

Take with water. A light meal is acceptable but a heavy fatty meal can increase ivermectin absorption beyond the safety margin in patients with potential Loa loa exposure.

Loa loa screen. If you have lived in or travelled extensively through West/Central Africa (Cameroon, Gabon, Republic of Congo, Equatorial Guinea, Nigeria, Sudan), do not take ivermectin-containing combinations without screening for Loa loa microfilaraemia. Severe encephalopathy is a documented complication in patients with high microfilarial loads.

Side effects

  • Časté: abdominal cramps, transient diarrhoea, mild headache, nausea
  • Méně časté: dizziness, transient transaminase rise, mild rash
  • Rare: Mazzotti-type reaction in patients with onchocerciasis or filariasis (caused by dying microfilariae)
Pregnancy & breastfeeding. Albendazole and mebendazole are NOT recommended in the first trimester (animal teratogenicity data). Use is acceptable in 2nd/3rd trimester for moderate-to-heavy worm burden. Ivermectin pregnancy data are limited but reassuring in WHO mass-treatment programmes; avoid in the first trimester where alternatives exist. Praziquantel and pyrantel are pregnancy-compatible.

Contraindications

  • Hypersensitivity to albendazole, ivermectin, or any benzimidazole
  • Children < 15 kg or < 12 months
  • First-trimester pregnancy
  • Loa loa endemic-region travel without microfilarial screen
  • Severe hepatic impairment

Skladování

Store below 30°C, protect from light. Shake bottle before each dose. Use within 30 days of opening.

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Často kladené dotazy

Why combine albendazole with ivermectin?

Albendazole covers pinworm, roundworm, hookworm, whipworm, and adult tapeworms reliably. Ivermectin covers strongyloides, scabies, head lice, and onchocerca microfilariae — species albendazole misses or treats poorly. The combination is the WHO-endorsed approach for lymphatic filariasis MDA and a sensible single-shot for mixed-burden infections.

Is one dose enough?

Yes for most indications — mixed nematode infection, strongyloides, ascariasis, hookworm. Pinworm specifically requires a second dose at 2 weeks regardless of which agent you use, because of the autoinfection cycle.

Can my child take Beworm Plus Suspension?

Yes from 15 kg body weight (typically age 2 and above). Use the dose-band table; below 15 kg, use albendazole monotherapy as a paediatric suspension.

Should I take it on an empty stomach?

A light meal is fine. Avoid a heavy fatty meal — it can boost ivermectin absorption substantially, useful in some clinical scenarios but not when you are dosing prophylactically.

What about scabies?

Beworm Plus Suspension will treat scabies via its ivermectin component. The standard scabies regimen is a single dose followed by a second dose at day 7–14. Treat all household contacts simultaneously and launder bedding in hot water.

Is it safe in pregnancy?

Avoid in the first trimester. After week 13, single-dose treatment of moderate-to-heavy worm burden is usually justified — discuss with a clinician for individualised guidance.

Will Beworm Plus Suspension cause side effects in children?

Side effects are uncommon and usually mild — transient stomach ache or one episode of loose stool as worms pass. Severe reactions are very rare.

How does this compare with mebendazole?

Mebendazole is the historical alternative to albendazole for the same nematode range — both are benzimidazoles with similar mechanism. Albendazole + ivermectin combination expands the spectrum to include strongyloides and ectoparasites, which mebendazole alone does not cover.

Can I take Beworm Plus Suspension preventively before travel?

Routine pre-travel anthelmintic prophylaxis is not recommended for most travellers. The combination is appropriate when you have suspected exposure (open swimming in endemic water bodies, intense outdoor exposure in tropical settings) or post-return symptoms.

How quickly will the medication work?

Adult worms are paralysed within 24–48 hours. Most parasites are passed within a week. Stool ova-and-parasite testing 2–4 weeks post-dose can confirm clearance if symptoms persist.

Viz také: Ivermectin & Fenbendazole Combo Pack — Iverheal 12 mg paired with Wormentel 222 mg for protocol-driven multi-agent antiparasitic dosing.

Other Antiparasitic Medications

Zdravotní prohlášení. This page is for educational purposes only and does not replace professional medical advice. Speak with a qualified clinician before starting any anthelmintic, especially if pregnant or breastfeeding, immunosuppressed, treating a child under 2, or if symptoms persist after a treatment course. Eosinophilia, weight loss, persistent abdominal pain, or travel-related symptoms warrant clinical evaluation. Severe parasitic disease (neurocysticercosis, strongyloides hyperinfection, schistosomiasis with organ involvement) is specialist-managed.

More options in Threadworm Treatment

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