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Bendex Suspension

Bendex Suspension (albendazole 20 mg/ml, 10 ml bottle) — paediatric oral anthelmintic suspension for pinworm, roundworm, and hookworm. Calibrated weight-band dosing with the supplied dosing cup.

Ιατρικά ελεγμένο από Morgan Ellis — Ερευνητής Φαρμακευτικής · 8 χρόνια εμπειρία  · Τελευταία αναθεώρηση: Μάιος 2026

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Quick Answer — What is Bendex Suspension?

Bendex Suspension είναι paediatric albendazole oral suspension from GSK20 mg/ml in a 10 ml bottle. Albendazole is the WHO Essential Medicine first-line treatment for pinworm, roundworm, hookworm, and whipworm in children and adults. Standard paediatric dose is 10 ml (200 mg) for ages 2 and above as a single dose, repeated in 2 weeks for pinworm.

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What is Bendex Suspension?

Bendex Suspension is an oral suspension of albendazole at 20 mg per ml, manufactured by GSK in a 10 ml bottle. The suspension format makes precise weight-based dosing straightforward in children too young to swallow tablets, and is also useful for adults with swallowing difficulties.

Albendazole is on the WHO Model List of Essential Medicines and is recommended as first-line therapy for the entire benzimidazole-susceptible nematode range. Its broad spectrum, single-dose schedule for most indications, and excellent safety profile have made it the most widely used anthelmintic in mass-treatment programmes.

Mechanism of action

Albendazole binds β-tubulin in parasite cells, preventing microtubule polymerisation. This blocks glucose uptake and depletes glycogen stores in adult worms and larvae — the parasite is starved and paralysed. Because mammalian β-tubulin has a different binding profile, the drug is selectively toxic to the parasite.

Albendazole is poorly absorbed orally (~5%); a fatty meal increases bioavailability roughly 5-fold. The active metabolite albendazole sulfoxide is responsible for systemic activity in tissue-dwelling parasites (echinococcosis, neurocysticercosis).

Bendex Suspension dosage

AgeDoseIndication
12–23 months10 ml (200 mg) single dosePinworm, roundworm, hookworm
≥ 2 years and adults20 ml (400 mg) single dosePinworm, roundworm, hookworm
≥ 2 years and adults20 ml daily × 3 daysWhipworm (Trichuris)
≥ 2 years and adults20 ml daily × 5 daysStrongyloidiasis (ivermectin preferred)
Pinworm rule. Always repeat the dose in 2 weeks for pinworm. The eggs hatch and complete a new life cycle in roughly 2 weeks; a single dose kills adult worms but not eggs that have already been laid. Treat all household members simultaneously and wash bedding/underwear in hot water.

Side effects

  • Common: mild abdominal pain, transient diarrhoea, headache — usually self-limiting
  • Less common: nausea, dizziness, transient elevation in liver enzymes
  • Rare: reversible alopecia (high-dose long-course use), neutropenia, hepatitis

Drug interactions

  • Cimetidine raises albendazole sulfoxide levels (up to 2×) — relevant only at high prolonged doses
  • Carbamazepine and phenytoin reduce albendazole levels (CYP induction)
  • Praziquantel and dexamethasone raise plasma levels of albendazole sulfoxide
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.
Paediatric note. Most anthelmintics are safe from age 2 and above; ivermectin is licensed from 15 kg body weight; albendazole 400 mg single dose is the WHO standard from age 1 in mass-treatment programmes. Below age 2, choose paediatric suspensions and consult a clinician for weight-based dosing.

Contraindications

  • Hypersensitivity to albendazole or other benzimidazoles
  • First trimester of pregnancy (use after week 13 only if needed)
  • Severe hepatic impairment — monitor LFTs if course exceeds 7 days
  • Pre-existing cytopenia — rare but documented

Storage

Store Bendex Suspension below 25°C, protect from light. Shake the bottle thoroughly before each dose. Discard any remaining suspension after the expiry date or 30 days post-opening (whichever is sooner).

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Bendex Suspension is supplied from a WHO-GMP certified manufacturer, packaged discreetly, and shipped worldwide. Every order is covered by our Πολιτική Εγγύησης Επαναποστολής — you never wear the cost of a lost parcel.

Συχνές Ερωτήσεις

How do I measure Bendex Suspension for my child?

Use the calibrated dosing cup or oral syringe supplied with the bottle. 20 mg per ml means 10 ml = 200 mg, and 20 ml = 400 mg. Do not estimate with a kitchen spoon — teaspoons vary widely.

What if my child vomits the dose?

If vomiting occurs within 30 minutes of the dose, repeat it. Beyond 30 minutes, the drug has been absorbed; do not redose.

Should I treat the rest of the family?

Yes — for pinworm in particular. Treat all household members on the same day and repeat in 2 weeks. Otherwise reinfection cycles continue.

Can my baby take Bendex Suspension?

Albendazole is licensed from 12 months of age in WHO mass-treatment programmes. Below 12 months consult a paediatrician — pinworm is uncommon in pre-walking infants and other diagnoses should be considered.

Is Bendex Suspension the same as Zentel?

Both contain albendazole at the same suspension strength. Manufacturer and excipients differ. Zentel is the GSK brand; Bendex Suspension is the GSK equivalent at lower cost.

Should I give Bendex Suspension on a full or empty stomach?

For pinworm and roundworm a fatty meal is unnecessary — the parasites are intestinal-luminal and respond well to the unabsorbed drug. For tissue parasites (echinococcosis) take with food to maximise systemic absorption.

How long until I see results?

Adult worms are paralysed within 24–48 hours and passed in faeces over the following days. Pinworm itching usually resolves within 1 week. Stool ova-and-parasite testing 2–4 weeks after treatment confirms eradication if needed.

Can I give Bendex Suspension alongside other antibiotics?

Most antibiotics are compatible. Avoid concurrent praziquantel high doses unless monitoring (raises sulfoxide levels). Routine paediatric antibiotics (amoxicillin, azithromycin) are fine.

What about diarrhoea after the dose?

Mild diarrhoea is common as dead worms pass through. Severe or persistent diarrhoea, fever, or blood in stool requires medical assessment — possibly bacterial co-infection.

Is once enough for ringworm or scabies?

Bendex Suspension (albendazole) does NOT treat ringworm (a fungal infection — use clotrimazole or terbinafine) or scabies (use permethrin or oral ivermectin). Albendazole is for intestinal worms only.

Other Antiparasitic Medications

Medical disclaimer. 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.

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