{"id":66697,"date":"2025-05-01T13:11:44","date_gmt":"2025-05-01T13:11:44","guid":{"rendered":"https:\/\/medsbase.com\/?post_type=product&#038;p=66697"},"modified":"2026-05-10T08:48:12","modified_gmt":"2026-05-10T08:48:12","slug":"dicaris-adults-tablet","status":"publish","type":"product","link":"https:\/\/medsbase.com\/nl\/dicaris-adults-tablet\/","title":{"rendered":"Dicaris Adults Tablet"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div class=\"medsbase-tldr-answer\" style=\"margin:0 0 22px;padding:16px 20px;background:#fff8e1;border-left:4px solid #f5a623;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px;font-size:18px;color:#2c3e50;\">Quick Answer &mdash; What is Dicaris Adults Tablet?<\/h3>\n<div style=\"margin:0;font-size:15px;line-height:1.55;color:#333;\">\n<p><strong>Dicaris Adults Tablet<\/strong> is <strong>levamisole 150&nbsp;mg<\/strong> van <strong>Janssen<\/strong>. Levamisole is both an <strong>anthelmintic<\/strong> (first-line for ascariasis worldwide before albendazole displaced it) and an <strong>immunomodulator<\/strong> used in steroid-dependent or frequently-relapsing nephrotic syndrome to reduce relapse rate. Standard adult anthelmintic dose: <strong>150&nbsp;mg single dose<\/strong>; immunomodulatory dose: 2.5&nbsp;mg\/kg every other day in nephrotic syndrome.<\/p>\n<\/div>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"margin:24px 0;padding:14px 18px;background:#f4f4f4;border:1px solid #e1e1e1;border-radius:4px;font-size:14px;color:#444;line-height:1.55;\"><strong>Waarom bestellen bij MedsBase:<\/strong> \u2713 Afkomstig van <strong>WHO-GMP gecertificeerde fabrikanten<\/strong> \u00b7 \u2713 Discrete verpakking \u00b7 \u2713 Wereldwijde verzending \u00b7 \u2713 <strong>1.400+ klantbeoordelingen<\/strong> op <a href=\"https:\/\/medsbase.com\/nl\/reviews\/\">medsbase.com\/reviews<\/a><\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Elke bestelling is gedekt door onze <a href=\"https:\/\/medsbase.com\/nl\/medsbase-re-shipment-assurance-policy\/\"><strong>Reshipment Assurance Policy<\/strong><\/a> \u2014 als uw pakket niet binnen 20 werkdagen arriveert, sturen wij het opnieuw.<\/p>\n<h3>Waarom bestellen bij MedsBase<\/h3>\n<p>Onze generieke medicijnen zijn afkomstig van WHO-GMP gecertificeerde fabrikanten en worden wereldwijd verzonden in discrete, eenvoudige verpakkingen \u2014 geen medicijnnaam op de buitenkant van het pakket. Betalingen met kaart worden verwerkt via een gereguleerde processor (betalingsoverzichten vermelden een gereguleerde kaartbetalingprocessor \u2014 nooit \u201cMedsBase\u201d of een medicijnnaam). Crypto en SEPA bankoverschrijvingen worden ook geaccepteerd. Elke bestelling wordt ondersteund door ons Reshipment Assurance Policy.<\/p>\n<h2 class=\"wp-block-heading\">What is Dicaris Adults Tablet?<\/h2>\n<p><strong>Dicaris Adults Tablet<\/strong> bevat <strong>levamisole 150&nbsp;mg<\/strong> van <strong>Janssen<\/strong>. Originally developed as a veterinary anthelmintic, levamisole was widely used in human medicine for ascariasis from the 1960s until albendazole and mebendazole displaced it as first-line. It retains an important second indication: <strong>immunomodulation in childhood nephrotic syndrome<\/strong>, where it reduces relapse frequency in steroid-dependent disease and lets clinicians reduce cumulative steroid dose.<\/p>\n<h2 class=\"wp-block-heading\">Werkingsmechanisme<\/h2>\n<p>As an anthelmintic, levamisole is a <strong>nicotinic acetylcholine receptor agonist<\/strong> on parasite muscle, causing spastic paralysis (similar mechanism to pyrantel). The paralysed worm is passed in stool.<\/p>\n<p>As an immunomodulator, levamisole appears to <strong>restore depressed cell-mediated immunity<\/strong> &mdash; it enhances T-cell function, monocyte and macrophage activity, and natural killer cell response. The exact mechanism in nephrotic syndrome remains incompletely understood but the clinical effect (reduced relapse) is well-established in randomised trials.<\/p>\n<h2 class=\"wp-block-heading\">Dicaris Adults Tablet indications and dose<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;font-size:14px;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:8px;text-align:left;border:1px solid #ddd;\">Indicatie<\/th>\n<th style=\"padding:8px;text-align:left;border:1px solid #ddd;\">Dosering<\/th>\n<th style=\"padding:8px;text-align:left;border:1px solid #ddd;\">Schema<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:8px;border:1px solid #ddd;\">Ascariasis (adults)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">150&nbsp;mg<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Eenmalige dosis<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Ascariasis (children)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">2.5&nbsp;mg\/kg<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Eenmalige dosis<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border:1px solid #ddd;\">Hookworm (light burden)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">150&nbsp;mg<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Single dose, repeat at 7 days if needed<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Steroid-dependent nephrotic syndrome (specialist)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">2.5&nbsp;mg\/kg<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Every other day for 12&ndash;24 months under nephrologist supervision<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Take with or after a meal to reduce nausea.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;font-size:14px;line-height:1.55;color:#444;\"><strong>Specialist supervision for nephrotic syndrome.<\/strong> Long-course levamisole for nephrotic syndrome requires nephrology supervision. Mandatory neutrophil monitoring (FBC every 4&ndash;6 weeks for the first 6 months, then every 3 months) is essential because of the well-described risk of agranulocytosis. Stop immediately at signs of infection or oral ulceration.<\/div>\n<h2 class=\"wp-block-heading\">Bijwerkingen<\/h2>\n<ul>\n<li><strong>Common (single-dose):<\/strong> mild nausea, abdominal pain, headache, transient dizziness<\/li>\n<li><strong>Minder vaak:<\/strong> rash, fatigue, transient transaminase rise, mild flu-like symptoms<\/li>\n<li><strong>Rare but serious (long-course):<\/strong> agranulocytosis (~3% in long courses, monitoring mandatory), vasculitis with cutaneous necrosis, leukoencephalopathy, hepatitis, Stevens-Johnson syndrome<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Geneesmiddelinteracties<\/h2>\n<ul>\n<li><strong>Fenyto\u00efne<\/strong> &mdash; levamisole increases phenytoin levels; monitor<\/li>\n<li><strong>Warfarine<\/strong> &mdash; potential INR rise; monitor<\/li>\n<li><strong>Alcohol<\/strong> &mdash; rare disulfiram-like reaction; abstain during the treatment course<\/li>\n<li><strong>Steroids<\/strong> &mdash; in nephrotic syndrome, levamisole is added to steroid backbone; the combination is intentional and monitored<\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;font-size:14px;line-height:1.55;color:#444;\"><strong>Zwangerschap &amp; borstvoeding.<\/strong> Albendazol en mebendazol worden NIET aanbevolen in het eerste trimester (gegevens over teratogeniciteit bij dieren). Gebruik is acceptabel in het 2e\/3e trimester bij matige tot zware worminfecties. Gegevens over ivermectine tijdens zwangerschap zijn beperkt maar geruststellend in WHO-massabehandelingsprogramma's; vermijd in het eerste trimester waar alternatieven beschikbaar zijn. Praziquantel en pyrantel zijn compatibel met zwangerschap.<\/div>\n<h2 class=\"wp-block-heading\">Contra-indicaties<\/h2>\n<ul>\n<li>Hypersensitivity to levamisole or other imidazothiazoles<\/li>\n<li>Pre-existing neutropenia or bone marrow suppression<\/li>\n<li>Severe hepatic or renal impairment<\/li>\n<li>Pregnancy &mdash; first trimester avoidance; long-course immunomodulatory use should not start in pregnancy<\/li>\n<li>Concurrent alcohol use during the treatment window<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Opslag<\/h2>\n<p>Store Dicaris Adults Tablet below 30&deg;C, away from light and moisture.<\/p>\n<h3 class=\"wp-block-heading\">Waarom bestellen bij MedsBase<\/h3>\n<p>Dicaris Adults Tablet is supplied from a <strong>WHO-GMP gecertificeerde fabrikant<\/strong>, discreet verpakt en wereldwijd verzonden. Elke bestelling valt onder onze <a href=\"https:\/\/medsbase.com\/nl\/medsbase-re-shipment-assurance-policy\/\">Reshipment Assurance Policy<\/a> \u2014 u draagt nooit de kosten van een verloren pakket.<\/p>\n<h2 id=\"faqs\">Veelgestelde vragen<\/h2>\n<h3 class=\"wp-block-heading\">Why is levamisole still used when albendazole exists?<\/h3>\n<p>For routine ascariasis, albendazole has displaced levamisole as first-line because of broader spectrum and equivalent single-dose efficacy. Levamisole&rsquo;s persisting role is in <strong>steroid-dependent or frequently-relapsing nephrotic syndrome<\/strong>, where it reduces relapse rate and steroid burden. It is also used in some veterinary settings.<\/p>\n<h3 class=\"wp-block-heading\">How does Dicaris Adults Tablet treat nephrotic syndrome?<\/h3>\n<p>Levamisole appears to restore cell-mediated immunity, reducing the immunological dysregulation underlying minimal-change nephrotic syndrome. Randomised trials show meaningful reduction in relapse rate at doses around 2.5&nbsp;mg\/kg every other day for 12&ndash;24 months. This is a specialist-supervised therapy with mandatory neutrophil monitoring.<\/p>\n<h3 class=\"wp-block-heading\">Can I take Dicaris Adults Tablet with alcohol?<\/h3>\n<p>Avoid alcohol during the treatment window. A disulfiram-like reaction (flushing, palpitations, nausea) is uncommon but well-documented &mdash; not worth the risk.<\/p>\n<h3 class=\"wp-block-heading\">Will my child take Dicaris Adults Tablet for nephrotic syndrome?<\/h3>\n<p>Long-course levamisole for nephrotic syndrome is dosed by weight (2.5&nbsp;mg\/kg every other day) and requires regular blood testing. The 150&nbsp;mg adult tablet may need to be quartered for paediatric doses; the paediatric tablet (Dicaris Children, 50&nbsp;mg) is purpose-made for this. Consult the nephrology team.<\/p>\n<h3 class=\"wp-block-heading\">What signs should I watch for?<\/h3>\n<p>Stop and seek medical advice immediately for any of: fever, mouth ulcers, sore throat, easy bruising, unexplained tiredness, jaundice, rash with skin breakdown. These can signal agranulocytosis or vasculitis &mdash; serious but reversible if caught early.<\/p>\n<h3 class=\"wp-block-heading\">Is Dicaris Adults Tablet an appetite suppressant?<\/h3>\n<p>No. Some weight loss can occur as a knock-on of severe worm-burden eradication (the parasites were stealing nutrients), but levamisole is not used for weight loss.<\/p>\n<h3 class=\"wp-block-heading\">Can I take Dicaris Adults Tablet during pregnancy?<\/h3>\n<p>Avoid in the first trimester. Single-dose anthelmintic use later in pregnancy is acceptable for moderate-to-heavy worm burden under medical supervision. Long-course immunomodulatory use should not start during pregnancy.<\/p>\n<h3 class=\"wp-block-heading\">How quickly does Dicaris Adults Tablet work for worms?<\/h3>\n<p>Adult worms are paralysed within hours and passed within 24&ndash;72 hours. A single 150&nbsp;mg dose is usually enough for ascariasis. Re-test stool 2&ndash;4 weeks later if symptoms persist.<\/p>\n<h3 class=\"wp-block-heading\">Will Dicaris Adults Tablet treat scabies or ringworm?<\/h3>\n<p>No. Levamisole is for nematodes (especially ascaris) and immunomodulation. Scabies needs ivermectin or permethrin; ringworm is fungal and needs an antifungal (clotrimazole, terbinafine).<\/p>\n<h3 class=\"wp-block-heading\">What is the cocaine adulterant warning about?<\/h3>\n<p>Levamisole was historically used as a cocaine adulterant, which caused agranulocytosis cases in users worldwide. This is a public-health concern about illicit drug supply &mdash; the therapeutic use of levamisole under medical supervision (with monitoring) is well-established and safe.<\/p>\n<p class=\"medsbase-link-boost-2026-05-04\" data-marker=\"mb-link-boost-ivermectin-fenbendazole-combo-pack\"><a href=\"https:\/\/medsbase.com\/nl\/dicaris-adults-tablet\/\">Dicaris Adults Tablet<\/a> is levamisole 150 mg, a single-dose anthelmintic with secondary immunomodulator use in nephrotic syndrome; users running a stacked anthelmintic protocol that adds ivermectin and fenbendazole alongside levamisole can pick up the <a href=\"https:\/\/medsbase.com\/nl\/ivermectin-fenbendazole-combo-pack\/\">Ivermectin + Fenbendazole Combo Pack (Iverheal 12 mg + Wormentel 222 mg)<\/a> as the avermectin-benzimidazole add-on.<\/p>\n<p class=\"medsbase-link-boost-2026-05-10\" data-marker=\"mb-link-boost-iverheal\">For patients whose threadworm burden spans multiple species, specialists sometimes combine <a href=\"https:\/\/medsbase.com\/nl\/dicaris-adults-tablet\/\">Dicaris Adults Tablet (levamisole 150 mg)<\/a> met <a href=\"https:\/\/medsbase.com\/nl\/iverheal\/\">Iverheal (ivermectin 3 \/ 6 \/ 12 mg)<\/a> when levamisole alone is insufficient for strongyloidiasis or tissue-migrating larval forms.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Andere antiparasitaire medicijnen<\/h3>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/nl\/dicaris-adults-tablet\/\">Dicaris Adults Tablet (levamisole 150 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/abd-400-albendazole\/\">ABD 400 (albendazole 400 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/mebex\/\">Mebex (mebendazole 100 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/iverheal\/\">Iverheal (ivermectin)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/nemocid\/\">Nemocid (pyrantelpamoaat)<\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:22px 0;border-radius:4px;font-size:14px;color:#444;\"><strong>Medisch disclaimer.<\/strong> Deze pagina is alleen voor educatieve doeleinden en vervangt geen professioneel medisch advies. Overleg met een gekwalificeerde arts voordat u een wormmiddel gebruikt, vooral als u zwanger bent of borstvoeding geeft, immuungecompromitteerd bent, een kind onder de 2 jaar behandelt of als de klachten aanhouden na een behandeling. Eosinofilie, gewichtsverlies, aanhoudende buikpijn of reisgerelateerde symptomen vereisen klinische evaluatie. Ernstige parasitaire infecties (neurocysticercose, strongyloides hyperinfectie, schistosomiasis met orgaanbetrokkenheid) worden door een specialist behandeld.<\/div>","protected":false},"excerpt":{"rendered":"<p>Dicaris Adults Tablet (levamisole 150 mg) \u2014 dual-indication anthelmintic and immunomodulator. Single-dose treatment for ascariasis; long-course nephrology use to reduce nephrotic syndrome relapses.<\/p>","protected":false},"featured_media":66703,"comment_status":"open","ping_status":"closed","template":"","meta":[],"product_brand":[],"product_cat":[3856,3342],"product_tag":[5357,5355,5356],"class_list":{"0":"post-66697","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-threadworm-treatment","7":"product_cat-general-health","8":"product_tag-dicaris","9":"product_tag-dicaris-adults-tablet","10":"product_tag-levamisole","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product\/66697","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/comments?post=66697"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/media\/66703"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/media?parent=66697"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_brand?post=66697"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_cat?post=66697"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_tag?post=66697"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}