Niclosamide, marketed under brand names like Niclocide, is a prescription medication used to treat certain types of tapeworm infections such as diphyllobothriasis, hymenolepiasis, and taeniasis.

It works effectively by killing tapeworms in the digestive tract and is generally well-tolerated when used correctly.

What Are the Benefits and Uses of Niclosamide?

Niclosamide is commonly prescribed to eliminate specific tapeworm infections in the intestine.

  • Niclosamide belongs to a class of drugs called anthelmintic, which kill parasitic worms in the body.
  • It is primarily used to treat tapeworm infections such as large or fish tapeworm, dwarf tapeworm, and beef tapeworm.
  • Niclosamide can also be used to treat other tapeworm infections if your doctor recommends it.
  • It is taken orally and does not affect other types of worms, such as pinworms and roundworms.
  • Niclosamide kills tapeworms when they come into contact with it. The destroyed worms are passed in the stool, although they may not always be visible in the stool.
  • Niclosamide requires a doctor's prescription.

How Does Niclosamide Work (Mechanism of Action)?

This medicine works by killing tapeworms on contact and preventing them from absorbing nutrients.

Niclosamide disrupts the metabolism of tapeworms, starving them and making them unable to survive. Dead worms are then passed out of the body through the stool, although they may not be visible.

Dosage Instructions for Niclosamide

Always follow your doctor's instructions for the correct dose and timing to ensure full recovery.

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How to Use Niclosamide

  • Niclosamide can be taken without food (either 1 hour before or 2 hours after a meal). However, taking it after a light meal can help avoid stomach discomfort (e.g: breakfast).
  • Chew or crush Niclosamide tablets thoroughly before swallowing them whole with a small amount of water.
  • For children, crush tablets into a fine powder and mix with a small amount of water to form a paste.
  • Follow your doctor's instructions carefully for the complete clearance of your infection. Typically, one dose is sufficient, but some patients may need a second dose to fully clear the infection.

What Should I Do If I Miss a Dose of Niclosamide?

Take Niclosamide as soon as you remember if you miss a dose. Skip the missed dose if your next dose is approaching. Do not double dose.

What Happens If I Overdose on Niclosamide?

Seek medical attention immediately if you suspect an overdose of Niclosamide. Symptoms may include:

  • Headache, dizziness, drowsiness
  • Nausea, vomiting, diarrhea
  • Abdominal pain or cramps
  • Seizures, trouble breathing, or loss of consciousness

What Are the Side Effects of Niclosamide?

Some people may experience mild or moderate side effects, which usually go away on their own.

Common Side Effects of Niclosamide

Serious but Rare Side Effects of Niclosamide

  • Swelling of the face or lips (possible allergic reaction)
  • Severe rash or difficulty breathing (seek emergency care)

Contact your doctor if any side effect worsens or persists.

Precautions and Warnings for Niclosamide

  • Inform your doctor if you have allergies to Niclosamide or any other medications.
  • Niclosamide has been studied in children aged 2 and older without causing different side effects than those in adults.
  • Its effects in elderly patients have not been fully studied.
  • Niclosamide poses a small risk to breastfeeding infants, consult your doctor.
  • Inform your doctor about all medications you are taking to prevent interactions.
  • Dosage varies by patient; follow your doctor's instructions closely.

Are There Any Age Restrictions for Using Niclosamide?

  • Approved for use in children above 2 years
  • Safety in infants under 2 and elderly patients is not fully established

Possible Interactions with Other Medications

To avoid drug interactions, share your complete medication list with your healthcare provider.

Niclosamide may interact with:

  • Other anthelmintic drugs
  • Certain antacids or digestive medicines
  • Herbal or dietary supplements (consult your doctor)

How Should Niclosamide Be Stored?

Proper storage helps preserve the effectiveness of the medicine.

  • Store Niclosamide tablets in a cool, dry place
  • Keep away from direct sunlight, moisture, and heat.
  • Keep out of reach of children.
  • Do not refrigerate or freeze
  • Do not keep outdated or unnecessary medications.

What Happens If Niclosamide Is Not Stored Properly?

Poor storage can reduce the effectiveness or make the medicine unsafe to use.

Exposure to moisture, sunlight, or extreme temperatures can lead to spoilage. Always follow the packaging instructions and pharmacy advice.

Niclosamide vs Fenbendazole

Niclosamide Fenbendazole
Niclosamide is an anthelmintic Fenbendazole is a broad spectrum benzimidazole anthelmintic
Formula: C13H8Cl2N2O4 Formula: C15H13N3O2S
Molecular Weight: 327.12 g/mol Molar mass: 299.349 g/mol
Brand name Niclocide Brand Names: Aniprazol + Praziquantel
This is a medication used to treat tapeworm infestations. Fenbendazole is a medication used to treat a variety of parasite infections.

References

Niclosamide: Beyond an antihelminthic drug
Niclosamide: Beyond an antihelminthic drug - PMC
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Frequently Asked Questions

Niclosamide was approved by the US Food and Drug Administration in 1982 for use in humans to treat tapeworm infection, and it is on the WHO's list of essential medicines. It has been used to treat millions of patients in a healthy manner.

Niclosamide kills tapeworms when they come into contact with it. Adult worms (but not ova) die quickly, probably as a result of oxidative phosphorylation uncoupling or ATPase activity stimulation.

Nausea, vomiting, stomach pain, constipation, and itchiness are some of the side effects. Dizziness, skin rash, drowsiness, perianal itching, and an unpleasant taste are rare side effects. Praziquantel is a preferable and equally safe remedy for tapeworm infestation for some of these reasons.

Niclosamide is classified as a pregnancy category B drug. There is a scarcity of information on the use of niclosamide in pregnant women. Niclosamide is not believed to be consumed systemically. Only if the possible advantage outweighs the danger to the fetus can niclosamide be used during pregnancy.

Niclosamide kills parasites by blocking their ability to absorb glucose, disrupting energy production and causing their death in the intestines.

Niclosamide is not approved for weight loss. It is used to treat tapeworm infections. Using it for weight loss is unsafe and not recommended. Always consult a doctor.

Niclosamide is generally considered safe in pregnancy, especially after the first trimester. However, always consult your doctor before taking any medicine during pregnancy.

It usually works within a few hours to kill the worms, but your doctor may ask for a follow-up test after a few days.

Praziquantel treats a broad range of parasitic worms, including schistosomiasis and liver flukes. Niclosamide is mainly used for tapeworm infections.


Disclaimer: The information provided is accurate and up-to-date to the best of our knowledge. However, it should not be considered a substitute for medical advice or consultation. We do not guarantee its completeness or accuracy. The absence of specific warnings does not mean a medicine is safe for all users. We are not responsible for any outcomes based on this information and strongly recommend consulting a doctor for any medical concerns or questions.

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