Adalimumab
Severe
Database
Drug interaction classified as: synergy
Source: DDInter
Drug reference
Levamisole
Anthelmintic · Antiparasitic, Adjuvant cancer therapy
Also known as ERGAMISOL, Levamisole hydrochloride
AnthelminticAntiparasitic, Adjuvant cancer therapy
CDSCO approved
EXCRETION
—
not curated
INTERACTIONS
12 major
SEVERE in our sources
PREGNANCY
Manufacturer advises avoid—toxicity in animal studies.
FDA category + note
Top interactionssee all 12 →
- AdalimumabSevereDatabaseDDInter
- BaricitinibSevereDatabaseDDInter
- CertolizumabSevereDatabaseDDInter
- CladribineSevereDatabaseDDInter
Mechanism
Levamisole was synthesized as an anthelmintic. It functions as an immunostimulant by restoring depressed immune function of B lymphocytes, T lymphocytes, monocytes, and macrophages.
Indications
Roundworm infectionsAdjuvant therapy with 5-fluorouracil after surgical resection in patients with Dukes’ stage C colon cancerAscaris lumbricoidesAscariasisAncylostomiasis (second line drug)Restores depressed T cell function (immunomodulator)
Dosing
- Adult
- Roundworm infections: 120–150 mg for 1 dose. If reinfection occurs, a second dose of 100 mg may be needed after 2 weeks.
- Pediatric
- Child 2–17 years: 100 mg for 1 dose. If reinfection occurs, a second dose may be needed after 2 weeks.
- Max dose
- 150 mg (single dose)
Pharmacokinetics
Onset
Quickly absorbed from the GI tract; CPmax levels reached within 2 h.
Half-life
Approximately 4 h
Metabolism
Extensively metabolized in the liver.
Contraindications
- Children under 2 years
- Pregnancy (due to toxicity in animal studies)
- Risk of fatal agranulocytosis
Side effects
Common
Gastrointestinal discomfortDiarrhoeaFlatulencenauseavomitingheadachedizzinessabdominal painGiddinessFatigueDrowsinessInsomnia
Serious
- Alopecia
- Dizziness
- Hepatitis
- Neutropenia
- Seizure
- Severe cutaneous adverse reactions (SCARs)
- Skin reactions
- Fatal agranulocytosis
- agranulocytosis
- vasculitis
- skin necrosis
- arthralgia
Pregnancy & lactation
Pregnancy
Manufacturer advises avoid—toxicity in animal studies.
Lactation
Amount present in milk too small to be harmful but manufacturer advises avoid.
Drug interactions
Baricitinib
Severe
Database
Drug interaction classified as: synergy
Source: DDInter
Certolizumab
Severe
Database
Drug interaction classified as: synergy
Source: DDInter
Cladribine
Severe
Database
Drug interaction classified as: synergy
Source: DDInter
Clozapine
Severe
Database
Drug interaction classified as: synergy
Source: DDInter
Deferiprone
Severe
Database
Clinical effect not specified
Source: DDInter
Etanercept
Severe
Database
Drug interaction classified as: synergy
Source: DDInter
Fingolimod
Severe
Database
Drug interaction classified as: synergy
Source: DDInter
Golimumab
Severe
Database
Clinical effect not specified
Source: DDInter
Infliximab
Severe
Database
Clinical effect not specified
Source: DDInter
Leflunomide
Severe
Database
Clinical effect not specified
Source: DDInter
Measles Virus Vaccine Live Attenuated
Severe
Database
Clinical effect not specified
Source: DDInter
Related guidelines
Other Anthelmintic drugs
Ask House about Levamisole
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Textbook-sourced·Sources: KD Tripathi 7e, Goodman & Gilman 14e, BNF·Updated: 2026-05-10