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Triclabendazole

Anthelmintic

Also known as EGATEN

Anthelmintic
CDSCO approvedSchedule H
EXCRETION
not curated
INTERACTIONS
12 major
SEVERE in our sources
PREGNANCY
not curated
Top interactionssee all 12
  • AmiodaroneSevereDatabaseDDInter
  • AmisulprideSevereDatabaseDDInter
  • AnagrelideSevereDatabaseDDInter
  • Arsenic TrioxideSevereDatabaseDDInter

Mechanism

The provided textbook excerpts mention triclabendazole as an effective treatment for Fasciola hepatica and Paragonimus westermani infections, specifying dosage regimens. However, these texts do not describe the specific molecular target, cellular pathway affected, or the detailed mechanism of action by which triclabendazole exerts its anthelmintic effects.

Indications

Paragonimus westermani infectionFasciola hepatica infectionFascioliasisParagonimiasisliver fluke infection caused by Fasciola hepatica

Dosing

Adult
For Fasciola hepatica: single oral dose of 10 mg/kg. For Paragonimus westermani: 10 mg/kg daily for 3 days.

Pharmacokinetics

Protein binding
>99%
Metabolism
Rapidly oxidized into two major metabolites, triclabendazole sulfoxide and triclabendazole sulfone; triclabendazole sulfoxide is the active metabolite.

Drug interactions

Amiodarone
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Amisulpride
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Anagrelide
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Arsenic Trioxide
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Bedaquiline
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Bepridil
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Cabozantinib
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Ceritinib
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Chloroquine
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Cisapride
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Citalopram
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Clozapine
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Related guidelines

Other Anthelmintic drugs

Ask House about Triclabendazole

Continue into a citation-backed clinical answer with the drug context already attached.

Sources: Goodman & Gilman 14e, Harrison 22e, Katzung·Verified: 2026-05-10 · House clinical team