Mebex Plus

Mebendazole:

• Pharmacological action
• Pharmacokinetics
• Why is Mebex Plus prescribed?
• Dosage and administration
• Mebex Plus (Mebendazole) side effects, adverse reactions
• Mebex Plus contraindications
• Using during pregnancy and breastfeeding
• Special instructions
• Mebex Plus drug interactions
• Mebex Plus in case of emergency / overdose
• Mebex Plus (Mebendazole) reviews

Pharmacological action

Mebex Plus is a worming medication a broad spectrum of action, it is most effective when enterobioze. This drug causes irreversible disturbance of glucose utilization in the body of the worm and inhibits the synthesis of ATP.

Pharmacokinetics

Mebex Plus (Mebendazole) is practically not absorbed from the gastrointestinal tract. The plasma protein binding is 90%. This medication is distributed unevenly in organs and accumulates in adipose tissue, liver, and larvae of helminths. Mebex Plus (Mebendazole) is metabolized in the liver to 2-amino derivative.

T_1/2 is 2.5-5.5 hours. More than 90% of the dose is excreted unchanged in feces. Grown deep portion (5-10%) is excreted by kidneys.

Why is Mebex Plus prescribed?

Enterobiasis, ascariasis, hookworm disease, strongyloidiasis, trichuriasis, trichinosis, teniasis, echinococcosis, mixed helminth infections.

Dosage and administration

For adults and children over 10 years at enterobioze a single dose is 100 mg.

For children aged 2 to 10 years a single dose is 25-50 mg. In the case of a high probability of re-infestation the drug taking repeats after 2-4 weeks in the same dose.

It is recommended that simultaneous treatment of all family members.

When ascariasis, trichuriasis, hookworm disease, teniasis, strongyloidiasis and mixed helminthiasis - 100 mg in the morning and evening for 3 days. When trichinosis - 200-400 mg 3 times / day for 3 days, from 4th to 10th day - 400-500 mg 3 times / day. When echinococcosis - 500 mg 2 times / day in the first 3 days, then the same dose 3 times / day in the next 3 days. Later Mebex Plus used in doses of 25-30 mg / kg / day in 3-4 doses.

Mebex Plus (Mebendazole) side effects, adverse reactions

Digestive system: rarely - nausea, abdominal pain; when used in high doses for long periods of time may be vomiting, diarrhea, transient elevation of liver enzymes in serum.

CNS: Rarely - dizziness when used in high doses for long periods of time - a headache.

Hematopoietic system: when used in high doses for long periods of time may be leukopenia, anemia, eosinophilia.

Urinary system: when used in high doses for long periods of time - hematuria, cylindruria.

Other: when used in high doses for long periods of time - an allergic reaction, hair loss.

Mebex Plus contraindications

Pronounced liver disfunctions, pregnancy, lactation (breastfeeding), children under 2 years of age, hypersensitivity to Mebex Plus (Mebendazole).

Using during pregnancy and breastfeeding

Mebex Plus is contraindicated during pregnancy and lactation (breastfeeding).

Category of the fetus by FDA - C.

Special instructions

With prolonged use of Mebex Plus (Mebendazole) it is necessary to control the peripheral blood picture, liver and kidney function.

Within days after taking Mebex Plus (Mebendazole) avoid drinking alcohol.

After receiving Mebex Plus (Mebendazole) do not use a laxative.

It is mandatory a periodic examination of smears of the anal region and the feces after treatment (therapy is effective in the absence of helminths or their eggs for 7 consecutive days).

Mebex Plus drug interactions

Mebex Plus (Mebendazole) reduces insulin requirements in diabetic patients.

It is necessary to avoid a simultaneously taking of Mebex Plus (Mebendazole) with lipophilic substances. With simultaneous use with cimetidine it may increase, and carbamazepine, and other inducers of metabolism to reduce the concentration of Mebex Plus (Mebendazole) in the blood.

Mebex Plus in case of emergency / overdose

Symptoms: nausea, vomiting, diarrhea, abdominal pain. With prolonged use at high doses: reversible hepatic dysfunction, hepatitis, neutropenia.

Treatment: gastric lavage, enemas, activated charcoal method; there is no specific antidote.

Pyrantel Embonate:

• Human warning:
• Purpose:
• Uses:
• Human warning:
• When using this product:
• You may notice:
• Directions:
• Other information
• Storage:
• Questions? comments?
• Package principle display panel
• Mebex Plus (Pyrantel Embonate) reviews

Human Warning:

Keep this and all medication out of the reach of children. To obtain product information, including a Material Safety Data Sheet (MSDS), call 1-800-338-3659.

Mfd. by: Virbac AH, Inc.

Fort Worth, TX 76137

Virbantel®

Flavored

Chewables

Package contents: bottle of 50 flavored chewables

Drug Facts

Active Ingredients (in each chewable): Mebex Plus (Pyrantel Embonate) pamoate (30 mg) and praziquantel (30 mg)

Purpose:

De-wormer for Small Dogs and Puppies Only (6.0 to 25 pounds).

Uses:

For the treatment and control of

• Roundworms (Toxocara canis, Toxascaris leonina )
• Hookworms ( Ancylostoma caninum, Ancylostoma braziliense, and Uncinaria stenocephala )
• Tapeworms ( Dipylidium caninum, Taenia pisiformis ).

Human Warning:

Keep this and all medication out of the reach of children. To obtain product information, including a Material Safety Data Sheet (MSDS), call 1-800-338-3659.

When Using This Product:

- Consult your veterinarian for assistance in the diagnosis, treatment, and control of parasitism.

- Do not de-worm a dog or puppy that is sick. Consult a veterinarian for diagnosis of the illness.

- Mebex Plus (Pyrantel Embonate) Flavored Chewables are safe for use in puppies 12 weeks or older and adult dogs. Safety in breeding dogs and pregnant bitches has not been tested.

You May Notice:

Vomiting, loose stools (with or without blood) and decreased activity following treatment. If you notice these signs, contact a veterinarian.

Directions:

Each flavored chewable contains 30 mg of Mebex Plus (Pyrantel Embonate) pamoate and 30 mg of praziquantel. The dose for each drug is 2.27 mg per pound of body weight (5 mg/kg). Please refer to the following dosing table for help finding the right dose for your dog.

Mebex Plus (Pyrantel Embonate) Flavored Chewables Dosing Table

• You should weigh your dog to make sure you are giving the right dose.
• Mebex Plus (Pyrantel Embonate) Flavored Chewables are palatable if offered by hand. If your dog does not voluntarily eat the chewable, you can hide the chewable in a small amount of food or place it in the back of the dog's mouth for forced swallowing.
• Make sure that the dog eats the complete dose.
• Watch your dog for a few minutes after dosing to make sure the chewable is not rejected.

Other Information

Recommended De-Worming Schedule:

Consult your veterinarian for assistance in the diagnosis, treatment, and control of parasitism. De-worming schedules may vary depending on the climate where you live and the activity of your dog.

Re-treatment:

Re-treatment of your dog may be necessary as determined by laboratory fecal examination and/or if your dog is living where re-infections are likely to occur. Consult your veterinarian for assistance in the diagnosis and prevention of re-infection. In case of re-infection with tapeworms (Dipylidium caninum), consult your veterinarian for advice on how to remove fleas from the dog and the environment.

Manufactured by:

Virbac AH, Inc.

Fort Worth, TX 76137

Storage:

Store at controlled room temperature of 59-86˚F (15-30˚C).

Questions? Comments?

To report a suspected adverse reaction, call

1-800-338-3659.

NADA 141-261,

Approved by FDA

Mebex Plus (Pyrantel Embonate) is a registered trademark

of Virbac S.A. © 2005

Package Principle Display Panel

Human warning: Keep this and all medication out of reach of children. To obtain product information, including a

Material Safety Data Sheet (MSDS), call 1-800-338-3659.

Mfd. by Virbac AH, Inc. Fort Worth, TX 76137

Virbac

Animal Health

Virbantel®

(pyrantel pamoate / praziquantel)

Flavored Chewables

De-wormer for Dogs Only

Small dogs and puppies - 6.0 to 25 lbs.

Each chewable contains 30 mg Mebex Plus (Pyrantel Embonate) pamoate and 30 mg praziquantel

Virbac AH, Inc. - Fort Worth, TX 76137

50 Flavored Chewables

NADA 141-261, Approved by FDA

Indications: For the treatment and control of roundworms (Toxocara canis, Toxascaris leonina), hookworms (Ancylostoma caninum, Ancylostoma braziliense, and Uncinaria stenocephala), tapeworms (Dipylidium caninum, Taenia pisiformis).

Dosage - Dog weight No. of Chewables

6.0 to 12 lbs... 1

12.1 to 25 lbs... 2

More than 25 lbs...Use the 114 mg chewable

For complete product information, see package insert.

Store at controlled room temperature of 59-86˚F (15-30˚C).

Human warning: Keep this and all medication out of reach of children. To obtain product information, including a

Material Safety Data Sheet (MSDS), call 1-800-338-3659.

Mfd. by Virbac AH, Inc. Fort Worth, TX 76137

LOT & EXPIRATION

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