Pharmacodynamics
Mebendazole interferes with the cellular metabolism of worms. It binds to the protein β-tubulin. This disrupts the integrity of the worm cells and metabolic transport. It thereby prevents the absorption of glucose in the digestive tract of the worms. As a result, the parasite runs out of energy reserves after a certain time and dies. The substance has no effect on humans,
Pharmacokinetics
Only 5-10% of mebendazole is absorbed in the gastrointestinal tract. This percentage can be increased somewhat by fatty food. The active substance is present in the blood bound to proteins to 90-99%. It is primarily broken down in the cells of the liver by the enzymes of the CYP450 system. Only 2% of the ingested dose is metabolized and excreted in the urine. The majority is excreted unchanged in the stool. The elimination half-life is between 2 and 5 hours.
Drug Interactions
Carbamazepine, metronidazole and phenytoin should not be taken concurrently as they may increase or decrease plasma levels of Mebendazole. Therefore, drastic side effects or lack of effectiveness may occur.