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Generic Praziquantel Information
Introduction
Praziquantel is an antiparasitic medication widely used to treat infections caused by trematodes (flukes) and cestodes (tapeworms). In Hong Kong, the drug is important for travelers returning from endemic regions and for patients diagnosed with locally acquired food‑borne helminth infections such as clonorchiasis. The active compound is Praziquantel, and it belongs to the antiparasitic group of medicines. It is manufactured by several global pharmaceutical companies, most notably GlaxoSmithKline (brand name Biltricide) and Merck (brand name Praziquantel®). The medication is also employed off‑label for certain neurocysticercosis protocols, reflecting its broad spectrum of activity against helminths.
What is Praziquantel?
Praziquantel is the generic version of the original brand‑name product Biltricide (GSK) and Praziquantel® (Merck). Both brand versions contain the same active compound, Praziquantel, and are approved for identical indications. Our online pharmacy provides this generic alternative as a cost‑effective treatment option, offering the same therapeutic benefit at a price close to the manufacturer’s production cost.
Praziquantel is classified as an antiparasitic (anthelmintic) agent. It was first synthesized in the 197s and has since become the first‑line therapy for most schistosome infections worldwide. The medication is supplied as oral tablets, typically 600 mg or 150 mg strengths, formulated with inactive excipients such as lactose, microcrystalline cellulose, and magnesium stearate. The tablets are film‑coated, white to off‑white, and bear imprint codes that identify the strength and manufacturer.
How Praziquantel Works
The drug exerts its antiparasitic effect by disrupting calcium homeostasis in the parasite’s tegument (outer surface). Praziquantel binds to voltage‑gated calcium channels on the helminth’s membrane, causing a rapid influx of calcium ions. This influx induces sustained muscular contraction, paralysis, and tegumental vacuolisation. The damaged tegument exposes antigens that trigger host immune mechanisms, leading to parasite dislodgement and death.
After oral administration, Praziquantel is rapidly absorbed, reaching peak plasma concentrations within 1–3 hours. Food can delay absorption slightly but does not significantly affect overall exposure. The drug is extensively metabolised in the liver by the cytochrome P450 3A4 system, and its active metabolites are eliminated primarily via the kidneys. The biological half‑life ranges from 1.5 to 2.5 hours, supporting the use of single‑dose or short‑course regimens for most indications.
Conditions Treated with Praziquantel
- Schistosomiasis (Bilharzia) – caused by Schistosoma mansoni, S. haematobium, and S. japonicum. Praziquantel at 40 mg/kg (single dose) achieves cure rates >90 % in clinical trials.
- Clonorchiasis – infection with the Chinese liver fluke Clonorchis sinensis, prevalent in parts of southern China and Taiwan, and occasionally diagnosed in Hong Kong due to raw freshwater fish consumption. The recommended dose is 25 mg/kg, administered in three divided doses over one day.
- Fascioliasis – caused by Fasciola hepatica (liver fluke). A single dose of 40 mg/kg is effective in most patients.
- Paragonimiasis – lung fluke infection (Paragonimus spp.). Standard therapy is 25 mg/kg three times daily for three days.
- Neurocysticercosis (off‑label) – when cysticercus lesions are located in the central nervous system, Praziquantel is used in combination with albendazole under specialist supervision.
In Hong Kong, the most frequent clinical scenario involves travelers who acquire schistosome infection during freshwater exposure in endemic African or Asian countries, and residents who develop clonorchiasis from traditional dishes containing raw or undercooked fish. Early treatment with Praziquantel reduces morbidity, prevents chronic organ damage, and curtails community transmission.
Who is Praziquantel For?
- Adults with confirmed helminth infection – laboratory confirmation (stool microscopy, antigen detection, or imaging) is the usual prerequisite before initiating therapy.
- Travelers returning from endemic regions – especially those who engaged in freshwater swimming, river bathing, or consumption of raw freshwater fish.
- Patients with food‑borne trematodiases – individuals diagnosed with clonorchiasis, fascioliasis, or paragonimiasis, regardless of occupation.
- Immunocompetent individuals – Praziquantel is generally well tolerated in people with normal liver and renal function.
- Pregnant women – category B; the drug may be used when the benefits outweigh potential risks, particularly in the second and third trimesters, but a specialist’s assessment is advised.
Contraindications and cautions include severe hepatic impairment (due to reliance on hepatic metabolism), known hypersensitivity to Praziquantel or any tablet excipients, and concomitant use of drugs that strongly inhibit CYP3A4 without dose adjustment. Pediatric use is approved for children ≥4 years; however, this article focuses on adult treatment.
Risks, Side Effects, and Interactions
Common
- Nausea or vomiting
- Abdominal discomfort or cramping
- Headache
- Dizziness or light‑headedness
- Transient fatigue
These effects usually appear within the first few hours after dosing and resolve without medical intervention. Taking the medication with food can lessen gastrointestinal upset.
Rare
- Skin rash, urticaria, or pruritus
- Mild elevation of liver enzymes (ALT, AST) that normalises within weeks
- Mild leukopenia or eosinophilia
Patients experiencing persistent rash or laboratory abnormalities should seek medical advice.
Serious
- Anaphylactic reaction – rapid onset of wheezing, throat tightness, hypotension; requires immediate emergency care.
- Seizures – reported rarely, particularly in patients with pre‑existing neurological disease.
- Severe hepatotoxicity – marked elevation of transaminases with jaundice; discontinue therapy and monitor liver function.
If any serious reaction is suspected, the patient should stop the medication and obtain urgent medical attention.
Clinically Relevant Drug–Drug Interactions
- CYP3A4 inhibitors (e.g., ketoconazole, ritonavir) can increase Praziquantel plasma levels, potentially heightening adverse effects. Dose adjustment or close monitoring is advisable.
- CYP3A4 inducers (e.g., rifampicin, carbamazepine) may reduce drug exposure, risking therapeutic failure.
- Antacids containing magnesium or aluminum may diminish absorption; separate administration by at least two hours is recommended.
- Corticosteroids (e.g., prednisolone) have been shown to reduce Praziquantel efficacy against schistosomes; co‑administration should be evaluated by a clinician.
Practical Use: Dosing, Missed Dose, Overdose
- Standard dosing for schistosomiasis – 40 mg/kg as a single oral dose, taken with water. In severe infections, the dose may be repeated after 4–6 weeks.
- Clonorchiasis – 25 mg/kg divided into three doses given at , 4, and 8 hours on the same day.
- Fascioliasis – 40 mg/kg as a single dose, optionally repeated after 2 weeks if the initial response is incomplete.
Missed dose: If a dose is forgotten, take it as soon as remembered unless the next scheduled dose is due within 4 hours; in that case, skip the missed dose and continue the regular schedule. Do not double the dose to compensate.
Overdose: Symptoms may include severe nausea, vomiting, dizziness, and tremor. Management is supportive: activate charcoal if presentation is within one hour of ingestion, monitor vital signs, and treat symptomatic complications. No specific antidote exists.
Precautions:
- Avoid alcohol for at least 24 hours before and after therapy, as it may exacerbate hepatic strain.
- Patients with chronic liver disease should have baseline liver function tests and be monitored during treatment.
- Renal impairment does not significantly alter Praziquantel clearance, but dose adjustment is not routinely required.
- The medication should be stored at 20‑25 °C (68‑77 °F), protected from moisture and direct sunlight.
Buying Praziquantel from Our Online Pharmacy
Praziquantel can be purchased from our online pharmacy in Hong Kong, offering a discreet and reliable pathway to obtain this essential antiparasitic. Our service provides:
- Affordable pricing – we source the generic product directly from certified overseas manufacturers, keeping costs close to the original production price.
- Verified quality – each batch undergoes independent laboratory testing for potency, purity, and compliance with international pharmacopeial standards.
- Guaranteed delivery – options include 7‑day express shipping for urgent needs or ~3‑week regular airmail for non‑urgent orders, both with discreet packaging to protect patient privacy.
- Online‑only access – we operate as a pharmacy‑broker service, collaborating with licensed overseas pharmacies and suppliers. This model enables us to provide medicines that may not be stocked in local retail pharmacies, ensuring continuity of care for patients with limited access or insurance coverage.
Our platform adheres to Hong Kong’s import regulations for personal medication use, and we provide clear guidance on customs documentation to minimise delays. By choosing our online pharmacy, patients receive a trusted, cost‑effective solution for managing parasitic infections safely and confidentially.
FAQ
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Is Praziquantel available in both brand‑name and generic forms in Hong Kong?
Yes, Praziquantel is marketed under brand names such as Biltricide (GSK) and Praziquantel® (Merck), as well as generic versions produced by multiple manufacturers. Generic products contain the identical active compound and are typically more affordable. -
What is the appearance of Praziquantel tablets?
Tablets are usually white or off‑white, film‑coated, and bear imprint codes indicating strength (e.g., “600 mg” or “150 mg”) and manufacturer identification. The size is moderate, allowing easy swallowing with water. -
Can Praziquantel be stored in a humid Hong Kong apartment?
The medication should be kept in a dry environment, away from moisture and direct sunlight. Storing the bottle in a sealed container or a climate‑controlled cabinet helps maintain stability, especially during the humid summer months. -
Does Praziquantel interact with common over‑the‑counter antacids?
Antacids containing magnesium or aluminum may reduce Praziquantel absorption. To minimise this effect, take the antiparasitic at least two hours before or after an antacid dose. -
Are there specific warnings for Asian populations taking Praziquantel?
Clinical data do not indicate ethnicity‑specific safety concerns. However, individuals with underlying liver disease, which has a higher prevalence in some Asian subpopulations, should undergo baseline liver function testing and be monitored during therapy. -
Can Praziquantel be imported for personal use without a prescription in Hong Kong?
Personal import of medicines for self‑use is permitted under Hong Kong customs regulations when the quantity does not exceed a 3‑month supply and the product is for a recognized medical condition. Importers must retain a copy of the prescribing information and may be asked to present it to customs officers. -
Does Praziquantel affect standard drug‑testing panels for employment?
Praziquantel is not a controlled substance and does not appear on typical occupational drug‑screening panels. Its metabolites are not targeted in routine immunoassays. -
How does the efficacy of Praziquantel compare with older agents such as oxamniquine?
Praziquantel provides broader spectrum activity, higher cure rates, and a simpler single‑dose regimen compared with older drugs like oxamniquine, which require multiple doses and have more limited parasite coverage. -
What is the history behind the development of Praziquantel?
The compound was discovered in the early 197s by a research team at Merck, originally intended as an anti‑cancer agent. Early trials revealed potent activity against schistosomes, leading to rapid development and global registration as the first‑line therapy for schistosomiasis. -
Will Praziquantel remain effective if taken while breastfeeding?
Small amounts of Praziquantel are excreted in breast milk, but concentrations are far below therapeutic levels. Current guidance suggests that breastfeeding can continue, although mothers should be informed of the minimal exposure and monitor infants for any unusual symptoms. -
Is there any difference between Praziquantel tablets sourced from the EU versus the US?
Formulation excipients may vary slightly to meet regional regulatory requirements (e.g., different binders or coloring agents). The active ingredient potency, dosage strength, and clinical efficacy remain consistent across jurisdictions. -
How long after completing Praziquantel therapy can I travel internationally?
Most patients can travel immediately after treatment, as the drug’s half‑life is short and side effects resolve within 24 hours. However, if severe gastrointestinal upset or allergic reactions occur, it is prudent to postpone travel until symptoms have fully subsided.
Glossary
- Cysteine‑rich tegument
- The outer protective layer of helminths that contains proteins rich in cysteine residues; disruption of this layer by Praziquantel exposes the parasite to host immune attack.
- Cytochrome P450 3A4 (CYP3A4)
- A liver enzyme responsible for metabolising many drugs, including Praziquantel. Inhibitors or inducers of CYP3A4 can alter Praziquantel’s plasma concentration.
- Anaphylaxis
- A severe, rapid‑onset allergic reaction that can cause airway constriction, blood pressure drop, and organ dysfunction; it requires immediate emergency treatment.
- Pharmacokinetic half‑life
- The time required for the plasma concentration of a drug to decrease by 50 %; for Praziquantel, this is approximately 1.5–2.5 hours, influencing dosing frequency.
⚠️ Disclaimer
The information provided about Praziquantel is for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Praziquantel for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.
Information about ordering Generic Praziquantel in online pharmacy asia
Please note that this medicine is a generic version of Praziquantel.One can buy Generic Praziquantel online by accepting the following conditions:
- Buyer is above or equal 18 years old;
- Buyer does't have any contraindications to praziquantel and fully familiar with medication Praziquantel;
- No paper instructions about side effect warnings or usage directions are sent with Generic Praziquantel medication. They are available online on our website for information purposes only;
- Ordered medication will be shipped in anonymous discreet package without disclosing its content;
Please note we may not guarantee worry free delivery to some countries where strict customs rules may apply. If you have questions please call us or use Live chat. After you place your order we may call you back for verification purposes. We may also call you back if we suspect that there may be a problems with delivery to your country. Please also refer to our FAQ page for more details. Below is a sample list of safe counties in Asia where delivery is usually worry free: Australia, New Zealand, Malaysia, Singapore, Philippines, Indonesia, Thailand, Japan, South Korea, China, Hong Kong, Pacific islands and many others outside of asia.