alben-plus oral suspension - Ivermectin (1.5mg) + Albendazole (200mg) medicine

Alben Plus Oral Suspension: Complete Medicine Guide

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🏭 Ambit Bio Medix 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 24, 2026
⚠️ Hepatotoxicity Risk 🤰 Pregnancy Category Not established from the available information. Both ivermectin and albendazole are generally avoided during pregnancy unless the potential benefit justifies the potential risk. Consult your doctor. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate to well-established for individual components; combination evidence is limited.
Reviewed by
SaathiMed Expert Panel | Sep 24, 2026

When to Call Your Doctor IMMEDIATELY

  • Difficulty breathing or swelling of face, lips, or throat
  • Severe abdominal pain or bloody diarrhoea
  • Yellowing of skin or eyes
  • Unusual bleeding or bruising
  • Seizures or severe headache
  • Decreased urine output
  • Persistent vomiting

If experiencing severe symptoms, call emergency services immediately.

What is alben-plus oral suspension used for?

This medicine is a combination of ivermectin and albendazole used to treat parasitic worm infections. It works by paralysing and killing parasites. It is available as an oral suspension and should be taken as prescribed by a doctor.

  • Generic Name: Ivermectin (1.5mg) + Albendazole (200mg)
  • Manufacturer: Ambit Bio Medix
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 alben-plus oral suspension के बारे में (Hindi Summary)

उपयोग: यह दवा इवरमेक्टिन और अल्बेंडाजोल का संयोजन है, जिसका उपयोग परजीवी कीड़ों के संक्रमण के इलाज के लिए किया जाता है। यह पेट के कीड़े, स्ट्रॉन्गीलॉइडियासिस, स्केबीज और लिम्फैटिक फाइलेरिया जैसी बीमारियों में प्रभावी है। यह दवा कीड़ों को मारती है और उनके कारण होने वाले लक्षणों से राहत दिलाती है।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, पेट दर्द, दस्त, सिरदर्द और चक्कर आना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन एलर्जी, लीवर की समस्या या रक्त विकार हो सकते हैं। यदि आपको कोई गंभीर लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। इसे दूसरों के साथ साझा न करें। गर्भवती महिलाएं, स्तनपान कराने वाली महिलाएं और 2 वर्ष से छोटे बच्चे इसे बिना डॉक्टर की सलाह के न लें। शराब का सेवन न करें। दवा लेते समय वाहन चलाने से बचें। इसे ठंडी और सूखी जगह पर रखें।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 alben-plus oral suspension Uses & Benefits

[{"condition":"Soil-transmitted helminth infections","description":"This medicine is used to treat infections caused by roundworms, hookworms, and whipworms, either alone or in combination.","evidence":"Well-established"},{"condition":"Strongyloidiasis","description":"Ivermectin, a component of this medicine, is effective against Strongyloides stercoralis, a parasite that can cause chronic gastrointestinal and respiratory symptoms.","evidence":"Well-established"},{"condition":"Scabies","description":"Ivermectin is used orally to treat scabies, especially in crusted or widespread cases, while albendazole may help with concurrent intestinal parasites.","evidence":"Well-established"},{"condition":"Lymphatic filariasis","description":"Ivermectin is part of mass drug administration programmes for lymphatic filariasis, often combined with albendazole to reduce transmission.","evidence":"Well-established"},{"condition":"Cutaneous larva migrans","description":"Albendazole is effective against creeping eruption caused by hookworm larvae, and ivermectin may provide additional benefit.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Rosacea","description":"Topical ivermectin is approved for rosacea, but oral ivermectin has been used off-label in some cases; albendazole has no role here.","evidence":"Limited"},{"condition":"Head lice","description":"Oral ivermectin is sometimes used off-label for resistant head lice, but albendazole is not effective for this condition.","evidence":"Limited"}]

Primary treatment for: Parasitic worm infections

Also treats: Strongyloidiasis, Scabies, Lymphatic filariasis, Soil-transmitted helminthiasis

📋 Drug Information

Generic Name(s)Ivermectin (1.5mg) + Albendazole (200mg)
Brand Namealben-plus oral suspension
ManufacturerAmbit Bio Medix
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI INFECTIVES
Action Class
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C. Protect from light and moisture. Keep the bottle tightly closed. Do not freeze.
Shelf Life24 months from the date of manufacture.
WHO GuidelineThe World Health Organization recommends ivermectin and albendazole for preventive chemotherapy in lymphatic filariasis and soil-transmitted helminthiasis in endemic areas. However, this specific combination product should be used as per national guidelines.
ICMR GuidelineThe Indian Council of Medical Research recommends albendazole for soil-transmitted helminthiasis and ivermectin for strongyloidiasis and scabies. Combination therapy may be used in specific cases as per clinician judgment.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Always prescribe this medicine based on confirmed diagnosis of parasitic infection.
2
Advise patients to take the suspension with food to enhance absorption and reduce GI upset.
3
Warn patients about potential dizziness and advise against driving until they know how it affects them.
4
Monitor liver function tests in patients with pre-existing liver disease or prolonged therapy.
5
Counsel patients on the importance of completing the full course as prescribed.
6
Advise effective contraception during treatment and for one month after.
7
Check for drug interactions, especially with warfarin and anticonvulsants.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Abdominal pain and worms in stool
This medicine is commonly prescribed for intestinal worm infections.
Likely Use
✅
Itching and rash
May be used for scabies, but diagnosis is needed.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionIvermectin is well absorbed from the gastrointestinal tract after oral administration, with peak plasma concentrations reached within 4 hours. Albendazole is poorly absorbed but undergoes extensive first-pass metabolism; its active metabolite, albendazole sulfoxide, is absorbed and reaches peak levels within 2 to 3 hours. Food, especially fatty meals, can increase the absorption of both drugs.
DistributionIvermectin is highly lipophilic and distributes widely into body tissues, including the liver, fat, and skin. It does not readily cross the blood-brain barrier in humans at therapeutic doses. Albendazole and its metabolites are distributed to various tissues, including the liver, lungs, and muscles, and can cross the blood-brain barrier to some extent, which is useful in neurocysticercosis.
Protein BindingIvermectin is approximately 93% bound to plasma proteins. Albendazole sulfoxide is about 70% bound to plasma proteins.
MetabolismIvermectin is primarily metabolised in the liver by cytochrome P450 enzymes, mainly CYP3A4. Albendazole undergoes extensive first-pass metabolism in the liver to its active metabolite, albendazole sulfoxide, via CYP3A4 and flavin-containing monooxygenases.
Half-LifeThe elimination half-life of ivermectin is approximately 18 hours. Albendazole sulfoxide has a half-life of about 8 to 12 hours.
ExcretionIvermectin is mainly excreted in the faeces, with less than 1% excreted unchanged in urine. Albendazole metabolites are excreted primarily in the urine and bile.
BioavailabilityThe oral bioavailability of ivermectin is increased when taken with food, particularly fatty meals. Albendazole has low systemic bioavailability due to poor absorption and first-pass metabolism, but its active metabolite is measurable in plasma.
Onset of ActionThe onset of action varies depending on the parasite. For intestinal worms, effects may be seen within 24 to 48 hours as worms are expelled. For tissue parasites, clinical improvement may take days to weeks.
Peak Plasma TimeIvermectin reaches peak plasma concentration in about 4 hours. Albendazole sulfoxide reaches peak plasma concentration in about 2 to 3 hours.
Duration of ActionThe duration of action depends on the parasite life cycle and dosing regimen. A single dose may be sufficient for some infections, while others require repeated dosing over several days.

How It Works

This medicine combines two antiparasitic agents with complementary mechanisms. Ivermectin binds to glutamate-gated chloride channels in the nerve and muscle cells of parasites, causing hyperpolarisation and paralysis, which leads to the death of the parasite. Albendazole binds to beta-tubulin, inhibiting microtubule polymerisation, which disrupts the parasite's cytoskeleton, glucose uptake, and energy metabolism, ultimately killing the worm. Together, they provide a broad spectrum of activity against various helminths.

Mechanism Steps

1
Ivermectin binding: Ivermectin binds to glutamate-gated chloride channels on parasite nerve and muscle cells, increasing chloride ion influx.
2
Paralysis of parasite: The increased chloride influx hyperpolarises the cell membrane, leading to paralysis and eventual death of the parasite.
3
Albendazole binding: Albendazole binds to beta-tubulin, preventing microtubule assembly in parasite cells.
4
Energy depletion: Disruption of microtubules impairs glucose uptake and energy production, causing the parasite to die.

💡 How to Take alben-plus oral suspension

Strength: Oral suspension containing ivermectin 1.5 mg and albendazole 200 mg per 5 mL.

1Shake the bottle well before each use to ensure the medicine is evenly mixed.
2Measure the prescribed dose using the measuring cup or syringe provided.
3Take this medicine with food to improve absorption and reduce stomach upset.
4Swallow the suspension directly; do not mix with other liquids unless instructed.
5Wash the measuring device thoroughly after each use.
6Take at the same time each day if multiple doses are prescribed.

Dosage Information

Adult DosageThe adult dose of this medicine varies depending on the specific infection being treated. For soil-transmitted helminths, a single dose of 200 mg albendazole is often used, but when combined with ivermectin, the dose may be adjusted. For strongyloidiasis, ivermectin 200 mcg/kg once daily for 1-2 days is typical. For lymphatic filariasis, a single dose of ivermectin 150-200 mcg/kg plus albendazole 400 mg is used. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may have reduced liver or kidney function; dose should be adjusted based on clinical assessment. No specific dose adjustments are established, but caution is advised.
Renal ImpairmentNo specific dose adjustments are established for renal impairment. Use with caution and monitor for adverse effects.
Hepatic ImpairmentIn patients with hepatic impairment, dose reduction may be necessary due to altered metabolism of albendazole. Monitor liver function closely.
Maximum Daily DoseThe maximum daily dose depends on the indication and is determined by the prescribing clinician. Do not exceed the prescribed dose.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Increases absorption and reduces stomach upset.
Grapefruit juice
Avoid
May increase drug levels by inhibiting CYP3A4.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of alben-plus oral suspension

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food to reduce nausea. If it persists, consult your doctor.
Abdominal pain (Common (5-10%))
Usually temporary. If severe or persistent, seek medical advice.
Headache (Common (5-10%))
Rest and stay hydrated. Consult doctor if headache is severe.
Dizziness (Common (5-10%))
Avoid driving or operating machinery until you feel normal.
Diarrhoea (Common (5-10%))
Stay hydrated. If diarrhoea is severe or bloody, contact your doctor.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek emergency medical help immediately if you experience swelling of face, lips, tongue, or difficulty breathing.
Liver enzyme elevation (Uncommon (0.1-1%))
Your doctor may monitor liver function. Report yellowing of eyes or skin, dark urine, or severe abdominal pain.
Bone marrow suppression (Rare (<0.1%))
Report unusual bruising, bleeding, or signs of infection such as fever or sore throat.
Neurological worsening in neurocysticercosis (Uncommon (0.1-1%))
Seek immediate medical attention if you experience seizures, severe headache, or new neurological symptoms.

⚠️ Rare Side Effects

Stevens-Johnson syndrome
Seek emergency care if you develop a painful rash with blisters or peeling skin.
Hepatitis
Report symptoms of liver inflammation such as jaundice, fatigue, and nausea.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Ketoconazole Major
Rifampicin Major
Phenytoin Moderate
Oral contraceptives Moderate
Antacids Minor

🚨 Major Interactions

  • Warfarin
  • CYP3A4 inhibitors (e.g., ketoconazole, ritonavir)
  • CYP3A4 inducers (e.g., rifampicin, carbamazepine)

⚡ Moderate Interactions

  • Anticonvulsants (e.g., phenytoin)
  • Oral contraceptives

🍷 Alcohol Interaction

Alcohol should be avoided while taking this medicine because it may increase the risk of liver toxicity and worsen side effects such as dizziness and drowsiness.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to ivermectin, albendazole, or any component of the formulation.","Pregnancy, especially during the first trimester, unless clearly needed.","Children under 2 years of age (safety not established).","Concurrent use with live vaccines.","Severe liver disease."]

⚠️ Warnings & Precautions

["Use with caution in patients with liver impairment; dose adjustment may be needed.","Avoid in patients with known hypersensitivity to benzimidazoles.","May cause dizziness; avoid driving or operating machinery until you know how it affects you.","Use effective contraception during treatment and for at least one month after the last dose.","Not recommended for use in children under 2 years without specialist advice.","Inform your doctor if you have a history of seizures or neurological disorders.","Do not use for prolonged periods without medical supervision."]

🤱 Lactation Safety

Ivermectin and albendazole are excreted in breast milk in small amounts. Breastfeeding is not recommended while taking this medicine unless advised by a doctor. Consult your healthcare provider.

💊 Overdose Management

Overdose of this medicine may cause nausea, vomiting, diarrhoea, dizziness, and potentially severe neurological or hepatic effects. If you suspect an overdose, seek emergency medical attention immediately. Treatment is supportive and symptomatic. There is no specific antidote.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not share it with others, even if they have similar symptoms. Inform your doctor about all other medicines you are taking, especially blood thinners, anticonvulsants, and immunosuppressants. Avoid alcohol while taking this medicine, as it may increase the risk of liver problems. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before using this medicine. Use effective contraception during treatment and for at least one month after the last dose. Do not drive or operate heavy machinery if you feel dizzy or drowsy after taking this medicine. Keep this medicine out of the reach of children. Store it at room temperature, away from direct sunlight and moisture. Do not use it after the expiry date.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more susceptible to side effects such as dizziness and liver enzyme changes. Dose adjustment may be needed based on liver and kidney function.

🤰 Pregnancy Planning (TTC)

This medicine should be avoided during pregnancy and while trying to conceive. Use effective contraception during treatment and for at least one month after the last dose. Consult your doctor if you are planning pregnancy.

🏥 Post-Surgery Considerations

Inform your surgeon if you are taking this medicine before surgery. It may interact with anaesthetics and other medications.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine, as it may interact with medications used during dental procedures.

💚 Lifestyle Tips for Better Results

🏃
Maintain good personal hygiene to prevent reinfection.
🥗
Wash hands thoroughly before eating and after using the toilet.
😴
Avoid walking barefoot in areas where hookworm is common.
💧
Wash fruits and vegetables thoroughly before consumption.
🧘
Ensure proper sanitation and clean drinking water.

🏋️ Exercise Considerations

If you experience dizziness or fatigue after taking this medicine, avoid strenuous exercise until you feel normal. Light activity is generally safe.

🥗 Diet Recommendations

Eat a balanced diet rich in fruits and vegetables.
Stay well hydrated.
Avoid alcohol and grapefruit juice.
Include protein-rich foods to support recovery.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or drowsiness in some people. Avoid driving or operating heavy machinery until you know how it affects you. Most people can continue their daily activities with caution.

🛑 When to Stop This Medicine

Do not stop taking this medicine without consulting your doctor. If you experience severe side effects, contact your doctor immediately. Complete the full course as prescribed to ensure the infection is fully treated.

📅 Long-Term Use Effects

Long-term use of this medicine is not recommended without medical supervision. Prolonged use may increase the risk of liver toxicity and bone marrow suppression. Regular monitoring of liver function and blood counts is advised if extended therapy is necessary.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Good hygiene practices

Prevents reinfection with parasites.

Evidence: Well-established
Topical scabicides

For scabies, topical treatments like permethrin can be used instead of oral ivermectin.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

Live vaccines should be avoided during treatment with this medicine. Consult your doctor about vaccination timing.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

When travelling, carry this medicine in its original packaging with a copy of your prescription. Store it at room temperature and protect it from extreme heat or cold. If crossing time zones, adjust dosing times gradually as advised by your doctor. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old man with chronic itching and rash diagnosed with scabies
He was prescribed this medicine as part of a combination therapy. After taking the suspension as directed, his itching reduced significantly within a week. He also applied topical treatment. He reported mild nausea but it resolved after taking the medicine with food.
💡 Lesson: Taking this medicine with food can reduce stomach upset and improve tolerability.
👤 A 28-year-old woman with soil-transmitted helminth infection
She experienced abdominal pain and fatigue. After a single dose of this medicine, her symptoms improved within two days. She was advised to maintain good hygiene to prevent reinfection.
💡 Lesson: A single dose can be effective for certain worm infections, but hygiene measures are crucial to prevent recurrence.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: For intestinal worms, effects may be seen within 24-48 hours. For tissue parasites, it may take days to weeks.

Q: Can I take this medicine without food?

A: It is best taken with food to improve absorption and reduce stomach upset.

Q: Is this medicine safe for children?

A: Safety is not established for children under 2 years. Consult a pediatrician.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my liver?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🛑 Myths vs. Facts

  • Myth: This medicine can be taken for any stomach problem.
    Fact: This medicine is only for specific parasitic infections and should not be used for general stomach issues.
  • Myth: It is safe to take this medicine without a prescription.
    Fact: This medicine requires a prescription and should only be taken under medical supervision.
  • Myth: This medicine can be used as a deworming tonic for everyone.
    Fact: Deworming should be based on diagnosis and medical advice, not routine self-medication.

🔄 Alternative Options

Generic Alternatives

  • Ivermectin + Albendazole oral suspension (generic)

Brand Alternatives

  • Alben Plus Oral Suspension

📊 Comparison with Similar Medicines

[{"medicine":"Albendazole alone","difference":"Only treats certain intestinal worms; no activity against scabies or Strongyloides."},{"medicine":"Ivermectin alone","difference":"Effective against Strongyloides and scabies but not against all intestinal worms."},{"medicine":"Mebendazole","difference":"Similar to albendazole but not combined with ivermectin."}]

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