Alwin Syrup: Complete Guide to Uses, Dosage, and Safety
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Yellowing of skin or eyes (jaundice)
- Severe abdominal pain
- Persistent vomiting
- Blood in stool or vomit
- Unusual bleeding or bruising
- Fever with sore throat
- Seizures or convulsions
- Swelling of face, lips, or throat
- Difficulty breathing
- Dark urine
If experiencing severe symptoms, call emergency services immediately.
What is alwin syrup used for?
This medicine is an oral suspension containing albendazole, used to treat parasitic worm infections such as roundworm, hookworm, pinworm, and whipworm. It works by starving the worms of glucose, leading to their death. It is usually taken as a single dose for intestinal infections, but longer courses are needed for tissue infections like hydatid disease.
- Generic Name: Albendazole
- Manufacturer: Winmac Laboratories Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 alwin syrup के बारे में (Hindi Summary)
उपयोग: यह दवा अल्बेंडाजोल नामक सक्रिय तत्व युक्त एक ओरल सस्पेंशन है, जिसका उपयोग विभिन्न प्रकार के परजीवी कीड़ों के संक्रमण के इलाज के लिए किया जाता है। यह गोल कृमि, हुकवर्म, पिनवर्म और व्हिपवर्म जैसे आंतों के कीड़ों के साथ-साथ हाइडैटिड रोग और न्यूरोसिस्टिसरकोसिस जैसे ऊतक संक्रमणों के लिए भी प्रभावी है। यह दवा कीड़ों को ग्लूकोज अवशोषित करने से रोकती है, जिससे वे ऊर्जा की कमी से मर जाते हैं। यह आमतौर पर बच्चों और वयस्कों दोनों के लिए निर्धारित की जाती है, लेकिन गर्भवती महिलाओं और गंभीर यकृत रोग वाले रोगियों में सावधानी बरतनी चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में पेट दर्द, मतली, उल्टी, दस्त, सिरदर्द और चक्कर आना शामिल हैं। ये आमतौर पर हल्के और अस्थायी होते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन इनमें यकृत की समस्या (आंखों या त्वचा का पीलापन, गहरे रंग का मूत्र), गंभीर त्वचा प्रतिक्रियाएं, और रक्त विकार (असामान्य रक्तस्राव या चोट) शामिल हो सकते हैं। यदि आपको कोई असामान्य लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। अधिक या कम मात्रा में न लें। इसे भोजन के साथ लेने से पेट की परेशानी कम होती है। पूरा कोर्स पूरा करें, भले ही आप बेहतर महसूस करें। शौचालय का उपयोग करने के बाद और खाने से पहले हाथ धोएं। गर्भवती या स्तनपान कराने वाली महिलाएं बिना डॉक्टर की सलाह के यह दवा न लें। इस दवा के साथ शराब का सेवन न करें। दवा को कमरे के तापमान पर, नमी और गर्मी से दूर रखें। बच्चों की पहुंच से दूर रखें।
💊 alwin syrup Uses & Benefits
[{"condition":"Intestinal roundworm infection (Ascariasis)","description":"This medicine is highly effective in treating roundworm infections, which can cause abdominal pain, coughing, and nutritional deficiencies.","evidence":"Well-established"},{"condition":"Hookworm infection","description":"It eradicates hookworms that attach to the intestinal wall and cause anemia and protein loss.","evidence":"Well-established"},{"condition":"Pinworm infection (Enterobiasis)","description":"This medicine treats pinworm infections, which cause anal itching and sleep disturbances.","evidence":"Well-established"},{"condition":"Whipworm infection (Trichuriasis)","description":"It is effective against whipworms that cause diarrhea and dysentery.","evidence":"Well-established"},{"condition":"Hydatid disease (Echinococcosis)","description":"Used for liver, lung, and other organ cysts caused by Echinococcus tapeworm larvae.","evidence":"Well-established"},{"condition":"Neurocysticercosis","description":"Treats brain cysts caused by pork tapeworm larvae, often in combination with anti-inflammatory drugs.","evidence":"Well-established"},{"condition":"Cutaneous larva migrans","description":"Used off-label for creeping eruption caused by hookworm larvae.","evidence":"Limited"},{"condition":"Giardiasis","description":"Sometimes used off-label for Giardia infections when other treatments are not suitable.","evidence":"Limited"}]
Off-label uses: [{"condition":"Cutaneous larva migrans","description":"This medicine is sometimes used to treat skin lesions caused by hookworm larvae.","evidence":"Limited"},{"condition":"Giardiasis","description":"It may be used as an alternative treatment for Giardia lamblia infection.","evidence":"Limited"},{"condition":"Microsporidiosis","description":"Used in some cases of microsporidial infection in immunocompromised patients.","evidence":"Limited"}]
Primary treatment for: Parasitic worm infections
Also treats: Ascariasis, Hookworm infection, Enterobiasis, Trichuriasis, Hydatid disease, Neurocysticercosis
📋 Drug Information
| Generic Name(s) | Albendazole |
| Brand Name | Albenza |
| Manufacturer | Winmac Laboratories Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | ANTI INFECTIVES |
| Action Class | Antiprotozoal agents |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Keep the bottle tightly closed. Do not freeze. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | The World Health Organization recommends albendazole for deworming in endemic areas, often as part of mass drug administration programs. It is included in the WHO Model List of Essential Medicines. |
| ICMR Guideline | The Indian Council of Medical Research recommends albendazole for treatment of soil-transmitted helminthiasis and for deworming programs in children. It is also recommended for neurocysticercosis and hydatid disease as per national guidelines. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
Albendazole works by binding to beta-tubulin, a protein essential for the formation of microtubules in parasitic worms. This binding inhibits microtubule polymerization, which disrupts the worm's cellular structure and function. As a result, the worm cannot absorb glucose, leading to depletion of energy stores and eventual death. This medicine is effective against both intestinal and tissue-dwelling helminths.
Mechanism Steps
💡 How to Take alwin syrup
Strength: Oral suspension: 200 mg per 5 mL.
Dosage Information
| Adult Dosage | The dosage of this medicine depends on the type and severity of the infection. For intestinal roundworm, hookworm, pinworm, or whipworm infections, a single 400 mg dose (10 mL of this suspension) is typically given. For hydatid disease, the dose is usually 400 mg twice daily for 28 days, followed by a 14-day drug-free interval, and may be repeated for several cycles. For neurocysticercosis, the dose is 400 mg twice daily for 8-30 days, often with corticosteroids. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | For children over 2 years, the dose is typically 400 mg (10 mL) as a single dose for intestinal infections. For children 1-2 years, a 200 mg (5 mL) dose is often used. For hydatid disease and neurocysticercosis, dosing is weight-based and must be determined by a pediatrician. Pediatric dosing is not established from available information for all indications. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may have reduced liver or kidney function; dose adjustment may be necessary. Use with caution and monitor for side effects. No specific dose adjustments are established, but individualization by a clinician is recommended. |
| Renal Impairment | No specific dose adjustment is established for renal impairment. However, since albendazole is primarily metabolized in the liver, renal impairment is unlikely to significantly affect drug levels. Use with caution and monitor. |
| Hepatic Impairment | In patients with hepatic impairment, the metabolism of albendazole may be reduced, leading to increased drug levels. Dose adjustment may be necessary. Monitor liver function tests closely. Consult a clinician for individualized dosing. |
| Maximum Daily Dose | The maximum recommended daily dose is 800 mg (40 mL of this suspension) for adults and children over 2 years, divided into two doses. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of alwin syrup
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Dexamethasone | Major | |
| Praziquantel | Major | |
| Cimetidine | Major | |
| Ritonavir | Moderate | |
| Carbamazepine | Moderate | |
| Theophylline | Minor |
🚨 Major Interactions
- Dexamethasone
- Praziquantel
- Cimetidine
⚡ Moderate Interactions
- Ritonavir
- Carbamazepine
🍷 Alcohol Interaction
Avoid alcohol while taking this medicine as it may increase the risk of liver toxicity and worsen side effects such as dizziness and nausea.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to albendazole or other benzimidazoles","Pregnancy, especially first trimester, unless clearly needed","Ocular cysticercosis (risk of damage to eye)","Severe liver disease"]
⚠️ Warnings & Precautions
["Use with caution in patients with liver impairment; dose adjustment may be needed.","Monitor blood counts during prolonged therapy due to risk of bone marrow suppression.","Avoid use in pregnancy unless benefit outweighs risk.","Patients with neurocysticercosis should be monitored for seizures and increased intracranial pressure.","Not recommended for children under 1 year unless directed by a doctor.","May cause dizziness; avoid driving or operating machinery until you know how it affects you."]
🤱 Lactation Safety
Albendazole is excreted in breast milk in small amounts. It is generally considered safe during breastfeeding, but consult your doctor before use. Some guidelines recommend avoiding breastfeeding for 24-48 hours after a single dose.
💊 Overdose Management
Overdose of this medicine may cause nausea, vomiting, diarrhea, and abdominal pain. There is no specific antidote. Treatment is supportive and symptomatic. In case of overdose, seek immediate medical attention. Gastric lavage may be considered if ingestion is recent.
⏰ 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
Take this medicine exactly as prescribed by your doctor. Do not take more or less than the recommended dose. This medicine is usually taken with food to reduce stomach upset. Complete the full course even if you feel better. Wash your hands thoroughly after using the toilet and before eating to prevent reinfection. Avoid close contact with others while you have an active infection. If you are pregnant or planning to become pregnant, inform your doctor before taking this medicine. Do not breastfeed while taking this medicine without consulting your doctor. Avoid alcohol while taking this medicine as it may increase the risk of liver problems. Store this medicine at room temperature, away from moisture and heat. Keep out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may have reduced liver function, which can affect the metabolism of this medicine. Dose adjustment may be necessary. Monitor for side effects and liver function.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, discuss with your doctor before taking this medicine. It is not recommended during pregnancy, especially in the first trimester. Use effective contraception during treatment.
🏥 Post-Surgery Considerations
If you have recently had surgery, inform your surgeon and anesthesiologist that you are taking this medicine. It may affect liver function and interact with other medications.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure. It is generally safe, but your dentist may need to know for medication interactions.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine may cause dizziness. Avoid strenuous exercise or activities requiring balance until you know how it affects you.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or fatigue. Avoid driving or operating heavy machinery until you know how it affects you. Most people can continue their normal activities, but take precautions if you feel unwell.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. Complete the full course as prescribed. If you experience serious side effects, stop and seek medical advice immediately.
📅 Long-Term Use Effects
Long-term use of this medicine may lead to liver enzyme elevations and rarely bone marrow suppression. Regular monitoring of liver function and blood counts is recommended during prolonged therapy. It is important to take the lowest effective dose for the shortest duration necessary.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Another anthelmintic that can be used for some intestinal worms.
Evidence: Well-establishedEffective for pinworm and roundworm infections.
Evidence: Well-establishedUsed for strongyloidiasis and some other parasitic infections.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you are acutely ill with a parasitic infection, it is best to complete treatment before vaccination.
📦 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
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after expiry date
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with a copy of your prescription. Store it in a cool, dry place away from direct sunlight. If crossing time zones, continue your dosing schedule as prescribed; for single-dose regimens, timing is not critical. Check customs regulations for carrying prescription medicines. If you need to take it with food, ensure you have access to meals during travel.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: For intestinal worms, this medicine usually works within 24-48 hours. For tissue infections, it may take several weeks of treatment.
A: It is best taken with food, especially a fatty meal, to improve absorption and reduce stomach upset.
A: Yes, it is safe for children over 1 year, but the dose depends on age and weight. Consult a pediatrician.
A: It is not recommended during pregnancy, especially in the first trimester, unless clearly needed. Consult your doctor.
A: Avoid alcohol and grapefruit juice. Also, avoid driving if you feel dizzy.
🤔 Common Patient Concerns
🔄 Substitutes for alwin syrup
View AllAlternative brands with exact same active ingredient:
-
nubend oral suspensionKramer Pharmaceuticals Pvt Ltd ₹12.00 25% CHEAPER
-
Shazole SuspensionShantam Pharmaceuticals Pvt Ltd ₹12.19 23.8% CHEAPER
-
wornil oral suspensionMount Mettur Pharmaceuticals Ltd ₹12.25 23.4% CHEAPER
-
albekon oral suspensionBriskon Laboratories ₹13.59 15.1% CHEAPER
-
benzo 200mg syrupAmzor Healthcare ₹13.88 13.3% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be taken without a prescription.
Fact: This medicine is a prescription drug and should only be taken under medical supervision. - Myth: This medicine is a cure for all stomach problems.
Fact: This medicine only treats specific parasitic worm infections, not general stomach issues. - Myth: You can stop taking this medicine once symptoms improve.
Fact: You must complete the full course as prescribed to ensure the infection is fully cleared.
🔄 Alternative Options
Generic Alternatives
- Albendazole 200 mg/5 mL oral suspension
Brand Alternatives
- Zentel
- Albenza
- Bandy
- Eskazole