azplus syrup - Ivermectin (NA) + Albendazole (NA) medicine

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🏭 Cure Quick Pharmaceuticals 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 20, 2026
⚠️ Hepatotoxicity Risk 🤰 Pregnancy Category Not established from the available information. Ivermectin and albendazole are generally avoided during pregnancy, especially in the first trimester, unless the potential benefit outweighs the risk. Consult your doctor. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate for combination use in specific parasitic infections.
Reviewed by
SaathiMed Expert Panel | Sep 20, 2026

When to Call Your Doctor IMMEDIATELY

  • Severe allergic reaction: swelling of face, lips, throat, difficulty breathing
  • Signs of liver injury: yellowing of eyes or skin, dark urine, severe abdominal pain
  • Neurological symptoms: seizures, confusion, loss of coordination
  • Severe skin rash with blistering or peeling
  • Persistent vomiting or diarrhoea leading to dehydration
  • Blood in stool or vomit

If experiencing severe symptoms, call emergency services immediately.

What is azplus syrup used for?

This medicine is a combination of ivermectin and albendazole used to treat certain parasitic worm infections. It works by paralysing and killing the worms, which are then expelled from the body. It should only be taken under medical supervision.

  • Generic Name: Ivermectin (NA) + Albendazole (NA)
  • Manufacturer: Cure Quick Pharmaceuticals
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 azplus syrup के बारे में (Hindi Summary)

उपयोग: यह दवा इवरमेक्टिन और अल्बेंडाजोल का संयोजन है, जिसका उपयोग विभिन्न प्रकार के परजीवी कीड़ों के संक्रमण के इलाज के लिए किया जाता है। यह आंतों के कीड़ों, जैसे एस्केरियासिस, हुकवर्म और स्ट्रॉन्गीलॉइडियासिस के इलाज में प्रभावी है। यह दवा कीड़ों को पक्षाघात और मार देती है, जिससे वे शरीर से बाहर निकल जाते हैं। यह केवल डॉक्टर के पर्चे पर ही लेनी चाहिए।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, पेट दर्द, दस्त, सिरदर्द, चक्कर आना और थकान शामिल हैं। ये आमतौर पर हल्के और अस्थायी होते हैं। गंभीर दुष्प्रभावों में एलर्जी की प्रतिक्रिया, यकृत की क्षति और तंत्रिका संबंधी लक्षण शामिल 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 स्वयं न लें और न ही दूसरों के साथ साझा करें। अपने डॉक्टर को अन्य सभी दवाओं के बारे में बताएं जो आप ले रहे हैं। इस दवा के सेवन के दौरान शराब से बचें। यदि आप गर्भवती हैं या स्तनपान करा रही हैं, तो डॉक्टर से सलाह लें। बच्चों की पहुंच से दूर रखें।

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

💊 azplus syrup Uses & Benefits

[{"condition":"Intestinal worm infections (ascariasis, hookworm, strongyloidiasis)","description":"This combination is effective against multiple types of intestinal nematodes, helping to eliminate the worms and relieve symptoms.","evidence":"Well-established"},{"condition":"Scabies","description":"Ivermectin is effective against scabies mites, and albendazole may provide additional antiparasitic coverage.","evidence":"Moderate"},{"condition":"Filariasis","description":"Used in mass drug administration programmes for lymphatic filariasis in some regions.","evidence":"Established in public health programmes"}]

Off-label uses: [{"condition":"Cutaneous larva migrans","description":"Sometimes used off-label for skin infestations caused by hookworm larvae.","evidence":"Limited"},{"condition":"Rosacea","description":"Ivermectin has been studied for rosacea, but the combination with albendazole is not standard.","evidence":"Limited"}]

Primary treatment for: Intestinal worm infections

Also treats: Scabies, Filariasis

📋 Drug Information

Generic Name(s)Ivermectin (NA) + Albendazole (NA)
Brand Nameazplus syrup
ManufacturerCure Quick Pharmaceuticals
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI INFECTIVES
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep in the original container.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information. Ivermectin and albendazole are included in WHO essential medicines lists for specific parasitic infections, but combination use may vary.
ICMR GuidelineNot established from the available information. Consult local guidelines for parasitic infections.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine with food to improve absorption and reduce stomach upset.
2
Complete the full course as prescribed, even if you feel better.
3
Avoid alcohol during treatment to prevent liver problems.
4
Inform your doctor if you have liver or kidney disease before taking this medicine.
5
Do not drive or operate machinery if you feel dizzy after taking this medicine.
6
Report any unusual symptoms like yellowing of eyes or skin to your doctor immediately.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

Abdominal pain with worm infestation
This medicine is commonly prescribed for intestinal worms.
Likely Use
Itching and rash (scabies)
May be used as part of treatment for scabies.
Likely Use
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionIvermectin is well absorbed orally, with peak plasma levels reached in about 4 hours. Albendazole absorption is enhanced when taken with a fatty meal, but its systemic bioavailability is relatively low due to first-pass metabolism.
DistributionIvermectin is highly lipophilic and distributes widely into tissues, including fat. Albendazole and its active metabolite, albendazole sulfoxide, distribute into various tissues and fluids, including cerebrospinal fluid.
Protein BindingIvermectin is about 93% bound to plasma proteins. Albendazole sulfoxide is about 70% bound to plasma proteins.
MetabolismIvermectin is primarily metabolised in the liver by CYP3A4. Albendazole undergoes extensive first-pass metabolism in the liver to its active metabolite, albendazole sulfoxide, via CYP3A4 and flavin-containing monooxygenases.
Half-LifeIvermectin half-life is approximately 18 hours. Albendazole sulfoxide half-life is about 8-12 hours.
ExcretionIvermectin is mainly excreted in faeces, with less than 1% in urine. Albendazole metabolites are excreted primarily in urine and bile.
BioavailabilityIvermectin oral bioavailability is about 60% but can vary. Albendazole bioavailability is low, around 5%, but increases with a fatty meal.
Onset of ActionAntiparasitic effects begin within hours, but clinical improvement may take days as worms are expelled.
Peak Plasma TimeIvermectin: 4 hours; Albendazole sulfoxide: 2-5 hours.
Duration of ActionThe antiparasitic effect lasts for several days, depending on the parasite life cycle and dosing regimen.

How It Works

This medicine combines two antiparasitic drugs with complementary mechanisms. Ivermectin binds to glutamate-gated chloride channels in nerve and muscle cells of parasites, causing hyperpolarisation and paralysis, leading to death. Albendazole binds to tubulin, inhibiting microtubule polymerisation, which disrupts glucose uptake and energy production in worms, ultimately killing them. Together, they provide broad-spectrum activity against many helminths.

Mechanism Steps

1
Ivermectin binding: Ivermectin binds to glutamate-gated chloride channels on parasite nerve and muscle cells, increasing chloride influx.
2
Paralysis of parasite: The increased chloride influx causes hyperpolarisation, leading to paralysis and eventual death of the parasite.
3
Albendazole binding: Albendazole binds to beta-tubulin, inhibiting microtubule assembly in parasite cells.
4
Energy depletion: Disruption of microtubules impairs glucose uptake and energy metabolism, killing the parasite.
5
Expulsion: Paralysed and dead parasites are expelled from the body through normal gastrointestinal transit.

💡 How to Take azplus syrup

Strength: Ivermectin (NA) + Albendazole (NA) immediate-release tablet. Strength not specified.

1Take this medicine orally with a full glass of water.
2Take with food to enhance absorption and reduce stomach upset.
3Swallow the tablet whole; do not crush or chew unless advised by your doctor.
4Follow the prescribed dose and duration exactly.
5Do not skip doses or stop treatment early without consulting your doctor.

Dosage Information

Adult DosageThe dose of this medicine must be individualized by a qualified clinician based on the specific infection, patient age, weight, and renal and hepatic function. For intestinal worm infections, a single dose is often used, but regimens may vary. Do not self-medicate. Follow your doctor's instructions exactly.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing in children.
Elderly DosageElderly patients may be more sensitive to the effects of this medicine. Dose should be individualized by a clinician, considering renal and hepatic function.
Renal ImpairmentNo specific dose adjustment guidelines are established. Use with caution in patients with renal impairment. Consult your doctor.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Dose adjustment may be necessary. Consult your doctor.
Maximum Daily DoseNot established from the available information. The maximum dose should be determined by a qualified clinician.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Enhances absorption of albendazole and reduces stomach upset.
Grapefruit
Avoid
May increase ivermectin levels and risk of side effects.

⏰ 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 azplus syrup

✅ 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. Try taking with a meal. If severe, seek medical advice.
Headache (Common (5-10%))
Rest and stay hydrated. Consult doctor if headache is severe or persistent.
Dizziness (Common (5-10%))
Avoid driving or operating machinery until you know how it affects you.
Fatigue (Common (5-10%))
Get adequate rest. If fatigue is overwhelming, 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, throat, difficulty breathing, or severe rash.
Liver injury (Rare (<0.1%))
Report yellowing of eyes or skin, dark urine, or severe abdominal pain to your doctor immediately.
Neurological effects (seizures, confusion) (Rare (<0.1%))
Discontinue and seek immediate medical attention if you experience seizures, confusion, or loss of coordination.
Severe skin reactions (Stevens-Johnson syndrome) (Very rare (<0.01%))
Seek emergency care if you develop a painful rash with blistering or peeling skin.

⚠️ Rare Side Effects

Seizures
Seek immediate medical attention.
Confusion
Contact your doctor immediately.
Loss of coordination
Stop the medicine and seek medical advice.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Ketoconazole Major
Rifampicin Major
Phenytoin Moderate
Ciclosporin Moderate
Grapefruit juice Minor

🚨 Major Interactions

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

⚡ Moderate Interactions

  • Anticonvulsants (e.g., phenytoin)
  • Immunosuppressants (e.g., ciclosporin)

🍷 Alcohol Interaction

Alcohol should be avoided 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 ivermectin or albendazole","Pregnancy (especially first trimester)","Breastfeeding","Children under 2 years of age (unless specifically prescribed)","Severe liver disease"]

⚠️ Warnings & Precautions

["Use with caution in patients with liver impairment; dose adjustment may be needed.","Avoid in patients with known allergy to either component.","May cause dizziness; avoid driving or operating machinery until you know how it affects you.","Do not use in pregnancy unless clearly needed and advised by a doctor.","Avoid alcohol during treatment.","Inform your doctor if you have a history of seizures or neurological disorders."]

🤱 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 may cause nausea, vomiting, diarrhoea, dizziness, and in severe cases, neurological symptoms. Seek immediate medical attention. 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 self-medicate or share it with others. 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. Use effective contraception during treatment if you are of childbearing age. Do not breastfeed while taking this medicine without consulting your doctor. Keep out of reach of children. Store in a cool, dry place away from direct sunlight.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more susceptible to side effects such as dizziness and fatigue. Dose adjustment may be needed based on liver and kidney function. Close monitoring is advised.

🤰 Pregnancy Planning (TTC)

This medicine is not recommended during pregnancy, especially in the first trimester. If you are planning pregnancy, consult your doctor before taking this medicine. Use effective contraception during treatment.

🏥 Post-Surgery Considerations

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

🦷 Dental Procedures

Inform your dentist if you are taking this medicine. No specific precautions are established, but it is important for your healthcare provider to know your medication history.

💚 Lifestyle Tips for Better Results

🏃
Maintain good hygiene to prevent reinfection with worms.
🥗
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.
🧘
Drink safe and clean water.

🏋️ Exercise Considerations

If you experience dizziness or fatigue after taking this medicine, avoid strenuous exercise or activities requiring alertness until you feel normal.

🥗 Diet Recommendations

Eat a balanced diet to support recovery.
Include plenty of fluids to stay hydrated.
Avoid alcohol during treatment.
Limit fatty and processed foods if you have liver concerns.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or fatigue 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 prescribed course to ensure the infection is fully treated.

📅 Long-Term Use Effects

Long-term use of this medicine is not recommended unless specifically advised by a doctor. Prolonged use may increase the risk of liver toxicity and neurological side effects. Regular monitoring of liver function may be required if used for extended periods.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Good hygiene practices

Prevents reinfection and supports treatment.

Evidence: Well-established
Other antiparasitic medicines

Depending on the specific infection, other medicines like mebendazole may be used.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific interactions with vaccines are established. However, consult your doctor before receiving any vaccine while on this medicine.

📦 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 along with a copy of your prescription. Store it at room temperature and protect it from extreme heat or moisture. If crossing time zones, continue with your regular dosing schedule as advised by your doctor. Check local customs regulations regarding prescription medicines before travelling.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old man with frequent abdominal discomfort and diagnosed with hookworm infection
He was prescribed this medicine by his doctor. After taking it as directed with food, his symptoms improved within a week. He experienced mild nausea initially, which subsided. He emphasized the importance of taking it with food.
💡 Lesson: Taking this medicine with food reduces stomach upset and improves tolerability.
👤 A 28-year-old woman with scabies infestation
She was prescribed this medicine along with topical treatment. She completed the course and noticed significant improvement in itching and rash. She was advised to avoid alcohol and to use contraception during treatment.
💡 Lesson: Combination therapy may be needed for scabies, and adherence to safety advice is crucial.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: The medicine starts working within hours, but you may see improvement in symptoms within a few days as the worms are expelled.

Q: Can I take it without food?

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

Q: Is it safe for children?

A: Pediatric dosing is not established from available information. 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 function?
  • 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: It is specifically for parasitic worm infections and should not be used for general stomach issues.
  • Myth: It is safe to take without a prescription.
    Fact: It is a prescription medicine and should only be taken under medical supervision.

🔄 Alternative Options

Generic Alternatives

  • Ivermectin + Albendazole combination (generic)

Brand Alternatives

  • Scavista 12a Tablet

📊 Comparison with Similar Medicines

[{"medicine":"Ivermectin + Albendazole","composition":"Ivermectin + Albendazole","uses":"Broad-spectrum antiparasitic","notes":"Combination for specific infections"},{"medicine":"Albendazole alone","composition":"Albendazole","uses":"Intestinal worms","notes":"Single agent"},{"medicine":"Ivermectin alone","composition":"Ivermectin","uses":"Scabies, strongyloidiasis","notes":"Single agent"}]

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