Bemisol Syrup: Complete Guide to Uses, Dosage, Side Effects, 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
- Difficulty breathing or swelling of the face, lips, or throat.
- Severe skin rash with blisters or peeling skin.
- Yellowing of the eyes or skin, or dark urine.
- Severe abdominal pain that does not settle.
- Blood in stool or vomit.
- High fever with chills and feeling very unwell.
- Unusual tiredness, sore throat, mouth ulcers, or easy bruising.
- Confusion, seizures, or unusual behavior.
- Decreased urine output or swelling of the legs.
- Persistent vomiting or inability to keep fluids down.
If experiencing severe symptoms, call emergency services immediately.
What is bemisol syrup used for?
This medicine is an oral syrup that combines albendazole 200 mg and levamisole 50 mg to treat intestinal worm infections such as roundworm, hookworm, and threadworm. It works by starving and paralyzing the worms so they are passed out in the stool. Take it exactly as prescribed, usually with food, and complete the full course.
- Generic Name: Albendazole + Levamisole
- Manufacturer: Lifecom Pharmaceuticals Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 bemisol syrup के बारे में (Hindi Summary)
उपयोग: यह दवा एल्बेंडाजोल 200 मिलीग्राम और लेवामिसोल 50 मिलीग्राम का मिश्रण है, जिसका उपयोग आंतों के कीड़ों के संक्रमण के इलाज के लिए किया जाता है। यह गोल कृमि, हुकवर्म और थ्रेडवर्म जैसे कीड़ों को मारती है या उन्हें लकवा मारकर शरीर से बाहर निकालने में मदद करती है। यह दवा आमतौर पर खाने के साथ दी जाती है और डॉक्टर द्वारा बताई गई पूरी खुराक लेनी चाहिए। बच्चों और बड़ों दोनों में इसका उपयोग किया जा सकता है, लेकिन बिना डॉक्टर की सलाह के नहीं।
साइड इफेक्ट्स: इस दवा से आमतौर पर हल्के दुष्प्रभाव होते हैं, जैसे पेट दर्द, जी मिचलाना, उल्टी, दस्त, भूख कम लगना और थोड़ा चक्कर आना। ये लक्षण आमतौर पर एक-दो दिन में ठीक हो जाते हैं। कभी-कभी त्वचा पर दाने, खुजली या बुखार हो सकता है। बहुत कम मामलों में खून की कोशिकाओं में कमी, लिवर में सूजन या गंभीर एलर्जी हो सकती है। अगर आपको बहुत ज्यादा थकान, बार-बार बुखार, गले में दर्द, मुंह में छाले, आंखों या त्वचा का पीला पड़ना, या सांस लेने में तकलीफ हो, तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें और खुराक खुद से कम या ज्यादा न करें। बोतल को अच्छी तरह हिलाकर, साथ में दिए गए कप या चम्मच से ही दवा नापें। इसे आमतौर पर खाने के साथ लें ताकि पेट खराब न हो। अगर पहली खुराक के बाद आराम लगे तो भी पूरा कोर्स पूरा करें। शौच के बाद और खाना बनाने या खाने से पहले हाथ अच्छी तरह धोएं। बच्चों के नाखून छोटे और साफ रखें। फल और सब्जियां अच्छी तरह धोएं और साफ पानी पिएं। यह दवा किसी और के साथ साझा न करें। गर्भवती महिलाएं, स्तनपान कराने वाली महिलाएं और लिवर या किडनी की बीमारी वाले लोग बिना डॉक्टर की सलाह के यह दवा न लें।
💊 bemisol syrup Uses & Benefits
[{"condition":"Roundworm infection (ascariasis)","description":"This medicine is used to treat intestinal infection caused by Ascaris lumbricoides, a common roundworm that can cause abdominal pain, poor growth, and nutritional problems.","evidence":"Well-established"},{"condition":"Hookworm infection","description":"This medicine helps clear hookworm infections that can lead to anemia and tiredness, especially in children and people with poor nutrition.","evidence":"Well-established"},{"condition":"Threadworm infection (enterobiasis)","description":"This medicine is used to treat pinworm or threadworm infection, which commonly causes itching around the anus, especially at night.","evidence":"Well-established"},{"condition":"Mixed intestinal worm infections","description":"Because it contains two anthelmintic ingredients, this medicine may be prescribed when more than one type of susceptible worm is suspected or confirmed.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Cutaneous larva migrans","description":"In some settings, anthelmintic treatment may be used for creeping skin eruptions caused by hookworm larvae, but this is not a standard approved use for this exact combination.","evidence":"Limited"},{"condition":"Strongyloidiasis","description":"Albendazole-containing products are sometimes used for Strongyloides infection, but the combination with levamisole is not the usual first-choice regimen.","evidence":"Limited"}]
Primary treatment for: Intestinal worm infections
Also treats: Roundworm infection, Hookworm infection, Threadworm infection, Mixed worm infections
📋 Drug Information
| Generic Name(s) | Albendazole + Levamisole |
| Brand Name | Brutal Tablet |
| Manufacturer | Lifecom Pharmaceuticals Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | ANTI INFECTIVES |
| Action Class | Anthelmintic |
| Route of Administration | Oral |
| Storage | Store this medicine at room temperature, between 15°C and 30°C, in a cool, dry place. Keep the bottle tightly closed and away from direct sunlight. Do not freeze the syrup. Keep it out of the reach of children. |
| Shelf Life | The shelf life is usually 24 months from the date of manufacture, but you should always check the expiry date printed on the bottle. Do not use the medicine after the expiry date. Once the bottle is opened, follow the instructions on the label or ask your pharmacist how long it can be kept. |
| WHO Guideline | The World Health Organization supports the use of albendazole for deworming in public health programs, but the exact recommendations for this fixed-dose combination with levamisole are not established from the available information. Always follow the advice of your local health authority and your doctor. |
| ICMR Guideline | The Indian Council of Medical Research has published guidance on deworming in India, but specific recommendations for this exact combination are not established from the available information. Follow your doctor's advice and national deworming program guidelines where applicable. |
👨⚕️ 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
This medicine works through two complementary anthelmintic mechanisms. Albendazole binds to a protein called beta-tubulin in the worm's cells and prevents the formation of microtubules. Without microtubules, the worm cannot absorb glucose from the intestine, so its energy stores are depleted and it eventually dies. Levamisole acts as a nicotinic acetylcholine receptor agonist on the worm's muscle cells. This causes persistent muscle contraction and paralysis, so the worm loses its grip on the intestinal wall and is passed out in the stool. The combination helps target susceptible intestinal worms through both energy starvation and paralysis.
Mechanism Steps
💡 How to Take bemisol syrup
Strength: Each measured dose of this syrup contains albendazole 200 mg and levamisole 50 mg. This is an immediate-release oral liquid.
Dosage Information
| Adult Dosage | The adult dose of this medicine depends on the type of worm infection, the severity of symptoms, and your liver and kidney function. A common approach is a single measured dose or a short course over a few days, but the exact amount and duration must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-medicate or repeat the dose without medical advice. Always use the measuring cup or spoon supplied with the product, and shake the bottle well before each dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information for all age groups. This syrup is sometimes prescribed for children with worm infections, but the exact dose must be determined by a pediatrician based on the child's age, weight, and the type of infection. Do not give this medicine to a child without a doctor's prescription. Use the measuring device supplied with the product, and never guess the dose. |
| Elderly Dosage | Older adults may be more sensitive to the side effects of this medicine, especially dizziness, tiredness, and stomach upset. The dose is usually the same as for younger adults, but your doctor may adjust it if you have liver or kidney problems or if you take other medicines. Tell your doctor about all your medicines and health conditions before taking this medicine. |
| Renal Impairment | If you have mild kidney problems, the usual dose may be suitable. If you have moderate or severe kidney disease, this medicine may stay in your body longer, so your doctor may reduce the dose or extend the time between doses. Always tell your doctor about any kidney problems before taking this medicine. |
| Hepatic Impairment | If you have liver problems, this medicine should be used with caution because both albendazole and levamisole are processed by the liver. Your doctor may lower the dose, avoid the medicine, or monitor your liver function closely. Tell your doctor about any liver disease, hepatitis, or heavy alcohol use before taking this medicine. |
| Maximum Daily Dose | The maximum daily dose must be determined by a qualified clinician based on the indication, age, weight, and liver and kidney function. Do not exceed the dose prescribed by your doctor. Taking more than the recommended amount can increase the risk of serious side effects. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of bemisol syrup
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Dexamethasone | Major | |
| Praziquantel | Major | |
| Cimetidine | Moderate | |
| Ritonavir | Moderate | |
| Carbamazepine | Moderate | |
| Phenytoin | Moderate | |
| Antacids | Minor | |
| Theophylline | Minor | |
| Alcohol | Moderate |
🚨 Major Interactions
- Warfarin and other blood thinners
- Dexamethasone and other corticosteroids
- Praziquantel
⚡ Moderate Interactions
- Cimetidine
- Ritonavir and other strong CYP3A4 inhibitors
- Carbamazepine and phenytoin
🍷 Alcohol Interaction
Avoid alcohol while taking this medicine. Alcohol can increase the risk of liver irritation and stomach upset, and it may make dizziness or tiredness worse. If you drink regularly, tell your doctor before starting this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy to albendazole, levamisole, or any other ingredient in this syrup.","Pregnancy, especially in the first trimester, unless a doctor specifically recommends treatment.","Breastfeeding, unless a doctor advises that it is safe for you and your baby.","Severe liver disease, unless a specialist decides that treatment is necessary.","Children below the age recommended by your doctor for this syrup, because dosing is not established for all age groups.","Use in people who have a condition that lowers white blood cells, unless a doctor specifically approves it."]
⚠️ Warnings & Precautions
["Take this medicine exactly as prescribed and complete the full course.","Shake the bottle well before each dose and use the measuring cup or spoon supplied with the product.","Tell your doctor if you are pregnant, planning pregnancy, or breastfeeding.","Tell your doctor about all other medicines you take, including herbal products and supplements.","Avoid alcohol while taking this medicine.","Wash hands thoroughly after using the toilet and before eating or preparing food.","Keep fingernails short and clean, especially for children, to reduce reinfection.","Wash fruits and vegetables well and drink safe, clean water.","Do not share this medicine with anyone else.","Contact your doctor if symptoms do not improve after the full course or if they come back.","Report unusual tiredness, fever, sore throat, mouth ulcers, easy bruising, or bleeding to your doctor.","Report yellowing of the eyes or skin, dark urine, or severe abdominal pain to your doctor."]
🤱 Lactation Safety
It is not known whether albendazole and levamisole pass into breast milk in amounts that could harm a breastfed baby. Because of this, breastfeeding mothers should take this medicine only if a doctor recommends it. If you are breastfeeding, discuss the timing of the dose and whether formula feeding is needed during treatment.
💊 Overdose Management
If you or someone else takes too much of this medicine, contact a doctor or go to the nearest hospital right away, even if there are no symptoms yet. Take the bottle or package with you so that the medical team knows exactly what was taken. Treatment is supportive and may include monitoring of blood counts, liver function, and vital signs. Do not try to make yourself vomit unless a healthcare professional tells you to do so.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember, unless it is almost time for the next dose. If it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one. If you miss several doses, contact your doctor for advice.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor, and do not increase or reduce the dose on your own. Shake the bottle well before each use, and measure the dose with the spoon or cup provided with the product. This medicine is usually taken with food to reduce stomach upset. Complete the full course even if you feel better after the first dose, because stopping early can allow the worms to survive and the infection to return. Wash your hands thoroughly after using the toilet and before preparing or eating food to prevent reinfection. Keep your fingernails short and clean, especially for children. Wash fruits and vegetables well and drink safe, clean water. Do not share this medicine with anyone else, even if they have similar symptoms. Tell your doctor if you are pregnant, planning pregnancy, or breastfeeding before taking this medicine. Tell your doctor about all other medicines you take, especially medicines that affect the liver or immune system. Avoid alcohol while taking this medicine. Store the bottle in a cool, dry place away from direct sunlight, and keep it out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Older adults may be more likely to feel dizzy, tired, or have stomach upset from this medicine. They may also have liver or kidney problems that affect how the medicine is cleared from the body. Your doctor may adjust the dose or monitor you more closely. Tell your doctor about all your medicines and health conditions before taking this medicine.
🤰 Pregnancy Planning (TTC)
If you are trying to become pregnant, talk to your doctor before taking this medicine. It is usually avoided in the first trimester of pregnancy unless treatment is urgently needed. If you become pregnant while taking this medicine, contact your doctor right away. Your doctor will weigh the benefits of treating the worm infection against any possible risks to the pregnancy.
🏥 Post-Surgery Considerations
Tell your surgeon and anaesthetist if you are taking or have recently taken this medicine. There is no specific interaction with surgery known, but your medical team should know about all medicines you take. If you have recently had surgery and have a worm infection, your doctor will decide the best time to start treatment.
🦷 Dental Procedures
Tell your dentist if you are taking this medicine. There is no specific interaction with dental procedures known, but your dentist should know about all medicines you take. If you need dental work while you have a worm infection, your doctor can advise on the best timing of treatment.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
You can continue your usual activities if you feel well. If you feel dizzy or tired after taking this medicine, avoid heavy exercise, driving, or operating machinery until you feel normal. There is no need to stop exercise unless your doctor advises it for another reason.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
Most people can continue their usual work and daily activities while taking this medicine. If you feel dizzy, tired, or have stomach upset, avoid driving or operating heavy machinery until you feel better. If your work involves handling food, take extra care with hand hygiene to avoid spreading infection to others.
🛑 When to Stop This Medicine
Stop this medicine only after completing the course prescribed by your doctor. Do not stop early just because you feel better, because the infection may not be fully cleared. If you develop a serious side effect such as a severe rash, difficulty breathing, yellowing of the eyes or skin, or unusual bleeding, stop the medicine and seek medical help right away. Always talk to your doctor before stopping or restarting this medicine.
📅 Long-Term Use Effects
This medicine is usually taken for a short course, so long-term effects are not common. If it is used repeatedly or for a long time, there is a rare risk of blood cell changes and liver irritation. Your doctor may check blood counts and liver function if repeated courses are needed. Long-term use without medical supervision is not recommended. If you have repeated worm infections, your doctor will look for underlying causes such as poor sanitation, unsafe water, or reinfection from family members.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Hand washing, safe water, and clean food preparation reduce the risk of worm infections and reinfection.
Evidence: Well-establishedA single-ingredient anthelmintic that may be used for some worm infections instead of this combination.
Evidence: Well-establishedAnother anthelmintic that works differently and may be used for certain worm infections.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There is no known interaction between this medicine and routine vaccines. If you or your child are due for a vaccine, tell your doctor that you are taking this medicine. In general, mild illness without fever is not a reason to delay vaccination, but your doctor will decide the best timing.
📦 Storage Guide
✅ DO
Store at room temperature between 15°C and 30°C.
❌ DON'T
Do not freeze the syrup.
✅ DO
Keep the bottle tightly closed in its original carton.
❌ DON'T
Do not transfer the syrup to another container.
✅ DO
Keep away from direct sunlight and heat.
❌ DON'T
Do not store in a hot car or near a stove.
✅ DO
Keep out of the reach of children.
❌ DON'T
Do not use after the expiry date.
✈️ Traveling with This Medicine
Carry this medicine in its original bottle with the label intact. Keep a copy of your prescription with you, especially when travelling internationally. Store the bottle in a cool, dry place and avoid leaving it in a hot car or in direct sunlight. If you are travelling across time zones, keep to your usual dosing schedule as closely as possible and ask your doctor for advice if you need to adjust the timing. Check the customs rules of your destination country for carrying prescription medicines. If the syrup leaks or the bottle is damaged, do not use it and buy a replacement after consulting a pharmacist.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Some people pass worms within 24 to 48 hours after the first dose, but the full effect depends on the type of infection and completing the prescribed course.
A: It is best taken with food to reduce stomach upset and to help the body absorb albendazole better.
A: It is sometimes prescribed for children, but only under a doctor's supervision. The dose depends on the child's age and weight.
A: It should be used during pregnancy only if a doctor decides it is clearly needed. Avoid it in the first trimester unless treatment is urgent.
A: Take it as soon as you remember if it is not almost time for the next dose. If it is almost time, skip the missed dose and do not double dose.
A: Some people feel dizzy or tired. Avoid driving or operating machinery until you know how the medicine affects you.
A: It is best to avoid alcohol because it can increase the risk of liver and stomach side effects.
A: The duration depends on the type of worm infection and your doctor's advice. Always complete the full course.
🤔 Common Patient Concerns
🔄 Substitutes for bemisol syrup
View AllAlternative brands with exact same active ingredient:
-
wormis l 200 mg/50 mg syrupAaron Pharmaceuticals Pvt Ltd ₹19.69 5% COSTLIER
-
brutal 200mg/50mg syrupEndocard India Pvt Ltd ₹33.75 80% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be taken for any stomach problem.
Fact: This medicine is only for worm infections. It does not treat viral, bacterial, or fungal stomach infections. - Myth: One dose is always enough for every worm infection.
Fact: The number of doses depends on the type of worm and your doctor's advice. Some infections need a longer course. - Myth: This medicine is safe to take without a prescription.
Fact: This is a prescription medicine. It should only be taken when a qualified clinician recommends it. - Myth: You can stop the medicine as soon as you feel better.
Fact: You should complete the full course to make sure the infection is fully cleared.
🔄 Alternative Options
Generic Alternatives
- Albendazole 200 mg + Levamisole 50 mg oral suspension
- Albendazole oral suspension
- Levamisole oral solution
Brand Alternatives
- Bemisol Syrup