hibend oral suspension - Albendazole (200mg/5ml) medicine

Alzol 200mg Oral Suspension: Comprehensive Guide

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🏭 Hiral Labs Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 25, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: High
Reviewed by
SaathiMed Expert Panel | Sep 25, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
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
  • Severe abdominal pain
  • Persistent vomiting
  • Signs of infection such as fever and sore throat
  • Unusual bleeding or bruising
  • Difficulty breathing or swelling of face
  • Decreased urine output

If experiencing severe symptoms, call emergency services immediately.

What is hibend oral suspension used for?

This medicine is an oral suspension containing albendazole, used to treat a variety of parasitic worm infections. It works by killing the parasites in the body. The typical adult dose for intestinal infections is a single 400 mg dose (10 ml), but dosing depends on the specific infection and must be determined by a doctor.

  • Generic Name: Albendazole (200mg/5ml)
  • Manufacturer: Hiral Labs Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 hibend oral suspension के बारे में (Hindi Summary)

उपयोग: यह दवा अल्बेंडाजोल नामक सक्रिय तत्व युक्त एक मौखिक सस्पेंशन है, जिसका उपयोग विभिन्न प्रकार के परजीवी कीड़ों के संक्रमण के इलाज के लिए किया जाता है। यह गोल कृमि, हुकवर्म, पिनवर्म, व्हिपवर्म, हाइडैटिड रोग और न्यूरोसिस्टीसर्कोसिस जैसे संक्रमणों के इलाज में प्रभावी है। यह दवा कीड़ों के ऊर्जा चयापचय को बाधित करके उन्हें मार देती है। बच्चों और वयस्कों दोनों में उपयोग की जा सकती है, लेकिन डॉक्टर के निर्देशानुसार ही लेनी चाहिए।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में पेट दर्द, मतली, उल्टी, सिरदर्द और चक्कर आना शामिल हो सकते हैं। ये आमतौर पर हल्के और अस्थायी होते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन जिगर की समस्या, अस्थि मज्जा दमन, और गंभीर एलर्जी प्रतिक्रियाएं हो सकती हैं। यदि आपको त्वचा या आंखों का पीलापन, असामान्य थकान, आसान चोट लगना, या बुखार और गले में खराश जैसे संक्रमण के लक्षण दिखाई दें, तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। उपयोग से पहले बोतल को अच्छी तरह हिलाएं। सही खुराक मापने के लिए मापने वाला कप या सिरिंज का उपयोग करें। खुराक न छोड़ें और इलाज बीच में न रोकें, भले ही आप बेहतर महसूस करें। यदि आपको जिगर या गुर्दे की बीमारी है, या रक्त विकार का इतिहास है, तो अपने डॉक्टर को बताएं। इस दवा को लेते समय शराब से बचें। यदि आप गर्भवती हैं या गर्भवती होने की योजना बना रही हैं, तो डॉक्टर से सलाह लें।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 hibend oral suspension Uses & Benefits

[{"condition":"Intestinal roundworm infection (Ascariasis)","description":"This medicine is highly effective in treating roundworm infections of the intestine, helping to eliminate the worms and relieve symptoms such as abdominal pain and malabsorption.","evidence":"Well-established"},{"condition":"Hookworm infection","description":"It is used to treat hookworm infections, which can cause anemia and nutritional deficiencies, by killing the adult worms in the intestine.","evidence":"Well-established"},{"condition":"Pinworm infection (Enterobiasis)","description":"This medicine is effective against pinworm infections, relieving itching around the anus and preventing spread to others.","evidence":"Well-established"},{"condition":"Whipworm infection (Trichuriasis)","description":"It treats whipworm infections, which may cause diarrhea and abdominal discomfort, by eradicating the parasites.","evidence":"Well-established"},{"condition":"Hydatid disease (Echinococcosis)","description":"This medicine is used in the management of hydatid cysts caused by Echinococcus tapeworms, often in combination with surgery or other procedures.","evidence":"Established"},{"condition":"Neurocysticercosis","description":"It is used to treat neurocysticercosis, a brain infection caused by the pork tapeworm, often in conjunction with anti-inflammatory medicines.","evidence":"Established"},{"condition":"Cutaneous larva migrans","description":"This medicine can be used to treat creeping eruption caused by hookworm larvae in the skin.","evidence":"Limited"},{"condition":"Giardiasis","description":"Sometimes used as an alternative treatment for giardiasis, a protozoal infection of the intestine.","evidence":"Limited"}]

Off-label uses: [{"condition":"Trichinosis","description":"May be used off-label for trichinosis, a parasitic infection from undercooked meat, though evidence is limited.","evidence":"Limited"},{"condition":"Capillariasis","description":"Occasionally used off-label for capillariasis, a rare intestinal infection.","evidence":"Limited"}]

Primary treatment for: Parasitic worm infections

Also treats: Ascariasis, Hookworm infection, Enterobiasis, Trichuriasis, Hydatid disease, Neurocysticercosis

📋 Drug Information

Generic Name(s)Albendazole (200mg/5ml)
Brand Namehibend oral suspension
ManufacturerHiral Labs Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI INFECTIVES
Action ClassAntiprotozoal agents
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Keep the bottle tightly closed when not in use. Do not freeze. Keep out of reach of children.
Shelf Life24 months from the date of manufacture.
WHO GuidelineThe World Health Organization recommends albendazole for the treatment of soil-transmitted helminth infections, including ascariasis, trichuriasis, and hookworm infection. It is included in the WHO Model List of Essential Medicines.
ICMR GuidelineThe Indian Council of Medical Research recommends albendazole for the treatment of intestinal helminthiasis and neurocysticercosis. It is also used in mass deworming programs in India.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine with a fatty meal to enhance absorption.
2
Shake the bottle well before each use to ensure proper mixing.
3
Use a calibrated measuring device to ensure accurate dosing.
4
Complete the full course as prescribed, even if symptoms improve.
5
Avoid alcohol during treatment to reduce liver stress.
6
Report any signs of liver problems, such as yellowing of eyes or skin, immediately.
7
For children, consult a pediatrician for appropriate dosing.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Abdominal pain with worm in stool
This medicine is commonly prescribed for intestinal worm infections.
Likely Use
✅
Itching around the anus
This medicine is effective for pinworm infection.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary
✅
Cough with chest pain
May be used for hydatid disease affecting the lungs.
Likely Use

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionAlbendazole is poorly absorbed from the gastrointestinal tract after oral administration. Absorption is increased when taken with a fatty meal. The systemic bioavailability is low, but it is sufficient to treat tissue infections.
DistributionAlbendazole is widely distributed throughout the body, including into the liver, lungs, and cerebrospinal fluid. It crosses the blood-brain barrier to some extent, which is important for treating neurocysticercosis. It is also distributed into hydatid cyst fluid.
Protein BindingAlbendazole is approximately 70% bound to plasma proteins.
MetabolismAlbendazole undergoes extensive first-pass metabolism in the liver, primarily by cytochrome P450 enzymes (CYP3A4) to its active metabolite, albendazole sulfoxide. This metabolite is responsible for most of the anthelmintic activity.
Half-LifeThe elimination half-life of albendazole sulfoxide is approximately 8 to 12 hours.
ExcretionAlbendazole and its metabolites are excreted mainly in the bile and feces, with a small amount excreted in the urine.
BioavailabilityThe oral bioavailability of albendazole is low, approximately 1-5% when taken on an empty stomach, but can increase up to 5 times when taken with a fatty meal.
Onset of ActionThe onset of action varies depending on the infection. For intestinal worms, effects may be seen within 24-48 hours as worms are expelled. For tissue infections, it may take days to weeks.
Peak Plasma TimePeak plasma concentration of the active metabolite is reached approximately 2-5 hours after oral administration.
Duration of ActionThe duration of action depends on the dosing regimen and the infection being treated. For intestinal infections, a single dose may be sufficient, while tissue infections require prolonged therapy.

How It Works

This medicine works by binding to the beta-tubulin protein of susceptible parasites, which inhibits the polymerization of tubulin into microtubules. This disruption impairs the parasite's ability to absorb glucose, leading to depletion of energy stores and eventual death of the parasite. The effect is primarily against intestinal worms and tissue-dwelling larvae.

Mechanism Steps

1
Binding to beta-tubulin: This medicine binds selectively to the beta-tubulin subunit of the parasite's microtubules.
2
Inhibition of microtubule polymerization: This binding prevents the assembly of microtubules, which are essential for various cellular functions.
3
Impaired glucose uptake: The loss of microtubules leads to decreased glucose absorption by the parasite.
4
Energy depletion and parasite death: Without glucose, the parasite's energy stores are depleted, resulting in its death.

💡 How to Take hibend oral suspension

Strength: Oral suspension, 200mg/5ml

1Shake the bottle well before each use to ensure the medicine is evenly mixed.
2Use the measuring cup or syringe provided to measure the correct dose.
3Take this medicine with food, preferably a fatty meal, to increase absorption.
4Swallow the suspension directly; do not mix with other liquids unless instructed.
5Wash the measuring device after each use.
6Take the medicine at the same time each day if on a multiple-dose regimen.

Dosage Information

Adult DosageThe dosage of this medicine depends on the type and severity of the infection. For intestinal roundworm, hookworm, pinworm, and whipworm infections, a single 400 mg dose (10 ml of this suspension) is often given. For hydatid disease and neurocysticercosis, a dose of 400 mg twice daily is typically used for 28 days or longer, often in combination with other treatments. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosageFor children over 2 years, the dose is often the same as adults for intestinal infections (400 mg as a single dose). For children under 2 years, the dose is usually 200 mg as a single dose. For tissue infections, 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 DosageElderly patients may have reduced liver or kidney function, which can affect the metabolism and elimination of this medicine. Dose adjustment may be necessary based on renal and hepatic function. Monitor for side effects closely.
Renal ImpairmentNo specific dose adjustment is recommended for single-dose therapy. For prolonged therapy in patients with renal impairment, monitor renal function and adjust dose as needed. Consult a doctor for individualized dosing.
Hepatic ImpairmentIn patients with liver impairment, the metabolism of albendazole may be reduced, leading to increased plasma levels. Dose adjustment may be necessary. Monitor liver function tests closely. For severe liver disease, use with caution and consider alternative therapy.
Maximum Daily DoseThe maximum recommended daily dose is 800 mg (40 ml of this suspension) for adults and children over 2 years, divided into two doses. For children under 2 years, the maximum daily dose is 400 mg (20 ml). Do not exceed the prescribed dose.

Dosage Timeline

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

🍽️ Food Timing Guide

Fatty meal
Take with a fatty meal
Increases absorption of albendazole.
Grapefruit juice
Avoid large amounts
May increase drug levels and 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 hibend oral suspension

✅ Common Side Effects

Stomach pain (Common (1-10%))
Take with food to reduce discomfort. If pain persists, consult your doctor.
Nausea (Common (1-10%))
Take with a meal. If nausea is severe or persistent, contact your doctor.
Vomiting (Common (1-10%))
Stay hydrated. If vomiting continues, seek medical advice.
Headache (Common (1-10%))
Rest and stay hydrated. Consult doctor if headache is severe or persistent.
Dizziness (Common (1-10%))
Avoid driving or operating machinery until you feel normal. If dizziness persists, consult your doctor.

🚨 Serious Side Effects

Liver toxicity (Rare (<0.1%))
Seek immediate medical attention if you notice yellowing of skin or eyes, dark urine, or severe abdominal pain.
Bone marrow suppression (Rare (<0.1%))
Report unusual tiredness, easy bruising, or signs of infection such as fever and sore throat to your doctor immediately.
Severe allergic reaction (Rare (<0.1%))
Seek emergency help if you experience rash, itching, swelling of face or throat, or difficulty breathing.

⚠️ Rare Side Effects

Stevens-Johnson syndrome
Seek immediate medical attention if you develop a painful rash with blisters or peeling skin.
Pancreatitis
Seek immediate care if you have severe abdominal pain radiating to the back, with nausea and vomiting.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Dexamethasone Major
Praziquantel Major
Cimetidine Major
Ritonavir Moderate
Phenytoin Moderate
Carbamazepine Moderate
Grapefruit juice Minor
St. John's wort Minor

🚨 Major Interactions

  • Dexamethasone
  • Praziquantel
  • Cimetidine

⚡ Moderate Interactions

  • Ritonavir
  • Phenytoin
  • Carbamazepine

🍷 Alcohol Interaction

Alcohol should be avoided while taking this medicine because it may increase the risk of liver toxicity. Both alcohol and albendazole are metabolized by the liver, and combined use can put extra stress on the liver.

🔎 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 during the first trimester, unless clearly needed","Patients with severe liver disease","Patients with bone marrow suppression"]

⚠️ 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 during pregnancy unless the benefit outweighs the risk.","Patients should be advised to avoid alcohol during treatment.","This medicine may cause dizziness; avoid driving or operating machinery until you know how it affects you.","Not effective against viral, bacterial, or fungal infections."]

🤱 Lactation Safety

Albendazole is excreted in breast milk in small amounts. It is generally considered safe during breastfeeding, but consult your doctor before use. For most intestinal infections, a single dose is often used, and breastfeeding can be continued. For prolonged therapy, monitor the infant for potential side effects.

💊 Overdose Management

Overdose of albendazole may cause nausea, vomiting, diarrhea, and abdominal pain. In severe cases, liver toxicity and bone marrow suppression may occur. There is no specific antidote. Treatment is supportive and symptomatic. If overdose is suspected, seek immediate medical attention. Gastric lavage may be considered if ingestion is recent. Monitor liver function and blood counts.

⏰ 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. For single-dose regimens, take the missed dose as soon as you remember, unless it is almost time for the next scheduled dose (if applicable). Consult your doctor if you are unsure.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Shake the bottle well before each use to ensure the medicine is evenly mixed. Use a proper measuring device to get the correct dose. Do not skip doses or stop treatment early, even if you feel better. Inform your doctor if you have liver disease, kidney disease, or a history of blood disorders. Avoid alcohol while taking this medicine as it may increase the risk of liver problems. If you are pregnant or planning to become pregnant, consult your doctor before taking this medicine. This medicine may make you dizzy; avoid driving or operating heavy machinery until you know how it affects you. Keep this medicine out of the reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may have reduced liver or kidney function, which can affect the metabolism and elimination of this medicine. Dose adjustment may be necessary. Monitor for side effects closely.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before taking this medicine. It is recommended to avoid pregnancy during treatment and for a period after, as the medicine may harm the fetus. Use effective contraception during treatment.

🏥 Post-Surgery Considerations

If you have recently had surgery, inform your surgeon that you are taking this medicine. It may affect liver function and blood counts, which can impact recovery. Your doctor may want to monitor you closely.

🦷 Dental Procedures

Inform your dentist that you are taking this medicine before any dental procedure. It is generally safe, but your dentist may take precautions if you have liver or blood disorders.

💚 Lifestyle Tips for Better Results

🏃
Maintain good hygiene to prevent reinfection with worms.
🥗
Wash hands thoroughly before eating and after using the toilet.
😴
Wash fruits and vegetables before consumption.
💧
Avoid walking barefoot in areas where hookworm is common.
🧘
Cook meat thoroughly to prevent parasitic infections.

🏋️ Exercise Considerations

This medicine may cause dizziness. Avoid strenuous exercise or activities requiring mental alertness until you know how the medicine affects you. If you feel dizzy, rest and avoid driving or operating machinery.

🥗 Diet Recommendations

Take this medicine with a fatty meal to enhance absorption.
Stay well hydrated.
Include fiber-rich foods to promote healthy digestion.
Avoid alcohol during treatment.

💼 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 normal activities, but if you experience side effects, rest and consult your doctor.

🛑 When to Stop This Medicine

Do not stop taking this medicine without consulting your doctor. For single-dose therapy, no further doses are needed. For prolonged therapy, complete the full course as prescribed. If you experience serious side effects, stop the medicine and seek medical attention immediately.

📅 Long-Term Use Effects

Long-term use of this medicine may increase the risk of liver toxicity and bone marrow suppression. Regular monitoring of liver function tests and complete blood counts is recommended for prolonged therapy. If you experience any unusual symptoms, consult your doctor. The benefits of long-term therapy should be weighed against the risks.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Mebendazole

Another anthelmintic that can be used for similar infections.

Evidence: Well-established
Praziquantel

Used for trematode and cestode infections.

Evidence: Well-established
Ivermectin

Used for strongyloidiasis and onchocerciasis.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

There are no known interactions between this medicine and vaccines. However, if you are scheduled for vaccination, inform your doctor that you are taking 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 traveling, carry this medicine in its original packaging with the prescription label. Bring a copy of your prescription in case you need to show it at customs. Store it in a cool, dry place away from direct sunlight. If crossing time zones, adjust dosing times gradually to maintain consistent intervals. For prolonged therapy, ensure you have enough supply for your trip. Check local regulations regarding carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 6-year-old child with pinworm infection
The child had severe itching around the anus and was irritable. The doctor prescribed a single dose of this medicine. After taking it, the itching subsided within two days, and the child's sleep improved. The parents were advised to wash bedding and clothes to prevent reinfection.
💡 Lesson: A single dose of this medicine is effective for pinworm infection, but hygiene measures are crucial to prevent reinfection.
👤 A 35-year-old adult with hydatid disease
The patient had a liver cyst and was prescribed this medicine twice daily for 28 days. Regular liver function tests were done. The patient experienced mild nausea but completed the treatment. Follow-up imaging showed reduction in cyst size.
💡 Lesson: Prolonged therapy with this medicine requires monitoring of liver function and adherence to the prescribed regimen.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: For intestinal worms, this medicine usually starts working within 24-48 hours, and worms may be expelled in the stool. For tissue infections, it may take several days to weeks to see improvement.

Q: Can I take this medicine without food?

A: It is best taken with a fatty meal to increase absorption. If taken without food, the absorption may be reduced, but it may still be effective for intestinal worms.

Q: Is this medicine safe for children?

A: Yes, this medicine is commonly used in children over 2 years for intestinal infections. For children under 2 years, consult a pediatrician for appropriate dosing.

Q: What should I do if I miss a dose?

A: 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.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney 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?

🔄 Substitutes for hibend oral suspension

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can cure all types of infections.
    Fact: This medicine is only effective against certain parasitic worm infections. It does not treat viral, bacterial, or fungal infections.
  • Myth: You can stop taking this medicine once you feel better.
    Fact: You must complete the full course as prescribed to ensure the infection is fully cleared and to prevent resistance.
  • Myth: This medicine is safe to take during pregnancy without any risk.
    Fact: This medicine should be used during pregnancy only if clearly needed, as it may harm the fetus. Consult your doctor.

🔄 Alternative Options

Generic Alternatives

  • Albendazole 200mg/5ml oral suspension

Brand Alternatives

  • Zentel
  • Albenza
  • Eskazole

📊 Comparison with Similar Medicines

[{"medicine":"Albendazole","class":"Benzimidazole","primary_use":"Broad-spectrum anthelmintic","route":"Oral"},{"medicine":"Mebendazole","class":"Benzimidazole","primary_use":"Intestinal worms","route":"Oral"},{"medicine":"Praziquantel","class":"Pyrazinoisoquinoline","primary_use":"Trematodes and cestodes","route":"Oral"},{"medicine":"Ivermectin","class":"Avermectin","primary_use":"Strongyloidiasis, onchocerciasis","route":"Oral"}]

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