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pyrantel pamoate (Pin Rid, Pin X)

 

Classes: Anthelmintics

Dosing and uses of Pin Rid, Pin X (pyrantel pamoate)

 

Adult dosage forms and strengths

oral suspension

  • 250mg/5mL (as base)

capsule

  • 180mg (equivalent to 62.5mg base)

chewable tablet

  • 720.5mg (equivalent to 250mg base)

 

Ascariasis (Roundworm)

11 mg (base)/kg PO x1 dose; not to exceed 1 g/dose

 

Enterobius (Pinworm)

11 mg (base)/kg PO q2week x2 doses; not to exceed 1 g/dose

 

Eosinophilic Enterocolitis (Hookworm)

11 mg (base)/kg PO qD x3 d; not to exceed 1 g/dose

 

Administration

May take with food

 

Pediatric dosage forms and strengths

oral suspension

  • 250mg/5mL (as base)

capsule

  • 180mg (equivalent to 62.5mg base)

chewable tablet

  • 720.5mg (equivalent to 250mg base)

 

Ascariasis (Roundworm)

<2 years: Safety and efficacy not established

2 years or older: 11 mg (base)/kg PO x1 dose; not to exceed 1 g/dose

 

Enterobius (Pinworm)

<2 years: Safety and efficacy not established

2 years or older: 11 mg (base)/kg PO q2week x2 doses; not to exceed 1 g/dose

 

Eosinophilic Enterocolitis (Hookworm)

<2 years: Safety and efficacy not established

2 years or older: 11 mg (base)/kg PO qD x3 d; not to exceed 1 g/dose

 

Administration

May take with food

 

Pin Rid, Pin X (pyrantel pamoate) adverse (side) effects

Frequency not defined

Dizziness

Drowsiness

Insomnia

Headache

Rash

Anorexia

Nausea

Vomiting

Abdominal cramps

Diarrhea

Tenesmus

Elevated LFTs

Weakness

 

Warnings

Contraindications

Hypersensitivity

Intestinal obstruction

Hepatic disease

 

Cautions

Anemia, hepatic impairment, malnutrition

 

Pregnancy and lactation

Pregnancy category: C

Lactation: unknown

 

Pregnancy categories

A: Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

B: May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

C: Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

D: Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

X: Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

NA: Information not available.

 

Pharmacology of Pin Rid, Pin X (pyrantel pamoate)

Absorption: poor

Metabolism: partially hepatic

Peak Plasma Time: 1-3 hr

 

Excretion

Feces: 50% (as unchanged drug)

Urine: 7% (as unchanged drug)

 

Mechanism of action

Depolarizing neuromuscular blocker, inhibits cholinesterases, causing spastic paralysis