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Mebendazole and fenbendazole are both broad-spectrum anthelmintic (anti-parasitic) medications used to treat worm infections, but they differ in their chemical structure, spectrum of activity, and approved uses.

Chemical Structure & Drug Class

  • Mebendazole Tablets are a benzimidazole derivative that works by disrupting the parasites' microtubule function, inhibiting their glucose uptake, and eventually killing them.

  • Fenbendazole Tablet is also a benzimidazole but has a slightly different chemical structure, making it more effective against certain parasites like giardia and some lungworms.

Spectrum of Activity

  • Mebendazole is primarily used against intestinal worms such as pinworms, roundworms, whipworms, and hookworms in humans.

  • Fenbendazole is mainly used in veterinary medicine (dogs, cats, livestock) but is sometimes used off-label in humans. It treats similar worms as mebendazole but is also effective against giardia, certain tapeworms, and lungworms.

Approved Uses & Safety

  • Mebendazole is FDA-approved for human use and commonly prescribed for parasitic infections in children and adults.

  • Fenbendazole is not FDA-approved for humans but is widely used in animals. Some people use it off-label, though its safety profile in humans is less established.

Dosage & Administration

  • Mebendazole is usually taken as a single dose or short course (1-3 days).

  • Fenbendazole requires longer treatment (3-7 days) due to differences in absorption and metabolism.

Conclusion

While both drugs work similarly, mebendazole is the standard for human parasitic infections, whereas fenbendazole is primarily for animals. Self-treatment with fenbendazole in humans should only be done under medical supervision.

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