IE69667B1 - Formulations comprising praziquantel and another anthelmintic - Google Patents

Formulations comprising praziquantel and another anthelmintic

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Publication number
IE69667B1
IE69667B1 IE920446A IE920446A IE69667B1 IE 69667 B1 IE69667 B1 IE 69667B1 IE 920446 A IE920446 A IE 920446A IE 920446 A IE920446 A IE 920446A IE 69667 B1 IE69667 B1 IE 69667B1
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Prior art keywords
praziquantel
anthelmintic
composition
levamisole
formulation
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IE920446A
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IE920446A1 (en
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Colin Manson Harvey
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Ancare Distributors
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Epidemiology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Molecular Biology (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Abstract

Anthelmintic compositions containing praziquantel (a pyrazinoisoquinoline derivative; (2(Cyclohexylcarbonyl))- 1,2,3,6,7,-11b-hexahydro-4H-pyrazino[2,1-a]isoquinolin-4-one) together with at least one other anthelmintic. Formulations are described containing; (i) praziquantel and levamisole, (ii) praziquantel and albendazole, (iii) praziquantel and oxfendazole, (iv) praziquantel and moxidectin, (v) praziquantel and ivermectin. The avermectin component may be replaced by Milbemycin D, or other milbemycins.

Description

This invention relates to pharmaceutical compositions for the treatment of helminthiasis in warm-blooded animals, more particularly cattle, sheep, goats, and other domesticated herbivores.
BACKGROUND * Helminthiasis is a widely occurring disease in farmed animals. It commonly causes clinical disease and has significant adverse economic effects on farming economies when present at subclinical levels. Over the past twenty-five years a number of initially successful anthelmintic agents, with relatively specific effects on the metabolism of smaller or larger groups of endoparasites have been discovered, trialled, and used successfully to control helminthiasis on farms. Various groups of compounds have a greater or lesser spectrum of activity - that is to say they are able to destroy a wider or smaller range of parasite. For example, the widely used ivermectin is active against parasitic roundworms and also against some ectoparasites, yet it is inactive against tapeworms because of a difference in their biochemical constitution. Triclabendazole” is active only against the liver fluke Fasciola hepatica.
Unfortunately, resistance to the effects of particular compounds or related families has usually developed with time, after repeated use of the same compound, and has become one of the major problems in the use of these anthelmintic agents. In fact, the growth of drench resistance seems to be overtaking the ability of scientists to develop new drenches. The spread of sheep measles (cysts of the taenia ovis species of tapewoim) is one such problem.
There is a need, therefore, for alternative anthelmintic formulations having the breadth of activity of the benzimidazole drugs (for example) but which slows the advancement of drench resistance.
OBJECT It is an object of this invention to provide novel pharmaceutical compositions having anthelmintic activity.
X According to the invention there is provided an anthelmintic composition including an effective amount of the anthelmintic praziquantel together , with effective amounts of at least one other anthelmintic, wherein the other anthelmintic is selected from the group comprising the avermectins; * milbemycins; levamisole; tetramisole; or a substituted benzimidazole carbamate, with the proviso that it does not include febantel, pyrantel, oxamniquine nor furapromidium.
Praziquantel (2(Cyclohexylcarbonyl))-12,3,6,7 ,-11 b-hexahydro~4H-pyrazino[2,l* a]isoquinolin-4-one) has for many years been used to control cestode infestations and schistosomiasis in humans. The surprising discovery that the efficacy of praziquantel can j Q be enhanced in domesticated animals by simultaneous administration with other anthelmintics has been exploited in the present invention, which offers improved efficacy in the control of cestodes, together with simultaneous control of nematode infestations.
Examples of suitable benzimidazole drugs include drugs such as mebendazole, fenbenIg dazole, oxfendazole, albendazole, cambendazole, parbendazole, oxibendazole, flubendazole and cyclobendazole.
Preferably, in the case of compositions incorporating levamisole, the composition has a pH less than 4.0 and in the most preferred aspect the pH is about 3.0.
Optionally, the composition may contain other veterinary products (including other anthelmintics).
The anthelmintic compositions of the invention may be used for treating 25 helminthiasis in animals.
When administered to sheep we prefer to administer the composition as a drench having an effective amount of praziquantel in the range of 4 to 4 mg/kg of body weight Since praziquantel is a relatively insoluble material, we have devised formulations for administration in the form of drenches and examples are included in this specification.
♦· We have previously found that combining benzimidazole drenches with levamisole drenches results in an unstable product due to die different pH values needed to maintain the stability of the individual products. Mixtures of levamisole as tbe hydrochloride together with praziquantel are stable, provided that the pH of the mixture is lower than approximately 4.
These and other aspects of the invention, which will be considered in all its novel aspects, will be apparent from the following description, which is given by way of example only.
GENERAL FORMULATION A typical formula for this invention would include the following active ingredients: praziquantel AND benzimidazole OR levamisole OR ivermectin OR moxidectin OR doramectin active in a range of activity from 05 - 15% w/v active in a range of activity from 1 - 15% w/v active in a range of activity from 1 - 10% w/v active in a range of activity from 0.05 - 1% w/v active in a range of activity from 0.05 - 1% w/v active in a range of activity from 0.05 - 1% w/v and one or more of the following ingredients to enhance stability and characteristics of the composition: viscosity agents surfactants sanitizers acidifiers stabilizers EXAMPLE I: PranquantelZLevamisoIe HQ Drench ·'? pH of 3.4 Viscosity @ 20 *C Density at 20 ’C = 1.025 kg/1 = 20 sec. (Ford no. 4 cup) ingredient gm! 100ml Water (hot) 2.0 Polyoxystearate 40USP/NF 2.50 PEG 6000* 3.00 praziquantel 1.88 Defoamer RD 0.20 Water (cold) to 100 ml Potassium sorbate BP 0.18 Citric Acid (anhyd) BP 0.30 Levamisole HCl BP 3.75 Xanthan Gum USP/NF 0J0 Mono propylene glycol BP 0.40 Colloidal anhydrous silica BP 1.00 Foimalehyde solution BP 0.20 100.00 *PEG 6000 is an abbreviation for Polyethylene Glycol 6000 USP/NF.
We have found that it is possible to make an acidified praziquantel drench in which the stability of levamisole can be maintained without affecting die praziquantel component. The acidity of the resulting product is preferably of a pH of less than 4.0, preferably around 3.0. A lower pH do wn to 2.0 is preferable if minerals are added to the drench. We have found that the pH of the above examples will vary slightly on a batch by batch basis.
Manufacturing Instructions for Composition of Example 1 1. Praziquantel premix - measure the hot water into a premix vessel, add the PEG 6000 and polyoxystearate 40 and mix until fully melted (approximately 65’C). Use external heating if required. Add the praziquantel and Defoamer RD and silverson until smooth and lump free. 2. Measure the bulk of die cold water into the production tank, add the potassium sorbate, citric acid, and levamisole hydrochloride and stir to dissolve. 3. Add the hot praziquantel premix to the production tank and stir until fully dispersed and lump-free. 4. Premix the Monopropylene glycol and Xanthan Gum, add to the batch and silverson until dispersed and until the viscosity has fully developed.
. Add tiie colloidal anhydrous silica and silverson until fully dispersed. 6. When the batch temperature is below 40*C add the formalin and stir to dissolve. 7. Add the remaining water to make up to volume. 8. Take a test sample for laboratory analysis.
The procedure called silversoning” is essentially mixing or dispersing in a device providing high shear rates within the fluid.
EXAMPLE 2: Prazjquanrr.l/Alhf.nHayoIe Drench By way of a second embodiment, a combination with an albendazole would be prepared using the following constituents: Water (hot) gmllOOrrd 2.00 PEG 6000 2.50 Polyoxystearate 40 3.00 Albendazole 238 Defoamer RD 030 Praziquantel 230 Water (cold) to 100ml Potassium soibate 0.18 Citric acid 030 Xanthan Gum USP/NF 030 Monopropylene glycol 0.40 Formalin 030 Colloidal anhydrous silica 1.00 100 ml The pH of such a suspension is expected to be in the range of from 3.5 to 5.5.
Combinations with other benzimidazole-type compounds can be formulated in a manner similar to that of Example 2.
EXAMPLE 3: Praziquantel/Iveimectin Drench Combinations with avermectin-related compounds can be made as non-aqueous or aqueous suspensions depending on the stability of the avexmectin compound. For example, a formulation including ivermectin and praziquantel could be: gmllOOml Ivermectin 0.1 Praziquantel 1.88.
Propylene glycol 40.00 Water to 100ml The suspension would have a neutral pH.
Other avennectins such as doramectin ormoxidectin may be used in place of ivermectin.
It is also possible to prepare a solution of praziquantel with appropriate organic solvents.
The resulting product is not only stable but also allows the farmer to obtain control of a wider range of parasites.
EXAMPLE 4: Praaquantel/Oxfendaznle A combination with an albendazole would be prepared using the following constituents: Water (hot) gml100ml 2.00 PEG 6000 2J0 Polyoxystearate 40 3.00 Oxfendazole 2265 Defoamer RD 020 Praziquantel 250 Water (cold) to 100ml Potassium sorbate 0.18 Citric acid 0.30 Xanthan Gum USP/NF 0.20 Monopropylene glycol 0.40 Foimalin 020 Colloidal anhydrous silica 1.00 100 ml EXAMPLES: Prariquantel/Moxidcctin gmllOOnd Praziquantel 2.0 Moxidectin 0.10 Propylene glycol 20.0 Xanthan Gum USP/NF 0.2 Water to 100 ml 100ml EXAMPLES: Praziquantel/Ivcrmectin gm! 100ml Praziquantel XO Ivennectin 0.08 Ethanol 20.0 Propylene glycol to 100ml 100 ml In addition, it is possible to include in the composition other veterinary products including ectoparasiticides, as well as other endoparasiticides, minerals, and trace elements as required. In the following trials reference will be made to the praziquantel/Levamisole formulation of Example 1. In some of the trials the formulation of Example 1 may include minerals and trace elements.
The compositions may be administered to mammals preferably by mouth as a drench, and as a single dose.
TRIALS The formulation of Example 1 has been shown in a series of New Zealand trials to be highly effective in controlling benzimidazole resistant roundworms and tapeworms in sheep.
While levamisole has been well researched for the control of helminths in sheep, there historically has been little information on praziquantel in the ovine. Thomas & Gonnert [Research in Veterinary Science (1978) 24,20] report a high efficacy in the control of Moniezia spp at a dose of 2.5mg/kg, while other studies against liver tapeworm (Stilesia 2q hepatica) demonstrated efficacy at 15mg/kg.
A recent study by C. Bauer [Veterinary Record (1990) 127, 353-354] demonstrated an adequate efficacy against Moniezia expensa in lambs at a dose of 3.75mg/kg. Based on this study a praziquantel dose of 3.75mgZkg was chosen.
TRIAL I Summary Two groups of milk lambs - slaughter at ten days. The formulation of Example 1 at a dose of 2mI/10kg of body weight. epg Reduction % Formulation of Example 1 Control Strong 98% (800%) Nem. % Reduction worm Haemonchus spp 100% counts versus controls Osteztagia spp 97% Nematodirus spp 100% Tiichostrongylus spp 100% Cooperia 100% Moniezia Scoleces 100% Segments 98% A high level of efficacy was demonstrated by the formulation of Example 1 against roundworms and tapeworms.
TRIAL REPORT I OBJECTIVE To assess by dosing and slaughter trial the efficacy and dose compatibility of the formulation of Example 1 mt lambs in die control of tapeworm and roundworm.
MATERIALS The formulation of Example 1 TRIAL DESIGN Two groups of lambs were divided into two random groups as follows: Group 1 Ο Dosed with the formulation of Example 1 Dose rate 2 ml/lOkg bodyweight Lambe Nos. 43,42,55,23,14,61,45,47 All lambs were tagged, weighed and faecal sampled predosing.
All lambs were slaughtered at 10 days post treatment and tapeworm and nematode worm counts done on the abomasum and small intestine.
Reaction of animals at drenching observed and no effects noticed EGGSGRAM W DAY CRITICAL SLAUGHTER WORM COUNTS Tag No. Wgt Dose Stmng. Nem. Stang. Nem. Haem. Ostert. Trich. Nema. Trich. Coop. MONEZ1A kgs ml Seolex Segments mL GROUP 1 - UEWTAPEAmWOkg 43 22 83 250 42 24 9.6 SO SS 20 8Ό 350 23 15 6.0 650 14 16 6.4 2200 61 17 63 300 45 22 8.8 250 47 19 73 200 500 200 400 SO MEAN 531.2 — 62 1373 — — · • 03 GROUP?-CONTROL 37 20 1650 - 3750 - 150 14000 - 200 2200 400 8 3 20 16 1000 - 2800 - 250 1400 - - 1000 200 8 100 5 -26 900 - 1400 - 40 6000 - - 2600 400 3 1 11 19 600 - 950 - 180 800 - - 600 200 - - 17 20 600 - 2650 - 70 3000 - 100 700 500 2 8 63 17 400 - 2400 - 140 5800 - 100 2000 800 2 45 51 18 100 - 960 - 10 1600 - 100 600 100 2 60 32 18 200 - 450 — 30 2400 — — 500 200 2 35 MEAN 6812 - 6168.7 - 878 4375 - 623 1275 350 33 313 The tabulated results above show for each result the weights of the lambs, the dose administered, the faecal egg counts piedosing and the 10 day worm counts. The efficacy e of the formulation of Example 1 on Moniezia expansa is demonstrated. The levamisole shows no diminution in its efficacy on the common nematodes in lambs. t TRIAL Π &2Q2Q2SX Three groups of lambs - slaughter at ten days.
Group 1 Formulation of Example 1 - lml/5kg Group 2 Albendazole - lml/5kg Group 3 Control - untreated % epg Reduction Formulation of Example 1 Albendazole Control Strong 15% 45% (788%) Nem 100% + + % Reduction Haemonchus spp 60% 30% worm counts Ostertagia spp 82% 96% versus Nematodirus spp 85% (23%) controls Trichostrongylus spp 100% 25% Coopcriaspp Moniezia • — Scoleces 99% 19% Segments 100% 23% Clear evidence of resistant nematodes to levamisole and albendazole. Albendazole resistant moniezia were cleared by the formulation of Example 1.
TRIAL REPORT Π OBJECTIVE To assess by dosing and slaughter trial the efficacy and dose compatibility of the formulation of Example 1 on lambs in the control of tapeworm and roundworm.
MATERIALS 1. Formulation of Example 1 8mg/kg levamisole/3.75 mg/kg praziquantal 2. Albendazole TRIAL DESIGN Three groups of lambs were divided into three random groups as follows: Group 1 - 8 Lambs, Group 2-8 Lambs, Group 3- 7 Lambs.
Group 1 Dosed with the formulation of Example 1 (3.75 mg/kg praziquantal) (8mg/kg levamisole) Dose rate 1 ml/1 kg bodyweight Lamb Nos. 50,54,37,75,35,35,30,61,52 Group 2 Albendazole lml/5kg 25 Lamb Nos. 48,64,56,33,60,58,44,59 Group 3 Control Lamb Nos. 40,32,57,49,43,46,51 All lambs were tagged, weighed and faecal sampled predosing.
All lambs were slaughtered at 10 days post treatment and tapeworm and nematode worm counts done on the abomasum and small intestine.
Reaction of animals at drenching observed and no effects noticed.
EGGSX3RAM 10 DAY CRITICAL SLAUGHTER WORM COUNTS Tag No. Wgt Dose Strong. Nam. Strong. Nam. Haem. Ostert. Trich. Nama. Trich. Coop. MONEZIA kgs ml Scolax Segments $ mL GROUP 1-UEVITAPE II (Imiekg) 50 16 36 1900 100 - - - 100 - 100 - 54 14 36 50 - - - - - 30 - 37 14 36 450 75 13 36 600 - - - 10 - - - 35 14 36 350 50 750 - - 200 - 100 - - 1 30 14 36 900- - 2850 - 100 1900 - - - _ _ 61 .12 25 300 - - 20 - - - _ _ 52 26 56 300 - Missing LEAN 6065 196 514 - 145 3195 - 326 - - 0.14 GROUP 2-ALBENDAZOLE flmlStart 48 16 - 750 - so - 30 100 - 100 - - 55 - 64 14 - - - 500 - X 100 - 20 - - 4 - 56 14 - 450 - ISO - - - - 700 - - 11 40 33 13 - 150 - 400 - 20 - - 1000 100 - 34 10 60 14 - 2250 - 1000 200 40 100 - 100 - - 39 27 56 14 - 900 - 700 50 20 - 100 100 - - 16 14· 44 12 - 700 - 150 50 100 200 - 100 - - 29 3 59 26 950 - 400 — - - - 10 - 4 - MEAN 768.7 — 4168 375 306 62.5 125 2665 1125 24.0 11.1 GROUP 3-CONTROL 40 450 - 1350 - 40 1200 - 300 100 - 24 15 32 850 - 7300 500 60 2500 - 400 200 - 3 - 57 500 950 50 30 1000 - 300 - - 18 1 49 - - 1750 150 20 400 - - - - 52 45 43 750 - 1060 - X 3200 - 200 IX - 49 X 46 450 - 13450 - 40 2200 - 100 500 - 32 2 400DEAD-;MEAN 485.7 43060 116.0 3681750 - . 2166 1SOO - 206 155 The tabulated results above show for each.result the weights of the lambs, the dose administered, the faecal egg counts predosing and post dosing and the 10 day worm counts. The efficacy of the formulation of Example 1 on Moniezia expansa is demonstrated. The levamisole and albendazole group results shows efficacy on the common nematodes in lambs is not as high as desired as resistance appears to be present to both these actives.
The albendazole was not effective in its efficacy against Monezia expansa. The formulation of Example 1 shows a very successful level of elimination of this tapeworm when in combination with levamisole.
TRIAL REPORT ΠΙ LOCATION OBJECTIVE To assess by dosing and slaughter trial the efficacy and dose compatibility of the formulation of Example 1 on lambs in the control of tapeworm and roundworm.
MATERIALS 1. The formulation of Example 1 including minerals, and trace elements such as copper, cobalt, selenium, iodine and zinc. 8mg/kg levamisole/3.75 mg/kg praziquantal with Minerals 2. Albendazole (Valbazen) TRIAL DESIGN Three groups of lambs were divided into three random groups as follows: Group 1-8 Lambs, Group 2-8 Lambs, Group 3-8 Lambs » Group 1 Dosed with the formulation of Example 1 including minerals and trace elements such as copper, cobalt, selenium, iodine and zinc. (3.75 mg/kg praziquantal) (8mg/kg levamisole) Dose rate 1 ml/5 kg bodyweight Lamb Nos. 17,20,23,33,36,37,102,108 v Group 2 Albendazole lml/5kg m Lamb Nos. 12,21,26,39,43,46,51,103 Group 3 Control Lamb Nos. 10,11,18,32,41,49,105,109 All lambs were tagged, weighed and faecal sampled predosing. All lambs were slaughtered at 9 days post treatment and tapeworm and nematode worm counts done on the ' abomasum and small intestine.
Reaction of animals at drenching observed and no effects notice.
EGGS/GRAM 10 DAY CRITICAL DAUGHTER WORM COUNTS Tag No. Wgt Dose Strong. Nem. Strong. Nam. Haem. Osten. Trick Nona. Trick Coop. MONIEZIA kgs mi Scotex Segments mL GROUP 1-LEVITAPE fl (1ml6kg) 17 28 22 26 26 24 102 23 108 32 6.0 150 50 ___ _____ 4.0 200 - 50 _____ .0-- - ___ _____ 50 - 100 ___ _____ 5Λ 50 - 50 - - - - - _ __ 200- - ___ _____ 50- - ___ _____ MEAN 93.76 - 375 GROUP 2 - ALBENDAZOLE Π rnVSkol 12 26 55 50 - 5 - 160 - - - - - 3 10 21 22 45 - - -. - 10 - - - - 5 - 26 28 55 100 - - - 50 - - - - - - 39 24 55 100 - - - 20 - - - - 1 - 43 26 53 150 - 50 - - - - - - 1 5 46 30 65 - - 50 35 51 28 55 100 5 103 20 45 300 - - - 450 - — - — — — — MEAN 1005 - 13.1 - 863 - - - - - 65 11.8 CROUP 3-CONTROL 10 22 100 — 600 — 650 100 — - 700 200 6 110 11 24 250 - 2250 - 1400 400 - - 2200 40002 85 18 22 - - 400 - 880 300 - 100 1800 32002 80 32 30 SO - - - 400 600 - 100 200 300 8 15 41 26 100 - 50 - 50 100 - - 200 .- - - 49 22 50 - 960 - 560 200 - 100 - - - - 105 24 150 - 1400 - 700 100 - - 1600 4800 2 55 109 26 - 1150 - 970 200 - - 800 1400- 40 MEAN 875 850 7013250 375 9375 1738 25 48.1 -ί The tabulated results above show for each result the weights of the lambs, the dose administered, the faecal egg counts predosing and post dosing and the 9 day worm counts. The efficacy of the formulation of Example 1 including minerals and trace elements on Moniezia expansa is demonstrated. The albendazole group results shows efficacy on the common nematodes in lambs is not as high as desired as resistance appears to be present to this active forHaemonchus contortus.
The albendazole was not effective in its efficacy against Monezia expansa. The formulation of Example 1 shows a very successful level of elimination of this tapeworm when in combination with levamisole, with no dimunition in efficacy by levamisole against the common nematodes in lambs.
VARIATIONS ί A range of compositions have been described suitable for 4 the treatment or prevention of helminthiasis in sheep and goats. The trials show dose rates of 3.75 mg/kg of praziquantel and 8mg/kg of levamisole. We have discovered 'that the dose rate Of the formulation of Example 1 can be reduced, thereby reducing the dose rate of praziquantel to about 2mg/kg whilst preventing sheep measles in lambs. Preferred dose rates for lambs and sheep are in the range of 2-7.5 mg/kg of live body weight of praziquantel, giving a comparable range of levamisole of 4-16 mg/kg of live body weight.
Any of the avermectins, ivermectin, moxidectin, doramectin, could be replaced by Milbemycin D or other members of the Milbemycin family (Merck Index 6112, 11th Edition).
Finally it will be appreciated that various other alterations and modifications may be made to the foregoing without departing from the scope of this invention as set forth in the following claims.

Claims (10)

    1. , wherein the formulation is a drench and contains from 0.5 to 15% w/v of praziquantel. 1, wherein the composition includes levamisole, and the composition has a pH of less than 4.0.
  1. » 1. An anthelmintic composition including an effective amount of the anthelmintic praziquantel together with effective amounts of at least one other
  2. 2. , wherein the pH is about 3.0. 15 4. An anthelmintic composition as claimed in claim
  3. 3. An anthelmintic composition as claimed in claim
  4. 4. , wherein the formulation contains levamisole 20 hydrochloride from l to 10% w/v.
  5. 5. An anthelmintic composition as claimed in claim 5 anthelmintic, wherein the other anthelmintic is selected from the group comprising the avermectins; milbemycins; levamisole; tetramisole; or a substituted benzimidazole carbamate, with the proviso that it does not include febantel, pyrantel, oxamniquine nor furapromidium. 10 2. An anthelmintic composition as claimed in claim
  6. 6. An anthelmintic composition as claimed in claim t 4, wherein the formulation contains from 0.05 to 1% w/v of ivermectin or moxidectin or doramectin.
  7. 7. An anthelmintic composition as claimed in claim 25 4, wherein the formulation contains from 1-15% w/v of a benzimidazole chosen from the group comprising mebendazole, fenbendazole, oxfendazole, albendazole, cambendazole, parbendazole, oxibendazole, flubendazole and cyclobendazole.
  8. 8. An anthelmintic composition as claimed in any one of claims 1 to 7, wherein the praziquantel is suspended in a liquid carrier.
  9. 9. An anthelmintic composition substantially as herein described with reference to any one of the Examples.
  10. 10. Use of a composition according to any of the preceding claims in treating helminthiasis in animals.
IE920446A 1991-02-12 1992-02-11 Formulations comprising praziquantel and another anthelmintic IE69667B1 (en)

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