Antihelminthic / immunomodulator
Levamisole
Adult dose
Dose: Specialist; nephrotic syndrome (paediatric): 2.5 mg/kg every other day
Route: PO
Frequency: alternate days
Clinical pearls
- Steroid-sparing in steroid-sensitive nephrotic syndrome (paediatric); specialist nephrology
Contraindications
- Hypersensitivity
- Bone marrow suppression
Side effects
- Agranulocytosis (idiosyncratic)
- Vasculitis
- GI upset
- Hepatotoxicity
Interactions
- Warfarin (raised INR)
- Phenytoin
Monitoring
- FBC weekly initially
- LFTs
Reference: BNF; KDIGO guidelines; https://bnf.nice.org.uk/drugs/levamisole/. Verify against your local formulary and the latest BNF before prescribing.
Related
Curated clinical cross-links plus same-class fallbacks.
Pathways
- Infective Endocarditis · ESC 2023 Infective Endocarditis Guidelines; NICE NG41
- Eczema Herpeticum · BAD; NICE CKS
- Suspected Bacterial Meningitis (Adult) · NICE NG240 (2024); NICE NG143 (paeds)
- Clostridioides difficile Colitis · NICE NG199 (2021); IDSA/SHEA 2021
- Returning Traveller — Fever · NaTHNaC; PHE; ESCMID 2018
- Malaria — Diagnosis & Management · PHE 2016; WHO 2023