Cutaneous Larva Migrans Medication

Updated: Oct 09, 2020
  • Author: David T Robles, MD, PhD, FAAD; Chief Editor: William D James, MD  more...
  • Print

Medication Summary

Oral albendazole, oral ivermectin, or topical ivermectin are the usual treatment choices, [18, 19, 20] along with perhaps thiabendazole (not available in the United States). [21]



Class Summary

Parasite biochemical pathways are sufficiently different from the human host to allow selective interference by chemotherapeutic agents in relatively small doses.

Ivermectin (Stromectol)

Ivermectin is a semisynthetic macrocyclic lactone antiparasitic agent with broad-spectrum action against nematodes by producing flaccid paralysis through binding of the glutamate-gated chloride ion channels. It may become the drug of choice because of safety, low toxicity, and single dosing, which enhance patient compliance.

Albendazole (Albenza)

Albendazole is a broad-spectrum benzimidazole carbamate anthelmintic that acts by interfering with glucose uptake and disrupting microtubule aggregation. Use it as an alternative to thiabendazole.