按不同类型的寄生虫可分为以下几种药物:
抗疟药:主要包括用于控制疟疾症状的氯喹口服片。该药物作用于疟原虫侵入红细胞内期,有效控制症状发作。此外,还有佰氨喹口服片,主要用于防止疟疾复发和传播,特别是间日疟;乙胺嘧啶口服片则用于预防疟疾,并常与佰氨喹联用以防止复发。
抗阿米巴病和滴虫病药:甲硝达唑片(又称灭滴灵片)是一种强效的杀滴虫药物,对肠内及组织内的阿米巴原虫也有杀灭作用。它可用于治疗阴道滴虫病、阿米巴痢疾和阿米巴脓肿,并且对抗厌氧菌感染有良好疗效。
抗黑热病药:葡萄糖锑酸钠针剂可有效杀灭利什曼原虫,静脉或肌内注射后能迅速控制症状。它对黑热病患者有较好的治疗效果。
抗血吸虫病药:酒石酸锑钾针剂在治疗剂量下对血吸虫成虫有直接作用,并能使虫体生殖系统变性,是血吸虫病因治疗的主要药物。吡喹酮片是一种广谱抗寄生虫药,对日本血吸虫病、绦虫病、华支睾吸虫病和肺吸虫病等均有效。
抗丝虫病药:海群生口服片对微丝蚴及成虫均有作用,适用于治疗马来丝虫病和斑氏丝虫病。
抗肠虫药:哌嗪类药物如枸椽酸哌嗪(又称驱蛔灵)具有驱除蛔虫、蛲虫的作用;味唑类药物中的左旋味唑对蛔虫、钩虫有效,还具有免疫增强作用;甲苯味唑(又名肠虫净)对钩虫和蛲虫有较强的治疗效果;丙硫咪唑即肠虫清是一种较新的驱虫药,只需服用1次2片即可达到治疗目的。此外,还有嘧啶类药物如噻嘧啶、甲噻嘧啶,均为广谱驱虫药,适用于口服一次性或多次剂量的治疗。
以上各类抗肠虫药通常不需要额外使用泻药,除了可能引起的便秘情况外。
| 中文名称 | 英文名称 | CAS号 | 化学式 |
|---|---|---|---|
| —— | (+)-quinine sulfate | 804-63-7 | C20H24N2O2*(x)H2O4S |
| —— | (1R,13R)-10-methoxy-1,5,9-trimethyl-11,14,15,16-tetraoxatetracyclo[10.3.1.04,13.08,13]hexadecane | 71963-77-4 | C16H26O5 |
| —— | 1,4-bis[(R)-[(2R,4S,5S)-5-ethyl-1-azabicyclo[2.2.2]octan-2-yl]-(6-methoxyquinolin-4-yl)methoxy]anthracene-9,10-dione | 176097-24-8 | C54H56N4O6 |
| —— | (1'R,2R,3S,4'S,6S,8'R,12'S,13'S,20'R,21'R,24'S)-2-cyclohexyl-21',24'-dihydroxy-12'-[(2R,4S,5S,6S)-5-[(2S,4S,5S,6S)-5-hydroxy-4-methoxy-6-methyloxan-2-yl]oxy-4-methoxy-6-methyloxan-2-yl]oxy-3,11',13',22'-tetramethylspiro[2,3-dihydropyran-6,6'-3,7,19-trioxatetracyclo[15.6.1.14,8.020,24]pentacosa-10,14,16,22-tetraene]-2'-one | 117704-25-3 | C50H74O14 |
| —— | 7-bromo-6-chloro-3-[3-[(2R,3R)-3-hydroxypiperidin-2-yl]-2-oxopropyl]quinazolin-4-one | 55837-20-2 | C16H17BrClN3O3 |
| —— | Azanium;2-[6-[1-[2-[5-[3-(4,5-dimethoxy-6-methyloxan-2-yl)oxy-5-(6-hydroxy-3,5,6-trimethyloxan-2-yl)oxolan-2-yl]-5-methyloxolan-2-yl]-7-hydroxy-2,8-dimethyl-1,10-dioxaspiro[4.5]decan-9-yl]ethyl]-2-hydroxy-4,5-dimethoxy-3-methyloxan-2-yl]acetate | 84878-61-5 | C47H83NO17 |
| —— | (1'R,2R,3S,4'S,6S,8'R,10'E,12'S,13'S,14'E,16'E,20'R,21'R,24'S)-2-cyclohexyl-21',24'-dihydroxy-12'-[(2R,4S,5S,6S)-5-[(2S,5S,6S)-5-hydroxy-4-methoxy-6-methyloxan-2-yl]oxy-4-methoxy-6-methyloxan-2-yl]oxy-3,11',13',22'-tetramethylspiro[2,3-dihydropyran-6,6'-3,7,19-trioxatetracyclo[15.6.1.14,8.020,24]pentacosa-10,14,16,22-tetraene]-2'-one | 117704-25-3 | C50H74O14 |
| —— | ivermectin | 70288-86-7 | C48H74O14 |
| —— | monensin sodium salt | 22373-78-0 | C36H61O11*Na |
| —— | 1,4-Bis(dihydroquinine)anthraquinoneanthraquinone | 176097-24-8 | C54H56N4O6 |
| —— | (S)-[2,8-bis(trifluoromethyl)quinolin-4-yl]-piperidin-2-ylmethanol | 53230-10-7 | C17H16F6N2O |
| —— | cinchonidine | 118-10-5 | C19H22N2O |
| —— | 7-bromo-6-chloro-3-[3-(3-hydroxy-2-piperidinyl)-2-oxopropyl]-4(3H)-quinazolinone | 55837-20-2 | C16H17BrClN3O3 |
| —— | Piperazine, 2-hydroxy-1,2,3-propanetricarboxylate (3:2), hydrate | 7140-78-5 | C26H50N4O24 |
| —— | 3-O-De[2-(acetylmethylamino)-1-oxopropyl]-3-O-(1-oxobutyl)maytansine | 66584-72-3 | C32H43ClN2O9 |
| —— | (2S)-2-[(2R,5S,6R)-6-[(2S,3S,4S,6R)-6-[(3S,5S,7R,9S,10S,12R,15R)-3-[(2R,5R,6S)-5-ethyl-5-hydroxy-6-methyloxan-2-yl]-15-hydroxy-3,10,12-trimethyl-4,6,8-trioxadispiro[4.1.57.35]pentadec-13-en-9-yl]-3-hydroxy-4-methyl-5-oxooctan-2-yl]-5-methyloxan-2-yl]butanoic acid | 53003-10-4 | C42H70O11 |
| —— | Doramectin synthetic | 117704-25-3 | C50H74O14 |
| —— | (1R)((5R)-5-vinylquinuclidin-2-yl)-4-quinolylmethan-1-ol | 118-10-5 | C19H22N2O |
| —— | Sodium stibogluconate | 16037-91-5 | C12H36Na3O26Sb2+ |
| —— | (2S)-2-[(5R)-6-[(2R,3R,4R,6S)-6-[(3R,5R,7S,10R,12S,15S)-3-[(5S,6R)-5-ethyl-5-hydroxy-6-methyloxan-2-yl]-15-hydroxy-3,10,12-trimethyl-4,6,8-trioxadispiro[4.1.57.35]pentadec-13-en-9-yl]-3-hydroxy-4-methyl-5-oxooctan-2-yl]-5-methyloxan-2-yl]butanoic acid | 53003-10-4 | C42H70O11 |
| —— | (4S,5R,9R,12S,13R)-1,5,9-trimethyl-11,14,15,16-tetraoxatetracyclo[10.3.1.0^{4,13}.0^{8,13}]hexadecan-10-one | 63968-64-9 | C15H22O5 |
| —— | Maytansine, 2'-de(acetylmethylamino)-2'-methyl- | 66584-72-3 | C32H43ClN2O9 |
| —— | Monensin Sodium | 22373-78-0 | C36H61NaO11 |
| —— | 1-[Amino-(4-chloroanilino)methylidene]-2-(1,1,1,3,3,3-hexadeuteriopropan-2-yl)guanidine | 500-92-5 | C11H16ClN5 |
| —— | (R)-[(2S,4R,5R)-5-ethenyl-1-azabicyclo[2.2.2]octan-2-yl]-(6-methoxyquinolin-4-yl)methanol;sulfuric acid;dihydrate | 6119-70-6 | C40H54N4O10S |
| —— | Sodium antimonyl L-tartrate | 34521-09-0 | C8H4Na2O12Sb2 |
| —— | Agrimophol | 65792-05-4 | C26H34O8 |
| —— | (1R,4S,5'S,6R,6'R,8R,12S,13S,14E,16E,20R,21R,24S)-6'-[(2S)-butan-2-yl]-21,24-dihydroxy-12-[(2R,4S,5S,6S)-5-[(2S,4S,5S,6S)-5-hydroxy-4-methoxy-6-methyloxan-2-yl]oxy-4-methoxy-6-methyloxan-2-yl]oxy-5',11,13,22-tetramethylspiro[3,7,19-trioxatetracyclo[15.6.1.14,8.020,24]pentacosa-10,14,16,22-tetraene-6,2'-oxane]-2-one | 70288-86-7 | C48H74O14 |
| —— | (+)-Cinchonine | 118-10-5 | C19H22N2O |
| —— | (1S,4S,5'S,6R,6'R,8R,10E,12S,13S,14E,20R,21R,24S)-6'-[(2S)-butan-2-yl]-21,24-dihydroxy-12-[(2R,4S,5S,6S)-5-[(2S,4S,5S,6S)-5-hydroxy-4-methoxy-6-methyloxan-2-yl]oxy-4-methoxy-6-methyloxan-2-yl]oxy-5',11,13,22-tetramethylspiro[3,7,19-trioxatetracyclo[15.6.1.14,8.020,24]pentacosa-10,14,16,22-tetraene-6,2'-oxane]-2-one | 70288-86-7 | C48H74O14 |
| —— | Narasin | 55134-13-9 | C43H72O11 |
| —— | (1R,13R)-1,5,9-trimethyl-11,14,15,16-tetraoxatetracyclo[10.3.1.04,13.08,13]hexadecan-10-one | 63968-64-9 | C15H22O5 |
| —— | (1'R,2R,3S,4'S,6S,8'R,10'Z,12'S,14'Z,16'Z,20'R,21'R,24'S)-2-cyclohexyl-21',24'-dihydroxy-12'-[(2R,4S,6S)-5-[(2S,4S,5S,6S)-5-hydroxy-4-methoxy-6-methyloxan-2-yl]oxy-4-methoxy-6-methyloxan-2-yl]oxy-3,11',13',22'-tetramethylspiro[2,3-dihydropyran-6,6'-3,7,19-trioxatetracyclo[15.6.1.14,8.020,24]pentacosa-10,14,16,22-tetraene]-2'-one | 117704-25-3 | C50H74O14 |
| —— | 8-[[4-methyl-3-[[3-[[3-[[2-methyl-5-[(4,6,8-trisulfonaphthalen-1-yl)carbamoyl]phenyl]carbamoyl]phenyl]carbamoylamino]benzoyl]amino]benzoyl]amino]naphthalene-1,3,5-trisulfonic acid | 129-46-4 | C51H40N6O23S6 |
| —— | (+/-)-2,3-cis-Emetin | 483-18-1 | C29H40N2O4 |
| —— | (2R,3S,11bS)-2-[[(1S)-6,7-dimethoxy-1,2,3,4-tetrahydroisoquinolin-1-yl]methyl]-3-ethyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-benzo[a]quinolizine | 483-18-1 | C29H40N2O4 |
| —— | (2R,3S,11bS)-2-[[(1R)-6,7-dimethoxy-1,2,3,4-tetrahydroisoquinolin-1-yl]methyl]-3-ethyl-9,10-dimethoxy-2,3,4,6,7,11b-hexahydro-1H-benzo[a]quinolizine | 483-18-1 | C29H40N2O4 |
| —— | 10,11,6',7'-Tetramethoxy-14ξ<i>H</i>,1'ξ<i>H</i>-emetan | 483-18-1 | C29H40N2O4 |
| —— | emetine | 483-18-1 | C29H40N2O4 |
| —— | quinine | 130-95-0 | C20H24N2O2 |
| —— | quinidine; sulfate | 6119-70-6 | 2C20H24N2O2*2H2O*H2O4S |
| —— | quinine; hydrogen sulfate dihydrate | 6119-70-6 | 2C20H24N2O2*2H2O*H2O4S |
| —— | salinomycin sodium salt | 55721-31-8 | C42H69O11*Na |
| —— | monensin A | 17090-79-8 | C36H62O11 |
| —— | Santonin | 481-06-1 | C15H18O3 |
| —— | 3,5a,9-trimethyl-3a,4,5,5a-tetrahydro-3H,9bH-naphtho[1,2-b]furan-2,8-dione | 481-06-1 | C15H18O3 |
| —— | (+/-)-isoemetine; dihydrochloride | 316-42-7 | C29H40N2O4*2ClH |
| —— | (+)-emetine; dihydrochloride | 316-42-7 | C29H40N2O4*2ClH |
| —— | 8-(2-methoxyethoxy)quinoline | 148-24-3 | C12H13NO2 |
| —— | ansamitocin P-3 | 66584-72-3 | C32H43ClN2O9 |