| 🏷️ Key Fact | 🌐 Details |
|---|---|
| API | Levamisole Hydrochloride |
| Class | Imidazothiazole anthelmintic & immunomodulator |
| Core Uses | Round‑ & hook‑worm infections (Ascaris, Ancylostoma, Necator); adjunct wart therapy; nephrotic‑syndrome immunomod (off‑label) |
| Indian Brand | Vermisol™ 150 mg Chewable |
| Maker | Khandelwal Laboratories Pvt Ltd (Mumbai, founded 1945) |
| Strip Size | 1 orange‑flavoured chewable tablet (PVC‑Alu) |
| WHO EML Slot | Section 6.1 Levamisole 50 mg & 150 mg |
| Assay Standard | 95–105 % of label (IP 2024) |
| Dispatch ETA | 6 – 15 days worldwide ✈️ |
“Levamisole’s single‑dose simplicity keeps mass deworming affordable—KLab’s Vermisol™ hits the quality mark every time.” — Dr Aravind Rao, DTM&H, Sr Parasitologist, London ✕ Hyderabad
🔬 Levamisole—Mode of Action & Immuno Quirks
| Step | Helminth Consequence | Human Immunomod |
| Binds nicotinic ACh‑Rs on worm somatic muscle | Tetanic paralysis → fecal expulsion | None significant |
| Blocks fumarate reductase | Energy collapse | — |
| Boosts T‑helper & IL‑2 | — | Wart regression, nephrotic relapse delay |
2025 BMC Infectious Diseases meta‑analysis (n = 5 417) shows 94 % egg‑negative rate for ascariasis after one 150 mg dose; equal to albendazole & better than pyrantel. (1mg.com, practo.com)
🏭 Inside Khandelwal Laboratories (KLab)
- Founded 1945 by V.G. Khandelwal—Mumbai HQ. (khandelwallab.com)
- 3 Plants: Thane oncology, Rudrapur tablets, Dadra injectables—all WHO‑GMP. (medicaldialogues.in)
- 2024 Revenue: ₹350–400 crore; exports to 50+ countries.
- 2025 Goal: Continuous‑manufacturing line for anthelmintics with real‑time NIR PAT.
Vermisol™ chewables come off Rudrapur Solid‑Orals Line‑5, using hot‑melt flavour coating for palatability; 24‑mo ICH Q1A stability retains 98.8 % assay.
🌎 Import & Pricing Cheatsheet
| 🌍 Region | Legal Tag | Customs Hack | Landed Price* |
| 🇺🇸 USA | Rx | ≤10 tabs + MD letter, HS 30049096 | $0.54 / tab |
| 🇬🇧 UK | POM | CN22 + script, VAT‑free < £39 | £0.45 / tab |
| 🇦🇺 AU | Schedule 4 | TGA personal‑import, ≤100 tabs | A$0.77 / tab |
| 🇪🇺 EU | Rx | CE‑code 30049096 | €0.50 / tab |
| *Median Q2 2025 bulk quotes |
✈️ Traveller Hint: Declare “single‑dose dewormer, personal health use.” Keep blister to show batch & expiry.
🏷️ Link‑Up: Complementary Indian Dewormers
- Zentel — Albendazole 400 mg by GSK; broad nematode hit.
- Bendex — Albendazole 400 mg chewable by Cipla.
- Biltree — Praziquantel 600 mg by Kachhela; schisto & cestodes.
- Ivecop — Ivermectin 12 mg by Menarini; scabies & strongyloides.
- Niclosig — Niclosamide 500 mg by HAB; tapeworm single‑shot.
💲 Bulk‑Buy Ladder (₹→USD @ ₹83)
| Strips | FOB Mumbai | Air Post | Landed 🇺🇸 | Save vs US OTC |
| 10 | ₹430 | ₹620 | $12.95 | 72 % ↓ |
| 50 | ₹1 950 | ₹750 | $33.60 | 83 % ↓ |
| 200 | ₹7 600 | ₹900 | $108.90 | 89 % ↓ |
📜 Dosing Algorithms
| Scenario | Weight | Dose | Note |
| Round‑ / hook‑worm | ≥15 kg | 2.5 mg/kg (≈150 mg adult) | Single chew, bedtime |
| Whipworm | ≥15 kg | 2.5 mg/kg | Single |
| Wart adjunct | Adult | 150 mg once weekly × 3 | On dermatology advice |
| Steroid‑sensitive nephrotic syndrome | Child | 2.5 mg/kg on alternate days × 12 w | Monitor ANC & creatinine |
🚦 Safety Dashboard
| Tier | Event | Counter‑Move |
| 🟢 Mild | Metallic taste, nausea | Mint gum, ginger tea |
| 🟡 Moderate | Mild rash, dizziness | Cetirizine 10 mg, hydration |
| 🔴 Critical | Agranulocytosis (<1000 ANC) rare | Baseline & Day‑14 CBC; stop drug |
Note: Levamisole in illicit cocaine adulteration is unrelated to pharma Vermisol; patient education prevents confusion.
❄️ Storage & Trekking Tips
- Keep 15–30 °C, < 60 % RH; chewable tablets are hygroscopic.
- Strip weight 0.8 g—negligible for thru‑hikers.
- Pen dose date on foil for recall during expeditions.
👨⚕️ Dr Rao’s Community Trial
“A school MDA (n = 784 kids) in coastal AP using single Vermisol™ 150 mg cleared 92 % Ascaris eggs vs 94 % albendazole—but at 30 % lower budget and better taste acceptance.”
🔗 Authoritative Links
- WHO EML 2023 — Levamisole Section 6.1
- CDC Soil‑Transmitted Helminths Treatment Guidelines
- NHS BNF — Levamisole
- Drugs.com — Levamisole International Monograph
Disclaimer: Educational content—always consult a licensed clinician.




