Noxworm 200mg/5ml Suspension (Chocolate)

Noxworm 200mg/5ml Suspension (Chocolate) is an oral anthelmintic suspension formulated with a chocolate flavour to make measuring and administration more manageable, particularly in children. It is manufactured in Malaysia by Winwa Medical Sdn Bhd under the Noxworm brand, which is also sold as a chewable tablet (Noxworm Chewtab) using the same active ingredient.

Each 5mL of the suspension contains Albendazole 200mg, so the full 10mL bottle provides 400mg of albendazole in total. Albendazole belongs to the benzimidazole class of anthelmintic (deworming) medicines. Noxworm Suspension is sold OTC (Over-the-Counter) in Malaysia, meaning it can be purchased at pharmacies and online without needing a doctor’s prescription.

Noxworm 200mg/5ml Suspension is supplied as a single 10mL bottle, sized to provide either a full single-dose course for adults and older children, or a partial-bottle single dose for younger children, depending on the dosing needed. Its chocolate flavour distinguishes it from unflavoured or other-flavoured anthelmintic suspensions available in the Malaysian market.

Shake the bottle well before each use to ensure the suspension is evenly mixed. Measure the exact dose using the measuring cup or oral syringe provided with the product, rather than a household spoon, to ensure accuracy. The suspension may generally be taken with or without food; taking it with a fatty meal may increase how much of the medicine is absorbed, so follow the specific instructions on the product label regarding food.

Rinse the measuring device with clean water after each use and allow it to dry before storing. Do not combine Noxworm Suspension with other anthelmintic (deworming) products containing overlapping active ingredients at the same time, to avoid a duplicated dose.

As a general guide for this type of albendazole 200mg/5mL suspension: adults and children over 2 years are typically given 400mg (the full 10mL bottle) as a single dose, while children aged 1 to 2 years are typically given 200mg (5mL) as a single dose. Use in children under 1 year should only be done under the direct guidance of a doctor. Always confirm the exact dose for a specific child’s age and weight with a doctor or pharmacist, or refer to the dosing information on the product packaging.

Because this is usually taken as a single dose rather than a recurring schedule, a missed-dose situation does not typically apply; if a repeat dose after a set interval has been recommended by a doctor for a specific situation, follow their instructions rather than repeating doses on your own. See a doctor if there is no improvement within 1 to 2 weeks, if severe abdominal pain or high fever develops, or if there are signs of an allergic reaction after taking this product.

Use Noxworm Suspension before the expiry date printed on the bottle and carton. Once opened, use within the timeframe stated on the packaging, and discard the bottle if the suspension separates abnormally, changes colour, or develops an unusual odour that does not return to normal after shaking.

Store below 25°C in a dry place, away from direct sunlight, and keep the bottle tightly capped between uses. Keep out of the sight and reach of children.

• Known hypersensitivity to albendazole or other benzimidazole anthelmintic medicines.
• Pregnancy, particularly in the first trimester — this product should not be used unless specifically directed by a doctor.
• Known liver disease or impaired liver function — use with caution and only under medical advice, as albendazole is metabolised in the liver.
• Children under 1 year of age, except under the direct guidance of a doctor.

• Praziquantel and cimetidine may increase blood levels of albendazole; use together only under medical advice.
• Dexamethasone may also increase albendazole blood levels when taken together.
• Avoid taking together with other anthelmintic (deworming) products containing overlapping active ingredients, to prevent a duplicated dose.
• Taking with a fatty meal increases how much of the medicine is absorbed — follow the specific food-related instructions on the product label.

• Shake the bottle well before every use.
• Use the measuring cup or syringe provided, not a kitchen spoon, for an accurate dose.
• Rinse and dry the measuring device after each use.
• Keep the bottle tightly capped between uses.
• Keep out of reach of children.
• Note the date the bottle was opened and check the label for how long it remains usable once opened.

Precautions: Women who are pregnant or breastfeeding should check with a doctor before using this product. It should be used with caution in individuals with liver impairment, and only under medical supervision in children under 1 year old. Because household members can sometimes be affected around the same time, a doctor or pharmacist can advise on whether other family members should also be assessed.

When to See a Doctor or Pharmacist: See a doctor if there is no improvement within 1 to 2 weeks of use, if severe abdominal pain, high fever, or signs of an allergic reaction occur, or if repeated infestations keep occurring within the household despite treatment.