Abstract
Before 1938, no broadly useful drugs for the treatment of nematode infections existed. Limited activity was found in arsenicals and in various natural products such as nicotine and oil of chenopodium. The discovery of the anthelmintic activity of phenothiazine made available a moderately broadly active compound that, although not very potent, was virtually nontoxic. The benzimidazoles, reported in 1961, followed by the commercial success of thiabendazole, signaled a new era of truly broad-spectrum, safe, orally effective, antinematodal drugs. Considerable structure-activity studies in many research centers later produced a host of more potent benzimidazoles with activity expanded to lungworms, tapeworms, and liver flukes. The advent of tetramisole in 1965 followed by the L-isomer levamisole afforded a relatively safe oral or parenteral anthelmintic that has achieved widespread use, especially in cattle. Pyrantel and morantel were developed in the same period and have found their own special place, morantel as a ruminai bolus. The discovery of the avermectins in 1976 followed by the introduction of ivermectin as a broad-spectrum antiparasitic agent carried the search one stage further. Ivermectin is not only very potent and equally effective by the oral or parenteral routes but is also effective against ectoparasites. The search for better drugs continues in many research institutes, guided by mechanism of action studies and comparative biochemistry.
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© 1986 Plenum Press, New York
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Fisher, M.H. (1986). Chemistry of Antinematodal Agents. In: Campbell, W.C., Rew, R.S. (eds) Chemotherapy of Parasitic Diseases. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-1233-8_11
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DOI: https://doi.org/10.1007/978-1-4684-1233-8_11
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