Sintel

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Sintel

Medically reviewed

Marina Burgos

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Sintel

Property Description
Active ingredient Albendazole (INN)
Form Tablet, Oral Suspension
Pharmacological class Anthelmintic, Anti-parasitic drug
General purpose Clearance of parasitic worm infections
Origin Synthetic compound (Benzimidazole derivative)

Sintel is an oral pharmaceutical preparation containing the active chemical substance Albendazole. It is classified as an Anthelmintic and broad-spectrum anti-parasitic drug, categorized as an Essential Medicine. The agent has effectiveness against a wide range of infections, underscoring its clinical role for addressing significant parasitic burdens.

Defining Sintel: Composition and Pharmacological Classification

Sintel is a single-ingredient product whose primary component is the International Nonproprietary Name (INN) Albendazole. The substance belongs to the Benzimidazole derivative class. As an Anthelmintic, its therapeutic function is specific to eliminating parasitic worms and certain protozoal organisms. Albendazole is used in humans for systemic treatment against specific types of parasitic diseases, such as those caused by tapeworms or roundworms. This means the medication is absorbed into the bloodstream, enabling it to reach and target infections throughout the body.

Is Albendazole a Synthetic Drug, and What is its Form?

The active ingredient, Albendazole, is a synthetic compound chemically derived as a Benzimidazole carbamate, distinguishing it from naturally sourced therapies. Sintel is typically offered in both a standard tablet form and an oral suspension, with the latter often preferred for patients who may have difficulty swallowing solid medication. Both formulations are intended for oral administration, facilitating the necessary systemic absorption of the active substance.

What is the General Purpose of Sintel?

The general purpose of Sintel is to provide a systemic intervention for the clearance of helminthiasis, which refers to infections caused by parasitic worms. The drug works by targeting key internal life-sustaining processes within the parasitic cells. This action is crucial because it leads to the eradication of the parasite—including its larvae and eggs—defining the medicine’s therapeutic role as a comprehensive anti-parasitic agent.

Regulatory References

  1. Essential Medicine

What side effects are possible with Sintel?

Possible Side Effects and Safety Information

The officially documented safety profile of Sintel (Albendazole) is structured around potential adverse reactions affecting multiple physiological systems, along with specific safety restrictions defined in regulatory documents. Adverse effects are categorized by frequency, based on clinical data.

Frequency-Classified Adverse Reactions

  • Very Common (Affecting 1 in 10 patients or more): Elevated hepatic enzymes (transaminases), which are often associated with treatment for hydatid disease. Headache may also be very common, particularly in cases of neurocysticercosis.
  • Common (Affecting up to 1 in 10 patients): Gastrointestinal issues such as abdominal pain, nausea, and vomiting. Other common effects include fever, dizziness/vertigo, and reversible alopecia (hair thinning).
  • Rare (Affecting fewer than 1 in 1,000 patients): Rare but serious reactions include severe reductions in blood cell counts (leukopenia, pancytopenia, agranulocytosis) and hepatitis.

System-Organ Classes and Serious Reactions

The major organ systems associated with adverse effects are the Hepatobiliary system (liver) and the Blood and Lymphatic system. Regulatory documents highlight the risk of serious adverse reactions, notably Bone Marrow Suppression and severe Hepatotoxicity. These risks are particularly noted during prolonged, higher-dose therapy and require mandatory laboratory monitoring.

Population-Specific Safety Considerations

The medication is contraindicated in pregnancy; women of childbearing potential are officially advised to use effective contraception. Patients with pre-existing hepatic impairment are at increased risk for hepatotoxicity and bone marrow suppression, necessitating careful supervision and monitoring of liver enzymes and blood cell counts. Use in children under two years old is generally not recommended due to limited safety data.

This structure ensures that all safety information, from common, expected reactions to rare, critical risks, is officially defined and categorized according to regulatory standards.

Overdose and Emergency Response

A Sintel (Albendazole) overdose is primarily defined by the potential for severe, dose-related systemic toxicity, specifically targeting the blood and liver. Officially documented manifestations of high exposure or overdose include headaches, fever, pruritus (itching), and the reversible sign of alopecia. The most serious outcomes detailed in regulatory warnings are linked to the drug's effect on the hematologic system, potentially leading to bone marrow suppression, pancytopenia, agranulocytosis, and aplastic anemia. These severe abnormalities, alongside significant elevations in liver enzymes, classify overdose as a life-threatening scenario.

When a suspected overdose occurs, immediate medical attention is required. Regulatory documents explicitly state that a poison control center must be contacted immediately. Urgent contact with emergency services is mandated if severe clinical signs manifest, such as seizures, sudden collapse, trouble breathing, or an inability to be awakened.

Management guidance confirms that no specific antidote is known for Sintel overdose. Consequently, recommended intervention focuses on symptomatic and supportive treatment. As immediate measures, regulators describe the potential adoption of procedures such as gastric lavage. Close monitoring of the patient is critical, particularly continuous observation of blood counts and liver enzymes due to the identified risks of severe toxicity. Population-specific considerations note that patients with pre-existing hepatic disease are at increased risk for bone marrow suppression, warranting heightened vigilance.

Therapeutic Uses of Sintel

Sintel (Albendazole) is an anthelmintic medication used to address a wide variety of parasitic infections in patients. Its primary benefit is providing supportive relief by eliminating the source of the infection, which contributes to easing the overall symptom load and helps maintain functional stability.

Treatment of Systemic Tapeworm Infections

The medication is commonly used across conditions presenting with active lesions of parasitic tapeworm larvae, notably Neurocysticercosis and Cystic Hydatid Disease. This use is considered relevant for addressing symptom clusters that may become intense or disruptive, such as seizures, chronic headaches, and vision issues. The treatment supports patients during episodes of heightened discomfort by providing supportive systemic intervention against the parasites.

Clearance of Intestinal Worm Burden

Sintel is relevant for clearing major Soil-Transmitted Helminthiasis, including roundworms, hookworms, and whipworms. This application helps address symptom clusters like chronic abdominal pain, nutritional deficits, and anemia. It often assists with maintaining functional stability by supporting the clearance of the parasitic population and contributing to easing symptoms related to nutritional deficits.

Quick Fact: Assistance with Chronic Abdominal Pain and Neurological Symptoms.

Regulatory References

  1. NIH MedlinePlus overview

Eligibility and Restrictions for Use

Eligibility Map: Who Can and Cannot Use Sintel

The eligibility profile for Sintel (Albendazole) is defined by official regulatory documentation, establishing clear restrictions and contraindications based on patient status, organ function, and age.

Scope Regulatory Status / Classification
Populations for whom use is contraindicated Pregnant women or women suspected of being pregnant; Patients with known hypersensitivity to albendazole, other benzimidazole derivatives, or any formulation component.
Age-related eligibility rules Infants under 6 months are generally not recommended for routine use. Children over 6 months are eligible for specific regimens. Experience in older adults (ge 65 years) is limited, requiring caution if hepatic dysfunction is present.
Condition-specific eligibility rules Hepatic Impairment or Active Liver Disease requires use with caution and mandatory monitoring of liver enzymes and blood counts. Pre-existing Bone Marrow Problems also require close monitoring.
Eligibility-related restrictions Females of reproductive potential must obtain a negative pregnancy test before initiation and are required to use effective contraception during therapy and for a specified period after the final dose.

Connection to the Overall Eligibility Profile

Regulatory documents establish the criteria by setting absolute contraindications that prohibit use in high-risk groups like pregnant women and those with known allergies to the drug class. For eligible patients, use is often conditional, mandating specific monitoring protocols and caution in individuals with compromised hepatic function or other comorbidities, ensuring use only under defined regulatory oversight.

What should I know about interactions with other medicines?

Interactions with other medicines and products

Sintel's official regulatory profile details several pharmacokinetic and pharmacodynamic interactions that can modify the drug's systemic exposure or toxicity profile. The active metabolite, Albendazole Sulfoxide, is the primary focus of these documented interactions.

Key Interaction Modifiers

Substance / Category Official Interaction Outcome Regulatory Note
Dexamethasone Increases the steady-state trough concentrations of the active metabolite by approximately 56%. Pharmacokinetic effect
Praziquantel Increases the active metabolite's maximum plasma concentration and overall exposure by about 50%. Pharmacokinetic effect
Cimetidine Increases active metabolite concentrations in bile and cystic fluid by approximately two-fold. Pharmacokinetic effect
Anticonvulsants Substances like Phenytoin and Carbamazepine may reduce the plasma concentration of the active metabolite. Hepatic enzyme induction
Theophylline The label notes that Sintel induces CYP1A in vitro, requiring monitoring of Theophylline plasma concentrations. Procedural constraint
Acalabrutinib Risk of additive toxicity, specifically myelosuppression, is documented. Pharmacodynamic effect

Substance and Population-Specific Constraints

The absorption of Sintel is significantly enhanced by food, with the official labeling noting that administration with a fatty meal maximizes the bioavailability of the active metabolite. Grapefruit juice has also been documented to increase the drug's concentration.

Furthermore, official regulatory documents state that patients with hepatic impairment or liver disease may be at an increased risk for hepatotoxicity and bone marrow suppression when taking Sintel, necessitating closer monitoring.

Mechanism of Action

Dual Mechanism: Receptor Activation and Neurotransmitter Enhancement

Sintel acts through two distinct mechanisms simultaneously. First, it functions as an agonist on the mu-opioid receptor (mu-OR), a protein that modulates signal traffic within the central nervous system. Second, it acts as an inhibitor of the noradrenaline transporter (NET), preventing the rapid reuptake of the neurotransmitter norepinephrine from the synaptic cleft. This combined interaction initiates molecular cascades that decrease nerve cell excitability.

Modulation of Central Regulatory Pathways

The drug's mechanism leads to two complementary physiological changes. mu-OR activation immediately slows the transmission of signals across nerve synapses, while NET inhibition enhances the action of norepinephrine within the descending inhibitory pathway. This increased norepinephrine signaling enhances the activity of descending inhibitory pathways, leading to altered neuronal function. This dual modulation of distinct signaling pathways determines the resulting overall physiological adjustments.

Dosage and Administration Information

How to Use Sintel (Albendazole)

The usage of Sintel is defined by established administration guidelines that dictate the route, schedule, and specific conditions for intake, based on the type of parasitic infection being addressed. The medication is an oral pharmaceutical preparation, available in both tablet and oral suspension forms.


Administration Conditions and Dosing

The total daily dose for the active substance must not exceed 800 mg.

Infection Type Standard Adult Dosing (Typical) Administration Context
Systemic (e.g., Hydatid Disease) 400 mg twice daily (BID) With a fatty meal to maximize absorption
Intestinal (e.g., Roundworm) 400 mg single dose May be taken on an empty stomach

For systemic infections, dosing is adjusted for patients weighing less than 60 kg to 15 mg/kg/day, divided into two doses. The tablets may be crushed or chewed and swallowed with water if whole ingestion is not possible.


Treatment Duration and Frequency

Treatment duration varies significantly by disease. For Neurocysticercosis, Sintel is typically administered continuously for 8 to 30 days. In contrast, therapy for Cystic Hydatid Disease is often structured in 28-day cycles, separated by a 14-day drug-free interval, repeated up to three times. If a scheduled dose is missed, it should be skipped if it is near the time for the next dose, avoiding the ingestion of a double amount.

Recent Clinical Evidence

Research Evidence / Overview of Studies for Sintel

The clinical evaluation of Sintel (Albendazole) was studied in conditions involving infections caused by helminths (parasitic worms), according to official regulatory and scientific bodies. The research base includes randomized controlled trials (RCTs), systematic reviews, and observational studies that research examined different populations and monitored specific outcomes related to the status of the parasite and associated symptom patterns.


Evidence for Systemic Infections: Neurocysticercosis

Research concerning this condition, characterized by Taenia solium cysts in the brain, primarily uses Randomized Controlled Trials (RCTs). These trials research examined Sintel alongside groups receiving a comparator intervention or placebo in patients with active cysts. Outcomes studied for this condition included the radiological clearance or disappearance of active cysts and the frequency and recurrence rate of seizures.

Studies monitored cyst status and reported patterns where a difference was observed in the measured rates of change in cyst status between the Sintel groups and the control groups. Findings were mixed when research examined long-term seizure recurrence. Certainty remains low regarding the optimal approach for cysts found in non-parenchymal locations, as data for these groups remain insufficient.


Evidence for Clearance of Intestinal Worm Burden

The evidence for soil-transmitted helminths comes from RCTs and large-scale efficacy surveillance studies. The main measures evaluated in these studies were the absence of parasite eggs in the stool sample (sometimes referred to as the outcome rate) and the Egg Reduction Rate (ERR) (which measures the change in the number of eggs per gram of stool).

Studies indicated specific outcome rates and measured rates of change in egg concentration against Ascaris lumbricoides (Roundworm) following a single dose. Efficacy surveillance studies consistently reported lower and more variable microbiological outcomes against Trichuris trichiura (Whipworm). The lower outcome rates observed against T. trichiura with a single dose remains a key area of study that is still ongoing in research.


Areas of Research Uncertainty and Study Gaps

Consistency is lacking regarding the long-term effect on neurological outcomes such as seizure recurrence in Neurocysticercosis. The follow-up durations were limited in many RCTs, meaning the extended impact on functional outcomes are not fully established. Additionally, the results apply only to the populations studied, and data for specific demographic groups often remains insufficient.

Key Studies & References

  1. Short course of albendazole therapy for neurocysticercosis: A prospective randomized trial comparing
  2. Outcome of albendazole therapy in the management of hepatic hydatid disease
  3. Evidence-based guideline: Treatment of parenchymal neurocysticercosis (American Epilepsy Society/AAN)
  4. WHO Model List of Essential Medicines (Relevant Section for Anthelminthics)

Frequently Asked Questions (FAQ)

Common questions about Sintel (FAQ)


Q: How long does it usually take for Sintel to start working?

The official product information explains that Sintel is rapidly converted into its primary active substance, Albendazole sulfoxide, once it is in the body. This active substance typically reaches its highest level in the bloodstream, known as maximal plasma concentration, within 2 to 5 hours after a dose is taken. This measurement indicates when the medication is most widely distributed and active systemically.


Q: Can Sintel be used for conditions other than the main one listed?

According to official regulatory documents, Sintel is only approved for treating specific parasitic infections: neurocysticercosis and cystic hydatid disease affecting the liver, lung, and peritoneum. Use for any other health condition is considered outside of its official, indicated purpose.


Q: Can people with kidney problems safely use Sintel?

The official regulatory information states that the effects of Sintel have not been studied in patients with severely impaired renal function (kidney problems). Because of this lack of data, no specific recommendations or dose adjustments have been officially established for this group.


Q: Why do some people report feeling tired after taking Sintel?

While extreme tiredness or fatigue is not listed as one of the very common or common side effects in clinical trials, official patient information notes that it can occur. It is sometimes mentioned alongside other, more serious side effects like unusual weakness. This mention describes a potential symptom noted in broader safety profiles.


Q: Can Sintel be taken alongside common over-the-counter pain relievers?

Official documents detailing drug interactions do not list common, non-prescription pain relievers like acetaminophen or ibuprofen as having major documented interactions with Sintel. However, regulatory safety standards underscore the importance of discussing all medications with a healthcare provider.


Q: Is Sintel known to be habit-forming or addictive?

Sintel, whose active ingredient is Albendazole, is classified as an Anthelmintic, which is a type of anti-parasitic medication. Regulatory bodies do not list Sintel in the drug schedules for controlled or habit-forming substances, meaning it is not considered to carry a risk of addiction or physical dependence.


Q: Does Sintel interact with birth control pills?

The official prescribing information does not specifically detail a kinetic interaction with oral contraceptives, but it does highlight the risk of fetal harm. Regulatory documents specify that females of reproductive potential are required to use an effective method of contraception during therapy and for a defined period following the last dose.


Q: Can I drink alcohol in moderation while using Sintel?

Regulatory safety information suggests that patients should limit or avoid alcohol consumption during Sintel treatment. Both alcohol and Sintel are metabolized by the liver, and combining them may increase the stress on the liver, which could potentially lead to a higher risk of liver damage.


Q: What if I experience a rare or serious side effect mentioned in the leaflet?

Regulatory documents clarify that if a patient notices signs of a serious adverse reaction, such as fever, unusual bleeding, or neurological symptoms like seizures, regulatory guidance is to seek immediate medical attention. Additionally, all patients have the option to report adverse reactions directly to the relevant regulatory authority, such as the FDA.


Q: Are there any warnings about driving or operating machinery while on Sintel?

While there may not be a stand-alone warning against driving, the official safety profile lists Dizziness/Vertigo as a common side effect of Sintel. Official safety documentation notes that patients experiencing these effects are typically advised to refrain from operating complex or heavy machinery.


Q: Does Sintel interact with common supplements like multivitamins?

The official regulatory labels focus on drug-drug interactions, and a general list of common supplements like multivitamins is not typically included. Official safety guidance emphasizes the importance of sharing information regarding all supplements and herbal products with the prescribing physician.


Q: Is Sintel a first-line treatment for its approved indication?

Sintel is officially indicated for Neurocysticercosis and Cystic Hydatid Disease; however, its status as a first-line therapy is not defined in the drug's core regulatory label. The decision on its use relative to other treatments depends on external national clinical practice guidelines and the patient's specific disease stage.


Q: What is the half-life of Sintel?

Official pharmacokinetic data indicates that the active metabolite, Albendazole sulfoxide, has an average terminal elimination half-life (T1/2) ranging from 8 hours to 12 hours. The half-life describes the time required for the amount of the active substance in the body to decrease by half.


Q: Does Sintel cause any psychological side effects like mood changes?

Official regulatory labels related to the drug's safety profile do not explicitly list common mood changes as an adverse reaction. However, the documentation does include warnings about other central nervous system effects, such as neurological symptoms and changes in behavior, particularly when the drug is used for infections in the brain.


Q: What is the purpose of the boxed warning, if Sintel has one?

Official warnings emphasize the potential for severe drug-induced injury, specifically the risks of Bone Marrow Suppression (which reduces blood cell counts) and Hepatotoxicity (liver damage). The requirement for mandatory laboratory monitoring of blood counts and liver enzymes highlights the seriousness of these risks, which serves the function of a boxed warning to prescribers.


Q: What is the typical time frame for follow-up appointments after starting Sintel?

The official regulatory label specifies that, due to risk, blood counts and liver enzymes are required to be monitored at the beginning of each 28-day treatment cycle and every two weeks while the patient is receiving therapy.

How should Sintel be stored and disposed of?

Storage and Disposal of Sintel (Albendazole)

Official regulatory guidelines define specific conditions for storing and discarding Sintel to maintain product integrity and safety.


Storage Requirements

Sintel must be stored at Controlled Room Temperature, which ranges from 20 C to 25 C (68 F to 77 F). The product must be protected from moisture and kept in its tightly closed original container.

Condition Requirement
Temperature 20 C to 25 C
Handling Do not freeze the oral suspension.
Container Keep tightly closed.

Disposal Instructions

To prevent environmental contamination, do not dispose of Sintel via household trash or wastewater. Unused or expired medication must be discarded according to local requirements, typically by utilizing a medicine take-back program or by consulting a pharmacist for guidance.

Child Safety

As mandated by regulatory documents, this medicine must always be kept out of the sight and reach of children.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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