Levamisole hydrochloride |
![]() Last updated: 14/09/2025 |
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(Not known by any other names) |
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A veterinary antiparasitic drug of the imidazothiazole class which is usually used as the hydrochloride salt | |
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Used mainly as a dewormer in livestock and for freshwater tropical fish | |
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Cattle; Pigs; Sheep; Freshwater tropical fish; Elephants |
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Approved - usually avaiable as a prescription only medicine to be authorised by suitably qualified person (POM-VPS) | |
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Approved |
Chemical structure |
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Levamisole hydrochloride exhibits chiral isomerism, stemming from a single stereocentre at the 6-position of its imidazothiazole ring system. This chiral centre gives rise to two enantiomers: levamisole (S-enantiomer) and dextramisole (R-enantiomer). Only the S-enantiomer, levamisole, possesses potent anthelmintic and immunomodulatory properties, while the R-form is largely inactive. Tetramisole is the name for the racemic mixture, meaning it contains both the (R)- and (S)-enantiomers of the compound. | |
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C₁₁H₁₃ClN₂S | |
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C1CSC2=NC(CN21)C3=CC=CC=C3.Cl | |
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C1CSC2=N[C@H](CN21)C3=CC=CC=C3.Cl | |
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LAZPBGZRMVRFKY-HNCPQSOCSA-N | |
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InChI=1S/C11H12N2S.ClH/c1-2-4-9(5-3-1)10-8-13-6-7-14-11(13)12-10;/h1-5,10H,6-8H2;1H/t10-;/m1./s1 | |
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Yes |
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Common Name | Relationship | Link |
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levamisole hydrochloride | - | ![]() |
levamisole | Parent | ![]() |
General status |
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Dewormer, Antiparasitic, Anthelmintic | |
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Imidazothiazole | |
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Synthetic | |
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Works by causing parasitic paralysis allowing it to be expelled. Nicotinic receptor agonist. | |
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[Neuronal acetylcholine receptor subunit alpha-3, Agonist], [Alkaline phosphatase, placental-like, Antagonist] | |
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16595-80-5 | |
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39170-95-1 | |
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240-654-6 | |
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27944 | |
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Antiparasitic products, insecticides & repellents: Anthelmintics | |
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QP52AE01 | |
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No | |
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Allowed substance (Table 1: Bovine, Ovine, Porcine, Poultry) | |
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240.75 | |
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(6S)-6-phenyl-2,3,5,6-tetrahydroimidazo[2,1-b][1,3]thiazole;hydrochloride | |
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Commercial |
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Current | |||
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1966, discovered | |||
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Available in a variety of formulations including topically applied solutions, oral solutions and solutions for injection | |||
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The production of levamisole hydrochloride typically begins with the synthesis of the imidazothiazole core, often through an aminoalkylation reaction involving precursors like 2-phenylthio-5,6,7,8-tetrahydropyrido[2,1-b][1,3]oxazine, which reacts with anhydrous ammonia under mild conditions to form the desired ring system. Alternatively, some methods start with L-mandelic acid, progressing through steps such as esterification, aminolysis, reduction, chlorination, and ring closure, followed by salification with hydrochloric acid to yield the final salt. Another route involves resolution of racemic tetramisole using dibenzoyl-D-tartaric acid, which selectively precipitates the active S-enantiomer (levamisole), later neutralised and crystallised with hydrochloric acid to form levamisole hydrochloride. | |||
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Published GHG data is not available for most pharmaceuticals. However, according to industry, global averages suggest producing 1 kg of a typical active pharmaceutical ingredient can range from 10 to 100 kg CO₂e for small molecule drugs and potentially up to 1000 kg CO₂e for complex biologicals such as vaccines, depending on the drug type, its formulation, complexity of synthesis, solvent recovery, and energy sources used. |
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As this parameter is not normally measured directly, a surrogate measure is used: ‘Photochemical oxidative DT₅₀’. Where data is available, this can be found in the Fate Indices section below. | ||||||||||
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Fate indices |
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Known metabolites |
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Terrestrial ecotoxicology |
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180 | F4 F = U.S. EPA ECOTOX database / U.S. EPA pesticide fate database / Miscellaneous WHO documents / FAO data, IPCS INCHEM data (US EPA Databases Related to Pesticide Risk Assessment ) Rat4 = Verified data |
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General |
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High (class III) | - | - | ||||||||
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180 | F4 F = U.S. EPA ECOTOX database / U.S. EPA pesticide fate database / Miscellaneous WHO documents / FAO data, IPCS INCHEM data (US EPA Databases Related to Pesticide Risk Assessment ) Rat4 = Verified data |
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High level of metabolism, less than 6% excreted unchanged in urine, metabolites excreted in both urine and faeces | Q3 Q = Miscellaneous data from online sources 3 = Unverified data of known source |
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Health issues |
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Possible immune system and blood toxicant May cause stomatitis, nausea, vomiting and adbominal pain |
Handling issues |
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IMDG Transport Hazard Class 6.1 | |||
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Not listed (Not listed) | |||
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UN2811 | |||
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Packaging Group III (minor danger) | |||
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levamisole hydrochloride | ||
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Record last updated: | 14/09/2025 |
Contact: | aeru@herts.ac.uk |
Please cite as: | Lewis, K.A., Tzilivakis, J., Warner, D. and Green, A. (2016) An international database for pesticide risk assessments and management. Human and Ecological Risk Assessment: An International Journal, 22(4), 1050-1064. DOI: 10.1080/10807039.2015.1133242 |