Worms-Medicines For Treatment,Dosage And Effects

0
301

Worms-Medicines For Treatment,Dosage And Effects

Worms are parasites found in the intestine; It is also known as parasitic worms or intestinal worms. There are different types of these parasitic worms, they are :

  • Hookworms
  • Roundworms
  • Tapeworms
  • Flukes
  • Pinworms
  • Flatworms
  • Whipworm

Medicines by themselves are not enough to get rid of worm infections for a very long time. Guidelines of personal and public cleanliness must also be followed. When one person in the family has worms, it is wise treat the whole family.

Medicines for worm treatment are :

MEBENDAZOLE (vermox)

This medicine is used for many different worm infections. It often comes in tablets of 100 mg. This medicine works against hookworm, whipworm, roundworm, pinworm (threadworm), and another worm called Strongyloides. This medicine works well for mixed infections. It may do some good in cases of trichinosis.

When treating heavy worm infections, there may be some gut pain or diarrhea, but side effects are not common.

WARNING : Do not give mebendazole to pregnant women or children under 2 years old.

Dosage of mebendazole

Using 100 mg tablets. Give the same amount to children and adults. For pinworm, give one tablet once a week for 3 weeks.

For roundworm (Ascaris), whipworm (Trichuris), hookworm and Strongyloides : Give one tablet twice a day (morning and evening) for 3 days (6 tablets in all)

 

ALBENDAZOLE (Zentel)

This medicine is used for many different worm infections. It comes in tablets of 200 mg and 400 mg. This medicine is similar to mebendazole but often more expensive. It works against hookworm, whipworm, strongyloides, roundworm and pinworm. Side effects are rare.

WARNING : Do not give albendazole to pregnant women or children below 2 years old.

Dosage of albendazole

Using 200 mg tablets. Give the same amount to children and adults.

For pinworm, roundworm, whipworm and hookworm : Give 400 mg (2 tablets) one time.

For Strongyloides : Give 400 mg (2 tablets) twice a day for 3 days and then repeat one week later.

 

PIPERAZINE

This medicine is used for roundworm (Ascaris) and pinworm (threadworm,Enterobius). This medicine comes as piperazine citrate, tartrate, hydrate, adipate or phosphate.

It often comes in 500 mg tablets mixture, 500 mg in ml.

A large dose is given for 2 days to treat round worm. Smaller doses everyday for a week are given for pinworm. There are few side effects.

Dosage of piperazine for roundworm (Ascaris)

75 mg/kg – 500 mg. tablets or mixture with 500 mg in 5 ml. Give once daily daily for 2 days.

  • Adults : 3500 mg (7 tablets or 7 teaspoons)
  • Children between 8 to 12 years old : 2500 mg (5 tablets or 5 teaspoons)
  • Children between 3 to 7 years old : 1500 mg (3 tablets or 3 teaspoons)
  • Children between 1 to 3 years old : 1000 mg (2 tablets or 3 teaspoons)
  • Babies under 1 year old : 500 mg (1 tablet or 1 teaspoon)

 

Dosage of piperazine for pinworm (Enterobius)

40 mg/kg/day. Give 2 doses daily for a week.

  • Adults : 1000 mg (2 tablets or teaspoons)
  • Children between 8 to 12 years old : 750 mg (one and half tablets or one and half teaspoons)
  • Children between 3 to 7 years old : 500 mg (1 tablet or 1 teaspoon)
  • Children under 3 years old : 250 mg (half tablet or half teaspoon)

 

THIABENDAZOLE

This medicine is used for many different worm infections. It often comes as 500 mg tablets or mixture with 1 gm in 5 ml.

Because thiabendazole causes more side effects than mebendazole or albendazole, it should only be used for worms when these medicines are not available, or for worm infections that are not inside the gut.

It can be used to treat hookworm, whipworm (Trichuris), and Strongyloides worm. It also works for roundworm and pinworm but piperazine has fewer side effects. It can be helpful in treating guinea worm and may do some good in cases of trichinosis.

CAUTION : Thiabendazole may cause roundworm (Ascaris) to crawl up to the throat. This can block breathing. Therefore, if you suspect a person has roundworm in addition to other worms, it is wise to treat first with piperazine before giving thiabendazole.

Side effects : Thiabendazole often causes tiredness, a sick feeling and sometimes vomiting.

Dosage : For thiabendazole -25mg/kg/day : 500 mg tablets or mixture with 1 gm in 5 mg. Give twice a day for 3 days. Tablets should be chewed. In each dose, give:

  • Adults : 1500 mg (3 tablets or one and half teaspoons)
  • Children between 8 to 12 years old : 1000 mg (2 tablets or 1 teaspoon)
  • Children between 3 to 7 years old : 500 mg (one tablet or half teaspoon)
  • Children under 3 years old : 250 mg (half tablet or quarter (1/4) teaspoon)

 

PYRANTEL (Antiminth, Cobrantril, Helmex)

This medicine comes as pamoate or embonate. It often comes in 250 mg tablets, mixture 250 mg in 5 ml.

This medicine works for pinworm, hookworm and roundworm, but may be expensive. Pyrantel occasionally causes vomiting, dizziness or headache.

Dosage for pyrantel

10 mg/kg : using 250 mg tablets. For hookworm and roundworm, give one time. For pinworm, repeat dose after 2 weeks. In each dose, give :

  • Adults : 750 mg (3 tablets)
  • Children between 10 to 14 years old : 500 mg (2 tablets)
  • Children between 6 to 9 years old : 250 mg (1 tablet)
  • Children between 2 to 5 years old : 125 mg (half tablet)
  • Children under 2 years old : 62 mg (quarter tablet (1/4))

LEAVE A REPLY

Please enter your comment!
Please enter your name here