Antihelminthic tablets for people. Choosing deworming tablets for humans

Modern anthelmintic drugs are used to treat people who suffer from various forms of helminthiasis . All antihelminthic drugs used for humans are divided into drugs for broad-spectrum helminths and drugs for worms that selectively affect certain types of worms.

But truly effective pharmaceutical anthelmintic drugs appeared relatively recently, and previously, mainly herbal products were used, such as garlic, pumpkin seeds, male fern extract, etc.

But now there are truly effective and safe anthelmintics , which demonstrate antihelminthic activity.

How are nematodes or roundworms treated?

If infection with extraintestinal nematoses occurs, treatment of helminths in adults and children is carried out with the following drugs:

• (Diethylcarbamazine);
• (Ivermectin).

The list of helminths belonging to this class is very wide: these are fascioliasis (liver fluke), opisthorchos (cat fluke) clonorchiasis (Chinese fluke), Watsoniasis (liver fluke), paraganimosis (pulmonary fluke), cercariasis (swimmer's itch). Also included in this group are methorchiasis , G etherophyosis, nanophyetosis, gastrodiscoidosis, fasciolopsidosis, schistosomiasis etc.

The following tablets are effective against all the types listed above:

• Bithionol , effective against extraintestinal trematodes.
• Perchlorethylene used for intestinal trematodes.
• Tsesol , Biltricide , Azinox , Cysticide (active component Praziquantel) - broad-spectrum drugs that act against different types of worms.

If one of the family members has been infected with pinworms, then preventive methods are necessary for everyone. The level of pinworm infection among preschool children and primary schoolchildren is very high. Worm eggs spread very quickly - this happens through household objects, a handshake, the clothes of infected children, etc. Therefore, questions arise very often about the preventive use of drugs for adults and children.

However, there are other opinions. Some experts argue that people whose families have small children and primary schoolchildren should take it every six months for prevention. After all, in children's groups there is a high level of infection, and the symptoms of infection are sometimes very mild.

In addition, a child is only able to maintain proper hygiene around the age of 6, so children can constantly become self-infected, just like other family members.

If a negative result was obtained from scraping for enetrobiosis, but the baby still complains of itching in the anus, abdominal pain, nausea, then it is better to take the child for analysis that morning, when he slept poorly at night and was bothered by severe itching. You should scrape again three times, after one day and after two weeks, then you can get a more reliable result.

If the expectant mother has become infected with pinworms, there is no need to worry about this. Provided that the woman strictly follows the rules of hygiene, self-healing can occur. After all, the life span of pinworms is short - a few weeks. Therefore, you need to steam your underwear and wash more often to avoid reinfestation. To prevent infection or re-infestation, you should wash your hands very thoroughly with soap and water:

• after visiting the toilet;
• after changing linen;
• after contact with animals;
• before eating.

You should also be sure to wash all fruits and vegetables.

The most effective anti-worm tablets for humans

In no case should you be guided only by the fact that user reviews on the forum indicate that this or that drug is a good tablet for worms. You should not buy medications knowing only the name of tablets for worms in adults and children.

Active ingredient – Levamisole .

Indications: for roundworms, pinworms, necator, hookworm, whipworm, intestinal eelworm, toxoplasmosis, trichostrongylosis.

Contraindicated in children under 3 years of age, with agranulocytosis. 150 mg tablets should not be used to treat children. Decaris should be used with caution by people who suffer and liver failure , as well as patients with suppressed bone marrow hematopoiesis.

Instructions: adults are prescribed one 150 mg tablet once, after meals, in the evening. Children from 3 to 6 years old – 25-50 mg once. Children from 6 to 10 years old – 50-75 mg once. Children from 10 to 14 years old - 75-100 mg once.

The course is repeated after 2 weeks. Diet or laxatives are not necessary. Side effects: after use, abdominal pain, nausea, diarrhea, vomiting, allergic manifestations, confusion, stomatitis, etc. are possible.

Price – from 80 rub.

Helmintox, Pyrantel, Kombantrin, Nemotsid

Active ingredient – pyrantel.

Contraindicated in case of hypersensitivity, tablets should be prescribed with caution to children who are not yet six months old, nursing mothers, and people with liver failure.

Description of instructions: for adults in case of ascariasis, pinworm infection or mixed infestation, a single application in the morning, after breakfast, is sufficient. The dose is taken at the rate of 10 mg/kg. Children from six months to 2 years old are recommended to take 125 mg, children from 2 to 6 years old - 250 mg, from 6 to 12 years old - 500 mg.

If the patient is diagnosed with mixed invasion, then the drug must be taken for 3 days at a rate of 10 mg/kg per day, or for two days at a rate of 20 mg/kg per day. If isolated ascariasis is noted, you need to drink the drug once at a rate of 5 mg/kg. It should be noted that Pirantel are chewable tablets, so they should not be swallowed, but chewed.

Side effects: after administration, vomiting, nausea, , hyperthermia, paresthesia, etc.

You can buy Helmintox at a price of 80 rubles, Pirantel - from 50 rubles.

Vermox, Wormin, Vermakar

Active ingredient – mebendazole .

A medicine for worms for humans with this component is indicated for enterobiasis, ascariasis, multiple nematodes, strongyloidiasis, capillariasis, trichinosis, echinococcosis, taeniasis, alveococcosis, gnathostomosis trichuriasis.

These are effective medicines for worms in adults and children, each of which is especially good for infection with pinworms and roundworms.

You should not take these tablets during pregnancy and breastfeeding, with ulcerative colitis, liver failure, Crohn's disease, and do not prescribe medications to children who are under 2 years of age.

Method and regimen of use: Vermakar, Vormin, Vermox suspension or tablets are taken with a small amount of liquid. To recover from enterobiasis, children from 2 to 10 years old should drink 25-50 mg of the drug once, adults - 100 mg. You need to take the product again after 2-4 weeks.

If a patient is diagnosed with strongyloidiasis, taeniasis, trichuriasis, hookworm, ascariasis or mixed helminthiasis, deworming is carried out as follows: for 3 days, take 100 mg twice a day.

In the case of trichinosis - 200-400 mg three times a day, then, from 4 to 10 days - 400-500 mg three times a day.

When infected with echinococcosis, take 500 mg three times a day for 3 days, then the dose should be increased to 25-30 mg per 1 kg of weight.

Side effects may occur in the form of dizziness, nausea, and abdominal pain. If the drug is used for a long time, vomiting, headache, anemia, eosinophilia, leukopenia, cylindruria, etc. are possible.

The cost of Wormin is from 140 rubles, Vermox – from 100 rubles.

Vormil, Nemozol, Aldazole, Gelmodol-VM, Albendazole, Gelmizole

Active ingredient – albendazole .

These anthelmintics are indicated for nematodes, toxocariasis, strongyloidiasis, echinococcosis of the liver, lungs, peritoneum, if the causative agent is the larval form of Echinococcus granulosus, as well as for giardiasis and other protozoa, mixed invasions, neurocysticercosis, if the causative agent is the larval form of Taenia solium.

Contraindicated in pregnancy, hypersensitivity, retinal damage, and for children under 2 years of age. Caution should be taken during breastfeeding if hematopoiesis or liver function is impaired.

Directions for use: Nemozol, Gelmodol-VM, Vormil should be taken during meals.

Nemozol for nemazodes is taken once: treatment of helminthiasis in adults involves taking 400 mg of the drug, children over 2 years old - 20 ml in the form of a suspension.

If the patient is infected with echinococcosis or neurocysticercosis, adults weighing more than 60 kg should drink 400 mg twice a day, if weighing less than 60 kg - 15 mg/kg/weight twice a day. The course of therapy for neurocysticercosis ranges from 8 to 30 days, the course of therapy for echinococcosis is three courses of 28 days, with breaks between courses of 2 weeks.

If Nemozol is prescribed to children for giardiasis, then a dose of 10-15 mg/kg should be used once a day for a week.

If a child has toxocariasis, then patients under 14 years of age are prescribed tablets twice a day, 10 mg/kg. Adults weighing up to 60 kg receive 200 mg of the drug twice a day; if the weight is more than 60 kg, then the patient receives 400 mg 2 times a day. The course of treatment is 1-2 weeks.

Nemozol costs from 175 rubles in pharmacies. Aldazole – from 100 rub.

Worms that are common in Russia

In addition to the drugs described above, there are other anthelmintic drugs and agents. Means Ivermectin - These are broad-spectrum deworming tablets for people. However, Ivermectin is most effective in treating infections caused by roundworms. Also used in veterinary medicine.

Metrifonat used in the treatment of genitourinary schistosomiasis.

Preparation Medamin , containing the active component Carbendacim, is an anthelmintic agent active against intestinal nematodes. Medamin is used if a person has trichuriasis, ascariasis, hookworm disease, enterobiasis, necatoriasis. What side effects does this drug cause? Allergic manifestations, weakness, nausea are possible.

Ditrazine (Ditrazine citrate) is used to treat filariasis, a disease caused by filarial worms. It works for ascariasis, but is less effective than other drugs.

Sometimes it is necessary to use additional topical agents. For example, cream Dermokas used for dermatoses, if complications caused by secondary infection are suspected. Dermokas is also used for fungal skin diseases.

Homeopathic remedy Antihelmin taken sublingually for 1-2 months.

Capsules Antihelmos include eucalyptus leaves, yarrow grass, and cloves.

Telochist is a biological supplement, which, however, also cannot be used without the approval of a doctor.

Thus, despite the abundance of remedies, a doctor should explain how to get rid of worms in adults and children by prescribing the correct treatment regimen, taking into account the compatibility of the drugs.

Those who are trying to find the best remedy for worms in adults and children should know that in some cases treatment at home with folk remedies also helps. Your doctor will recommend what exactly you need to take and how to treat it. But the main folk remedies are well known: pumpkin seeds, garlic, onion, cloves.

Sometimes the answer to the question of how to get rid of helminths at home is simple: eat as many pumpkin seeds as possible. However, there are different recipes. For example, add honey and soda to ground pumpkin seeds: for 1 cup of seeds - 1 cup of honey and 1 tsp. soda The product is infused for 10 days and consumed 1 tsp. in the morning before meals.

Some sources claim that by regularly consuming pumpkin seeds, you can get rid of tapeworm at home. To get rid of tapeworm, you need to eat two tablespoons of pumpkin seeds every morning, and an hour later drink a good laxative. How long to practice this treatment depends on the body. But it is better to first consult with a specialist.

How to fight worms at home using onions? To do this, prepare an onion infusion by cutting a medium onion and pouring warm boiled water over it overnight. In the morning you need to strain and drink the liquid on an empty stomach.

For treatment to be effective, it must be carried out according to the regimen prescribed by the doctor, and then follow all the rules of prevention.

Some people with helminthiases to this day use their grandmother’s recipes for worms, for example, raw pumpkin seeds, garlic, extract from the male shield, essential oil from marigold and other home methods. But such drugs are not safe for health, and the effect of taking them does not occur immediately. Pharmaceutical preparations are highly active, which helps the patient quickly get rid of helminthic infestation.

In the CIS countries, both adults and children most often become infected with pinworms. Thus, the most common disease among our population due to infection with small helminths of the pinworm species is enterobiasis. Pathologies such as ascariasis and giardiasis are no less common. Roundworms establish colonies in the intestinal tract, after which they penetrate the bloodstream and are carried by the blood stream to internal organs, such as the liver and lungs. Further, the invasive process can have a dangerous course.

The severe development of pathogenesis concerns not only ascariasis, but also any helminthic pathology, therefore it is important to remove the pathogenic worm from the body as soon as possible. And you shouldn’t rely on grandma’s methods, at the risk of not completely removing the worms; therapy with special anthelmintic drugs will be more reliable and effective.

Classes of worms and main medications for helminthiasis

So, depending on the class and type of worms with which the patient is infected, as well as on the person’s age, concomitant pathologies, the state of defenses, the presence of allergies to medications and, of course, the severity of the pathogenesis and body weight, the specialist will select the most suitable medicine from helminthiasis. The dosage and duration of treatment is selected by the doctor individually based on the diagnostic information received. One of the most common medications prescribed in the clinic is:

• Pirantel (in tablets or suspension);
• Levamisole (in tablets);
• Wormil (suspension or tablets);
• Piperazine adipate (in tablets);
• Ditrazine citrate (in tablets);
• Vermox (pills).

Reception features

In order to increase the effectiveness of the anthelmintic effect, you should take the tablets in the morning, and in the evening, cleanse the intestines with an enema, or use a laxative to enhance peristalsis. Since there is a possibility of repeated self-infection, to consolidate the effect, it is necessary to carry out repeated anthelmintic therapy - 2 weeks after the end of the first course.

Any medication with anthelmintic action must be prescribed by a doctor. The chemical compositions of such products cause intoxication in the body if the dosage permissible for age and weight is not observed. It is unacceptable to carry out uncontrolled self-medication, especially in children, without a recommendation on the possibility of using a particular drug in a particular case.

The dosage and duration of treatment with these drugs will be discussed a little later, but for now let’s look at what medications are prescribed in the presence of a certain class of helminthic infestation.

Drugs against nematodes

• Albendazole and its analogues - Sanoxal , Gelmodol-VM (170-250 rub.);
• Levamisole hydrochloride or its equivalent Dekaris (62-80 rub.);
• Albendazole and analogues - Nemozol, Zentel (200-350 rub.);
• Piperazine adipate (12-20 rub.);
• Nemocide (127 -150 rub.) or Helminthox (30-55 rub.);
• Wormil or Vermox (55-90 rub.);
• Dietary supplement Fitoglistocide (240-250 rub.).

• Thiabendazole;
• Ivermectin;
• Ditrazine;
• Diethylcarbamazine.

Drugs against cestodes

• Albendazole and analogues - Nemozol, Zentel (200-350 rub.);
• Praziquantel or its analogues - Biltricide, Azinox (460-1330 rub.);
• Devermin and analogue drugs – Niclosamide , Cestocid (120-190 rub.);
• Mepacrine or Akrikhin (330-350 rub.).

Drugs against trematodes

• Chloxyl and its analogue Ditrazine citrate – the main drugs intended for the treatment of trematodes;
• Biltricide or Pikwiton (400-1800 rub.);
• Praziquantel And Azinox ( 460-1330 rub.).

Is it necessary to prevent worms with tablets?

• meat and fish dishes must undergo thorough heat treatment;
• Do not under any circumstances eat unwashed fruits and vegetables;
• keep your hands clean after being outside, contacting animals, after using the toilet, always wash them when sitting down to eat;
• ensure that nails are cut short, especially in young children;
• change bedding more often, and washed linen must be ironed on all sides, carefully passing a hot iron along the seam folds.

Pregnancy and helminthiasis

It is precisely because of the potent composition, which can cause more harm to the fetus than worms, that the use of common drugs is strictly prohibited. But this does not mean that you will need to live with enterobiasis or ascariasis throughout your pregnancy. Experts prescribe only one single remedy that is non-toxic and as gentle as possible, this Piperazine .

Features of taking Piperazine during pregnancy:

• if ascariasis is detected: 2 grams per day twice a day 1 hour before meals or the same time after meals; course – 2 days;
• if enterobiasis is detected: the dosage is the same, but the duration of treatment will be 5 days, after which you need to take a 7-day break, and then take the medicine again according to a similar regimen (total: 2 courses).

Description of the most popular drugs for worms

This section will fully describe the most common anthelmintic drugs prescribed by doctors when helminthiases are detected.

Pyrantel tablets and suspensions, Helmintox

Indications

Prescribed for infections with roundworms, pinworms, hookworms, and necator. The medicine is excellent for children, since the composition of the tablets and suspension is non-toxic.

Limitations in use

Should not be used by people sensitive to the active composition; During pregnancy and lactation, drink in extreme cases and only on the recommendation of a specialist. It is not advisable to give Pirantel to children under 3 years of age without consulting a doctor.

Side effect

Neurological disorders - headaches, sleep problems, lethargy, lethargy, the drug is rare, but causes numbness and tingling of the skin, hearing loss and the appearance of hallucinations; from the gastrointestinal tract - in some cases it causes nausea and vomiting, stomach cramps (pain), diarrhea.

How to take the medicine

When infected with roundworms and pinworms, 1 dose is sufficient (this is the entire course); the dosage of a single dose is selected individually, taking into account the patient’s body weight - 10 mg of active substance per 1 kg of weight. It should be taken after meals or immediately at the time of eating in the morning. It is important to re-treat after 21 days using the same regimen.

When infected with hookworms, the amount of one dose remains the same, but the therapeutic course is increased to 3 days. Upon completion of treatment, a pause is made for 21 days, after which a consolidation course is carried out according to the same scheme.

If necator is detected in the body, the dosage is doubled, that is, 20 mg of the active substance is used per 1 kg of the patient’s weight. Duration of therapy – 2 days. The need for a repeat course is required after 3 weeks.

Decaris or Levamisole tablets

Indications

Used for roundworms, pinworms, hookworms and necators, intestinal oysters, whipworms, toxoplasma.

Limitations in use

The presence of agranulocytosis, neutropenia, allergy to levamisole hydrochloride, pregnancy, and the drug should not be used by nursing mothers or children under 7 years of age.

Side effect

Neurological disorders - headaches, sleep problems, loss of strength, lethargy, can provoke seizures and encephalitic syndrome. It also affects the occurrence of speech disorders and the appearance of hallucinations and lethargy.

From the gastrointestinal tract - in some cases it causes nausea and vomiting, stomach cramps (pain), diarrhea, acute pancreatitis. The drug can have a negative effect on kidney function and hematopoiesis (increased creatine, decreased leukocytes, etc.). Often affects taste, skin condition (dermatitis, allergies).

How to take the medicine

The course of therapy is 1 day, after which it is advisable to repeat Levamisole after 7 days. The drug is taken once, that is, one dose is enough, but it is important to follow the dosage. For children from 7 to 14 years old it is 50-100 mg, for patients over 14 years old - 150 mg (1 tablet). Reception is carried out at the time of eating.

Wormin or Vermox

Indications

Active ingredient: Mebendazole. Both remedies are identical in composition and are prescribed for all types of nematodes, cestodes, and trematodes. These medications do an excellent job of treating helminths common to humans - pinworms and roundworms.

Limitations in use

The drugs are prohibited from being prescribed to pregnant women, small children under 2 years of age, nursing mothers, people with hepatic encephalopathy, ulcerative and inflammatory bowel diseases, as well as those with intolerance to mebendazole, the main component of the medications.

Side effect

Cases have been recorded of the development of eosinophilia and leukopenia, cylindruria, hematuria, and anemia after taking medications. The active composition, if used uncontrolled, can adversely affect the condition of the digestive tract: cause pain in the abdominal cavity, nausea and vomiting, and diarrhea. In certain cases, anthelmintic tablets provoke headaches, mental fog, and hair loss.

How to take the medicine

Children aged 2 years and older, as well as adults, are prescribed the same dosage of the drug - a once-daily dose of 400 mg. The duration of therapy is chosen by the doctor based on the diagnosis of helminthic infestation. Typically the course lasts from three to five days. If necessary, treatment is repeated one more time, but after a pause of 2 weeks.

For multilocular echinococcosis and neurocysticercosis, the number of doses per day is increased to 2 times, respectively, the total dosage per day will be 800 mg. The duration of treatment is quite long and can last up to 1 month. For the effectiveness of therapy, 3 courses are used with a two-week break.

Ditrazine tablets

Indications

The drug composition is predominantly active against pathogens of filariasis. Roundworms are also sensitive to the drug, but Ditrazine is less effective against this helminthic infection than, for example, Piperazine.

Limitations in use

Cannot be used for transmissible biohelminthiasis, as well as for people who are allergic to ditrazine citrate.

Side effect

The drug is toxic, therefore it can cause skin lesions (itching, rash), non-productive cough, infiltration in the lungs, inflammation of lymphatic formations, an increase in the size of organs, in particular the spleen and liver, in the blood provokes an increase in the level of leukocyte eosinophils.

How to take the medicine

The dosage is calculated taking into account the patient’s body weight: the rate of one dose corresponds to 2 mg for every 1 kg of weight. The drug is taken three times a day for 10 days. The maximum permissible daily dose should not be more than 0.4 grams. Therapy for helminthic infestation is carried out in successive courses: the drug is drunk for 10 days, then a pause is made for 12-14 days, after which treatment is resumed. In total you need to take at least 3 courses. In acute pathogenesis, 5 approaches may be required.

Piperazine adipate

Indications

The biologically active substance contained in the drug is active against two types of worms: roundworms and pinworms. Therefore, the medication is prescribed to people with ascariasis and enterobiasis.

Limitations in use

Organic damage to the central nervous system of any severity, hypersensitivity to the chemical composition, the presence of renal failure.

Side effect

Possible depression of the gastrointestinal tract with the appearance of nausea and pain in the abdominal cavity, neurological disorders - headache, muscle weakness, tremors of the limbs.

How to take the medicine

Ascariasis is treated according to the following scheme:

• children 0-2 years old should drink 0.2-0.4 g of medication twice a day;
• children 2-4 years old are prescribed Piperazine 2 times a day in the amount of 0.3-0.5 g per dose;
• for a child 4-6 years old, 0.6-1.0 g of active substance is required twice a day;
• Children of primary school age (6-9 years old) are recommended to take orally from 0.7 g to 1.5 g per dose, the number of doses is 2 times a day;
• after 9 years and adults, the medicine is prescribed twice a day, 1.5-2 g;
• The drug is drunk before meals (1 hour before), the duration of therapy is 2 days, to consolidate the result, it is appropriate to repeat the treatment course after 1 week.

When infected with pinworms (enterobiasis), the principle of treatment with established dosages for each age group remains the same, but the duration of the course increases to 3-5 days.

• living in the external environment - earth, water bodies
• entering the human body through intermediaries - domestic animals
• entering the human body through contact with other people

Helminthiasis or infection of a person by worms is an extremely unpleasant disease. It leads to intoxication of the body and its exhaustion, weakens its defenses. Therefore, helminthiasis requires careful treatment.

Anti-helminth medications, types and principle of action

Fortunately, the modern pharmaceutical industry has developed many effective synthetic agents. Therefore, now the question of how to get rid of worms with tablets comes down mainly to the choice of one drug or another.

Also, in some cases, it is recommended to take deworming tablets for prevention. For example, if you are planning a trip to exotic countries, or if a family member or pet suffers from helminthiasis. However, it hardly makes sense to take deworming pills just like that, just in case, since most of them are quite toxic and are not recommended for long-term use.

It is best to find out which anti-worm pills you should take by consulting your doctor. When selecting drugs, the doctor must take into account its contraindications, the patient’s age and side effects. Not all anti-worm tablets can be used to treat small children or during pregnancy.

Anti-worming tablets are usually made from the following compounds:

• ethanolamine
• salicylamide
• pyrazinoisoquinoline
• benzimidazole

Let's look at a few popular drugs:

• benzimidazoles
• Pirantel
• Dekaris
• Vermox
• Praziquantel

Pirantel

These deworming tablets contain pyrantel pamoate as the active substance. Pyrantel is prescribed for various diseases - trichuriasis, hookworm disease, ascariasis and enterobiasis, necatoriasis, hookworm disease, trichurosis.

The medicine should be taken once a day. The tablet must be chewed and washed down with water. For ascariasis and enterobiasis, a single dose will be sufficient; for other types of helminthiasis, the course can last 2-3 days. For some diseases, a second course of administration is recommended after 3 weeks.

Pyrantel is a relatively low-toxic tablet against worms, so it can be used for small children (up to 6 months). For them, it is best to use a suspension rather than tablets.

Dosage for different groups of patients:

• 6 months-2 years – 125 mg
• 2-6 years – 250 mg
• 6-12 years – 500 mg
• patients over 12 years of age weighing up to 75 kg – 750 mg
• patients weighing over 75 kg – 1000 mg

Deworming tablets are taken regardless of food intake. Not recommended during pregnancy, but can be used in exceptional cases. A complete analogue of the drug is Helmintox.

Dekaris

Decaris is an effective anti-worm tablet containing the active ingredient levomisol. The dosage of the drug is 150 and 50 mg. Indications: hookworm disease, ascariasis, necatoriasis, enterobiasis and some other helminthic infestations.

Decaris is a one-time use anthelmintic for people. As a rule, taking one 150 mg tablet is sufficient for treatment. For children, a 50 mg tablet is prescribed, or the dosage can be calculated based on the child’s weight - 2.5 mg per kg of weight. However, these deworming tablets are not suitable for children under 3 years of age. They are also contraindicated for pregnant and lactating women. An absolute contraindication is agranulocytosis, so a blood test must be taken before taking the drug.

Possible side effects include allergic reactions, negative gastrointestinal symptoms, headaches, and insomnia.
In severe cases, the duration of treatment can be determined by the doctor individually. After the first course of treatment, a preventive course can be carried out two weeks later.

Preparations based on benzimidazoles

Like many other anthelmintic medications, these deworming tablets must be chewed in the mouth. The course of treatment depends on the degree of the disease, in severe cases it can last a month.

Vermox

For trichinosis, the drug is taken three times a day, 400 mg, from days 4 to 10, the dose is increased to 500 mg. For mixed infestations, ascariasis, taeniasis, trichocephalosis - 1 tablet 2 times a day for 3 days.

For enterobiasis, take once a day. Dose for children 2-5 years old - 25 mg, children 6-10 years old - 50 mg, children over 10 years old and adults - 100 mg. After 2 weeks the course is repeated.

Praziquantel

The dosage depends on the disease. For genitourinary schistosomiasis, damage to the abdominal veins and intestinal schistosomiasis - 40 mg/kg body. The drug is taken once. For damage to other veins - 30 mg/kg twice a day. Severe schistosomiasis is treated with a daily dose of 60-75 mg/kg. Take three times, with a 6-hour break.

Flukes are treated with a daily dose of 25 mg/kg, taken three times a day. For the treatment of trematodes, 75 mg/kg per day is required in 3 doses, cestodes - 10-25 mg, a single dose.

The duration of treatment with the drug usually does not exceed 1 day. Paragonimiasis is treated for 2 days (25 mg per day, three doses), cysticercosis - up to 4 days (50 mg, three doses).

Deworming tablets are quite toxic, so side effects are possible when taking them. However, they are rare unless the patient exceeds the prescribed dosage. This drug is contraindicated in case of liver failure and in the first trimester of pregnancy.

The most common are roundworms and pinworms.

These medications mainly act on adult worms without killing the larvae and eggs. For some types of helminthiases, there is a need to re-treat after some time, since there is an increased risk of re-infection. Also, to increase the effectiveness of therapy after taking certain medications, it is necessary to take a laxative or perform an enema.

Modern remedies against nematodes do not have such a serious drawback; they work exclusively in the intestines. As patient reviews show, adverse reactions of the body develop extremely rarely and are temporary.

Medicines for tapeworms and flatworms

This group includes the following helminths: bovine, dwarf, pork tapeworm; coenurosis; echinococcosis; teniarinhoz; wide tape.

Even if a person becomes infected with tapeworms, in most cases he will not notice it. Only rarely are signs observed that will manifest themselves as problems with the nervous system or digestive tract.

For treatment, tablets are prescribed:

1. Mepacrine;
2. Akrikhin;
3. Albendazole.

Moreover, albendazole-based drugs are well suited for the treatment of mixed helminthic infestations and giardiasis. Nemozol is allowed to be used against extraintestinal forms of cestodiasis.

Medicines Akrikhin, Mepacrin should be used if the patient is sick with bovine tapeworm, dwarf tapeworm, or broad tapeworm. Sometimes there are indications to undergo a course of treatment if affected by Giardia. Often therapy is carried out in two stages, taking medications for 4 days, then taking a week's break and resuming therapy.

For complicated helminthiases, the doctor also prescribes antibiotics.

Broad-spectrum drugs

During the course of treatment, patients may experience various negative reactions of the body, for example, these may be:

1. diarrhea;
2. headaches;
3. skin rashes;
4. anemia;
5. excessive hair loss;
6. dizziness.

Since the mass death of worms produces a lot of toxins, the patient must help his body cleanse itself. Doctors recommend giving enemas and drinking enough fluids.

If anthelmintic drugs were used to treat severe infestations, it is important to additionally use immunomodulatory agents that help support the body.

If the patient does not comply with the dosage of the medication, certain types of worms will not be destroyed and may migrate throughout the body. Treatment with broad-spectrum medications must be combined with the use of antihistamines, sorbents, immunomodulators, hepatoprotectors, and enzymes.

New generation medicine

Usually, for helminthiases, a drug is used that contains substances derived from benzimidazole; such drugs for humans are allowed to be taken even by children of different ages. The most commonly used products are Vermakar and Aldazole.

Tablets should not be taken if you have:

1. allergic reactions to mebendazole;
2. pregnancy, lactation;
3. renal failure;
4. liver dysfunction.

In some cases, treatment with Vermakar can cause problems with the functioning of the hematopoietic, digestive and nervous systems. In addition, there is an increased risk that such a remedy will cause all kinds of allergic reactions.

The advantage of the drug is its ability to effectively resist all types of helminthiases, which is why it tops the rating of drugs in this group. The daily dosage ranges from 200 to 800 mg, treatment is taken for 1-3 days.

The product has contraindications, like other anthelmintic drugs.

Is it worth taking pills for prevention?

If at least one family member is diagnosed with pinworms, preventive treatment is indicated for the entire family. Taking into account that scraping for pinworms quite often gives a false negative result, many patients have a reasonable question about how effective it is to take such pills.

On this issue, medical opinions differ, with some firmly convinced that preventive treatment does not provide any guarantees other than observing the rules of personal hygiene, regular hand washing and changing underwear. Others are convinced of the opposite, especially if there are small children at home. In such cases, it is recommended to take the drug Pirantel every 6 months.

Indications for taking anti-worm medications for prevention purposes will be:

1. presence of animals in the house;
2. frequent contact with sand and soil;
3. living in rural areas;
4. being in closed children's groups.

For preventive purposes, anthelmintic drugs should be taken by people who travel to exotic countries, go fishing, hunting, or play beach volleyball. Tablets with anthelmintic properties and anthelmintic suppositories are used with equal effectiveness. The video in this article will tell you what other drugs are available for worms.

Review of effective anthelmintic drugs

Characteristics of broad spectrum drugs

Doctors divide all antihelminthic drugs with a wide spectrum of action (depending on the composition and main active ingredients) into 2 groups: herbal and synthetic.

Broad-spectrum anthelmintic drugs of synthetic origin are distinguished by high rates of efficiency and the ability to quickly achieve positive results of anthelmintic therapy. The first effect becomes noticeable just a few hours after the product has been taken.

The optimal dosage should be calculated by a specialist individually, since if it is exceeded, the tablets can provoke the development of the following undesirable reactions:

• nausea;
• headache;
• bouts of vomiting;
• general intoxication of the body;
• disturbances in the functioning of the gastrointestinal tract.

Herbal preparations

However, at the same time, the effectiveness of this type of drug is significantly lower than that of synthetic medications, especially if we are talking about a helminthic infestation of a mixed nature. In addition, although herbal medicines are not prohibited from being taken against the background of antibiotic therapy, their effectiveness is reduced to zero. The benefits of herbal medicines for worms include:

• soft and gentle effect on the body;
• Possibility of use in childhood, while expecting a baby;
• no negative impact on internal organs and systems;
• strengthening the immune system;
• beneficial effect on intestinal microflora;
• compatibility with other types of medications.

When broad-spectrum drugs are contraindicated

Broad-spectrum synthetic drugs for humans are contraindicated in the presence of the following health problems:

• renal pathologies;
• the presence of diseases requiring a course of antibiotic therapy;
• disturbances in the functioning of the urinary system;
• liver diseases that occur in severe form;
• pyelonephritis;
• ulcerative lesions of the gastrointestinal tract;
• inflammatory processes localized in the area of ​​the digestive system;
• cirrhosis;
• increased tendency to allergic reactions;
• individual intolerance and hypersensitivity to the active ingredients of drugs.

Let us note that only the attending physician can choose the right anthelmintic medicine, which will be most effective and at the same time safe for a particular patient, after a preliminary examination.

New generation drugs

Suppositories act directly at the site of the lesion, providing a local effect. It is for this reason that they have a gentler effect on the body, have a minimum of contraindications and a narrow range of possible adverse reactions.

In order for anthelmintic therapy with broad-spectrum drugs to be as effective, efficient and safe as possible, the body must be properly prepared before taking the pills. For these purposes, a few days before therapy, you must follow the following recommendations from specialists:

1. Eat regularly and balanced meals. Eliminate spicy and sour foods, sweets and confectionery from your daily diet.
2. Take vitamin-mineral complexes and immunomodulatory drugs to activate natural defense mechanisms.
3. It would be good to take drugs during anthelmintic therapy that help normalize the functioning of the gastrointestinal tract.

Before starting a treatment course, be sure to consult with a qualified specialist regarding the choice of anthelmintic drug.

It is advisable to undergo a medical examination, since anthelmintic therapy for disorders of excretory functions can lead to severe poisoning and intoxication of the body.

Brief characteristics of the drugs

The modern pharmaceutical market offers a large selection of antihelminthic drugs with a wide spectrum of action. We invite you to familiarize yourself with the most popular and effective of them in more detail:

It is worth remembering that prevention is always more effective than cure. It is necessary to monitor hygiene, it is advisable to sometimes drink special courses. Below are several similar drugs. Attention! For all types of cleansing, it is very important to drink a lot of water - at least one and a half to two liters a day!

Preparation

Active ingredients

Notes (including customer ratings)

Commonly prescribed dewormers

If you know the type of helminthic infestation, choosing the best remedy for worms will not be a big problem. There are a number of drugs that have been on the pharmaceutical market for a long time and have earned the trust of doctors and patients. These include:

• "Nemazol" and "Vanquin" - used to treat nematodes;
• "Fenastal" and "Meparkin" - used to treat tapeworms;
• "Chloxyl" and "Bithionol" are effective in the fight against trematodes.

These remedies for worms in adults have a wide list of contraindications and side effects, and therefore they should be used as therapeutic therapy only after carefully reading the instructions.

Speaking about which remedies for worms are the most effective, we should also note other medicines that also help fight the treatment of helminthic infestations. Among them are:

An alternative to pharmaceutical drugs is products based on herbs and natural oils. In many cases, they can be as effective, if not more effective, than chemicals. And at a minimum, they are safer. Of course, in this case, it is necessary to strictly follow the instructions and recommendations of the doctor.

– a preparation based on garlic and cayenne pepper. It works quickly and effectively, but has contraindications (cannot be taken if you have high blood pressure, stomach ulcers, etc.).

When taking broad-spectrum deworming medications, you must follow a special diet. As a rule, the annotation for the drug describes what foods and drinks should be avoided at the time of treatment. Most often they are:

• dairy and fermented milk products;
• dishes that are prepared using raw meat or fish;
• alcoholic drinks.

At the same time, it is highly discouraged to consume foods that can cause constipation during treatment, as this will disrupt the process of removing helminthic infestations from the body. These products include:

• fatty and fried foods;
• flour products;
• potato.

By following such a diet, you will improve the process. But it should be understood that taking anthelmintic drugs can provoke side effects, including nausea, vomiting, drowsiness, apathy, itching, skin rash, decreased concentration, etc. Therefore, it is best to stay at home during treatment. Driving is highly discouraged.

Remember that to effectively and quickly get rid of worms, you should not self-medicate. It is best to seek help from a doctor, take all the necessary tests and strictly follow all his recommendations.

Video about worms in children and adults