Universal anthelmintic for humans. Anthelmintics for humans

A small group of medicines, which are called anthelmintics in pharmaceuticals, are of great interest to consumers. No wonder - after all, from TV screens, and on the pages of newspapers and magazines, and on popular websites, we are frightened by loud statements about “terrible and terrible” helminthiases that struck almost every first inhabitant of the planet. Say, it is with helminthic invasions that most health problems are associated, ranging from discomfort after eating and ending with almost cancer.

The hype about total helminthiases could not but be reflected in parental experiences. As soon as a child complains of pain in the abdomen or refuses to eat, mothers are already wondering: which worm pills can be used for prevention, “just in case”. You never know - the child swarmed in the sandboxes, ate unwashed or insufficiently washed fruits and vegetables, hugged cats and dogs and, possibly, became infected.

Who are you, worm?

But before proceeding to a detailed acquaintance with medicines of this group, it would be good to find out what, in fact, helminthiases are.

Other rarer species are also known. helminthic invasions, which we will not mention - the probability of getting sick with them is too small.

An inquisitive reader may be surprised: why does he need to know all these complex, names of incomprehensible diseases? It's simple - tablets for worms, which are sold in Russian pharmacies, are classified depending on which specific type of helminths they affect.

Classification of drugs for worms

In modern pharmacology, several classifications of antihelminthic drugs are used at once, based on various features medicines.

So, the classification according to pharmacological action divides all anthelmintics depending on what kind of worms they adversely affect. In accordance with it, they distinguish:

anti-nematode tablets against worms (piperazine adipate, mebendazole, pyrantel, wormwood flowers, tansy);
anti-cestodoses (fern extract, pumpkin seeds);
protrotrematodose.

Classification according to the mechanism of action divides anthelmintic drugs into:

drugs that disrupt the functioning of the neuromuscular apparatus roundworms, nematodes (pyrantel, piperazine adipate, levamisole);
drugs that paralyze the neuromuscular apparatus in flatworms;
drugs that have a negative effect on the energy processes of worms (mebendazole).

There is also a classification chemical structure, but not to scare the reader complex names of the active ingredients that make up the tablets against worms, we will not dive into its subtleties, but will proceed directly to the description of the drugs. And we will start with a product that has been sold in pharmacies for many decades.

Piperazine - tablets against worms for humans and animals

The organic compound piperazine adipinate was first proposed as a dewormer back in 1953. Its antihelminthic action is based on the ability to paralyze the muscles of nematodes. most high activity Piperazine manifests itself in ascariasis and enterobiasis. According to studies, even after a single use, the effectiveness of the drug ranges from 90-95%, and with repeated use it reaches 100%.

Piperazine is produced in the Russian Federation in the form of tablets with the same name. Them distinguishing feature- very low cost. However, despite the cheapness, piperazine as a medicine for worms for human treatment today is not popular either among doctors or among consumers. The reason for this is quite poor tolerance. After taking the drug, there are frequent cases of nausea, vomiting, pain in the abdomen, stool disorders, in particular, diarrhea. Allergic reactions are not excluded.

Today, Piperazine adipate is practically not used in medicine. But it is used in veterinary medicine, for the treatment of helminthic invasions in animals.

Levamisole: time-tested!

Much more often today, another “experienced” remedy is used - Levamisole hydrochloride. It, like Piperazine, has low cost. True, imported drugs based on Levamisole are somewhat more expensive than domestic ones. The drug is registered in Russia under trade names Levamisole (domestic counterpart) and Decaris produced by the well-known Hungarian company Gedeon Richter.

The history of Levamisole has been going on for more than half a century - it was discovered in 1966, and since then it has been consistently used to treat helminthic invasions in adults and children. World Organization health care included Levamisole in its famous list of drugs that have vital importance for human health.

The antihelminthic effect of Levamisole is due to the ability to disrupt the energy metabolism of helminths and especially roundworms. Under the influence of tablets, paralysis occurs in worms, and they are excreted from the body. naturally during the day after taking them.

Along with ascariasis, Levamisole is also used for other helminthic invasions, such as enterobiasis, trichuriasis, and so on. In addition, the drug is prescribed for toxoplasmosis.

An imported analogue of Levamisole, Decaris is available in two dosages - 50 mg for children and 150 mg for adults. For the treatment of worms in children, depending on age, a dose of 25-100 mg is prescribed, and for adults - 150 g. In both adult and pediatric practice, tablets are taken once, in the evening, with a moderate amount of water.

How are Levamisole tolerated?

With the safety of Levamisole, just like Piperazine, not everything is going smoothly. Even a single dose of it can be toxic to the body, especially the weakened one. The side effects of this medication are divided into:

gastrointestinal - nausea, abdominal pain, diarrhea, vomiting;
neurological - headache, fatigue, insomnia, change in taste;
changes in the blood system - a decrease in the number of leukocytes, sometimes severe;
allergies, in particular rashes.

In addition, sometimes taking Levamisole is accompanied by a violation of the kidneys, gynecological bleeding and other unwanted reactions.

In order to avoid the development of complications, experts recommend that before taking Levamisole, and a few weeks after treatment, do at least general analysis blood.

And one more feature of Levamisole: it is incompatible with alcoholic beverages. When taken together with alcohol, the drug causes a so-called disulfiram-like reaction, on which the principle of action of the drug for the treatment of alcoholism Esperal is based. Levamisole blocks the breakdown of an intermediate breakdown product ethyl alcohol acetaldehyde, which, accumulating in the blood, contributes to the development of intoxication. The latter is accompanied by nausea, vomiting, headache, weakness, in severe cases - confusion and other effects.

Due to serious adverse reactions in many countries of the world, including the United States and Canada, Levamisole is prohibited for use as a deworming drug for humans. But in the post-Soviet space it is still used, although not as often as ten or twenty years ago.

Additional properties of Levamisole

It is impossible not to mention the effects of Levamisole, which, although they have nothing to do with antihelminthic action, however, are widely used in medicine. And sometimes even wider than the main effect.

Primarily, clinical researches confirmed the effectiveness of Levamisole in combination with oncological drug fluorouracil in the treatment of colon cancer. There is data on positive results treatment with Levamisole malignant neoplasms mammary gland, bronchi, as well as in the treatment of leukemia, rheumatoid arthritis and other diseases.

It is assumed that Levamisole stimulates the work immune system, and some doctors prescribe it as an immunomodulator, including for influenza and SARS. However, this practice causes skepticism among many specialists, based on the fact that, firstly, Levamisole is quite toxic, and secondly, its immunostimulating effect has not been confirmed in serious clinical trials.

Tablets from worms Pirantel

pinworms;
roundworm;
hookworms.

The effect of Pyrantel is due to its ability to cause persistent paralysis of the muscles of sensitive worms, which then natural way leave the body. In this case, the drug works regardless of the puberty of the worms, but is not effective against the larvae.

Pirantel is used to treat worms in adults and children weighing more than 12 kg. The course of treatment depends on what type of invasion is detected:

when infected with pinworms and roundworms, the drug is used once, calculating the exact dosage depending on the weight of the child or adult. To prevent reinfection (re-infection), Pirantel is taken again after 3 weeks.
when infected with hookworms, Pirantel is prescribed for 2-3 days based on the weight of the patient.

The convenience of Pirantel is that for the treatment of children early age not traditional tablets are produced, but a special, pediatric form of worms in the form of a suspension. For children over 6 years of age, it is more convenient to give tablets with a dose of 125 mg. Well, Pirantel for adults is produced in tablets with a dose of 250 mg.

Pirantel is much better tolerated than Piperazine and Levamisole. Occasionally, side effects may develop, such as nausea, abdominal pain, allergies, and some others, but more often, adverse reactions are not observed when taking therapeutic doses.

And the last. On the Russian market There are several analogues of Pirantel, including:

Helmintox, french medicine from worms. High quality and more high cost compared to other analogues;
Nemocide, produced by an Indian company. More economical compared to the French remedy;
Pirantel, under this name, a number of preparations for worms are produced at once, including both Russian and Polish, Indian ones.

Albendazole: a popular broad spectrum dewormer

The following remedy is fundamentally different from those that we have already described. Albendazole was synthesized in 1975 by pharmacists from the world famous Glaxo company. Just like Levamisole, it is included in the WHO list, which includes drugs vital for human health.

Unlike Levamisole and Piperazine, Albendazole tablets for worms have a wide spectrum of action, including both roundworms and cestodes and nematodes. Thus, it has an antihelminthic effect against most helminths, so the drug is used for many helminthiases, including:

ascardiasis;
enterobiasis (pinworm infection);
toxocariasis;
echinococcosis;
trichinosis and others.

Albendazole is available in adult and pediatric dosage forms. For children over 6 years of age, tablets with a dose of 200 mg are intended, for adults - tablets of 400 mg. For babies older than 1 year, it is better to offer a pediatric suspension. Some manufacturers offer comfortable shape release of Albendazole in the form chewable tablets that do not need to be washed down with water.

The dosage and course of treatment is calculated based on the type of disease, age and weight of the patient.

When infected with roundworms and pinworms, it is recommended that an adult take 1 tablet of Albendazole with a dosage of 400 mg once, a child over 6 years old - a tablet with a dose of 200 mg once, and for children aged 1 to 6 years, a suspension is perfect, 5 ml of which contains 100 mg active substance(full therapeutic dose in this case is 10 ml).

In order to prevent re-infection It is recommended that three weeks after the treatment, repeat single doses of Albendazole for both adults and children.

Safety and analogues of Albendazole

In general, Albendazole is well tolerated. However, the appearance of a number of side effects is not excluded, including:

nausea, abdominal pain, constipation or diarrhea, bloating;
change in the blood picture, increased pressure;
insomnia or, conversely, drowsiness, headache and dizziness, blurred vision (temporary);
allergies, which are most often manifested by a rash and itching.

During pregnancy, Albendazole is categorically contraindicated: according to the classification of the American Drug Control Agency and food products FDA category C. It includes drugs that, in animal studies, have demonstrated side effects to the fruit. In order to exclude a possible teratogenic effect Albendazole should not be taken by women who are planning a pregnancy at least one month before conception.

And about analogues. There are several generic products containing Albendazole on the Russian market. Among them:

Nemozol produced by the Indian company Ipka has a wide range of forms of release (chewable tablets, coated tablets and children's suspension). Differs in profitability and rather high quality corresponding to modern requirements to drugs;
Sanoxal, less popular remedy from worms, also manufactured in India, available only in the form of chewable tablets for adults at a dose of 400 mg;
Gelmodol-VM, tablets with a dose of 400 mg produced in Egypt.

Domestic companies do not produce Albendazole, but they produce another drug against worms, which is very similar to it structurally and according to the mechanism of action - Mebendazole.

Antihelminthic Mebendazole: features of the drug

And the last antihelminthic worthy of attention, Mebendazole, synthesized in the early 70s by Belgian pharmacists, is one of the most commonly used anthelmintic drugs. It also belongs to the list of vital important funds for human health.

Peculiarities pharmacological action Mebendazole is very similar to the mechanism of action of Albendazole: it also blocks the production of ATP, disrupts the excretion of glucose in the tissues of worms and contributes to their death.

Unfortunately, the release form of Mebendazole for young children does not exist. Only tablets from worms with a dose of 100 mg are produced. They can also be given to babies over 2 years old by dividing the tablet into parts (children's dose at the age of 2-10 years is about 25-50 mg). However, such a division will be very conditional - the tablets do not have risks, and an attempt to calculate "by eye" what part of it will be 25 mg is unlikely to be very successful. Therefore, all the same, for the treatment of worms in children under 10 years of age better pills Do not use mebendazole, especially since there are children's forms of the same Albendazole or Pirantel.

The duration of the course of treatment with Mebendazole depends on the type of helminth infection.

So, when adults or children over 10 years old are infected with pinworms, it is enough to drink a tablet with a dose of 100 mg once. Sometimes (but not always, only if reinfection) the drug is prescribed again after a few weeks at the same dosage.

When infected with roundworms, Mebendazole is drunk three days in a row, two tablets a day (one in the morning and one in the evening).

Tolerability of Mebendazole and its analogues

Despite the fact that mebendazole is usually tolerated without problems, the likelihood of side effects while taking it still exists. Among them are "traditional" for tablets from worms nausea and abdominal pain, changes in the blood picture, allergies. Headache and drowsiness are also possible. In addition, during treatment with Mebendazole, changes in the analysis of urine (the appearance of blood in the urine and others) are not excluded.

In Russian pharmacies, you can buy several analogues of Mebendazole, and the most popular of them is the remedy of the Hungarian company Gedeon Richter Vermox. Indian Wormin is less in demand. Domestic analogue Mebendazole called Vero-Mebendazole can be classified among inexpensive drugs which are of high quality.

Herbal antihelminthic preparations

And finally, it remains for us to get to know herbal remedies for worms better. They are often used in traditional medicine and may be included in a combination treatment regimen along with drugs.

tansy flowers

Among the most famous medicinal plants, which are used in the treatment of helminthiases, includes common tansy. For medical purposes, small yellow flowers collected in inflorescences-baskets.

The pharmacological action of tansy flowers is due to the content of active substances in them, in particular, essential oil, flavonoids and alkaloids. They exhibit an antihelminthic effect, primarily directed against two types of helminths - ascaris and pinworms. Therefore, tansy flowers are used only for two types of helminthic invasions.

An infusion is made from tansy flowers, which is taken several times a day (2-3) at a dose of approximately 50-70 ml. The course of treatment can be several weeks. To ensure that therapy has been effective, it is important to laboratory research after the end of treatment. And the last thing: despite the fact that the infusion of tansy is natural, natural preparation, it should not be used during pregnancy.

Pumpkin seeds

If it is an invasion by tapeworms that has been identified, a decoction of pumpkin seeds can be used as additional funds, while the main treatment of worms should be carried out with the help of drugs.

Rules for the treatment of drugs for worms

It would seem that there can be no tricks: I drank one tablet at night and forgot about worms, as bad dream. But in fact, there are several nuances that you need to keep in mind.

Firstly, effective treatment worms should involve not only taking pills, but also hygiene measures to prevent re-infection. To prevent this from happening, it is important to remember that:

after using the toilet and before eating, wash your hands thoroughly with soap and water;
bed and Underwear the patient must be changed daily, washed at high temperature and iron with a hot iron on both sides;
the house should be wet cleaned every day with the use of disinfectants.

Secondly, it is important to take measures to prevent infection of relatives. Again, this can be achieved by scrupulously fulfilling hygienic requirements.

In the treatment of laboratory-confirmed helminthiases, some doctors recommend that preventive therapy for infection with worms be carried out by all family members. However, this issue remains controversial and ambiguous.

Thirdly, during treatment with Albendazole and Mebendazole, it is important to stop taking alcoholic beverages for 3-5 days. The requirement is due to the disulfiram-like effect of these two drugs. Otherwise, intoxication develops, which, according to symptoms, resembles alcohol poisoning. This rule does not apply to other tablets for worms (Dekaris, Pirantel).

And one more important question, which worries many consumers - is it necessary to take antihelminthic drugs prophylactically, "just in case." He deserves to be given Special attention.

Tablets for the prevention of worms: benefit or harm?

The need to take preventive pills for worms is still a subject of ongoing controversy among both consumers and doctors. And the opinions of the latter on this matter differ.

Some doctors believe that the prevention of infection with worms, including in children, is justified if the child or adult is at risk. Indications for periodic preventive therapy in this case include:

regular contact with pets (dogs, cats);
contact with sand, earth;
fishing or hunting activities.

The risk group also includes children who attend kindergartens and schools.

To prevent the most common infections, it is recommended to take tablets from worms, it is better a wide range activities, twice a year.

However, opponents of prophylactic prescriptions antihelminthic tablets make a compelling case against preventive tactics.

Arguments against prevention

The most important counterargument in the controversy between supporters and opponents of helminthiasis prevention is the rather low safety profile of drugs against worms. As we have already seen, they cannot be called very well tolerated. Cases of side effects when taking them are a fairly common phenomenon. Moreover, situations are known when treatment with antihelminthics was accompanied by severe adverse reactions requiring medical attention.

So, taking paralyzing anthelmintics can be quite dangerous, in particular, if a person has partial intestinal obstruction. It develops as a result of various neoplasms, both benign and cancerous, as well as against the background of other diseases. Alas, in some cases, partial obstruction may not make itself felt. If such a patient takes Decaris or Pirantel, paralyzed helminths can block the lumen of an already narrowed intestine, and then the patient needs emergency surgery.

In addition, many experts are categorically against the prevention of worms in children and adults who do not have clinical symptoms infections. The fact is that infection with helminths very rarely proceeds hidden. Usually the disease has a fairly pronounced clinical picture including:

abdominal pain;
nausea, sometimes even vomiting;
fatigue, restless sleep, especially in children;
pallor, blue circles under the eyes, weakness;
itching in the anus;
weight loss, in children - growth retardation.

What to do if there are symptoms of infection with worms?

When warning signs it is necessary to consult a doctor and diagnose helminthiases, while it is important to find out what kind of worms the infection occurred. Diagnostic difficulties should also be taken into account. According to statistics, only one out of five patients is diagnosed with enterobiasis (pinworm infection) during the first study of the material. False-negative results are also very likely when infected with roundworms. Therefore, you may have to take tests more than once in order to accurately find out the diagnosis.

And yet, storming the laboratories to make sure of infection or, on the contrary, its absence, is much safer than randomly taking "incomprehensible" tablets from worms yourself or, moreover, giving them to children for prevention, especially own will without consulting a doctor. It's not all in vain antihelminthics are prescription. Have pity on your body - it most likely has to fight hard for your health anyway, when polluted air enters the lungs, and digestive tract- genetically modified products, preservatives and other achievements of chemistry. Do not load him with deworming pills unless absolutely necessary, which is a lab-confirmed diagnosis. And if, nevertheless, the disease is confirmed, give the doctor the right to prescribe drugs and a course of treatment. And then you can be sure of success.

“Wash your hands before eating!”, “Do not drink raw water!”, “Wash fruits and vegetables before serving!”, These personal hygiene rules are familiar to us early childhood. And why are they so important? The answer is simple - not observing them, a person can become infected with worms, which are very difficult to remove.

Worms are quite common, and there are more than 20 species of them.

In our article, we will tell you which worm pills are best for a person so that prevention or treatment is effective.

How to choose good tablets from worms?

All currently existing helminths divided into three major classes:

nematodes (roundworms);
trematodes (flatworms);
cestodes (tapeworms).

Therefore, in order to pick best pills from worms for a person, before starting treatment, it is necessary to determine the type of helminth, i.e. belonging to one or another of the classes listed above. For this, specific analyzes are carried out.

In total, about 100 species of helminths are known that can Negative influence on the gastrointestinal tract. AT small intestine usually justified:

wide ribbon;
hookworms;
roundworm;
dwarf tapeworm;
pinworms;
whipworm

How do these drugs work?

These are chemotherapeutic drugs that realize their effect on biological structures worms and biochemical processes in their tissues

Violate the cells of the intestinal canal of the helminth (albendazole).
Persistently disrupt the absorption of glucose by helminth cells, causing their death (mebendazole).
Combined action: paralyzes helminths and disrupts biochemical processes in their cells (levamisole).
block transmission nerve impulses to muscle cells and cause persistent paralysis of the helminth, after which it is excreted from the body with stool. This is how pyrantel, piperazine, praziquantel work.

Any drugs, especially from tape and flat worms, should be taken only as directed by a doctor. Anthelmintic agents are very toxic, the use of which should strictly follow the dosage depending on the weight of the patient, as well as carry out maintenance therapy in a hospital.

Medications for hookworms or roundworms

Here is a list of good ones:

Levamisole - Decaris (70-90 rubles).
Piperazine 10-30 rub.
Pirvinium embonate - Pircon, Pirivinium, Vanquin.
Karbendatsim - Medamin.
Mebendazole - Vermox 90 rub. Vormin 20 rubles, Vero-Mebendazole, Vermakar, Mebex, Thermox.
Albendazole - Nemozol (price 120-150 rubles), Vormil, Gelmodol-VM - suspensions, chewable tablets.
- Helminthox (80-120 rubles), Nemocide, Kombantrin, Pirantel (30-50 rubles).

If nematodes live outside the intestines, other means are used:

Ivermek (baymek, ivomek).
Ditrazine citrate.

Medicines for cestodes or tapeworms

Representatives tapeworms- echinococcosis, coenurosis, taeniasis, taeniasis, cysticercosis. For the treatment of these worms use following pills:

Albendazole - Nemozol is effective both in nematodosis and in mixed helminthic invasions, echinococci, giardiasis, neurocysticercosis caused by Taenia solium its larval form.
Mepakrin - Akrikhin invasion by bovine, dwarf tapeworm, wide tapeworm, with giardiasis, cutaneous leishmaniasis, malaria.
Niclosamide - Fenasal, used for intestinal tapeworms.

Tablets from helminth flukes or trematodes, flatworms

This broad class of helminthiases includes opisthorchiasis, fascioliasis, cercariasis, schistosomiasis, eurytremosis, and many other diseases. In this case, use the following tablets from worms:

Praziquantel - Biltricid (the price of 6 tablets is about 400 rubles) Cesol, Cysticide.
Chloxil and Bitionol- are used against extraintestinal trematodes.
Perchlorethylene - from intestinal trematodes.
Azinox is a broad-spectrum drug, these are tablets for many types of worms.

What pills are better for worms for prevention?

Supporters preventive treatment drugs do not offer to use medicines right and left. They note cases where the use of a deworming drug may be justified despite the lack of laboratory tests.

In general, the main indications for the prevention of worms with tablets are formulated:

there is contact with pets;
regular contact with the soil (agricultural workers, children playing in the sandbox);
travel to exotic countries;
hobbies related to fishing, hunting, beach sports;
stay of children and adults in close closed groups.

Some doctors argue that even if no one in the family is sick, and no signs of worms are found, taking Pirantel twice a year for prevention will not hurt (the dosage is specified by a specialist).

Wormil

A drug based on levamisole hydrochloride, a substance that has active action against roundworms, pinworms, hookworms and other representatives of nematodes. A single dose of medicine for an adult is 150 mg.

It is recommended to take a tablet after a meal once, repeat the procedure if necessary after 1-2 weeks. As side effects may cause headache, nausea, indigestion, skin rash. Decaris is not used in the treatment of helminthiases in children under 3 years of age.

dry cough may appear;
development of dysbacteriosis is observed;
nausea occurs;
losing or gaining weight;
allergic reactions develop;
irritability, weakness and fatigue appear;
there are signs of intoxication;
anemia develops, etc.

It should be noted that most types of helminthic invasions do not manifest themselves in the first stages of development. The asymptomatic course of the disease leads to the rapid reproduction of helminths. To identify their presence in the body, people, with the manifestation of primary symptoms, need to contact hospitals for comprehensive examination. Results of laboratory and instrumental research will allow specialists to differentiate the type of helminthiasis and select effective antihelminthic drugs for patients.

Treatment Methods

Action spectrum	Description
Narrow:
Anticestodose	Medicines from this group have proven effective in the treatment of tapeworms, localized both in the human intestine and beyond. For example, with the intestinal form of helminthiasis, patients are prescribed Niclosamide tablets, designed to remove worms from the body. In the extraintestinal form of helminthiasis, patients are prescribed Albendazole tablets. People will also need to take antihistamines.
Antinematodosis	If a person has been diagnosed with a nematodosis intestinal form, then specialists can prescribe Befenia Hydroxinaphthoate, Pirantel, Piperazine, Levamisole tablets. These medicines have a detrimental effect on tapeworms. In the event that an extraintestinal form of nematodosis was detected in a patient, he will be prescribed tablets of Diethylcarbamazine Citrate, Ivermectin, etc.
Antitrematodose	When a person is diagnosed with intestinal helminths from the group of flukes, experts prescribe Perchlorethylene tablets. If an extraintestinal trematodosis was diagnosed, then the patients will most likely be prescribed Chloxin or Bitionol tablets
Wide:
Antihelminthic

The most effective medicines

The pharmacological industry today presents the following effective single-use antihelminthics for people:

Tablets "Albendazole"

As part of this medicinal product Albendazole is present as an active ingredient. It is prescribed to patients who have been diagnosed mixed forms helminthiasis, or giardiasis, ascariasis, enterobiasis, etc. single dose the drug is from 400 mg to 800 mg of active ingredient. Required reuse medicines three weeks after the first dose.

Tablets "Vermox"

This medicine contains active ingredient called mebendazole. The drug is most often prescribed to patients whose body has been affected by pinworms or roundworms. Also, this drug effectively copes with multiple nematodes, trichuriasis, teniasis, enterobiasis. Patients are not prescribed medication ulcerative form colitis and s liver failure, pregnant women and nursing mothers.

In the treatment of young patients, this medicine is used from the age of two. A single dosage of the drug for adults should not exceed 100 mg active substance, for children no more than 50 mg. It is worth noting that there are several types of helminthic invasions, in the treatment of which patients have to take Vermox tablets for three days. Patients need to undergo a second course for prevention after two weeks.

Tablets "Decaris"

Before starting deworming, patients should carefully study the instructions supplied by the manufacturer with each package of the drug. It should pay special attention to the section on contraindications and side effects, the list of which can be replenished:

insomnia;
migraine;
rise in temperature;
loss of appetite;
allergic reactions, etc.

Tablets "Helmintoks"

As part of this drug as active component"Embonat Pirantela" is present. He has proven himself very well in the treatment of pinworms, roundworms and other types of worms. The adult audience of patients is prescribed up to 8 tablets of Helmintox (the exact dosage is calculated based on body weight). Before starting deworming, patients do not need to take laxatives to cleanse the intestines.

Tablets "Zentela"

echinococcosis;
ascariasis;
giardiasis;
enterobiasis;
opisthorchiasis;
stronglidosis;
teniasis, etc.

In the treatment of adult patients, the drug is used in tablet form, in a single dosage - 1 table. For babies, starting from the age of two, a medication is intended in the form of a syrup.

Tablets "Aldazol"

drying of the mucous membranes in the oral cavity;
allergic manifestations;
kidney failure;
disruption of the digestive tract;
pain sensations localized in bone tissue etc.

Tablets "Pirantela"

The components present in the drug after penetration into the gastrointestinal tract cause paralysis in adult helminths. The drug can be used in the treatment of babies, starting from the age of six months (in the form of a suspension). For deworming, it is enough to take a single dose calculated by a highly specialized specialist. A week later, the drug must be taken again, in order to prevent. Against the background of the use of the drug, side effects may occur:

the head begins to spin;
nausea appears;
vomiting occurs;
defecation processes are disturbed.

What anthelmintic agents can be used?

So, let's move on to the most important thing. What pills for worms in humans can be found in modern pharmacies?

2. The drug "Mebendazole". These tablets from worms in humans have proven themselves in the fight against trichuriasis, trichinosis, echinococcosis, ascariasis, enterobiasis, teniosis and a number of other diseases. Contraindications "Mebendazole" - typical for drugs of this type: individual sensitivity to the components of the drug, liver disease. It is not used to treat children under 2 years of age. Pregnant women can take "Mebendazole" only with the permission of a doctor and under his supervision. You should be aware that the use of these tablets may cause side effects affecting different systems organism. Thus, patients undergoing treatment may experience such unpleasant symptoms like fever, diarrhea, nausea and vomiting, sleep disturbances, skin rash, hearing loss, dizziness, headache. AT rare cases hallucinations appear, confusion of consciousness is observed.

3. "Decaris". These are probably the most popular tablets for worms in humans. The drug "Decaris" is used for ascariasis and hookworm. It is taken once (children's dose - 50 mg, adult - 150 mg) in the evening after meals. If needed re-treatment can be done after a week. The drug is well tolerated by the body and has practically no side effects, however, taking it, you should stop drinking alcoholic beverages for at least a day.

5. Medication "Kombatrin". This remedy is remarkable in that it can be used even for the smallest patients (from 6 months). However, pregnant women and people suffering from liver diseases, it is better to choose a different drug for themselves. Sometimes there are side effects in the form of skin allergic reactions, nausea, insomnia or drowsiness, diarrhea, dizziness.

What else do you need to know in the treatment of helminthiasis?

It is important that all family members, as well as pets (if any), complete the course of therapy to avoid re-infection. In addition, if you have animals in your house, you should conduct yourself and your pets drug prophylaxis every six months.

Often, doctors prescribe, in addition to the main drug, also enterosorbents. These funds help to remove toxic waste products of worms from the body. There is a particular need for this when it comes to chronic diseases.

Final stage of treatment

So, you already know what happens after taking strong drugs help the body recover faster. In particular, most anthelmintic drugs disrupt the usual functioning of the intestines and liver, and also lower immunity. Therefore, experts recommend the use of immunomodulators Echinacea, Eleutrococcus, etc.), drink vitamins. To optimize the functioning of the liver, are used special means- hepatoprotectors ("Essentiale", "Karsil", etc.).

What groups of drugs for worms exist? The main ones are in the table:

At home, it is allowed to take general-purpose drugs and special drugs against nematodes. Tablets from tapeworms, flukes are very toxic, they are treated only in a hospital.

Broad spectrum drugs - what is it?

As a result, the worm remains paralyzed for enough long time, it cannot resist and is easily excreted by defecation.

Taking a broad-spectrum drug, you do not need to hope for the destruction of the eggs - they remain intact.

List the best drugs here:

Other known medicines from roundworms - Mebex, Piperazine, Pikron, Medamin and others.

Preparations for tapeworms and flukes

AT without fail a person regularly takes blood tests to assess the composition, because most drugs inhibit the production of red blood cells, white blood cells. Liver enzymes are also evaluated, which can be very high.

A list of commonly prescribed drugs for tapeworms is as follows:

Fenasal;
Mepacrin;
Albendazole;
Niclosamide.

The most commonly used against flukes are Biltricid, which is available only in hospitals, as well as Cesol, Cysticide, Azinox. Most of similar drugs available only in municipal pharmacies or brought to order.

General purpose drugs - the most famous

ascariasis;
necatorosis;
hookworm;
trichuriasis;
enterobiasis.

The medicine can be given to children, but from 6 months. During pregnancy, lactation, hypersensitivity, it is contraindicated. Usually it is enough to take 1 tablet after breakfast, calculating the dosage of 10 mg / kg. After 14-21 days, the reception is repeated to avoid self-infection. If the invasion is mixed, it is better to drink Pirantel for 3 days at the same dose in the morning.

The drug Vermox (65 rubles) contains the anthelmintic substance Mebendazole. The indications are a huge range of helminthiases - gnathostomiasis, alveococcosis, echinococcosis, ascariasis, enterobiasis, trichinosis and others. The drug should not be taken by babies under 2 years old, people with Crohn's disease, children, pregnant women, ulcerative colitis. It is drunk once or for 3 days, it is advisable for children to purchase it in the form of a suspension.

For people with diabetes and renal, hepatic insufficiency dosage even simple preparations should be selected only by a doctor!

Babies from six months, adults are often prescribed modern drug Helmintox (120-150 rubles). It is available in the form of a suspension and tablets, in the composition - the substance Pirantel. The drug has a powerful anthelmintic effect, expelling worms from the intestines after their paralysis nervous system. It shows 100% effectiveness against immature and mature individuals.

Side effects of the drug may be as follows:

nausea, abdominal pain;
diarrhea;
poor appetite;
increased activity of AST, ALT liver.

All these unwanted effects due to the release of helminths and their release a large number toxins, so are temporary. By strict indications Helmintox can be given even to children up to six months - under the supervision of a doctor. Reception is carried out once.

Another good remedy- Difesil (180 rubles). It works against whipworms, other roundworms, tapeworms. Among the contraindications are only impaired renal function, severe liver. Treatment must be carried out for 5 days in a row, the rate is calculated by the doctor according to the patient's weight. Sometimes among the "side effects" there are frequent stools, flatulence, pain in the intestines, but they quickly disappear after recovery.

It is not advisable to constantly drink pills, because infection can happen at any time, and the harm from drugs is not small. Much more important daily hygiene- change of linen, frequent washing hands Many experts advise to eat as a preventive measure. pumpkin seeds, drink dietary supplements from worms, the harm from which is minimal.

But with a reliably known infection of one of the family members, it is recommended to carry out prophylaxis in all other households with the help of drugs:

Pirantel;
Vermox;
Wormin.

Such drugs can be used once / six months without harm to health, at least until the child learns to strictly observe hygiene. It is important to cure of worms and pets, which can be a source of infection.