° Evaluate effect of the anthelmintics and absence of side effects ° Determine if patient is using proper hygiene to avoid spread of parasitic worms

• Side effects and adverse reactions:

° Common side effects include GI upset such as anorexia, nausea, vomiting, and occasionally diarrhea and stomach cramps; neurological problems include dizziness, weakness, headache, and drowsiness; Adverse reactions do not occur frequently

Examples of anti-helmiths include:

• Diethylcarbamzine (Hetrazan); Used for nematode-filariae; PO: 2-3 mg/kg/tid

• Ivermectin (Mectizan) broad-spectrum antiparasitic drug; PO: 200 ug/kg/ldose

• Mebandazole (Vermox); used for giant roundworm, hookworm, pinworm, whipworm. PO: 100 mg. bid x 3 d; repeat in 2-3 wk if necessary

• Niclosamide (Niclocide) used for beef and fish tapeworms: PO 2 g, single dose; treatment of dwarf tapeworms PO: 2 g/d x 1 wk

• Oxamniquine (Vansil) treatment against mature and immature worms; PO: 15 mg/kg/bid for 1-2 d

• Piperazine citrate (Antepar, Vermizine); treatment of roundworms and pinworms; Roundworms: PO: 3.5 g/d x 2 d; Pinworms: 65 mg/kg/d x 7 d max: 2.5 g/d

• Praziquantel (Biltricide) treatment for beef, pork, fish tapeworms; PO: 10-20 mg/kg single dose; Blood flukes: PO 20 mg/kg, tid x 1 d; liver, lung, and intestinal flukes; 25 mg/kg tid 1-2 d

• Pyrantel pamoate (Antiminth) treatment of giant roundworm, hookworm, pinworm; PO: 11 mg/kg single dose; repeat in 2 weeks if necessary

• Thiabendazole (Mintezol, Minzolum) treatment of threadworm and pork worm; PO 25 mg/kg 2-5 d; repeat in 2 d if necessary

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