Hymenolepis infection medical therapy

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

A prescription drug called praziquantel is given. The medication causes the tapeworm to dissolve within the intestines. Praziquantel is generally well tolerated. Sometimes more than one treatment is necessary.

Medical Therapy

Pharmacotherapy

Acute Pharmacotherapies

Praziquantel as a single dose (25 mg/kg) is the current treatment of choice for hymenolepiasis and has an efficacy of 96%. Single dose albendazole (400 mg) is also very efficacious (>95%). Niclosamide has also been used.

A three-day course of nitazoxanide is 75–93% efficacious. The dose is 1g daily for adults and children over 12; 400mg daily for children aged 4 to 11 years; and 200mg daily for children aged 3 years or younger.^[1]^[2]

References

↑ Ortiz JJ, Favennec L, Chegne NL, Gargala G. (2002). “Comparative clinical studis of nitazoxanide, albendazole and praziquantel in the treatment of ascariasis, trichuriasis, and hymenolepiasis in children from Peru”. Trans R Soc Trop med Hyg. 96: 193&ndash, 96. PMID 12055813.
↑ Reomero-Cabello R, Guerro LR, Munez-Gracia MR, Geyne Cruz A. (1997). “Nitazoxanide for the treatment of intestinal protozoan and helminthic infections in México”. Trans R Soc Trop Med Hyg. 91: 701&ndash, 3.

[1] Ortiz JJ, Favennec L, Chegne NL, Gargala G. (2002). “Comparative clinical studis of nitazoxanide, albendazole and praziquantel in the treatment of ascariasis, trichuriasis, and hymenolepiasis in children from Peru”. Trans R Soc Trop med Hyg. 96: 193&ndash, 96. PMID 12055813.

[2] Reomero-Cabello R, Guerro LR, Munez-Gracia MR, Geyne Cruz A. (1997). “Nitazoxanide for the treatment of intestinal protozoan and helminthic infections in México”. Trans R Soc Trop Med Hyg. 91: 701&ndash, 3.

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