The Best Pills For The Treatment Of Worms In Children

2023 Author: Riley Dean | [email protected]. Last modified: 2023-11-27 09:15

Worm infestations in children cannot be cured without drugs. Their use is mandatory, since parasites in babies can cause complications, and in some cases, fatal. If symptoms of parasitic infection occur, you should consult a doctor. Preparations for worms for children should be prescribed by a pediatrician or infectious disease specialist in accordance with the age group, as well as the individual characteristics of the child's body.

Content

1. The best anthelmintics
2. Pirantel for the treatment of parasitic diseases
3. Antihelminthic dosages in children
4. Contraindications to the use of the drug
5. Side effects
6. Nemozole for children
7. Indications for use:
8. Dosages of Nemozole for the treatment of invasions in children
9. Restrictions on the use of Nemozole
10. Side effects
11. Dekaris for children
12. Dosages in children, restrictions
13. Vermox in the treatment of helminthiasis in children
14. Rules for the appointment of Vermox
15. Contraindications and side effects of the drug
16. Piperazine for children
17. Piperazine dosages in pediatrics
18. Limitations and side effects of Piperazine
19. Conclusion

The best anthelmintics

Pirantel, Nemozol, Dekaris, Vermox, Piperazine are considered widespread antihelminthic drugs for children with a wide spectrum of action. It is impossible to use these medicines on your own, since the use of anthelmintics has its own nuances. Their dosages depend on the age of the child.

Pirantel for the treatment of parasitic diseases

Pirantel is a proven and commonly used treatment for parasites in children. Pirantel has an edge. It is practically not absorbed into the bloodstream, therefore it is considered the most harmless medicine for worms, since it acts only in the intestinal cavity (it can be prescribed to infants). The drug has a paralyzing effect on parasites, but does not kill them. After taking the drug, helminths are excreted from the digestive tract with feces. The medicine is ineffective against larvae migrating through the body (for example, ascaris), so a second course of therapy is required.

The active ingredient is Pirantel pamoat. The anthelmintic agent is produced in the form of tablets and suspensions. One tablet of the medicinal substance contains 250 mg of Pyrantel pamoate. Taking pills is allowed from 2 years old. Suspension from worms for children is shown from 6 months. A similar medicine is Helmintox, Nemocid.

Pirantel is shown to be prescribed for:

• ascariasis;
• enterobiasis;
• non-kotorosis;
• ankylostomiasis;
• trichocephalosis.

Antihelminthic dosages in children

Tablet forms of the drug are prescribed for children from 2 years of age.

Required doses:

• children from 2-6 years old - 250 mg (1 tablet once);
• 6-12 years old - 500 mg (2 tablets, 1 time);
• children from 12 years old weighing up to 75 kg - 750 mg (3 tablets, at a time);
• over 12 years old, over 75 kg - 1000 mg (4 tablets, single dose).

Pirantel suspension for a child of 1 year of age is prescribed from 6 months, since the drug is low-toxic.

Syrup dosages:

• from 6 months - 2 years - 125 mg (2.5 ml of syrup);
• 2-6 years old - 250 mg - 250 mg (5 ml);
• 6-12 years old - 500 mg (10 ml);
• from 12 years old, weighing less than 75 kg - 750 mg (15 ml);
• from 12 years, over 75 kg - 100 mg (20 ml).

Contraindications to the use of the drug

Pirantel has its own limitations to its use.

Contraindications:

• intolerance to the active substance and auxiliary components of the drug;
• liver failure (the minimum amount of a substance that has entered the bloodstream is metabolized in the liver);
• child's age up to 6 months;
• pregnancy.

If the disease causes severe complications, then the doctor can prescribe the dose for a child under 6 months individually.

Side effects

Side effects from taking Pirantel are drowsiness, dizziness, sleep disturbance, dyspepsia (vomiting, diarrhea, frequent urge to defecate), a sharp weight loss, urticaria-like rash, increased liver enzymes in the blood (ALT, AST), weakness.

Pirantel in tablets costs 19-27 rubles in Russia (3 tablets of 250 mg each). The price for a Pirantel suspension (250 mg) is 44-57 rubles.

Nemozole for children

The anthelmintic agent Nemozole is produced in tablets and in the form of a suspension. The main drug substance of the drug is Albendazole. It blocks the synthesis of tubulin protein in the intestinal cells of parasites, impairing the transport of glucose and other trace elements, as a result of which the helminth dies.

After taking the anthelmintic, Albendazole is poorly absorbed into the bloodstream. Eating fatty foods provokes the penetration of the substance into the bloodstream. With liver pathology, absorption into the bloodstream is accelerated, the half-life is longer than in healthy patients (when taken with food rich in fats). Nemozol is available in the form of tablets of 400 mg and 200 mg and in suspension of 100 mg for babies. Zentel, Vormil are considered analogues of this drug.

Indications for use:

The medicine effectively treats diseases in the larval stages.

The drug is active when:

• nematodosis (ascariasis, trichocephalosis (whipworm), enterobiasis (pinworms), ankylostomiasis (crooked heads), toxocariasis, giardiasis, stregyloidosis (intestinal eel), trichinosis, mixed helminth infections);
• cestodosis (neurocysticercosis, echinococcosis (larval stage)).

Dosages of Nemozole for the treatment of invasions in children

Nemazole tablets are allowed in children's practice from 3 years old. Dosages are prescribed depending on the type of helminth and the weight of the child. The maximum daily dosage is 800 mg. In children, it is not recommended to use high doses of the drug for a long time.

Therapy of parasitic infestation with pills

Nematoses	Enterobiasis	Strongyloidosis	Trichinosis	Toxocariasis	Giardiasis
With a mass over 60 kg - 400 mg / day, one-time; children weighing up to 60 kg -15 mg / kg body weight at a time or 2 times a day for half the dose.	400 mg / day, in one dose, repeated course in 2 weeks.	400 mg / day, course 3 days, repeat in a week.	400 mg / day 10-14 days, combination with glucocorticoid hormonal drugs and symptomatic therapy for damage to internal organs	From 14 years old (more than 60 kg) 400 mg / day. 10 days, from 14 years old (less than 60 kg) 200 mg / day. Repeat therapy in 2-4 weeks.	From 3 years old 400 mg / day, at a time, course for 3 days; Children weighing up to 10 kg 200 mg / day, once, for 5 days.

When a bovine and canine tapeworm (cestosis) is detected in children, the doses of the drug are used as in ascariasis, trichocephalosis. The duration of therapy is up to 30 days. Echonococcosis is treated with 3 courses of 28-30 days with a break of 4 weeks.

Nemazole suspension is prescribed if the child is 2 years old or older.

Restrictions on the use of Nemozole

This anthelmintic drug has a small list of contraindications.

These include:

• allergy;
• diseases of the retina of the fundus;
• babies under 3 years old (tablets), up to 2 years old (suspension);
• pregnant women;
• lactation.

Side effects

Side effects of Nemazole are: liver dysfunction, unstable stool, epigastric pain, dyspepsia, decreased hematopoietic function of the bone marrow, high blood pressure, headaches, dizziness, hydrocephalus symptoms, nausea, signs of renal disease, erythema on the skin, rash, itching, allergy symptoms, reflex hyperthermia, baldness.

For severe toxin allergies, doctors may prescribe antihistamines.

The average price for Nemozol tablets is 187.9 rubles. Suspension of Nemozole is sold in pharmacies for no more than 205 rubles.

Dekaris for children

The drug Dekaris contains the active ingredient Levomizol. It is used to remove parasites from the body by paralyzing them. In the future, the worms are removed from the intestine using peristaltic movements with feces. The medicine is produced only in the form of tablets of 50 mg and 150 mg.

Indications for prescribing a medicinal product:

• Ascariasis;
• Necatorosis;
• Ankylostomiasis.

Dosages in children, restrictions

Dekaris tablets from worms are prescribed for children from 3 years old. Better to use a 50 mg dose (easier to split).

Age, weight	3-6 years (10-20 kg)	6-10 years old (20-30 kg)	10-14 years old (30-40 kg)
doses	25-50 mg	50-75 mg	75-100
Course, time and frequency	At the same time, after eating in the evening, repeat the therapy after 7-14 days

The dosage of the 150 mg Decaris tablet form is not used in pediatrics, in order to avoid overdose!

Contraindications to the use of Decaris:

• drug intolerance and allergies;
• decrease in granulocytes in the blood;
• children under 3 years old;
• breastfeeding;
• pregnancy (relative limitation);
• renal and hepatic impairment;
• disruption of the bone marrow.

Side effects occur with the use of large dosages (600 mg and above) of the drug.

Frequent side effects are:

• dyspeptic reactions;
• drowsiness, insomnia;
• convulsions;
• headache;
• dizziness;
• delirium, hallucinations.

The price for a children's Decaris is 60-80 rubles.

Vermox in the treatment of helminthiasis in children

The Vermox remedy, according to official instructions, kills parasites by inhibiting glucose metabolism. He almost does not get into the bloodstream. In pediatrics, the drug can be used in tablets. For children, Vermox is also produced in the form of a suspension.

The active ingredient in Vermox is Mebendazole. The dose of the substance in tablets and suspension is 100 mg. The medicine is indicated for parasitic invasions from 2 years old. An analogue of Vermox is Vermakar.

Indications:

• nematoses;
• trichinosis;
• teniasis;
• echinococcosis.

Rules for the appointment of Vermox

Taking the tablet form and suspension of the drug is allowed from 2 years old. For children from 2 to 7 years old, a suspension is more suitable.

Age	Reception
Children from 10 years old	100 mg, at a time
2-10 years	25-50, 1 time per day, repeat after 14-30 days.

disease	schema
nematodes, teniasis, strongyloidiasis and mixed invasions	Course 3 days, taking 100 mg twice a day
trichinella	Course therapy for 10 days, the first 3 days, 200-400 mg 3 times a day, 4-10 days - 400-500 mg 3 times a day.
echinococcus	In the first 3 days, 500 mg twice a day, then 3 days, 500 mg three times a day, then calculate the maximum dosage (25-30 mg per 1 kg per day), take four times a day.

Contraindications and side effects of the drug

Vermox has individual restrictions on its use.

Contraindications:

• allergic phenomena;
• ulcerative intestinal lesions;
• liver disease;
• kids less than 2 years old;
• pregnant and lactating.

Side effects were identified with the use of large doses of the drug.

Adverse reactions:

• rash;
• high ALT, AST;
• low concentration of white blood cells;
• an increased level of eosinophils;
• baldness;
• poor kidney function;
• low concentration of hemoglobin and erythrocytes.

In case of poisoning, you should rinse the stomach and drink a sorbent (activated carbon, smecta).

Vermox tablets in a dose of 100 mg cost from 60 to 100 rubles.

Piperazine for children

The anthelmintic drug Piperazine immobilizes parasites. It is produced in the form of tablets and powder for the manufacture of a suspension in a dose of 200 mg and 500 mg. For children from one year old, this medicine for worms can only be prescribed by the attending physician. You cannot give piperazine to babies on your own.

Piperazine is indicated for the following helminthiasis:

• ascariasis;
• enterobiasis.

Piperazine dosages in pediatrics

The tablet form is allowed for use from 3 years old. Under the supervision of a doctor, Piperazine can be prescribed from 6 months.

age	3-4 years	4-5 years old	6-8 years old	9-12 years old	13-15 years old
doses	300-600 mg	500-1000mg	750-1500mg	1000-1200mg	1500-3000mg
ascariasis	2 times a day, course for 2 days
enterobiasis	5 days in the same doses, repeat therapy after a week, enemas at night with a solution of soda to remove eggs and sexually mature individuals.

For a child 3 years old, one tablet for worms is often enough.

Limitations and side effects of Piperazine

Contraindications for the use of the drug are: dysfunction of the nervous system, children under 3 years of age, allergies.

Side effects are observed if the patient has been prescribed large doses of the drug or in patients with liver pathology.

Side effects:

• euphoria;
• hallucinations;
• decreased vision;
• weak muscle tone;
• tremor;
• stomach ache.

The cost of Piperazine in tablets ranges from 11 rubles and more.

Conclusion

Manufacturers of pharmaceuticals produce a huge variety of medicines to combat helminthic invasions. Their cost is not high. The bulk of the drugs helps against various parasites. Medicines are produced in tablets and suspensions. It is much more convenient to use syrups in children's practice than tablet forms. They help avoid overdose. With strict adherence to the prescriptions of the attending physician and instructions for the use of anthelmintic drugs, the treatment of the disease is successful and without complications.