Medicine for round worm

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ascariasis AND anthelmintics

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WHO ascariasis treatment albendazole mebendazole dose

For common intestinal roundworm infection (ascariasis), usual treatment is:
  • Albendazole 400 mg by mouth once. This is commonly first choice.
  • Alternative: Mebendazole 500 mg once, or 100 mg twice daily for 3 days.
The CDC treatment guidance lists these regimens, and WHO also recommends single-dose albendazole 400 mg or mebendazole 500 mg for soil-transmitted worms.
Do not self-treat without medical or pharmacist advice if pregnant (especially first trimester), the patient is a child under 2 years, or there is liver disease. Seek urgent care if there is severe abdominal pain, persistent vomiting, abdominal swelling, fever, or worms coming from the mouth, as a heavy infestation can cause bowel blockage and may need different care.

How many Dose

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For a typical adult or child aged 2 years or older:
  • Albendazole 400 mg: one dose only
    • If tablet is 400 mg, take 1 tablet once.
Alternative:
  • Mebendazole 500 mg: one tablet once.
Do not repeat the dose unless a clinician tells you to. For a child under 2 years, pregnancy, or severe stomach pain/vomiting, ask a doctor or pharmacist before taking it.
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