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Suggest Dosage For Mebendazole

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Posted on Tue, 31 Jan 2017
Question: I have threadworms which I think was contracted in xxxxxx. A HK doctor said to me that they are a more resistant strain to treatment of mebendazole 200mg/day for three days. I have taken this to no avail. I still feel them wriggling every night during the course of treatment! He says i need a far higher dosage. If this is true what Is the highest dosages I could take and for how long? Should I take mebendable or try albendazole instead? I am an otherwise healthy female 5ft2, weighing 55kg
If I am careful with hygiene and not ingest any ova is it possible for them to just all die away? Or wI'll they keep reproducing inside you? If I blocked them off at the anus with petroleum jelly will they just lay eggs on the inside?
doctor
Answered by Dr. Ivo Ditah (2 hours later)
Brief Answer:
I suggest you first do a stool exam at this time!

Detailed Answer:
Hi and thank you so much for this query.

I have reviewed your information fully. It is rare to talk of threadworm resistance to albendazole. I have reviewed the various doses and frequency and am sure no worm would resist to this treatment. I feel like the attention on threadworm is somehow obscuring the search for the exact cause pf your symptoms for appropriate treatment.

I will suggest that you get a stool exam to confirm this finding. If for real the diagnosis is confirmed, I will suggest you go with albendazole for treatment and not mebendazole. However, I will be surprised is this test shows the presence of worms.

From the results, we will know whether we should be treating or we should consider re-evaluating you entirely to look for other possible causes.

I wish you well. Keep me posted about this and feel free to ask for more information and clarifications if need be.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ivo Ditah (23 hours later)
I'm waiting for test results. Stool sample sent. Im sure i have worms....I've seen them and feel them wriggling in my bits. My family hasn't shown signs of it but it's only been 10days since taking their second dose of mebendazole. Should they be taking another dose 2 weeks after second dose to avoid being infected by potentially newly hatched ingested eggs?

doctor
Answered by Dr. Ivo Ditah (42 minutes later)
Brief Answer:
I will say, let's get the results back!

Detailed Answer:
HI,

I will suggest that we get the results first. If the result confirm the threadworm infestation, I will personally recommend that we treat the entire family at that time. This is my plan and hope you agree to it.

Keep me posted once the results are back. I Wish you well and look forward hearing from you!
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ivo Ditah

Internal Medicine Specialist

Practicing since :2002

Answered : 3984 Questions

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Suggest Dosage For Mebendazole

Brief Answer: I suggest you first do a stool exam at this time! Detailed Answer: Hi and thank you so much for this query. I have reviewed your information fully. It is rare to talk of threadworm resistance to albendazole. I have reviewed the various doses and frequency and am sure no worm would resist to this treatment. I feel like the attention on threadworm is somehow obscuring the search for the exact cause pf your symptoms for appropriate treatment. I will suggest that you get a stool exam to confirm this finding. If for real the diagnosis is confirmed, I will suggest you go with albendazole for treatment and not mebendazole. However, I will be surprised is this test shows the presence of worms. From the results, we will know whether we should be treating or we should consider re-evaluating you entirely to look for other possible causes. I wish you well. Keep me posted about this and feel free to ask for more information and clarifications if need be.