Nanophyetus Salmincola - Management and Therapy

Management and Therapy

Praziquantel, 20 mg/kg body weight, three times a day. Praziquantel causes immobilized contraction of the worm, such that it can no longer grasp the intestinal walls, and can be eliminated from the body Three 2-g doses of niclosamide or two 50 mg/kg doses of bithionol have also proven to be effective when Praziquantel was either not available or treatment was refused. However, a single 2-g dose of niclosamine proved to be ineffective treatment therapy, as did 100 mg orally of mebendazole twice a day for three days. If diarrhea recurs, general supplements must also be provided in order to maintain electrolyte balance and meet nutritional requirements.