Pirentel - instructions for use, reviews, analogs and forms of release (tablets 250 mg, suspension or syrup) drugs for the treatment of worms in adults, children and pregnancy
In this article, you can read the instructions for using the drug Pirantele. There are reviews of visitors to the site - consumers of this medication, as well as opinions of doctors specialists on the use of Pirantel in their practice. A big request is to actively add their feedback on the drug: the medicine helped or did not help get rid of the disease, which were observed complications and side effects, possibly not declared by the manufacturer in the annotation. Analogues of Pirantel in the presence of existing structural analogues. Use for the treatment of worms (ascariasis, enterobiasis and other pathogens) in adults, children, as well as during pregnancy and lactation.
Pirantele - anthelminthic agent acting on nematodes.
It causes neuromuscular blockade in sensitive helminths, which facilitates their removal from the digestive tract without stimulation and stimulation of migration of affected worms.
The drug acts on parasites in the early phase of development and on their mature forms, does not affect the larvae during their migration into tissues.
Pirantel is effective against infestations caused by pinworms (Enterobius vermicularis), hookworms (Ancylostoma doudenale, Necator americanus), against the causative agents of trichocephalosis (Trichostrongylus orientalis and Trichostrongylus colubriformis) and ascariasis (Ascaris lumbricoides).
Pharmacokinetics
Pirantel is very poorly absorbed from the gastrointestinal tract (GIT). There are no data on the penetration of the drug through the placenta and into the milk of the lactating woman, and also regarding the distribution of the drug in the tissues and body fluids (theoretically, the resorption of the drug is minimal). About 93% of the oral dose of the drug is excreted unchanged in the intestine, and not more than 7% by the kidneys in unchanged form or as a metabolite of N-methyl-1,3-propanediamine.
Indications
- ascaridosis;
- enterobiosis;
- ankylostomidosis;
- necropsy;
- trichocephalus.
Forms of release
Tablets 250 mg.
Suspension for oral administration (sometimes mistakenly referred to as syrup).
Instructions for use and dosage
Inside.
The drug is used during or after a meal, thoroughly chewing the tablet, drinking 1 glass of water.
If no other treatment regimen is prescribed, depending on the age and body weight of the patient, the following dosages are recommended (tablets and suspension):
- 3-6 years - 1 tablet once a day - 1 measurement = 5 ml;
- 6-12 years - 2 tablets once a day - 2 measures = 10 ml;
- over 12 years and adults with body weight up to 75 kg - 3 tablets once a day - 3 measures = 15 ml;
- adults with a body weight of more than 75 kg - 4 tablets once a day - 4 measures = 20 ml.
To avoid self-invasion, it is possible to repeat the course 3 weeks after the first dose.
With isolated ascariasis, the use of Pirantel is recommended at 5 mg / kg, once.
With ascariasis and enterobiasis, as well as mixed infestations with these parasites, the dose intended for the entire course (at the rate of 10 mg / kg) is applied once.
With ankylostomiasis, a combination of non-carotenosis with ascariasis or other combined helminthic lesions, Pirantel is used for 3 days at 10 mg / kg per day.
In massive invasions of Necator americanus, a dose of 20 mg / kg of body weight is recommended for 2 days.
Side effect
- nausea, vomiting;
- lack of appetite;
- diarrhea;
- pain and cramping of the stomach;
- headache;
- dizziness;
- drowsiness or insomnia;
- weakness;
- rash;
- elevated temperature;
- hearing impairment;
- hallucinations with confusion and paresthesia (the relationship of these symptoms with taking the drug is not proven).
Contraindications
- hypersensitivity to the drug;
- myasthenia gravis (treatment period);
- Children under 3 years old (for this dosage form).
Application in pregnancy and lactation
There are no controlled studies of the use of Pirantel in pregnant women, so the drug should be used only if the potential benefit to the mother exceeds the possible risk to the fetus.
There are no data on the safety of the drug in lactating women, so the question of stopping breastfeeding for the duration of treatment with the drug should be resolved.
special instructions
After taking Pirantel laxatives are not prescribed. In the treatment of enterobiasis, all co-residents must be treated simultaneously. Careful hygiene (cleaning the living quarters and cleaning clothes to destroy helminth eggs) serves as a preventive measure against reinfection.14 days after treatment with Pirantel, parasitological control tests should be performed.
Given the possible side effects of the nervous system during the use of the drug should be careful when dealing with potentially dangerous activities that require increased concentration and speed of psychomotor reactions.
Drug Interactions
Pyrantel should not be used together with piperazine. These funds act antagonistically.
Pirantel increases the concentration of theophylline in plasma.
Analogues of the drug Pirantel
Structural analogs for the active substance:
- Helmintox;
- Nemocide;
- Pirantela pamoat.
Analogues on the antihelminthic effect:
- Biltricide;
- Vermox;
- Vero-Mebendazole;
- Worming;
- Gelmodol-VM;
- Decaris;
- A thousand-thousandth grass;
- Mebendazole;
- Medamin tablets 0.1 g;
- Nemosol;
- Tansy flowers;
- Piperazine;
- Piperazine adipate;
- Piervinium;
- Sanoxal;
- Telmox 100;
- Pumpkin seeds.
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