Medicine for pinworms in adults and children

What are pinworms and the pattern of infection of the human body

What are pinworms?
Enterobiasis can only be detected in humans. Animals carry pinworm eggs, but do not become infected with them. The disease most often affects children from 2 to 10 years old, i.e. those who like active contact with domestic and street animals. Children do not always wash their hands before eating, which can cause infection. Enterobiasis also occurs in people and other age categories.

Living in hot countries with high temperatures provides little guarantee that the disease is less common. Pinworms do not survive sunny, hot places well.

Scheme of infection of the human body with pinworms:

If you do not wash your hands with soap, the worm egg enters the oral cavity and then into the small intestine;
The egg gradually matures inside the body and turns into a larva, which subsequently attaches to the walls of the small intestine;
After 14 calendar days, the larva turns into a mature individual (pinworm) and finds nutrition in the form of the contents of the small intestine;
The female pinworm penetrates the rectum and lays new eggs in the folds of the anus (about 10,000 at a time);
New larvae that appear cause irritation in the anus and a person, scratching it, becomes a carrier of this disease.

Symptoms accompanying enterobiasis:

Itching in the anus;
Abdominal colic;
Vaginal itching in girls;
Diarrhea with possible mucus;
Dizziness, nausea and constant weakness;
Grinding of teeth in sleep;
Allergic manifestations;
Loss in weight category, loss of body weight;
Anemia due to lack of nutrients (mainly iron).

Enterobiasis is a parasitic disease caused by roundworms from the nematode family, pinworms. In appearance, the body of the worm is white, in females it has a pointed tip, in males the back part is tucked under itself. Adult females reach a length of up to 9 mm, males - 2-5 mm. Parasites live in the lower part of the small intestine, appendix, and cecum.

At the anterior end of the body of pinworms there is a swelling surrounding the oral cavity. With its help, parasites attach to the intestinal walls, feed and move throughout the host’s body. After fertilization, the male dies, and the female’s body is completely filled with eggs. At night, when the host’s body is at rest, the females crawl out through the anus and lay eggs in the human perineum or on the perianal folds. After giving birth, the female dies.

As pinworms move through the intestines, a person experiences severe itching in the anus. When scratching the skin, the eggs fall on the skin of the hands and under the nails, from where they move onto common objects (furniture, toys, towels) or into the person’s mouth - this is how secondary infection occurs, and the life cycle of the parasites repeats.

Tablets and medicines for pinworms for adults

Anti-pinworm tablets are designed to remove these worms from the patient’s body. Modern drugs are affordable and highly effective. Most often, a single dose of the drug is enough to get rid of enterobiasis. Most tablets for the treatment of pinworms have a detrimental effect not only on adult worms, but also on their eggs.

Why are pinworms dangerous in adults?

Pinworms cause a disease called enterobiasis. This parasitic infestation is more common among children, however, there are many adults in the world who are carriers of pinworms. This is explained by the high viability of helminth eggs. They retain the ability to invade for several weeks, even if they are outside the human body. Pinworm eggs are found in room dust, on clothes, on bedding, on household items, on furniture, etc.

It is very easy to become infected with enterobiasis, especially if personal hygiene rules are insufficiently observed. Children are frequent carriers of pinworms, since their digestive system, which is not fully formed, is not able to cope with the parasites. Adults also suffer from enterobiasis; people with low stomach acidity are at increased risk.

In addition, any adult can become infected with pinworms from their child. The transmission mechanism of infection is airborne or contact.

Medicines for pinworms are prescribed by a doctor after the diagnosis is confirmed. Undoubted proof of the presence of parasites in the body is the independent detection of worms in the feces. The sooner a person starts taking tablets against pinworms, the less harm the worms will cause to his health.

Anal itching is far from the only symptom of the presence of pinworms in the body.

These parasites cause serious health problems such as:

Fall of immunity.
Allergic reactions, which most often manifest themselves as itchy rashes on the skin.
Disruption of the digestive process, development of gastritis in a chronic form.
Inflammation of the intestine due to mechanical damage to its mucous membrane by worms.
Chronic fatigue syndrome, decreased performance.

Women with enterobiasis often suffer from vaginitis, as worms can crawl into the vagina and cause inflammation of the genital organs. Medicine knows of cases where parasites penetrated the uterus and the peritoneal cavity, which led to serious inflammation and disturbances in the functioning of the body.

Taking medication for pinworms is a prerequisite for getting rid of worms. It is impossible to destroy them without drug treatment.

Features of taking pills in adults

Therapy of enterobiasis, like any other parasitic disease, is within the competence of an infectious disease specialist or a parasitologist. To determine the type of worms, the doctor will write the patient a referral for testing. Only after a high-quality diagnosis can you choose tablets for pinworms or other parasites that will actually give the desired effect.

Under no circumstances should you engage in self-treatment or purchase medications for worms without appropriate prescriptions, since they all have a toxic effect. Moreover, incorrect calculation of the dose, or violation of the frequency of dosing of medications significantly increases the risk of side effects and complications of therapy.

Medicines for pinworms come in several forms, including:

Pills;
Suspensions;
Candles;
Drops.

Adult patients are most often prescribed tablet forms of drugs. The liquid form is more suitable for treating children.

Tablets are convenient because they have a standard dosage. This makes it easy to calculate the required amount of medication that needs to be taken to get rid of parasites.

The course of treatment for enterobiasis can vary from 1 to 3 days. After two weeks, the course must be repeated again, which will ensure a lasting effect from the therapy.

How do tablets for pinworms work? Medicines for pinworms have a toxic effect not only on worms, but also on the human body. However, if the dose is chosen correctly, there will be no side effects.

Some medications do not kill pinworms, but simply paralyze them. As a result, the worms leave the intestines alive, but immobilized.

Some drugs are harmful not only to adult pinworms, but also to their eggs. Metabolic processes in the body of worms are disrupted, and they are unable to continue to carry out their life activities.

Vermox

Vermox is a broad-spectrum anthelmintic drug based on mebendazole. With enterobiasis it shows maximum effectiveness. The drug provokes an irreversible disruption of glucose utilization in the body of pinworms and prevents the synthesis of ATP molecules.

Patients with enterobiasis are prescribed a single dose of the drug. To do this, an adult needs to take one tablet at a dosage of 100 mg. If the symptoms of the disease persist, the course is repeated after 21 days.

Contraindications:

Breastfeeding, pregnancy.
Age under 2 years.
Liver failure.
Hereditary lactose intolerance.

During treatment and 24 hours after taking the medicine, you should not drink drinks containing alcohol, do not use laxatives, and do not eat fatty foods.

Side effects:

Allergic reactions: urticaria, exanthema, anaphylactic shock, angioedema, etc.
Neutropenia.
Digestive disorders: nausea and vomiting, diarrhea, abdominal pain.
Headaches, dizziness, cramps and increased drowsiness.
If you take the drug for a long time and in high dosages, complications such as hepatitis, alopecia, kidney inflammation, iron deficiency anemia, eosionophilia, leukopenia are possible.

The drug is prescribed with caution for the treatment of patients with diabetes mellitus.

Nemozol

Nemozol is a medicine for pinworms based on albendazole. Nemozol is available in the form of regular tablets for swallowing (200 mg and 400 mg), in the form of chewable tablets (400 mg) and in the form of an oral suspension (5 ml/100 mg).

For the treatment of enterobiasis, 400 mg of the drug or 20 ml of suspension is prescribed once. Nemozol is taken with food.

Contraindications:

Pregnancy.
Diseases of the retina.
Individual intolerance to the components of the drug.
Disorders of the liver and the process of hematopoiesis. These conditions are a reason to prescribe the drug with extreme caution.
Treatment with Nemozol during breastfeeding is the basis for stopping lactation.

During treatment with Nemozol, you should take reliable precautions to prevent pregnancy.

Side effects:

Headaches, dizziness, symptoms of meningitis.
Increased body temperature, hypertension, acute renal failure.
Allergic manifestations, skin itching, skin rash.
Abdominal pain, liver dysfunction with increased transaminase activity.
Nausea and vomiting.

During treatment with Nemozol, hair loss is possible, which stops after discontinuation of the drug.

Wormil

Wormil is a drug based on albendazole. Available in the form of chewable tablets of 400 mg. The drug has a detrimental effect on pinworms due to disruption of metabolic processes in the worm's body.

For the treatment of enterobiasis, 1 tablet is prescribed once a day for 3-5 days.

Contraindications:

Pregnancy, breastfeeding.
Hypersensitivity to the components of the drug.
Age up to 2 years.

You should not take the drug while preparing for pregnancy.

Side effects:

Digestive disorders: vomiting and nausea, unstable stools, flatulence.
Stomatitis.
Headaches, disturbances in night rest, confusion, hallucinations, convulsions.
Deterioration of visual acuity.
Skin itching, dermatitis, urticaria.
Increased body temperature.
Leukopenia and pancytopenia.

Reliable contraception is required throughout treatment with Vormil.

Dekaris

Decaris is an anthelmintic drug based on levamisole hydrochloride. Decaris is available in the form of tablets of 150 mg and 50 mg. The drug paralyzes helminths and disrupts the flow of bioenergetic processes in the body of worms. In addition, Decaris has an immunomodulatory effect, helping to normalize immunity at the cellular level.

For the treatment of enterobiasis, adults are prescribed 1 tablet of 150 mg once. Take Decaris after meals with a small amount of water. After 1-2 weeks, the course of treatment can be repeated.

Contraindications:

History of drug-induced agranulocytosis.
Lactation.
Age up to 3 years.
Liver and kidney failure, impaired hematopoietic function (with caution).

Side effects:

Insomnia, headaches, dizziness.
Cramps.
Digestive disorders with the development of dyspeptic symptoms: diarrhea, vomiting, nausea, abdominal pain.
Skin rashes.
Long-term use of the drug can provoke tremors of the limbs, agranulocytosis, and leukopenia.
After 2-5 weeks from the start of taking the drug, encephalopathy may develop.

During treatment you should refrain from drinking alcoholic beverages.

Methovit

Metovit is taken as a therapeutic and prophylactic agent for enterobiasis. The drug helps remove toxins from the body, has anti-inflammatory, choleretic, hepatoprotective and antioxidant effects. Long-term use of the drug helps to have a paralyzing effect on parasites.

Metovit contains silicon, vanadium, zinc, selenium, tannins, vitamins (C, A, K, E, B), as well as herbs (wormwood, calamus, horsetail, dandelion) and other components.

Adults need to take 2 capsules of the drug per day (morning and evening). The treatment and prophylactic course should be 3 months according to the scheme: 30 days of admission - 7 days of rest - 30 days of admission, etc.

Contraindication is hypersensitivity to the components included in the drug. During treatment, you should not consume foods and drinks that stimulate fermentation processes in the intestines (beer, yeast bread), as well as antibiotics and other anthelmintic drugs. When using Metovit during pregnancy, medical consultation is necessary.

No side effects were identified.

Helminthox

Helmintox is an anthelmintic drug based on Pirantel. Available in the form of tablets (125 and 250 mg) and in the form of a suspension (1 ml / 50 mg), in a bottle of 15 ml of suspension.

Helminthox provokes a nerve blockade of muscles and spastic paralysis of the muscles of pinworms. Parasites are excreted from the body along with feces. Helmintox is active against mature worms and their eggs.

The drug is taken once.

Dosage for adults weighing less than 75 kg – 3 tablets of 250 mg. Dosage for adults over 75 kg – 4 tablets of 250 mg.
The suspension should be shaken well before use. One measuring spoon contains 125 mg of active substance. Adults up to 75 kg are prescribed 6 scoops of suspension. Adults over 75 kg are prescribed 8 scoops of the suspension.

Contraindications:

Pregnancy.
Individual sensitivity to the components of the drug.
Breast-feeding.
Treatment of myasthenia gravis.

Side effects:

Nausea and vomiting, diarrhea, weight loss.
Headaches and dizziness, loss of consciousness, drowsiness, insomnia, hallucinations.
Hearing impairment.
Increased body temperature.

During treatment with Helmintox you should not take laxatives. Patients with renal failure should prescribe the drug with caution.

Albendazole

Albendazole is a broad-spectrum anthelmintic drug. It leads to the death of worms due to disruption of glucose utilization processes and the impossibility of ATP synthesis.

Albendazole for enterobiasis is prescribed 0.2 g once. After 3 weeks, the course of treatment can be repeated. The maximum daily dose for adults is 800 mg.

Contraindications:

Individual intolerance to Albendazole.
Lactation, pregnancy.
Age under 6 years.
Diseases of the retina.

The drug is prescribed with caution in case of impaired hematopoietic function, liver disease, or detected cysticercosis.

Side effects:

Headaches, symptoms of meningitis, dizziness.
Pain in the epigastric region, nausea and vomiting.
Development of surge arresters.
Skin rash, itching and other allergic reactions.
Leukopenia, agranulocytosis, thrombocytopenia.
Increase in body temperature.
Increased blood pressure.
Baldness.

There is a possibility of increased intracranial pressure, the development of hepatitis, erythema, and Stevens-Johnson syndrome.

How to get rid of parasite eggs at home. Preventing self-infection

What are pinworms

Pinworms lay eggs mainly at night. During sleep, the sphincter of the rectum relaxes and parasites crawl out freely. The cause of itching is the secretion that female pinworms secrete while laying eggs. When scratching, parasite eggs fall on the hands and under the nails, are spread to adjacent areas of the skin, linen and clothing, and end up on furniture and household items, toys, door handles, etc.

Wash your hands frequently and thoroughly (soap twice). Keep your nails short. Eliminate the habit of biting your nails.
Be sure to wash your perineum with soap at night and in the morning. To prevent the spread of pinworms, generously lubricate the perianal area with Vaseline.
At night, wear panties with elastic around your legs. Change panties daily. Wash them in the morning and after drying, iron them with a hot iron.
It is recommended to administer soda cleansing enemas at night. For adults, it is recommended to take 4 - 5 glasses of water, for children - 1 - 3. For each glass, add ½ teaspoon of soda to the water. An enema cleanses the lower part of the large intestine well from female pinworms.
Frequent bathing is recommended during treatment.
After each use, pour boiling water over the children's potty.
Change bed linen daily for the first 3-5 days of treatment, then at least once a week. To avoid scattering of eggs, remove night clothes and underwear carefully, wash (at a temperature of at least 60 0 C) or boil and iron with a hot iron.
When a patient is identified, and in the next week, carry out wet cleaning in the apartment every day using disinfectants. Thoroughly wipe door handles, switches, floors, baseboards, ventilation grilles - wherever dust accumulates and the patient’s hands touch, paying special attention to the bathroom. Rinse the cloth thoroughly in running water. When cleaning the room, use a vacuum cleaner. Shake out pillows, blankets, mattresses and carpets only outside.
Pinworm eggs do not tolerate frost, so in winter it is recommended to leave things, including children's toys, in the cold for 2 - 3 hours.
Wash rubber and plastic toys in a disinfectant solution. Take soft toys out into the cold and vacuum them.
The ultraviolet light emitted by a quartz lamp has a detrimental effect on parasites. Quartzing bedrooms, playrooms, soft toys, etc. during an epidemic gives excellent results.
Pomegranate juice, garlic, carrots, strawberries and walnuts are used to remove parasites. A favorite folk remedy for pinworms is garlic infusion enemas.
Constantly carry out sanitary and hygienic education of children. Instill in children the skills of personal hygiene, wean them from the habit of biting their nails and putting foreign objects in their mouths, wash their hands frequently and correctly, etc.

Rice. 14. The process of hand washing removes most of the pathogenic flora.

How can you get infected?

Enterobiasis carriers are children or adults who are infected with pinworms. Infection occurs from person to person through a handshake, through household items, door handles, clothes, all those objects that the patient touched, if you do not wash your hands after contact and eat food with dirty hands. Pinworm eggs can also come into contact with food from flies and cockroaches, or be found on the fur of pets.

The female pinworm enters the human intestine orally, through dirty hands that receive worm eggs. Next, she mates with a male representative and then migrates to the human large intestine, where she receives nutrition, and after 4 weeks she moves to the rectum, where at night she crawls to the anus and lays up to 15 thousand eggs on the skin near the anus.

The child or adult then experiences itching in the anus, and scratching the itchy area allows pinworm eggs to land on the patient’s hands and under the nails. Further, the mechanism of self-infection and infection of others is clear. If you have overgrown long nails, do not wash your hands after combing, after using the toilet, before eating, thousands of eggs settle on everything that an infected person touches. This contributes to the further spread of nematodes, getting from under nails, beds, and underwear onto the hands of other children and adults.

Prevention of enterobiasis in the family

Pinworm infection occurs through the fecal-oral route. After helminth eggs are transferred to the oral cavity, pinworms penetrate the human body and begin to multiply. In this case, the patient infects other people by touching household objects (contact-household method). The disease can also be transmitted through a handshake. Sometimes autoinvasion occurs, when helminths re-enter the patient’s body, resulting in the disease developing further.

It is possible to become infected with pinworms:

when scratching an itchy area near the anus, while pinworm eggs remain on the hands and under the nails;
when shaking the laundry, eggs that are there may be swallowed;
through a handshake;
through household items, clothing;
from animal fur, where eggs got in with dust;
through food on which the eggs were found with the help of flies;
repeatedly when the patient infects himself due to poor personal hygiene.

Video on the topic: What is enterobiasis

It is quite possible to get rid of pinworms by taking medication, but it is also worth taking measures to prevent re-infection. To do this, you should follow the rules of personal hygiene:

wash your hands thoroughly after using the toilet, visiting public places, walking, and before eating;
Do not scratch itchy areas;
have short-cut nails;
thoroughly disinfect the toilet;
regularly carry out wet cleaning of the home;
boil and iron underwear and bed linen.

It is important to remember that if enterobiasis is detected in one family member, this does not mean that by treating it, you have protected the household. There is a possibility that others are also infected with pinworms, it just hasn’t manifested itself clinically yet. The risk of infection is high, since many household items are shared.

Therefore, it is recommended to begin treatment for a family member infected with pinworms, and in parallel with him, take preventive doses of anthelmintic drugs and everyone else. If this is not done, then unpleasant consequences are possible.

During and after completion of treatment and prevention, all family members must wet clean the house daily. This must be done with disinfectants, preferably chlorine-containing ones.

A person infected with pinworms must change bed and underwear daily, followed by boiling them. Underwear should also be ironed on both sides, paying attention to folds and seams.

Treatment

Enterobiasis is a serious parasitic disease, for the treatment of which doctors choose an integrated approach. Antiparasitic drugs for pinworms in adults are mandatory - Nemozol, Vormin, Levamisole and others. After anthelmintic therapy, sorbents (Enterosgel, activated carbon) are used.

To restore the intestinal microflora and suppress the growth of pathogenic microorganisms, probiotics are prescribed - Linex, Hilak Forte, Acipol, Acilact, Bifiform. To strengthen the immune system in severe cases, the doctor may recommend immunostimulating drugs and special vitamin supplements. If pinworms cause allergies, in addition to antimicrobial agents, antihistamines are prescribed - Citrine, Zodak, Loratadine.

Anthelmintics are available in several dosage forms - tablets and suppositories. Which of them is better to choose to achieve a quick effect, the doctor decides based on test results and the individual characteristics of the patient. Popular anthelmintic drugs are:

Pyrantel - tablets for pinworms in adults with a mild effect. The drug contains the only active ingredient - pyrantel. It blocks the neuromuscular impulses of parasites, leading to their death. Removal of helminth remains occurs along with feces. The drug is taken once, the dosage is calculated based on the patient’s weight - 10 mg/kg. Pyrantel has no contraindications, except for hypersensitivity, and rarely causes adverse reactions.
Decaris is anthelmintic tablets that disrupt the bioenergetic processes of helminths. The active ingredient is levamisole hydrochloride. For adults, Dekaris is prescribed as a single dose of 150 mg. While taking the medication, headaches, nausea, and rapid heartbeat may occur. The medicine is contraindicated during breastfeeding, with agranulocytosis.
Nemozol is an anthelmintic drug whose action is based on suppressing the polymerization of beta-tubulin in helminths. The active component of the drug is albendazole. Tablets for adults are prescribed in a daily dosage of 0.4 g. The drug is contraindicated in cases of retinal damage, pregnancy, and impaired hematopoietic function. Sometimes, while taking Nemozol, abdominal pain, nausea, vomiting, and skin rash may occur.
Vermox is a broad-spectrum anthelmintic. The active ingredient, mebendazole, interferes with the utilization of glucose and depletes the tissues of pinworms. For adults and children over 12 years of age, Vermox is prescribed 100 mg once a day. The course of treatment is 3 days. While taking the tablets, side effects are minor, but the medicine is contraindicated for ulcerative colitis, Crohn's disease, liver disease, during pregnancy and lactation. An analogue of Vermox for the active substance is Vormin.
Carbendacim is an anthelmintic drug based on benzimidazole derivatives. The active component paralyzes the muscular system of roundworms, as a result of which they lose the ability to fixate in the intestines. When pinworms are detected, the dosage for adults is calculated on the scale - 10 mg/kg. The duration of treatment is one day. Carbendacim is prescribed with caution during pregnancy and lactation. While taking the pills, an allergic reaction, weakness and nausea may occur.

During pregnancy or due to intolerance to semi-synthetic active ingredients, the use of many drugs becomes difficult. In this case, it is worth taking a closer look at herbal medicines. Girudotex and Gelmavitol suppositories have a large number of positive reviews. They contain extracts of tansy, wormwood, garlic, pumpkin seed oil and cocoa. Suppositories are administered 1 piece per day after bowel movement. The course of treatment is 3-4 days.

To increase the effectiveness of drug therapy, reduce the load on the gastrointestinal tract (gastrointestinal tract), and stabilize the intestinal microflora, doctors recommend switching to dietary nutrition during treatment. The basis of the diet should be fermented milk products, fresh herbs, nuts, and low-fat broths.

flour or confectionery products, sweet pastries;
fried or fatty foods;
vegetables with a high percentage of starch;
bananas;
sweet grape varieties;
potato;
pasta;
alcohol.

Folk remedies

Along with traditional medicine, traditional medicine recipes can be used as adjuvant therapy. They reduce the symptoms of enterobiasis and help quickly remove pinworms after they die. Garlic enemas, castor oil, pumpkin seeds and milk tincture with tansy have proven themselves to be effective. The following recipes have proven to be no less effective in practice:

Chop one medium-sized onion and pour a glass of boiling water. Cover the container with a lid, leave for 12 hours, then strain. Take the medicinal drink ½ glass per day for 4 days.
Take tansy flowers, chamomile, yellow gentian root 1 tbsp. l., 2 tbsp. l. bitter wormwood, 3 tbsp. l. buckthorn bark. From the total mass, measure 1 tbsp. l. mixture, brew in a thermos overnight, pour 1 glass of boiling water. Strain the finished infusion, take 1 glass in the morning and evening for three days.
Take 1 tbsp. l. crushed oak bark and valerian root. Pour 500 ml of boiling water over the raw materials, cover the container with a lid. Infuse the medicine for at least three hours. It is recommended to use the product in the morning on an empty stomach. The course of treatment is 10 days. To enhance effectiveness, 1-2 hours after taking the tincture, you need to eat a clove of garlic and drink 3 tbsp. l. vegetable or olive oil.

It is necessary to treat pinworms using traditional methods while observing all safety measures. This therapy is contraindicated for patients who have disorders of the digestive tract - complicated gastritis, ulcers, Crohn's disease, nonspecific colitis or pancreatitis. Pregnant women can take decoctions or infusions only after consulting a doctor, since some types of medicinal herbs cause uterine contractions and can cause miscarriage or early labor.

Monitoring the effectiveness of treatment is carried out 3 and 4 weeks after the end of treatment using microscopic examination of perianal scrapings daily for 3 days or every other day.

By observing basic rules of personal hygiene, adults are free from pinworms without treatment within one month.

If a patient with enterobiasis is identified, all family members should be treated.

Rice. 12. Pinworms in feces.

It is quite easy to become infected with parasites, even for an adult. Helminth eggs enter the digestive system through the mouth when a person licks dirty hands. Pinworms in adults can be treated at home using safe products.

Enterobiasis is quite easy to treat if you use properly selected drugs that do not have a toxic effect on the body.

If you experience these symptoms, you should definitely consult a doctor:

the appearance of small worms in feces;
stool disorder;
loss of appetite;
itching around the anus;
stomach ache.

These are the most characteristic symptoms observed in most patients. There are times when a person only feels constant fatigue or lethargy.

Important! Everyone tolerates the presence of pinworms in the body differently. Sometimes all symptoms or only one may be present at the same time.

If this condition lasts for a long time, you should definitely contact an infectious disease specialist or parasitologist to undergo a full examination. If tests show that you have pinworms, you should begin treatment immediately. The sooner you do this, the easier it will be to get rid of parasites.

There are many different drugs for the treatment of enterobiasis, each of which has certain characteristics when used. When prescribing medication for worms, you need to consider:

person's age;
body weight;
accompanying illnesses;
degree of helminth damage.

After all the necessary tests, the doctor will assess your condition and prescribe a remedy that will be suitable for you.

Important! Many drugs are contraindicated during pregnancy or breastfeeding.

Tablets are used against worms:

Pyrantel;
Piperazine;
Vermox;
Dekaris;
Nemozol.

Treatment with tablets is effective in the fight against pinworms if a sufficient dosage is used. Each medicine must be taken again after 10-14 days in order to completely remove all parasites and prevent re-infection.

Pirantel

A broad-spectrum drug. Used in the treatment of:

ascariasis;
hookworm;
enterobiasis.

The medicine acts on mature worms and their larvae. To get rid of them you need to take several Pyrantel tablets in the morning after meals, at a rate of 10 mg/kg. The tablets must be chewed for them to work.

This is a fairly effective remedy for pinworms in adults, but sometimes minor side effects occur - nausea, diarrhea, vomiting.

Vermox

Often prescribed to patients with enterobiasis or trichuriasis. The product is quite safe. It is practically not absorbed through the intestinal walls.

Important! Vermok is contraindicated in case of chronic liver diseases, ulcerative colitis or individual intolerance to the components of the drug.

To get rid of pinworms you need to take 0.1 g of the product. It is recommended to take the tablets with water to enhance their effect.

Sometimes minor side effects are observed - nausea, abdominal pain, dizziness.

Nemozol

The drug has a detrimental effect on pinworms at different stages of development - from eggs to full-fledged worms. Can be used for mixed helminthiases and giardiasis.

For pinworms, you need to take 0.4 g of the drug once with food.

If the treatment regimen is chosen incorrectly, side effects may occur:

headache;
nausea;
skin rash;
vomit;
temperature increase.

Treatment with Nemozol should be carried out under the supervision of a doctor so as not to harm your body.

Features of treatment

If we are talking about pinworms: how to treat, what medications to choose, then the decision should be made only by the attending physician, in order to avoid complications and serious consequences, you should not take medications without permission.

Most medications and folk remedies have a lot of contraindications, this applies to people with problems in the functioning of the central nervous system, renal failure, and allergies to the constituent components of medications.

Various forms of medications can cause side effects:

abdominal pain;
gagging;
dizziness;
weakness in the body;
convulsions;
emotional disorders.

In case of overdose, you need to urgently rinse your stomach and take the sorbent. For the medications to have the maximum effect, you need to avoid foods that can harden the stool. Additionally, you will need to take laxative medications.

The best and effective remedies for pinworms (enterobiasis) for adults and children

One of the most common helminth infections is enterobiasis. In most cases, patients are children aged 2 to 10 years. This is associated with playing in the sand and with pets. At the same time, kids forget to wash their hands before sitting down at the table.

As soon as the first signs of helminthiasis appear, you should seek help from a specialist who will make a diagnosis and tell you what the best remedy for pinworms can help in a given situation.

You should know that a parasite such as pinworm does not tolerate sunlight. It is for this reason that the disease is much less common in regions with hot climatic conditions.

After the diagnosis has confirmed helminthic infestation, the doctor prescribes the patient a good, effective remedy for pinworms. Medicines are selected individually, as some people may have intolerance to certain elements. Also, the choice of medication may depend on the number of helminths in the body.

How to choose the most effective remedy for pinworms? Currently, you can find a huge range of drugs in pharmacies, but doctors prefer to choose from the following list of medications:

Decaris. Due to its structure, the medication is capable of paralyzing the nervous system of an adult worm. After this, the parasite will be naturally eliminated from the body over the next 24 hours. This remedy for pinworms in adults, in overdose, can cause vomiting, abdominal cramps, headache, convulsions and dizziness;
Pirantel. This pinworm remedy can be used to treat children. The only thing that is recommended to remember is that up to 6 months the drug is best given under the supervision of doctors. The advantage of the medication is that it affects the worm in any phase of its development. In case of overdose, the patient experiences nausea, vomiting, defecation disorders, fever, insomnia and hallucinations;
Wormil. This powerful remedy against pinworms is a broad-spectrum drug that can act on 14 types of helminths. If the instructions are not followed, the patient may experience an overdose. In this case, hallucinations appear, the skin becomes orange, and speech disorder is also observed. To normalize the patient’s well-being, it is recommended to perform gastric lavage;
Zentel. The drug can disrupt the transport of glucose into the body of the worm, resulting in the death of the helminth. This remedy for pinworms is available in the form of tablets and suspension. The advantage of the medication is that it can be prescribed not only to adults, but also to children. When taking medicine for pinworm worms, you should be aware of a possible overdose;
Mebendazole. A similar remedy for pinworms can cause side effects in children if the instructions are not followed. The medication is also contraindicated in pregnant women. Due to its composition, there is no need to use laxatives while taking the medication. Mebendazole is one of the most effective treatments for pinworms in adults.

If helminthiasis occurs in children, it is recommended to visit a pediatrician, since independent choice of medications can lead to complications.

Parents should know that treatment for children is practically no different from treatment for adults. The only difficulty is in choosing medications. It is best if you choose an effective remedy for pinworms in children, so that the baby’s body is quickly cleansed. Many doctors prefer to prescribe Pirantel to their child.

To make treatment faster, many parents prefer to combine traditional medicine with folk recipes. After adult worms are eliminated, treatment should be repeated after 2 weeks. During this period of time, larvae will hatch from the eggs. If you do not get rid of them, re-infection with helminthiasis will occur. Even a good remedy for pinworms will not rid a child of the disease in one go.

It is recommended that a sick child not be allowed into kindergarten, and that the teacher be notified of the illness. One of the parents will have to stay close to the baby, despite the fact that the disease is not serious. It should be remembered that with enterobiasis, doctors do not open sick leave, which will negatively affect work.

Regardless of what remedy for enterobiasis was prescribed by a specialist, even if it is the best, it is recommended to treat the premises in order to eliminate the larvae that have entered the external environment. In this case, infection of other family members can be prevented.

Treatment may be ineffective if the room in which the patients were located is not treated. This is especially true for preschool institutions. You should purchase disinfectants used for enterobiasis. After this, it is recommended to treat the surface of the furniture and air.

To carry out the treatment, you need to spray the room, and then wipe everything with disinfection and disinfestation agents recommended for helminthiasis. Once the hard surfaces are finished, you need to move on to the soft furniture. You can use a vacuum cleaner to process it. The treated furniture should be moved to the storage room for 2-3 days.

Don't forget about underwear and clothes. It is recommended to boil these things in a 2% aqueous solution of soda ash for 2 minutes. You can also use a 2% soap-soda solution, as this is the best way to combat pinworms.

Children constantly play with toys, so they may also contain parasite eggs. It is recommended to treat them with a hot 2% soap-soda solution. In this case, the temperature of the solution should not be lower than 80 degrees. This effective remedy against pinworms will quickly eliminate parasite eggs from toys.

Do not forget about feces, since they may contain not only adult parasites, but also its eggs. After the baby has emptied his intestines, it is recommended to disinfect with special preparations.

You should be careful when choosing the most powerful pinworm treatment. Some substances can affect the body even of an adult, so before using them, you should read the instructions.

No matter how effective pinworm remedies for adults are, it is better to prevent infection with enterobiasis. To do this, just follow simple rules:

You need to remember the rules of personal hygiene;
Vegetables and fruits should be consumed only after treatment with hot water;
Fish and meat must be thoroughly cooked;
Wet cleaning of the premises should be carried out at least once a week.

Following these simple rules will reduce the likelihood of pinworms appearing in the body. Some doctors advise adults to take the most effective remedy for pinworms once every six months as a preventive measure. Thus, even emerging parasites will be eliminated.

In addition to traditional methods of treatment, traditional medicine recipes can also be used as a cure for pinworms. Among the most effective and efficient folk remedies are:

Enema. You need to boil 1 large head of garlic in a glass of milk. Then strain the broth through a fine strainer and cool. Use as an enema solution, which is preferably given before bedtime. Dosage for an adult: 1 glass, for a child – ½ part of a glass. The duration of the procedures is 7 calendar days.
Onion infusion. A small onion needs to be crushed in a blender until it becomes mushy. Pour boiling water over it and leave in a covered jar for 12 hours. Then strain the infusion through a fine strainer. 1 glass of solution should be drunk in 2 doses. Duration of use – 4 calendar days.
Pumpkin seeds. Grind raw pumpkin seeds (100 g) until mushy and pour in ½ of a glass of olive oil, mix thoroughly. Eat the prepared mixture early in the morning. Meals should be taken no earlier than 3 hours later.

How to treat enterobiasis in adults? The answer is quite simple. Those medications that are approved for children are also used in the treatment of adults for enterobiasis. The dosage and amount of medication taken should be calculated by the doctor depending on the age and weight category of the patient.

The drug against pinworms Piperazine (Piperazine adipate) is used for ascariasis and enterobiasis. During treatment, nausea, abdominal pain, headache, muscle weakness, and tremors may occur. For diseases of the central nervous system, taking the drug is prohibited. If the patient has constipation, it is necessary to give an enema.

Rice. 6. Piperazine adipate, a remedy for pinworms.

You can get rid of pinworms not only with the help of traditional pharmaceuticals. Many people have long trusted products of natural origin. When used wisely, they can help with parasitic infections without producing toxic effects, like "chemistry".

Vegetables and seeds for the treatment of enterobiasis:

Pumpkin seeds. If pinworms are found in adults, treatment at home must include pumpkin seeds. This tasty, satisfying, and, most importantly, effective medicine will help you quickly get rid of helminths. In order for pumpkin seeds to have a proper effect on pinworms, you need to eat at least 300 grams of seeds in one day.
Seeds of watermelon. The seeds should be ground into powder. The resulting medicine should be added to a glass of water, 3 tablespoons each. and mix thoroughly. Take the drink for seven days, in the morning, one glass.
Beet. The juice is prepared immediately before consumption. It is enough to squeeze 100 ml of red beet juice. It is drunk twice a day, morning and evening.
Carrot. For treatment, use freshly squeezed juice (half a glass). To enhance the effect, add a few drops of vegetable oil. The juice is drunk in the morning, before meals.

Herbs to get rid of pinworms:

Wormwood. A tablespoon of raw material is poured with boiling water (500 ml), left to cool. Take one teaspoon three times a day before meals.
Oak and valerian. Valerian root and oak bark, taken in equal parts, are crushed, and the resulting raw material, in the amount of 1 tbsp. l., pour boiling water (250 ml). Leave for at least three hours. The drug is taken in the morning on an empty stomach. After one or two hours, eat a clove of garlic and drink three tablespoons of vegetable oil. The course of treatment is ten days.
Tansy, wormwood and chamomile. The raw materials are mixed in equal parts, take 1 tablespoon of the mixture, pour a glass of boiling water and leave. The infusion is drunk twice a day for five days.

Popular medicines

Today there is a huge list of effective medications for the treatment of enterobiasis in adults and children. Many drugs have a similar mechanism of action, but differ only in the manufacturer.

Popular drugs against pinworms are represented by the following names:

Pyrantel - allowed for use by pregnant and lactating women, as well as young children. Acts on roundworms, pinworms and other roundworms. Release form: tablets and suspensions.
Piperazine is an inexpensive medicine that acts on roundworms and pinworms; you need to take the medicine for no more than 2-5 days, with a break of 7 days between courses.
Decaris - applied once before bedtime, acts on roundworms, pinworms and hookworms. The therapeutic course can be repeated after 21 days. The dosage is determined individually, based on the patient’s body weight.
Mebendazole is an effective remedy for pinworms in adults and children; the drug is taken once and is used for the prevention and treatment of worms.
Zentel - tablets and suspensions; children are prescribed a single dose of the suspension. A broad-spectrum medicine. The drug belongs to a group called carbanate.
Vormil - chewable tablets and suspensions, an excellent remedy for the prevention of parasites in children. It is used once a day, the dose is determined by a specialist.

Drugs for adults

Vermox is available only in tablets; side effects may appear after prolonged use. After a few weeks, a second course of medication is required to prevent re-infestation of pinworms.

Nemazol is prescribed for the treatment and prevention of parasites for the whole family; the medicine is highly toxic and can combat not only pinworms, but also Trichinella, dwarf tapeworm, Giardia, and mixed helminthiasis.

Metovit not only kills many helminths, but also removes them from the body. Copes with the consequences and complications after the activity of worms in the digestive tract.

Helmintox is widely used for the treatment of pinworms and roundworms; about 6 scoops per adult per day, but the exact dosage must be agreed with the treating doctor. For prevention, you need to repeat taking the drug after 3 weeks.

Folk remedies for pinworms

Other means:

Some plant oils: pumpkin, hemp, flaxseed are excellent at fighting parasites. The oil should be drunk in the morning, on an empty stomach, in the amount of 1-2 tbsp. l.
A recipe called “drunk worms” has gained particular popularity. To combat pinworms, you need to drink 50 ml of cognac in the morning on an empty stomach, wash it down with very sweet tea, and twenty minutes later drink 50 ml of castor oil. Please note that castor oil has a pronounced laxative effect, so you must stay at home on the day of the procedure.
The anal area can be lubricated with zinc ointment. This drug has a viscous and sticky structure. The pinworms will simply stick to the ointment and will not be able to lay eggs.
Vaseline ointment with essential oils can become an obstacle to egg laying. To prepare the product, you need to add two drops of tea tree, thyme and lavender oils to the Vaseline. Mix everything thoroughly and apply the ointment to the anus every evening.

Preparations for pinworms

Among the most effective drugs are: Pyrantel, Piperazine, Nemozol, Zentel, Dekaris, Vermox, Mebendazole, Helmintox, Levamisole.

No matter how hard parents try to protect their children from common diseases. It is very difficult to protect children from helminths. Kids love to interact with animals, and they are not always sterilely clean. A parent who notices signs of pinworms in a child is obliged to show him to the doctor. After taking a stool test for eggworms and confirming the diagnosis of enterobiasis, the doctor will prescribe the necessary treatment.

So how to treat enterobiasis in children?

Most medications are available in tablet form, as they are considered most convenient for oral administration. It is worth remembering that in a family where enterobiasis is detected in a child, there is a high probability that one of the adults also became ill. To avoid re-infection of the baby, it is necessary to undergo treatment with the whole family.

Preparations for pinworms affect the metabolic processes of parasites and cause their death. Other drugs, by disrupting the transmission of neuromuscular impulses, paralyze pinworms, which facilitates their elimination.

Adult parasites exhibit high sensitivity to a number of anthelmintic drugs. Young individuals have the ability to exhibit temporary resistance, which is why in the treatment of enterobiasis it is practiced to use 2 or 3 courses with an interval of 3 weeks.

In more than 74% of cases, enterobiasis is combined with other types of helminthiasis - ascariasis, giardiasis, trichuriasis, toxocariasis. In this case, the drug of choice is the anthelmintic drug Albendazole (Sanoxal).

Drugs used in the treatment of pinworms:

Levamisole (Decaris).
Mebendazole (Vormin, Vermox, Mebex, Telmox, Thiabendazole, Gelmedazole).
Albendazole (Albendazole, Nemozol, Sanoxal).
Piperazine.
Pyrantel (Helmintox, Combantrin, Nemotsid).
Carbendacim (Medamin).
Naftamon (Alkopar).
Anthelmintic drug of plant origin. Male fern extract.
Pyrvinia pamoate (Vankin) and Pyrvinia embonate (Pyrvinium).

Rice. 2. The photo shows pinworms.

Preparations for pinworms Pirvinia pamoate (Vanquin) and Pirvinia embonate (Pirvinium) are highly effective against pinworms and do not affect other types of helminths. Used once in the form of a suspension or tablet after breakfast. If necessary, treatment is repeated 2-3 times with an interval of 2-3 weeks. The drug is contraindicated for intestinal diseases; caution must be exercised for liver and kidney diseases.

Rice. 10. Antihelminthic drugs Vanquin and Pirvinium.

What should you remember when taking pills?

Since enterobiasis has a number of characteristic features of development, course and complications in the human body, treatment with anthelmintics must also be approached with special responsibility.

For this, experts put forward a number of contraindications and warnings:

people who have disorders of the central nervous system should stop taking anthelmintics;
Those who have renal failure should not be treated with such drugs;
Pregnant women and breastfeeding mothers are also at risk;
Before starting treatment, you need to take into account the composition of the drug and possible intolerance to the components.

In case of an overdose of drugs against pinworms, the patient most often experiences intense intestinal spasms and diarrhea. Side effects may also include headaches, nausea, pain in the liver and intestines, muscle weakness, psycho-emotional disorders, tremors, and rarely convulsions.

Remedy for pinworms, male fern extract

Male fern extract is a herbal preparation. When taken orally, it affects the muscles of parasites. Muscle paralysis makes it impossible for helminths to attach to the intestinal wall and they are excreted in the feces. Filmaron and phylixic acid (derivatives of filicic acid) contained in the fern rhizome have an anthelmintic effect, which have a powerful effect on tapeworms.

Tenidosis, diphyllobothriasis, hymenolepiasis and enterobiasis are the main indicators for the use of the drug. Male fern extract has a number of side effects and in some cases can lead to the development of complications and poisoning, which is why treatment of helminthic infestation is carried out in a day or regular hospital.

Rice. 9. Remedy for pinworms, male fern extract and capsules.