absinthe is good against worms.
it has wormwood in it as does vermouth- as the name suggests.

frank lee bent wrote:no, I don't it won't work.

https://cambodiaexpatsonline.com/general ... t5341.html

sorry for the recursive link.
so horrifying.
I posted a few papers on that link which are worth reading eg
Opisthorchis viverrini infection in Thailand: studies on the morbidity of the infection and resolution following praziquantel treatment. Am J Trop Med Hyg. 1997 Mar;56(3):311-4.http://www.ncbi.nlm.nih.gov/pubmed/9129534

a friend of mine who farms rice appears to have bilharzia.
another nasty freshwater parasite.

his symptoms are worms burrowing under his skin.
he can see the trails.

This clinical review: Diagnosis and management of schistosomiasis by Grey et al 2011 gives a very comprehensive coverage http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3230106/

Below is a small extract regarding treatment:
Randomised controlled trials have also shown that the effective praziquantel dosage regimen is 60 mg/kg orally in divided doses over one day (3 x 20 mg/kg doses 4-hourly or 2 x 30 mg/kg either 4-hourly or 6-hourly) for S japonicum and S mekongi, and 40 mg/kg orally in divided doses over one day (2 x 20 mg/kg doses 4-hourly) for S mansoni, S haematobium, and S intercalatum.1 7 19 22 23 24 (table​(table).). However, a single 40 mg/kg dose is administered with 66-95% efficacy for epidemiological studies and population-based preventive chemotherapy control programmes.2w60 Efficacy of 95-100% can be achieved with re-treatment four to six weeks later25 and this second dose is advisable, especially if eosinophilia and a high antibody titre persist after primary treatment.

So I've been here awhile and I haven't been de-wormed yet. Should I just eat one Abendazole or something else as well ? What's a good plan ? Thanks in advance.

frank lee bent wrote:single dose.

liver flukes are another story entirely.

very common among khmer, lao, and thai- thats one big reason they die young.

They get liver fluke from eating fermented fish (prahoc etc) that is not cooked before the process starts. There's a mass education program going on in Thailand to ensure that the fish is cooked first to kill the flukes before fermenting. Of course you could just avoid eating prahoc all together. It's something a barang can live without, IMHO.

I had bilharzia twice in Africa, they used ambilhar and later another drug by injection, the treatment made me puke for two days

Only found out I had it when I started pissing blood one morning

Advocatus Diaboli wrote:Yap, that's right. Albendazole (2 tablets for about Riel 4000) kills fuckin' everything AND !!! you can use it for cats and dogs, too !!

Albendazole is generally a better choice than Mebendazole as its cure rate for most geohelminths is better:
A clinical trial to compare the effectiveness of 4- and 6-mo repeated treatment with albendazole 600 mg (Zentel, SmithKline Beecham) or mebendazole 600 mg (Vermox, Janssen) on geohelminth infections was carried out on children in 6 primary schools; the study included 1,186 children, ages 4 to 19 yr. Kato-Katz examination was performed on stool samples before and after treatment.

Overall, albendazole produced better cure rates and egg reduction rates for geohelminths. The cure rates for albendazole were 92.4% for hookworm infection, 83.5% for Ascaris lumbricoides, and 67.8% for Trichuris trichiura. Mebendazole given either 2 or 3 times in a year had cure rates of 50 and 55.0% (respectively) for hookworm, 79.6 and 97.5% for A. lumbricoides, and 60.6 and 68.3% for T. trichiura infection. http://www.ncbi.nlm.nih.gov/pubmed/11318574
Also Albendazole is generally better tolerated "Treatment with albendazole appears to be better tolerated, with fewer uncomfortable side effects like nausea and vomiting. If a patient had a bad reaction in the past to mebendazole, the other drug may be preferred to keep the patient more comfortable."
http://www.wisegeek.org/what-is-the-dif ... dazole.htm

However Albendazole is not as effective against strongyloidiasis as Ivermectin, which is the drug of choice. The dose is 200 µg/kg orally for 1-2 days (6mg per 30kg bodyweight) Nb also the same dosage for treating Scabies.
http://www.who.int/neglected_diseases/d ... diasis/en/

Zentar plus is available here and contains both Albendazole 400mg and Ivermectin 6mg and is around 3000r per tablet.

Safety
Ivermectin is not recommended in children < 5 years because of a lack of data.11 Refer young children with strongyloidiasis to a paediatrician or infectious-disease specialist.3 In remote areas where access to a specialist may be difficult, albendazole may be given.5 Use 200 mg once daily for 3 days if the child is < 10 kg, and 400 mg once daily for 3 days if the child is > 10 kg. Take on an empty stomach to increase intestinal absorption and repeat after 1 week.4,9

Ivermectin should not be used in people who also have Loa loa (loiasis), as there is a risk of severe encephalopathy or death in these patients.3,11 Use serology to rule out L. loa in people from West and Central Africa (where it is endemic) or in people who report episodic subcutaneous swellings or an 'eye-worm'.3 Refer people with loiasis to an infectious-disease specialist.3

Albendazole should not be used in pregnancy or in children aged < 6 months.9,12 The manufacturer recommends discontinuing breastfeeding during, and for 5 days after, treatment.12

The most common adverse effect is abdominal pain, reported by 1% of trial participants. Other less common side effects include diarrhoea, nausea, headache, dizziness and skin rashes.9,12 http://www.nps.org.au/publications/heal ... lbendazole

^^^^^Thanks for that K. Looks like I'll give Zentar a go.

Thanx for these comprehensive clarifications, Kuroneko - great !

Unless you've got a tapeworm hanging out your arse I'd skip prophylactic/just-in-case de-worming treatment. Side effects weren't worth it in my experience.

once a year is good. the visible evidence of infection is pretty gross.
i never had any side effects nor do those around me.