July 6, 2009

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Pinworms (cont.)

Pinworms Treatment

Medical Treatment

  • albendazole (Albenza) is the most common treatment for pinworms.

    • Treatment is a single tablet, which kills the worms. There are different strengths for adults and children younger than two years of age.

    • Because eggs can survive for a few weeks, the patient will have to take a second dose two weeks later to lessen the chance of reinfection.

  • mebendazole (Vermox) also works. It is also taken in a single dose and repeated two weeks later.

  • Because it is common for everyone in a household to have pinworms at the same time, the doctor may recommend that everyone be treated at the same time.

  • The doctor may also recommend tap water enemas to help flush out the pinworms and reduce symptoms.

  • After taking the pills, the patient should also do the following:

    • Get into the habit of carefully washing the hands after using the toilet, and before and after eating.

    • Thoroughly launder all bedding, clothing, and toys to destroy any lingering eggs.

    • Launder all bedding every 3-7 days for three weeks.

    • Wash underwear and pajamas daily for two weeks.

Previously used drugs [pyrantel pamoate (Pin-Rid, Pin-X)  and piperazine] are now rarely used due to lower efficacy and a higher frequency of side effects when compared to albendazole (Albenza) or mebendazole (Vermox).



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