Hi TM,
Flukes are very hard to eradicate. It can be done but often takes a long time. It depends how high the infection is.
I had several types and it took 8 months of rotating meds to clear them.
There are multiple types of flukes and different ones respond to different meds. I had multiple types and needed different medications.
So I suggest rotating through several meds over time. I will make a summary here but if you want more info we can always continue on the Parasites: Drugs Support Forum .
I went to a wonderful doctor of Tibetan medicine for an alternative to western meds and he said that really flukes require western meds.
Meds to rotate:
Egaten (Triclabendazole) Brand name tablets for humans - Treats Fasciola hepatica and a couple of other types. You take 2 tablets with breakfast, and 2 with lunch...for 3 days
Praziquantel - I would order the brand name tablets for humans. There are those who will suggest buying the powder (pure Praziquantel only and putting it in capsules since it is cheaper BUT it tasted horrible and takes forever to get into the capsules). I took this for a week at a time. The dosage is dependant on your weight. Recommended dosage is 25 mg of meds per kilo of your weight...3 times per day.
Albendazole - I purchased Valbazen which is the animal liquid form...much cheaper, exactly the same medicinal ingredients, and made by the same company that makes the human tablets. It is 400 mg 2 times a day. As Valbazen liquid that is 3.5 ml. I used measuring spoons - 1/2 tsp and 14 tsp make up 3.7 ml. Or you can buy a syringe to measure it out but I do not thing the extra .2 ml is a problem when using the spoons. (If you used the pills make sure to chew them well.)
Vermox (mebendazole) - 250 mg tablet 2 times a day. Chew very well.
Yomesan(niclosamide) - 4 500mg tablets once per day in the morning, well chewed. This is an
Antibiotic that you take for one week.
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If I were starting again, I would start with:
- 3 days of Egaten and wait two weeks. If ones come out with that then I would know I needed to repeat that one later.
- Prazi for one week and wait one week ...same thing..if it had results I would know to repeat that again in rotation.
- Yomesan - same again.. and wait one week if it had results I would know to repeat that again in rotation.
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The next time I took Prazi I would try it with Albendazole for 2 weeks for both meds. Then wait 2 weeks before taking more meds.
The next time I tried Yomesan I would try it with Vermox for one week. Then wait 2 weeks before taking more meds.
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When I took these meds in these combinations I found ones came out that had not before.
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Prazi is best taken with carbs or a fatty meal. You can look this up on the net. Do not chew the pills.
Vermox, Albendazole, Egaten, are best chewed (unless you are using the liquid Valbazen) and taken with fatty meals to increase absorbtion.
Yomesan is chewed and taken on an empty stomach first thing in the morning.
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Finally, the only source for Egaten is Dr. Chieu. He is an MD in Vietnam and everyone who has dealt with him was happy. Egaten is expensive but that is the price from the manufacturer. Dr. Chieu is kind and reliable. You can reach him at bschieu@gmail.com . He can also send you the Yomesan. He will also send you the Prazi and Vermox and his prices are fair.
You can also order the Prazi and Vermox from VRDrug or there are some other reliable sources you can find on the
parasite Drug Forum. Be sure to order from a recommended place - there are those who take your money and send nothing. Valbazen I ordered from Allivet -
http://www.allivet.com
.
Hope this helps.