Pumpkin seeds are just supposed to stun them, but not kill them..I would take them before the med's so you get them groggy first, and then hit them.
I've also heard people say to take something sweet (like honey) about 1/2 an hour before you bomb them too...so maybe lure them with honey, stun them with pumpkin seeds, and then throw the bomb at them. :)
The proteolytic enzymes like bromelain and papain, usually are used to digest protein..if you take them between meals, and away from protein...it digests worms. It helps to get through their tough outer skin so the other stuff can penetrate them too.
Oils help do that too, like the ozonated olive oil, or coconut oil, or castor oil (which all kill pathogens themselves too).