I also have dissemated roundworm and worms in my scalp, sinuses, ears, eyes and I can feel them crawling on my face. I also have Tapeworm and flukes. I didn't have too muc die off, just mostly fatigue. I haven't had any skin rashes except I had one itchy place on my stomach and two skin tags popped up. I have this spot on my leg where I think the Tapeworm might be attached (not sure) it is the shape of a Tapeworm head and has 3 dots which might be where the suc***s are and it got really small right after I took the vermox and then again when I took the prazi. It is starting to get big again (this is just my theory, but I am positive that it is somehow worm related since it starts to go away when I take the meds)