(7) Trichinella spiralis (trichinosis)--ACTH, corticosteroids, or thiabendazole.
The effectiveness of thiabendazole against trichinosis is not established.
(8) Wuchereria bancrofti (filariasis) or W. (Brugia) malayi--
diethylcarbamazine.
(9) Onchocerca volvulus (onchocerciasis)--suramin plus
diethylcarbamazine. Suramin is available for investigational use only.
b. Infections with Tapeworms.
(1)
Taenia saginata (beef tapeworm)--niclosamide.
(2)
Taenia solium (pork tapeworm)--niclosamide.
(3)
Diphyllobothrium latum (fish tapeworm)--niclosamide.
(4) Hymenolepis nana (dwarf tapeworm), H. diminuta (rat tapeworm), and
Dipylidium caninum--niclosamide.
c. Infections with Flukes. THE RECOMMENDATION OF DRUGS FOR
INFECTION WITH FLUKES, AS GIVEN BELOW, IS IN SOME CASES ONLY
TENTATIVE. Stibocaptate bithionol is available for investigational use only.
(1)
Schistosoma mansoni--praziquantel.
(2)
Schistosoma japonicum--praziquantel.
(3)
Schistosoma haematobium--praziquantel.
NOTE:
Infection with one of the three flukes above is called schistosomiasis.
(4)
Fasciolopsis buski (large intestinal fluke) praziquantel or niclosamide.
(5)
Heterophyes heterophyes--praziquantel or tetrachloroethylene.
(6)
Metagonimus yokogaway--praziquantel or tetrachloroethylene.
(7)
Clonorchis sinensis (liver fluke)--praziquantel.
(8)
Opisthorchis felineus--praziquantel.
(9)
Paragonimus westermani (lung fluke)--praziquantel (or bithionol).
(10) Fasciola hepatica (sheep liver fluke)--praziquantel (or bithionol).
MD0913
6-27