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Can metrogilom cure Giardia? Treatment of giardiasis. I stage of therapy - the elimination of endotoxicosis and the improvement of the enzymatic activity of the intestine, increasing the body's defenses

Treatment of giardiasis is a rather complicated and time-consuming process. Such a disease cannot be cured on its own, but only with the help of a specialist in these pathologies. Which doctor treats giardiasis? In children, this is a pediatrician or pediatric gastroenterologist. In adults, a gastroenterologist or infectious disease specialist. All of these specialists can be found at the nearest clinic, medical center or hospital, where they will provide you with all the care you need.

In addition to the standard, medical method of treatment, in the future you may need the help of a homeopath and a phytotherapeutist, who will help speedy recovery and strengthen the body.

Where to treat giardiasis?

Regarding the treatment of giardiasis, you can contact public and private medical institutions, where gastroenterologists and infectious disease specialists are treated. For children, this can be a children's clinic, a children's infectious diseases department, a pediatrics department. Adult patients should go to an adult clinic, gastroenterology department, infectious diseases departments or hospitals, private general clinics or gastroenterology centers.

In every home or educational institution (school or preschool education), where a sick giardiasis is found, an anti-epidemic measure is required, which is organized by the local representative office of the sanitary and epidemiological station (SES).

Modern treatment of giardiasis

Modern treatment of giardiasis consists of a whole range of medicines, procedures and activities. It is difficult to cure this disease, therefore it is unacceptable to engage in independent treatment methods: only a specialist should determine the treatment regimen.

It is more logical and effective to start therapeutic measures at the time of an exacerbation of the disease, especially with the development of dyspeptic disorders.

For the successful treatment of giardiasis, an important link is the correction of the diet. Patients, especially in childhood, should definitely include meals with a sufficient content of pectin, a natural enterosorbent, in their diet. Such dishes are considered liquid rice porridge on the water, applesauce, blueberry jelly. After two days, the patient is transferred to a more advanced diet. At first, the exception is products that create a positive environment in the intestines for the life of Giardia. The main part of such products is simple sugars: muffins, sweets, bakery products, as well as vermicelli, sausage, whole milk. Rice and buckwheat boiled in water, sour-milk products, compotes, baked apples, berries, vegetables, sunflower oil, dried fruits are allowed.

An important role in the treatment of giardiasis is played by the stabilization of the microflora in the intestine, which, as a rule, is disturbed during the disease. In order to eliminate dysbacteriosis, it is recommended to use fermented milk products, as well as some probiotic preparations: yogurt, lactobacterin, bifinorm, lactofiltrum, probifor, etc.

Preparations for the treatment of giardiasis

• Nifuratel (Macmiror) is a nitrofuran drug that is very successful, as it absolutely meets all of the above requirements. It has an extended range of antimicrobial and antiprotozoal effects. Nifuratel is quickly absorbed, its maximum amount in the blood is observed 2 hours after consumption. Excretion is carried out through the urinary system. In the treatment of giardia lesions, the medication is prescribed:
  • for an adult patient, 0.4 g up to 3 times a day for a week;
  • child - 15 mg per kilogram of body weight, twice a day for a week.

Nifuratel is less toxic than other drugs of the nitrofuran series. It is not a teratogen and a carcinogen, which is quite suitable for therapy in childhood and during pregnancy.

• Metronidazole (trichopol) is a selectively toxic drug for anaerobic infections, has mutagenic activity, as well as the ability to enhance the effect of radiation therapy in the treatment of oncology. Tablets have a bitter taste, are perfectly absorbed when taken orally. The maximum amount of the drug in the blood is observed 3 hours after ingestion. Metronidazole enters all tissues and environments of the body, including vaginal secretions, semen, and salivary secretions. Passes through the blood-brain barrier, is excreted during lactation with milk, overcomes the placental barrier. For these reasons, this drug is not prescribed during pregnancy and breastfeeding. The drug is excreted through the kidneys. Specialists use two main options for taking Metronidazole:
  • 0.4 g three times a day for 5 days;
  • 0.5 g for adults and 5 mg/kg for children three times a day for 10 days.

During the course of treatment, alcohol is contraindicated.

Recently, doctors often use newer medications to treat giardiasis - these are drugs that inhibit tubulin of the benzimidazole series: pyrantel, albendazole, etc. Such drugs are safer than the previously listed nitroimidazoles. However, at the moment, a clear and effective treatment regimen with such drugs has not yet been developed, so therapy with these drugs should be long-term or periodically repeated.

The scheme of treatment of giardiasis

The treatment regimen for giardiasis consists of three stages.

Stage I - elimination of internal intoxication and stimulation of the enzymatic function of the intestine, strengthening the immune system. Conditions: compliance with certain nutritional principles, as well as the appointment of the following drugs:

• choleretic agents - eliminate congestion in the gallbladder (cholekinetic drugs: magnesium sulfate, xylitol, sorbitol, etc.);
• antispasmodics - relieve spasms of the bile ducts;
• sorbent preparations - activated carbon, smectite, polysorb, bilignin, etc.;
• enzymatic agents - panzinorm (multienzyme), festal, creon, etc.

• Metronidazole (Trichopolum);
• Tinidazole - 2 g at a time;
• Furazolidone;
• Macmirror - nitrofuran series of drugs;
• Ornidazole;
• Delagil (Chloroquine) 0.25 g three times a day;
• Paromomycin is an aminoglycoside, 25 mg per kilogram, divided into three doses per day.

Stage III - strengthening the immune defense and further preventing the development of giardiasis infection in the intestine. The conditions for this stage are proper nutrition with the predominant consumption of vegetables, fruits and berries, as well as fermented milk products. It is recommended to drink tea based on birch buds for a month. To eliminate dysbacteriosis and strengthen immunity, enzyme preparations and probiotics are prescribed: lactobacterin, mezim, pancreazim, bifikol, lacto-mun, etc.

The course of treatment for giardiasis

The course of treatment for giardiasis is usually long.

The first stage usually lasts from 2 weeks to 1 month.

The second stage can last 5-7 days, but in most cases, a week or 10 days after the end of stage II, it is repeated again in order to confidently avoid relapses of the disease in the future. Sometimes it is possible to assign stage II three times, with an interval of 7-10 days. To maximize the effectiveness of such treatment, each course of the second stage is recommended to be carried out with various medications.

Stage III does not have a strictly defined duration and can last quite a long time - as long as the body requires. At least one and a half months after the end of treatment, the patient should be observed by the attending doctor in order to remain confident in the complete cure of the disease and the absence of relapses of the disease. The prognosis of giardiasis with adequate treatment is positive.

Cholagogue with giardiasis

Cholagogue with giardiasis can be prescribed along with other necessary drugs. This is done in order to eliminate the inflammatory process in the gallbladder as quickly as possible, as well as reduce congestion in it. For therapeutic purposes, cholekinetic drugs are mainly prescribed, which dilate the bile ducts and facilitate the flow of bile. Cholekinetics are a series of antispasmodic drugs that relax the valve of the gallbladder and pancreas, which promotes the release of bile into the intestinal cavity. Such cholekinetic drugs include atropine sulfate, papaverine, magnesia sulfate, etc.

By the way, a similar effect can be caused by the use of mineral waters: Essentuki No. 17 and No. 4, as well as other medicinal waters containing sulfate anions. Such water is consumed half an hour before a meal, 100-150 ml up to 4 times a day.

In addition, in order to tone up the biliary tract, cholespasmolytic drugs are prescribed, such as drotaverine, platifillin, barberry-based products, etc. Valerian root also has a similar effect.

Hofitol with giardiasis

Hofitol is a herbal remedy based on artichoke. This medication is able to restore damaged liver cells, has a choleretic and diuretic effect. Reduces the level of urea in the bloodstream, stabilizes lipid metabolism and the amount of cholesterol. Can be used with other medications to reduce toxic damage to the body. Helps to remove salts of heavy metals, nitrates and other toxins.

Hofitol has direct indications for prescribing for giardiasis, if the patient does not suffer from calculous cholecystitis, acute hepatitis and lack of biliary tract patency.

Hofitol with giardiasis is used as follows:

• 1-2 tab. three times a day, for a month;
• 5 ml of syrup three times a day, for 3 weeks;
• 1-2 ampoules of Hofitol intramuscularly, once a day, for 7-14 days.

Hofitol is allowed to be used during pregnancy, but only with the permission and under the supervision of a doctor.

Artichoke extract and drug Cholebil can be considered similar replacements for the medication.

Allochol with giardiasis

Allochol is a choleretic drug that enhances bile production. Allochol, like other choleretic drugs, is actively used for giardiasis. This medication affects the secretion of the liver, stimulates the motility and enzymatic activity of the digestive system, and has a slight laxative effect. The composition of the medication includes garlic, which reduces fermentation processes in the intestines and stops bloating.

Allochol with giardiasis is taken orally, 3 times a day, 2 tablets, immediately after meals. In children under 7 years old, take 1 tablet, then the dosage corresponds to that in adults. The course of treatment with Allohol lasts for a month, after which they take a break of 3 months and repeat the therapy (if necessary).

Allochol is approved for use during pregnancy and lactation. Do not prescribe the drug for obstruction of the bile ducts, when stones are found in the cavity of the gallbladder, with an acute inflammatory process in the liver and pancreas.

Antibiotics for giardiasis

With giardiasis, complex therapy is prescribed. The correct selection of treatment methods guarantees a favorable result, meanwhile, a violation of the treatment regimen can lead the disease to a more severe, chronic course.

(cysts, or vegetative forms, or antigens in feces) is an indication for mandatory treatment even if the person is not bothered by anything. However, self-medication is not recommended because most drugs have serious side effects.

If giardiasis in a patient is manifested by severe gastrointestinal disorders, then proceed immediately to destruction (scientifically - eradication) Giardia is undesirable, because due to the simultaneous death of many Giardia can increase intoxication and exacerbate the symptoms of giardiasis. With severe giardiasis, it is recommended to carry out treatment in 3 stages:

1. preparatory(goals: reduce the number of Giardia in the body, normalize the digestive tract),
2. destruction lamblia (consists of 2 courses of different drugs with a break of 1 week),
3. final(goals: restore the functions of the gastrointestinal tract, cure dysbacteriosis, normalize immunity).

If the identified Giardia does not cause clinical gastrointestinal symptoms in a patient, you can go directly to the stage of destruction of Giardia (bypassing the preparatory one).

Stage number 1. Preparatory

The stronger the intoxication and the severity of gastrointestinal symptoms, the longer the preparatory stage should last - from several days to 1 month.

Diet

Principles of nutrition for giardiasis:

• carbohydrate restriction (sugars and lactose, which is found in fresh milk), since carbohydrates are a nutrient medium for Giardia,
• abundance of protein(proteins inhibit the growth of Giardia),
• sour juices and berries are recommended, fermented milk products (excluding fresh milk), because. acidic environment inhibits the growth of lamblia,
• nutrition fractional (5-6 times a day), between meals there should not be intervals of more than 4 hours. Frequent food intake contributes to bile secretion, and bile has a detrimental effect on Giardia,
• the diet should contain an increased amount food fibers(norm per day for an adult 20-30 g), this can be achieved by adding to food bran.

used table number 5 according to Pevzner(intended for the treatment of diseases of the liver and biliary tract), however, it is modified by limiting the amount of carbohydrates and lactose.

• porridge(buckwheat, oatmeal, rice, etc.),
• lean varieties meat and fish,
• low-fat vegetable oil soups,
• whole grain or bran bread,
• fermented milk products (kefir, yogurt, acidophilus milk),
• vegetables, fruits, herbs,
• from sweets - honey, marshmallow, marmalade.

Excluded Products:

• refractory fats (lard, margarine),
• fat meat,
• fatty fish,
• strong broths,
• legumes (peas, beans, beans),
• eggs (no more than 1 per day is allowed as part of meals),
• sweets (chocolate, sweets, cakes, pastries, ice cream, carbonated drinks),
• spicy seasonings,
• mushrooms,
• smoked meats.

Preparations

Most often at the preparatory stage use enterosorbents:

• (diosmectite, dioctite, neosmectin),
• enterosgel.

Smecta is of natural origin (made from shell rock), absorbs and removes toxins, pathogenic bacteria, excess bile acids and hydrochloric acid from the body. At the same time, smecta creates favorable conditions for beneficial bacteria, helping to get rid of dysbacteriosis. Smekta lines the mucous membrane of the stomach and intestines, providing a cytoprotective effect (protects the mucous membrane from adverse effects). It does not act directly on Giardia, but reduces their number in the intestines. Smecta is not absorbed and is allowed at any age (even newborns, during pregnancy and lactation).

Smekta sachets.

In case of constipation, appoint lactulose (dufalac, normase), which is allowed in pregnant women and lactation.

According to the appointment of a gastroenterologist (therapist), after clarifying the nature of the disorder of bile secretion (before and after a test breakfast), the following can be recommended:

1) with reduced function gallbladder (leading symptom - prolonged pain in the right hypochondrium):

• a diet with a sufficient content of vegetable fats (up to 80 g per day),
• prokinetics: domperidone(5-10 mg 3 times a day 30 minutes before meals),
• cholecystokinetics: solution magnesium sulfate 10-25% (1-2 tablespoons 3 times a day), solution sorbitol or xylitol 10% (50 ml 2 times a day);

2) with dysfunction (spasm) of the sphincter of Oddi(located in the wall of the duodenum and regulates the flow of bile and pancreatic juice into the intestine; the leading symptom is paroxysmal pain in the right hypochondrium or in the epigastrium lasting more than 20 minutes for 3 months or more):

• low-fat diet (40 g per day of vegetable fats),
• restriction of choleretic drugs,
• selective antispasmodic: hymecromon [odeston](200-400 mg 3 times a day 30 minutes before meals),
• or non-selective antispasmodics: mebeverine (duspatalin), drotaverine (no-shpa), trimebutine (trimedat).

The gastroenterologist may also prescribe:

• according to the results of the coprogram - enzymatic drugs ( pancreatin, festal, mezim-forte, creon),
• with prolonged giardiasis and liver damage with toxins (increased levels of ALT, AST, etc. in a biochemical blood test) - hepatoprotectors (gepabene, legalon, karsil, LIV-52).

Stage number 2. Destruction of lamblia

If the family has a small child with giardiasis, usually everyone is infected family members.

Used to treat giardiasis drugs of 3 groups:

1. nitroimidazole groups: ornidazole, tinidazole. The previously widely used metronidazole is no longer recommended for use due to the high risk of Giardia resistance;
2. nitrofuran groups: . Previously used furazolidone is no longer used due to the high resistance of Giardia and frequent (40%) adverse reactions to the drug;
3. benzimidazole groups: albendazole.

In the complex treatment of giardiasis, a drug can be added Enterol(fungi Saccharomyces boulardii), which also has some antigiardia activity.

Ornidazole

Trade names: tiberal, dazolic, gairo, ornisid, ornidazole-vero.
Available in coated tablets of 500 mg.

The effectiveness of ornidazole is about 90%.

Treatment regimens Ornidazole for giardiasis:

• 1st scheme ( once): adults and children weighing over 35 kg are prescribed 3 tablets (1.5 g) at night once, children up to 35 kg - at the rate of 30-40 mg / kg (in crushed form).
• 2nd scheme (treatment within 36 hours): adults 1 tab. every 12 hours 3 times.

Frequency side effects when taking ornidazole - about 15%. Most often there are:

• dizziness, headache, drowsiness, rarely convulsions.
• dysfunction of the gastrointestinal tract (nausea), taste perversion, changes in the activity of liver enzymes (AlAT, AsAT),
• allergic reactions and hematopoietic disorders are possible (with prolonged use).

Should not be taken during pregnancy. When lactating, you need to stop breastfeeding.

Tinidazole

Available in coated tablets of 500 mg.

According to its properties Tinidazole is similar to Ornidazole and has similar side effects. Contraindicated in children under 12 years of age. The effectiveness of tinidazole is about 77%.

Treatment regimen Tinidazole for giardiasis:

• adults are prescribed 2 g of tinidazole (4 tablets of 500 mg) once,
• children over 12 years of age are prescribed at the rate of 50–75 mg / kg of body weight once.

Nifuratel

Trade names: macmirore.
Available in coated tablets of 200 mg.

McMiror is highly active and perhaps the best drug today for the treatment of giardiasis for several reasons:

• excreted by the kidneys (does not affect the liver) and therefore gives minimum side effects only in 2% of patients
• also acts on intestinal bacterial infections ( salmonellosis, shigellosis and etc.),
• effective against bacteria Helicobacter pylori and fungi of the genus Candida, which are frequent companions of Giardia.

Treatment regimen nifuratel:

• adults are prescribed 2 tablets (400 mg) 2-3 times a day for 7 days,
• children older than 2 months are prescribed 15 mg / kg of body weight (no more than 400 mg) 2 times a day for 7 days.

Side effects Macmirora are rare:

• nausea, bitterness in the mouth;
• allergic reactions (skin rash, itching).

Nifuratel is able to cross the placenta and into breast milk, therefore it is not recommended during pregnancy and lactation.

albendazole (albendazole)

Trade names: nemozol, gelmodol, aldazole, sanoxal.
Available in tablets (chewable or coated) of 400 mg (in a package of 1 or 3 tablets) and as a suspension for oral administration of 20 ml (100 mg / 5 ml).

Albendazole is notable for being universal anthelmintic drug(against worms), which acts on all stages of development of helminths (eggs, larvae, adults). Albendazole inhibits the uptake of glucose by helminths. The course of albendazole with giardiasis will also have a therapeutic effect in enterobiasis (pinworms), ascariasis, hookworm, necatoriasis, strongyloidiasis, teniosis (pork tapeworm) and hymenolepiasis (pygmy tapeworm).

Treatment regimen Albendazole for giardiasis:

• adults: 1 tablet (400 mg) 1 time per day for 3 days (according to the instructions for the drug) to 5-7 days (according to the recommendations in the literature). Thus, the average recommended course duration is 5 days. If the drug is poorly tolerated, it is permissible to limit it to 3-4 days. It is taken orally after a meal. The coated tablets are swallowed whole with water.
• children over 2 years of age are prescribed at the rate of 10 mg / kg (according to the instructions) or 15 mg / kg (according to the literature, but not more than 400 mg) 1 time per day as a suspension after meals. The course of treatment is 4-5 days.

Side effects albendazole:

• abdominal pain, nausea, vomiting, increased levels of liver enzymes (ALAT, AST),
• headache, dizziness,
• deterioration of hematopoiesis with prolonged use,
• allergic reactions: skin rash, itching.
• increased blood pressure, impaired renal function.

Enterol

Available in 250 mg capsules and 250 mg sachets.

Enterol renders destructive effect on lamblia. It was found that the combined course use of Enterol with other antigiardiasis drugs increases the effectiveness of the treatment of giardiasis. Enterol goes well with antibiotics and other antibacterial treatments, however, I do not recommend combining Enterol with Nifuratel (macmiror) due to the presence of an antifungal effect in the latter.

Reception scheme Enterola:

• adults and children over 3 years old - 1 caps. or 1 powder 1-2 times a day for 7-10 days.
• children 1-3 years old - 1 caps. 2 times a day for 5 days. Open the capsule and dissolve the contents in cool water, then give to the child.

Well tolerated.

Enterol is contraindicated:

• children under 1 year old (the intestinal wall is still permeable to fungi),
• people with indwelling venous catheters (because of the risk of their colonization and the development of fungal sepsis).

Choice of drugs

The effectiveness of any drug for giardiasis is far from 100%, so it is usually used 2 courses of treatment with different drugs with an interval of 1 week:

• (in some cases it can be replaced by ). Ornidazole is acceptable in children of any age, tinidazole - from 12 years.
• - let's say in children older than 2 months,
• albendazole- acceptable in children over 2 years old, but safest in children over 6 years old.

For the first course usually use or (depending on the age of the patient). A week later for holding second year can choose nifuratel or albendazole. Nifuratel is good for its complex action and high tolerance, but at the moment it is not for sale in Belarus. Albendazole is wonderful in that it simultaneously destroys the vast majority of intestinal helminths, the presence of which many patients are not even aware of.

Enterol can be used in parallel with albendazole or at the 3rd stage of treatment (see below).

Previously used drugs metronidazole And furazolidone currently not recommended for the treatment of giardiasis due to the high risk of giardia resistance and the high number of side effects.

For reduce allergic reactions may be assigned:

• cetirizine (zyrtec) for children over 6 months old,
• fexofenadine (telfast) for children over 12 years old.

To improve the tolerability of antigiardia treatment, some authors recommend Wobenzym, which has anti-inflammatory, decongestant, analgesic and immunomodulatory effects. Adults 3-5 tablets 3 times a day 40 minutes before meals, children at the rate of 1 tablet per 5-6 kg of body weight.

Stage number 3. Final

Existing disorders in the digestive tract will not disappear automatically the next day after the death of Giardia. The body needs help: the stronger the violations, the more actively it is necessary to help.

Since Giardia are active consumers of vitamins, complex preparations are recommended, including those that restore the intestinal microflora, for example:

1. timbifid contains vitamins C, E, B1, B2, B3, B5, B6, B8, B9, B12, selenium, zinc, inulin and oligofructose. Recommended for adults and children from 6 months. Take 2-3 tablets 3 times a day with meals. The duration of the course is 1 month.
2. bion 3 contains vitamins A, C, E, B1, B2, B5, B6, B8, B9, B12, D3, PP, calcium, iron, iodine, manganese, chromium, molybdenum, selenium, zinc, as well as lactobacilli and two types of bifidobacteria for intestines. Recommended for adults and children over 14 years of age. 1 tab. 1 time per day during meals for 1 month, swallowing whole and drinking plenty of water.

If not previously accepted Enterol, then at this stage it is useful to treat them for 5 days (children 1-3 years old) or 10 days (adults and older children).

To stimulate and maintain immunity prescribed immunomodulators:

• polyoxidonium(adults and children from 6 months) intramuscularly, orally, in the form of rectal suppositories, locally (instill into the nose);
• lycopid(adults and children from 17 years of age are prescribed in tablets of 10 mg, children from 1 to 16 years of age are prescribed in tablets of 1 mg).

Reminder. Make it your rule always read instructions for medications that you are taking for the first time.

Prevention of giardiasis

Giardiasis is found everywhere, so everyone should know about its symptoms. And first of all - parents of small children.

Measures for the prevention of giardiasis:

• thoroughly wash vegetables and fruits, rinse them with boiled water;
• teach children hygiene habits;
• fight bad habits of children (biting nails, sucking fingers or pencils, etc.);
• pets can only be started when children are trained in hygiene skills and do not have bad habits.

  Pets need regular (almost monthly) deworming. If a dog or a cat lives at home, people should take preventive courses 2-3 times a year albendazole(once an adult inside a tablet of 400 mg, and for children a suspension at the rate of 6-10 mg / kg);

• avoid eating on the street;
• do not swim in unknown water bodies;
• drink only boiled or bottled water (water from surface sources can be dangerous);
• do not allow the child to play in the sand or in the ground, if you are not sure that it is clean from animal feces.

For those too lazy to read.
If you carefully read all 6 articles of my series, you will not learn anything new.

19 comments to the note “No. 6. Treatment of giardiasis. Choice of drugs»

Huge thanks. Very detailed and professional. Still, it is difficult for a non-doctor to understand the abundance of schemes and other things. You really helped me with the choice, now my darling is calm that everything was prescribed to us correctly, and I will listen to you regarding the choice of restorative drugs.

I live in Israel. We don't treat it. They say that when infected, the body itself creates unfavorable conditions for Giardia and they themselves leave the body. You just have to wait. And then there is no guarantee that an hour after the end of the second course of treatment you will not get infected with them again))). And the article is very interesting. Thanks.

I don’t know about “self-healing” ... We discovered Giardia in a child about a year ago. We went through a course of treatment with the whole family, after a month they passed the test - it was positive ((We decided to wait for some time and now a year later we passed the test again and again the result did not please us. We will be treated again.

Spontaneous healing usually occurs in adults after 6 months. But there are many obstacles: re-infection (from a child or through water), carbohydrate nutrition with a minimum of proteins, reduced immunity, etc. If a small child is sick, most often all family members are infected.

1. Everyone's body is different - someone lives with them all their lives and does not suspect about them, and someone ... My daughter was treated for three years from a bunch of different diseases, in some moments they even could not make a diagnosis. I am very grateful to the doctor who advised me to check for Giardia. Giardia was taken out and the rest of the ailments went away on their own, even the banal cold stopped sticking. It is necessary to treat - it seems not fatal, but in general, the protective properties of the Giardia organism and the products of their vital activity undermine great ..

   I am very glad that I came across this article. Everything is detailed, the pros and cons of the drugs ... I have a 3.5-year-old child. We get sick all the time, not a single virus will fly by. Usually complications. Allergy, papillomas. The gastroenterologist said to pass on helminths. Giardiasis was diagnosed in severe form. I hope that after the treatment everything will be gradually formed. We are completely desperate. Thank you for the article!!!

2. Please tell me, how much can I eat sweets per day? Can I drink sweet tea during treatment?

   Sugars (simple carbohydrates) should be limited because they serve as food for Giardia and promote their growth. Recommended whole grain bread, bran, apples (pectin).

3. Albendazole is not suitable for the treatment of patients with lactose intolerance, which occurs in approximately 40% of patients with chronic giardiasis. Lactose intolerance may resolve after treatment within 2 months. Nifuratel gives a relatively small percentage of cure, so it can be chosen only if other drugs are not suitable for side effects or contraindications.

   I want to sincerely thank you for publishing this treatment regimen in detail. I was not helped by those who were appointed by the doctors who came across to me in our clinics, but yours helped !!! But I had to repeat, because not all relatives in the family with whom I had been in contact for a long time agreed to take pills, after a while there was a re-infection, I didn’t drink only immunomodulators .. and again I drank the course according to your scheme for the 2nd time and again everything returned to normal. I was lucky to find and read your scheme in time, because I was very, very extremely ill from a severe intestinal form and reduced immunity. Thank you so much, you literally saved a person from a very long-lasting pain, impotence, despair and suffering by publishing this post !!

   It is not clear why at the 1st stage of treatment, with the recommendation of an abundance of protein and restriction of carbohydrates, in the proposed diet there are cereals, bread, marshmallows, marmalade and honey? In theory, they shouldn't be there. And at the same time legumes are excluded. And what's wrong with oily fish? Now, after the exposure of studies paid by sugar corporations about the dangers of fatty foods and sugar neutrality, even corrupt nutritionists recommend losing weight on a fat diet with the exception of carbohydrates for the same weight loss. Suddenly, scientists, after kicks from the public, noticed that the Chukchi somehow doing without cabbage and carrots, eating very fatty foods, did not have problems with atherosclerosis. And at the same time, cows, elephants, etc. eating exclusively plant foods are fat to disgrace contrary to the doctrine of vegans.

   2) About the "doctrine of vegans" you messed up something. Vegans avoid meat primarily for ethical reasons, not out of a desire to lose weight. Obesity requires you to eat more calories than you expend. And whether it will be calories from fats or carbohydrates is a secondary matter.

   3) Fatty fish in itself is a very useful product, just for a gastrointestinal tract damaged by lamblia, it can be difficult to digest.

   4) It is difficult and undesirable to completely eliminate carbohydrates from the diet, so the least harmful ones are chosen. Porridge has a lot of useful substances from cereals and there are no easily digestible sugars. Wholemeal and whole grain breads are high in fiber, which acts as a sorbent. Honey is the most useful natural sweet in composition, the main thing is not to eat it in large quantities (one teaspoon per day is enough). Marmalade and marshmallows are included in the permitted ones for the reason that they are made on the basis of apple or other fruit puree and contain pectin sorbent, which removes toxins and even indirectly lowers cholesterol levels in the blood.

   5) Legumes are excluded because they are difficult to digest and can cause flatulence (gas formation in the intestines) - there are many jokes about pea soup. If you love legumes and they don't cause you problems, eat healthy.

4. I give instructions for preparations based on albendazole (indications for use):

   Nemozol:
   “Nemozol is used to treat patients suffering from enterobiasis, ascariasis, hookworm, trichinosis, toxocariasis, necatoriasis, strongyloidiasis and teniasis. Nemozol is used to treat giardiasis in children.

   Aldazol:

   “Aldazole in small doses for a short time is used in the treatment of patients suffering from intestinal helminthiases and Larva Migrans skin syndrome, including such forms of helminthiases as enterobiasis, necatoriasis, hookworm infection, teniasis, hymenolepiasis, ascariasis, strongyloidiasis, clonorchiasis, trichuriasis and opisthorchiasis. In children, Aldazole in small doses is also used to treat giardiasis.

   Zentel:
   "Zentel is used for intestinal forms of helminthiases: enterobiasis, ankylostomiasis, necatoriasis, hymenolepidosis, teniasis, strongyloidiasis, ascariasis, trichuriasis, clonorchiasis, opistarchosis, giardiasis in children, also for Larva Migrans skin syndrome - short-term treatment at low doses."

   Moreover, for all drugs, the instructions indicate that the dosage for children from 2 to 12 years old is 400 mg 1 time per day, for 5 days. About the treatment of giardiasis in adults, there is not a word in the instructions for these drugs. Can you comment on this?

   On the Internet, you can find various instructions for albendazole, including those that indicate the treatment of adults for giardiasis. In principle, all medicines that are allowed for children can always be taken by adults (on the contrary, not always).

   Albendazole also helps adults and can be used in them. Here are links from authoritative American sites.

   https://www.ncbi.nlm.nih.gov/pubmed/15069729
   Albendazole is as effective as metranidazole in adults’ giardiasis. =
   = Albendazole is as effective as metronidazole for giardiasis in adults.

   https://www.ncbi.nlm.nih.gov/pmc/articles/PMC88965/
   One advantage of using albendazole in children is its efficacy against many helminths, allowing effective treatment of multiple intestinal parasites 207, 208. Another advantage is its relative lack of side effects. =
   = The advantage of using albendazole in children is its ability to act simultaneously on many helminths, which are usually found in children. And albendazole has relatively few side effects.

   There is also an interesting table comparing the effectiveness of different drugs for giardiasis: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC88965/table/T1/
   It is noteworthy that taking albendazole for 1-3 days gives an effect only in 24-81% of cases, while a 5-7-day course helps in 94-100% of patients. They also write that Giardia may develop resistance to albendazole.

5. I wonder if there is urogenital giardiasis? On the Internet, on this issue, the same text is circulating on dozens of sites, in which it is written that yes, it exists. And on other sites they write that among the protozoal infections of the genitourinary sphere, only one is distinguished - trichomoniasis. In general, the information is contradictory.

   I believe that urogenital giardiasis does not exist. Giardia are adapted to live in the small intestine.

6. Hello! We are from Austria. They don't treat me, they don't even do tests. This is not recognized as a disease, because supposedly everyone has Giardia. For two years, my son was prescribed hormonal ointments against severe dermatitis. Diagnosed with asthma. Until I sounded the alarm and took up literature. What a blessing that publication of such materials is possible in the Russian Federation: in Austria, the Internet is fully regulated by law, doctors do not have the right to write such things. In August we are going to the Russian Federation for medicines against Giardia and worms, because we want to live normally. Thanks a lot for the article! It is impossible to think of a better material!

   What drug should be used for the simultaneous treatment of pinworms and Giardia?

   Albendazole. For adults, 400 mg 1 time per day for 3-5 days. Take after meals, drink water without chewing.

7. How long should the diet be followed, for the duration of treatment or for a longer period?

   At the time of treatment. Then there is no need.

8. Why do you need to take a break of 7 days between the 1st and 2nd course? Wouldn't it be more effective after taking the course of Ornidazole to immediately continue treatment with Macmirror without any interruption.

   No, you can't right away. You have to wait a week for new Giardia to “hatch” from the cysts, then they are easy to destroy. Giardia cysts are difficult to access.

9. When taking drugs, where the active substance is albendazole, on bioavailability, i.e. absorption, concentration and duration of action of the drug affect (increasing them):
   * 3 times - grapefruit juice (a paradox, but other juices do not affect the pharmacokinetics of this drug so much);
   * 5-6 times - animal or vegetable fats in the amount of 43.1 g per meal (this is for 100% fat; for a specific product, it is necessary to calculate the fat content separately, for example, if the fat content of a conditional product is 50%, then the dose = 86 .2 gr);
   * 7-8 times - "Mexican diet" - eggs fried with tomato and spicy tomato chili sauce, onion and separately with sausage + dessert in the form of a glass of milk.

   The drug should be taken with food, with the required (for swallowing the tablet) amount of water or the mentioned juice, or swallowed with saliva, if the individual properties of the pharynx allow this to be done without the risk of choking.

   At the same time, however, it must be remembered that how many times the above funds enhance and prolong the effect of the albendazole group of drugs (three, five or seven times separately, and even more when taken in combination), they increase the DANGER of side effects by the same amount for persons to whom these drugs are contraindicated! Therefore, it is necessary to start taking the medicine without the listed stimulants, including them in the diet ONLY if the body reacts normally on the first day after administration for the drug itself.

   Well, do not forget about individual allergic reactions to grapefruit, indigestibility of fatty foods, intolerance to spicy foods, etc., which may accompany the disease.

   dailymed.nlm.nih.gov/dailymed/archives/fdaDrugInfo.cfm?archiveid=5426
   citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.514.4237&rep=rep1&type=pdf
   onlinelibrary.wiley.com/doi/10.1111/j.1742-7843.2005.pto_172.x/full

10. It should also be remembered that grapefruit juice, due to the naringin contained in it in a high amount, has a pronounced fat-splitting effect, so drunk along with fatty foods, it is likely to neutralize its effect. Therefore, fatty (2) should be combined with spicy (3) food of exotic cuisine, the sharpness of which is intended to reduce sour-milk products (which is especially important for people suffering from diseases or temporary disorders of the gastrointestinal tract).

11. The instructions for some drugs indicate the use of contraceptives, since the toxicity of the drug can affect the fetus during conception. The instructions for ornidazole indicate a withdrawal period of 5 days, and a connection with proteins is also noted - 13%. How long after taking the drug can I cancel contraception and not worry about the health of the unborn child?

    The half-life is the time during which the concentration of the drug in the blood decreases by 2 times. It is believed that for almost complete elimination of the drug, it is enough to wait 5 half-lives. After the 1st half-life, 50% of the initial concentration will remain, after 2 - 25%, after 3 - 12.5%, after 4 - 6.25%, after 5 - about 3%.

12. Is it possible to cure giardiasis with onions, garlic, cranberries, grows. oils, diets?

    A low-carbohydrate diet plays a role in treatment. In an adult with normal immunity, the body itself is released from Giardia in six months (if not re-infected). But drugs for treatment are more reliable, because their effectiveness has at least been tested.

Giardia are microscopic organisms that belong to the order of protozoa and affect the human intestine. Giardia provoke a disease called giardiasis, in which multiple digestive disorders are observed. However, modern medicine has drugs that can effectively deal with Giardia.

The choice of the drug is based on the criteria of maximum safety and the minimum set of side effects for each patient. Tinidazole is considered to be the most effective drug for the treatment of giardiasis. It must be taken orally.

Dosage of Tinidazole for adults: 2 g of the drug per day. The course of treatment is 1 day. That is, the patient should take 4 tablets of 500 mg per day.

The dosage for children is reduced. Her calculation: 50-60 mg/kg of body weight. Children are treated for 3 days.

The drug is not prescribed to children under the age of 12 years, as well as in the presence of hypersensitivity to the components that make up the drug.

For the treatment of children aged 3-7 years, 1.5 tablets of Trichopolum are prescribed once a day. The course of treatment should be 5 days. To get rid of giardiasis in children 7-10 years old, 1 tablet is prescribed 2 times a day. The course of treatment is also 5 days. Children over 10 years old and adults are recommended to take 2 tablets of Trichopolum, 2 times a day. The course of treatment is from 5 to 7 days.

Trichopol is not prescribed for renal and hepatic insufficiency, epilepsy, pathologies of the central nervous system, during lactation and during pregnancy.

If the patient does not experience symptoms of giardiasis, but is a carrier of these protozoal microorganisms, then treatment with medications is contraindicated. Such patients are recommended to take herbal remedies and diuretics. In addition, the patient must adhere to a dietary diet.

When giardiasis has a chronic course, doctors recommend undergoing a two-stage treatment. At the first stage, the patient receives therapy with drugs aimed at the destruction of Giardia. At the second stage, the patient is shown the correction of immunity and the normalization of the intestines. For this, the patient is recommended to take probiotics and prebiotics, as well as immunomodulators.

As an immunostimulant, it is possible to use the drug Grippferon. It is used intranasally. For children under one year old, 1 drop is instilled into each nasal passage. The number of instillations can reach 5 times a day. The daily dose is 5000 IU.

For children 1-3 years old, 2 drops are injected into each nostril 4 times a day. Children aged 3 to 14 years are instilled 2 drops in each nostril up to 6 times a day. Adults are prescribed 3 drops in each nostril up to 6 times a day. The average duration of treatment is 5 days.

Grippferon should not be used in case of hypersensitivity of patients to the components of the drug. With caution, it is prescribed for the treatment of patients prone to allergic reactions.

As for the restoration of the intestinal microflora, for this purpose, patients with giardiasis are prescribed probiotics. They contain live bacteria that should normally be present in the human digestive tract. Popular probiotic preparations are: Linex, Lactobacterin, Bifidumbacterin, Acipol, etc.

Linex is taken according to the following scheme:

From 0 months to 2 years - 1 capsule 3 times a day.

From 2 to 12 years - 1 or 2 capsules 3 times a day.

Adults: 2 capsules 3 times a day.

Since children under 2 years of age cannot swallow a large capsule on their own, they need to open it and pour the powder into water or breast milk.

Bifidumbacterin is taken for a long time. Most often, the course of treatment is 2 weeks, but if necessary, it can be extended up to 3 months. Adults are prescribed five doses 3 times a day.

Prebiotics promote the growth of beneficial microflora in the intestines. The most popular prebiotics are: Lactusan, Insulin, Laktofiltrum, Prelax, Bon-sante, etc.

Lactusan in syrup is prescribed 1 tablespoon 2 times a day. A single dose is 10 ml. Children are prescribed 5 ml of syrup 2 times a day. The drug is taken with food, the course of treatment is 7-14 days.

If the drug is prescribed in tablet form, then adults are prescribed 4-5 tablets 2 times a day. Children over 5 years old are recommended to take 3 tablets 2 times a day. The effect of the treatment can be felt after 2 days.

Indications for the use of tablets for giardiasis

To a greater extent, giardiasis affects children of preschool and primary school age, who have a low level of hygiene skills. However, in adults, Giardia is found quite often.

Indications for the use of tablets for giardiasis are the following conditions:

The patient's stool becomes more frequent.

The stool becomes liquid, acquires a green tint.

There is mucus in the faeces.

The patient is tormented by nausea, which may be accompanied.

There are severe sharp pains around the navel.

The person begins to lose weight.

Skin rashes appear, resembling a rash with measles.

Tablets for the treatment of giardiasis are taken orally. The drug begins to be absorbed in the gastrointestinal tract immediately after entering the digestive organs. With the blood flow, the active substance is distributed throughout the body. The drugs pass to the fetus through the placenta, are found in breast milk. Therefore, if the main active substance is toxic, then such drugs are prohibited for pregnant and lactating women.

Excretion of drugs occurs with the help of the kidneys and intestines, so their traces can be found in the urine and feces.

Almost all drugs for the treatment of giardiasis are highly toxic. Therefore, most often they are not prescribed for the treatment of pregnant women and infants. In addition, many of the antiprotozoal drugs are prohibited from being used during lactation. Some of them have strict age restrictions.

So, Trichopol is not prescribed in the first trimester of pregnancy. In the future, the use of the drug is possible only after receiving medical advice. A drug such as Macmirror can be taken by a woman during gestation and during lactation. It is often prescribed for the treatment of giardiasis in children.

Contraindications to the use of tablets for giardiasis

Contraindications to the use of antiprotozoal drugs include the following:

The first trimester of pregnancy, and for some drugs, the entire period of gestation.

Breast-feeding.

Liver failure and liver disease.

Movement coordination disorders.

Organic lesions of the central nervous system.

The patient's tendency to allergies.

Side effects of tablets from lamblia

Since all drugs used to treat giardiasis are highly toxic, they must be taken with extreme caution. The severity of side effects largely depends on the individual characteristics of the patient's body, on the state of his immunity and on the functioning of all organ systems.

The following side effects may occur when using Giardia tablets:

Sleep deterioration.

Nausea and vomiting.

Chair instability.

Smell and vision disorders.

Skin itching, hyperemia of the skin.

Decrease in the level of leukocytes and platelets in the blood.

Redness and burning in the vaginal area.

Names of tablets from lamblia

There are many drugs for the treatment of giardiasis.

It is most convenient to classify them into groups:

Nitroimidazoles. Most often, drugs of this particular group are prescribed for the treatment of Giardia.

This may include:

• Ornidazole (Tiberal). The drug is prescribed in the case when the leading symptoms of giardiasis are allergic manifestations, in particular, atopic dermatitis.

  Metronidazole (Trichopolum). This drug is widely used to treat giardiasis and other intestinal bacteria, for example, to eradicate Helicobacter pylori.

  Tinidazole and Albendazole (Nemozol). These drugs are prescribed for giardiasis in combination with other helminthic invasions.

Nitrofuran derivatives. Preparations of this group are prescribed for giardiasis, as well as for infections of the genitourinary system. Nitrofuran derivatives have antibacterial, antiprotozoal and antifungal activity.

These include:

1. Nifuratel.

   Preparations with acridine. All drugs from this group are very toxic, so they are forbidden to be taken by children and adolescents.

   These drugs include:

   • Mepacrin.

     Quinarkin.

Macmirror with giardiasis

Macmirror belongs to the group of nitrofuran derivatives, therefore, it has not only antiprotozoal, but also antibacterial and antifungal effects. This drug has a fairly wide spectrum of action. With its help, they fight against Helecobacter Pylori, with gram-negative and gram-positive bacteria, with Papiliobacter. The drug does not accumulate in the human body, but is completely excreted by the kidneys with urine.

The dosage for giardiasis for children is based on 15 mg / kg of body weight, 2 times a day. For adults, a single dose is 400 mg, 2-3 times a day. The course of treatment should last a week.

Metronidazole for giardiasis

With giardiasis, Metronidazole is prescribed during or after a meal, without chewing and drinking water.

Doses for different age categories:

0.125 g - children under one year old;

0.25 g (maximum daily dose) - children 2-4 years old;

0.375 g - children 5-8 years old;

1 g per day (divide the dose by 2 times) - for children over 8 years old and adults.

The course of treatment lasts 5-7 days.

Contraindications and restrictions for admission:

Leukopenia.

The defeat of the central nervous system of an organic nature.

First 12 weeks of pregnancy. In the future, the drug is prescribed with caution.

Violation of the kidneys and liver.

Possible side effects:

Loss of appetite.

Nausea and vomiting.

Unstable chair.

Abdominal pain.

Irritability.

Metallic taste in the mouth.

Giardia pills tiberal

Treatment with Tiberal lasts no more than two days, tablets should not be chewed before swallowing, they should be washed down with plenty of water. Take Tiberal after meals.

The dose is calculated depending on the age of the patient:

Children less than 35 kg - 40 mg / kg of body weight once.

Children over 35 and adults - 3 tablets at a time.

Contraindications to the appointment of the drug are:

Pregnancy and lactation.

Weight less than 12 kg.

Individual intolerance to the components of the drug.

Severe disorders in the functioning of the central nervous system.

Possible side effects:

Headaches, incoordination, dizziness.

Muscle spasms.

Tremor of the limbs, pain in the legs.

Brief loss of consciousness.

Distortion of taste.

Skin rashes.

If increased concentration of attention is necessary (for example, when driving a car), then the drug should be discontinued.

Furazolidone for giardiasis

The action of Furazolidone is aimed at increasing the immunity of a sick person. Taking the drug helps to stop the production of toxins by lamblia, which leads to the purification of the patient's body.

Children are prescribed 10 mg / kg body weight, adults 0.1 g of the drug 4 times a day. As for the duration of the course of treatment, it is determined on an individual basis.

Furazolidone should not be prescribed to the following groups of patients:

Patients with renal insufficiency.

Pregnant and lactating women.

Children under 3 years old.

Violations of the production of glucose-6-dehydrogenase.

The following side effects are not excluded:

Neuritis, headaches.

Lack of appetite.

Weight loss.

Nausea and vomiting.

Allergic reactions.

Ornidazole from Giardia

The effect of Ornidazole is achieved by destroying the DNA structure of Giardia. The drug should be prescribed only by a doctor, based on the individual characteristics of the patient (his age, body weight, intensity of infection, etc.). Ornidazole is taken after meals, the tablet is not chewed, swallowed whole.

Children weighing 25-35 kg are prescribed 40 mg / kg of body weight, adults and adolescents weighing more than 35 kg are prescribed 1.5 g of the drug. Take Ornidazole once a day. Treatment should not last more than 2 days.

Do not prescribe the drug to the following groups of people:

Patients with diseases of the central nervous system.

People with individual intolerance to the components of the drug.

Patients with liver failure.

Elderly people and children.

Hematological patients.

Patients with alcoholism.

You should refuse to take Ornidazole if you plan to drive vehicles or control other mechanisms that require increased concentration.

After taking the drug, the following side effects may occur:

From the nervous system: impaired coordination, peripheral neuropathy, impaired consciousness.

Seizures.

Stomach ache.

The appearance of a metallic taste in the mouth, dry mouth.

Allergic reactions.

Tinidazole for the treatment of giardiasis

Adults are prescribed 2 g of the drug (4 tablets), children calculate the dose individually (50-70 mg / kg of body weight).

Severe damage to the central nervous system.

Individual intolerance to the components of the drug.

Lactation period, pregnancy (1 trimester).

Possible side effects:

Weight loss, up to the development of anorexia.

Taste of metal in the mouth, dryness of the oral mucosa.

Diarrhea, vomiting, nausea.

Dizziness, headaches, locomotor ataxia, peripheral neuropathy, dysarthria. There may be cramps and weakness in the limbs.

Allergic manifestations, including: skin rashes, angioedema.

Transient leukopenia.

Trichopolum for the treatment of giardiasis

The dose is selected individually, depending on the age of the patient:

Children 3-7 years old are prescribed 0.25-0.375 g of the drug once a day. The course of treatment is 5 days. If necessary, it is possible to increase the dose of the drug to 0.5-0.75 g. However, in this case, the course of treatment is reduced to 3 days.

Children 7-10 years old are prescribed 0.25 g of the drug twice a day. The course of treatment is also 5 days. If more intensive therapy for giardiasis is expected, which fits within a three-day period, then the patient is prescribed 1 g of the drug once a day.

Children over 10 years old and adult patients are prescribed 0.5 g of the drug 2 times a day. The course of treatment depends on the severity of the infection and ranges from 5 days to a week. If therapy is reduced to 3 days, then the patient is prescribed 2 g of the drug once a day. This dose is equivalent to eight tablets that you need to drink at a time.

Contraindications to the use of the drug:

Decrease in the number of leukocytes in the blood.

Tremor of the limbs.

Pregnancy (first 12 weeks).

Individual intolerance to Metronidazole.

Organic lesions of the central nervous system.

Breast-feeding.

Violation of the function of hematopoiesis.

When taking Trichopolum, the following side effects may occur:

Abdominal pain.

Taste disorders.

Nausea and vomiting.

Loss of appetite.

• Violation of the liver.

  Drowsiness, irritability, fatigue, headaches.

  Stomatitis.

  Allergic reactions: dermatitis, skin rash.

  Baldness.

  Increase in body temperature.

  Renal and liver failure.

  Headaches, hallucinations, dizziness, worsening sleep.

Zentel from lamblia

Zentel is a drug from the group of benzimidazole carbamate derivatives. The drug has an antiprotozoal effect due to the fact that it disrupts the metabolism in the cells of the simplest microorganisms, leading to their death.

Zentel is prescribed during meals. The dosage for adults and for children over 3 years old is 0.4 g once a day. The full course of treatment lasts 5 days. For children younger than 3 years, the drug is prescribed in the form of a suspension. The daily dose is 10 ml.

It is forbidden to take Zentel under the following conditions:

Pregnancy.

Planning for pregnancy.

Hypersensitivity to albendazole.

Under the age of one year.

During lactation.

If the drug is prescribed in high dosages or for a long time, then the following side effects may develop:

Allergic reactions (skin itch, rash).

Dizziness, headaches.

Abdominal pain, nausea and vomiting.

Decrease in the level of leukocytes in the blood.

Increased liver function tests, hepatitis.

Albendazole for Giardia

Albendazole is one of the most effective drugs for the treatment of giardiasis. Its effectiveness is 40 times higher than Metronidazole and Tinidazole. This has been proven by numerous clinical studies.

The dosage for children under 12 years of age is 15 mg/kg body weight. Adults and children over 12 years of age are prescribed 0.4 g of Albendazole per day. The frequency of taking the drug is determined by the doctor, the same applies to the duration of the course of treatment.

Albendazole has a small number of contraindications, including:

lactation, pregnancy.

Hypersensitivity to the drug.

Side effects are rare, among them are:

Headache.

Abdominal pain, vomiting, diarrhea, nausea.

Increase in body temperature.

A drop in the level of leukocytes in the blood.

Skin itching, skin rash.

Increased levels of liver enzymes.

Vermox from Giardia

The dosage of the drug for children 2-12 years old is 1 tablet per day. The course of treatment lasts 5 days. Children over 12 years of age and adults with giardiasis are prescribed 1 tablet every 4-6 hours for 5 days.

Do not prescribe the drug to children under 2 years of age, pregnant and lactating women, as well as people with hypersensitivity to mebendazole.

After taking the drug, the following side effects may develop:

Dyspeptic disorders, including: abdominal pain, digestive disorders.

Decaris from lamblia

The doctor calculates the dose individually. With giardiasis, a single dose of the drug is most often prescribed. Children 3-6 years old are prescribed 25-50 mg of the drug (1/2 or a whole tablet). At the age of 6-10 years, 50-75 mg of the drug (1 or 1.5 tablets). Children over 10 years old and adults from 75 to 100 mg of the drug (1.5-2 tablets).

It is forbidden to prescribe the drug under the following conditions:

Drug agranulocytosis.

Pregnancy, lactation.

Children under 3 years old.

Violation of the function of hematopoiesis.

Under special control should be patients with impaired liver and kidney function.

Decaris can provoke the following side effects:

Increased heart rate.

Allergic reactions.

Seizures.

Pirantel from lamblia

The dosage of the drug for giardiasis is as follows:

Up to 6 years - 1 scoop / 10 kg of child's weight. Shown as a single dose.

After 6 years - 1 scoop / 10 kg of child's weight or 1 tablet / 10 kg of weight. Shown as a single dose.

Adults less than 75 kg 3 tablets of 250 mg or 6 tablets of 125 mg.

Adults over 75 kg 4 tablets of 250 mg or 8 tablets of 125 mg.

In some cases, the course of treatment can last up to 5 days. If necessary, it can be repeated, but the interval must be at least 21 days.

Do not prescribe the drug under the following conditions:

Liver disorders.

Hypersensitivity to the components of the drug.

Pregnancy, lactation.

Age less than 6 months.

It is possible that after taking the drug, the following side effects will occur:

Diarrhea, nausea, vomiting, abdominal pain.

Increase in body temperature.

Disorders of consciousness, drowsiness, insomnia.

Hearing and vision impairment.

Intetrix from lamblia

Intetrix has few contraindications, including: individual intolerance to the components of the drug, lactation and pregnancy.

If the drug is taken for a long time and in high doses, the following side effects may occur:

Allergic reactions, including Quincke's edema.

peripheral neuropathy.

Visual impairment.

Increased hepatic transaminases.

Since in childhood all organ systems do not function at full strength, the symptoms of giardiasis are pronounced.

Possible manifestations include:

Loss of appetite.

Paleness of the skin.

Apathy, lethargy, drowsiness.

Dryness of the skin.

Frequent complaints of headaches and dizziness.

Enlargement of the liver in size.

If a child complains of such symptoms, then parents should seek the advice of a specialist. After the diagnosis, the doctor will prescribe medication for giardiasis, if necessary.

Most often, nitrofurans, imidazoles or tinidazoles are used to treat children. It is strictly forbidden to independently select medicines for the treatment of giardiasis in children, since serious harm can be done to the health of the child.

Tiberal is taken once, before a night's rest. The maximum duration of treatment is 2 days. With a child weighing less than 35 kg, the dose is 25 mg / kg of body weight. For adults, a single dose is 1.5 mg or 3 tablets. Although in some cases, the doctor may increase or decrease the dosage.

If a child has been prescribed a drug such as Tinidazole, then the dosage is calculated at 50-75 mg / kg of body weight. It is necessary to take the drug for 3 days, 1 time per day.

It is important for the treatment of children to use not only antiprotozoal drugs, but also enterosorbents, which allow you to quickly and efficiently cleanse the child's body of toxins. It is possible to prescribe such drugs as: Smecta, Activated carbon, Laktofiltrum.

Method of application, dosage. The method of using drugs for giardiasis depends on the individual characteristics of the patient. The appointment schedule is compiled only by the attending doctor.

Most often, the following dosage of drugs is prescribed for giardiasis:

Children 3-7 years old - 1.5 tablets 1 time per day. The course of treatment is 5 days.

Children 7-10 years old - 1 tablet 2 times a day. The course of treatment is 5 days.

Teenagers and adults - 2 tablets 2 times a day. The course of treatment is 5-7 days.

Interactions of drugs with other drugs

If, in addition to drugs for the treatment of giardiasis, it is necessary to take other drugs, then special care should be taken. It is possible to increase the side effects of various drugs, in case of their incorrect combination. In addition, the absence of a therapeutic effect is not ruled out.

If the patient simultaneously takes antihistamines and drugs that change the acidity of urine, the following side effects may develop:

An increase in the acidity of the environment will enhance the antihistamine effect, but the drugs will be poorly excreted from the body.

A shift in pH towards an alkaline environment will reduce the effect of antihistamines and it will be removed from the body very quickly.

If antiprotozoal drugs are taken together with Chloramphenicol or Ristomycin, then hematopoietic function will be inhibited.

Giardia drugs should not be combined with alcohol, as a disulfiram-like reaction may develop.

Do not take antiprotozoal drugs with antidepressants and monoamine oxidase inhibitors, as this will lead to an increase in blood pressure. This will also be facilitated by the joint intake of drugs from Giardia and Phenylephrine, Amphetamine, Tyramine, Ethionamide.

Are there good pills for Giardia?

It would be wrong to call some pills for the treatment of giardiasis good and others bad. After all, the selection of a drug is always carried out individually and depends on many factors. One drug can help five patients, but will not have an effect on the treatment of the sixth patient.

In medicine, cases are described when patients tried to get rid of giardiasis for several years, however, not a single drug gave the desired effect. Therefore, it is important not only to save the patient from infection, but also to prevent re-infection.

Manufacturers of drugs for giardiasis clearly indicate in the instructions for their drugs that they are toxic. They are especially dangerous for the liver. Therefore, when treating a protozoal infection, you should always follow qualified medical advice, and not engage in amateur activities.

Education: in 2008 he received a diploma in the specialty "General Medicine (Therapeutic and Preventive Care)" at the Russian Research Medical University named after N. I. Pirogov. Immediately passed the internship and received a diploma in therapy.

Giardiasis is an infectious disease caused by Giardia, manifested by allergic, toxic and dyspeptic symptoms.

Clinical manifestations of giardiasis are detected annually in 500 thousand people in the world. In developing countries, giardiasis is one of the leading causes of acute or persistent diarrhoea.

Giardia infected about 10% of the adult population of the world and more than 20% of children.

Epidemiology of giardiasis

Cysts (special forms of Giardia life activity) enter the human body with water and food products that are not subjected to heat treatment before consumption. The spread of cysts is facilitated by cockroaches, flies. Also, the infection can be transmitted by household contact (through dirty hands, household items).

Giardia spread most intensively in countries with a hot climate.

Clinical manifestations of giardiasis are much less common than infection with giardia. The likelihood of getting giardiasis when these microorganisms enter the body depends on the age of the person, the number of giardia ingested, the presence of other intestinal infections or other diseases accompanied by impaired digestion, nutritional status and the human immune system.

Giardiasis classification

Giardiasis is distinguished without clinical manifestations (latent) and with clinical manifestations (manifest).

Manifest giardiasis can be manifested by enterocolitis, biliary dyskinesia, allergic dermatitis and many other pathologies.

Clinic and symptoms of giardiasis

In most cases, the disease develops gradually. The duration of the incubation period for giardiasis is uncertain: in some people, giardia in the gastrointestinal tract in laboratory studies is determined for many months and even years, and there are no clinical symptoms of the disease.

Complications of giardiasis:

• syndrome of malabsorption of nutrients in the intestine (malabsorption) - it is accompanied by a deficiency of protein, vitamins, edema due to protein deficiency in the body;
• the addition of secondary microflora can lead to the development of inflammation of the gallbladder and biliary tract;
• dysbacteriosis;
• Allergies (acquired polysensitization) to various foods and medicines may occur.

Diagnosis of giardiasis

• In most cases, with giardiasis, there are no changes in the general blood test.
• In the study of feces (scatological examination), undigested fiber, starch, altered and unchanged muscle fibers, neutral fats, and protozoa can be determined.
• Due to malabsorption in the intestines, a biochemical blood test with giardiasis may reveal a deficiency of protein and vitamins, but functional liver tests, even with a severe course of the disease, remain within the normal range.
• In the contents of the duodenum with giardiasis, an increase in the level of enzymes responsible for the digestion of fats and starch (lipase and diastase) and a decrease in trypsin (an enzyme that breaks down proteins) can be determined.
• Specific diagnosis of giardiasis is the detection of giardia in the stool and the contents of the duodenum 12. To detect Giardia under a microscope in a decorated chair, it is necessary to study the feces no later than 20-30 minutes after receiving the material from the patient. Giardia also determines by microscopy in the contents of the duodenum 12.
• Isolation of Giardia culture on nutrient media is a very laborious process that is practically not used.
• Another specific diagnostic technique is serological methods. At the same time, antibodies of various classes against Giardia (Ig M and Ig G) are determined in the blood using indirect immunofluorescence (RNIF) or X-ray fluorescence analysis (XRF). Antibodies of the Ig M class quickly disappear from the blood after the release of the body from Giardia (in a few weeks), Ig G class antibodies can persist for another 12-15 months.
• There are also methods for determining Giardia antigens in feces - X-ray fluorescence analysis (XRF) and counter immunoelectrophoresis (VIEF). These methods have high sensitivity and specificity.

Treatment of giardiasis

The main components of effective treatment of giardiasis:

• diet food;
• the use of drugs that destroy Giardia;
• the use of drugs that help restore existing disorders (treatment of dysbacteriosis, normalization of digestion, stimulation of immunity).

1. Dietary nutrition is selected depending on the characteristics of the dysfunction of the stomach, intestines, gallbladder and bile ducts. With all pathologies, it is imperative to limit the consumption of carbohydrates and spicy foods.
2. The following drugs are capable of destroying Giardia in the gastrointestinal tract: metronidazole, tinidazole, delagil, aminoquinoline. Initially, only one drug is used, if there is no effect, then a combination of two drugs is resorted to.
3. In the presence of inflammatory diseases of the biliary tract, antibiotics (macrolides, tetracyclines) or furazolidone are additionally prescribed.

It must be remembered that giardiasis contributes to the development of allergic processes in the body, and the massive death of giardia during treatment can further aggravate the course of allergic reactions. Therefore, simultaneously with the appointment of drugs that contribute to the destruction of Giardia, it is necessary to prescribe antihistamine (antiallergic) drugs - diazolin, suprastin.

After the end of the course of treatment, in order for the gastrointestinal tract to clear itself of dead Giardia and their decay products faster, choleretic herbs, xylitol, and sorbitol are prescribed. In case of violation of the digestive processes, enzyme preparations (panzinorm, festal), vitamins of group B, C are used.

The criterion of cure is the threefold absence of lamblia in the test material in the study of feces and bile.

Prevention of giardiasis

Another way to prevent the development of giardiasis is the strict observance of sanitary and hygienic rules in everyday life, in preschool institutions, food enterprises, the treatment of all patients and carriers, as well as the examination of their family members.

Stage 1 therapy takes from 2 to 4 weeks. An important rule during this period is adherence to the prescribed diet. Proper nutrition is the key to a successful recovery.

It is forbidden to eat food containing simple carbohydrates. These include:

• dairy products;
• confectionery;
• cereals;
• bread and pastries.

Rational nutrition during treatment consists of fresh fruits, vegetables, rice and buckwheat porridge cooked in water. Sauerkraut, cranberry or lingonberry fruit drinks effectively help in such situations.

Treatment of giardiasis in adults at stage 1 of the treatment regimen is as follows:

1. Preparations containing a choleretic effect. During the reduction of biliary stagnation in the infected body, inflammation decreases faster.
2. Medications that relax the bile ducts- cholespasmolytics (Duspatali, No - shpa).
3. Medicines that enhance the work of the gallbladder - cholekinetics. Effectively reduce the tone of the biliary tract (egg yolk, solution solutions of magnesium sulfate 5-% or 10%).
4. Enterosobents (Smecta, Bilignin, Polysorb).
5. According to the results of the coprogram, it is possible to appoint Festal, Mezim-forte, Baktisubtil.
6. The use of tubage, following the scheme of G.S. Demyanov. Helps to clear the paths for the withdrawal of the intestinal cavity.

Second

At stage 2 of therapy, drugs are prescribed that adversely affect Giardia. In addition to the use of drugs from the 1st stage, a person begins to use Fazizhina, Ornidazole, Metronidazole, Albendazole.

The duration of therapy depends on the degree of the disease and the use of prescribed drugs. This takes several weeks or more. In critical situations, a break of no more than 2 weeks will be required, after which a new course of treatment will begin.

The third

Stage 3 is to strengthen the immune system. To increase the body's defenses, a course of taking drugs with a plant base is prescribed. An important role in the final stage is a balanced diet.

Albendazole - a substance that is part of Nemozol, effectively fights Giardia at any stage of their life cycle.

The medicine is taken with food. For children, Nemozol is created in the form of a suspension. It should be used once a day for a week. For 1 kg of weight 10 mg. medicines. Adults use 1 tablet for 5 days.

Preparations for the treatment of giardiasis

No remedy gives a 100% guarantee in the fight against lyamliosis. For this reason, the patient undergoes several courses of taking medications, creating a break of at least 7 days:

• Ornidazole has no age limit;
• Tinidazole is allowed for adolescents from 12 years of age;
• Nifuratel (macmiror), due to its composition, is allowed to be given to babies older than 2 months;
• Albendazole is sometimes prescribed for babies from 2 years old. Safer for children over 6 years of age.

The use of Enterol is allowed in conjunction with Albendazole. It is not forbidden at 3 stages of therapy.

To reduce the risk of an allergic reaction, the patient may be prescribed Zirtek (for babies over 6 months old), Telfast (over 12 years old).

Worth knowing! Many doctors advise Wobenzym. The drug has analgesic, anti-inflammatory, anti-edema effects. For adults, the dose is not more than 5 tablets 3 times a day. Consume 40 minutes before meals. The dose for a child is 1 tablet per 5 kg of the baby's weight.

Once in the human body, lamblia actively begin to consume all the vitamins that are inside. The patient is prescribed complex preparations containing a large amount of essential vitamins:

1. Stimbifid. Allowed for babies from 6 months, 2 tablets 3 times a day. The treatment time is 1 month.
2. Bion 3. Assigned to adolescents not younger than 14 years old. 1 tablet per day. Apply with food. Drink for a month.
3. Enterol. Children from one to 3 years old are prescribed to apply for 5 days, adults - 10.

To normalize the functioning of the immune system, immunomodulators are recommended. Babies older than 6 months are prescribed Polyoxidonium intramuscularly, or with the help of rectal suppositories. Likopid adolescents under 16 years old are prescribed 1 mg each, older patients - 10 mg each.

Treatment of chronic giardiasis in adults

If treatment is not started on time, the disease becomes chronic. The patient begins bloating, loose stools, sharp pains in the epigastric region.

Symptoms of chronic giardiasis include:

Attention! Adults and children must follow the rules and methods of taking drugs - the key to a successful, quick recovery.

It is used only as directed by the attending physician. It is undesirable to create such a course on your own. For each person, the disease proceeds differently, each individually calculates the dose of drugs and the duration of administration.

Balancing diet for lambriosis

According to the reviews of patients who have undergone the treatment of giardiasis in adults, an effective remedy can be distinguished - Monastic tea. Many people noted his highest ability - help with this problem without the use of chemicals.

In conclusion, we suggest watching a short video on the topic:

Conclusion

At the end of therapy, some patients experience immunodeficiency. In this regard, a cold appears, leading to severe complications. To avoid such situations, doctors strongly recommend taking Gelmostop. Contains phytopreparations, about 60 important elements and minerals. The drug is used for 5 days.