Modern problems of science and education. Recovery after biltricide Is it worth doing tubing before treatment with biltricide

For this purpose, special preparations are used, for example, those included in the “Gelmostop” course, as well as some food products. That is why, at the first stage of treatment, the menu should include easily digestible foods that, on the one hand, do not require the body to expend extra energy to digest food, and on the other hand, allow the gallbladder to activate, thereby forcing the body to use its own resources.

At the second stage, medications are used, the action of which is aimed at eliminating the helminths themselves.

To one of the most effective drugs, which allows you to get rid of the liver fluke and other trematode helminths, is “Biltricide”. Some people also use Biltricid folk remedies, stimulating the functioning of the gallbladder (if the main sources of damage are the cardiovascular system or respiratory tract). Menu in in this case It should also include easily digestible foods that do not require titanic efforts from an already weakened body to digest food.

At the third stage, during which the body goes through a recovery period, additional vitamins and nutrients are necessary. This is due to several reasons.

Firstly, during the disease, helminths create extremely unfavourable conditions, secreting special enzymes. The latter interfere with the normal digestion of foods, causing them to rot and ferment. At the same time, the human body suffers from high intoxication, since, on the one hand, products in the digestive tract rot and ferment, on the other hand, the helminths themselves multiply and grow, which is accompanied by their elimination own product exchange (they do not disappear anywhere, but remain there, in the human digestive tract). And, on the third hand, trematode helminths actively consume nutrients, necessary for a person for normal life. It turns out that the patient’s body suffers from both high intoxication and lack of nutrients.

As trematode helminths develop and multiply in the human digestive system, the latter experiences discomfort due to the gradual accumulation of metabolic products secreted by the helminths, as well as from a lack of nutrients, most of which are consumed by flukes. Compliance with diet is one of the main aspects of successful treatment and recovery after treatment of opisthorchiasis, especially if the treatment was carried out with Biltricide.

What is?

The diet for opisthorchiasis involves the consumption of a small amount of food, the total calorie content of which per day should not exceed 1000 kilocalories. Of these, the main focus should be on carbohydrates (approximately 350 grams per day), small amounts of vegetable fats (up to 90 grams per day) and proteins. The main attention should be paid to the consumption of carbohydrates, since the body spends much less energy on their absorption than on the digestion of protein foods.

The main emphasis after treatment of helminthiasis-opisthorchiasis should be on eating easily digestible foods rich in carbohydrates and fiber. On the one hand, it will saturate the body with all micro- and macroelements, and on the other, it will require little energy consumption for digestion.

So, after treatment of opisthorchiasis, the main components of the menu should be fruits and vegetables. Among the drinks, preference should be given to:

• homemade compotes from seasonal fruits and berries. They can also be used during the main course of treatment);
• jelly. They perfectly “envelop” the walls of the stomach and intestines, and this is important, since after the activity of helminths, many cracks and tears form in the mucosa;
• juices Regarding packaged juices, you need to be careful because they contain a lot of sugar. With fresh juices - even more so, since a high acid content is contraindicated if there is a suspicion of an ulcer or gastritis. So before drinking, juices should be diluted with water;
• You can drink tea and coffee no more than once a day (you can drink tea twice, only weak). You should not drink natural coffee; it is better to add milk or low-fat cream to it.

Dairy products, by by and large, all are shown, but do not overuse the fat percentage. After treatment for opisthorchiasis, the body needs strength, and digesting fats takes too much time and effort.

Main dishes. Among the main courses, preference should be given to soups, preferably broths with a low fat content. Also perfect are pureed soups, which are quite easily digestible and have an “enveloping” effect, which is so necessary for the body to facilitate digestion.

Among protein foods, the main attention should be paid to lean meat. Perfect option – chicken fillet and fish. Naturally, they should be consumed steamed, stewed or baked, but in no case fried.

A good means of restoring work digestive system after treatment of helminthiasis, eat porridge. It is advisable to cook them in water or add milk and water in equal proportions, and with a small amount Sahara.

During the first week after completion of the main course of treatment, you should avoid adding dried fruits to porridge, as the stomach and intestines need time to restore normal motility.

Summary. The main requirements for the menu after treatment of helminthiasis are the absence of animal fats and “chemicals”. All products should be natural, easily digestible and high in nutrients.

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At this stage Special attention given choleretic therapy. The main goal is to normalize the functioning of organs whose functions have been disrupted by helminthic infestation. After persecution of opisthorchids, probeless duodenal intubation procedures are performed. Thanks to them, the gallbladder contracts more actively and infected bile is removed from the liver and bile ducts.

The procedure is performed as follows: the patient in the morning on an empty stomach, after bowel movement, slowly drinks warmed mineral water over 20 minutes, which is prescribed by the doctor, and then lies down on his right side and places a heating pad on the liver area for about an hour. Tubages for opisthorchiasis are first prescribed daily for 7 days, and then this procedure can be performed 2 times a week for 3 months.

During these procedures, bowel movements should be daily; it is very important to control this; if any problems arise, the doctor may prescribe laxatives. Tubage after treatment of opisthorchiasis is an important stage of treatment, but this procedure should be prescribed by a doctor, because the patient may have contraindications.

In addition, during the rehabilitation period it is very important to take various choleretic herbs, as well as hepatoprotectors; if necessary, antispasmodics and other drugs are prescribed that improve the functions of organs affected during helminthic invasion.

Is it possible to finally get rid of opisthorchiasis after treatment?

Some patients complain that after treatment for opisthorchiasis the right side hurts; this happens because this disease negatively affects the liver and other organs. In some cases, the functions of these organs are not fully restored. That is why all patients who have had this disease should be examined for six months, in this way possible complications can be prevented.

Opisthorchiasis is a disease caused by flatworms. This disease causes various liver lesions.

Typically, treatment of enterobiasis does not cause difficulties. Modern pharmacological drugs effectively destroy pinworms.

A very unpleasant topic medical field, which every person would like to avoid -.

PANCREATITIS

TYPES OF PANCREATITIS

WHO HAPPENS?

TREATMENT

NUTRITION BASICS

CONSULT YOUR DOCTOR!

Opisthorchiasis treatment - drugs and course of treatment according to the scheme

1 Features of opisthorchiasis and its treatment

The cat or Siberian fluke is localized in the bile ducts. It affects the liver and can live in it for up to 20 years. The only way to get to the fluke and poison it is through blood. At the same time, the person himself suffers. Some of the intoxication is caused by drugs for opisthorchiasis - a kind of chemotherapy. Then the dying helminths decompose in the ducts and poison the blood and liver.

2 Treatment regimen for opistarchosis

Experts have developed a treatment for opisthorchiasis with Biltricide; the scheme includes 3 stages.

With opisthorchiasis, if left untreated, there is a high percentage of deaths. Malignant tumors and cirrhosis of the liver often form in organs damaged by helminths.

3 Preparatory stage

During preparatory stage The liver and gall bladder, which are destroyed by flukes, are restored to the maximum extent possible. It is necessary to prepare a path for removing toxins and minimizing intoxication. The preparatory stage is carried out taking into account all pathologies of the body and includes courses:

• low-fat diet;
• antiallergic course of medications and dietary supplements;
• 5-day course of broad-spectrum antibiotics;
• detoxification of the body with intravenous infusions of glucose and hemodesis;
• choleretic drugs for cleaning the ducts.

To strengthen the immune system and the whole body, vitamin and mineral complexes are prescribed.

When the amount of bile entering the stomach is reduced - cholestasis, drugs containing ursodeoxycholic acid are prescribed:

At severe pain the patient is given antispasmodics: No-shpu, Meteospasmil, Baralgin or Drotaverine.

The duration of stage 1, 10–20 days, depends on the severity of the disease, the presence of other pathologies and drug tolerance.

4 Biltricid - tablets for opisthorchiasis

There are several chemical substances, destructively affecting the fluke. They are used as a replacement if the medicine for opisthorchiasis, Biltricid, cannot be used due to intolerance to the substances it contains.

The main active substance of Biltricide, praziquantel, kills flatworms regardless of their location. Depending on the severity of the invasion, the course dose is calculated in the range of 40 – 75 mg per kg of weight. It is divided into 6 doses per day with the calculation of taking 1 or 2 days (6 and 12 servings, respectively). Biltricide is taken 6 times every 4 hours. Experts recommend that adults take pills at night, starting at 10 p.m.

5 Stage of chemotherapy

For convenient selection of the prescribed dosage, there are risks on the surface of the tablets. The drug cannot be crushed or chewed; it must enter the stomach in the shell and the main component must dissolve in the intestines.

The anthelmintic drug is a potent one and has a large number of side effects:

• nausea;
• rash;
• dizziness;
• bitterness in the mouth;
• state of dejection, depression;
• intoxication;
• pain in the right hypochondrium;
• temperature increase;
• vomit;
• insomnia;
• weakness;
• lack of coordination;
• cramps in the intestines;
• temperature increase.

If there is vomiting, you must remember the time of taking the pills and the urge to vomit, report them to the doctor to adjust the amount of Biltricidol taken.

Intoxication of the body, its increase, is associated with the production of additional antigens, which the immune system directs to fight foreign proteins and bacteria. Additionally, sorbents are prescribed to remove waste products created by antibodies - products of decomposition of flukes. Anti-allergenic drugs relieve itching and reduce irritation from exposure to antigens.

After taking the last portion of Biltricide, approximately 4 hours later, probing is prescribed:

• blind using mineral water;
• duodenal

The purpose of sounding is to remove the remnants of the bodies of flukes from the bile ducts, their evacuation from the body. At this time, adverse reactions to anthelmintic chemotherapy may increase.

6 Recovery after Biltricide – stage 3

Dubazhi are made according to the scheme. Every day for the first week. Then once every 7 days for a long time, up to 90 days. Treatment is carried out on an outpatient basis, the patient comes to the hospital for examination and procedures.

The rehabilitation course also includes drug therapy. The patient is prescribed:

• hepatoprotectors;
• choleretic agents;
• anticholestatic substances;
• pathogenetic drugs.

Additionally, folk remedies can be used to enhance the effect of a medicinal course of recovery. Herbal decoctions:

There are many choleretic plants, and the doctor will recommend the most suitable ones in a particular case. Choleretic herbs are brewed separately and mixtures are prepared from them. To prevent addiction, the composition of the decoctions must be changed every 3–4 weeks. Folk remedies are also used after completion of drug therapy and a course of sounding. Usually the herbs are drunk for 4 – 6 months.

3 months after the course of treatment with Biltricide - 2 stages, a 3-fold copro-ovoscopy is done, a stool test is taken to determine the number of eggs and worms.

In case of re-infection, treatment of opisthorchiasis according to the scheme is possible only six months after the completion of the recovery stage.

Recovery after biltricide

I am 22 years old, weight 53 kg, height 165 cm.

I was treated with biltricide 4 days ago (6 tablets).

When I was discharged, I was told to undergo tubing and take a choleretic drug 2 weeks a month for 3 months. They said you can drink herbs or tablets Allohol, Alfit, Odeston. And then they also recommended the dietary supplement "Ecorsol", which contains aspen bark and solyanka, which have a sort of "anti-opisthorchiasis effect". I was told that these substances are capable of fighting opisthorchiasis to some extent. Well, if suddenly they remained after the biltricide, which could be, since during probing they found opisthorchiasis in three bile samples, and they said that this was a lot.

Is it worth buying Ecorsol? If I buy regular aspen bark, will it have the same effect? And does aspen bark really have such an effect?

Probing took place BEFORE treatment, 2 months ago. At the clinic, the infectious disease doctor said that three bile samples contained eggs, and this was too much, so she said that treatment with biltricide may not be 100% successful.

During this week in the hospital I had a general urine test, stool test, general blood test, and biochemical blood test. I didn’t see the results in person, but the doctor told me that the results were good, without any complaints, there was nothing even to discuss :). On the last day before discharge I had a stool test, everything was fine.

I haven’t heard anything about the level of liver enzymes. What analysis checks this?

By the way, I was lying in the ward of the city infectious diseases hospital of Novosibirsk, about 55 steps from Tolokonskaya’s office 😉 But this is so, by the way :)

Thank you, Elena Evgenievna, for the clarifications and recommendations!

Almost a year ago I was treated with biltricide. But. like a real Russian person, I didn’t find the time to bring everything to the end *I throw up my hands with a guilty look* :)

As a result, not a single control probe after treatment, not a single visit to a therapist/infectious disease specialist. By the way, now there is no infectious disease specialist in our clinic at all :)

A month ago, a rare rash appeared again, red lumps, itching. There's nothing else to worry about.

There is no doubt that it needs to be checked again by probing.

My question is this: control probes after treatment of opisthorchiasis are needed to torment the person, but to reassure the doctor that the treatment helped; Or does this still have a healing effect?

Treatment

Opisthorchiasis does not go away on its own; it needs to be treated. Ignoring the disease can result in serious damage to the liver and digestive organs. It can affect both adults and children, as well as animals that eat fish.

Complex treatment involves taking a number of medications, aimed not only at destroying helminths, but also at supporting the infected body. In addition to deworming drugs, the doctor prescribes choleretic, enzymatic and intestinal motility agents. It is often necessary to take antihistamines. The treatment regimen and dose depend on the patient’s condition and the degree of helminth damage to his body.

Diet

In addition to taking medications, therapy includes diet, which plays an important role in treatment - it increases its effectiveness and shortens recovery time. The main guidelines of the diet are frequent meals in small portions, exclusion of fatty, fried and spicy dishes and alcohol. Drinking plenty of fluids is recommended, which helps remove toxins from the body. The diet is entering the preparatory stage.

Preparatory phase

• The diet that has already been mentioned above.
• Taking antihistamines. They are necessary to combat allergies, since contamination often causes an allergic reaction in the body.
• Cleansing the intestines of toxins using sorbents.
• Taking enzyme and choleretic agents to improve food digestion. The drugs are taken according to a specific schedule depending on the type of VA.
• Painkillers (antispasmodics). They relieve pain, which is a frequent accompaniment of the disease.
• Broad-spectrum antibiotics to combat inflammation in organs affected by helminths.

Treatment regimen

The therapy method involves stages, and it begins with preparing the body. The need for the preparatory phase is explained by the fact that some anthelmintic medications are toxic to the human body. This mainly concerns the digestive system.

One of the activities of the preparatory phase is diet. In addition to this, the doctor prescribes a number of medications to support the body, which experiences serious stress during deworming. These are the following drugs:

• Eden, cetrin and diazolin have an antiallergic effect.
• Hemodez solution or 5 percent glucose - for detoxification.
• Choleretics and cholekinetics - as choleretic drugs.
• Antibiotics with a broad spectrum of action - to combat inflammation.
• Enterosgel or Activated carbon– remove toxins from the intestines.
• Biological products and enzymatic substances - to maintain a healthy intestinal microflora and improve digestion.

The peculiarity of the preparatory stage is that it is carried out in a hospital under the supervision of a doctor.

Main stage

There are a large number of types of anthelmintic drugs available. They all have their own characteristics regarding dosage and dosage regimen. The following medications are most often prescribed for deworming.

Find out how to get rid of opisthorchiasis at home here.

Biltricide

Biltricide is taken before or during meals. The tablets are washed down clean water. The time between doses should be in the range of 4…6 hours. The duration of treatment is short - only 1-3 days - and it is determined by how successful the recovery is.

One biltricide tablet contains 600 mg of active substance. The dose is determined at the rate of 25 mg per kg of patient weight. The maximum daily dose is 1800 mg (3 tablets).

Biltricide may have the following side effects:

• malaise and weakness;
• lack of coordination;
• headache;
• a feeling similar to alcohol intoxication;
• bitterness in the mouth;
• dulling of feelings.

Ecorsol

Ecorsol is a natural anthelmintic medicine that effectively destroys opisthorchiasis. It has a complex effect - deworming and hepatoprotective. The latter is especially important, since when treating helminths, the human liver sometimes suffers.

The drug can be taken by people over 12 years of age. It is taken 3 times a day, 3 tsp. within half an hour after eating. The reception should last from 3 days to a week. The vast majority of patients tolerate Ecorsol easily, without any complications.

Find out which deworming tablets are best here.

Populin

The raw material for the production of populin is aspen bark, rich in salicin, tannins and acids. Due to its naturalness, populin is absolutely harmless and can be prescribed to children from a very early age.

Adults should take the medicine one teaspoon diluted in 100 ml of water. For children over 4, half a teaspoon is enough. If necessary, the doctor can adjust the dose. The medicine is taken after meals three times a day. The course of therapy is a week.

Nemozol

Nemozol has an extended spectrum of action against helminths. It can be taken by adults and children starting from 3 years old. Moreover, the dose does not vary depending on age; all patients should take 400 mg of the drug (20 mg concentrated suspension) at a time. Nemozol is taken once a day for 3 days.

Praziquantel

Praziquantel is often prescribed for deworming for opisthorchiasis. If a patient has been massively infected and admitted to hospital, he will most likely be treated with praziquantel. The medicine easily penetrates the body of helminths and causes paralysis of their muscles, as a result of which opisthorchids die.

Praziquantel should be taken two to three times a day. Usually one day of administration is enough to destroy helminths. But if necessary, the doctor can extend the course. The dosage is determined individually, taking into account the patient’s weight.

Treatment after biltricide

Biltricide is used as one of the main means of deworming. It can be prescribed to adults and children over 4 years of age. There is no information on the safety of biltricide for children under 4 years of age, so you should refrain from using it. Women in the first months of pregnancy are also not prescribed it - to avoid negative consequences for the fetus.

Biltricide acts quickly and effectively against helminths, but has a number of side effects that make treatment quite uncomfortable. In particular, those taking biltricide may experience such consequences of taking the medicine.

• Dizziness with headache.
• Nausea and vomiting.
• Pain in the intestines.
• Diarrhea stained with blood.
• Heaviness in the hypochondrium.
• Sweating.
• Symptoms of meningism (irritation of the meninges with dizziness, headache and other manifestations).
• Increased intracranial pressure.
• Confusion of thinking.
• Allergy.

Exceeding the dosage of biltricide can lead to destructive changes in the liver that appear 12 hours after administration. The disadvantages of the drug include the manifestation of symptoms of damage to the gastrointestinal tract, liver, and biliary tract. Therefore, treatment is aimed at restoring the functions of the digestive system.

Video

Conclusion

Opisthorchiasis in adults can be in a chronic or acute stage. Upon election correct scheme It is completely curable with therapy. In the case of massive infection, with severe symptoms, neutralization of the disease should be carried out in a hospital. The time for final recovery from invasion depends on the degree of infection and the condition of the patient.

• children under 4 years of age;
• cysticercosis, caused by tapeworm;
• intolerance to individual components.

Patients who have heart rhythm disturbances take the drug under the close supervision of their physician. cannot be destroyed by Biltricide. Other drugs are also prescribed to combat bovine worm.

Side effects

Praziquantel is a very strong substance that can cause side effects. Other influencing factors are some of the individual components, the degree of invasion and the location.

It is customary to highlight such side effects from taking the drug:

• failure of liver function leads to the development of various allergic reactions;
• nausea, vomiting;
• headache;
• heaviness in the epigastric region;
• bitter taste in the mouth;
• loss in space;
• temperature increase;
• insomnia.

Manifestations disappear with drug withdrawal. Usually a person returns to his usual appearance the very next day after taking the last dose of the medicine. The instructions for use of Biltricide for opisthorchiasis indicate that treatment should only be carried out under the strict supervision of a doctor. Due to the high likelihood of side effects, a person may need urgent medical attention.

Taking the drug

General information

No medical worker will proceed to treatment until the patient has passed everything necessary tests. Comprehensive diagnostics includes fluorography, urine and blood tests. This will help determine the duration of treatment and the intensity of rehabilitation therapy.

This rule is rather a necessity that allows one to assess the general condition of the infected person. During the diagnosis, the degree of damage is revealed internal organs and any other damage. At the time of treatment, the patient should give up fatty foods and not drink alcohol.

Reception

The minimum age from which you can take the drug is 4 years. In this case, the dosage is determined exclusively by the doctor. The product is contraindicated for use by pregnant women and mothers during breastfeeding.

Anthelmintic therapy with Biltricide lasts no more than 3 days. In most cases, the medicine is taken three times a day, while calculating the dosage (25 mg per 1 kg of weight).

Due to the possibility of various side effects while taking the drug, it is necessary to postpone any work that requires attention. During treatment, the person should be provided with maximum peace and comfort, only in this case the result will be noticeable.

Admission Information

1. You need to take the tablet whole without first crushing it.
2. The medicine is washed down exclusively with plain water without gas. Do not drink juice, tea, coffee or any other drinks.
3. As a rule, Biltricide is drunk during meals or before meals.
4. Doctors usually prescribe one tablet per day. It's better to drink at night.
5. With long-term therapy and the appropriate dose, breaks must be taken between doses of the drug. They should not be less than 4 hours and more than 6.

Recovery period

After treatment of opisthorchiasis, the patient is prescribed a duodenal intubation procedure. This event is necessary in order to assess the quality of treatment and exclude further development of the disease. The procedure is repeated for two weeks.

After treating opisthorchiasis with Biltricide, the patient needs restorative therapy. It consists of taking antispasmodics and choleretic drugs. Its duration does not exceed 1 month.

Depending on the condition of the infected person, the doctor may prescribe additional medications if necessary. Herbal decoctions have proven themselves well. However, their use should be long-term, for at least 2-4 months. In some cases, enzymes may be prescribed.

Monitoring the effectiveness of treatment

Thus, the patient controls the condition of the body and when the helminths return, they can begin a new stage of treatment. Biltricide is most suitable for this. It instantly acts on the worms, destroying them and without causing severe harm to the body.

You should not delay treatment, as damage to internal organs may become a contraindication to treatment of the disease.

Before starting treatment, the doctor should tell almost every patient about Biltricide. Study the medical history and, after receiving all previously taken tests, draw up a treatment plan.

Any doctor must make sure that the drug is suitable for anthelmintic therapy and will not cause any harm to the body. Reviews of Biltricid say that if any reaction occurs after taking the first tablet, the medicine is discontinued and an attempt is made to replace it with another. Usually the drug is well tolerated by all patients, only in rare cases intolerance to individual components is observed.

Conclusion

Result: positive feedback

10 +

Unpleasant, but effective

Result: positive feedback

Efficacy depends on dose

Advantages: With correct selection dose is effective

Disadvantages: Severe side effects

Result: negative feedback

Not completely cured

Disadvantages: Did not completely get rid of helminths, caused vomiting and diarrhea, unfairly expensive

Result: positive feedback

I like it

Advantages: Treats in 2 days, effective, can be obtained for free

Disadvantages: Requires preparation before treatment, there may be side effects

A huge advantage of Biltricide is that it treats opisthorchiasis in just two days. The biggest disadvantage of the product is that it cannot be used without preparation and does not make sense, because there will simply be no effect. I personally did everything right - I went to the infectious diseases hospital, where they gave me choleretic drugs for a week, took tests, and the next week I took Biltricide - they gave it to me for free, so if you have the opportunity, go to the hospital, and for You don’t need to pay for the medicine, and you will be supervised. Although I personally didn’t need supervision - I took all the prescribed pills, didn’t feel anything, and went to bed. The next day there were no problems either - except that I felt a little dizzy and there was some noise in my head, but otherwise everything was fine. After taking the pills, I spent another week in the hospital - the same choleretic drugs and IVs. And only then the body’s reaction to intoxication appeared - I was covered all over with pimples, my whole skin began to itch, my eyes were constantly itching, watery and my throat was sore. This lasted for quite a long time - about a month and a half, but then everything returned to normal. Now I check every six months - so far everything is clean.

Increased eosinophilic cationic protein after taking three courses of nemosol, biltricide There were frequent relapses of genital herpes (every month) throughout the year. The treatment prescribed by the venereologist did not help in any way (acyclovir 800 mg three times a day). After changing the venereologist and the hospital, an immunogram was prescribed, which showed an increased ECP value (I am attaching a photo of the analysis, the ECP analysis showed 80ng/ml), which was in February of this year. After the administration of nemozol, the value rose to 91 ng/ml, and after subsequent courses of nemozol and biltricide, the value gradually decreased to 36 ng/ml and remains unchanged after another course of biltricide and triad. Relapses of HS have decreased (4 times this year), since I took acyclovir for six months. Before the first tests for ECP, I took anti-allergy medications, and I also never noticed an allergy in myself, except that a runny nose starts in the cold. Several years ago I did allergy tests for the main allergens, the result was negative. What other tests need to be taken to exclude or confirm the helminthic cause of the increase in ECP? I just don’t want to take anthelmintic drugs, because the gastrointestinal tract is in poor condition after the courses that have already been taken.

Today, practicing doctors offer treatment for opisthorchiasis with Biltricide - this method is recognized as the most effective for combating helminths. Let's consider what the drug is and what features of therapy the patient should know about.

Principles of treatment of opisthorchiasis

The disease can occur in acute or chronic form and is accompanied by:

1. Allergic manifestations.
2. Disorders of the liver, gall bladder, intestines, etc.
3. Pathological changes in the heart and nervous system.

Experts prefer therapy that includes three stages:

• preparatory;
• basic;
• final (rehabilitation).

The initial stage involves the prescription of anti-inflammatory drugs, hepatoprotectors and antispasmodics, as well as symptomatic medications according to indications (antipyretics, or antipyretics for fever). The main stage is understood as a course of deworming (for example, with Biltricide), and rehabilitation includes the use of medications, methods, physiotherapy and detoxification. If surgical complications of opisthorchiasis develop (liver cyst or abscess, cystic duct stricture, etc.), the use of surgical techniques is necessary.

Instructions for use of Biltricide for opisthorchiasis

Composition, release form and dosage

The medicine contains 600 mg of the active ingredient, as well as a number of auxiliary ingredients:

• starch;
• cellulose;
• povidone;
• titanium dioxide, etc.

Biltricide is available in the form of white tablets with an orange tint, having stripes for dividing into parts - this allows you to avoid mistakes when selecting a single dose, which may differ significantly from the total content of Praziquantel in the amount of 600 mg.

Effect of the drug

1. On the muscular system of opisthorchiasis, provoking convulsions. This is achieved by influencing the transport processes of calcium ions.
2. On the carbohydrate metabolism of the body of helminths.

Treatment regimen for opisthorchiasis with Biltricide

• general (which will be accepted for the entire course);
• one-time

The dosage of Biltricide for opisthorchiasis should be within the volume indicated in the table. To drink required quantity medications, use the lines on the tablet. The gentle option is prescribed to people with a high risk of allergies and intoxication.

Contraindications and side effects

Medicines containing Praziquantel should not be used for:

You should also avoid taking it in the first three months of gestation (bearing a child) and, if necessary, simultaneous use with a pharmacological agent such as Rifampicin.

Biltricide is not prescribed to children under 4 years of age.

There are no guarantees of health safety, and the benefit-risk ratio is dominated by the likelihood of severe complications.

The medicine is prescribed with caution, adjusting the standard dosage for:

• severe functional liver failure;
• concomitant damage to this organ and the spleen by schistosome helminths;
• the presence of cardiac disorders accompanied by arrhythmia;
• exhaustion, severe forms of chronic pathologies.

With the correct dose selection, there are no side effects or disappear quickly; Among them are the following:

• nausea;
• weakness;
• dizziness;
• unsteadiness of gait;
• tremor of fingers;
• heaviness and pain in the abdomen, under the rib on the right;
• skin rashes (urticaria).

Features of therapy during pregnancy and old age

The goal of this stage of therapy is to improve the outflow of bile, reduce the activity of the inflammatory process, and desensitization (elimination of signs of allergy). It is also important to reduce the load on the liver and pancreas.

Diet correction

• alcohol;
• rich fresh baked goods;
• carbonated drinks;
• juices in packages;
• canned food;
• sausages;
• citrus;
• mushrooms;
• peanut.

It is necessary to eat porridge, fermented milk products, as well as steamed, boiled or baked vegetables. For the first course, soups without rich meat or fish broths, lean ones, are served. Spicy seasonings should not be added. Yesterday bread is allowed, fruits are of sweet varieties (for example, apples, pears). Butter given to the patient in limited quantities, the same goes for sugar. You need to drink a lot of liquid (still mineral water, compote, weak tea), as this reduces the effects of intoxication.

Drug therapy

The following drugs are prescribed:

1. Histamine H1 receptor blockers (Cetrin, Erius, Loratadine).
2. Antispasmodics (No-Spa, Duspatalin, Mebeverine).
3. Choleretic, hepatoprotectors (Cholenzim, Galstena, Essentiale, Ursofalk, magnesium sulfate).
4. Prokinetics (Motilium, Domrid).
5. Enzymes (Panzinorm, Creon).
6. Probiotics (Linex, Bifinorm).

Antipyretics (Ibuprofen, Paracetamol) can also be used once to relieve fever. Some patients require infusion therapy (intravenous infusion of drugs) using solutions of sodium chloride, glucose, and the prescription of broad-spectrum antibacterial drugs in a short course (for 5 days). The following methods are also used:

• electrophoresis;
• microwave and magnetic therapy.

The preparatory stage continues for several weeks.

Histamine H1 receptor blockers can also be used during specific chemotherapy. Biltricide is prescribed no earlier than 21 days from the start of the pathological process. The level of eosinophils in the blood should not be higher than 20%.

The patient is required to undergo an examination in advance, including laboratory and instrumental methods; They are also used after stopping medication to monitor the effectiveness of therapy. In acute or severe forms of helminthic infestation, hospitalization in a hospital is required.

Alternative Treatments

It is worth starting with the fact that pharmacological agents based on Praziquantel are currently the best drugs choice; they are present in all protocols for the treatment of opisthorchiasis approved by the Ministry of Health, since they allow one to achieve satisfactory deworming results with a short course of administration. As an alternative, only traditional medicine recipes are offered:

1. Aspen bark.
2. Tar.
3. Pumpkin seeds.
4. Celandine, etc.

Their effectiveness may vary, but in all cases they are not comparable to specific chemotherapy. Folk remedies cannot completely cure opisthorchiasis. But medicines based on herbs and other plant components are widely used as a supplement to pharmaceutical medicines. Wherein important condition- absence of allergies, as well as refusal to use alcohol, garlic, kerosene and other components hazardous to health.

How to supplement therapy?

To improve the results of deworming, elimination of toxins and recovery (rehabilitation), the following are recommended:

• antispasmodics, hepatoprotectors;
• histamine H1 receptor blockers;
• enzymes, prokinetics;
• probiotics, solutions for infusions;
• sorbents (White coal, Enterosgel).

Among herbal preparations, infusions of corn silk, calendula flowers, and birch leaves are useful.

Blind probing or tubage with xylitol, magnesium sulfate or mineral water. To do this, the patient needs to take an antispasmodic in the evening and drink the right solution in the morning on an empty stomach after bowel movement; then take a position lying on the right side on a bolster for 40 minutes with legs bent at the knees.

Tubage cannot be performed if there is a mechanical obstruction to the flow of bile (presence of calculi or stones in the bladder, etc.).

This procedure is carried out on the 2nd day after the end of the deworming course, in the first 7 days it is repeated twice or three times, then once a week up to 3 months inclusive. A weakening and/or increase in the volume of stool is a sign of the effectiveness of tubage.