Mebendazole

About mebendazole

Roundworms are worms with a long, round (tubular) body. They are parasites of humans, which means that they can live in our bodies. Threadworms, hookworms and whipworms are all types of roundworm.

Threadworms are a relatively common type of roundworm and can be easily passed from one person to another, but they do not usually cause serious problems. They live inside the bowel for a short time - adult threadworms do not live for longer than six weeks. The female worm lays her eggs at night around an infected person's back passage. This causes irritation and an 'itchy bottom'. If the person then scratches the area it allows the tiny eggs to get under the fingernails. If the fingers are then put in the mouth - for example, during sleep - the eggs may be swallowed. The worms then develop in the gut and produce more eggs. Eggs can easily get on to bedding, carpets and towels, and into house dust. They can also get on to food and be swallowed. All this creates a cycle of re-infection.

Other types of roundworm eggs live in the soil in tropical countries. They most commonly get into the body when a person gets them on his or her hands and then transfers them to their mouth. This can lead to a cycle of infection, and any food which is handled can become contaminated. Roundworm infections can be a problem for people living in, or travelling to, a tropical country, and for those who eat contaminated food.

Mebendazole works by preventing the worms from absorbing sugars which they need to survive. This kills the worm within a few days. Although mebendazole kills adult worms, it does not kill the eggs. Because of this it is important to break the cycle of re-infection. This can be done by treating everyone living in your house at the same time (even if they do not have any symptoms), and by following the advice given in the section below called 'Getting the most from your treatment', to prevent re-infection.

Mebendazole is available on prescription. You can also buy it without a prescription in pharmacies.

To make sure this is the right treatment for you or your child, before taking mebendazole it is important that your doctor or pharmacist knows:

• If you are pregnant or breastfeeding.

• If you have a baby or young child in the family. You cannot buy mebendazole for use in children under 2 years old - you will need advice from a doctor.

• If you are taking any other medicines. This includes any medicines you are taking which are available to buy without a prescription, as well as herbal and complementary medicines.

• If you have ever had an allergic reaction to a medicine.
  

• Before you start this treatment, read the manufacturer's printed information leaflet from inside your pack. The manufacturer's leaflet will give you more information about mebendazole and a full list of the side-effects which you may experience from taking it.

• Follow the dosage instructions carefully and make sure all members of your family are treated on the same day, even if they do not appear to be infected.

• In the UK the most common worm infection is threadworm - this is a type of roundworm and is sometimes referred to as a pinworm. For threadworm infections, you will need to take one dose of 100 mg (one tablet or 5 ml of liquid medicine).

• It is highly recommended to take a second 100 mg dose 14 days later to kill any worms that have hatched since the last treatment. This is especially important if you suspect you (or your child) may have become re-infected.

• Your dose will be different to this if you are prescribed mebendazole for any other type of roundworm infection.

• Mebendazole can be taken before or after food. The tablets can be chewed, crushed, or swallowed whole.

Mebendazole removes roundworms, but not their eggs. Therefore, it is also important to break the cycle of re-infection which can occur - this can be done by following a few simple hygiene measures to prevent you from swallowing eggs, causing a new infection:

• Wash your hands and scrub your nails with a nailbrush after every visit to the toilet, and before preparing or eating a meal.

• Wear underwear or pyjamas in bed.

• Have a bath or shower, immediately after waking up in the morning, to wash away any eggs that have been laid during the night.

• Disinfect your toilet seat and toilet handle, and the handle on your toilet door, regularly.

• Vacuum the carpets in your bedrooms every day, and wet-wipe the surfaces of your bedroom furniture.

• Keep your fingernails short and clean, and avoid biting your nails or sucking your fingers.

• Have a separate towel for each member of your family to use.

• Change and wash your clothing and bedding frequently.

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the ones associated with mebendazole. You will find a full list in the manufacturer's information leaflet supplied with your medicine.

If you experience any other symptoms which you think may be due to this medicine, speak with your doctor or pharmacist.

• Keep all medicines out of the reach and sight of children.

• Store in a cool, dry place, away from direct heat and light.