⚕️ Efficient Protocol for Waterborne Parasites (Thailand & Vietnam)
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| Day | Drug | Dose | Time(s) to take | Target | Notes |
|---|---|---|---|---|---|
| Day 1 | Albendazole | 400 mg — single dose | 20:00 (evening) — take with a fatty meal | Common intestinal helminths (Ascaris, hookworm, Trichuris) | Baseline deworming; avoid if pregnant. Taking with food enhances absorption. |
| Days 2–4 | Nitazoxanide | 500 mg — twice daily (total 6 doses) | 08:00 & 20:00 each day (with food) | Giardia, Cryptosporidium, Blastocystis, some Entamoeba | Preferred broad protozoal course; well tolerated. Do not combine with tinidazole simultaneously. |
| Days 5–6 | Rest / Supportive care | — | Hydration throughout the day; probiotics morning & evening | Recovery / assess response | Light diet, bottled/boiled water, ORS if loose stools; consider S. boulardii or equivalent probiotic. |
| Day 7 (optional) | Tinidazole (only if persistent symptoms) | 2 g — single dose | 08:00 (single dose, with food) | Amoebiasis or tinidazole-responsive Giardia | Use only if no improvement after nitazoxanide; avoid alcohol during and 72 h after dose; not for pregnancy. |
IMMORTALITY