⚕️ 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.

⚕️ Efficient Protocol for Undercooked Meat or Fish Exposure (Thailand & Vietnam)

Day Drug Dose Time(s) Target Parasites Notes
Day 1 Albendazole 400 mg — single dose (with fatty meal) 20:00 General intestinal worms (*Taenia*, *Ascaris*, *Trichuris*) Basic deworming foundation. Enhances safety of later praziquantel dose.
Days 2–3 Praziquantel 25 mg/kg per dose, three doses per day (total 75 mg/kg/day) × 2 days 08:00, 14:00, 20:00 (with meals) Tapeworms, liver flukes, lung flukes Do not combine with alcohol. May cause dizziness or nausea. Liver support (hydration, rest).
Days 4–5 Rest / Recovery — Hydrate and monitor symptoms morning & night Liver and GI recovery Bland diet, probiotics, no alcohol, avoid heavy fats. Re-evaluate energy, digestion, and stool.
Day 6 (if muscle pain / swelling present) Albendazole (Trichinella protocol) 400 mg twice daily × 5–7 days 08:00 & 20:00 (with food) Trichinella spiralis Only if fever, myalgia, or eye swelling follow pork exposure. Seek medical review if severe.

  

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