Anti-Parasites

Source: “From Fatigued to Fantastic” by Jacob Teitelbaum, M.D.

Treatments for Parasites in CFS and Fibromyalgia

If your stool test shows parasites, recheck the stool test 3 to 4 weeks after finishing the treatment below. You can use the natural remedies #132 and #134 with either #135 or #136.

___ 123.* Vermox (Rx) - 100 mg - Chew 1 twice a day for 3 days. 1 week later chew 1 twice a day for 1 day. Good as an “empiric” therapy if you suspect parasites but cannot isolate them.

__ 124.* Neomycin (Rx) - 500 mg - 3 times a day for 10 days. Used for small bowel bacterial overgrowth.

___ 125.* Multi-pure Water Filter - Most other filters except reverse osmosis are ineffective. Available from Bren Jacobson, 410-224-4877. Decreases the risk of reinfection.

___ 126.** Flagyl (Rx, metronidazole) - 750 mg 3x a day for 10 days. It is followed by Yodoxin for many parasites. For Clostridium Difficile take 250 mg, 4 times a day or 500 mg, 3 times a day. It may cause nausea/vomiting (uncomfortable but usually not worrisome). Do not drink alcohol while on this medication as it will make you vomit. The SR (sustained release) form is easier on the stomach (as is the brand name form). If you get numbness/tingling in your fingers (or it worsens if you usually have it) stop the Flagyl.

___ 127. Yodoxin (Rx, iodoquinol) - 650 mg - 3x a day for 20 days after Flagyl is completed.

___ 127A. For Blastocystis begin with Tinidazole 500 mg, Amphotericin B 100 mg, and Furazolidone 100 mg with each of these being taken twice a day for seven days. Take with psyllium - 1 tsp with any liquid - this will trap the pills so they do not get absorbed in the stomach but go right to the intestinal tract. Eat a low carbohydrate diet and do not take B-complex vitamins or anything containing folic acid during treatment. If not successful, they retreat bid for 14 days.

127B. Alinia (Rx, nitazoxanide) - 1 gm 2 times a day for 10-14 days. This is longer than the standard recommendation for this medication and it is expensive but will be off patent soon, so there hopefully will be less expensive generics available soon.

___ 128. Paromomycin (Rx) - 250 mg 2 tabs 3x day for 15 days (Cryptosporidium). For Blastocystis add Yodoxin (as in #127) &/or Tinidazole 500 mg 3 x day for 10 days.

___ 129. Bactrim DS (Rx) - 1 twice a day for plus Yodoxin 650 mg 3 times a day with food for 10 days. Do not take Folic acid supplements (e.g. B Complex or multivitamins) for these 10 days (for Blastocystis). For Blastocystis, also be on a low carb diet and add glutamine 1000 mg/day.

___ 130. Amphotericin B (Rx) - 100 mg twice a day plus Tinidazole 500 mg twice a day plus Furaxon (Furazolidone) 100 tablet twice a day. Take these 3 together with food for 7-14 days (Amphotericin B, Furaxon and Tinidazole are available from Clark’s Pharmacy 800-480-3432 @ ~ $56/weeks supply) (treatment for refractory Blastocystis).

___ 131. Tinidazole (Rx) - 2000 mg - ____ Once daily for 3 consecutive days with food (for Entamoeba Histolytica).

OR

___ 3 doses - each 2 weeks apart (for Giardia or Dientamoeba Fragilis) @ Clark’s Prescriptions 800-480-3432.

___ 132. Parastat (Holarrhena Antidysenterica) - 500 mg - you can take up to 8 capsules a day. From Premier Research Labs (800-325-7734).

___ 133. Zithromax (Rx) - 250 mg 1 a day on an empty stomach for 10 days, along with Bactrim 1 tablet twice a day for 10 days (alternate treatment for Cryptosporidium). Add Artemesia (#135 or 136).

___ 134. Lactoferrin - 350 mg, 1 to 3 capsules at bedtime.

___ 135. Artemesia Annua (an herbal antiparasitic) - 500 mg- 2 tablets 3x a day for 20 days.

OR

___ 136. Tricyclin (an herbal antiparasitic) - 2 tablets 3x a day after meals for 6-8 weeks (concentrated Artemesia).

___ 137. Colostrum (mother’s milk) - 3 capsules 3x a day for 6-9 months. Then stop or use the lowest dose needed for symptoms. If nausea or indigestion occurs, lower the dose to a comfortable level for 1-2 weeks till it passes. Take on an empty stomach. May increase “Growth Hormone Effect” by raising IGF-1 - it takes 5 months to see this effect.

___ 138. Quinacrine (Rx) - 100 mg a day for 5 days. May be useful for empiric therapy of suspected but not identified parasites.

___ 138A. Rifaximin (Rx) - 400 mg 3x day for 10 days-a non absorbable antibiotic for SIBO.

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