How to take Dekaris for adults for prevention and treatment: scheme and dosage

If helminthiasis is acute or accompanied by a secondary infection, then doctors resort to the use of drugs with extended antiprotozoal action. Such medicines for parasites are the most effective.

Dekaris is rightfully considered one of the best drugs with an extended spectrum of anthelmintic action. This anthelmintic is widely used for infections with round or flat parasites.

The medicine is produced in the form of tablets for internal use. The price of Dekaris in pharmacies ranges from 200 to 260 rubles. It is worth noting that the product is dispensed only with an appropriate prescription.

Composition and release form

Decaris is based on levamisole, an anthelmintic substance that affects the muscles of parasites.


Release forms

The drug has a single release form - tablets. True, the dosage varies. 50 mg - intended for treatment in childhood. To make it easier for the child to take the drug, the tablets have an apricot scent. A dosage of 150 mg of the active component is more suitable for use in adult patients. In addition to the main ingredient, they also contain excipients that allow the body to better absorb this medicine.

Characteristics of the drug

"Dekaris" refers to anthelmintic drugs that have an immunomodulatory effect. The structure of the drug includes one active substance - levamisole and a number of additional trace elements. Tablets for adult patients contain one hundred and fifty milligrams of levamisole.

According to the instructions for the Dekaris tablets, children need to take the medication in a dosage of fifty milligrams. Flavoring and coloring have been added to the children's preparation. Therefore, the tablets have a light orange tint and a pleasant apricot aroma. The medication for adult patients is white in color and has no odor. , Hungary.

The main active trace element of the drug is levamisole hydrochloride.

Properties

Decaris is a highly effective anthelmintic agent. It has a detrimental effect on many types of parasites; after one dose, the helminths die. It is powerless against tapeworms and flukes that firmly adhere to the intestinal walls.

Dekaris works in two directions:

  • The drug penetrates the muscles and paralyzes the movement of helminths, as a result of which the worms lose the ability to attach to the intestinal walls;
  • As a result, the energy metabolism of parasites is completely disrupted.

Paralyzed helminths are eliminated from the body through the intestines naturally along with waste products, most often this process occurs within a day. Promotes the complex production of antibodies to all kinds of genetic foreign substances in the patient’s body. The drug activates T-lymphocytes, stimulates the functions of monocytes, macrophages and neutrophils.

After taking the drug orally, it is quite actively absorbed from the gastrointestinal tract. One and a half to two hours after taking the drug, the maximum content of the active component in the blood plasma is achieved. The half-life is short, 3-4 hours.

It undergoes a metabolic process in the liver, biotransforming into inactive metabolites, which are excreted from the body through the kidneys. The half-life of these metabolites is 16 hours. A small part of the drug - about 5 percent - is excreted through the intestines. The rest is along with urine. Of these, about 12 percent are excreted in their original state as p-hydroxy-levamisole glucuronide.

What is the difference between “Nemozol” and “Dekaris”?

Medicines against protozoa act at the cellular level. They can neutralize muscle tissue, as well as disrupt the feeding process and block the reproduction of helminths. The main tool here is the active component, which determines the object of liquidation. Some of them are able to cleanse the body of infection with worms and products of their production, while others only eliminate them.

In a situation where a deworming microelement only kills worms, a person cannot do without the use of laxatives.

Nemozol is produced on the basis of the active ingredient – ​​albendazole. It has a wide spectrum of action, eliminating a huge number of different nematodes. The medicine is prescribed for lesions resulting from ascariasis, as well as neurocysticercosis, trichuriasis, opisthorchiasis, giardiasis. It is used for mixed helminthiasis and as an additional effect on parasites if it is decided to undergo surgery.

“Dekaris” and “Nemozol” are drugs that eliminate parasites inside the body.

If a person does not know which group of helminths his body is infected with, then the choice of medication should be left directly to a medical specialist.

If therapy is nevertheless carried out independently, then an analysis of suitable medications should be carried out. Therefore, people are often faced with a choice: “Nemozol” or “Dekaris”: which is better to choose?

"Nemozol" destroys many types of parasites. When using "Dekaris" the effect occurs after just a few hours. In addition to all this, the medication has an immunostimulating effect.

The main difference between the drugs is the active substance. “Dekaris” contains levamisole, and “Nemozol” contains albendazole.

According to reviews from parasitologists, Dekaris should be used to eliminate roundworms. It is prescribed for ascariasis, necatoriasis, strongyloidiasis. The medicine can be used in complex treatment to eliminate toxoplasmosis.

Although Nemozol has a large number of side reactions, the drug is well tolerated even by children. The positive side of this medicine is that it can be used by the whole family and not worry about re-infestation by parasites. The duration of therapy varies from seven to fourteen days.

The effectiveness of treatment with “Dekaris” is manifested in the elimination of pinworms, as well as flukes and tapeworms. The spectrum of action of the drug is somewhat narrower than the area of ​​action of Nemozol.

"Dekaris" has a negative effect on the body, but all side effects disappear after the end of therapy. The drug is contraindicated for use in children under three years of age. If a person is addicted to alcohol or drives a car, then he should not take the medicine either. But the duration of the Dekaris course is only three to four days.

Decaris - indications for use

Decaris has a fairly wide range of uses . Decaris is often prescribed after resection for colon cancer, for malignant neoplasms of the bronchi and mammary glands. The drug is included in complex therapy in remission of lymphogranulomatosis; it is also taken at intervals of cytostatic treatment of leukemia and lymphogranulomatosis.


As an immunomodulator, the drug is prescribed for autoimmune diseases such as arthritis, Crohn's disease, recurrent aphthous stomatitis, and Reiter's disease. In cases of mild lupus erythematosus, Decaris is prescribed to maintain remission.

The drug is highly effective in the fight against chronic lung diseases, it also works in the case of chronic glomerulonephritis, chronic pyelonephritis, it is prescribed for stomach and duodenal ulcers - it helps prevent relapses in these diseases.

Decaris is prescribed for infectious diseases, such as herpes simplex, in relapse, herpes zoster, warts, chronic active hepatitis B. It is included in complex therapy for persistent viral hepatitis, especially if the surface antigen of the virus has been present for the last 3 months hepatitis B. The drug is also used in case of relapse of sinusitis.

However, most often the drug is prescribed in case of helminth infection.

  • Ascariasis: intestinal invasion from the group of nematodes, the causative agent of this disease is roundworms that parasitize the small intestine;
  • Enterobiasis: this disease most often occurs in children of preschool and primary school age, it is often called the disease of “dirty hands”, it is caused by small parasitic white worms - pinworms;
  • Trichocephalosis: a fairly common disease, it is caused by protocavitary (round) worms that parasitize the gastrointestinal tract, the causative agent of this disease is the whipworm;
  • Hookworm: today this disease is not so common, but cases of infection still occur; this disease is caused by roundworms of the genus hookworm;
  • Necatoriasis: this disease is characterized by dyspeptic symptoms, signs of allergies and the development of hypochromic anemia; it is caused by the necatoria parasite;
  • Toxoplasmosis: this disease is mostly asymptomatic, the source of infection is domestic and wild animals (cats, dogs, rodents), the causative agent is toxoplasma;
  • Strongyloidiasis: this disease is chronic, caused by a filamentous nematode - intestinal eel, and is characterized by various manifestations of gastrointestinal pathology;
  • Trichostrongylosis: a chronic disease that mainly affects the small intestine, in severe cases it manifests itself as hypochromic anemia, the causative agent of this disease is a nematode.

Decaris - contraindications

This drug is quite toxic, therefore it has a number of contraindications that should be taken into account before starting a therapeutic course.

  • The drug is strictly contraindicated during pregnancy (this diagnosis must be completely excluded before starting the medication course);
  • Increased sensitivity to both the main component and excipients is a reason to abandon Decaris;
  • During lactation, the drug is also contraindicated; if in this condition there is a need to take a course with the use of Decaris, it is advisable to refuse breastfeeding during treatment;
  • If you have agranulocytosis, you should also refrain from taking Decaris, since during treatment the level of leukocytes, already reduced in this disease, may decrease even more;
  • Children under 3 years of age are also a strong contraindication.

Storage conditions

The drug is dispensed in pharmacies according to a prescription from the attending physician. These tablets must be kept away from children, avoiding direct sunlight, at a temperature of no more than twenty-five degrees. The shelf life of the drug "Dekaris" is sixty months. After this period, the medicine is not recommended for oral use.

Reviews from parasitologists about Dekaris are very positive. In addition to it, medical specialists in practice use the following medications: Nemozol and Pirantel. Despite the positive effect of the drug during the appearance of the described pathologies in the human body, the groundless use of drugs is strictly contraindicated. They should only be prescribed by a doctor after conducting appropriate diagnostics, which is aimed at identifying the presence of worms in the human body.

Decaris - instructions for use


Decaris - instructions for use

Taking Dekaris does not require too long courses. In some cases, a single dose of the drug is sufficient. Take the drug in the evening, before going to bed, there is no connection with food intake. The recommended dosage for an adult is 150 mg – one tablet.

Children are also given the drug in the evening before bedtime. A single portion is calculated using a simple formula. For a child aged 3-6 years and weighing 10-20 kg, 25-50 mg of the active ingredient should be given. If necessary, the tablet can be broken in half. At the age of 6-10 years and with a body weight of 20-30 kg, 50-75 mg of the active substance should be given. Adolescents aged 10-14 years weighing 30-40 kg are prescribed 75-100 mg. To make it easier to calculate a single dose, children should be given 50 mg tablets.

The duration of taking the drug is determined by the attending physician, based on age, diagnosis, severity of the disease and tolerability of the drug. If necessary, the course can last up to two weeks.

If necessary, the therapeutic course can be repeated after one to two weeks.

As an immunomodulator, Dekaris is prescribed one tablet containing 50 mg of the active ingredient for three days at intervals of two weeks. You can take 150 mg once a day, also at intervals of two weeks.

It should be remembered that these regimens are approximate; in no case should you change the dosage and treatment regimen without permission. This can only be done by the attending physician.

Can I take the medicine during pregnancy?

"Dekaris" is not recommended for therapy for women in an "interesting position" in the first trimester. At this time, all the organs and systems of the fetus are developing, and the use of any medications can negatively affect this process; moreover, it has not been fully studied how the active microelement of the tablets affects the fetus and the pregnancy itself.

Using the medicine in the second and third trimester of pregnancy is possible only after a careful assessment of the positive aspects for the mother and the likely risk to the health of the unborn child. Therapy in such cases is carried out strictly under the supervision of a doctor.

It is not known whether the active component of the tablets passes into milk and how it can affect the baby, therefore, if necessary, therapy with this drug during lactation is recommended to be discontinued.

Decaris for prevention

Parasites and worms in particular cause great harm to the body. Most of us understand this very well, so we try to avoid possible infections with infestations. The difficulty is that this disease cannot always be diagnosed independently. And while children are often tested for the presence of all kinds of parasites at school and kindergarten, adults do not do this.

Most adhere to a simple rule - they take anthelmintics as a preventive measure. At the same time, the majority neglect to consult a doctor and choose the means to take on their own. How suitable is Dekaris for the role of preventative?

Due to the fact that this drug is quite toxic and has a number of quite serious contraindications, doctors do not recommend using this medication as a prophylactic.

To select the correct prophylactic agent, it is still better to consult with your doctor. This will help avoid many problems in the future.

“Dekaris” or “Vermox”, which is more effective?

Different active microelements provide different manifestations and pharmacological effects of drugs.

"Dekaris" is effective against intestinal worms. It does not have a harmful effect on nematode larvae, according to the instructions for use. An analogue of "Dekaris" - "Vermox" - has a positive effect against helminths and tapeworms, not only intestinal, but also tissue forms. The main part of the active substance affects intestinal worms. The smaller one enters the blood, and from it into various tissues of the body, provoking infection with extraintestinal forms of helminths.

"Dekaris" has anthelmintic and immunomodulatory properties. The therapeutic effect of Vermox is limited only to helminthiases.

With the development of ascariasis, it is best to give preference to “Dekaris”. It neutralizes nematodes and removes them intact. This helps to avoid intoxication as a result of the decay of dead individuals in the intestines. When infected with pinworms, “Vermox” is more effective, which eliminates pathogenic microorganisms and removes them from the body already dead. With long-term exposure, it is more preferable as a preventive measure.

The standard treatment regimen for Decaris is a one-time dose. Treatment with the second drug takes longer - at least three days.

As a result, both “Dekaris” and “Vermox” are well tolerated by patients, but are not absolutely safe drugs. "Vermox" also has certain contraindications and negative effects that should be taken into account when using this medicine.

Decaris - side effects

Adverse reactions may develop as a result of taking the drug. Migraine, dizziness may appear, cases of sleep disturbances, and a feeling of strong heartbeat have been noted. In some cases, there may be convulsions, nausea, and even vomiting. More often than others, abdominal pain and diarrhea are noted.

As a result of long-term treatment, allergic reactions may develop - rash, itching. In most cases, all these symptoms are reversible and disappear immediately after stopping the drug. Glucosteroid drugs help minimize the consequences of treatment with Dekaris.

Also, as a result of long-term use of the drug, there is a decrease in leukocytes in the blood, so a blood test must be performed every week. If tests worsen, treatment should be stopped immediately.

Overdose

In some cases, an overdose is possible. The patient experiences nausea, vomiting, severe weakness throughout the body, diarrhea, severe or moderate headache, and may experience dizziness, which is extremely rare, but confusion is also possible.

At the first signs of an overdose, if little time has passed after taking the drug, gastric lavage should be done. Allow the patient to drink as much warm water as possible and, by pressing on the root of the tongue, induce vomiting. Until it becomes easier for him to monitor all vital organs and carry out symptomatic treatment. If there are signs of anticholinesterase action, it makes sense to administer Atropine.

Drug poisoning

When using the medication in increased dosages or prolonged use of tablets, a person develops signs of an overdose, which manifest themselves as follows:

  1. Vomiting.
  2. Tremor of the limbs (rhythmic movements that occur during involuntary contraction and relaxation of muscles).
  3. Tachycardia (increased heart rate).
  4. Confusion of consciousness (a broad concept that often includes many subtypes of confusion and is, as it were, a collective name).
  5. Drowsiness.
  6. Lethargy (a condition characterized by a lack of vigor and mobility).
  7. General weakness.

If excessive dosages of medication are consumed orally, a person should immediately contact a medical professional. In this situation, gastric lavage and intake of adsorbents are performed. If the above-described signs of poisoning occur, comprehensive treatment is carried out.

special instructions

Before starting a therapeutic course using Decaris, you should carefully examine the body for possible contraindications. It is imperative to conduct a peripheral blood test to ensure that all indicators are normal. It is especially important to monitor the level of leukocytes, which tend to decrease during treatment with this anthelmintic.

To prevent relapses, doctors recommend carrying out a thorough general cleaning of the house before taking the drug. Wash floors, toys, change bed linen. Before using the drug, change your underwear. Be sure to shower in the evening and in the morning. Change your underwear again. Bed linen should be carefully ironed with a hot iron the day before and for several days after taking the drug.

During all days of therapy and thereafter, you need to carefully monitor your personal hygiene. Wash your hands with soap, cut your nails, and never bite them. Avoid scratching the anus.

To prevent a relapse, everyone living with the patient should also take anthelmintic drugs as a preventive measure. Be sure to consult with a therapist about choosing a remedy for other family members.

Pharmacological action of the drug Dekaris

Broad-spectrum anthelmintic agent. Has immunomodulatory properties. A single dose of Decaris provides a reliable effect against ascariasis in 100 out of 100% of cases. Due to the suppression of the action of enzymes and selective inhibition of succinate dehydrogenase, the drug paralyzes both mature parasites and larvae that are released from the intestine by normal intestinal peristalsis. In cases of hookworm disease, a single dose of levamisole is less effective (53-72%), but its repeated use increases effectiveness.

The drug is also successfully used for infections with strongyloidiasis and trichostrongylosis. Even in untreated cases, there is a significant decrease in the number of eggs, larvae and helminths. Reducing the number of helminths is also of great importance from an epidemiological point of view: the prevalence and intensity of foci of infection decreases.

The drug is non-toxic: in mammals, levamisole does not affect succinate dehydrogenase, so it is effective against the parasite, but harmless in humans. The therapeutic indicator according to the results of studies on various animal species is favorable; after providing a therapeutic effect, the drug is excreted from the body within a few hours.

According to laboratory studies, levamisole does not affect blood, urine, or liver function. As a conclusion, the results of treatment of various helminth infections can be summarized as follows: in areas where the most important parasitological problem is ascariasis, levamisole is the drug of choice, bearing in mind the 100% effectiveness of a single dose and good tolerability. In the presence of polyparasitosis, it is obvious that mebendazole is the drug of choice.

Levamisole has a rapid anthelmintic effect. In ganglion-like formations of nematodes, levamisole causes depolarizing neuromuscular paralysis. Thus, paralyzed nematodes are removed from the body by normal intestinal motility within 24 hours after taking the drug.

Interaction

Great care is required when combining Decaris with drugs that affect hematopoiesis. Thus, when combined with coumarin-like anticoagulants, the prothrombin time may increase, so in this case it is necessary to adjust the dose so that the drug gives the desired effect.

This anthelmintic drug increases the content of phenytoin in the blood, so careful monitoring is also required when combining Decaris with drugs containing this substance.

Decaris should not be taken in parallel with lipophilic drugs - carbon tetrachloride, tetrachlorethylene, chenopodium oil, chloroform or ether, since in this tandem the toxicity of Declaris can increase many times over.

A parallel complex of Decaris and ethanol is undesirable, since in this case there is a high probability of disulfiram-like reactions occurring, and when combined with Warfarin, there is a high probability of bleeding.

Impact on the ability to drive vehicles


Impact on the ability to drive vehicles

The drug has no direct contraindications against driving or operating machinery that requires quick reaction and concentration. But in view of the fact that in some cases its use can lead to dizziness and other more severe adverse reactions from this activity, it is more advisable to refuse the entire course of treatment.

Decaris and alcohol

During a therapeutic course based on Decaris, you should not drink alcohol or alcohol-containing drinks. With such an interaction, disulfiram-like reactions occur. A person experiences an increased heart rate, red spots appear on the skin, and blood pressure can drop significantly.

Peculiarities

The anthelmintic drug is not recommended for use in combination with strong drinks or alcohol-based medications, since in this situation the likelihood of developing adverse reactions from the liver and kidneys increases. According to the instructions for use, “Dekaris” is also prescribed to adults for the prevention of helminthic infestations.

Since Dekaris has a certain effect on the nervous system, people during therapy should avoid driving a car or operating complex machinery.

For patients who have any abnormalities or disorders in the functioning of the kidneys or liver, this medication is prescribed with extreme caution.

Dekaris - analogues

Decaris has many analogues that are similar to it both in composition and in the therapeutic effect it has on the body. They “work” in the body in different ways, but they all have one goal - to fight parasites. The choice of the most suitable drug for use is made by the attending physician. Even if the drugs have exactly the same composition, they can have different effects on the body. Therefore, it is impossible to spontaneously change one drug to another. The cost of Dekaris in pharmacies is low - from 62 rubles per pack.

Pirantel


The range of applications is slightly narrower than Dekaris. The basis of this drug is pyrantel. It is considered one of the most loyal to the body, and copes very well with intestinal infestations caused by roundworms. Allowed for use from six months. Available in the form of a suspension and chewable tablets. It has virtually no contraindications, so it is very often used as a preventive measure for the whole family. The cost is much cheaper than Dekaris - from 26 rubles per package.

Vermox


Vermox

The basis of this medication is mebendazole. It has a fairly wide range of applications, including mixed invasions. Allowed for use in adults and children over three years of age. It has a number of contraindications and can cause adverse reactions. It differs from Dekaris in the way it affects helminths, but is no less effective. Suitable for prevention of the whole family. The cost of the drug in pharmacies starts from 75 rubles.

Nemozol


Nemozol

An anthelmintic drug based on albendazole. Suitable for use in children over two years of age and in adults. It is effective against many parasitic diseases, which occur not only in the gastrointestinal tract. Due to the ability to penetrate many organs and fluids, it copes with parasites in the liver and pancreas. Available in the form of a suspension and chewable tablets. Costs from 150 rubles.

Levamisole


Levamisole

It is a structural analogue of Dekaris. In terms of indications and contraindications, it completely coincides with Dekaris. It is not suitable for prophylactic use, but it works very well against many helminths. Prescribed to adults and children over three years of age. The cost is almost twice as high as its structural counterpart.

Dekaris price, where to buy

The price of Dekaris tablets 50 mg No. 2 varies between 68 -75 rubles per pack; 150 mg No. 1 - 88-92 rubles. The price of Dekaris in Ukraine in a dosage of 50 mg No. 1 is 28-35 hryvnia; 150 mg No. 1 - 40-44 hryvnia. You can buy the drug in most pharmacies in Moscow and the pharmacy chain of Ukraine.

  • Online pharmacies in RussiaRussia
  • Online pharmacies in UkraineUkraine
  • Online pharmacies in KazakhstanKazakhstan

ZdravCity

  • Dekaris tablets 150 mg 1 pc. JSC Gedeon Richter
    66 rub. order
  • Dekaris tablets 50 mg 2 pcs. JSC Gedeon Richter

    71 RUR order

Pharmacy Dialogue

  • Dekaris (table 150 mg No. 1) Gedeon-Richter

    72 RUR order

  • Decaris (table 50 mg No. 2)Gedeon-Richter

    70 rub. order

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Pharmacy24

  • Decaris 50 mg N2 tablets Gedeon Richter Rumunia A.T., Rumunia
    79 UAH.order

PaniPharmacy

  • Dekaris tablets Dekaris tablets. 50 mg No. 2 Hungary, Gedeon Richter

    86 UAH order

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Dekaris: reviews

Natalya: Dekaris was received by the whole family. We thoroughly read the instructions and measured the dosage for each. Took the pills before bed. At night I woke up with a terrible taste of acetone in my throat. It was very difficult to breathe. I quickly realized that I had overdosed. I immediately washed my stomach: I drank a lot of water and vomited it all. After that it eased up a bit and I finally fell asleep. But what is characteristic is that neither the husband nor the thirteen-year-old son had any side effects at all. Apparently Dekaris was too strong for my body. I won't drink it again. And I’m unlikely to recommend it to anyone.

Olga: I constantly take some kind of anthelmintic for prevention, because I keep cats and dogs. I used to take Pirantel, but then the pharmacist recommended Dekaris, saying that it’s indications say that it works against parasites transmitted through animals. I felt so bad all night, I barely survived until the morning. I was vomiting, had a fever, and was walking on the wall. The doctor later said that I couldn’t smell Decaris, because I have liver problems. I will not take another pill at my own discretion. Already a scientist.

Elena: I often take all sorts of pills for worms and other reptiles, because there is a cat at home who walks along the street. I don’t have any health problems, so I don’t go to the doctor, I don’t consult with anyone, I just go to the pharmacy and take what I think is necessary. This time I decided on Dekaris. I drank as expected. And, in fact, nothing else happened. There were no side effects, I didn’t even feel dizzy, although people often complain. I think next time I will buy Dekaris.

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