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Recommendations

≥ 18 years
Dosage Remarks
metronidazole oral 750 mg three times daily for 5 to 7 days

or

metronidazole IV 500 mg three times daily for 5 to 7 days

SWAB remarks

Treatment of amoebic enteritis

clioquinol oral 250 mg three times daily for 10 days

SWAB remarks

Treatment should always be followed by a contact amoebicide agent

≥ 18 years

Indications: Current pregnancy

Dosage Remarks
metronidazole oral 750 mg three times daily for 5 to 7 days

or

metronidazole IV 500 mg three times daily for 5 to 7 days

SWAB remarks

Treatment of amoebic enteritis

paromomycin oral 500 mg three times daily for 7 days

SWAB remarks

Treatment should always be followed by a contact amoebicide agent 

Comments

Treatment of amoebic abscesses or dysentery is always followed by a contact amoebicide agent: clioquinol (suspension FNA 100 mg/ml) or paromomycin (during pregnancy). Paromomycin is not registered in the Netherlands but is a so-called "ZFW medicine". Within the ZFW medicines paromomycin is not registered for this indication and is therefore not reimbursed.

Entamoeba dispar: no treatment (non-pathogenic).