Recommendations
| Dosage | Remarks | |
|---|---|---|
|
no treatment |
| Dosage | Remarks | |
|---|---|---|
|
albendazole orally 400 mg twice daily for 5 days
|
| Dosage | Remarks | |
|---|---|---|
|
albendazole orally 400 mg twice daily for 14 days
|
Treatment in consultation with an ophthalmologist and parasitologist. Treatment consists of corticosteroids and retino-vitreous surgery, possibly combined with albendazole therapy. |
| Dosage | Remarks | |
|---|---|---|
|
albendazole orally 400 mg twice daily for 14 days
|
In combination with corticosteroids |
Always consider corticosteroids in addition to anti-parasitic therapy.
Based on current literature, there is no clear recommendation for a second-line therapy. Mebendazole, diethylcarbamazine (DEC) and thiabendazole are possible. Consult an expert for advice.
In clinically severe visceral larva migrans involving the heart, lungs or central nervous system: add prednisolone (0.5 to 1 mg/kg once daily) to the treatment.
In ocular larva migrans consider treatment with corticosteroids (prednisolone orally once daily 0.5 mg). For chorioretinitis consult ophthalmology (indication for vitrectomy)
Use of albendazole in pregnancy and breastfeeding: probably safe during pregnancy (2nd and 3rd trimester) and breastfeeding
Take albendazole with a fatty meal (increased absorption).