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Image Embedded FLUKE DRUG PROTOCOL: Praziquantel & Albendazole
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Published: 12 years ago

FLUKE DRUG PROTOCOL: Praziquantel & Albendazole

FLUKES (TREMATODES):    (Updated 11-4-10)
Blood Flukes:  Schistosoma haematobium, Schistosoma mansoni, Schistosoma japonicum, Schistosoma mekongi, & Schistosoma intercalatum.
Intestinal Flukes:  Fasciolopsis buski, Metagonimus yokogawai, Echinostoma ilocanum, Watsonius watsoni, H. heterophyes, & Gastrodiscoides hominis.
Liver Flukes:  Clonorchis sinensis, Opisthorchis felineus, Opisthorchis viverrini, Dicrocoelium dendriticum, Dicrocoelium hospes, *Fasciola hepatica, *Fasciola magna, & *Fasciola gigantica. 
Lung Flukes:  Paragonimus westermani, Paragonimus mexicana, & Paragonimus skrjabini.
Pancreatic Flukes:  Eurytrema pacreaticum, Eurytrema coelomaticum, & Eurytrema ovis.
*Drug treatment for F. Hepatica, F. Magna, & F. Gigantica (Triclabendazole, Egaten, Fasinex, Bithionol, Lorothidol, & Bitin):

Fluke Drug Treatment Protocol:
Praziquantel kills all species of flukes in the blood, liver, GI tract, pancreas, & lungs.  
It's taken together with Albendazole, which systemically kills leftover eggs, larva, & cysts & those disseminated or scattered throughout the body. 
These drugs have synergistic action when taken together, versus taking each drug as a separate treatment, & result in higher cure rates.
For hyperinfection cases, several cycles of drug treatment may be required.  Before starting a new cycle, rest the liver for 7 days.
Praziquantel (Biltricide):
Take 1 dose* (25mg/kg), tablets or gelcaps**, 3 times daily, evenly spaced 6 hrs apart, for 3 days.  Take each dose with 8oz water.  Take AM/PM doses with Albendazole (see below).  Rest liver for 7 days.  Repeat dosage for 3 days.  See Drug Schedule below.
*To calculate dosage, see Dosage Example below
**Instead of tablets, you can pour Praziquantel powder into empty gelcaps.  00-size gelcaps hold 600mg.  Use a Q-tip to firmly press down powder into both parts of gelcap.
Convert your body weight from pounds (lbs) to kilograms (kg), using the Curezone "Convert Weights Easily" Calculator (scroll to middle of page):
*Dosage Example:
Each Dose = 25mg/kg
Your weight = 160lb = 72.57kg (rounded 73kg)
Tablet = 600mg
Tab Dosage  = 25mg x 73kg = 1,825mg (1,800mg rounded)
Tab Dosage  = 1,800mg divided by 600 = 3 tabs
Tabs 1 Day   = 3 tabs x 3 times = 9 tabs
Tabs 3 Days = 9 tabs x 3 days = 27 tabs
Tabs 6 Days = 9 tabs x 6 days = 54 tabs
Gelcap (00 size) = 600mg
Powder Dosage  = 25mg x 73kg = 1,825mg (1,800mg rounded)
Gelcap Dosage  = 1,800mg divided by 600 = 3 gelcaps
Gelcaps 1 Day   = 3 gelcaps x 3 times = 9 gelcaps  (5,400mg)
Gelcaps 3 Days = 9 gelcaps x 3 days = 27 gelcaps (16,200mg)
Gelcaps 6 Days = 9 gelcaps x 6 days = 54 gelcaps (32,400mg) 
Albendazole (Albenza):
Take 1 dose,* 400mg tablet or 3.5ml suspension, twice daily, AM/PM, evenly spaced 12 hrs apart, for 14 days.  On Days 1-3 & 11-13, take with AM/PM doses of Praziquantel (see above).  Take each dose with 8oz water & 40g fat.** See Drug Schedule below. 

Note:  Taken for longer than 2 weeks without a 1-week rest break may result in temporary hair loss (Alopecia), liver impairment, or parasite drug-resistance.

Albendazole is poorly absorbed in the gut, so you must chew tablet very well.  Or use a pill splitter box, crush tablet into smithereens, & sprinkle on soft food. 
*Instead of tablets, you can take Valbazen (Albendazole) Oral Suspension for Cattle & Sheep.  It contains 11.36% or 113.6mg/ml of Albendazole.  Use an oral syringe to measure 3.5ml, which equals a 400mg tablet.  Mix into 8oz beverage or soft food to mask the yucky taste.  May add sugar or other sweetener.
**You must consume 40g fat with each dose of Albendazole (e.g., grilled cheese sandwich, ice cream, cheese pizza, cheesecake, buttered popcorn, peanut butter, cheese, cottage cheese, whipped cream, sour cream, melted real butter, or salad dressing over food, etc).  Check food labels for fat gram content.  Fat acts as a carrier & increases absorption & plasma concentration.  If you omit this step, you'll just flush $ & meds down the drain!
Albendazole dosing tips & other info:

 Drug Monographs:
The following drug monographs are for US brands only.  To review monographs for brands manufactured in other countries:

Drug Schedule
Day 1-3 of treatment:
6AM: Take 1 dose of Prazi & Alben w/8oz water & 40g fatty meal.  
12PM: Take 1 dose of Prazi w/8oz water & light meal.
6PM:  Take 1 dose of Prazi & Alben w/8oz water & 40g fatty meal.
Day 4-10 of treatment:
6AM & 6PM: Take 1 dose of Alben w/8oz water & 40g fatty meal.
Days 11-13 of treatment:
6AM: Take 1 dose of Prazi & Alben w/8oz water & 40g fatty meal.  
12PM: Take 1 dose of Prazi w/8oz water & light meal.
6PM:  Take 1 dose of Prazi & Alben w/8oz water & 40g fatty meal.
On Day 14 of treatment:
6AM & 6PM: Take 1 dose of Alben w/8oz water & 40g fatty meal.
If fluke infection persists after treatment, rest liver for 7 days, then repeat above schedule with these drugs.

Dosing Tips: 
Recommend taking these antiparasitic vitamins & supplements, especially Zinc & Sulfur (MSM), during treatment:

Eat high-fiber foods & drink 8 glasses of fluids daily to flush out parasitic die-off & toxins.

During drug treatment, stop using herbal remedies, flushes, cleanses, DE, laxatives, colonics, MMS, nutrasilver, RIFE, zappers, & other OTC parasite products.   
None of these methods cure parasite infections.  They can be very toxic, destroy beneficial gut flora, & impair organs of the digestive system. 
They cause parasites to scatter everywhere, carrying enteric pathogens from the GI tract with them.  And they counteract & remove parasite drugs from your system. 
Disseminated parasites & toxins throughout the body create hyperinfection & severely impact the immune system.  Then it's an uphill battle to eradicate them & repair damage done to the body.
For constipation or if worms or larva migrate to lower colon/anal area out of reach of meds in upper intestines:

~ At bedtime, take 1-2 tsp mineral oil to soften stool & loosen grip of worms & larva.  Wear underwear protection, because if you pass gas, you might "burn oil". (lol) 

~ Or use a Fleet saline enema to flush out stool, worms, larva, die-off, & toxins from the colon.

Topical treatments for parasites & larva in skin, scalp, & soft tissue:

Tips to relieve Herxheimer reaction to parasitic die-off:

Ordering Albendazole (Albenza) & Praziquantel (Biltricide) Tablets:  Online drug pharmacies:,,,,, &  No Rx required. 
For other online pharmacies:
~ Ask Parasite Drug Forum members for other sites they recommend:
~ At, enter as separate searches:  albendazole+online, albenza+online, praziquantel+online, biltricide+online.  
~ To check pharmacy ratings:

Ordering Valbazen (Albendazole) Oral Suspension for Cattle & Sheep:  E-Bay, online veterinarian suppliers, & online or local livestock feed & supply stores.  For brands available in other countries, search at   
For other online suppliers, enter in search at  valbazen+online.  Or ask forum members for other sites they recommend. 
Ordering Praziquantel Powder:  Buy pure Prazi powder (no fillers or other meds).  Depending on your weight, you'll need 4-6g for each 1-day treatment.  So calculate how much you'll need before you order. 
For several 3-day cycles, order at least 50g.  Various brands are available at local & online aquarium/koi fish pond suppliers & E-Bay.
Canada:  Jeff's Aquatic Life ships Praz-Tastic in plain packaging w/no Customs problems.  Also ships to US.  The listing says "20oz" but that's a typo.  It's 10g, so you may need to order several:
For other online suppliers, see above instructions on how to search at or ask forum members for other sites they recommend.

Ordering Empty Gelcaps:
Size 00 gelcaps hold 600mg of Prazi powder. Use a Q-tip to firmly press down powder into both parts of gelcap.  Available at health food stores, E-Bay, & online vitamin shops.

Life Cycle & General Info:
Flukes (Trematodes) are leaf-shaped flat worms.  Their life cycle begins when larva are released into freshwater by infected snails.  
The free-swimming larva can penetrate the skin of human hosts.  They also encyst in various edible vegetation, undercooked water plants (i.e., watercress), shellfish, crustaceans, & fish.  They're found in beef, chicken, pork, & unwashed vegetables.  Also carried by dogs, cats, & other fish-eating animals. 
Flukes are one of the hardest parasites to kill.  They lay thousands of eggs daily & form large colonies in the blood, lungs, pancreas, liver, & GI tract.  Adults live for about one year.  Encysted flukes can live in the human body for 10-20 years. 
Often there are no symptoms until a hyperinfection stage is reached or they're passed in the stool.  For specific symptoms of blood, lung, liver, pancreas, & intestinal flukes, review References below.
When passed in the stool, flukes appear as curled or rolled-up tomato skins, brown sticks, tan or brown leaf-shapes, yellow flakes, or brown pods pointed on one end.  The stool is usually soft or loosely formed & a tan or yellowish color. 
Young intestinal & liver flukes are small, flat, white worms, wide on one end & narrow on the other.  Adults range in shades of pink, red, & almost black.  When passed after taking parasite meds, they appear as dark or blackish blobs.
For severe infections, several cycles of drug treatment may be required.
For symptoms, life cycles, & pictures of flukes, see references below.

                              Clonorchis Sinensis (Liver Fluke)                 
                    Fasciolopsis Buski (Intestinal Fluke)
                              Schistosoma mansoni (Blood Fluke)
                                              Paragonimus (Lung Fluke)
                                                                          Encapsulated Cyst

Carefully research all pros & cons of drug treatment based on your overall health condition, medical history, & other meds you're taking (see above drug monographs & references).   
Before starting any drug treatment, recommend medical diagnosis & lab testing to confirm the type of parasitic infection you have so that appropriate meds are used for treatment. 
But brace yourself for bad news.  Even when you take in whole worms or specimens for lab tests, results are usually negative!#? (lol)  This occurs when specific parasite tests (there are many to choose from) aren't ordered by your doctor.  This also applies to blood tests.
Stool tests are also unreliable.  The sample you collect may not contain any worms, eggs, or larva because they're not shed everyday.  Or the lab takes a small smear that doesn't contain anything to test although other areas of the sample contain parasites.  Or specific parasite tests aren't ordered.
Brace yourself for more bad news.  The mantra of most doctors is that all parasite infections only occur in 3rd world countries or poor, dirty, uneducated, lower-class folks!#?  They usually diagnose patients w/"Delusional Parasitosis" & prescribe anti-psychotic drugs as a cure, which, of course, is a big dose of "BS". (lol) 
So be sure to take tranquilizers or blood pressure meds before your office visit so you don't go BESERK when you're told you're CRAZY!?#. (hee hee)  Or try my tips for doctor appointments:
Good luck in your parasite battles! 
Keep us posted on your progress ~ feedback helps everyone on the forum!
My Motto:  Aim high, shoot low, & use big guns!  
And as the African warrior Shaka Zulu said:  Never leave an enemy behind. (lol)
Cheers ~~ ICU
P.S.  If you have any questions, take 2 aspirin & call me in the morning.  My number is 1-800-WHO-CARES?  Just kidding! ~ Meow Meow   
Parasite Drug Protocols: Roundworms, Tapeworms, Flukes, Strongyloides, Morgellons, & Protozoa:



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