Review of the best according to the editorial board. On the selection criteria. This material is subjective and does not constitute advertising and does not serve as a purchase guide. Before buying, you need to consult with a specialist.
Giardia are microorganisms belonging to the order of protozoa that are found in the intestines of humans. They provoke a disease – giardiasis, which is characterized by serious digestive disorders. The consolation is that there is a fairly large selection of drugs that get rid of these parasites.
In the treatment of lamblia, drugs from 3 main pharmacological groups are used:
- Antiprotozoal agents, derivatives of 5-nitroimidazole (Tiberal, Tinidazole). Previously, infectious disease specialists practiced the appointment of funds based on metronidazole (Trichopol). But lamblia have recently begun to show resistance to them, so they have lost their relevance.
- Antimicrobial drugs derived from nitrofuran (McMiror). From this group, Furazolidone was often used earlier, but resistance to it also began to develop in lamblia, and it also causes many side effects. It has recently been abandoned.
- Anthelmintic and antiprotozoal drugs, benzimidazole carbamate derivatives (Nemozol, Gelmodol-VM).
An experienced infectious disease specialist can easily select the optimal medicine for each of his patients. When choosing, experts often give preference to drugs with a minimum number of possible side effects, but at the same time with high antiprotozoal activity. Our experts have conducted research and ranked the best Giardia tablets according to the doctors and patients they helped.
Rating of the best tablets from lamblia
|Nomination||a place||Name of product||price|
|The best pills for lamblia||1||McMiror||RUB 1,080|
The best pills for lamblia
Along with lamblia, the patient may have a number of concomitant diseases, so treatment should be selected individually. This should be done by a doctor. But within the framework of the pharmacological group chosen by him, the patient can take into account the reviews of certain tablets in order to give preference to the best ones.
The first place in the ranking of the best tablets from lamblia is occupied by the Italian Macmiror. Its active ingredient, nifuratel, belongs to the group of nitrofuran derivatives. Macmiror has a triple effect (antiprotozoal, antifungal and antibacterial). It has high efficiency and low toxicity.
Macmiror is used to treat various age groups. Drink pills after meals. Adults – 2 tablets 2-3 times a day for 7 days. The dose for babies is calculated based on body weight (15 mg / kg), and is taken 2 times a day for a week. After oral administration, the active substance is rapidly absorbed from the digestive tract. It is completely excreted from the body by the kidneys.
Since little patients are more often faced with giardiasis, the reviews about the medicine are mainly left by parents. They note that Macmiror tablets are effective and easy to use (small, fairly easy to divide when needed). The medicine has a mild effect on the body, practically does not cause side effects. If you adhere to the treatment regimen prescribed by the infectious disease specialist, then the control test for the presence of lamblia will be negative.
- antiparasitic, antifungal and antibacterial action;
- low toxicity;
- allows you to get rid of lamblia in 1 course of treatment;
- well tolerated by adults and children.
- can cause dyspeptic disorders and allergies.
In second place in the ranking is Turkish Tiberal. Its active ingredient is ornidazole (a derivative of 5-nitroimidazole), which disrupts the structure of the DNA of lamblia, preventing their further reproduction. Tiberal has a high antimicrobial activity and is slowly excreted from the body, therefore, for protozoal infections, its loading dose is used once or for a maximum of 2 days in a row.
Adults and children weighing more than 35 kg take Tiberal 3 tablets once before bedtime. For babies whose body weight has not reached 35 kg, the dosage is selected individually (40 mg / kg) and drunk once a day. The treatment course is minimal – 1-2 days. The Tiberal rating is increased not only by the convenient application regimen, but also by low toxicity and good patient tolerance.
In the reviews, patients note that the sensation of a metallic taste when taking it is less pronounced than when using drugs based on metronidazole (a representative of this group of the old generation). The manifestation of side effects is also minimized. In the fight against lamblia, this is one of the most powerful drugs that allows you to achieve results with a short course of use.
- effectively fights protozoal infections;
- short course of treatment (1-2 days);
- minimum side.
- contraindicated in children under 3 years of age.
The third place in the rating is taken by the Russian Tinidazole-Acri. It contains the active ingredient of the same name, which belongs to the same group as ornidazole. The mechanism of its action is due to the inhibition of synthesis and damage to the structure of the DNA of pathogens. Tinidazole-Acri is rapidly absorbed, and its bioavailability is 100%, therefore the antiprotozoal effect occurs quickly.
Each tablet contains 500 mg of active ingredient. To get rid of lamblia, adults are prescribed 4 tablets (2 g of tinidazole) once. Children over 12 years old are calculated by body weight (50-75 mg / kg) and also take a single dose. They take pills before going to bed after a hearty dinner. The medicine causes a dark discoloration of the urine.
Patients in the reviews note that they are satisfied with the price of Tinidazole-Acri and the effective fight against lamblia after a single use. But some of them complain of bitterness in their mouth and increased thirst. Since the next day these sensations pass, then, taking into account the effectiveness, this deficiency is forgiven to the drug.
- 100% bioavailability of the active substance;
- single dose;
- effectively fights against lamblia;
- children can only be treated from 12 years old;
- dry and unpleasant taste in the mouth.
The fourth place in the ranking is occupied by Indian Nemozol. It contains albendazole, an anthelmintic and antiprotozoal agent. Nemozole is produced in coated tablets or chewable tablets. It categorically cannot be taken by those carrying a child and nursing, therefore, before treating women of childbearing age with Nemozol, it is important to make sure that there is no pregnancy.
Take the tablets with meals. Consumption of fatty foods increases absorption and the maximum concentration of the active substance by 5 times. A tablet (400 mg) is chewed or washed down with water (depending on the form chosen) once a day for 3 days. Babies are prescribed Nemozol at the rate of 10-15 mg / kg. The medicine is taken once a day, 5-7 days in a row.
There are mostly positive reviews about Nemosol. Many are pleased that along with lamblia, other parasites can also be eliminated, since albendazole has a wide spectrum of action. Some are alarmed by the large list of side effects, but they are not manifested in all and most patients, including children, tolerate Nemozole well.
- a wide range of actions;
- convenient way of application;
- suitable for children from 2 years old;
- sold in 1 tablet.
- absolutely not to be taken by pregnant women (teratogenic);
- a large list of possible side effects.
The last place in the ranking is given to the drug Gelmodol-VM, which is produced in Egypt. It also refers to anthelmintic and antiprotozoal drugs containing albendazole. Each package contains 2 tablets of 200 mg each. The active substance has a teratogenic effect, therefore Gelmodol-VM is categorically contraindicated in pregnant women. Children are given it from 3 years old.
For adults from lamblia, the drug is recommended to take 400 mg (2 tablets) once a day for 3-5 days. Children are given 1 tablet (200 mg) 1 time per day for 5-7 days. Gelmodol-VM is taken orally immediately after the main meal. The tablets are small, film-coated. Swallowing them is not problematic even for a child.
Infectionists in their reviews praise Gelmodol-VM for its wide spectrum of action. But benzimidazole derivatives cannot be called sparing drugs for the body, therefore, in terms of safety, they are inferior to McMiror or Tiberal. However, in the fight against lamblia, they are no less effective, therefore they deserve to be in the rating of the best.
- high antiprotozoal activity;
- Small tablets that are easy to swallow
- sold in 2 tablets.
- not for children under 3 years old;
- negatively affects the fetus during pregnancy;
- quite often provokes dysbiosis.
Attention! This rating is subjective and does not constitute an advertisement and does not serve as a purchase guide. Before buying, you need to consult with a specialist.