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. 2006 Dec;82(974):779–787. doi: 10.1136/pgmj.2006.048579

Table 1 Treatment of parasites causing tropical malabsorption.

Parasitic infection Treatment
Giardia intestinalis Metronidazole 400 mg three times daily for a week; tinidazole 2 g single dose; secnidazole 30 mg/kg single dose; nitazoxanide 500 mg twice daily for 3 days; paromomycin 10 mg/kg three times daily for 7 days (pregnancy)
Isospora belli Cotrimoxazole (160/800 mg) twice daily for 7 days, *followed by one tablet three times a week for 10 weeks; ciprofloxacin 500 mg twice daily for one week, *followed by 500 mg three times a week for 10 weeks
Cryptosporidium parvum Nitazoxanide 500 mg twice daily for 3–7 days; paromomycin 500 mg 3–4 times daily for 2 weeks
Enterocytozoon bieuneusi Nitazoxanide 500 mg twice daily for 3–7 days; fumagillin 20 mg three times daily for 2 weeks
Encephalitozoon intestinalis Albendazole 400 mg twice daily for 2–3 weeks
Cyclospora cayetanensis Cotrimoxazole (160/800 mg) twice daily for 7 days, *followed by one tablet three times a week for 10 weeks; ciprofloxacin 500 mg twice daily for one week, *followed by 500 mg three times a week for 10 weeks
Leishmania donovani Miltefosine 100–150 mg daily orally for 4 weeks; liposomal amphotericin B 1–3 mg/kg/day for 5 days; paromomycin 16–20 mg/kg/day for 3 weeks
Strongyloides stercoralis Thiabendazole 25 mg/kg/12 h for 3 days; albendazole 400 mg twice daily for 3 days; ivermectin 200 μg/kg for 1–2 days
Capillaria philippinensis Thiabendazole 25 mg/kg/12 h for 20 days; albendazole 400 mg once or twice daily for 10 days

*In underlying HIV infection.