Table 2.

Treating Strongyloides infection

Chronic strongyloidiasis (adults)
Ivermectin, 200 μg/kg, by mouth daily for 1–2 days* (patient weight > 15 kg)
Relative contraindications:
Patients with Loa loa microfilaremia
Children < 1 year of age or persons weighing less than 15 kg
Pregnant or lactating women
Alternatives:
Albendazole, 400 mg, by mouth twice a day for 2–7 days*
Thiabendazole, 25 mg/kg by mouth twice a day for 3 days
Hyperinfection syndrome
Ivermectin, 200 μg/kg/day, by mouth, until negative stool exams persist for 2 weeks
For patients unable to tolerate therapy by mouth, consider subcutaneous and per rectum formulations

^*Optimal duration of therapy unknown.