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. 2018 Jun 22;8:209. doi: 10.3389/fcimb.2018.00209

Table 1.

Pharmacological treatment of amebiasis.

Amebiasis Drug Doses Advantages Side effects References
Asymptomatic carrier Teclozan 500 mg orally
(two times a day) over 3 days
High efficacy (80 and 93%)
Few side effects
No teratogenic effect
Abdominal pain, flatulence, and nausea Werner Apt, 2014
Etofamide 500 mg orally (three times a day)
over 3 days
Good efficacy (92%)
Long half life
Short treatment
Flatulence, vomiting, urticaria, pruritis Werner Apt, 2014
Diloxanide furoate 500 mg orally
(three times a day)
High efficacy (83%)
Rapidly absorbed
Low toxicity
Flatulence, nausea, and vomiting Pehrson and Bengtsson, 1983
Paromomycin 30 mg/kg/day High efficacy (85%)
Use during breastfeeding
No nephrotoxicity
Diarrhea, gastrointestinal symptoms Haque et al., 2003
Amebic colitis Metronidazole 750 mg orally
(three times a day)
over 7–10 days
High efficacy
(90%)
Good bioavailability
Anorexia, nausea, diarrhea, and metallic aftertaste Li and Stanley, 1996; Haque et al., 2003; Marie and Petri, 2013
Tinidazole 800 mg orally
(three times a day)
over 7 days
Long half life
Good distribution in tissues
Anorexia, nausea, diarrhea, vomiting, and metallic aftertaste Pehrson and Bengtsson, 1983
Iodoquinol 650 mg orally
(three times a day)
Highly selective Headache, nausea, vomiting, and optic nerve damage Stanley, 2003
Amebic liver abscess (ALA) Metronidazole 750 mg IV
over 5–10 days
High efficacy
(90–100%)
good bioavailability in tissues
Dizziness, headache, gastritis, diarrhea, nausea, vomiting, stomach upset, and metallic taste Calleja Bello and Colin Abarranco, 1979; Li and Stanley, 1996; Haque et al., 2003; Marie and Petri, 2013
Tinidazole 800 mg orally
(three times a day)
over 7 days
Long half life
Good distribution in tissues
Anorexia, nausea, diarrhea, vomiting, and metallic aftertaste Pehrson and Bengtsson, 1983