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 |