Why is this medication prescribed?

Ascarel (generic name: pyrantel) is an anthelmintic medication used to treat various types of intestinal worm infections. It is commonly prescribed for conditions like:

• Pinworm infections: Caused by the pinworm parasite (Enterobius vermicularis).
• Roundworm infections: Caused by the roundworm parasite (Ascaris lumbricoides).
• Hookworm infections: Caused by hookworms (Ancylostoma duodenale or Necator americanus).
• Whipworm infections: Caused by the whipworm parasite (Trichuris trichiura).

How should this medicine be used?

Ascarel (generic name: pyrantel) should be used according to your doctor’s instructions. Here are general guidelines for its use:

• Dosage: Follow the dosage instructions provided by your healthcare provider. The typical dose for treating pinworm infections in adults and children over 2 years old is usually a single dose of 11 mg/kg (up to 1 gram), repeated after 2 weeks if necessary.
• Administration: Ascarel is usually taken orally. It can be taken with or without food. The medication is often available in tablet form.
• Chewing and Swallowing: If you are using the tablet form, it is usually chewed thoroughly before swallowing.
• Re-Treatment: For some infections, a second dose may be required, especially in the case of pinworm infections, to ensure that all the worms and their eggs are eradicated.
• Hygiene Measures: Good hygiene practices are crucial to prevent reinfection and the spread of the infection. This includes washing hands thoroughly, especially after using the bathroom, and keeping fingernails short and clean.

Always follow the instructions given by your healthcare provider or the directions on the medication packaging. If you have any questions or experience any side effects, consult your healthcare provider.

Other uses for this medicine

Aside from treating common intestinal worm infections like pinworm, roundworm, hookworm, and whipworm, Ascarel is sometimes used off-label for:

• Treatment of Strongyloides: In some cases, it might be used for infections caused by Strongyloides stercoralis, although other medications are more commonly prescribed for this purpose.
• Other Parasitic Worms: Pyrantel might be used in combination with other medications to treat infections caused by other parasitic worms, depending on the diagnosis and healthcare provider’s recommendations.

What special precautions should I follow?

Special Precautions for Ascarel:

• Allergies: Inform your healthcare provider if you have any known allergies to pyrantel or any other medications.
• Medical Conditions: Disclose any pre-existing medical conditions, especially liver disease or gastrointestinal issues, as these may affect how you respond to the medication.
• Pregnancy and Breastfeeding: If you are pregnant or breastfeeding, consult your healthcare provider before using Ascarel. It is generally considered safe during pregnancy, but your provider can assess the risk based on your specific situation.
• Drug Interactions: Inform your healthcare provider about all other medications you are taking, including over-the-counter drugs and supplements, to avoid potential interactions.
• Dosage and Administration: Adhere strictly to the dosage instructions. Do not self-medicate or adjust the dose without consulting your healthcare provider.
• Re-Treatment: Follow the recommendation for re-treatment if necessary, especially for pinworm infections, to ensure complete eradication of the parasites.
• Hygiene: Implement good hygiene practices to prevent reinfection and transmission to others. This includes washing hands frequently and maintaining cleanliness.
• Side Effects: Be aware of possible side effects such as nausea, vomiting, abdominal pain, or diarrhea. Contact your healthcare provider if you experience any severe or persistent side effects.

If you have any specific concerns or questions, it’s always best to consult your healthcare provider for personalized advice.

What special dietary instructions should I follow?

There are generally no specific dietary instructions associated with Ascarel. You can take the medication with or without food. However, maintaining a balanced diet and staying hydrated can support your overall health and help your body cope with any potential side effects.

What should I do if I forget a dose?

• Timing: If you realize you missed a dose soon after the scheduled time, take it as soon as possible.
• Missed Dose Window: If it’s almost time for your next dose, skip the missed dose; do not double up to make up for the missed dose.
• Consult Your Provider: If you are unsure or have concerns about what to do after missing a dose, contact your healthcare provider for guidance.

What side effects can this medication cause?

Ascarel (pyrantel) is generally well-tolerated, but like all medications, it can cause side effects. Common side effects include:

• Gastrointestinal Issues:
  • Nausea
  • Vomiting
  • Abdominal pain or cramps
  • Diarrhea
• Other Possible Side Effects:
  • Headache
  • Dizziness
  • Rash or itching
  • Fever

Serious side effects are rare but may include:

• Allergic Reactions:
  • Severe rash
  • Itching
  • Swelling (especially of the face, tongue, or throat)
  • Severe dizziness
  • Trouble breathing
• Hepatic Reactions: Symptoms of liver issues, such as jaundice (yellowing of the skin or eyes), dark urine, or unusual tiredness.

If you experience any severe side effects or signs of an allergic reaction, seek medical attention immediately. For less severe side effects, consult your healthcare provider to determine whether you should continue the medication or if any adjustments are needed.

What should I know about storage and disposal of this medication?

Storage of Ascarel:

• Store Ascarel at room temperature, typically between 20°C to 25°C (68°F to 77°F).
• Keep the medication in a dry place, away from moisture.
• Store it in its original container, tightly closed.
• Keep out of reach of children to prevent accidental ingestion.

Disposal of Ascarel:

• Do not flush Ascarel down the toilet or pour it into a drain unless instructed to do so by your pharmacist or local waste disposal regulations.
• Check for local drug take-back programs or community disposal programs that allow safe disposal of medications.
• If no take-back programs are available, dispose of Ascarel in the household trash by mixing it with an undesirable substance (e.g., used coffee grounds or cat litter) and placing it in a sealed bag or container before throwing it away.

In case of emergency/overdose

• Seek Immediate Help: If you suspect an overdose or experience severe symptoms, seek emergency medical attention immediately.
• Contact Poison Control: Call your local poison control center for advice on managing an overdose.
• Symptoms of Overdose: Symptoms of an overdose may include severe nausea, vomiting, abdominal pain, or diarrhea. Report any of these symptoms to a healthcare professional.

What other information should I know?

• Medication Review: Regularly review all medications with your healthcare provider to ensure there are no interactions or issues.
• Follow-Up: Attend follow-up appointments if prescribed, to monitor the effectiveness of the treatment and any potential side effects.
• Record Keeping: Keep a record of the medication you take and any side effects experienced to discuss with your healthcare provider.

If you have any additional questions or concerns about Ascarel or its use, consult your healthcare provider for personalized advice.