{"id":64808,"date":"2024-10-29T13:33:06","date_gmt":"2024-10-29T13:33:06","guid":{"rendered":"https:\/\/medsbase.com\/?post_type=product&#038;p=64808"},"modified":"2026-05-10T08:48:12","modified_gmt":"2026-05-10T08:48:12","slug":"nemocid","status":"publish","type":"product","link":"https:\/\/medsbase.com\/nl\/nemocid\/","title":{"rendered":"Nemocid"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div class=\"medsbase-tldr-answer\" style=\"margin:0 0 22px;padding:16px 20px;background:#fff8e1;border-left:4px solid #f5a623;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px;font-size:18px;color:#2c3e50;\">Quick Answer &mdash; What is Nemocid?<\/h3>\n<div style=\"margin:0;font-size:15px;line-height:1.55;color:#333;\">\n<p><strong>Nemocid<\/strong> is een oraal <strong>pyrantel pamoate 250&nbsp;mg<\/strong> tablet van <strong>Cipla<\/strong>. Pyrantel is the over-the-counter pinworm and roundworm agent in many countries (US, UK Combantrin) and works by depolarising parasite neuromuscular junctions &mdash; the worm is paralysed and passed in stool. Standard adult dose: <strong>11&nbsp;mg\/kg as a single dose (max 1&nbsp;g)<\/strong>, repeated in 2 weeks for pinworm.<\/p>\n<\/div>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"margin:24px 0;padding:14px 18px;background:#f4f4f4;border:1px solid #e1e1e1;border-radius:4px;font-size:14px;color:#444;line-height:1.55;\"><strong>Waarom bestellen bij MedsBase:<\/strong> \u2713 Afkomstig van <strong>WHO-GMP gecertificeerde fabrikanten<\/strong> \u00b7 \u2713 Discrete verpakking \u00b7 \u2713 Wereldwijde verzending \u00b7 \u2713 <strong>1.400+ klantbeoordelingen<\/strong> op <a href=\"https:\/\/medsbase.com\/nl\/reviews\/\">medsbase.com\/reviews<\/a><\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Elke bestelling is gedekt door onze <a href=\"https:\/\/medsbase.com\/nl\/medsbase-re-shipment-assurance-policy\/\"><strong>Reshipment Assurance Policy<\/strong><\/a> \u2014 als uw pakket niet binnen 20 werkdagen arriveert, sturen wij het opnieuw.<\/p>\n<h3>Waarom bestellen bij MedsBase<\/h3>\n<p>Onze generieke medicijnen zijn afkomstig van WHO-GMP gecertificeerde fabrikanten en worden wereldwijd verzonden in discrete, eenvoudige verpakkingen \u2014 geen medicijnnaam op de buitenkant van het pakket. Betalingen met kaart worden verwerkt via een gereguleerde processor (betalingsoverzichten vermelden een gereguleerde kaartbetalingprocessor \u2014 nooit \u201cMedsBase\u201d of een medicijnnaam). Crypto en SEPA bankoverschrijvingen worden ook geaccepteerd. Elke bestelling wordt ondersteund door ons Reshipment Assurance Policy.<\/p>\n<h2 class=\"wp-block-heading\">What is Nemocid?<\/h2>\n<p><strong>Nemocid<\/strong> is pyrantel pamoate 250&nbsp;mg from <strong>Cipla<\/strong>. Pyrantel pamoate is a depolarising neuromuscular blocking agent specifically designed for parasites, with negligible absorption from the gut so systemic side effects are uncommon. Available over the counter in many regulated markets, pyrantel is a longstanding alternative to the benzimidazoles (albendazole, mebendazole) for pinworm and roundworm.<\/p>\n<h2 class=\"wp-block-heading\">Werkingsmechanisme<\/h2>\n<p>Pyrantel pamoate is a <strong>depolarising neuromuscular blocker<\/strong>: it binds nicotinic acetylcholine receptors on parasite muscle, causing sustained depolarisation and spastic paralysis. The paralysed worm releases its grip on the gut wall and is passed in faeces. The mechanism is the opposite of piperazine, which causes flaccid paralysis &mdash; piperazine and pyrantel should not be combined as they antagonise each other.<\/p>\n<p>Less than 15% of an oral dose is absorbed; peak plasma is at 1&ndash;3 hours; both unchanged drug and metabolites are excreted predominantly in faeces. Low systemic exposure means very few off-target effects.<\/p>\n<h2 class=\"wp-block-heading\">Nemocid indications and dose<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;font-size:14px;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:8px;text-align:left;border:1px solid #ddd;\">Indicatie<\/th>\n<th style=\"padding:8px;text-align:left;border:1px solid #ddd;\">Dosering<\/th>\n<th style=\"padding:8px;text-align:left;border:1px solid #ddd;\">Schema<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:8px;border:1px solid #ddd;\">Aarsmade (Enterobius)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">11&nbsp;mg\/kg (max 1&nbsp;g)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Enkele dosis, herhaal na 2 weken<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Spoelworm (Ascaris)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">11&nbsp;mg\/kg<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Eenmalige dosis<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border:1px solid #ddd;\">Haakworm (Ancylostoma, Necator)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">11&nbsp;mg\/kg daily<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">For 3 days for heavy infection<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Trichostrongylus<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">11&nbsp;mg\/kg<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Eenmalige dosis<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Approximate adult dose: 1&ndash;4 tablets depending on body weight (1 tablet = 250&nbsp;mg pyrantel pamoate base). Take with or without food. Most preparations also exist as suspensions for paediatric weight-based dosing &mdash; ask if you need the suspension format.<\/p>\n<h2 class=\"wp-block-heading\">Bijwerkingen<\/h2>\n<ul>\n<li><strong>Vaak voorkomend:<\/strong> mild GI upset, nausea, abdominal cramps, transient diarrhoea<\/li>\n<li><strong>Minder vaak:<\/strong> headache, dizziness, drowsiness, rash, transient transaminase rise<\/li>\n<li><strong>Zeldzaam:<\/strong> hepatic dysfunction (limited reports)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Geneesmiddelinteracties<\/h2>\n<ul>\n<li><strong>Piperazine<\/strong> &mdash; antagonises pyrantel (opposite mechanism); never combine<\/li>\n<li><strong>Theofylline<\/strong> &mdash; pyrantel may modestly raise theophylline levels; monitor in long courses<\/li>\n<li>No clinically significant CYP interactions because systemic exposure is low<\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;font-size:14px;line-height:1.55;color:#444;\"><strong>Zwangerschap &amp; borstvoeding.<\/strong> Albendazol en mebendazol worden NIET aanbevolen in het eerste trimester (gegevens over teratogeniciteit bij dieren). Gebruik is acceptabel in het 2e\/3e trimester bij matige tot zware worminfecties. Gegevens over ivermectine tijdens zwangerschap zijn beperkt maar geruststellend in WHO-massabehandelingsprogramma's; vermijd in het eerste trimester waar alternatieven beschikbaar zijn. Praziquantel en pyrantel zijn compatibel met zwangerschap.<\/div>\n<div style=\"background:#f4f8fb;border-left:4px solid #2c7cb0;padding:14px 18px;margin:18px 0;border-radius:4px;font-size:14px;line-height:1.55;color:#444;\"><strong>Pediatrische opmerking.<\/strong> De meeste wormmiddelen zijn veilig vanaf 2 jaar en ouder; ivermectine is geregistreerd vanaf 15 kg lichaamsgewicht; albendazol 400 mg als eenmalige dosis is de WHO-standaard vanaf 1 jaar in massabehandelingsprogramma's. Onder de 2 jaar, kies voor pediatrische suspensies en raadpleeg een arts voor gewichtsgebonden dosering.<\/div>\n<h2 class=\"wp-block-heading\">Contra-indicaties<\/h2>\n<ul>\n<li>Hypersensitivity to pyrantel pamoate<\/li>\n<li>Children &lt; 2 years (consult paediatrician for off-label use)<\/li>\n<li>Significante leverfunctiestoornis<\/li>\n<li>Pregnancy &mdash; first trimester avoidance recommended; later trimesters acceptable for moderate-to-heavy worm burden<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Opslag<\/h2>\n<p>Store Nemocid below 25&deg;C, away from light and moisture. Keep out of reach of children.<\/p>\n<h3 class=\"wp-block-heading\">Waarom bestellen bij MedsBase<\/h3>\n<p>Nemocid is supplied from a <strong>WHO-GMP gecertificeerde fabrikant<\/strong>, discreet verpakt en wereldwijd verzonden. Elke bestelling valt onder onze <a href=\"https:\/\/medsbase.com\/nl\/medsbase-re-shipment-assurance-policy\/\">Reshipment Assurance Policy<\/a> \u2014 u draagt nooit de kosten van een verloren pakket.<\/p>\n<h2 id=\"faqs\">Veelgestelde vragen<\/h2>\n<h3 class=\"wp-block-heading\">Why choose pyrantel over albendazole?<\/h3>\n<p>Pyrantel is over-the-counter in many countries, has a long pregnancy-safety record, has minimal CYP interactions, and almost no systemic exposure. Albendazole and mebendazole work for the same indications and cover whipworm too &mdash; pyrantel does NOT cover whipworm.<\/p>\n<h3 class=\"wp-block-heading\">How quickly does Nemocid work?<\/h3>\n<p>Worms are paralysed within hours and passed in faeces over the next 24&ndash;72 hours. Pinworm symptoms (perianal itching) usually resolve within a week.<\/p>\n<h3 class=\"wp-block-heading\">Moet ik de rest van het gezin behandelen?<\/h3>\n<p>Yes for pinworm. Treat all household members on the same day and repeat in 2 weeks. Otherwise reinfection is almost guaranteed.<\/p>\n<h3 class=\"wp-block-heading\">Can I take Nemocid with food?<\/h3>\n<p>Yes &mdash; food does not impair efficacy because pyrantel works in the gut lumen.<\/p>\n<h3 class=\"wp-block-heading\">Does Nemocid treat tapeworm?<\/h3>\n<p>No. Pyrantel is active against nematodes (roundworms) only &mdash; not tapeworm and not flukes. Use niclosamide or praziquantel for tapeworm.<\/p>\n<h3 class=\"wp-block-heading\">Is Nemocid safe in pregnancy?<\/h3>\n<p>Pyrantel has one of the better pregnancy-safety records among anthelmintics. The first trimester is still typically avoided where possible. Discuss with a clinician.<\/p>\n<h3 class=\"wp-block-heading\">What about whipworm?<\/h3>\n<p>Pyrantel does NOT treat whipworm reliably. For whipworm use albendazole 400 mg daily for 3 days.<\/p>\n<h3 class=\"wp-block-heading\">How does pyrantel compare to mebendazole?<\/h3>\n<p>Both are first-line over-the-counter pinworm\/roundworm agents. Mebendazole also covers whipworm; pyrantel does not. Mebendazole is a benzimidazole; pyrantel is a depolarising blocker. Cross-resistance is uncommon.<\/p>\n<h3 class=\"wp-block-heading\">What if I miss the second dose?<\/h3>\n<p>Take it as soon as you remember. The 2-week timing exists to catch the next pinworm life cycle &mdash; if you delay by a few days the protocol still works, but a longer gap risks reinfection.<\/p>\n<p class=\"medsbase-link-boost-2026-05-07\" data-marker=\"mb-link-boost-wormentel\">Terwijl <a href=\"\/nl\/nemocid\/\">Nemocid<\/a> (pyrantel pamoate 250&nbsp;mg) targets pinworm and roundworm via a neuromuscular mechanism, <a href=\"\/nl\/wormentel\/\">Wormentel (fenbendazol 222 \/ 500 mg)<\/a> provides a complementary benzimidazole option covering Giardia and tapeworms for cases where pyrantel alone may be insufficient.<\/p>\n<p class=\"medsbase-link-boost-2026-05-10\" data-marker=\"mb-link-boost-iverheal\">Patients taking <a href=\"https:\/\/medsbase.com\/nl\/nemocid\/\">Nemocid (pyrantel pamoate 250 mg)<\/a> for pinworm or roundworm infection who subsequently test positive for strongyloidiasis are typically transitioned to <a href=\"https:\/\/medsbase.com\/nl\/iverheal\/\">Iverheal (ivermectin 3 \/ 6 \/ 12 mg)<\/a>, which acts by a distinct neuronal mechanism on susceptible nematode species.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Andere antiparasitaire medicijnen<\/h3>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/nl\/nemocid\/\">Nemocid (pyrantel pamoate 250 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/abd-400-albendazole\/\">ABD 400 (albendazole 400 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/mebex\/\">Mebex (mebendazole 100 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/iverheal\/\">Iverheal (ivermectine)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/bendex-suspension\/\">Bendex Suspension (pediatrische albendazole)<\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:22px 0;border-radius:4px;font-size:14px;color:#444;\"><strong>Medisch disclaimer.<\/strong> Deze pagina is alleen voor educatieve doeleinden en vervangt geen professioneel medisch advies. Overleg met een gekwalificeerde arts voordat u een wormmiddel gebruikt, vooral als u zwanger bent of borstvoeding geeft, immuungecompromitteerd bent, een kind onder de 2 jaar behandelt of als de klachten aanhouden na een behandeling. Eosinofilie, gewichtsverlies, aanhoudende buikpijn of reisgerelateerde symptomen vereisen klinische evaluatie. Ernstige parasitaire infecties (neurocysticercose, strongyloides hyperinfectie, schistosomiasis met orgaanbetrokkenheid) worden door een specialist behandeld.<\/div>","protected":false},"excerpt":{"rendered":"<p>Nemocid (pyrantel pamoate 250 mg, Cipla) \u2014 depolarising-blocker anthelmintic for pinworm, roundworm, and hookworm. Pregnancy-acceptable single-dose 11 mg\/kg therapy with minimal systemic exposure.<\/p>","protected":false},"featured_media":64810,"comment_status":"open","ping_status":"closed","template":"","meta":[],"product_brand":[],"product_cat":[3856],"product_tag":[5318,5319],"class_list":{"0":"post-64808","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-threadworm-treatment","7":"product_tag-nemocid","8":"product_tag-pyrantel-pamoate","10":"first","11":"instock","12":"shipping-taxable","13":"purchasable","14":"product-type-variable","15":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product\/64808","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/comments?post=64808"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/media\/64810"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/media?parent=64808"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_brand?post=64808"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_cat?post=64808"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_tag?post=64808"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}