{"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\/ro\/product\/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;\">R\u0103spuns rapid \u2014 Ce este Nemocid?<\/h3>\n<div style=\"margin:0;font-size:15px;line-height:1.55;color:#333;\">\n<p><strong>Nemocid<\/strong> este un <strong>pyrantel pamoate 250 mg<\/strong> comprimat de <strong>Cipla<\/strong>. Pyrantel este agentul f\u0103r\u0103 prescrip\u021bie medical\u0103 utilizat \u00eempotriva oxiurilor \u0219i a nematodelor \u00een multe \u021b\u0103ri (SUA, UK Combantrin) \u0219i ac\u021bioneaz\u0103 prin depolarizarea jonc\u021biunilor neuromusculare ale parazitului \u2014 viermele este paralizat \u0219i eliminat \u00een scaun. Doza standard pentru adul\u021bi: <strong>11 mg\/kg ca o singur\u0103 doz\u0103 (maxim 1 g)<\/strong>, repetat\u0103 dup\u0103 2 s\u0103pt\u0103m\u00e2ni pentru oxiuri.<\/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>De ce s\u0103 comanzi de la MedsBase:<\/strong> \u2713 Provenien\u021b\u0103 de la <strong>produc\u0103tori certifica\u021bi WHO-GMP<\/strong> \u00b7 \u2713 Ambalaj discret \u00b7 \u2713 Livrare la nivel mondial \u00b7 \u2713 <strong>Peste 1.400 de recenzii ale clien\u021bilor<\/strong> la <a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">medsbase.com\/reviews<\/a><\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Medicamentele noastre generice sunt procurate de la produc\u0103tori certifica\u021bi WHO-GMP \u0219i expediate la nivel mondial \u00een ambalaje discrete \u0219i simple \u2014 f\u0103r\u0103 denumirea medicamentului pe exteriorul coletului. Pl\u0103\u021bile cu cardul sunt procesate printr-un procesor reglementat (descrierile de pe extrasul de cont includ un procesor de pl\u0103\u021bi cu card reglementat \u2014 niciodat\u0103 \u201cMedsBase\u201d sau numele vreunui medicament). Accept\u0103m \u0219i criptomonede \u0219i transferuri bancare SEPA. Fiecare comand\u0103 este sus\u021binut\u0103 de Politica noastr\u0103 de Asigurare pentru Relivrare.<\/p>\n<h2 class=\"wp-block-heading\">Ce este Nemocid?<\/h2>\n<p><strong>Nemocid<\/strong> este pyrantel pamoate 250 mg de la <strong>Cipla<\/strong>. Pyrantel pamoate este un agent blocant neuromuscular depolarizant conceput special pentru parazi\u021bi, cu absorb\u021bie neglijabil\u0103 din intestin, astfel \u00eenc\u00e2t efectele secundare sistematice sunt rare. Disponibil f\u0103r\u0103 prescrip\u021bie \u00een multe pie\u021be reglementate, pyrantel este o alternativ\u0103 veche benzimidazolilor (albendazol, mebendazol) pentru oxiuri \u0219i nematode.<\/p>\n<h2 class=\"wp-block-heading\">Mecanism de ac\u021biune<\/h2>\n<p>Pyrantel pamoate este un <strong>blocant neuromuscular depolarizant<\/strong>: se leag\u0103 de receptorii nicotinici de acetilcolin\u0103 de pe mu\u0219chii parazitului, provoc\u00e2nd depolarizare sus\u021binut\u0103 \u0219i paralizie spastic\u0103. Viermele paralizat \u00ee\u0219i pierde prinderea de peretele intestinal \u0219i este eliminat \u00een fecale. Mecanismul este opus celui al piperazinei, care provoac\u0103 paralizie flasc\u0103 \u2014 piperazina \u0219i pyrantelul nu trebuie combinate, deoarece se antagonizeaz\u0103 reciproc.<\/p>\n<p>Mai pu\u021bin de 15% din doza oral\u0103 este absorbit\u0103; concentra\u021bia plasmatic\u0103 maxim\u0103 este atins\u0103 \u00een 1\u20133 ore; at\u00e2t medicamentul neschimbat, c\u00e2t \u0219i metaboli\u021bii sunt elimina\u021bi predominant \u00een fecale. Expozi\u021bia sistemic\u0103 sc\u0103zut\u0103 \u00eenseamn\u0103 foarte pu\u021bine efecte secundare nespecifice.<\/p>\n<h2 class=\"wp-block-heading\">Indica\u021bii \u0219i dozaj Nemocid<\/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;\">Indica\u021bie<\/th>\n<th style=\"padding:8px;text-align:left;border:1px solid #ddd;\">Doza<\/th>\n<th style=\"padding:8px;text-align:left;border:1px solid #ddd;\">Program<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:8px;border:1px solid #ddd;\">Oxiiuri (Enterobius)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">11 mg\/kg (maxim 1 g)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Doz\u0103 unic\u0103, repetat\u0103 dup\u0103 2 s\u0103pt\u0103m\u00e2ni<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Ascarid\u0103 (Ascaris)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">11 mg\/kg<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Doza unic\u0103<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border:1px solid #ddd;\">Uncinariasis (Ancylostoma, Necator)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">11 mg\/kg zilnic<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Timp de 3 zile pentru infec\u021bii severe<\/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 mg\/kg<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Doza unic\u0103<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Doza aproximativ\u0103 pentru adul\u021bi: 1\u20134 comprimate \u00een func\u021bie de greutatea corporal\u0103 (1 comprimat = 250 mg de baz\u0103 de pirantel pamoat). Poate fi luat cu sau f\u0103r\u0103 alimente. Majoritatea preparatelor exist\u0103 \u0219i sub form\u0103 de suspensii pentru dozarea pediatric\u0103 \u00een func\u021bie de greutate \u2014 \u00eentreba\u021bi dac\u0103 ave\u021bi nevoie de forma suspensiei.<\/p>\n<h2 class=\"wp-block-heading\">Efecte secundare<\/h2>\n<ul>\n<li><strong>Frecvente:<\/strong> disconfort gastrointestinal u\u0219or, grea\u021b\u0103, crampe abdominale, diaree tranzitorie<\/li>\n<li><strong>Mai pu\u021bin frecvente:<\/strong> cefalee, ame\u021beli, somnolen\u021b\u0103, erup\u021bii cutanate, cre\u0219tere tranzitorie a transaminazelor<\/li>\n<li><strong>Rare:<\/strong> disfunc\u021bie hepatic\u0103 (raport\u0103ri limitate)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interac\u021biuni medicamentoase<\/h2>\n<ul>\n<li><strong>Piperazina<\/strong> \u2014 antagonizeaz\u0103 pirantelul (mecanism opus); nu combina\u021bi niciodat\u0103<\/li>\n<li><strong>Teofilin\u0103<\/strong> \u2014 pirantelul poate cre\u0219te u\u0219or nivelul teofilinei; monitoriza\u021bi \u00een cazul tratamentelor lungi<\/li>\n<li>Nu exist\u0103 interac\u021biuni CYP semnificative din punct de vedere clinic deoarece expunerea sistemic\u0103 este sc\u0103zut\u0103<\/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>Sarcina \u0219i al\u0103ptarea.<\/strong> Albendazolul \u0219i mebendazolul NU sunt recomandate \u00een primul trimestru (date de teratogenitate la animale). Utilizarea este acceptabil\u0103 \u00een trimestrul 2\/3 pentru infest\u0103ri moderate sau severe cu viermi. Datele privind ivermectina \u00een sarcin\u0103 sunt limitate, dar \u00eencurajatoare \u00een programele WHO de tratament \u00een mas\u0103; evita\u021bi \u00een primul trimestru acolo unde exist\u0103 alternative. Praziquantelul \u0219i pirantelul sunt compatibile cu sarcina.<\/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>Not\u0103 pediatric\u0103.<\/strong> Majoritatea antihelminticelor sunt sigure de la v\u00e2rsta de 2 ani \u00een sus; ivermectina este autorizat\u0103 de la 15 kg greutate corporal\u0103; albendazolul 400 mg doz\u0103 unic\u0103 este standardul WHO de la v\u00e2rsta de 1 an \u00een programele de tratament \u00een mas\u0103. Sub v\u00e2rsta de 2 ani, alege\u021bi suspensii pediatrice \u0219i consulta\u021bi un medic pentru dozarea \u00een func\u021bie de greutate.<\/div>\n<h2 class=\"wp-block-heading\">Contraindica\u021bii<\/h2>\n<ul>\n<li>Hipersensibilitate la pirantel pamoat<\/li>\n<li>Copii &lt; 2 ani (consulta\u021bi pediatrul pentru utilizare off-label)<\/li>\n<li>Insuficien\u021b\u0103 hepatic\u0103 semnificativ\u0103<\/li>\n<li>Sarcina \u2014 se recomand\u0103 evitarea \u00een primul trimestru; trimestrele ulterioare sunt acceptabile pentru infest\u0103ri moderate p\u00e2n\u0103 la severe cu viermi<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Depozitare<\/h2>\n<p>P\u0103stra\u021bi Nemocid la sub 25\u00b0C, departe de lumin\u0103 \u0219i umiditate. Depozita\u021bi \u00een afara accesului copiilor.<\/p>\n<h3 class=\"wp-block-heading\">De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Nemocid este furnizat dintr-un <strong>produc\u0103tor certificat WHO-GMP<\/strong>, ambalat\u0103 discret \u0219i expediat\u0103 la nivel mondial. Fiecare comand\u0103 este acoperit\u0103 de asigurarea noastr\u0103 <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\">Politica noastr\u0103 de Reexpediere Garantat\u0103<\/a> \u2014 nu suporta\u021bi niciodat\u0103 costul unui colet pierdut.<\/p>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3 class=\"wp-block-heading\">De ce s\u0103 alege\u021bi pirantel \u00een loc de albendazol?<\/h3>\n<p>Pirantelul este disponibil f\u0103r\u0103 re\u021bet\u0103 \u00een multe \u021b\u0103ri, are un istoric lung de siguran\u021b\u0103 \u00een sarcin\u0103, are interac\u021biuni minime cu CYP \u0219i aproape niciun risc sistemic. Albendazolul \u0219i mebendazolul ac\u021bioneaz\u0103 pentru acelea\u0219i indica\u021bii \u0219i acoper\u0103 \u0219i trichuriaz\u0103 \u2014 pirantelul NU acoper\u0103 trichuriaz\u0103.<\/p>\n<h3 class=\"wp-block-heading\">C\u00e2t de repede ac\u021bioneaz\u0103 Nemocid?<\/h3>\n<p>Viermii sunt paraliza\u021bi \u00een c\u00e2teva ore \u0219i elimina\u021bi \u00een fecale \u00een urm\u0103toarele 24\u201372 de ore. Simptomele de oxiuroz\u0103 (m\u00e2nc\u0103rime perianal\u0103) se amelioriaz\u0103 de obicei \u00een decurs de o s\u0103pt\u0103m\u00e2n\u0103.<\/p>\n<h3 class=\"wp-block-heading\">Ar trebui s\u0103 tratez \u0219i restul familiei?<\/h3>\n<p>Da, pentru oxiuroz\u0103. Trata\u021bi to\u021bi membrii familiei \u00een aceea\u0219i zi \u0219i repeta\u021bi tratamentul dup\u0103 2 s\u0103pt\u0103m\u00e2ni. Altfel, reinfestarea este aproape garantat\u0103.<\/p>\n<h3 class=\"wp-block-heading\">Pot lua Nemocid cu m\u00e2ncare?<\/h3>\n<p>Da \u2014 alimenta\u021bia nu afecteaz\u0103 eficacitatea, deoarece pirantelul ac\u021bioneaz\u0103 \u00een lumenul intestinal.<\/p>\n<h3 class=\"wp-block-heading\">Nemocid trateaz\u0103 tenia?<\/h3>\n<p>Nu. Pirantelul este activ doar \u00eempotriva nematodelor (viermi rotunzi) \u2014 nu \u0219i \u00eempotriva teniei sau a distomelor. Utiliza\u021bi niclozamid sau praziquantel pentru tenie.<\/p>\n<h3 class=\"wp-block-heading\">Este Nemocid sigur \u00een sarcin\u0103?<\/h3>\n<p>Pyrantel are unul dintre cele mai sigure profiluri de siguran\u021b\u0103 \u00een sarcin\u0103 dintre antihelmintice. Totu\u0219i, primul trimestru este \u00een general evitat acolo unde este posibil. Discuta\u021bi cu un medic.<\/p>\n<h3 class=\"wp-block-heading\">Dar \u00een cazul trichuriazelor?<\/h3>\n<p>Pyrantel NU trateaz\u0103 \u00een mod fiabil trichuriaza. Pentru trichuriaze se utilizeaz\u0103 albendazol 400 mg zilnic timp de 3 zile.<\/p>\n<h3 class=\"wp-block-heading\">Cum se compar\u0103 pyrantel cu mebendazol?<\/h3>\n<p>Ambele sunt agen\u021bi de prim\u0103 linie f\u0103r\u0103 prescrip\u021bie medical\u0103 pentru oxiuri\/ascaride. Mebendazol acoper\u0103 \u0219i trichuriaza; pyrantel nu. Mebendazol este un benzimidazol; pyrantel este un blocant depolarizant. Rezisten\u021ba \u00eencruci\u0219at\u0103 este neobi\u0219nuit\u0103.<\/p>\n<h3 class=\"wp-block-heading\">Ce se \u00eent\u00e2mpl\u0103 dac\u0103 uit a doua doz\u0103?<\/h3>\n<p>Lua\u021bi-o imediat ce v\u0103 aminti\u021bi. Intervalul de 2 s\u0103pt\u0103m\u00e2ni exist\u0103 pentru a prinde urm\u0103torul ciclu de via\u021b\u0103 al oxiurilor \u2014 dac\u0103 \u00eent\u00e2rzia\u021bi cu c\u00e2teva zile, protocolul \u00eenc\u0103 func\u021bioneaz\u0103, dar un interval mai lung risc\u0103 reinfectare.<\/p>\n<p class=\"medsbase-link-boost-2026-05-07\" data-marker=\"mb-link-boost-wormentel\">\u00cen timp ce <a href=\"\/ro\/nemocid\/\">Nemocid<\/a> (pyrantel pamoate 250 mg) ac\u021bioneaz\u0103 asupra oxiurilor \u0219i ascaridelor printr-un mecanism neuromuscular, <a href=\"\/ro\/wormentel\/\">Wormentel (fenbendazol 222 \/ 500 mg)<\/a> ofer\u0103 o op\u021biune complementar\u0103 de benzimidazol care acoper\u0103 giardiaza \u0219i teniozele pentru cazurile \u00een care pyrantel singur poate fi insuficient.<\/p>\n<p class=\"medsbase-link-boost-2026-05-10\" data-marker=\"mb-link-boost-iverheal\">Pacien\u021bii care iau <a href=\"https:\/\/medsbase.com\/ro\/nemocid\/\">Nemocid (pamoat de pirantel 250 mg)<\/a> pentru infec\u021bie cu oxiuri sau ascaride \u0219i care ulterior se dovedesc pozitivi pentru strongiloidiaz\u0103 sunt de obicei trimi\u0219i la <a href=\"https:\/\/medsbase.com\/ro\/iverheal\/\">Iverheal (ivermectinin\u0103 3 \/ 6 \/ 12 mg)<\/a>, care ac\u021bioneaz\u0103 printr-un mecanism neuronal distinct asupra speciilor de nematode susceptibile.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Alte Medicamente Antiparazitare<\/h3>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/nemocid\/\">Nemocid (pamoat de pirantel 250 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/abd-400-albendazole\/\">ABD 400 (albendazol 400 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/mebex\/\">Mebex (mebendazol 100 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/iverheal\/\">Iverheal (ivermectin\u0103)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/bendex-suspension\/\">Bendex Suspension (albendazol pediatric)<\/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>Not\u0103 medical\u0103.<\/strong> Aceast\u0103 pagin\u0103 are scop strict informativ \u0219i nu \u00eenlocuie\u0219te sfatul medical profesionist. Consulta\u021bi un clinician calificat \u00eenainte de a \u00eencepe orice tratament antihelmintic, \u00een special dac\u0103 sunte\u021bi gravid\u0103 sau al\u0103pta\u021bi, imunosupres, trata\u021bi un copil sub 2 ani sau dac\u0103 simptomele persist\u0103 dup\u0103 un curs de tratament. Eozinofilia, pierderea \u00een greutate, dureri abdominale persistente sau simptome legate de c\u0103l\u0103torii necesit\u0103 evaluare clinic\u0103. Bolile parazitare severe (neurocisticercoz\u0103, hiperinfec\u021bie cu strongiloizi, schistosomiaza cu afectare organic\u0103) necesit\u0103 management specializat.<\/div>","protected":false},"excerpt":{"rendered":"<p>Nemocid (pamoat de pirantel 250 mg, Cipla) \u2014 antihelmintic cu ac\u021biune depolarizant-blocant pentru oxiuri, ascarizi \u0219i ancilostomi. Terapie unic\u0103 acceptabil\u0103 \u00een sarcin\u0103 de 11 mg\/kg cu expunere sistemic\u0103 minim\u0103.<\/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\/ro\/wp-json\/wp\/v2\/product\/64808","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=64808"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/64810"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=64808"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=64808"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=64808"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=64808"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}