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Vermox vs. Stromectol

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Vermox (mebendazole) and Stromectol (ivermectin) are both antiparasitic medications, but they treat different types of infections. Vermox is used to treat roundworm and whipworm infections in the stomach and is taken as a single chewable tablet. However, Vermox has been discontinued in the United States, though a similar medication called Emverm (mebendazole) is available. On the other hand, Stromectol treats parasitic infections of the gut, eyes, and skin, including strongyloidiasis and river blindness. Stromectol can also be used off-label for treating scabies. The dose of Stromectol is based on your body weight and may require repeat doses, depending on the infection. While both medications can cause stomach upset, Stromectol has additional risks like severe allergic reactions and brain-related side effects, such as drowsiness and confusion. Neither medication is recommended for use during pregnancy.

Vermox

(mebendazole)

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Ivermectin

(Stromectol)

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Summary for Vermox

Discontinued

Vermox (mebendazole) is an antiparasite medication. It's used to treat roundworm and whipworm intestinal infections in adults and children ages 1 year and older. This medication is available as a chewable tablet that's taken by mouth as a single dose. Some side effects of Vermox (mebendazole) include stomach upset and rash.

Please note: Vermox (mebendazole) has been discontinued and is no longer available in the United States. Ask your primary care provider about other options to treat intestinal worm infections.

Indications for Vermox

Treatment of stomach infections in people ages 1 year and older due to:

Pros and Cons for Vermox

Pros

  • Works well to treat stomach infections caused by certain worms
  • Taken as a single dose
  • Can be used in children as young as 1 year of age

Cons

  • Only used for infections in the stomach due to Ascaris lumbricoide and Trichuris trichiura worms
  • Safety in pregnancy isn't clear
  • No longer available

Common Side Effects for Vermox

  • Low appetite
  • Stomach pain
  • Diarrhea
  • Gas
  • Nausea
  • Vomiting
  • Rash

Warnings for Vermox

  • Medication interaction

Summary for Stromectol

Prescription only

Ivermectin (Stromectol) is an antiparasitic medication. It's used to treat infections caused by certain parasites in the tropical areas. Ivermectin (Stromectol) is also sometimes prescribed off-label for treating scabies. Ivermectin (Stromectol) can be taken by adults and children weighing 15 kg and more. Depending on what infection you have, you might only need a single dose of ivermectin (Stromectol), or repeated treatments. Some common side effects of ivermectin (Stromectol) include stomach pain and nausea. Watch out for dizziness, itching, rash, and swelling, which can be symptoms of a severe allergic reaction.

Indications for Stromectol

  • Treatment of a parasitic gut infection caused by Strongyloides stercoralis (Strongyloidiasis)
  • Treatment of parasitic skin and eye infections caused by Onchocerca volvulus (Onchocerciasis, or river blindness)

Pros and Cons for Stromectol

Pros

  • Available as a lower-cost generic medication
  • Only requires one dose of treatment for strongyloidiasis
  • Treatment of choice for river blindness

Cons

  • Requires repeated stool tests to make sure your stomach infection is completely cleared
  • Must be taken on an empty stomach
  • Not a safe choice during pregnancy

Common Side Effects for Stromectol

Reported by people treated for strongyloidiasis

  • Dizziness (3%)
  • Itching (3%)
  • Nausea (2%)
  • Diarrhea (2%)

Reported by people treated for river blindness

  • Itching (28%)
  • Fever (23%)
  • Skin swelling or rash (23%)
  • Swollen lymph nodes (5-13%)
  • Joint pain (9%)

Warnings for Stromectol

  • Severe allergic reaction (Mazzotti reaction)
  • Brain and nervous system problems

Prices with our coupons for Vermox vs. Stromectol

Price Card Drug Icon
Vermox30 chewable tablets / 500mg
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Ivermectin20 tablets / 3mg
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