Threadworms

The regional formulary will not cover all eventualities for infections medicines choices. As with any condition; patient specific factors and sensitivities need to be considered. Please consider this regional formulary advice alongside any relevant local Board guidelines.

NICE CKS: Threadworm

Treatment of threadworms
Mebendazole
Mebendazole 100mg chewable tablets sugar free

100mg single dose.

Prescribing Notes:

  • Mebendazole is available via the Pharmacy First service, or to purchase from community pharmacies.
  • Anthelmintics should be used in combination with hygienic measures (hand washing, pants at night, morning shower) to break the cycle of auto-infection. On day 1 wash sleepwear and bed linen, dust and vacuum. All members of the family should be treated at the same time.
  • Washing hands and scrubbing nails before each meal and after each visit to the toilet is essential. A bath taken immediately after rising will remove ova laid during the night.
  • One dose of mebendazole is usually sufficient for treatment of threadworms; if infection persists a second dose may be repeated after 2 weeks.
  • In pregnant women (at least in the first trimester) mebendazole should not be used, only use hygiene measures (for 6 weeks).

History Notes

30/07/2026

Regional formulary chapter launched.