Since levocetirizine (LCZ) and albendazole (Zentel) haven't fully cleared your symptoms, the nighttime itching in your skin folds could be due to a fungal infection, scabies, or an allergic reaction. The worsening after eating meat might suggest a food sensitivity. Persistent tiredness alongside these symptoms also warrants a professional check-up. I highly recommend consulting a doctor or dermatologist. They can examine the rash, run basic blood tests to check your overall health, and prescribe targeted treatments like specific medicated creams.

For both your 6-year-old (19 kg) and 9-year-old (30 kg), the standard dose of albendazole (Zentel) is a single dose of 400 mg. Zentel liquid typically contains the full 400 mg dose in a single bottle (usually 10 mL or 20 mL, depending on the preparation). This means they would each likely need one full bottle as a single dose. Please check your specific packaging to ensure the volume equals 400 mg, and consult their pediatrician to confirm this treatment plan.

For your sweet four-year-old, Zentel (albendazole) syrup is typically given as a single dose. It is highly recommended to administer this medication with food, ideally a meal containing some healthy fats like milk or yogurt. This helps his body absorb the medicine properly and prevents tummy upset. Please consult his pediatrician to confirm the exact dosage volume based on his weight and the specific type of worm infection being treated.

Since standard treatments like albendazole, mebendazole, Zentel, and Cina haven't resolved your symptoms, it is very important to consult a healthcare specialist. Persistent symptoms could indicate repeat reinfection from your environment, or potentially another digestive condition mimicking a worm infection. I recommend asking your doctor for a specific stool test or tape test to confirm if parasites are still present. In the meantime, practicing strict hygiene?like washing bedsheets in hot water and frequent handwashing?can help prevent reinfection.

Recurrent anal itching after taking albendazole is quite common and is usually due to reinfection rather than treatment failure. Pinworm eggs can survive on household surfaces, so it is highly recommended that all family members are treated at the same time to stop the cycle. Your doctor may suggest another course of an antiparasitic like albendazole or mebendazole, ensuring the second dose is taken exactly two weeks after the first. Good hygiene, such as washing bedding in hot water and keeping fingernails short, is also essential. Since itching can also be caused by local skin irritation or fungal infections, please consult your doctor for a proper evaluation.

Yes, albendazole (Zentel) can typically be repeated, but it is very important to consult your pediatrician first to confirm the correct dosage for your daughter's current weight. Since reinfection is common, it is also highly recommended to treat all family members simultaneously. To help prevent future infections, ensure frequent handwashing, keep everyone's fingernails short, and wash all bedding and clothing in hot water.