For deworming, a common and effective medicine is Albendazole, usually taken as a single 400 mg dose (often at night after food), but the exact dose and need may vary depending on age and symptoms, so it?s best to confirm with a doctor. Maintain good hygiene like handwashing, clean nails, and safe drinking water to prevent reinfection. Sometimes a repeat dose after 2 weeks is advised for complete clearance.

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.

Since antifungal and steroid creams haven't helped, the irritation might be caused by sweat accumulation (intertrigo), a localized skin allergy, or a bacterial infection like erythrasma. To manage this, focus on keeping the area cool and dry. Wear loose-fitting, breathable cotton underwear and gently pat the skin dry after sweating. Avoid harsh soaps or overwashing, which can worsen irritation. Applying a simple, fragrance-free zinc oxide barrier paste can help protect your skin. I highly recommend seeing a dermatologist or healthcare provider to get a precise diagnosis and tailored treatment plan.

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.

For a 10-year-old child weighing 39 kg, the typical dose of Zentel (albendazole) for common worm infections is a single 400 mg dose (usually one tablet or 20 ml of liquid). Zentel can be taken with or without food. However, taking it with a meal, especially one containing a little fat (like milk or a snack), can help the medicine work more effectively and prevents any mild stomach upset. If you are unsure about the specific type of infection, it is always best to consult your pediatrician first.

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.