Frequently Asked Questions


  1. Q:  How do I know I have intestinal/digestive system parasites (helminths)?


A: Symptoms, such as pain, cramps, and constipation often mark infestations, but sometimes there are no indications. Even if you do not see helminths, they may be present and harmful. Vietnam veterans (including my husband) have discovered that liver flukes can live and thrive in your bile ducts for decades without causing any signs of illness or pain.  If you have any doubts or have lived in any part of the world that has these parasites, like I did for 15 years, you must have laboratory testing.


After taking Fluke-X, some people notice other types of worms in their stool and no flukes. This is common since other types of worms are more visible.  Some people have almost-invisible “Micro Parasites,” which are even harder to detect.  These parasites are so small you need a microscope to find, classify, and treat them.


Helminths will not be in every stool sample. Often, physicians must culture stool samples from several days/weeks to get one that contains worms.  So, one test does not mean that you have no helminths.  The same, thorough testing is the only way to tell if you are clear of parasites and their eggs after treatment.


  1. Q:  Why should I take tribendimidine?


A:  The good news is that tribendamidine, is a “broad-spectrum, anti-helminth” medicine that has been proven effective in large clinical trials in Thailand, India, China and Europe.  According to the WHO (world health organization) there is no competing medication with this level of clinical effectiveness.  It has been proven effective in children, youth and adults. 


No treatments are 100% effective against all parasites.  In addition, incomplete measures and treatments have allowed helminths to become resistant to earlier cures.  Other drugs for fluke infestation are about 60% effective unless used in combination and repeated several times.  These drugs can be expensive and toxic. 


Tribendimidine has an 80-96% cure rate for flukes and their eggs.  It does not have to be repeated every 21-30 days to prevent the eggs from hatching a new group of flukes.  After one dose, the flukes and their eggs will begin to die. It may take weeks for all the parasites to die, detach, and clear your body.  A bonus is that it has the fewest and mildest side effects of anti-helminth treatments.


Even though it has been used in Europe and most of the world, it is not manufactured in the US.  The pharmaceutical industry has not identified a way to make it profitable here.  Hence, the medication cannot be purchased at a local pharmacy. Tests by a gastroenterologist, and before-and-after stool analysis are so much bother, most people simply depend on the medication’s proven record of effectiveness, and just move on with their lives. 


  1. Q:  How much tribendimidine should I take?


A:  Clinical trials found that the most effective method was single doses from 200mg to 800mg based on age and severity.  Adolescents and adults were given single doses of at least 400mg, often 600mg, and in some cases 800mg, with good results and few, mild side effects.  I took 600mg and my husband took 800mg.  Neither of us experienced adverse responses to the medicine, and both of us got surprisingly good results.


  1. Q:  How can I tell if the medication is working?


A:  You cannot know for sure about any parasite treatment without laboratory testing.


These worms and flukes are tenacious.  Once they attach themselves, it takes strong medicine to kill, stun, dislodge, and flush them.  Nothing works instantly, and no treatment is 100% effective.  People look in their commode the next day, for signs.  If they do not see any worms, they think the medication is not working. 


Do not expect to see anything the next day. Usually, it takes two days to a week before the first dead parasites let go and pass through the digestive track. Then, the parasites continue to die and let go over several weeks.  Also, the dead flukes or worms come out irregularly.  That means several samples over several days must be inspected to know what is happening.


Some worms are big enough to see with the naked eye.  Many other parasites are so small, you can hardly ever see them.  Often, worms, flukes, their eggs and larvae are thin, viscous, translucent, and tiny. Some are so small, they can only be seen with a microscope.  


Another obstacle to detecting worms and flukes, is that the dead and dying parasites are embedded and obscured in the feces.  Adult flukes look like small leaves up to 3/4" long when alive.  When dead, sometimes the edges of flukes curl up like dried leaves.  Sometimes they are tinted red by blood.  My husband described them as resembling "tiny tomato skins" in the toilet bowl.    


You want to be sure to kill any larvae and eggs to prevent re-infestation.  Larvae are usually even harder to see than the adult worms; eggs are yet smaller.  Unless the eggs are very large, you could never detect them with the naked eye.


Even if you use other means and remedies, take the time to schedule a series of laboratory tests with your doctor to be sure how you are doing and whether you are improving.  So many “natural” cures, diets, purges, and enemas may give temporary relief, and may produce signs of eliminating worms, but inevitably, the problems return.


  1. Q:  Will insurance pay for tribendimidine?


A:  Insurance will not reimburse you for tribendimidine.  However, our price is less than half the Rx alternatives.


  1. Q:  Should I take several doses of tribendimidine, like antibiotics?


A:  Probably not.  All the clinical trials (see links) show some differences based on the amount taken, but none showed any benefit from a series of doses.  You can buy more Fluke-X and take it a second time for one infestation, but it is probably overkill.  If you revisit places where you can get infested again or eat undercooked fish (sushi, ceviche, etc.) that has parasites, you may need to take it again.  Tribendimidine is not a vaccine or preventive medicine, although it is long-acting.


  1. Q:  Why should I order tribendimidine through Fluke-X?


A: I spent 15 years overseas as a humanitarian worker in countries where, to my surprise, parasitic worms were common.  I got them all.  My husband is a Vietnam veteran (1969); we discovered after the fact, he had liver flukes.  We both loved sushi and ceviche, which, sadly, we decided to give up after learning that uncooked or undercooked fish could be sources. For 20 years I bought and tried anything that might work; I was desperate for a real cure. 


We discovered tribendimidine in our research and were impressed with the results of the many clinical trials (see home page for links).  We found the pharmaceutical company that invented it and their only manufacturing facility.  We were excited at first and then discouraged by the cost. They only offer large commercial quantities. When we realized we had no alternatives, we went ahead and bought the medication, directly from the pharmaceutical factory.  We only needed a little for ourselves, so we had plenty left over.  We thought we would offer effective amounts (400mg, 600mg, 800mg) at a much lower, more affordable cost to people with the same problems. Other sources charge up to $100 for 100mg.





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