Biltricide
600mg
Praziquantel 600mg tablets, used for schistosomiasis and liver flukes. It makes the parasite's membrane permeable to calcium, causing paralysis.
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Liver Flukes
Liver flukes are parasitic flatworms that infect bile ducts or liver tissue after ingestion of contaminated raw aquatic foods or water plants.
Key points
- Clonorchis, Opisthorchis and Fasciola have different life cycles, tests and preferred medicines.
- Chronic bile-duct fluke infection may be silent but can cause inflammation, stones and increased bile-duct cancer risk.
- Stool microscopy can miss light or early infection, so exposure history, serology and imaging may be needed.
The listings below do not establish the species; antiparasitic selection should follow diagnostic and exposure assessment.
Identifying species and complications
Clinicians ask about raw freshwater fish, crustaceans or water plants and region of exposure. Eosinophilia, liver tests, ultrasound and species-specific stool or antibody testing contribute. Bile-duct dilation, stones or a liver lesion may require endoscopic or surgical evaluation.
Treatment choices
Praziquantel is used for common bile-duct flukes such as clonorchiasis and opisthorchiasis, while triclabendazole is preferred for fascioliasis. Treating without identifying likely species can fail. Follow-up confirms response and addresses reinfection prevention through safe food preparation.
When to seek urgent care
Seek urgent care for fever with jaundice, severe right-upper abdominal pain, repeated vomiting, confusion, fainting or rapidly worsening abdominal swelling.