What benefit would the nurse describe for treating pinworms and roundworms with a prescription for pyrantel instead of mebendazole?
A) "Pyrantel needs only be taken once."
B) "Mebendazole has many serious adverse effects."
C) "Pyrantel is excreted in the feces."
D) "Pyrantel is safer for children younger than 2 years."
A
Feedback:
Pyrantel's big advantage is that it needs only be taken one time so it is a better choice for those who may not remember to take repeated doses. Mebendazole has very few side effects because very little of the medication is absorbed systemically so that is not a reason to prescribe pyrantel. Pyrantel is mostly excreted in the feces but some is also found in urine while mebendazole is only excreted in the feces so this does not benefit prescribing pyrantel. Pyrantel has not been established as safe for use in children under 2 years old.
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