I can't really tell how effective this is. I got no results from this. Maybe I didn't have any problems, even though I have been overseas, but I sort of doubt it. 4 squares is not enough medicine for a complete treatment for other parasites besides tapeworms (thread worms). Shipping is to the US very expensive. The generic name is Pyrantel. Mebendazole is the active ingredient. I haven't tried a different source yet. Maybe it will work for you. Good luck!
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