I just returned from Haiti where we used Vermox extensively.  We treated 233 out
of 691 patients that we saw for worms.
We used in it children under two, but at one-half the dose for children over
two.
We did not use a single dose.  Of course, all we could do is empirically treat
for multiple type worm infections.  We dose at 100 mg twice a day for three days
for anyone over two years old, and 50 mg twice a day for three days for those
under two.
Now to the breastfeeding question: Maternal plasma levels were very low, and
breast milk levels were undetectable in a case report.  The oral dose presented
to the baby would be even lower because of the poor GIT absorption of
mebendazole in the infant.
There is no need to temporarily wean, for one dose, or for the three day course.

Frank J. Nice, DPA, CPHP

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