Pyrantel pamoate therapy succeeds when medication, hygiene, and household coordination all align. These pearls help busy clinics deliver reliable pinworm eradication plans.
Record the exact 11 mg/kg (base) dose and volume on the prescription label so parents do not estimate from OTC charts.
Book a reminder call, portal message, or calendar invite for the household 14 days after the first dose to eradicate newly hatched worms.
Dose all close contacts on the same day, including asymptomatic siblings and caregivers, to break the reinfection cycle.
Daily morning showers, short fingernails, and hot-water laundering of bedding/clothing for several days markedly reduce egg burden.
In children with weight loss, pallor, or chronic infestation, obtain hemoglobin and consider stool ova/parasite testing to rule out other nematodes.
Children can return to school the day after treatment if itching is controlled, but teachers should reinforce hand hygiene and discourage classroom nail biting.