Amebicidal agentAdvantagesDisadvantages
Luminal amebicides
Paromomycin (Humatin)Seven-day treatment course; may be useful during pregnancyFrequent GI disturbances; rare ototoxicity and nephrotoxicity; expensive
Iodoquinol (Yodoxin)Inexpensive and effective20-day treatment course; contains iodine; rare optic neuritis and atrophy with prolonged use
Diloxanide furoate (Furamide)Alternative to paromomycin if unable to tolerateAvailable in United States only from the CDC; frequent GI disturbances; rare diplopia; contraindicated in pregnant women
For invasive intestinal disease only
Tetracycline, erythromycinAlternative to metronidazole (Flagyl) if unable to tolerateNot active for liver abscesses; frequent GI disturbances; tetracycline should not be administered to children or pregnant women; must be used with luminal agent
For invasive intestinal and extraintestinal amebiasis
MetronidazoleDrug of choice for amebic colitis and liver abscessAnorexia, nausea, vomiting, and metallic taste in nearly one third of patients at dosages used; disulfiram-like reaction with alcohol; rare seizures
Chloroquine (Aralen)Useful only for amebic liver abscessOccasional headache, pruritus, nausea, alopecia, and myalgias; rare heart block and irreversible retinal injury