<s>[INST] Hi, I gave my daughter vermox two days ago and Im seeing some worms in her anal region. should I give her more vermox or should I wait. She has no itching, I guess my question is are they dying and coming out of her butt or are they still alive. I did hear that vermox could take 3 days to to take affect. [/INST] Hi,After de-worming medicine it will take some time to clear worms, ova and cyst of worms from gastro-intestinal tract.Worms might be dead or alive.For few days you may see these worms near anal region, it is normal process.Usually one course is enough for de-worming.If require you can repeat the dose after 10-15 days.Ok and take care. </s>