<s>[INST] Cant get rid of  pinworms . Used several courses of Albendazole, Mebendazole , spryed the house with Eradacator, and I do all the recommended types of cleaning. I ve done everything. How do i get rid of them? Alos what is the chemical the the pinworms release during their metobolism that causes lack ofmental concentration ,? [/INST] Thanks for your query at Chat Doctor! You are suffering for intestinal parasite nematode Entertains vernaculars. As you are non-responsive to the treatment I suggest you need to mebendazole, or albendazole or granted palate 3 doses separated by 3 weeks of treatment for effective cure. I recommend get the whole family members including child Chat Doctor. Follow good hygiene practices. You need to get your stool test at least 3 times tested for routine microscopy for parasites to confirm the diagnosis. Take care! </s>