The Use of Praziquantel in the Elimination of Intestinal Cestodes from the Red Snakehead (Channa micropeltes)
    
	Gregory A. Lewbart, MS, VMD; John B.Gratzek1, DVM, PhD
    
	Abstract
The Red Snakehead (Channa micropeltes) is a freshwater fish 
native to Thailand. These piscivorous fish are commonly imported into the United States for 
sale in the ornamental fish industry. Necropsies of several debilitated individuals revealed 
the presence of large cestodes (3-6 cm in length) in the intestines. These cestodes appear to 
belong in the genus Senga. While these fish probably support this parasite burden without 
difficulty in the wild, it was felt to be an added stress on fish already stressed by recent 
transcontinental shipping.
Praziquantel (Droncit® Mobay Corn.) is commonly used in veterinary 
medicine to kill cestodes in mammals and digenetic and monogenetic trematodes in fish. Oral 
doses are reported for praziquantel to treat cestode infections and doses used in bath form 
exist for treatment of trematodes in fish.
In the initial study, a bath treatment using 10.0 ppm praziquantel was 
employed since dosing fish orally or by injection at the wholesale level of the tropical fish 
industry would be both costly and impractical. The initial results were very encouraging 
since fish could be observed shedding intact cestodes from the cloaca within a period of 3 
hours post treatment. Subsequent experiments showed that concentrations of praziquantel as 
low as 0.5 ppm will remove cestodes from the intestinal tract of Channa 
micropeltes.
In an attempt to objectively quantify the results of these experiments, a 
single blind study was performed using one group of untreated fish and another treated for 3 
hours with 1.0 ppm praziquantel. Gross and histopathological findings confirmed the presence 
of adult cestodes in the intestines and liver of the untreated fish and revealed the treated 
fish to be entirely void of cestodes.
Specific dosages, water quality parameters and other experimental 
conditions and protocols will be discussed in detail as well as the implications of treating 
other teleost fishes cestode infections with praziquantel.
Review
In a large tropical fish wholesale facility many thousands of fish come 
and go in a relatively short period of time. Most fish in good health spend less than 5 days 
in a typical facility. In the case of the Red Snakehead (Channa micropeltes), a 
species imported directly from Thailand, periodic bouts of high morbidity and mortality were 
observed within 24 hours of arrival in the wholesale tanks. Many affected fish appearance 
cachexic weak and anorexic. These traits are all abnormal for the characteristically 
aggressive and voracious snakehead. Gross necropsy revealed the presence of large mature 
castnodes in the intestines. In cases the parasitic load was severe.
Praziquantel is a cestocide which exerts its effect on the neuromuscular 
system of the Parasite. Cestodes which are exposed to this compound become paralyzed and the 
adhesive suckers lose their function. This drug is routinely used to treat cestodiasis, in 
domestic mammals. Recommended routes of administration include both oral and parenteral 
injection. These routes are difficult or impractical with large numbers of tropical fish. 
Heckman (1984, 1987) experimented with sculpin using praziquantel as a tank treatment for 
helminth parasites in combination with other parasiticides including ivermectin and 
mebendazole. Heckman had success using praziquantel as a bath treatment at a concentration 
2.0 ppm. He found this to be safe and when used in combination with ivermectin a variety of 
helminth parasites (none of which were intestinal cestodes) were readily killed. Heckman 
(1984) described experiments using injectable praziquantel and reported that it was adequate 
to kill all the life stages of the digenetic trematode, Diplostomum spathaceum. Moser 
et al., (1986) used praziquantel to kill larvae-of the fluke, D. spathaceum. Moser et. al., 
(1986) also treated electric rays (Torpedo californica) with oral and injectable 
praziquantel to control the cestode, Acanthobothrium californica. Their controlled 
study found praziquantel to be quite effective using both routes of administration when 
appropriate doses were utilized. Schmahl and Mehlhorn (1-085) found praziquantel to he 
effective in killing monogenetic gill flukes belonging to the genus Dactylogyrus which 
parasitized the gills and skin of the carp, Cyprinus carpii.
Due to the high cost of praziquantel, our initial bath treatment studies 
were limited but encouraging. Doses as high as 10.0 ppm caused the Snakehead fish to expel 
intact cestodes from the cloaca within 30 minutes of dosing. Subsequent clinical trials 
revealed that concentrations of praziquantel as low as 0.5 ppm in a bath treatment produced 
similar results. In order to perform a blind, controlled study, 2 groups of Snakeheads (7 
fish per group) were isolated. One group was treated with 1.0 ppm praziquantel and the second 
group remained untreated. The fish were shipped by air to a co-investigator in separate bags 
marked with the letters "A" and "B". Clinically, those fish in the 
treated group arrived in much better condition than those in the untreated group. Several 
fish from the untreated group died in transit and the rest appeared unthrifty. All of the 
fish were necropsied and upon examination every treated fish was found to be void of cestodes 
while all those in the untreated group were found to have cestodes in the intestines and 
liver.
When used as a bath treatment, concentrations of praziquantel up to 10.0 
ppm appear safe for Channa micropeltes. Recent unpublished work by Heckman and 
Zhatkanbaeva (1989) suggests that praziquantel is a safe and effective treatment for 
controlling cestode infestations in the largemouth bass (Micropterus salmoides). These 
findings combined with our study suggest that praziquantel is a safe and effective way to rid 
fish of mature cestode parasites. Future work will focus on other species of tropical 
ornamental fish and on determining the safest and most cost effective treatment regimen using 
praziquantel.
Acknowledgements
We are grateful to David O'Beirne of O'Beirne Tropical Fish for 
providing the fish and access to the aquatic systems.
References
1.  Heckman, R. 1984. The efficacy of praziquantel and other 
pharmaceuticals against the eye fluke of fish, Diplostomum spathaceum. American 
Fisheries Society Newsletter, Fish Health Section, 12(4), p 7.
2.  Heckman, R.. 1987. The efficacy of praziquantel (Droncit) 
and ivermectin in combination as a helminthicide for fish parasites. American Fisheries 
Society Newsletter, Fish Health Section, 15(3), p 7.
3.  Heckman, R. and Zhatkanbaeva. 1989 Personal 
Communication.
4.  Moser, M. Sakanari, J. and R. Heckman. 1986. The effects of 
praziquantel on various larval and parasites from freshwater and marine snails and fish. J. 
Parasit., 72(1). pp. 175-176.
5.  Schmahl, G. and H. Mehlorn. 1985. Praziquantel effective 
against Monogenea. Z. Parasitenkd, 71: 727-737.