<b>Case treatment</b><br>ffSupportive treatment during an attack (bed rest, limb elevation, analgesics, cooling, hydration) ffDoxycycline 100 mg twice a day for 4-6 weeks (do not administer antiparasitic treatment during an acute attack)}<b>Chronic case</b><br>ffSupportive treatment: bandage during the day, elevation of affected limb at rest, analgesics and surgery (hydrocelectomy)}<b>Large scale treatment/preventive chemotherapy</b><br>Give annually to all population at risk, for 4-6 years ffIvermectin 150-200 mcg/kg plus albendazole 400 mg single dose –– Not effective against adult worms –– Ivermectin is not recommended in children < 5 years, pregnancy, or breast-feeding mothers –– No food or alcohol to be taken within 2 hours of a dose