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Diethylcarbamazine over the counter, a versatile antiparasitic medication, works its magic by targeting the microfilariae, the larval stage of parasitic worms, such as those causing river blindness and lymphatic filariasis. When taken over-the-counter, diethylcarbamazine is absorbed into the bloodstream, where it binds to the microfilariae, causing them to become immobilized and eventually die. This is achieved through the medication's ability to alter the surface properties of the microfilariae, making them more susceptible to the host's immune system, which then eliminates them.

Additionally, diethylcarbamazine also inhibits the production of chitin, a key component of the parasite's exoskeleton, further disrupting their life cycle and preventing future infestations. By working in tandem with the body's natural defenses, diethylcarbamazine provides a powerful and effective solution for combating parasitic infections.