Praziquantel treats different types of parasite such as tape worms flukes and flat worms levamisole treat nematode worms nodular worms roundworms and hook worms I would recommend using both praziquantel and levamisole on puffer what you could do is use levamisole and monitor hopefully you wouldn't have any issues I would make sure you have your own healthy cultures of live food that will make it less likely to give you issues with parasite in the future