Ivermectin
ANTIBIOTICUses of Ivermectin
- Ivermectin treats parasitic infections due to roundworms, including strongyloidiasis and onchocerciasis (river blindness).
- It is also used to treat pimples and spots due to rosacea.
- It is also used to treat head lice, pubic lice infestation, and scabies.
Side effects of Ivermectin
- Dizziness
- Nausea
- Constipation
- Diarrhoea
- Abdominal pain
- Constipation
- Lethargy
- Itching
- Burning sensation
How Ivermectin works
- Ivermectin is an antiparasitic agent.
- It is an anthelmintic that binds to glutamate-gated chloride channels in parasite nerve and muscle cells, leading to paralysis. Its selective affinity for invertebrates ensures safety in vertebrates.
- Ivermectin also exhibits anti-inflammatory effects in managing dermatological conditions like rosacea.
Certified content
Written By
B. Pharm
Reviewed By
B. Pharm, MSc.
Expert Advice
Dosage Forms Available
- Ivermectin can be taken orally (tablet) or applied topically (lotion and cream).
Age And Dose Restrictions
- The oral form is intended to be used by adults and children weighing more than 15 kg. Lotion can be used in adults and children 6 months of age and older. Cream is intended to be used by adults only.
Contraindications
- It is contraindicated in patients with a history of hypersensitivity to Ivermectin.
Overdose And Missed Dose
- Overdose can cause rash, oedema, headache, dizziness, weakness, nausea, vomiting, and diarrhoea. These symptoms need to be managed as an emergency in a hospital setting. Therefore, strict adherence to the prescribed dose is essential.
- If you miss a dose of this medicine, take it as soon as you remember. But, if the next dose is near, skip the missed dose and resume the regular dosing regime.
Management Of Side Effects
- If you experience dizziness, leave the bed slowly, resting your feet on the floor for a few minutes before standing up. Continue taking this medicine as prescribed. If side effects worsen or persist, consult your doctor for a possible treatment plan adjustment.
Use In Pregnancy And Lactation
- Caution is advised while taking Ivermectin during pregnancy and breastfeeding.
Caution In Other Conditions
- Caution is advised in older adults and patients with immune system conditions, such as human immunodeficiency virus (HIV) or skin conditions.
Special Dietary And Lifestyle Recommendation
- A stool exam is necessary at least three times during the first 3 months after your treatment to check if your infection has cleared.
- Avoid contact with contaminated soil to reduce the risk of reinfection.
- Emphasise good hygiene, including regular handwashing, to prevent the spread of roundworm infections and reduce the risk of reinfection.
- Incorporate the use of a fine-toothed lice comb into your routine to help remove lice and nits (lice eggs) from the hair shafts.
- Discourage the sharing of personal items such as combs, brushes, hats, and scarves to prevent the spread of head lice to others and reduce the risk of re-infestation.
- Wash all bedding, clothing, and personal items that may have come into contact with the lice in hot water. This helps eliminate any potential lice or nits on these items.
Frequently asked questions
1. Is Ivermectin effective for all worms?
This medicine is only effective against roundworm infections.
2. Can Ivermectin affect the liver?
This medicine is not known to affect the liver.
3. How much time does Ivermectin take to work?
This medicine typically starts working within hours to a few days after its use, with the exact time frame depending on the specific condition being treated and the individual's response to the medication.
4. Is Ivermectin a habit-forming medicine?
No, this medicine is not habit-forming and is generally safe when used as directed.
5. Can I drive after taking Ivermectin?
This medicine can make you feel dizzy and weak. It is not recommended to drive, operate machinery, or do other activities requiring mental alertness or coordination after taking it.
6. Does Ivermectin affect fertility?
The use of this medicine does not impair female fertility. However, it's best to consult your doctor for any concerns.
7. Is Ivermectin available over the counter, or do I need a prescription?
This medicine usually requires a prescription and is not available over the counter.
8. Can Ivermectin be taken for stomach pain?
No, this medicine is not used to treat stomach pain.
9. Can Ivermectin cause diarrhoea?
Yes, this medicine can cause diarrhoea as a side effect. If persistent or severe, it's important to inform your doctor for further guidance on managing this side effect.
10. Can Ivermectin be taken for nausea?
This medicine is not used to manage nausea.
11. How is Ivermectin taken orally?
This medicine in oral form is taken on an empty stomach with water.
12. What is the recommended dose of Ivermectin cream?
Apply a pea-sized amount of the cream and spread it evenly on the face, protecting the eyes and mouth.
13. Does Ivermectin cream cause dry skin?
You may experience dry skin after applying this cream. However, individual responses may vary. If you experience persistent dryness, inform your doctor for adjustment in the treatment plan.
14. How to apply Ivermectin lotion to kill head lice?
Apply this lotion to dry hair and dry scalp area. Leave the lotion on your hair and scalp for 10 minutes after completely covering your hair and scalp with the lotion. After 10 minutes, rinse your hair and scalp only with water. Do not use shampoo for 24 hours after applying this lotion.
Ivermectin in other salts
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