What is ivermectin?

Ivermectin is the generic name of the prescription drug Stromectol, also available as a lotion (Sklice) and a cream (Soolantra).

Doctors prescribe ivermectin to treat parasites in the intestines, river blindness, scabies, and lice on the head and in the pubic area.

Ivermectin belongs to group of drugs known as antiparasitics. It works by increasing the amount of chloride that flows into the parasite's nervous system, which ultimately paralyzes and kills the parasite.

The Food and Drug Administration (FDA) first approved ivermectin under the brand name Stromectol in 1996. Merck Sharpe & Dohme manufactures it.

Ivermectin Warnings

You shouldn’t take ivermectin if you’re allergic to ivermectin or any ingredients in the drug.

Talk to your doctor before taking ivermectin if you have asthma or a skin condition called onychodermatitis.

Pregnancy and Ivermectin

Ivermectin has not been well studied in pregnant humans.

Before taking ivermectin, talk to your doctor about whether the drug benefits outweigh the potential risks to your unborn baby.

Whether or not ivermectin is for mothers who are breastfeeding has not been determined.

Tell your doctor if you’re pregnant, planning a pregnancy, or breastfeeding before taking ivermectin.

Ivermectin for Dogs and Cats

Veterinarians often prescribe ivermectin (under the brand names Heartgard, Ivomec, Iverhart, and others) for dogs and cats.

The drug is used to treat parasitic infections such as heartworm, mange, and ear mites.

Low doses of ivermectin are generally considered safe for animals.

However, ivermectin is not suitable for all dogs. Some carry a mutated gene (MDR-1) that makes the dog especially sensitive to ivermectin toxicity.

In dogs with this mutation, ivermectin can pass into the brain and nervous system with deadly consequences.

There are some dog breeds that are more sensitive to ivermectin than others. These include Australian and German Shepherds; English, Old English, and Shelton Sheepdogs; Syke Terriers; and Collies.

However, your dog's breed is not necessarily a guarantee that there will or will not be a problem with ivermectin.



How to use ivermectin?

Ivermectin Dosage

Ivermectin comes in tablet, lotion, and cream form.

Tablets come as generic ivermectin (Stromectol) in a strength of 3 mg.

Your doctor will determine how much you should take based on your body and the condition being treated.

Always take ivermectin on an empty stomach.

To treat scabies and lice, doctors may prescribe 1 percent ivermectin cream (Soolantra).

Sklice is a 0.5 percent ivermectin lotion.

Make sure the area where you’re applying Soolantra or Sklice to the skin is clean and completely dry before applying the.

Be sure to wash your hands thoroughly after you’ve applied either product to your skin.

Ivermectin Overdose

If you think you might have taken or applied too much Ivermectin, contact an emergency room at 911 or a poison control center (800) 222-1222 right away.

Missed Dose of Ivermectin

If you miss a dose of Ivermectin or an application, try to take it or apply it as soon as you remember.

If it’s almost time for the next dose, skip the missed dose and take your next dose at the regular time. Don't double your dose.



What are the side effects of ivermectin?

Ivermectin Side Effects

Common Side Effects of Ivermectin

The side effects vary depending on the form you’re using. They include the following:

  • Itching and rash
  • Swelling
  • Headache
  • Joint pain
  • Pink eye, inflammation of the eyes or discomfort
  • Dizziness and a drop in blood pressure upon standing
  • Racing heart beat
  • Changes in liver function tests

Cream and lotion formulations of ivermectin may cause your skin to itch or burn.

Serious Side Effects of Ivermectin

The following side effects generally apply to ivermectin tablets (Stromectol):

  • Sudden drop in blood pressure and dizziness upon standing
  • Life-threatening skin reactions
  • Seizures
  • Asthma flare-up
  • Changes in vision, including loss of vision
  • Liver infection