Indicated for: parasitic infections
Route of administration: cutaneous
Substance: ivermectin (anthelmintic)
ATC: D11AX22 (Dermatologicals | Other dermatological preparations | Other dermatologicals)
Ivermectin is an antiparasitic medicine used for certain infections caused by parasites, such as intestinal strongyloidiasis, some forms of filariasis, onchocerciasis and, in selected situations, scabies. It acts on the nervous system of parasites, leading to paralysis and elimination. It is not an antibiotic and should not be used for viral infections unless clearly prescribed.
It is taken by mouth, usually as a dose calculated by body weight, sometimes as a single dose and sometimes repeated according to the diagnosis. In scabies, treatment of close contacts and cleaning of clothes, bedding and towels may be needed. The correct dose, repeat dosing and additional medicines depend on the parasite, region and patient condition.
Side effects may include nausea, diarrhoea, abdominal pain, dizziness, sleepiness, itching, skin rash, joint pain or fever. Some symptoms may result from the body’s reaction to dying parasites. In people infected with Loa loa, a parasite found in some regions of Africa, severe neurological reactions can occur, so travel history is clinically important.
Contact a doctor urgently if confusion, seizures, severe sleepiness, walking problems, breathing difficulty, facial swelling, blistering rash, high fever or rapid worsening occurs. Tell your doctor if you are pregnant, breastfeeding, have liver disease, take anticoagulants or have travelled to Loa loa areas. Ivermectin should be used only for confirmed indications and at the prescribed dose.