Ivermectin

This page follows the US label for ivermectin 3 mg tablets, taken by mouth.

The label lists treatment of intestinal (non-disseminated) strongyloidiasis caused by Strongyloides stercoralis.

It also lists treatment of onchocerciasis caused by Onchocerca volvulus. The label notes ivermectin has no activity against the adult worms.

The Indian lists we checked also include a cream and an oral liquid. Those are not covered by this tablet label.

• Intestinal strongyloidiasis
• Onchocerciasis (river blindness)

The label describes ivermectin as a semisynthetic anthelmintic, derived from the avermectins, a class of broad-spectrum antiparasitic agents.

The label sections we reviewed do not describe how it works in the body in more detail.

The US label gives a single oral dose based on body weight, taken on an empty stomach with water.

For strongyloidiasis, the dose is designed to provide about 200 mcg per kg of body weight. The label says additional doses are generally not needed, and stool tests should check that the infection has cleared.

For onchocerciasis, the single dose is about 150 mcg per kg. The label says retreatment may be considered as short as every 3 months for individual patients.

Dosing tables on the label count the number of 3 mg tablets by weight band. We do not show weight-based figures, so follow the prescriber.

Indian pack labels may differ from the US label. Your prescriber's instruction always comes first. Do not change the dose yourself.

The label contraindicates ivermectin in people hypersensitive to any component.

Neurotoxicity: alteration of consciousness, confusion, disorientation and death have been reported. Most cases resolved with supportive care.

People with onchocerciasis who are heavily infected with Loa loa may develop serious or fatal brain symptoms. The label advises assessment for loiasis in those with exposure in endemic areas.

Pregnancy: ivermectin was teratogenic in animals. The label says it should not be used in pregnancy since safety has not been established.

Breastfeeding: it is excreted in low concentrations in breast milk. The label says to treat mothers who will breastfeed only if the delay would be riskier.

Children: safety and effectiveness are not established for those weighing under 15 kg.

Older adults: the label says treatment should be cautious, given more frequent reduced liver, kidney or heart function.

The label excerpt we reviewed does not describe alcohol or driving. Ask your doctor or pharmacist.

• Allergy to ivermectin: do not use
• Not for use in pregnancy per the label
• Children under 15 kg: not established
• Exposure to Loa loa areas: assessment needed
• Warfarin users: INR may rise

• Warfarin (INR may rise)
• The label reports rare cases of raised INR when ivermectin was used with warfarin.
• The label excerpt we reviewed lists no other medicine interactions in its drug interaction section.
• Tell your doctor about all medicines you take, since the full label should be checked for your situation.

No match in this label text. Ask your pharmacist about any medicine you take.

The label says neurotoxicity, including drowsiness, stupor, coma, confusion and death, has been reported at recommended doses and in overdose.

Exposure to veterinary formulations in humans has caused rash, swelling, headache, dizziness, weakness, nausea, vomiting and diarrhea, and sometimes fits.

Treatment is supportive. Get emergency care at once.

The label says to store at temperatures below 30 degrees C.

We did not find Ivermectin in the Schedule H, H1, X or G lists we checked. This does not mean it can be sold without a prescription.

The National List of Essential Medicines 2022 lists these forms: Oral liquid 120 mg/5 mL (p); Tablet 6 mg; Tablet 12 mg.

No NPPA ceiling price row for Ivermectin was found in the lists we checked.

We found no mention of Ivermectin in the banned-combination list we checked.

Jan Aushadhi (PMBJP) product rows we found for Ivermectin are listed next.

Ivermectin Dispersible Tablets 12 mg, pack 10's.

Ivermectin Cream 1% w/w, pack 15 g.

Ivermectin 1.5mg and Albendazole 200mg Oral Suspension, pack 10ml in Mono- carton.

We do not show a brand price here. Prices change, so confirm with the seller.