Safety Information

What Is Ivermectin?

Ivermectin is an FDA-approved antiparasitic medication first approved in 1987. It is used to treat several parasitic infections in humans, including strongyloidiasis, onchocerciasis, scabies, and certain other parasitic conditions. In the U.S., it is commercially available as 3mg oral tablets (generic Stromectol) and as a 1% topical cream (Soolantra) for rosacea. TexMed also dispenses compounded ivermectin capsules in 9mg, 12mg, 18mg, 30mg, and 45mg strengths.

FDA-Approved Uses

• Onchocerciasis (river blindness) — single dose 150 mcg/kg
• Intestinal Strongyloidiasis — single dose 200 mcg/kg
• Scabies (off-label oral; topical FDA-approved for rosacea)
• Rosacea — topical 1% cream (Soolantra), once daily

Contraindications

Drug Interactions

Common Side Effects

• Dizziness, lightheadedness
• Nausea, diarrhea, stomach pain
• Itching or skin rash (may be Mazzotti reaction in river blindness patients)
• Headache, fatigue
• Fever (may indicate Mazzotti reaction)

Most side effects are mild and transient. Take ivermectin on an empty stomach with a full glass of water unless otherwise directed.

Serious / Rare Side Effects — Seek Emergency Care

• Severe allergic reaction (rash, hives, swelling of face/throat, difficulty breathing)
• Seizures or loss of consciousness
• Confusion, severe dizziness, vision changes
• Severe liver problems (yellowing of skin/eyes, dark urine, right-sided abdominal pain)

Administration Instructions

• Take on an empty stomach (at least 2 hours before or after eating) with a full glass of water.
• Do not crush tablets — swallow whole.
• Capsules — swallow whole with water.
• Topical cream — apply a pea-sized amount to each affected area of the face once daily.
• Follow the exact dose and regimen recommended by your pharmacist.