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DRUG INTERACTIONS:


EVERYONE should consult with an appropriate health care practitioner before taking ivermectin.


People who consume any of the medications listed below should be extra careful and take special precautions as these drugs are believed to interact with ivermectin. ​


The list below is NOT meant to be a complete list. It is simply a quick guide to alert those who take any of these medications to be extra careful.


ALCOHOL - do NOT drink alcohol in combination with ivermectin.


Analgesics:   Metamizole


Antibacterials:  Clarithromycin  Rifabutin  Rifampicin  Rifapentine  Telithromycin


Antiarrhythmics:  Quinidine


Anti-coagulant, Anti-platelet and Fibrinolytic:  Acenocoumarol, Argatroban, Dipyridamole, Fondaparinux, Heparin, Phenprocoumon, Warfarin


Antidepressants: St. John’s wort


Anticonvulsants:  Carbamazepine, Eslicarbazepine, Oxcarbazepine, Phenobarbital (Phenobarbitone), Phenytoin  Primidone, Rufinamide


Antifungals: Griseofulvin  Itraconazole  Ketoconazole


Antipsychotics/Neuroleptics: Thioridazine ​


Calcium Channel Blockers:  Verapamil


HCV DAAs:  Glecaprevir/Pibrentasvir, Ombitasvir/Paritaprevir/r, Ombitasvir/Paritaprevir/r + Dasabuvir


HIV Antiretroviral Therapies:  Atazanavir +ritonavir, Atazanavir/cobicistat,  Efavirenz, Elvitegravir/Cobi/Emtricitabine/TAF,  Elvitegravir/Cobi/Emtricitabine/TDF,  Etravirine, Nevirapine


Covid-19 Antiviral Therapies:  Atazanavir  Chloroquine  Hydroxychloroquine  Lopinavir/ritonavir


Covid-19 Immune Therapies:  Ruxolitinib


Hypertension / Heart Failure Agents:  Bosentan, Ranolazine


Immunosuppressants:  Ciclosporin


Steroids:  Betamethasone ​ 


​Note: The above list was obtained from Covid19-DrugInteractions.org.Click HERE for additional information.


CONTRA-INDICATIONS AND DRUG INTERACTIONS  


Additional caution should also be exercised with patients who are currently taking CYP 3A4 or P-gp inhibitor drugs such as:


Amiodarone

Clarithromycin

Cobicistat

Cyclosporine

Diltiazem

Erythromycin

Indinavir

Itraconazole

Ketoconazole

Quinidine

Ritonavir

Spironolactone

Tacrolimus

Verapamil


SOURCE: CLICK HERE


EFFECTS OF EXTREME OVERUSE/ABUSENOTE: ​

Even after serious overuse/abuse of ivermectin, the symptoms subsided after the patients stopped abusing the medication. CLICK HERE for more Information.

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