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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.
Antibacterials Clarithromycin Rifabutin Rifampicin Rifapentine Telithromycin
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
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
The above list was obtained from Covid19-DrugInteractions.org.
Click on the button below 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:
EFFECTS OF EXTREME OVERUSE/ABUSE
NOTE: Even after serious overuse/abuse of ivermectin, the symptoms subsided after the patients stopped abusing the medication.
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