Ivermectin

Dosage Forms Available

• Ivermectin can be taken orally (tablet) or applied topically (lotion and cream).

Age And Dose Restrictions 

• The oral form is intended to be used by adults and children weighing more than 15 kg. Lotion can be used in adults and children 6 months of age and older. Cream is intended to be used by adults only.

Contraindications 

• It is contraindicated in patients with a history of hypersensitivity to Ivermectin.

Overdose And Missed Dose

• Overdose can cause rash, oedema, headache, dizziness, weakness, nausea, vomiting, and diarrhoea. These symptoms need to be managed as an emergency in a hospital setting. Therefore, strict adherence to the prescribed dose is essential.
• If you miss a dose of this medicine, take it as soon as you remember. But, if the next dose is near, skip the missed dose and resume the regular dosing regime.

Management Of Side Effects

• If you experience dizziness, leave the bed slowly, resting your feet on the floor for a few minutes before standing up. Continue taking this medicine as prescribed. If side effects worsen or persist, consult your doctor for a possible treatment plan adjustment.

Use In Pregnancy And Lactation

• Caution is advised while taking Ivermectin during pregnancy and breastfeeding.

Caution In Other Conditions

• Caution is advised in older adults and patients with immune system conditions, such as human immunodeficiency virus (HIV) or skin conditions.

Special Dietary And Lifestyle Recommendation

• A stool exam is necessary at least three times during the first 3 months after your treatment to check if your infection has cleared. 
• Avoid contact with contaminated soil to reduce the risk of reinfection.
• Emphasise good hygiene, including regular handwashing, to prevent the spread of roundworm infections and reduce the risk of reinfection.
• Incorporate the use of a fine-toothed lice comb into your routine to help remove lice and nits (lice eggs) from the hair shafts. 
• Discourage the sharing of personal items such as combs, brushes, hats, and scarves to prevent the spread of head lice to others and reduce the risk of re-infestation.
• Wash all bedding, clothing, and personal items that may have come into contact with the lice in hot water. This helps eliminate any potential lice or nits on these items.