항생제
Ivermectin

Ivermectin

Spectrum Of Activity

General Information

  • Infection of Onchocerca volvulus, non-adult stage
  • Intestinal strongyloidiasis
  • Pediculosis capitis
  • Rosacea, Inflammatory lesions

Off-label

  • Ascariasis
  • Cutaneous larva migrans
  • Enterobiasis
  • Infection by Loa loa
  • Infection by Wuchereria bancrofti
  • Infestation by Phthirus pubis
  • Mansonelliasis
  • Scabies

Strongyloidiasis: Obtain 1 stool culture per month for 3 months following treatment.

Onchocerciasis: Perform ophthalmic exam at baseline and periodically during treatment. Assess for loiasis prior to treatment with history of significant exposure to Loa loa-endemic areas.

Common

  • Pruritus
  • Urticaria
  • Dizziness

Serious

  • Mazzotti reaction
  • Seizure

Warfarin- may elevate INR values

Antimicrobial class: Anthelmintic agent, Avermectin

Pregnancy category: C

Average serum half life: 18 hours (oral), 6.5 days (topical)

Precautions: Patients with onchocerciasis may have cutaenous, allergic and inflmmatory systemic, and ophthalmological reactions during oral use.

In patients with exposure to Loa loa endemic areas, pretreatment assessment for loiasis and careful monitoring is recommended.