ALBME

CDC Health Advisory - Ivermectin

On Aug. 26, 2021, the U.S. Centers for Disease Control issued an advisory regarding the rapid increase in Ivermectin prescriptions and reports of severe illness associated with the use of products containing Ivermectin to prevent or treat COVID-19.

Recommendations for Clinicians and Public Health Practitioners

• Be aware that ivermectin is not currently authorized or approved by FDA for treatment of COVID-19. NIH has also determined that there are currently insufficient data to recommend ivermectin for treatment of COVID-19.

• Educate patients about the risks of using ivermectin without a prescription, or ingesting ivermectin formulations that are meant for external use or ivermectin-containing products formulated for veterinary use.

• Advise patients to immediately seek medical treatment if they have taken any ivermectin or ivermectin-containing products and are experiencing symptoms. Signs and symptoms of ivermectin toxicity include gastrointestinal effects (nausea, vomiting, abdominal pain, and diarrhea), headache, blurred vision, dizziness, tachycardia, hypotension, visual hallucinations, altered mental status, confusion, loss of coordination and balance, central nervous system depression, and seizures. Ivermectin may increase sedative effects of other medications such as benzodiazepines and barbiturates. Call the poison control center hotline (1-800-222-1222) for medical management advice.

• Educate patients and the public to get vaccinated against COVID-19. COVID-19 vaccination is safe and the most effective means to prevent infection and protect against severe disease and death from SARS-CoV-2, the virus that causes COVID-19, including the Delta variant.

• Educate patients and the public to use COVID-19 prevention measures including wearing masks in indoor public places, physical distancing by staying at least six feet from other people who don’t live in the same household, avoiding crowds and poorly ventilated spaces, and frequent handwashing and use of hand sanitizer that contains at least 60 percent alcohol.

See https://emergency.cdc.gov/han/2021/pdf/CDC_HAN_449.pdf?utm_medium=email&utm_source=govdelivery for the complete advisory, including evidence of recent increased human exposures and adverse effects associated with Ivermectin reported to poison control centers and an increased use of veterinary products not meant for human consumption.