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Ivermectin

St. Bernard Drugs has the knowledge and the experience when it comes to making prescription compounds for you and your loved ones here in the New Orleans area.

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Introduction to Ivermectin

Ivermectin is an FDA-approved medication with established use in the treatment of several parasitic infections in humans, including those caused by certain worms and head lice. It is also prescribed for specific skin conditions, such as rosacea, where it may assist in managing inflammation and controlling mite infestations. Available as both an oral tablet and topical cream, ivermectin acts by affecting parasites, which has led to its use in managing tropical diseases and certain dermatological conditions.

Originally developed for both human and animal use, ivermectin has a longstanding role in global health, particularly in the management of diseases such as river blindness and scabies. The FDA has approved ivermectin for specific indications, but its use as a treatment for COVID-19 is not supported by available clinical trial data, and the FDA has not granted approval for this indication. In some states—including Arkansas, Tennessee, and Louisiana—legislation permits pharmacists to dispense ivermectin under a statewide standing order without an individual patient-specific prescription, which may offer patients greater access to this medication for approved uses. It remains important that only formulations intended for human use are taken, and individuals are encouraged to consult healthcare professionals before starting any new medication.

Key Benefits of FDA Approved Ivermectin

Treats Parasitic Infections

Effectively treats and eliminates specific internal parasites, including those responsible for intestinal strongyloidiasis

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Treats Skin Conditions

Applied topically to treat and help manage inflammatory lesions often associated with rosacea and related dermatological conditions.

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Customized Patient Dosing

Allows for exact, weight-based dosing when commercially available strengths do not meet a patient’s specific medical requirements.

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Personalized Formulations for Your Care by a Healthcare Professional

Ivermectin may be prepared in a range of strengths and dosage forms, such as oral liquid suspensions or topical creams, to support different treatment protocols. When an alternative to commercially available tablets or specific dosing adjustments is needed for a parasitic infection, compounded formulations can offer additional flexibility for patient care. Each preparation is produced with attention to accuracy and reliability, based on the requirements of the prescribed care plan.

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Legislation and Availability

The legal status and availability of ivermectin varies by state. In Louisiana, the "Ivermectin Access Law" permits pharmacists to dispense ivermectin under a statewide standing order without the need for an individual patient-specific prescription. This regulation allows healthcare professionals and pharmacists to provide ivermectin directly to patients after applying a screening and risk assessment tool to evaluate potential contraindications and determine whether the medication may be appropriate for the individual's health situation. Pharmacists are required to discuss the approved uses and possible side effects of ivermectin with patients prior to dispensing.

Similar legislative measures have been enacted in other states, such as Texas, where a bill supported by State Sen. Bob Hall and Governor Greg Abbott permits pharmacists to dispense ivermectin under defined protocols, utilizing a process similar to other regulated medications available behind the counter. This arrangement is intended to enhance patient access while maintaining oversight by healthcare professionals, with the objective of supporting appropriate use for those seeking ivermectin, including individuals who may be considering the medication for off-label purposes.

Because regulations and requirements for dispensing ivermectin differ depending on the state, patients are encouraged to consult with a healthcare professional or pharmacist prior to using the medication, particularly when considering applications not approved by the FDA. Screening and patient education contribute to the safe and appropriate use of ivermectin.

Why Trust St. Bernard Drugs

At St. Bernard Drugs, a compounding pharmacy in the Greater New Orleans area, ivermectin compounding services are available for individualized patient needs. Pharmacists prepare compounded ivermectin in accordance with USP <795> standards, using prescription-grade Active Pharmaceutical Ingredients (API) to develop oral and topical formulations. The pharmacy works with physicians and patients throughout Louisiana to adjust dosing, address allergy sensitivities, and offer options when standard ivermectin products are not suitable.

We offer compounded Ivermectin options for antiparasitic and dermatological care, designed to address particular patient needs. The compounding pharmacy team collaborates with healthcare providers throughout Louisiana and the Greater New Orleans area to support dosing adjustments and develop alternatives to commercially available products. Compounded Ivermectin prescriptions are prepared in line with relevant standards, with the aim of maintaining quality and supporting patient safety. Information on the appropriate use and administration of compounded Ivermectin is available to assist patients and healthcare professionals.

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Frequently Asked Questions

Can Ivermectin be used in pediatric patients?
Ivermectin may be utilized in pediatric patients, typically for those weighing over 15 kg (33 lbs), for approved clinical indications. The dosing and administration are determined by a healthcare provider, and compounded formulations can be tailored for age, weight, and route of administration as appropriate for pediatric care.
What should I do if I miss a dose of compounded Ivermectin?
If you miss a scheduled dose, take it as soon as you remember unless it is almost time for your next scheduled dose. Do not take two doses at once to make up for the missed dose. Contact your prescribing doctor or pharmacist for specific instructions about missed doses.
Are there any specific drug interactions to consider with Ivermectin?
Yes. Ivermectin may interact with certain medications, including blood thinners and anticonvulsants. It is important to inform your healthcare provider and compounding pharmacist of all medications, supplements, and herbal products you are taking before starting Ivermectin therapy.
Is the Ivermectin compounded at the pharmacy the same as veterinary Ivermectin?
No. St. Bernard Drugs uses only prescription-grade, human-approved Active Pharmaceutical Ingredients to compound Ivermectin for human patients. Only ivermectin intended for human use should be taken; ivermectin intended for animals is produced differently and is not safe for human use. The FDA has received multiple reports of patients who have required medical attention after self-medicating with ivermectin intended for animals.
How is compounded Ivermectin administered?
Ivermectin can be given orally (as a capsule or liquid suspension) or used topically (as a cream or gel), depending on the physician’s diagnosis and prescription. Administration should always follow the supervising healthcare provider’s exact instructions.
Are there specific storage requirements for compounded Ivermectin?
Storage requirements vary by formulation. Topical creams are generally stored at room temperature away from direct light, while some oral suspensions may need refrigeration. Your pharmacist will provide exact storage instructions when dispensing your medication.
Can Ivermectin be used in patients with liver or kidney disease?
Use of Ivermectin in patients with significant liver or kidney impairment should be carefully evaluated by a healthcare professional. Dosage adjustments and additional monitoring may be necessary in these populations.
What are the most common side effects of Ivermectin?
Common side effects may include dizziness, nausea, diarrhea, and mild skin irritation for topical formulations. Less frequently, allergic reactions or more severe side effects can occur. Patients should promptly report any unusual symptoms to their healthcare provider.
How soon can improvement be expected after starting Ivermectin therapy?
The timeframe for potential improvement depends on the condition being treated, individual patient factors, and the formulation used. Some individuals may notice improvement within a few days, while for others it may take longer. Follow-up with your healthcare provider is recommended to assess progress.
Can Ivermectin be taken with food or on an empty stomach?
Administration instructions may vary based on the particular formulation and the condition being treated. Some studies suggest that taking Ivermectin with food may affect its absorption or efficacy. Your healthcare provider or pharmacist can provide specific guidance regarding the timing and method of administration.