{"id":55916,"date":"2024-02-07T05:45:26","date_gmt":"2024-02-07T05:45:26","guid":{"rendered":"https:\/\/medsname.com\/iverjohn\/"},"modified":"2026-05-01T05:31:52","modified_gmt":"2026-05-01T05:31:52","slug":"iverjohn","status":"publish","type":"product","link":"https:\/\/medsbase.com\/el\/iverjohn\/","title":{"rendered":"Iverjohn"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div class=\"medsbase-tldr-answer\" style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:6px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:1.15em;\">\u26a1 Quick Answer \u2014 What is Iverjohn?<\/h3>\n<p style=\"margin:0;\"><strong>Iverjohn<\/strong> \u03b5\u03af\u03bd\u03b1\u03b9 <strong>oral ivermectin tablets<\/strong> by Johnlee Pharmaceuticals in three strengths \u2014 <strong>3 mg, 6 mg, and 12 mg<\/strong>. Standard adult dose is 200 \u00b5g\/kg as a single oral dose on an empty stomach, repeated 7\u201314 days later for scabies and head lice. Ivermectin is the WHO-listed essential antiparasitic agent (Nobel Prize 2015) for scabies, strongyloidiasis, onchocerciasis, lymphatic filariasis, head lice, and other parasitic infections. Pre-treatment screening for <em>Loa loa<\/em> co-infection is required in patients from Central and West Africa because of encephalopathy risk.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border-left:4px solid #2c7cb0;padding:14px 18px;margin:18px 0;border-radius:6px;font-size:0.95em;\">\n<strong>\ud83c\udfed WHO-GMP certified manufacturer<\/strong> \u00b7 <strong>\ud83d\udce6 Discreet packaging<\/strong> (plain envelope) &middot; <strong>\ud83c\udf0d Worldwide shipping<\/strong> \u03bc\u03b5 <a href=\"https:\/\/medsbase.com\/el\/medsbase-re-shipment-assurance-policy\/\"><strong>Reshipment Assurance<\/strong><\/a> \u00b7 <strong>\u2b50 1,400+ customers<\/strong> \u2014 <a href=\"https:\/\/medsbase.com\/el\/reviews\/\">\u03b4\u03b9\u03b1\u03b2\u03ac\u03c3\u03c4\u03b5 \u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ad\u03c2<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 \u039a\u03ac\u03b8\u03b5 \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03bb\u03af\u03b1 \u03ba\u03b1\u03bb\u03cd\u03c0\u03c4\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd <a href=\"https:\/\/medsbase.com\/el\/medsbase-re-shipment-assurance-policy\/\"><strong>\u03a0\u03bf\u03bb\u03b9\u03c4\u03b9\u03ba\u03ae \u0395\u03b3\u03b3\u03cd\u03b7\u03c3\u03b7\u03c2 \u0395\u03c0\u03b1\u03bd\u03b1\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2<\/strong><\/a> \u2014 \u03b5\u03ac\u03bd \u03c4\u03bf \u03b4\u03ad\u03bc\u03b1 \u03c3\u03b1\u03c2 \u03b4\u03b5\u03bd \u03c6\u03c4\u03ac\u03c3\u03b5\u03b9 \u03b5\u03bd\u03c4\u03cc\u03c2 20 \u03b5\u03c1\u03b3\u03ac\u03c3\u03b9\u03bc\u03c9\u03bd \u03b7\u03bc\u03b5\u03c1\u03ce\u03bd, \u03c4\u03bf \u03b5\u03c0\u03b1\u03bd\u03b1\u03c0\u03bf\u03c3\u03c4\u03ad\u03bb\u03bb\u03bf\u03c5\u03bc\u03b5.<\/p>\n<h3>\u0393\u03b9\u03b1\u03c4\u03af \u03bd\u03b1 \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03af\u03bb\u03b5\u03c4\u03b5 \u03b1\u03c0\u03cc \u03c4\u03b7 MedsBase<\/h3>\n<p>\u03a4\u03b1 \u03b3\u03b5\u03bd\u03cc\u03c3\u03b7\u03bc\u03b1 \u03c6\u03ac\u03c1\u03bc\u03b1\u03ba\u03ac \u03bc\u03b1\u03c2 \u03c0\u03c1\u03bf\u03ad\u03c1\u03c7\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03ba\u03b1\u03c4\u03b1\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03c4\u03ad\u03c2 \u03c0\u03bf\u03c5 \u03c0\u03b9\u03c3\u03c4\u03bf\u03c0\u03bf\u03b9\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd WHO-GMP \u03ba\u03b1\u03b9 \u03b1\u03c0\u03bf\u03c3\u03c4\u03ad\u03bb\u03bb\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c0\u03b1\u03b3\u03ba\u03bf\u03c3\u03bc\u03af\u03c9\u03c2 \u03c3\u03b5 \u03b4\u03b9\u03b1\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae, \u03b1\u03c0\u03bb\u03ae \u03c3\u03c5\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03af\u03b1 \u2014 \u03c7\u03c9\u03c1\u03af\u03c2 \u03cc\u03bd\u03bf\u03bc\u03b1 \u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5 \u03c3\u03c4\u03bf \u03b5\u03be\u03c9\u03c4\u03b5\u03c1\u03b9\u03ba\u03cc \u03c4\u03bf\u03c5 \u03b4\u03ad\u03bc\u03b1\u03c4\u03bf\u03c2. \u039f\u03b9 \u03c0\u03bb\u03b7\u03c1\u03c9\u03bc\u03ad\u03c2 \u03bc\u03b5 \u03ba\u03ac\u03c1\u03c4\u03b1 \u03b4\u03c1\u03bf\u03bc\u03bf\u03bb\u03bf\u03b3\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03bc\u03ad\u03c3\u03c9 \u03c1\u03c5\u03b8\u03bc\u03b9\u03c3\u03bc\u03ad\u03bd\u03bf\u03c5 \u03b5\u03c0\u03b5\u03be\u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae (\u03bf\u03b9 \u03c0\u03b5\u03c1\u03b9\u03b3\u03c1\u03b1\u03c6\u03ad\u03c2 \u03b5\u03ba\u03ba\u03b1\u03b8\u03ac\u03c1\u03b9\u03c3\u03b7\u03c2 \u03c0\u03b5\u03c1\u03b9\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03bf\u03c5\u03bd \u03c1\u03c5\u03b8\u03bc\u03b9\u03c3\u03bc\u03ad\u03bd\u03bf \u03b5\u03c0\u03b5\u03be\u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae \u03c0\u03bb\u03b7\u03c1\u03c9\u03bc\u03ce\u03bd \u03bc\u03b5 \u03ba\u03ac\u03c1\u03c4\u03b1 \u2014 \u03c0\u03bf\u03c4\u03ad \u201cMedsBase\u201d \u03ae \u03bf\u03c0\u03bf\u03b9\u03bf\u03b4\u03ae\u03c0\u03bf\u03c4\u03b5 \u03cc\u03bd\u03bf\u03bc\u03b1 \u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5). \u0393\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b4\u03b5\u03ba\u03c4\u03ad\u03c2 \u03ba\u03b1\u03b9 \u03c0\u03bb\u03b7\u03c1\u03c9\u03bc\u03ad\u03c2 \u03bc\u03b5 \u03ba\u03c1\u03c5\u03c0\u03c4\u03bf\u03bd\u03bf\u03bc\u03af\u03c3\u03bc\u03b1\u03c4\u03b1 \u03ba\u03b1\u03b9 \u03c4\u03c1\u03b1\u03c0\u03b5\u03b6\u03b9\u03ba\u03ae \u03bc\u03b5\u03c4\u03b1\u03c6\u03bf\u03c1\u03ac SEPA. \u039a\u03ac\u03b8\u03b5 \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03bb\u03af\u03b1 \u03ba\u03b1\u03bb\u03cd\u03c0\u03c4\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03a0\u03bf\u03bb\u03b9\u03c4\u03b9\u03ba\u03ae \u0395\u03c0\u03b1\u03bd\u03b1\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2 \u0395\u03be\u03b1\u03c3\u03c6\u03b1\u03bb\u03af\u03c3\u03b5\u03ce\u03c2 \u03bc\u03b1\u03c2.<\/p>\n<h3 class=\"wp-block-heading\">\u0393\u03b9\u03b1\u03c4\u03af \u03bd\u03b1 \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03af\u03bb\u03b5\u03c4\u03b5 \u03b1\u03c0\u03cc \u03c4\u03b7 MedsBase<\/h3>\n<p>Choosing Iverjohn from MedsBase gives you:<\/p>\n<ul>\n<li><strong>WHO-GMP certified<\/strong> \u2014 sourced from inspected manufacturing facilities<\/li>\n<li><strong>\u0394\u03b9\u03b1\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae \u03c3\u03c5\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03af\u03b1<\/strong> \u2014 plain envelope, no medication name or pharmacy branding visible<\/li>\n<li><strong>\u03a0\u03b1\u03b3\u03ba\u03cc\u03c3\u03bc\u03b9\u03b1 \u03b1\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae<\/strong> \u03bc\u03b5 <a href=\"https:\/\/medsbase.com\/el\/medsbase-re-shipment-assurance-policy\/\">Reshipment Assurance<\/a> \u2014 every order covered<\/li>\n<li><strong>\u0395\u03c0\u03b1\u03bb\u03b7\u03b8\u03b5\u03c5\u03bc\u03ad\u03bd\u03b5\u03c2 \u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b5\u03bb\u03b1\u03c4\u03ce\u03bd<\/strong> \u2014 <a href=\"https:\/\/medsbase.com\/el\/reviews\/\">1,400+ reviews<\/a> across the catalogue<\/li>\n<li><strong>Multiple payment options<\/strong> \u2014 including a 10% discount when you pay with cryptocurrency<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">What is Iverjohn?<\/h2>\n<p>Iverjohn is <strong>oral ivermectin<\/strong> \u03ba\u03b1\u03c4\u03b1\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03bc\u03ad\u03bd\u03b1 \u03b1\u03c0\u03cc <strong>Johnlee Pharmaceuticals Pvt Ltd<\/strong>, supplied in three strengths \u2014 <strong>3 mg, 6 mg, and 12 mg tablets<\/strong> \u2014 to allow precise weight-based dosing without splitting tablets. Ivermectin belongs to the avermectin class of antiparasitic agents and was awarded the 2015 Nobel Prize in Physiology or Medicine for its impact on global antiparasitic therapy. It appears on the WHO Model List of Essential Medicines and is used in mass drug administration programmes against onchocerciasis and lymphatic filariasis.<\/p>\n<h2 class=\"wp-block-heading\">How does ivermectin work?<\/h2>\n<p>Ivermectin binds with high selectivity to <strong>glutamate-gated chloride channels<\/strong> in invertebrate nerve and muscle cells. Channel opening hyperpolarises the membrane and paralyses the parasite, leading to its death. Mammals do not have glutamate-gated chloride channels in peripheral nerves, and ivermectin only weakly affects mammalian GABA-gated channels \u2014 and even then only at concentrations far above standard therapeutic plasma levels. It is this very selective targeting that gives ivermectin an excellent safety margin in humans at recommended doses.<\/p>\n<h2 class=\"wp-block-heading\">\u0395\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:12px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:8px;text-align:left;\">\u0395\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2<\/th>\n<th style=\"padding:8px;text-align:left;\">Standard regimen<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\"><strong>Scabies<\/strong> (typical)<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">200 \u00b5g\/kg PO \u00d7 1, repeat at day 7\u201314. Combine with topical permethrin if widespread or refractory.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #eee;background:#f9f9f9;\"><strong>Crusted (Norwegian) scabies<\/strong><\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;background:#f9f9f9;\">200 \u00b5g\/kg on days 1, 2, 8, 9, 15 (\u00b1 22, 29) <strong>plus<\/strong> daily topical permethrin 5% \u2014 under specialist supervision.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\"><strong>Head lice<\/strong> (resistant or refractory)<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">200 \u00b5g\/kg PO on day 0 and day 7. Useful when permethrin \/ pyrethroids have failed.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #eee;background:#f9f9f9;\"><strong>Strongyloidiasis<\/strong><\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;background:#f9f9f9;\">200 \u00b5g\/kg PO \u00d7 1; in immunocompromised or hyperinfection, longer\/repeat courses under specialist guidance.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\"><strong>Onchocerciasis<\/strong> (river blindness)<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">150 \u00b5g\/kg PO every 6\u201312 months until adult worm burden depleted.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #eee;background:#f9f9f9;\"><strong>Lymphatic filariasis<\/strong><\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;background:#f9f9f9;\">200\u2013400 \u00b5g\/kg PO \u00d7 1, often combined with albendazole in MDA programmes.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;\"><strong>Cutaneous larva migrans<\/strong><\/td>\n<td style=\"padding:8px;\">200 \u00b5g\/kg PO \u00d7 1, repeat after 7 days if needed.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Dosing \u2014 weight-based table<\/h2>\n<p>Ivermectin is dosed at <strong>200 \u00b5g\/kg<\/strong> (0.2 mg\/kg) for most indications. Take <strong>on an empty stomach with water<\/strong>, at least 1 hour before or 2 hours after food.<\/p>\n<table style=\"width:100%;border-collapse:collapse;margin:12px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:8px;text-align:left;\">Body weight<\/th>\n<th style=\"padding:8px;text-align:left;\">Total dose<\/th>\n<th style=\"padding:8px;text-align:left;\">Tablets<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">15\u201324 kg<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">3 mg<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">1 \u00d7 3 mg<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #eee;background:#f9f9f9;\">25\u201335 kg<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;background:#f9f9f9;\">6 mg<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;background:#f9f9f9;\">1 \u00d7 6 mg or 2 \u00d7 3 mg<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">36\u201350 kg<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">9 mg<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">1 \u00d7 6 mg + 1 \u00d7 3 mg<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #eee;background:#f9f9f9;\">51\u201365 kg<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;background:#f9f9f9;\">12 mg<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;background:#f9f9f9;\">1 \u00d7 12 mg<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">66\u201379 kg<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">15 mg<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">1 \u00d7 12 mg + 1 \u00d7 3 mg<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;\">\u2265 80 kg<\/td>\n<td style=\"padding:8px;\">18 mg<\/td>\n<td style=\"padding:8px;\">1 \u00d7 12 mg + 1 \u00d7 6 mg<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:6px;\">\n<strong>\u26a0\ufe0f Loa loa pre-screening required.<\/strong> Patients from Central or West Africa, or with prior residence there, should be screened for <em>Loa loa<\/em> microfilaraemia before ivermectin. Co-infected patients with high microfilarial loads can develop fatal encephalopathy after a single ivermectin dose. This is the only commonly encountered absolute contraindication to ivermectin in everyday practice.\n<\/div>\n<h2 class=\"wp-block-heading\">\u03a0\u03b1\u03c1\u03b5\u03bd\u03ad\u03c1\u03b3\u03b5\u03b9\u03b5\u03c2<\/h2>\n<p>Ivermectin is well tolerated. The most common reactions are due to dying parasites, not the drug itself (Mazzotti reaction in onchocerciasis):<\/p>\n<ul>\n<li>Headache, dizziness<\/li>\n<li>Nausea, mild abdominal discomfort<\/li>\n<li>Fatigue, drowsiness<\/li>\n<li>Muscle \/ joint aches<\/li>\n<li>Mild rash or transient itching<\/li>\n<li>Fever and lymph-node tenderness (in onchocerciasis \u2014 Mazzotti reaction)<\/li>\n<\/ul>\n<p><strong>Stop and seek urgent medical attention<\/strong> if: severe allergic reaction (angioedema, breathing difficulty), seizures, vision changes, confusion, inability to walk, or unusual bleeding\/bruising.<\/p>\n<h2 class=\"wp-block-heading\">\u0391\u03bb\u03bb\u03b7\u03bb\u03b5\u03c0\u03b9\u03b4\u03c1\u03ac\u03c3\u03b5\u03b9\u03c2 \u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03c9\u03bd<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:12px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:8px;text-align:left;\">Co-administered drug<\/th>\n<th style=\"padding:8px;text-align:left;\">\u0391\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">\u0392\u03b1\u03c1\u03c6\u03b1\u03c1\u03af\u03bd\u03b7<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">Possible mild INR rise \u2014 monitor INR around dose.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #eee;background:#f9f9f9;\">Strong CYP3A4 inhibitors (clarithromycin, ketoconazole, ritonavir)<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;background:#f9f9f9;\">Modest plasma rise \u2014 usually clinically insignificant at single-dose ivermectin.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">CNS depressants, benzodiazepines, alcohol<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">Additive sedation \/ dizziness possible.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;\">P-glycoprotein inhibitors<\/td>\n<td style=\"padding:8px;\">Theoretical accumulation in CNS \u2014 clinically rarely an issue at standard doses.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding, and special populations<\/h2>\n<ul>\n<li><strong>\u0395\u03b3\u03ba\u03c5\u03bc\u03bf\u03c3\u03cd\u03bd\u03b7:<\/strong> safety not fully established; usually avoided in the first trimester. WHO MDA programmes routinely treat the second and third trimesters; weigh case-by-case.<\/li>\n<li><strong>\u0398\u03b7\u03bb\u03b1\u03c3\u03bc\u03cc\u03c2:<\/strong> excreted in breast milk in small amounts; generally compatible if treatment is needed.<\/li>\n<li><strong>\u03a0\u03b1\u03b9\u03b4\u03b9\u03ac:<\/strong> licensed at body weight \u2265 15 kg (typically age \u2265 5 years).<\/li>\n<li><strong>\u0397\u03c0\u03b1\u03c4\u03b9\u03ba\u03ae \u03b4\u03c5\u03c3\u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03af\u03b1:<\/strong> use with caution; ivermectin is metabolised by CYP3A4 in the liver.<\/li>\n<li><strong>HIV \/ immunocompromise:<\/strong> for strongyloidiasis, may need extended or repeated courses to clear hyperinfection risk \u2014 specialist input.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Iverjohn vs. branded ivermectin (Stromectol)<\/h2>\n<p>Iverjohn delivers the same active ingredient (ivermectin) at the same therapeutic doses as branded Stromectol. The pharmaceutical bioequivalence is identical \u2014 same absorption, same therapeutic effect. Iverjohn&#8217;s advantage is the <strong>three-strength range (3 \/ 6 \/ 12 mg)<\/strong>, which allows accurate weight-based dosing without splitting tablets \u2014 branded Stromectol is most commonly only available as 3 mg.<\/p>\n<h2 class=\"wp-block-heading\">\u0391\u03bd\u03c4\u03b5\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2<\/h2>\n<ul>\n<li>Hypersensitivity to ivermectin or any excipient<\/li>\n<li>High-load <em>Loa loa<\/em> microfilaraemia (encephalopathy risk)<\/li>\n<li>Children &lt; 15 kg body weight (efficacy and safety not established)<\/li>\n<li>Severe hepatic impairment without specialist supervision<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">\u0391\u03c0\u03bf\u03b8\u03ae\u03ba\u03b5\u03c5\u03c3\u03b7<\/h2>\n<p>Store below 30 \u00b0C in the original blister, away from moisture. Out of reach of children.<\/p>\n<h2 id=\"faqs\">\u03a3\u03c5\u03c7\u03bd\u03ad\u03c2 \u0395\u03c1\u03c9\u03c4\u03ae\u03c3\u03b5\u03b9\u03c2<\/h2>\n<h3 class=\"wp-block-heading\">How quickly does Iverjohn clear scabies?<\/h3>\n<p>Mites are killed within hours of the dose reaching peak plasma (about 4 hours). The post-scabietic itch persists for 2\u20134 weeks because of immune response to retained mite antigens \u2014 that is not treatment failure. Re-dose at day 7\u201314 to catch newly hatched mites.<\/p>\n<h3 class=\"wp-block-heading\">Should I take Iverjohn with food?<\/h3>\n<p>No. Take on an empty stomach with water \u2014 at least 1 hour before or 2 hours after a meal. Food (especially fatty meals) can increase plasma levels by ~2.5\u00d7, which is not desired at standard doses.<\/p>\n<h3 class=\"wp-block-heading\">Iverjohn 3 mg vs 6 mg vs 12 mg \u2014 which do I need?<\/h3>\n<p>Use the weight table above. Most adults 51\u201365 kg take 12 mg; 36\u201350 kg take 9 mg; lighter or paediatric patients use 3 mg or 6 mg. Always reach the 200 \u00b5g\/kg target, rounding up to the nearest tablet combination.<\/p>\n<h3 class=\"wp-block-heading\">Is oral ivermectin better than topical permethrin for scabies?<\/h3>\n<p>For typical scabies, both work well. Topical permethrin (<a href=\"https:\/\/medsbase.com\/el\/permiforce-cream\/\">Permiforce Cream<\/a>) is first-line for ease of use and excellent safety. Oral ivermectin is preferred when topical compliance is impossible, in institutional outbreaks, or in mobility-limited patients \u2014 and is essential in combination for crusted scabies.<\/p>\n<h3 class=\"wp-block-heading\">Can children take Iverjohn?<\/h3>\n<p>Yes from body weight \u2265 15 kg (typically age \u2265 5). Below that weight use topical permethrin or seek specialist input. The 3 mg tablet is convenient for weight-based paediatric dosing.<\/p>\n<h3 class=\"wp-block-heading\">What is Loa loa screening and do I need it?<\/h3>\n<p><em>Loa loa<\/em> is a filarial worm endemic to Central and West Africa. People with very high microfilarial loads can develop fatal encephalopathy after a single ivermectin dose. Anyone born in or with prolonged residence in those regions should have a peripheral blood film looked at by an experienced parasitologist before ivermectin. Outside endemic regions screening is not routinely required.<\/p>\n<h3 class=\"wp-block-heading\">Why don&#8217;t I just take a higher dose to be sure?<\/h3>\n<p>Ivermectin&#8217;s efficacy plateaus at the 200 \u00b5g\/kg dose for most indications. Higher doses do not improve cure rates for scabies or strongyloidiasis but do increase the rate of side effects.<\/p>\n<h3 class=\"wp-block-heading\">Is ivermectin safe in pregnancy?<\/h3>\n<p>Pregnancy data are limited. WHO MDA programmes routinely treat second and third trimester women in onchocerciasis-endemic regions, but most national guidelines avoid first-trimester use and recommend topical permethrin where possible. Discuss with your clinician.<\/p>\n<h3 class=\"wp-block-heading\">Why was ivermectin in the news for COVID-19?<\/h3>\n<p>Early in vitro and underpowered observational reports led to widespread off-label use. Multiple large randomised trials (TOGETHER, ACTIV-6, COVID-OUT, PRINCIPLE) subsequently showed no clinically meaningful benefit in COVID-19 outcomes. Ivermectin is a powerful antiparasitic drug, not a COVID-19 therapy. Use only for confirmed parasitic indications.<\/p>\n<h3 class=\"wp-block-heading\">Can I drink alcohol while taking Iverjohn?<\/h3>\n<p>A single small drink is unlikely to cause problems, but alcohol may add to dizziness, drowsiness, and headache, and increases liver workload during clearance. Avoid heavy alcohol use around the dose.<\/p>\n<h2 class=\"wp-block-heading\">Other Lice &amp; Scabies Treatments<\/h2>\n<p class=\"medsbase-link-boost-2026-04-30\" data-marker=\"mb-link-boost-ivermectin-fenbendazole-combo-pack\">Users running protocols that pair ivermectin with fenbendazole can save versus buying each agent separately \u2014 see our <a href='\/el\/ivermectin-fenbendazole-combo-pack\/'>\u03a3\u03c5\u03bc\u03c0\u03b1\u03ba\u03c4\u03b9\u03ba\u03cc Ivermectin &amp; Fenbendazole<\/a> for the bundled option with both molecules in a single order.<\/p>\n<p data-mb-link-target=\"ivermectin-fenbendazole-combo-pack\" data-mb-anchor-variant=\"v2\" style=\"margin-top:1em;font-size:0.95em;color:#444;border-left:3px solid #2c7cb0;padding:0.5em 0.75em;background:#f4f8fb;\"><strong>\u0394\u03b5\u03af\u03c4\u03b5 \u03b5\u03c0\u03af\u03c3\u03b7\u03c2:<\/strong> <a href=\"https:\/\/medsbase.com\/el\/ivermectin-fenbendazole-combo-pack\/\"><strong>the combination antiparasitic pack<\/strong><\/a> \u2014 Iverheal 12 mg paired with Wormentel 222 mg for protocol-driven multi-agent antiparasitic dosing.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/el\/verpin\/\"><strong>Verpin<\/strong><\/a> \u2014 ivermectin 6 mg tablets, alternative oral regimen<\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/permiforce-cream\/\"><strong>Permiforce Cream<\/strong><\/a> \u2014 permethrin 5% cream \u2014 first-line scabies topical<\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/perlice-cream\/\"><strong>Perlice Cream<\/strong><\/a> \u2014 permethrin 1% lotion \u2014 first-line head lice<\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/ivrea-shampoo\/\"><strong>Ivrea Shampoo<\/strong><\/a> \u2014 topical ivermectin 1% \u2014 for permethrin-resistant lice<\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/ivrea-cream\/\"><strong>Ivrea Cream<\/strong><\/a> \u2014 topical ivermectin 1% \u2014 for rosacea \/ Demodex<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">\u0399\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae \u0391\u03c0\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7 \u0395\u03c5\u03b8\u03cd\u03bd\u03b7\u03c2<\/h2>\n<p>This page is for educational purposes and is not a substitute for medical advice. Resistant or atypical infestations, persistent itch despite proper application, infested children &lt; 2 years old, immunocompromised patients (crusted\/Norwegian scabies risk), and pregnancy \/ breastfeeding cases need clinical assessment. Severe widespread skin infection, fever, or systemic symptoms after a course of treatment require urgent medical review. Always discuss treatment in pregnancy or breastfeeding with a clinician.<\/p>","protected":false},"excerpt":{"rendered":"<p>\u2705 Treats parasitic infections<br \/>\n\u2705 Effective against scabies<br \/>\n\u2705 Controls river blindness<br \/>\n\u2705 Combats certain parasites<br \/>\n\u2705 Prevents heartworm disease<\/p>\n<p>Iverjohn contains <strong>\u0399\u03b2\u03b5\u03c1\u03bc\u03b5\u03ba\u03c4\u03af\u03bd\u03b7<\/strong>.<\/p>","protected":false},"featured_media":55917,"comment_status":"open","ping_status":"closed","template":"","meta":[],"product_brand":[],"product_cat":[3579,3342],"product_tag":[4012,3638],"class_list":{"0":"post-55916","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-lice-scabies-treatment","7":"product_cat-general-health","8":"product_tag-iverjohn","9":"product_tag-ivermectin","11":"first","12":"instock","13":"shipping-taxable","14":"purchasable","15":"product-type-variable","16":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product\/55916","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/comments?post=55916"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/media\/55917"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/media?parent=55916"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_brand?post=55916"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_cat?post=55916"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_tag?post=55916"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}