Verpin
Verpin is an oral ivermectin 6 mg tablet — a broad-spectrum antiparasitic used for strongyloidiasis, onchocerciasis (river blindness), scabies (including crusted / Norwegian scabies), head lice, body lice, and soil-transmitted helminths. Off-label in refractory demodex-related papulopustular rosacea. Dose 200 mcg/kg on empty stomach. Single dose for most indications; 2 doses 7 days apart for scabies/lice.
✓ Medically reviewed by Morgan Ellis — Pharmacy Researcher · 8 years experience · Last reviewed: May 2026
⚡ Quick Answer — What is Verpin?
Verpin is a 6 mg ivermectin tablet from Indian Pharma — a broad-spectrum antiparasitic from the avermectin family. It is first-line oral treatment for strongyloidiasis, onchocerciasis, scabies (especially crusted / Norwegian scabies), head lice (crab lice, body lice), and several soil-transmitted helminth infections including Ascaris, Trichuris, and hookworm. It is also used off-label for refractory papulopustular and demodex-related rosacea where first-line topical ivermectin (Ivrea Cream) has not delivered adequate response. Typical adult dose is 200 mcg/kg body weight as a single oral dose, taken on an empty stomach. Onset is rapid (peak plasma within 4 hours); most indications require a single dose, repeated 7–14 days later for scabies and lice to catch the next hatching cycle. Ivermectin is well tolerated at recommended doses. The Mazzotti reaction (fever, rash, itch, headache) can occur in patients heavily infected with onchocerca or loa loa — check for loiasis before treating in endemic regions. Ivermectin is not a validated treatment for COVID-19 or other viral illnesses despite widespread off-label promotion; the balance of large randomised trials (TOGETHER, ACTIV-6, PRINCIPLE) show no benefit.
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What Is Verpin?
Verpin is an oral tablet containing ivermectin 6 mg, manufactured by Indian Pharma. Ivermectin is a semi-synthetic member of the avermectin family of macrocyclic lactones — the discovery that earned William C Campbell and Satoshi Ōmura a share of the 2015 Nobel Prize in Physiology or Medicine for its impact on global health (specifically, the Mectizan donation programme that is well on the way to eradicating river blindness in West and Central Africa).
Ivermectin binds selectively to glutamate-gated chloride channels in nerve and muscle cells of invertebrates (nematodes, arthropods). This causes hyperpolarisation and paralysis of the parasite, followed by death and clearance. Mammals have no glutamate-gated chloride channels in their peripheral tissues — the blood-brain barrier excludes ivermectin from mammalian CNS — which explains ivermectin’s wide therapeutic margin at standard human doses.
Approved and Evidence-Based Uses
- Strongyloidiasis (Strongyloides stercoralis) — first-line; 200 mcg/kg single dose, 95% cure.
- Onchocerciasis (river blindness, Onchocerca volvulus) — first-line; 150 mcg/kg every 6–12 months.
- Scabies (Sarcoptes scabiei) — alternative to topical permethrin; first-line for crusted (Norwegian) scabies. 200 mcg/kg, repeat in 7–14 days.
- Head lice, pubic lice, body lice — used when topical treatment has failed or is impractical.
- Soil-transmitted helminths — Ascaris lumbricoides (cure rate >80%), Trichuris trichiura (modest efficacy; best combined with albendazole).
- Cutaneous and visceral larva migrans — case series efficacy.
- Mass drug administration (MDA) programmes — as part of WHO-endorsed strategies for lymphatic filariasis and onchocerciasis elimination.
Off-label dermatology uses:
- Refractory papulopustular rosacea / demodex-rich rosacea — case series and small trials. Typically 200 mcg/kg weekly for 4 weeks, combined with or after topical ivermectin 1% cream.
- Seborrhoeic dermatitis with high Demodex density — isolated reports of benefit.
- Myiasis (fly larva infestation).
Verpin and Rosacea — What the Evidence Actually Shows
The primary topical treatment for papulopustular rosacea is ivermectin 1% cream (Ivrea Cream; brand name Soolantra). This is well validated in two large 12-week randomised trials (Stein Gold 2014) with NNT ≈ 4 for IGA-defined clearance.
Oral ivermectin (what Verpin is) is used off-label in rosacea in two circumstances:
- When a patient with heavily demodex-colonised skin has not responded to topical ivermectin + azelaic acid + a 12-week course of doxycycline.
- As adjunct for crusted demodicosis overlapping with seborrhoeic dermatitis.
Evidence for oral ivermectin in rosacea is limited to small open-label studies and case series. Most dermatologists reserve it for refractory cases and use it in combination with topical therapy. If you have been given a diagnosis of rosacea and this is your first treatment attempt, start with topical ivermectin / azelaic acid / brimonidine — oral ivermectin is not an appropriate first-line choice.
Dosage
Ivermectin is dosed by body weight. Verpin is a 6 mg tablet.
| Body weight | Dose at 200 mcg/kg | 6 mg tablets |
|---|---|---|
| 15–24 kg | 3 mg | 0.5 tab |
| 25–35 kg | 6 mg | 1 tab |
| 36–50 kg | 9 mg | 1.5 tab |
| 51–65 kg | 12 mg | 2 tabs |
| 66–79 kg | 15 mg | 2.5 tabs |
| 80–100 kg | 18 mg | 3 tabs |
| >100 kg | 200 mcg/kg calculated | 3+ tabs |
Administration: take on an empty stomach with water — 1 hour before food or 2 hours after. Food increases absorption 2.5-fold, which can raise peak plasma levels unpredictably.
Frequency by indication:
- Strongyloidiasis, soil-transmitted helminths: single dose.
- Onchocerciasis: single dose repeated every 6–12 months.
- Scabies / lice: day 1 + day 8 (two doses to catch the next hatching cycle).
- Crusted scabies: day 1, 2, 8, 9 — sometimes additional doses on day 15, 22, 29, combined with topical permethrin and keratolytic therapy.
- Rosacea (off-label): usually 200 mcg/kg once weekly for 4 weeks; dermatology-directed.
Side Effects
At standard human doses (200 mcg/kg), ivermectin is well tolerated.
Common (>1%): mild headache, dizziness, nausea, diarrhoea, skin rash, fatigue, itch.
Mazzotti-type reaction (in patients with heavy onchocerca infection): fever, body aches, facial & peripheral oedema, rash, itch, lymphadenopathy, hypotension. Can begin within hours of the dose. Symptomatic treatment with paracetamol and antihistamines; severe cases need a short steroid course.
Serious but rare — the Loa loa encephalopathy warning: in patients with high Loa loa microfilarial loads (>30,000 mf/mL), treatment with ivermectin can trigger encephalopathy, coma, and death. Screen for loiasis with a daytime blood microfilarial count before giving ivermectin in Central/West African patients.
Contraindications and Precautions
- Hypersensitivity to ivermectin
- Children under 15 kg (safety and efficacy not established)
- Pregnancy — FDA Pregnancy Category C; WHO considers it acceptable in MDA campaigns from second trimester; best avoided in first trimester unless the indication is urgent
- Breastfeeding — small amounts excreted in breast milk; generally considered safe for established breastfeeding after 1 week postnatal
- Patients who have been in loiasis-endemic regions — screen first
Drug interactions: ivermectin is a CYP3A4 substrate and a P-glycoprotein substrate. Strong CYP3A4 inhibitors (ritonavir, clarithromycin, ketoconazole) can elevate plasma levels; strong inducers (rifampicin, phenytoin) can reduce them. Clinically significant interactions are uncommon at single-dose indications.
Ivermectin and COVID-19 — Honest Summary
Ivermectin showed in vitro activity against SARS-CoV-2 at concentrations far above what can be achieved with oral dosing in humans. Small early trials suggested benefit. However, the three largest rigorously designed trials — TOGETHER (Brazil, 3,515 patients), ACTIV-6 (US NIH, 1,591 patients), and PRINCIPLE (UK, 8,811 patients) — all showed no clinically meaningful benefit over placebo in outpatient COVID-19.
Health authorities including the WHO, US FDA, UK MHRA, EMA, and most national drug regulators specifically advise against ivermectin for COVID-19 outside a clinical trial. Verpin is an antiparasitic, not an antiviral, and is sold on this page for its validated antiparasitic and dermatology uses — not as a COVID-19 treatment.
Storage
Store below 25°C in the original blister pack. Protect from light and moisture. Keep out of reach of children.
Frequently Asked Questions
Is Verpin a rosacea cure?
No. Rosacea is a chronic relapsing condition with no known cure. Oral ivermectin is used off-label in refractory cases to reduce demodex burden on the skin — the inflammation settles, but returns if the skin is re-colonised. Combine with topical therapy (topical ivermectin or azelaic acid) for sustained benefit.
Should I take Verpin with food?
No — take on an empty stomach (1 hour before food or 2 hours after). Food with ivermectin increases absorption 2.5-fold, which can cause unpredictable peak plasma levels and is not how the drug was validated in trials. An exception: for rosacea, some dermatologists take it with a small amount of fat deliberately to boost skin-level exposure — but this is a specialist-directed choice, not the default.
How do I know my dose?
Weigh yourself in kg. Multiply by 200 mcg/kg (or 0.2 mg/kg). Divide by the tablet strength (6 mg). Use the dose table above. A 75 kg adult takes 2.5 × 6 mg tablets = 15 mg for a single-dose indication.
Do I need to repeat the dose?
For strongyloidiasis or ascariasis, a single dose is usually curative. For scabies and lice, a second dose at day 8 catches the next hatching cycle — mandatory. For onchocerciasis, repeat every 6–12 months. For rosacea, weekly for 4 weeks is a common off-label regimen.
Can Verpin cure COVID-19?
The balance of large randomised evidence shows no meaningful benefit in COVID-19 (TOGETHER, ACTIV-6, PRINCIPLE trials). WHO, FDA, MHRA, and EMA all advise against ivermectin for COVID-19 outside clinical trials. Use ivermectin for what it is validated for — antiparasitic and selected dermatology indications.
Is Verpin safe in pregnancy?
FDA Pregnancy Category C. WHO considers ivermectin acceptable during mass drug administration in second and third trimesters. Avoid in the first trimester unless the parasitic infection poses immediate risk. Always discuss with your obstetrician.
Can I drink alcohol with Verpin?
No specific alcohol interaction exists, but alcohol increases GI absorption of ivermectin and amplifies side effects like dizziness and nausea. Best practice: avoid alcohol on dosing day.
Where can I buy Verpin online?
You can buy Verpin (ivermectin 6 mg tablets, 4–48 tablet pack sizes) from MedsBase with discreet packaging and worldwide shipping. For topical-only use for rosacea or demodex, Ivrea Cream (topical ivermectin 1%) is the first-line option.
Related Treatments on MedsBase
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- Ivrea Cream — Ivermectin 1% Topical
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- Browse all Rosacea Treatments
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| Strength | 6 mg |
|---|---|
| Quantity | 4 Tablet/s, 8 Tablet/s, 12 Tablet/s, 24 Tablet/s, 48 Tablet/s |
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