Guys, sharing this FYI just in case anyone may be interested (or possibly know someone who could benefit from knowing this kind of information). It's from an Ivermectin friendly source.
It may be (i.e. 'NOT a doctor/NOT advice' :) that some who take IVM should possibly avoid taking certain other common treatments at the same time, including chloroquine/hydroxychloroquine.
Full data is at the link, which also cautions about letting certain pets (let alone children) somehow inadvertantly encounter IVM.
But following are some drugs they say may/may not cause certain rare and/or transient reactions if taken together with IVM:
http://www.thecompleteguidetohealth.com/ivermectincautions.html
IvermectinCautions - The Complete Guide To Health .com
Ivermectin can be given either by mouth or injection. It does not readily cross the blood–brain barrier of mammals due to the presence of P-glycoprotein, (the MDR1 gene mutation affects function of this protein)
"It is therefore questionable whether any of the neurological sequelae associated with administration of ivermectin are directly related to the drug and therefore it seems unlikely that any alterations in the pharmacokinetics of ivermectin for whatever reason would result in a more severe adverse reaction."
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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2147658/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2147658/pdf/1475-2883-2-S1-S8.pdf
ivermectin_-does_p-glycoprotein_play_a_role_in_neurotoxicity.pdf Download File
Drugs that inhibit CYP3A4 enzymes often also inhibit P-glycoprotein transport, so the risk of increased absorption past the blood-brain barrier exists when ivermectin is administered along with other CYP3A4 inhibitors.
These drugs include statins, HIV protease inhibitors, many calcium channel blockers, and glucocorticoids such as dexamethasone, lidocaine, and the benzodiazepines….
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DRUG INTERACTIONS:
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EVERYONE should consult with an appropriate health care practitioner before taking ivermectin.
People who consume any of the medications listed below should be extra careful and take special precautions as these drugs are believed to interact with ivermectin.
The list below is NOT meant to be a complete list. It is simply a quick guide to alert those who take any of these medications to be extra careful.
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ALCOHOL - do NOT drink alcohol in combination with ivermectin.
Analgesics Metamizole
Antibacterials Clarithromycin Rifabutin Rifampicin Rifapentine Telithromycin
Antiarrhythmics Quinidine
Anti-coagulant, Anti-platelet and Fibrinolytic Acenocoumarol Argatroban Dipyridamole Fondaparinux Heparin Phenprocoumon Warfarin
Antidepressants St. John’s wort
Anticonvulsants Carbamazepine Eslicarbazepine Oxcarbazepine Phenobarbital (Phenobarbitone) Phenytoin Primidone Rufinamide
**Antifungals ** Griseofulvin Itraconazole Ketoconazole
Antipsychotics/Neuroleptics Thioridazine
Calcium Channel Blockers Verapamil
HCV DAAs Glecaprevir/Pibrentasvir Ombitasvir/Paritaprevir/r Ombitasvir/Paritaprevir/r + Dasabuvir
HIV Antiretroviral Therapies Atazanavir + ritonavir Atazanavir/cobicistat Efavirenz Elvitegravir/Cobi/Emtricitabine/TAF Elvitegravir/Cobi/Emtricitabine/TDF Etravirine Nevirapine
Covid-19 Antiviral Therapies Atazanavir Chloroquine Hydroxychloroquine Lopinavir/ritonavir
Covid-19 Immune Therapies Ruxolitinib
Hypertension / Heart Failure Agents Bosentan Ranolazine
Immunosuppressants Ciclosporin
Steroids Betamethasone
The above list was obtained from Covid19-DrugInteractions.org. Click on the button below for additional information.
CONTRA-INDICATIONS AND DRUG INTERACTIONS
Additional caution should also be exercised with patients who are currently taking CYP 3A4 or P-gp inhibitor drugs such as:
Amiodarone
Clarithromycin
Cobicistat
Cyclosporine
Diltiazem
Erythromycin
Indinavir
Itraconazole
Ketoconazole
Quinidine
Ritonavir
Spironolactone,
Tacrolimus
Verapamil
SOURCE: https://clinicaltrials.gov/ct2/show/NCT04530474
NOTE: Even after serious overuse/abuse of ivermectin, the symptoms subsided after the patients stopped abusing the medication.
I personally might take info obtained from Covid19-DrugInteractions.org with a grain of salt since it is sponsored by abbvie, gilead, and novartis among others....just sayin'....
https://covid19-druginteractions.org/about