Ivermectin Dosage for Scabies, Parasitic Infections, and More
Ivermectin is a widely used antiparasitic medication that treats a variety of parasitic infections, including scabies, river blindness (onchocerciasis), strongyloidiasis, and other worm infestations.

Introduction
Ivermectin is a widely used antiparasitic medication that treats a variety of parasitic infections, including scabies, river blindness (onchocerciasis), strongyloidiasis, and other worm infestations. It is also sometimes prescribed off-label for conditions like head lice and rosacea. Knowing the correct ivermectin dosage for different conditions is essential for its safe and effective use. This article provides a comprehensive guide on ivermectin dosages for scabies, parasitic infections, and other medical conditions.
How Ivermectin Works
Iverheal 12 works by paralyzing and killing parasites, disrupting their ability to reproduce. It binds to glutamate-gated chloride channels in parasite nerve and muscle cells, leading to their paralysis and eventual death. While it is highly effective against parasites, it does not kill bacterial or viral infections.
Ivermectin Dosage for Humans
Ivermectin is available in oral tablet form dose pharmacy, as well as in topical creams and lotions for certain skin conditions. The dosage depends on the condition being treated, the patient’s weight, and medical history. Below are the recommended dosages for various infections.
1. Ivermectin Dosage for Scabies
Scabies is a contagious skin infestation caused by the Sarcoptes scabiei mite. It causes intense itching, rashes, and blisters due to an allergic reaction to the mites.
Oral Ivermectin Dosage for Scabies:
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Standard Dosage: 200 mcg/kg (micrograms per kilogram) taken as a single oral dose, followed by a second dose 14 days later.
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Severe or Crusted Scabies: 200 mcg/kg on Days 1, 2, 8, 9, and 15 (sometimes extended based on response).
Topical Ivermectin for Scabies:
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1% Ivermectin Lotion (applied once and left on for 8-14 hours before washing off).
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Used when oral ivermectin is not an option or for mild cases of scabies.
Additional Measures:
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All close contacts should be treated to prevent reinfection.
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Wash clothing, bedding, and towels in hot water.
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Apply soothing creams (like calamine lotion) to help with itching.
2. Ivermectin Dosage for Parasitic Worm Infections
Ivermectin 6 mg tablet dose is highly effective against several nematode (roundworm) infections, including strongyloidiasis, onchocerciasis (river blindness), and filariasis.
A. Strongyloidiasis (Threadworm Infection)
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Dosage: 200 mcg/kg once daily for two days.
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In severe cases, an additional dose may be required after two weeks.
B. Onchocerciasis (River Blindness)
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Dosage: 150 mcg/kg as a single oral dose.
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This dose is repeated every 6-12 months to prevent reinfection.
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Since ivermectin does not kill adult worms, repeat doses help control symptoms.
C. Lymphatic Filariasis (Elephantiasis Prevention)
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Dosage: 200 mcg/kg as a single dose, often combined with albendazole for maximum effectiveness.
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Used in mass drug administration (MDA) programs to reduce transmission.
3. Ivermectin Dosage for Other Conditions
A. Head Lice
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Oral Dosage: 200 mcg/kg, repeated after 7 days.
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Topical Dosage: 0.5% ivermectin lotion applied once to dry hair and washed out after 10 minutes.
B. Rosacea (Inflammatory Skin Condition)
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Topical Dosage: 1% ivermectin cream applied once daily.
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Reduces inflammation and kills Demodex mites, which are linked to rosacea flare-ups.
C. Scalp and Body Mite Infestations (Demodicosis)
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Oral Dosage: 200 mcg/kg once weekly for 3-4 weeks.
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Often prescribed for severe or resistant cases.
How to Take Ivermectin Safely
To ensure safe and effective use of ivermectin: ✔ Take on an empty stomach (at least 1 hour before or 2 hours after meals) for best absorption. ✔ Drink plenty of water to help prevent side effects. ✔ Do not exceed the prescribed dosage without consulting a doctor. ✔ Avoid alcohol while taking ivermectin, as it may increase side effects.
Possible Side Effects of Ivermectin
Most people tolerate ivermectin well, but some may experience mild to moderate side effects. These include:
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Nausea, vomiting, or diarrhea
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Dizziness or drowsiness
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Skin rash or itching
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Mild fever or muscle pain (especially in filariasis treatment)
Serious Side Effects (Rare):
❗ Severe allergic reactions (swelling of face, lips, or tongue). ❗ Neurological effects (confusion, seizures, vision changes). ❗ Low blood pressure or irregular heartbeat.
Seek immediate medical attention if you experience any serious side effects.
Who Should Not Take Ivermectin?
Ivermectin is not recommended for:
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Pregnant or breastfeeding women (unless prescribed by a doctor).
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Children under 15 kg (33 lbs).
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People with liver disease or severe immune system disorders.
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Patients taking medications that interact with ivermectin (e.g., warfarin, certain antifungals, or anticonvulsants).
Ivermectin Dosage Chart by Weight
Weight (kg) | Single Dose (200 mcg/kg) |
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15-24 kg | 3 mg |
25-35 kg | 6 mg |
36-50 kg | 9 mg |
51-65 kg | 12 mg |
66-79 kg | 15 mg |
80 kg+ | 18 mg |
Ivermectin is a highly effective medication for treating scabies, parasitic worm infections, and other conditions. The correct dosage depends on the infection type, patient weight, and medical history. While ivermectin is generally safe, it should only be taken under medical supervision to avoid potential side effects.
If you suspect a parasitic infection or scabies outbreak, consult a healthcare professional to determine the best treatment plan and dosage for your condition.
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