If you are pregnant or nursing, talk to your healthcare provider before using this product. For all uses, wash hands thoroughly, especially after removing ivermectin from the rectum or before and after using the toilet. It is not advisable to swallow ivermectin. If diarrhea, vomiting, stomach cramps, or heartburn occur, speak to your healthcare provider. He may recommend changes in your dosage or HR syndrome treatment. Therefore,is used as an alternative in cases where other HR Strategy treatments are not effective.

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