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Ivermectin was discovered in and came into medical use in It was developed, primarily, to treat parasitic infections which were difficult to treat with other anti-parasitics. To keep the worms at bay, ivermectin is given at least once per year for the 10—year lifespan of the adult worms. Ivermectin is contraindicated in children under the age of five or those who weigh less than 15 kilograms 33 pounds, 42 and individuals with liver or kidney disease. One main concern is neurotoxicity after large doses, which in most mammalian species may manifest as central nervous system depression, 47 ataxia, coma, and even death, 48 49 as might be expected from potentiation of inhibitory GABA-ergic synapses. Crossing may still become significant if ivermectin is given at high doses in which case, brain levels peak 2—5 hours after administration. Ivermectin was introduced in The effort has gone viral on social media, where it has been adopted by COVID deniers, anti-vaccination proponents, and conspiracy theorists. Many studies on ivermectin for COVID have serious methodological limitations, resulting in very low evidence certainty. In February, Merck, the developer of the drug, issued a statement saying that there is no good evidence ivermectin is plausible or effective against COVID, and that attempting such use may be unsafe.

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