Role of Ivermectin in scabies?

Andrew Fell ahfell at netmatters.co.uk
Sun Aug 17 13:53:38 EST 1997


David S. Lindsay wrote:
> 
> Ivermectin (Stromectol tablets) was approved for use in humans to treat
> strongyloidiasis and onchocerciasis 22 Nov 1996. See Antimicrobial
> Agents and Chemotherapy 41:878, 1997.

So is a separate approval required for use against scabies? Though I
suppose once it is available for human use Doctors can prescribe it for
any condition.
A planned trial of Ivermectin for scabies in Aborignal communities in
Australia collapsed because of political difficulties: it was felt that
the Aborigines were being used as "guinea pigs" for a drug licensed only
for use in animals. Of course, the reason Ivermectin was not initially
licensed for human use was because most of the affected humans are very
poor, and therefore constitute a poor market. 
To their credit MSD did donate Ivermectin to the Onchocerciasis Control
Program.

Andy Fell



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