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Friday, March 18, 2022

03-18-2022-0148 - Ivermectin

Ivermectin (/ËŒaɪvÉ™rˈmÉ›ktɪn/EYE-vÉ™r-MEK-tin) is an antiparasitic drug.[6] After its discovery in 1975,[7] its first uses were in veterinary medicine to prevent and treat heartworm and acariasis.[8] Approved for human use in 1987,[9] today it is used to treat infestations including head licescabiesriver blindness (onchocerciasis), strongyloidiasistrichuriasisascariasis and lymphatic filariasis.[8][10][11][12] It works through many mechanisms to kill the targeted parasites,[10] and can be taken orally, or applied to the skin for external infestations.[10][13] It belongs to the avermectin family of medications.[10]

William Campbell and Satoshi ÅŒmura won the 2015 Nobel Prize in Physiology or Medicine for its discovery and applications.[14] It is on the World Health Organization's List of Essential Medicines,[15] and is approved by the U.S. Food and Drug Administration as an antiparasitic agent.[16] In 2018, it was the 420th most commonly prescribed medication in the United States, with more than 100,000 prescriptions.[17] It is available as a generic medicine.[18][19]

During the COVID-19 pandemic, misinformation has been widely spread claiming that ivermectin is beneficial for treating and preventing COVID-19.[20][21] Such claims are not backed by credible scientific evidence.[22][23] Research into its use is ongoing,[24] and multiple major health organizations, including the Food and Drug Administration, U.S. Centers for Disease Control, the European Medicines Agency, and the World Health Organization have stated that ivermectin is not authorized or approved to treat COVID-19.[22][25][26][27] 

Ivermectin
Ivermectin skeletal.svg
Ivermectin-B1a-from-xtal-3D-bs-17.png
Clinical data
Trade namesStromectol, Soolantra, Sklice, others
Other namesMK-933
AHFS/Drugs.com
MedlinePlusa607069
License data
Pregnancy
category
  • AU: B3
Routes of
administration
By mouthtopical
ATC code
Legal status
Legal status
Pharmacokinetic data
Bioavailability
Protein binding93%
MetabolismLiver (CYP450)
Elimination half-life18 hours
ExcretionFeces; <1% urine
Identifiers
CAS Number
PubChem CID
DrugBank
ChemSpider
UNII
KEGG
ChEBI
ChEMBL
PDB ligand
CompTox Dashboard (EPA)
ECHA InfoCard100.067.738 Edit this at Wikidata
Chemical and physical data
FormulaC
48
H
74
O
14
 (22,23-dihydroavermectin B1a)
C
47
H
72
O
14
 (22,23-dihydroavermectin B1b)
Molar mass
  • 875.106 g·mol−1 (22,23-dihydroavermectin B1a)
  • 861.079 g·mol−1 (22,23-dihydroavermectin B1b)
3D model (JSmol)
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    https://en.wikipedia.org/wiki/Ivermectin



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