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Ivermectin has a 30 year history of safe use in humans and the side effect profile appears mild for the most part. However, the past use of ivermectin does not predict the safety and side effects seen when used for COVID-19 because we are using much higher doses when treating and preventing COVID-19. For scabies and parasite infections the usual dose is one time 0.2mg/kg. For COVID-19 prevention the dose is 0.2mg/kg twice a week indefinitely. For acute treatment, the recommended dose is 0.4mg/kg daily until symptoms resolve and it may be continued for 7-14 days total. These doses are MUCH higher than any used in the past. Based on my experience they are still safe and in thousands of patients I have seen no lasting or serious reactions to high-dose ivermectin use, but my data is imperfect and there may have been serious or severe side effects.

Also when used on a new disease, side effects could be different than those recorded in the past. For example, the most severe side effects of ivermectin in the past were only seen in the setting of treatment for a certain parasitic disease. The other relatively common side effect that has been seen in the past is elevated liver function tests which could indicate liver damage, reported in 2% of patients. While on ivermectin you should get liver function tests done on a monthly basis. There are also a number of other more severe side effects seen less than 1% of the time. All that being said, Tylenol and Advil use has been shown to increase the risk of heart failure and death and those are available over the counter. All medications do carry some risk that you should be aware of and in our judgment the risk is acceptable, given the disease.

Alcohol can increase the blood levels of ivermectin, so should be avoided when taking ivermectin. Using alcohol with Ivermectin may increase the risk of side effects. These are the common side effects reported with ivermectin in general:

Cardiovascular: Tachycardia (4%), peripheral edema (3%), facial edema (1%), orthostatic hypotension (1%)

Central nervous system: Dizziness (3%)

Gastrointestinal: Diarrhea (2%), nausea (2%)

Not to be used in pregnancy, or by those who might become pregnant- sexually active women should use contraception.

RELEASE FROM MEDICAL LIABILITY AND MALPRACTICE CLAIMS: 

I acknowledge that off-label prevention and treatment for COVID-19 and related illnesses, like presumed post-viral syndrome due to COVID-19 AKA long COVID or long haul syndrome, has become a highly charged and political issue and poses numerous personal and professional risks to practitioners who prescribe these alternative, unapproved treatments, that, though presumed and believed to be safe and effective based on the best available evidence, may in fact be harmful and could cause severe disability and even death, which can in fact occur with any and all medical treatments in some percentage of patients, but physicians involved in these negative outcomes are shielded from liability when their peers agree their treatments were warranted. This is not the case with prevention and treatment of COVID-19 and related illnesses like long COVID. Where prescribing practitioners are acting outside the bounds of medical establishment consensus, therefore in order to obtain treatment that is not physician peer, FDA, NIH or CDC approved, but may nevertheless be beneficial, I agree to release Dr. Angela Straface and all her associates from all medical liability and malpractice claims related to any and all care, including but not limited to preventive, acute and chronic treatments for COVID-19 and presumed and/or diagnosed post-viral syndrome due to COVID-19, AKA long COVID or long haul syndrome.

YOU MUST AGREE TO THE TERMS MENTIONED ABOVE IN ORDER TO CONTINUE.