11-р сар . 20, 2024 11:50 Back to list
Ivermectin Injection in Humans An Overview
Introduction
Ivermectin, a widely recognized antiparasitic medication, has garnered significant attention over the years for its efficacy in treating a range of parasitic infections in humans and animals. Originally approved for use in veterinary medicine, it was later authorized for human applications and has played a pivotal role in combating diseases caused by parasites, such as river blindness (onchocerciasis) and lymphatic filariasis. With the advent of the global health crisis caused by the COVID-19 pandemic, ivermectin was also explored for its potential use against the virus, leading to extensive debate and research.
Mechanism of Action
Ivermectin is known to work by binding to specific ion channels in the nervous system and muscle cells of parasites, leading to paralysis and death of the organism. Its mechanism disrupts the function of neurotransmitters, effectively immobilizing various parasitic entities, including roundworms and ectoparasites like lice and scabies. The drug’s ability to enhance the release of gamma-aminobutyric acid (GABA) is particularly critical, as GABA is a primary inhibitory neurotransmitter in the nervous system of many invertebrates.
Approved Uses
The World Health Organization (WHO) recommends ivermectin for preventive chemotherapy in areas where onchocerciasis is endemic. It is also used to treat lymphatic filariasis, scabies, and strongyloidiasis. In recent years, ivermectin was repurposed for other indications, including viral infections, spurring a surge in research into its effectiveness against viruses such as SARS-CoV-2, the virus responsible for COVID-19. However, while initial lab studies suggested possible antiviral effects, extensive clinical trials have largely concluded that ivermectin is not effective for treating COVID-19 in humans.
Ivermectin Injection in Humans
While ivermectin is primarily available in oral form for human use, injectable formulations exist, particularly in veterinary medicine. The human application of injectable ivermectin is limited and largely experimental. Research has been conducted to assess the safety and efficacy of such formulations, but there are regulatory hurdles and safety concerns that must be addressed.
Safety and Side Effects
Ivermectin is generally considered safe when administered at prescribed dosages. Side effects are usually mild and can include dizziness, nausea, diarrhea, and rash. More severe side effects are rare but can occur, particularly with overdose or in individuals with high levels of parasitic load, which may lead to an inflammatory response known as the Mazzotti reaction.
Current Research and Controversies
The exploration of ivermectin for COVID-19 raised considerable controversy within the scientific and medical communities. While some studies suggested potential benefits, the overall consensus is that the evidence does not support its use as a treatment for the virus. The FDA and WHO have advised against using ivermectin beyond its approved indications, emphasizing the importance of relying on well-established treatments and vaccines for COVID-19.
Conclusion
Ivermectin remains an essential drug in the fight against various parasitic infections, demonstrating effectiveness through its well-understood mechanism of action. The journey of ivermectin, from its veterinary origins to human applications and the recent exploration for viral infections, underscores the complexities of drug repurposing and the necessity for rigorous scientific evaluation. While injectable vermectin formulations may offer potential advantages in specific clinical scenarios, their use should be cautiously approached until further evidence substantiates their safety and efficacy. As research continues, the broader implications of ivermectin on public health will remain a critical area of focus for health professionals worldwide.
In summary, ivermectin stands as a testament to the importance of continuous research in medicine, balancing the promise of existing drugs against the ever-evolving landscape of infectious diseases.
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