Stromectol
3 · 6 · 12mg
Ivermectin 3mg, 6mg and 12mg tablets, used for strongyloidiasis, scabies and onchocerciasis. It binds chloride channels found only in invertebrates.
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Strongyloidiasis
Strongyloidiasis is caused by Strongyloides stercoralis, a roundworm whose larvae can re-enter the body and maintain infection for years. Immune suppression, especially corticosteroid exposure, can trigger life-threatening hyperinfection.
Key points
- Many infections cause no symptoms; intermittent rash, abdominal symptoms or cough can occur but are not specific.
- Exposure history plus stool or antibody testing guides diagnosis, and one negative stool test may not exclude infection.
- Ivermectin is commonly used, but immune status, pregnancy, severe disease and confirmation of clearance affect the plan.
Catalogue matches do not diagnose Strongyloides infection or define a safe antiparasitic course.
Why can infection become severe later?
Autoinfection allows worms to persist after the original soil exposure. Corticosteroids and some immune-suppressing conditions can accelerate larval spread through the gut and lungs, sometimes carrying bacteria into the bloodstream.
What does assessment need to establish?
Clinicians consider remote barefoot soil exposure as well as current symptoms. Screening before major immune suppression may be appropriate for at-risk people. Treatment response may require follow-up testing; see antiparasitics.
When to seek urgent care
Seek urgent care for severe breathlessness, coughing blood, confusion, high fever, persistent vomiting, gastrointestinal bleeding or rapid deterioration during corticosteroid or other immune-suppressing treatment.