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Review, Journal: Human strongyloidiasis: complexities and pathways forward. (Pubmed Central) - Nov 8, 2023 Stable disease is effectively treated by single-dose ivermectin, with disease in immunocompromise patients treated with multiple doses. Strategies for management include raising awareness, clarifying zoonotic potential, the development and use of effective diagnostic tests for epidemiological studies and individual diagnosis, and the implementation of treatment programs with research into therapeutic alternatives and medication safety.
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Journal: Exposures to Bleach, Peroxide, Disinfectants, Antimalarials, and Ivermectin Reported to the California Poison Control System Before and During the COVID-19 Pandemic, 2015-2021. (Pubmed Central) - Nov 7, 2023 This study considered suspected toxicity exposures involving household cleaning products (bleach, peroxide, disinfectants), antimalarials (hydroxychloroquine and chloroquine), and ivermectin reported to the California Poison Control System from 2015 through 2021 and assessed trends in exposures by using interrupted time-series analyses...The number of reported ivermectin exposures before December 2020 was initially stable at 14.50 per month and then increased by 2.05 per month through December 2021. Our observations suggest that while some dangerous home prevention and treatment efforts resolve over time, further interventions may be needed to reduce the public health effects related to attempts to self-treat COVID-19 with ivermectin.
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Clinical, Retrospective data, Review, Journal: Efficacy and Safety of Novel Oral Antivirals in Hospitalized COVID-19 Patients: A Network Meta-Analysis of Randomized Clinical Trials. (Pubmed Central) - Nov 7, 2023 We searched for randomized clinical trials (RCTs) on the efficacy and safety of novel oral antivirals for the treatment of hospitalized COVID-19 patients until November 30, 2022, including baricitinib, ivermectin (IVM), favipiravir (FVP), chloroquine (CQ), lopinavir and ritonavir (LPV/RTV), hydroxychloroquine (HCQ), and hydroxychloroquine plus azithromycin (HCQ+AZT)...IVM appeared to be a safer option than placebo in improving recovery time, while FVP was associated with increased SpO2 safety outcomes. These preliminary evidence-based observations should guide clinical practice until more data are made public.
- |||||||||| methylprednisolone oral / Generic mfg., ivermectin oral / Generic mfg., ivermectin topical / Generic mfg.
ERYTHRODERMIC BULLOUS PEMPHIGOID WITH NORWEGIAN SCABIES : A RARE CASE REPORT () - Nov 6, 2023 - Abstract #ISDS2023ISDS_414; Recommendation treatment for NS is a systemic scabicides, single or recurrent dose of oral ivermectine depending on the severity of the case.We present the case of a 55-year-old female with a 4-week history of itchy erythematous plaques, developing into tense blisters, urticarial plaques, erosions and excoriations distributed symmetrically on her head, trunk, and limbs...Systemic methylprednisolone (125mg/day for 10 days) followed by oral methylprednisolone (32 mg/day initially), oral scabicides (ivermectine 12 mg single dose), and topical corticosteroids were administered. After 43 days of follow-up, tense blisters, urticarial plaques and erosions had subsided, and no new lesions were noticed
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Journal: Twitter discussions on breastfeeding during the COVID-19 pandemic. (Pubmed Central) - Nov 5, 2023 The wide range of topics on Twitter related to breastfeeding provides an opportunity for active engagement by the medical community and timely dissemination of advice, support, and guidance. Future studies should leverage social media analysis to gain real-time insight into public health topics of importance in child health and apply targeted interventions.
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Journal: Cutaneous larva migrans in the northeastern US. (Pubmed Central) - Nov 5, 2023 This was followed by removal of the papular area via punch biopsy; treatment was successful with a one-week recovery. Although cutaneous larva migrans has traditionally been considered a tropical disease, clinicians should be cognizant of its expanding geographic spread.
- |||||||||| doxycycline / Generic mfg.
Journal: Cost of implementing a doxycycline test-and-treat strategy for onchocerciasis elimination among settled and semi-nomadic groups in Cameroon. (Pubmed Central) - Nov 3, 2023 However, it is critical to note that a two-year implementation shows a significantly larger reduction in infection prevalence than the preceding 20 years of annual community-directed treatment with ivermectin. Test-and-treat with doxycycline may be a cost-effective intervention in places where the prevalence of microfilaria is still high, or in hard-to-reach areas where community-directed treatment with ivermectin and MDA coverage are not high enough to stop transmission or where marginalised populations consistently miss treatment.
- |||||||||| Retrospective data, Journal: Assessment of the available therapeutic approaches for severe COVID-19: a meta-analysis of randomized controlled trials. (Pubmed Central) - Nov 3, 2023
Database searching was performed separately for severe COVID-19 treatment such as anakinra, remdesivir, baricitinib, ivermectin, ritonavir, tocilizumab, sarilumab, sotrovimab, casirivimab/imdevimab...This meta-analysis has revealed that a considerable amount of research characterized by a very diverse methodology is available. Despite the limited data that met the criteria for inclusion in the meta-analysis, we showed that the available treatment options for severe COVID-19 are effective.
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Journal: Potential mitigating role of ivermectin on the spread of Chlamydia trachomatis by Musca sorbens. (Pubmed Central) - Oct 30, 2023 Trachoma is controlled through the Surgery, Antibiotics, Facial cleanliness, and Environmental improvement (SAFE) strategy, which delivers azithromycin (AZM) mass drug administration (MDA) in endemic areas...Ivermectin (IVM) is on the WHO's essential medicines list and is administered as preventative chemotherapy against two neglected tropical diseases (NTDs)-onchocerciasis, as an annual or bi-annual treatment, and lymphatic filariasis, as an annual treatment in combination with albendazole...This initial investigation supports the potential for ivermectin's use to support SAFE. Findings warrant further work to validate ivermectin's impact on M. sorbens reproduction through controlled lab and field-based studies.
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Biomarker, Journal: Pharmacogenomic Landscape of Ivermectin and Selective Antioxidants: Exploring Gene Interplay in the Context of Long COVID. (Pubmed Central) - Oct 28, 2023 Due to the absence of knowledge in pharmacogenomics and modes of actions in the human body for these compounds, this study aims to provide a pharmacogenomic profile for the combination of ivermectin and six selected antioxidants (epigallocatechin gallate (EGCG), curcumin, sesamin, anthocyanins, quercetin, and N-acetylcysteine (NAC)) as potentially effective regimens for long COVID symptoms...The established pharmacogenomic network, disease analyses, and identified miRNAs could facilitate developments of effective regimens for chronic sequelae of COVID-19 especially in this post-pandemic era. However, further studies and clinical trials are needed to substantiate the effectiveness and dosages for COVID-19 treatments.
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Journal: First identification of Strongyloides stercoralis infection in a pet dog in Argentina, using integrated diagnostic approaches. (Pubmed Central) - Oct 28, 2023 The results reported here should also encourage future work that examines different scenarios of infection with S. stercoralis in dogs and humans with the aim of integrating clinical management, diagnosis, treatment and follow-up strategies in the quest for new approaches for the treatment of this disease in animals and humans. The findings support the adoption of a One Health approach, which recognizes the interconnectedness between animal and human health, in addressing parasitic infections such as strongyloidiasis.
- |||||||||| moxidectin / Generic mfg.
Trial completion date, Trial primary completion date: Moxidectin for LF, Cote d'Ivoire (DOLF) (clinicaltrials.gov) - Oct 27, 2023 P3, N=164, Active, not recruiting, The findings support the adoption of a One Health approach, which recognizes the interconnectedness between animal and human health, in addressing parasitic infections such as strongyloidiasis. Trial completion date: Sep 2023 --> Sep 2024 | Trial primary completion date: Sep 2023 --> Sep 2024
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Review, Journal: New paradigms in research on Dirofilaria immitis. (Pubmed Central) - Oct 22, 2023 Since the advent of ivermectin (along with melarsomine and doxycycline), heartworm has come to be viewed as a solved problem in veterinary medicine, diminishing investment into non-clinical research on Dirofilaria immitis...A 'genomics toolbox' for D. immitis could enable unprecedented insight into the negotiations between host and parasite that enable survival in a permissive host. The more we know about the pathogen and how it manipulates its host, the better able we will be to protect companion animals far into the future.
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Retrospective data, Review, Journal: Impact of preventive chemotherapy on Strongyloides stercoralis: A systematic review and meta-analysis. (Pubmed Central) - Oct 22, 2023 The more we know about the pathogen and how it manipulates its host, the better able we will be to protect companion animals far into the future. Our findings demonstrate a significant decrease of S. stercoralis prevalence in areas where ivermectin PC has taken place, supporting the use of ivermectin PC in endemic areas.
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Journal: Ivermectin as a Novel Malaria Control Tool: Getting Ahead of the Resistance Curse. (Pubmed Central) - Oct 22, 2023 In this opinion article, we discuss the advantages and disadvantages of using ivermectin for malaria control with a focus on the risk of selecting ivermectin resistance in malaria vectors. We also highlight the importance of understanding how ivermectin resistance could develop in mosquitoes and what its underlying mechanisms and associated molecular markers are, and propose a research agenda to manage this phenomenon.
- |||||||||| metformin / Generic mfg., ivermectin oral / Generic mfg., fluvoxamine / Generic mfg.
P3 data, Journal: Outpatient treatment of COVID-19 and incidence of post-COVID-19 condition over 10 months (COVID-OUT): a multicentre, randomised, quadruple-blind, parallel-group, phase 3 trial. (Pubmed Central) - Oct 22, 2023 P3 We also highlight the importance of understanding how ivermectin resistance could develop in mosquitoes and what its underlying mechanisms and associated molecular markers are, and propose a research agenda to manage this phenomenon. Outpatient treatment with metformin reduced long COVID incidence by about 41%, with an absolute reduction of 4
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Journal: Trichuris muris egg-hatching assay for anthelminthic drug discovery and characterization. (Pubmed Central) - Oct 19, 2023 Our approach can be extended to other viruses or diseases for biomedical knowledge discovery and relevant applications. Streptococcus salivarius, reported to be associated with reduced drug efficacy of ivermectin-albendazole coadministration in Trichuris trichiura infected patients, did not promote egg hatching in vitro...Oxantel pamoate demonstrated the strongest potency in preventing hatching, with an EC value of 2-4
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Review, Journal: Evidence for the clinical association between Demodex and rosacea?a review. (Pubmed Central) - Oct 17, 2023 Based on a comprehensive review of the current literature, we have cited substantial evidence supporting this relationship, proposed a possible vicious cycle between Demodex and rosacea, and illustrated the changes in immune responses during this process. In addition, we recommend that patients with both rosacea and Demodex infection be treated early with a combination of topical ivermectin and topical Th1 inhibitors to improve treatment outcomes.
- |||||||||| balstilimab (AGEN2034) / Agenus
Enrollment open, Combination therapy, Metastases: Ivermectin and Balstilimab for the Treatment of Metastatic Triple Negative Breast Cancer (clinicaltrials.gov) - Oct 10, 2023 P1/2, N=41, Recruiting, In addition, we recommend that patients with both rosacea and Demodex infection be treated early with a combination of topical ivermectin and topical Th1 inhibitors to improve treatment outcomes. Not yet recruiting --> Recruiting
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Increasing numbers of scabies in people living with HIV (ePosters) - Oct 8, 2023 - Abstract #EACS2023EACS_928; Our results suggest that Angiogenin modulation during DENV infection is important for DENV replication and pathogenesis. Topical treatment (1.5% permethrin) was given to 23 patients, oral (ivermectin) treatment to 1, and oral (ivermectin) plus topical (%1.5 permethrin) treatment to 6; with a median of 2
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Increasing numbers of scabies in people living with HIV (ePosters) - Oct 8, 2023 - Abstract #EACS2023EACS_927; Topical treatment (1.5% permethrin) was given to 23 patients, oral (ivermectin) treatment to 1, and oral (ivermectin) plus topical (%1.5 permethrin) treatment to 6; with a median of 2 Topical treatment (1.5% permethrin) was given to 23 patients, oral (ivermectin) treatment to 1, and oral (ivermectin) plus topical (%1.5 permethrin) treatment to 6; with a median of 2
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Journal: Ivermectin for preventing and treating COVID-19. (Pubmed Central) - Oct 6, 2023 Topical treatment (1.5% permethrin) was given to 23 patients, oral (ivermectin) treatment to 1, and oral (ivermectin) plus topical (%1.5 permethrin) treatment to 6; with a median of 2 No abstract available
- |||||||||| hydroxychloroquine / Generic mfg., ivermectin oral / Generic mfg.
Journal: Misinformation, Trust, and Use of Ivermectin and Hydroxychloroquine for COVID-19. (Pubmed Central) - Sep 29, 2023 In this survey study of US adults, endorsement of misinformation about the COVID-19 pandemic, lack of trust in physicians or scientists, conspiracy-mindedness, and the nature of news sources were associated with receiving non-evidence-based treatment for COVID-19. These results suggest that the potential harms of misinformation may extend to the use of ineffective and potentially toxic treatments in addition to avoidance of health-promoting behaviors.
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Journal: Repurposing of antiparasitic drugs against the NS2B-NS3 protease of the Zika virus. (Pubmed Central) - Sep 25, 2023 Based on the docking results, 5 drugs, such as Amodiaquine, Primaquine, Paromomycin, Dichlorophene, and Ivermectin were screened for further analysis by MD simulations and free energy calculations. Among these drugs, Amodiaquine and Dichlorophen are found to produce the most stable complexes and possess relative binding free energies of about -44.3?
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Observational data, Journal: Helminth infection in horses - a cross-sectional study from stables in Lower Silesia (Poland). (Pubmed Central) - Sep 24, 2023 The analysis was also performed for the same factors in reference to quantitative data. The mean EPG was four-fold higher in juvenile horses than in adults and three-fold higher when the horses were dewormed with the use of fenbendazole instead of ivermectin or ivermectin with praziquantel combined.
- |||||||||| flubentylosin (ABBV-4083) / AbbVie
Enrollment change, Trial completion date, Trial termination, Trial primary completion date, Adverse events, Combination therapy: Study to Assess Adverse Events, Change in Disease Activity and How Oral ABBV-4083 Capsules When Given Alone or In Combination With Albendazole Capsules Moves in The Body of Adult Participants With Onchocerca Volvulus Infection (clinicaltrials.gov) - Sep 21, 2023 P2, N=153, Terminated, Recruiting --> Completed N=444 --> 153 | Trial completion date: Dec 2025 --> Aug 2023 | Recruiting --> Terminated | Trial primary completion date: Dec 2025 --> Aug 2023; Strategic considerations
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Journal: Formulation and optimization of ivermectin nanocrystals for enhanced topical delivery. (Pubmed Central) - Sep 20, 2023 Additionally, lyophilized IVM-NC was integrated into topical cream, and the resulting drug release profile was superior compared to that of the marketed product. Overall, IVM-NC presents a promising approach to improving the effectiveness of topically applied IVM in treating local parasitic infections.
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Hypereosinophilia Due To Disseminated Strongyloidiasis In A Pediatric Patient (Monitor 10) - Sep 14, 2023 - Abstract #ACAAI2023ACAAI_792; Discussion This case demonstrates exposure to strongyloidiasis in a pediatric patient with asthma symptoms that improved with ivermectin treatment. Strongyloidiasis should be considered in patients presenting with new-onset asthma symptoms and/or unexplained eosinophilia, as previous case reports have documented fatalities following corticosteroids administered during infection.
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An Unexpected Cause For Hyper IgE (Monitor 03) - Sep 14, 2023 - Abstract #ACAAI2023ACAAI_743; This patient's normal eosinophil levels are atypical in a parasitic infection. This case highlights the importance of a broad differential when considering etiologies of elevated IgE with a normal eosinophil count.
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Clinical, Journal: COVID-19 Excess Deaths in Peru's 25 States in 2020: Nationwide Trends, Confounding Factors, and Correlations With the Extent of Ivermectin Treatment by State. (Pubmed Central) - Sep 11, 2023 Conclusions The natural experiment that was put into motion with the authorization of IVM use for COVID-19 in Peru in May 2020, as analyzed using data on excess deaths by locality and by state from Peruvian national health sources, resulted in strong evidence for the drug's effectiveness. Several potential confounding factors, including effects of a social isolation mandate imposed in May 2020, variations in the genetic makeup of the SARS-CoV-2 virus, and differences in seropositivity rates and population densities across the 25 states, were considered but did not appear to have significantly influenced these outcomes.
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