What is Ivermectin and How Does It Work?
Ivermectin is a macrocyclic lactone derived from Streptomyces avermitilis, used as an antiparasitic agent. It selectively targets the nervous system of invertebrates. The injectable form is popular in veterinary medicine for its broad effectiveness and ease of use.
The drug functions by activating glutamate-gated chloride ion channels in the nerve and muscle cells of many invertebrate parasites. This action increases chloride ion flow into cells, causing hyperpolarization. The resulting disruption of nerve impulses leads to parasite paralysis and death. Mammals are generally safe because they lack these specific channels in their central nervous system and ivermectin doesn't easily cross the blood-brain barrier at therapeutic doses.
The Function of Ivermectin Injection in Veterinary Practice
Ivermectin injection's main function is the control and treatment of various internal and external parasites in animals like cattle, swine, and pets.
Internal Parasites
- Gastrointestinal Roundworms: Treats adult and larval forms of intestinal worms.
- Lungworms: Used in animals like cattle and swine for respiratory health.
- Threadworms: Effective against threadworms, particularly in sows to protect piglets.
External Parasites
- Mange Mites: Highly effective against mites causing skin irritation.
- Lice: Controls sucking lice in cattle and swine.
- Cattle Grubs: Treats parasitic stages; timing is key to avoid issues.
Use in Companion Animals
Under veterinary guidance, ivermectin is used off-label in dogs and cats for:
- Heartworm Prevention: Monthly administration.
- Mites: Treatment of various mite infestations.
- Internal Worms: Control of certain intestinal parasites.
Comparison of Ivermectin Injection Applications
Feature | Ivermectin Injection (Veterinary) | Ivermectin (Human) |
---|---|---|
Administration | Primarily subcutaneous injection. | Oral tablets or topical creams/lotions. |
Primary Use | Broad-spectrum control of internal and external parasites in livestock (cattle, swine) and pets. | Treatment of specific parasitic infections like onchocerciasis (river blindness), strongyloidiasis, scabies, and lice. |
Target Parasites | Gastrointestinal roundworms, lungworms, mange mites, and lice in animals. | Nematode and arthropod parasites in humans, but formulations differ. |
Human Safety | Veterinary formulations are not for human use and can be toxic or lethal due to high concentration. | FDA-approved oral and topical formulations are dosed and formulated specifically for human safety. |
Risks and Precautions
Ivermectin injections require careful use. Veterinary formulations are highly concentrated and dangerous for human use.
Certain dog breeds with the MDR1 gene mutation (e.g., collies, Australian shepherds) are sensitive to ivermectin and may experience neurological side effects at higher doses. Always follow veterinary instructions.
Overdose in humans can cause severe side effects, including neurological problems, nausea, coma, and death. The FDA advises against using ivermectin for unapproved uses, like treating COVID-19, due to potential dangers.
Conclusion
The main function of ivermectin injection is to effectively treat and control internal and external parasites in animals. Its specific action on invertebrate chloride channels has significantly advanced veterinary parasite management in livestock and pets. It's crucial to remember that the injectable form is strictly for veterinary use and requires species-specific dosing for safety. Human use involves different oral or topical formulations for specific infections, and veterinary products are toxic as a substitute. Safe and effective use depends on guidance from a qualified veterinarian or healthcare provider.
For additional information on the safety and administration of veterinary products, consulting resources like the FDA's Center for Veterinary Medicine is recommended.