Ivermectin (Tablet)

Ivermectin is an anti-parasitic medicine used to treat certain eye conditions caused by mites or worms, such as Demodex blepharitis and onchocerciasis.

Drug class Anti-parasitic
Type Single
Forms Tablet
Common strength 6 mg / 12 mg
Common Indian brands Ivermectol
Prescription status Prescription

What Ivermectin is used for

Ivermectin is a powerful anti-parasitic medicine prescribed by ophthalmologists at Pristine Eye Hospitals to treat specific eye conditions. It is effective against:

  • Demodex blepharitis: This condition occurs when tiny mites, called Demodex mites, infest the hair follicles of your eyelashes. These mites can cause inflammation, itching, redness, and irritation along the eyelid margins. Ivermectin helps eliminate these mites, reducing the symptoms and improving the health of your eyelids.
  • Onchocerciasis (River Blindness): This is a serious eye and skin disease caused by a parasitic worm called Onchocerca volvulus. The infection is spread by the bite of infected blackflies. The worms can migrate to the eyes, causing severe inflammation and potentially leading to vision loss and blindness. Ivermectin is crucial in treating this infection by killing the worms, thereby preventing further damage to the eyes and preserving vision.

By targeting these parasites, Ivermectin helps to alleviate discomfort, reduce inflammation, and prevent potential vision impairment associated with these conditions.

How it works

Ivermectin works by targeting the nervous system of the parasites that cause eye conditions like Demodex blepharitis and onchocerciasis. When you take Ivermectin, it enters your bloodstream and reaches the mites or worms. It then binds to specific channels in their nerve and muscle cells. This binding action disrupts their normal nerve function, leading to paralysis and ultimately killing the parasites. By eliminating these harmful organisms, Ivermectin helps to clear the infection and relieve the symptoms associated with their presence in and around your eyes.

How it’s used

Ivermectin is available as a tablet and is taken orally. It is a systemic therapy, meaning it works throughout your body to combat the parasites. For conditions like Demodex blepharitis, your ophthalmologist will typically prescribe a single dose of the tablet. This dose is then usually repeated after one week. It is very important to follow your doctor’s instructions precisely regarding the strength (6 mg or 12 mg) and timing of your doses. Do not alter the dosage or stop taking the medicine without consulting your ophthalmologist, even if your symptoms improve. Always take the tablet with water as directed.

Always follow your ophthalmologist’s exact instructions.

Brands available in India

  • Ivermectol

Brand availability and pricing vary; confirm with your pharmacist.

Good to know

Prescription eye medicine — use only as directed by a qualified ophthalmologist. This page is for general education and is not a substitute for professional medical advice, diagnosis or a prescription. Do not self-medicate or reuse an old prescription.

Precautions & side effects

While Ivermectin is an effective medicine, it’s important to be aware of certain precautions to ensure safe and effective treatment:

  • Prescription Only: Ivermectin is a prescription medicine. You must use it only as directed by a qualified ophthalmologist. Self-medication or using an old prescription can be dangerous and is strongly discouraged.
  • Combined Therapy for Demodex Blepharitis: For Demodex blepharitis, Ivermectin is often used in combination with other treatments. Your doctor may recommend specific lid hygiene practices and the use of tea-tree-oil lid scrubs. It is crucial to follow all these recommendations to achieve the best possible outcome and prevent recurrence.
  • Professional Medical Advice: This page provides general information and is not a substitute for professional medical advice, diagnosis, or a prescription. Always consult your ophthalmologist for any concerns or questions about your treatment.
  • Do Not Self-Medicate: Never attempt to self-medicate or reuse an old prescription. Your doctor will assess your specific condition and determine the appropriate treatment plan for you.
  • Report Side Effects: While generally well-tolerated, like all medicines, Ivermectin can have side effects. If you experience any unusual or severe reactions, contact your ophthalmologist immediately.

Understanding Demodex Blepharitis and Onchocerciasis

At Pristine Eye Hospitals, we understand that dealing with eye conditions can be concerning. Ivermectin is a medicine often prescribed for two specific conditions: Demodex blepharitis and onchocerciasis. Demodex blepharitis is a common condition where tiny mites, called Demodex mites, live in the hair follicles of your eyelashes. While a small number of these mites are normal, an overgrowth can lead to inflammation of the eyelids, causing symptoms like itching, burning, redness, crusting around the lashes, and a gritty sensation in the eyes. It can also make your eyes feel dry or watery. If left untreated, it can sometimes lead to more persistent eye irritation and even affect vision quality due to tear film instability. Onchocerciasis, also known as river blindness, is a more severe parasitic disease caused by a worm. This infection is prevalent in certain geographical areas and is transmitted through the bite of infected blackflies. The worms can migrate throughout the body, including the eyes, where they can cause severe inflammation, itching, and eventually lead to vision impairment or complete blindness if not treated promptly. Early diagnosis and treatment with medicines like Ivermectin are crucial for managing both these conditions effectively and preserving your eye health.

Correct Use and General Hygiene for Eye Health

When you are prescribed Ivermectin, it is important to follow your ophthalmologist’s instructions carefully. Since Ivermectin is a tablet, it is taken orally, usually with water. Your doctor will tell you the correct strength (6 mg or 12 mg) and how often to take it. For conditions like Demodex blepharitis, it is often a single dose repeated after one week. It is vital to complete the full course of treatment as prescribed, even if your symptoms start to improve, to ensure all parasites are eliminated. Do not share your medicine with others, and do not use it for conditions other than what it was prescribed for. Alongside your medicine, maintaining good eye hygiene is paramount. For Demodex blepharitis, your doctor will likely recommend regular eyelid cleaning. This often involves using warm compresses and specific lid scrubs, sometimes with tea-tree oil, to help remove debris, reduce mite load, and soothe inflammation. Always wash your hands thoroughly before and after touching your eyes or eyelids. Avoid rubbing your eyes excessively, as this can worsen irritation or introduce new infections. If you wear contact lenses, ensure you follow strict hygiene practices for cleaning and storing them, and consult your doctor about when it is safe to wear them during treatment.

Storage, Safety, and When to Seek Help

Proper storage of your medicine is essential to maintain its effectiveness. Always store Ivermectin tablets in a cool, dry place, away from direct sunlight and moisture. Keep them out of reach of children and pets. Do not use the medicine past its expiry date. Your safety is our priority at Pristine Eye Hospitals. Remember, Ivermectin is a prescription medicine, and this information is for general education only. It is not a substitute for professional medical advice, diagnosis, or a prescription from a qualified ophthalmologist. Never self-medicate or reuse an old prescription, as this can be harmful. If you experience any new or worsening symptoms, or if you have any concerns or questions about your treatment, please do not hesitate to contact your ophthalmologist immediately. This includes any unusual side effects, changes in your vision, increased redness, pain, or discomfort. Regular follow-up appointments with your eye doctor are also important to monitor your progress and ensure the treatment is working effectively. Your ophthalmologist will guide you through your treatment journey, ensuring the best possible outcome for your eye health.

Frequently asked questions

What is Ivermectin used for?

Ivermectin is an anti-parasitic medicine used to treat eye conditions such as Demodex blepharitis (mite infestation of the lash follicles) and onchocerciasis (river blindness).

How does Ivermectin work?

Ivermectin works by paralysing and killing the mites or worms that cause these eye conditions, helping to clear the infection and relieve symptoms.

What are the common Indian brands of Ivermectin?

In India, Ivermectin is available under the brand name Ivermectol.

How should I use Ivermectin?

Ivermectin is taken as a tablet, usually as a single dose, which may be repeated after one week for conditions like Demodex blepharitis. Always follow your ophthalmologist's specific instructions for dosing and timing.

Do I need a prescription for Ivermectin?

Yes, Ivermectin is a prescription medicine. You must only use it as directed by a qualified ophthalmologist.

What precautions should I take while using Ivermectin?

Always use Ivermectin only as prescribed by your ophthalmologist. For Demodex blepharitis, it is often combined with lid hygiene and tea-tree-oil lid scrubs. Do not self-medicate or reuse old prescriptions. This page is for general education and not a substitute for professional medical advice.

References

  1. Smite the Mite: Current and Emerging Treatments for Demodex Blepharitis
  2. Efficacy of Topical Ivermectin 1% in the Treatment of Demodex Blepharitis – PMC
  3. Ivermectin: MedlinePlus Drug Information
  4. Learn about eye health – National Eye Institute (NIH)
  5. Blindness and vision impairment – World Health Organization

Medically reviewed by , Chief Surgeon: Cornea, Cataract and Refractive Surgery — last reviewed 2026-07-28.

This page is for general education only and is not a substitute for professional medical advice, diagnosis or treatment. Never self-medicate or reuse an old prescription. Always consult a qualified ophthalmologist before starting, changing or stopping any eye medicine.

Scroll to Top