The Oklahoman

Can livestock drug treat COVID-19 successful­ly?

- Body Work Adam Cohen and Dr. Rod McEver Guest columnists

Adam’s Journal

I've read reports of people taking a drug called ivermectin to prevent and treat COVID-19. Is this safe? And is there evidence it's effective?

Dr. McEver Prescribes

Ivermectin is approved to treat humans for parasites such as head lice and intestinal worms. It's also used in greater concentrat­ions in livestock to prevent and treat heartworms. But for people, taking large doses of the drug is

dangerous and can result in hospitaliz­ation and even death. While a small laboratory study early in the pandemic found that ivermectin prevented SARS-CoV-2 from replicatin­g in a petri dish, numerous clinical studies since have shown no evidence of its ability to do the same in the human body.

For example, in one trial of 1,300 patients, researcher­s halted the study before it was complete due to ivermectin’s ineffectiveness at preventing hospitaliz­ation for COVID-19. Neverthele­ss, misinforma­tion has led to people self-medicating with the drug, to ill effect.

Of particular concern are those ingesting versions of ivermectin meant to be injected into or applied topically to animals like horses, pigs and cattle. Not only are these formulatio­ns too concentrat­ed for human use, but they may also contain inactive ingredient­s not tested in people.

Neverthele­ss, prescripti­ons for ivermectin have risen dramatical­ly, as have calls to poison control centers about exposure to the drug.

“You are not a horse,” the U.S. Food and Drug Administra­tion tweeted. “You are not a cow. Seriously, y’all. Stop it.”

Unfortunat­ely, we’ve seen this before. At the outset of the pandemic, some believed that hydroxychl­oroquine, a medication physician-scientists at the Oklahoma Medical Research Foundation use to treat patients with lupus, would effectively combat COVID-19. However, as with ivermectin studies to date, clinical trials of hydroxychl­oroquine failed against the coronaviru­s in humans.

It’s no surprise many are desperate for a miracle drug. But the best defense against the virus is already available in pharmacies everywhere: vaccines.

McEver, a physician-scientist, is vice president of research at the Oklahoma Medical Research Foundation. Cohen is a marathoner and OMRF’s senior vice president and general counsel and interim president. Submit your health questions for them to contact@omrf.org

In one trial of 1,300 patients, researcher­s halted the study before it was complete due to ivermectin’s ineffectiv­eness at preventing hospitaliz­ation for COVID-19. Neverthele­ss, misinforma­tion has led to people self-medicating with the drug, to ill effect.

 ?? DOUG HOKE/THE OKLAHOMAN ?? Ivermax, a brand of ivermectin paste, the livestock anti-parasite drug, is seen at the bottom left in stock on Aug. 26 at Cook Feed & Outdoor near Remington Park.
DOUG HOKE/THE OKLAHOMAN Ivermax, a brand of ivermectin paste, the livestock anti-parasite drug, is seen at the bottom left in stock on Aug. 26 at Cook Feed & Outdoor near Remington Park.
 ?? ALICIA DEVINE/TALLAHASSE­E DEMOCRAT ?? Dr. Rachel Lacey, a veterinari­an at AVS Equine Medical and Surgical Hospital in Florida, uses a syringe on Aug. 26 to give one of her patients a dose of ivermectin.
ALICIA DEVINE/TALLAHASSE­E DEMOCRAT Dr. Rachel Lacey, a veterinari­an at AVS Equine Medical and Surgical Hospital in Florida, uses a syringe on Aug. 26 to give one of her patients a dose of ivermectin.
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