Ivermectin for Animals

Ivermectin

Ivermectin is an avermectin active against many nematodes, mites and arthropods; prevention doses are much lower than mange-treatment doses.

Group

Macrocyclic lactone antiparasitic

Mechanism of Action

Potentiates parasite glutamate-gated chloride channels, causing paralysis and death. Mammalian toxicity can occur when central nervous system exposure increases.

Dose Rates

Dogs

Use / stageDoseRouteScheduleInstructions
Heartworm prevention6 mcg/kgPOEvery 720 hAdminister every 30 days.
Ectoparasite treatment200–400 mcg/kgIM, SC, POSchedule depends on the diagnosed parasite; no repeat interval is supplied for this general regimen.
DemodicosisReference onlyPOBegin at 100 mcg/kg/day and increase by 100 mcg/kg/day to 600 mcg/kg/day; typical courses 60-120 days, with duration determined by skin scrapings. This escalation must not be flattened into a freely selectable range.
Sarcoptic mange and cheyletiellosis200–400 mcg/kgPOEvery 168 hUp to 42 days; Do not use in: ABCB1-associated macrocyclic-lactone sensitivity; Course 4-6 weeks.
Sarcoptic mange and cheyletiellosis200–400 mcg/kgSCEvery 336 hUp to 42 days; Do not use in: ABCB1-associated macrocyclic-lactone sensitivity; Course 4-6 weeks.
Heartworm prevention6–12 mcg/kgPOEvery 720 h
Capillaria or Eucoleus lungworm0.2 mg/kgPOOnce
Oslerus osleri infection0.4 mg/kgSCOnce
Nasal-mite infection0.2 mg/kgSCOnce
Scabies300–400 mcg/kgPO, SCEvery 168 hDo not use in: ABCB1-associated macrocyclic-lactone sensitivity

Cats

Use / stageDoseRouteScheduleInstructions
Heartworm prevention24 mcg/kgPOEvery 720 hEvery 30 days.
Ectoparasite treatment200–400 mcg/kgIM, SC, POEvery 168 hRepeat only according to skin scrapings and clinical response; young kittens have increased toxicity risk.
Endoparasite treatment200–400 mcg/kgSC, POEvery 168 h
Ear mitesReference onlyTOPICALOncePer ear: 0.5 mL of 0.1 mg/mL feline ear product (50 mcg). Local ear administration must not convert through livestock pour-on or injectable preparations.
Aelurostrongylus abstrusus infection0.4 mg/kgSCOnce

Horses

Use / stageDoseRouteScheduleInstructions
Nematode and bot control200 mcg/kgPO, IMOnceUse the corresponding formulation as part of a parasite-control programme; oral solution example is 1 mL/50 kg at 10 mg/mL.
Lice or mange0.2 mg/kgPOEvery 96 h

Cattle

Use / stageDoseRouteScheduleInstructions
Slow-release parasite controlReference onlyPOCalves: 5.7-13.8 mg/kg as a single slow-release bolus, designed for 135 days. This is not an immediate-release dose.
Nematode and ectoparasite control200 mcg/kgSCOnce
Nematode and ectoparasite control0.5 mg/kgTOPICALOncePour-on formulation, 5 mg/mL; 1 mL/10 kg.

Goats

Use / stageDoseRouteScheduleInstructions
Nematode and ectoparasite control200 mcg/kgSCOnce
Nematode and ectoparasite control0.5 mg/kgTOPICALOncePour-on formulation, 5 mg/mL; 1 mL/10 kg.
Meningeal-worm combinationReference onlySCIvermectin 0.3 mg/kg daily plus fenbendazole 50 mg/kg PO daily for 5 days to limit further Parelaphostrongylus migration. Camelids may need gastric-ulcer protection; this is not single-drug treatment.

Sheep

Use / stageDoseRouteScheduleInstructions
Nematode and ectoparasite control200 mcg/kgSCOnce
Nematode control200 mcg/kgPOOnce
Meningeal-worm combinationReference onlySCIvermectin 0.3 mg/kg daily plus fenbendazole 50 mg/kg PO daily for 5 days to limit further Parelaphostrongylus migration. Camelids may need gastric-ulcer protection; this is not single-drug treatment.

Pigs

Use / stageDoseRouteScheduleInstructions
Nematode and ectoparasite control300 mcg/kgSCOnceInject in the neck.
Potbellied-pig ectoparasites300 mcg/kgSC, IMEvery 240–336 hOne dose for endoparasites; a repeat 10-14 days later for ectoparasites. The IM alternative conflicts with cattle/swine product SC-only instructions; use formulation-specific assessment.

Ferrets

Use / stageDoseRouteScheduleInstructions
Heartworm prevention0.02 mg/kgPOEvery 720 h
Historical slow heartworm-treatment protocolReference onlyPO50 mcg/ferret monthly is described as a very slow treatment approach, not a proven replacement for an individualized heartworm plan.

Rabbits

Use / stageDoseRouteScheduleInstructions
Sarcoptoid mites0.3–0.4 mg/kgSCEvery 336 hTwo treatments 14 days apart; clean and disinfect housing.
Ear mites0.2–0.44 mg/kgPO, SCEvery 192–432 hRepeat once after 8-18 days; 0.2 mg/kg SC with a 14-day repeat is another specific alternative.

Mice

Use / stageDoseRouteScheduleInstructions
Mites200 mcg/kgSC, POEvery 168 hUp to 21 days; Treat colony contacts and disinfect housing.

Rats

Use / stageDoseRouteScheduleInstructions
Mites200 mcg/kgSC, POEvery 168 hUp to 21 days; Treat colony contacts and disinfect housing.

Gerbils

Use / stageDoseRouteScheduleInstructions
Mites200 mcg/kgSC, POEvery 168 hUp to 21 days; Treat colony contacts and disinfect housing.

Guinea pigs

Use / stageDoseRouteScheduleInstructions
Mites200 mcg/kgSC, POEvery 168 hUp to 21 days; Treat colony contacts and disinfect housing.
Trixacarus caviae500 mcg/kgSCEvery 336 hUp to 28 days; Three treatments on days 0, 14 and 28.

Chinchillas

Use / stageDoseRouteScheduleInstructions
Mites200 mcg/kgSC, POEvery 168 hUp to 21 days; Treat colony contacts and disinfect housing.

Hamsters

Use / stageDoseRouteScheduleInstructions
Mites200–500 mcg/kgSC, POEvery 336 hUp to 21 days

Llamas

Use / stageDoseRouteScheduleInstructions
Gastrointestinal helminths0.2 mg/kgPO, SCOnce
Meningeal-worm combinationReference onlySCIvermectin 0.3 mg/kg daily plus fenbendazole 50 mg/kg PO daily for 5 days to limit further Parelaphostrongylus migration. Camelids may need gastric-ulcer protection; this is not single-drug treatment.

Alpacas

Use / stageDoseRouteScheduleInstructions
Gastrointestinal helminths0.2 mg/kgPO, SCOnce
Meningeal-worm combinationReference onlySCIvermectin 0.3 mg/kg daily plus fenbendazole 50 mg/kg PO daily for 5 days to limit further Parelaphostrongylus migration. Camelids may need gastric-ulcer protection; this is not single-drug treatment.

Birds

Use / stageDoseRouteScheduleInstructions
Nematodes or mites200 mcg/kgIM, POEvery 240–336 hRepeat once after 10-14 days; prepare a verified dilution immediately before dosing. Species-specific tolerance is required.
Nematodes or mites220 mcg/kgIMGeneral avian alternative; dilution concentration must be verified.
Nematodes or mites200 mcg/kgSC
Ratite nematodes200 mcg/kgPO, IM, SC

Reptiles

Use / stageDoseRouteScheduleInstructions
Nematodes or ectoparasites0.2 mg/kgPO, IM, SCEvery 336 hDo not use in: Chelonians, Indigo snakes, Skinks; Lizards, snakes and alligators: initial dose and one repeat in 2 weeks; a third only if still positive.

Indications

  • Susceptible nematode and ectoparasite infections
  • Heartworm prevention with specific small-animal products

Contraindications

  • High-dose use in ABCB1-sensitive animals requires particular caution.
  • Animals younger than 6 weeks
  • Do not administer intravenously.
  • Chelonians, indigo snakes and skinks: ivermectin toxicity can be severe. High-dose canine protocols should exclude ABCB1-mutant dogs.

Interactions

  • P-glycoprotein inhibitors, including azole antifungals and cyclosporine, can increase central nervous system exposure.
  • Spinosad can potentiate high-dose ivermectin toxicity.

Adverse effects

  • Hypersalivation, ataxia, visual disturbance and central depression
  • Severe overdose may cause coma or death

Toxicity

Stop exposure and provide respiratory and neurologic support. Prevent further absorption when appropriate; lipid-emulsion treatment may be considered in severe lipophilic-drug intoxication.

Preparations

PreparationFormStrengthRoute
Ivermectin 10 mg/mL injectionInjection10 mg / mLSC
Ivermectin 20 mg/mL injectionInjection20 mg / mLSC
Ivermectin 2.7 mg/mL injectionInjection2.7 mg / mLSC
Ivermectin 10 mg/mL oral solutionOral Liquid10 mg / mLPO
Ivermectin 5 mg/mL cattle pour-onOther5 mg / mLTOPICAL
Ivermectin 0.8 mg/mL sheep drenchOral Liquid0.8 mg / mLPO
Ivermectin 0.1 mg/mL feline ear preparationOther0.1 mg / mLTOPICAL
Ivermectin 68 mcg tabletTablet68 mcg / tabletPO
Ivermectin 136 mcg tabletTablet136 mcg / tabletPO
Ivermectin 272 mcg tabletTablet272 mcg / tabletPO
Rapimec 10 mg tablet
Pondchy Pharmaceuticals
Do not confuse this high-strength tablet with microgram-strength heartworm-prevention tablets.
Tablet10 mg / tabletPO
Neomec 10 mg tablet
Do not confuse with microgram-strength heartworm-prevention tablets.
Tablet10 mg / tabletPO
Ivermectin 18.7 mg/g equine pastePaste18.7 mg / gPO
Ivermectin 55 mcg feline tabletTablet55 mcg / tabletPO
Ivermectin 165 mcg feline tabletTablet165 mcg / tabletPO

Monitoring and Administration

Establish heartworm status before preventive treatment and use fecal examinations or skin scrapings to assess other parasite responses.

Protect from light. Do not substitute concentrated livestock products for small-animal products without exact concentration and formulation assessment.

Kittens can be highly sensitive; neurotoxicity and death have occurred at 0.3-0.4 mg/kg in reported young cats.

For high-dose canine treatment, reported escalation approaches begin at 50-100 mcg/kg and increase by 50-100 mcg/kg/day while observing for neurotoxicity. Continue demodicosis treatment until 4 weeks after the second consecutive negative monthly skin scraping.

A preventative heartworm dose may precede adulticide treatment for 2-3 months. The described combined programme adds doxycycline 10 mg/kg PO daily for 28 days; it is not a substitute for a complete adulticide plan.

Published withdrawal figures in the reported guidance are formulation- and jurisdiction-specific; the goat injection meat figure of 35 hours is inconsistent with surrounding guidance and must not be used as a withdrawal instruction.

Alternative canine Demodex escalation increases 100 mcg/kg every third day until 600 mcg/kg/day, then treats 1-2 months beyond two negative scrapings. Another starts 50 mcg/kg, then 120 mcg/kg for a week, 200 mcg/kg for 3 days and increments 100 mcg/kg weekly. Keep these schedules separate; stop immediately for neurotoxicity. A doxycycline/ivermectin-pyrantel slow-kill study used doxycycline 10 mg/kg/day for 30 days and ivermectin 6-14 mcg/kg every 15 days for 6 months; clearance was incomplete and this is not a general adulticide recommendation.

For cattle SC injection, divide volumes greater than 10 mL between sites. The printed 200 mg/kg cattle IM instruction conflicts by 1000-fold with the repeated 200 mcg/kg dose and must not be used. Fixed Amazon/macaw doses lack sufficiently specific patient weights, and a finch amount lacks a route; no universal fixed-bird regimen is derived.

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