Pretty quick on the turn around there bud.
I tried ivermectin several times, and yes also bucked the administration — however the clinical results were poor. With the advent of monoclonals, I have moved on. Ivermectin does not work, especially in late stage disease. 12 months ago it was a possibility and it simply does not impress me clinically
So I do not delay — I get patients monoclonals as quickly as possible and as aggressively as possible.
Knowledge evolves based on clinical presentation.