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So what is the dose and is it a one off dose....or follow up dose needed....just askin for a fren.

12mg day 1
12mg day 3
12mg weekly thereafter

3 notches on the Tractor Supply horse paste syringe gets you about 12mg

While 12mg is fine for a 150lb person, it’s actually .2mg/kg on Day 1, day 3 then every 2 weeks after that. A 250lb person would be more like 22mg.

Tell your friend 200mcg / kg body weight is the acceptable dose. This is ratio in the 6.08 g Durvet syringe with a 1.87% paste for a 1250 pound horse. There is some tolerance as some tests used 400mcg / kg. So if your friend goes that route, the dose can be estimated with the syringe markings, or weighed with a gram scale, such as the one my friend used accurate to 0.1g to measure 0.8 g of paste. Note that mcg is a millionth of a gram, so 200 mcg is .0002 g. That’s why the clear paste is only 1.87% ivermectin.

One dose may be good for several months, or a second dose taken a week or two later maybe for 6 months. There’s some who recommend taking ivermectin early morning before breakfast, but that’s the instructions for intestinal parasites. After dinner with some water (8 ounces?) may increase bioavailability because of fat. The full amount of water may be instructions for the pills which require a prescription in USA and may be $38 per pill or higher and apparently going up because of demand.

Ivermectin also kills and prevents scabies. There’s a story that the top floor of a nursing home had a scabies outbreak and all patients on that floor were cured or protected with ivermectin. When the China bioweapon hit the facility not one of the treated patients on the top floor became ill, while many other patients on other floors and staff became ill with some patients dying. I have not been able to validate this convincing story which was in a blog comment.