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Fact check: Can ivermectin horse paste cause adverse reactions in humans?

Checked on September 18, 2025

1. Summary of the results

The analyses provided suggest that ivermectin horse paste can cause adverse reactions in humans [1]. Studies have shown that patients taking veterinary formulations of ivermectin, including those intended for horses, have higher rates of altered mental status and neurotoxicity compared to those taking human formulations [1]. The safety profile of ivermectin horse paste in humans is a concern, with reports of neurotoxicity, gastrointestinal symptoms, and musculoskeletal complaints [2] [1]. Some sources explicitly warn against using animal ivermectin products, including those for horses, as they are not safe for human use and can be potentially lethal [3]. However, there are also reports of successful management and favorable outcomes in cases of ivermectin poisoning, even at exceptionally high doses [4]. Ivermectin toxicosis has also been reported in horses, with acute neurologic signs developing after oral administration of ivermectin paste [5] [6].

2. Missing context/alternative viewpoints

Some analyses focus on the use of ivermectin in the context of COVID-19 prevention and treatment, while others discuss its use in treating various diseases [7]. The dosage and formulation of ivermectin are crucial factors in determining its safety and efficacy in humans [4]. Additionally, the importance of proper medical supervision and guidance when using ivermectin or any other medication is emphasized [3]. Alternative viewpoints may include the potential benefits of ivermectin in treating certain diseases, such as parasitic infections, and the need for further research on its safety and efficacy in humans [7]. The perspective of veterinary medicine is also relevant, as ivermectin is commonly used in animals, and its safety profile in this context may differ from its use in humans [5] [6].

3. Potential misinformation/bias in the original statement

The original statement may be misleading or incomplete, as it does not provide context about the dosage, formulation, or medical supervision associated with the use of ivermectin horse paste in humans [1]. Some sources may overemphasize the risks associated with ivermectin use, while others may downplay its potential benefits [4] [3]. The pharmaceutical industry, medical professionals, and regulatory agencies may benefit from a more nuanced understanding of ivermectin's safety and efficacy profile, as well as the potential risks and benefits associated with its use in humans [7] [2]. Public health officials and policymakers may also benefit from a more comprehensive understanding of the issues surrounding ivermectin use, in order to develop informed guidelines and regulations [3] [1].

Want to dive deeper?
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