According to the Front Line COVID-19 Critical Care Alliance, the basic dose of ivermectin is 0.2 mg/kg/day. That is the usual dose of ivermectin for most parasitic infections, typically repeated the next day or the next week. The same dose (by weight) can be used in children weighing at least 15 kg, ie, 33 pounds. See the drug information at UpToDate.
Ivermectin comes in 3-mg pills and multiples (eg, 6 mg and 12 mg).
One kg is 2.2 pounds. So the basic dose of 0.2 mg/kg is 3 mg per 33 pounds body weight, ie:
Opinions differ on whether ivermectin should be taken on an empty stomach or with a meal. The latter has been shown to increase its absorption.
- 9 mg for someone who weighs around 99 pounds
- 12 mg for someone around 132 pounds
- 15 mg for someone around 165 pounds, etc.
The dose can be repeated weekly for prevention.
After exposure, that dose can be doubled to 0.4 mg/kg, ie:
- 18 mg for someone who weighs around 99 pounds
- 24 mg for someone around 132 pounds
- 30 mg for someone around 165 pounds, etc.
This or the smaller dose is repeated after 48 hours.
Either dose can also be used when sick, repeated after 48 hours or, if still sick, repeated daily for up to 7 days until symptoms subside.
The daily dose when sick can even be increased to 0.6 mg/kg, ie:
- 27 mg for someone who weighs around 99 pounds
- 36 mg for someone around 132 pounds
- 45 mg for someone around 165 pounds, etc.
For “long covid”, the FLCCCA-recommended dose is 0.2–0.3 mg/kg daily for 2–3 weeks, ie:
- 9–15 mg for someone who weighs around 99 pounds
- 12–18 mg for someone around 132 pounds
- 15–21 mg for someone around 165 pounds, etc.
That is also the FLCCCA-recommended dose for post–mRNA injection recovery, daily for up to 4–6 weeks.
As for cost, larger-dose pills are cheaper. For example, at the Indian supplier misleadingly called Canadian Pharmacy Online, 120 mg of ivermectin costs, at the time of writing, $87.60 as 40 3-mg pills, $61.80 as 20 6-mg pills, and $36.90 as 10 12-mg pills.
And remember to make sure you have enough vitamin D!
