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. It may also be taken prophylactically every month or so. The same dose (by weight) can be used in children weighing at least 15 kg, ie, 33 pounds. See the drug information at UpToDate.
Opinions differ on whether ivermectin should be taken on an empty stomach or with a meal, although some studies have shown that the latter increases its absorption.
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:
- 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 as often as weekly for prevention.
After exposure, the basic 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 then 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 cost, 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. Ivermectin.com, which claims to ship from the USA, sells only 12-mg pills: 50 (600 mg total) for $105, 100 (1,200 mg total) for $190.
And remember to make sure you get enough vitamin D!
