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Drug interactions

Amiodarone + Ivermectin

Severity: Minor

Amiodarone and Ivermectin: minor interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Amiodarone inhibits P-glycoprotein, which limits ivermectin entry into tissues including the brain. Higher ivermectin exposure is theoretically possible, but clinical consequences are unlikely at standard doses.

What this interaction means in plain words

Amiodarone and Ivermectin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Amiodarone belongs to Cardiovascular; Ivermectin belongs to Anti Parasitic.

Evidence level: Low

Why it happens

Amiodarone inhibits P-glycoprotein efflux of ivermectin, which may increase its exposure.

What to do

No routine adjustment is needed; watch for neurological adverse effects such as dizziness or confusion if high or repeated ivermectin doses are given.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Amiodarone with Ivermectin?

MediHelp rates the interaction as minor. Amiodarone and Ivermectin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Amiodarone inhibits P-glycoprotein, which limits ivermectin entry into tissues including the brain. Higher ivermectin exposure is theoretically possible, but clinical consequences are unlikely at standard doses.

How serious is the interaction between Amiodarone and Ivermectin?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No routine adjustment is needed; watch for neurological adverse effects such as dizziness or confusion if high or repeated ivermectin doses are given.

What other medicines interact with Ivermectin?

MediHelp also lists interactions of Ivermectin with, for example, Erdafitinib, Lasmiditan, Quinidine. The full list is on the Ivermectin page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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