Ivermectin Paste

What the Product Actually Is

Attribute	Value
Product	Ivermectin Paste 1.87 percent
Form	Oral paste in a graduated syringe
Species	Horses and ponies only
Approval	An animal drug approval, not a human one
Syringe Contents	6.08 grams of paste
Ivermectin Content	About 114 milligrams per syringe
Dose Rate	91 micrograms per pound of horse
Equivalent	200 micrograms per kilogram
Treats	One horse of about 1,250 pounds
Plunger Markings	Each delivers enough for 250 pounds
Flavour	Apple, on some brands
Shipping Classification	Toxic, liquids, organic
If Swallowed	Call a poison centre immediately
Food Animals	Not for horses intended for human consumption
State Warning	Cancer and reproductive harm, in California
Typical Price	About ten to eighteen dollars a syringe

What it is used for in horses:

•     Large and small strongyles, including encysted forms.

•     Ascarids, pinworms and hairworms.

•     Large-mouth stomach worms and lungworms.

•     Intestinal threadworms and bots.

•     Summer sores and related skin conditions.

What Every Source Says About Human Use

Source	What It States
The approved animal label	Not for use in humans; wash hands after use
The approval summary	The label must carry that human warning
A manufacturer page	Not safe or approved for human use
The same page	Could cause severe personal injury or death
Three retailer listings	The same warning, in capital letters
A safety data sheet	Veterinary paste; not for use in humans
The same sheet	If swallowed, call a poison centre immediately
A manufacturer alert	Not safe for human use despite COVID-19 reports

The COVID-19 alert, in the manufacturer’s own words:

•     It names several of its own ivermectin products.

•     Those include the paste, a drench and injections.

•     It acknowledges media reports about COVID-19.

•     It says those products are not safe for human use.

•     It says use could cause severe injury or death.

•     A manufacturer rarely publishes such an alert.

•     It did so because people were taking the product.

Why a Horse Paste Is Not Just a Bigger Tablet

Four reasons the formulation itself is the problem:

1.    The concentration is set for a 567 kilogram animal.

2.    The syringe cannot measure a human-sized dose.

3.    The inactive ingredients are chosen for horses.

4.    They have never been assessed for human safety.

•     The drug is intended for horses, a non-food animal.

•     Human safety data on residues was not required.

•     So no human exposure assessment was ever done.

What the safety data sheet adds:

•     Its proper shipping name is toxic, liquids, organic.

•     It instructs obtaining special instructions before use.

•     It says not to induce vomiting without medical direction.

•     It notes ivermectin is very toxic to some aquatic species.

•     It carries a California Proposition 65 notice.

•     That notice names cancer and reproductive harm.

The Human Alternative Already Exists

A licensed pharmacy has no reason to stock the paste.

•     Ivermectin tablets for humans are made in India.

•     Your range already includes one such product.

•     That product is Iverheal 12, at 12 milligrams.

•     It is made at 3, 6 and 12 milligram strengths.

•     Those strengths allow weight-based dosing.

•     A tablet can be prescribed and dispensed properly.

Why that matters commercially:

•     Anyone searching for ivermectin paste wants ivermectin.

•     A licensed pharmacy can offer the human form instead.

•     That requires a prescription, as it should.

•     Stocking the paste would serve only unprescribed use.

•     It would also place a veterinary product in a human catalogue.

If Someone Has Already Taken It

Practical guidance, from the safety data sheet:

•     Call a poison centre or a doctor immediately.

•     Do not induce vomiting without medical direction.

•     Take the syringe or its packaging with you.

•     Say how much was taken and when.

Why the amount matters so much:

•     A syringe holds roughly eight adult doses.

•     Even one plunger marking exceeds an adult dose.

•     Treating staff need the figure, not a guess.

•     Nausea, vomiting and diarrhoea.

•     Dizziness, confusion and unsteadiness.

•     Low blood pressure and a fast heart rate.

•     Seizures in severe cases.

•     Those are recognised effects, not from these labels.

Recommendation

My recommendation is that you do not list this product.

5.    It is a veterinary medicine for horses.

6.    Its approved label says not for use in humans.

7.    Retailers warn it could cause injury or death.

8.    The syringe cannot deliver a human dose.

9.    One syringe holds about eight adult doses.

10. Its safety sheet classes it as a toxic liquid.

11. A manufacturer issued an alert against human use.

12. A human equivalent already exists in your range.

13. Stocking it would serve only unprescribed use.

If you sell veterinary products separately:

•     Keep that catalogue entirely distinct from the human one.

•     Carry the not-for-human-use warning prominently.

•     Do not let it appear in human medicine searches.

•     Take legal advice on veterinary medicine licensing.