Ivermectin is a well-known medication with a variety of established qualities and uses, primarily in the fields of parasitology and veterinary medicine, though it has also garnered attention for other potential applications. Below is a list of its known qualities and uses based on widely accepted scientific and medical knowledge as of February 21, 2025:

Qualities of Ivermectin

  1. Antiparasitic: Ivermectin is a broad-spectrum antiparasitic agent, effective against a wide range of parasitic organisms.
  2. Mechanism of Action: It works by binding to glutamate-gated chloride channels in the nerve and muscle cells of parasites, causing paralysis and death of the parasite.
  3. Safety Profile: Generally well-tolerated in humans and animals at appropriate doses, with a long history of use since its discovery in the 1970s.
  4. Lipophilic: Ivermectin is fat-soluble, allowing it to distribute widely in the body, including into tissues where parasites reside.
  5. Low Cost: It is an inexpensive drug, making it accessible for widespread use, particularly in low-income regions.

Established Uses of Ivermectin

  1. Onchocerciasis (River Blindness): Approved for treating this parasitic disease caused by Onchocerca volvulus, transmitted by blackflies. It reduces microfilariae in the skin and eyes, preventing blindness.
  2. Scabies: Treats this skin infestation caused by Sarcoptes scabiei mites, particularly in cases where topical treatments are impractical or ineffective.
  3. Head Lice: Used off-label in some cases to treat infestations of Pediculus humanus capitis, though topical treatments are more common.
  4. Veterinary Medicine: Widely used to treat parasites in livestock, pets, and other animals, including heartworm (Dirofilaria immitis) prevention in dogs.
  5. Mass Drug Administration (MDA): Employed in global health initiatives to control parasitic

Investigated Uses Against Cancer

  1. Breast Cancer: Studies have shown ivermectin may inhibit the growth of breast cancer cells, particularly triple-negative breast cancer.
  2. Colorectal Cancer: Research suggests ivermectin can suppress proliferation and induce apoptosis (programmed cell death) in colorectal cancer cell lines like SW480 and SW1116.
  3. Prostate Cancer: It has been studied for its ability to target key proteins (e.g., FOXA1 and Ku70/Ku80), leading to cell cycle arrest, apoptosis, and reduced tumor growth in prostate cancer models.
  4. Ovarian Cancer: Ivermectin has demonstrated synergy with drugs like pitavastatin, reducing cell viability and potentiating apoptosis in ovarian cancer cell lines.
  5. Leukemia: It has been explored for reversing multidrug resistance and inducing cell death in leukemia cells, sometimes enhancing the effects of chemotherapy agents like cytarabine.
  6. Lung Cancer: Preclinical studies indicate ivermectin may inhibit tumor growth and metastasis, potentially through the WNT-TCF pathway.
  7. Melanoma: Some evidence suggests it can suppress melanoma cell growth in animal models.
  8. Glioma (Brain Cancer): Research has highlighted its potential to inhibit glioma cell proliferation and promote cancer cell death.
  9. Other Cancers: Studies have also investigated its effects on cancers of the digestive system (e.g., gastric), urinary system, and reproductive system, showing antiproliferative and pro-apoptotic effects.

Conclusion

Ivermectin is valued for its affordability, safety at standard doses, and broad therapeutic potential. While its origins lie in antiparasitic applications, its qualities—such as lipophilicity and a favorable tolerability profile—extend its relevance beyond traditional uses. Emerging research highlights its promise in cancer treatment, where it may inhibit tumor growth, induce cell death, and enhance immune responses, though these applications remain investigational and unapproved. Side effects, ranging from mild nausea to rare neurological risks at high doses, emphasize the importance of medical supervision, particularly with off-label use or liquid formulations. In essence, ivermectin’s versatility and ongoing exploration in fields like oncology position it as a compelling agent, with its full scope still unfolding through scientific inquiry.