Two parasites, one 3 mg card
Stromectol 3 mg is Merck's US ivermectin tablet for intestinal strongyloidiasis and onchocerciasis. Those are the labelled lanes. The antiparasitic card does not grow a third row because a forum wants a viral story.
Strongyloides dosing is about 200 mcg/kg once, empty stomach with water, then stool follow-up. Onchocerciasis is about 150 mcg/kg, with program retreatment that can be yearly in mass campaigns or as short as three months for an individual. Arithmetic lives on weight-dose reviews.
NIH COVID treatment guidance does not put oral ivermectin in routine care for that virus. This card will not. Full parasite panel: ivermectin (Stromectol). Yuki Tanaka stamps indications, not headlines.
Eosinophils plus a travel year can earn a parasite visit. A leftover winter bottle cannot. Keep those scripts apart so the 3 mg card stays honest.
| Labelled infection | Usual oral idea | What the card allows |
|---|---|---|
| Strongyloides stercoralis (intestinal) | ~200 mcg/kg once | Stool check after |
| Onchocerca volvulus | ~150 mcg/kg | Program retreatment, not weekly self-dose |
| COVID-19 | Not an FDA tablet indication | Use indicated antivirals when that is the visit |
Winter mosquitoes do not earn 3 mg
A January mosquito in Toronto is not an oncho campaign. Do not keep a 3 mg bottle on the nightstand just in case. Program intervals are for documented onchocerciasis under care.
Kids never scale adult five-counts by age. Pediatric rows are weight-based and prescriber-owned. Poison control for paste, not this table.
Empty stomach with water is on both labelled tables. Forum calendars that spread five tablets across five mornings are not the strongyloides single-dose idea.
If the leaflet in the bag disagrees with a sentence here, bring both to the visit. Mail the cite to [email protected]. The bottle in your hand still wins for your dose.
Eosinophils and travel, not a winter virus
Eosinophilia plus a travel year is a parasite visit. A winter cough plus a leftover 3 mg bottle is not. Keep the scripts apart so the antiparasitic card stays honest.
Stool O and P dates belong on the same paper as the tablet count for strongyloides. One swallow without a follow-up date is how infection persists into the next steroid burst.
Oncho program intervals are yearly in many campaigns and can be as short as three months for an individual under care. Neither is a nightstand habit for mosquitoes in January.
Empty stomach with water still gates both tables. Breakfast with the count is how people later claim the weight dose failed. Time it like a procedure.
Brand cash cells stay unpublished here. Generic 3 mg x 10 on our fill card is $36.45 / $23.76 on GoodRx. Ask brand versus generic 3 mg at the window.
Veterinary paste is not a conversion
Apple-flavored horse tubes list mg per gram for a 500 kg animal. They do not convert to human 3 mg tablets. That lane ends this card and opens poison control. Do not scale paste with a kitchen scale 'to match 200 mcg/kg.'
If paste is already ingested, the weight table on the sibling signal is not the next step. Toxicology is. Keep the tube. Tell emergency the species product name.
Empty stomach with water only
Both labelled tables say empty stomach with water. Breakfast with the 3 mg count is how people later claim the 'weight dose failed.' Food is a timing error, not proof the parasite is special.
Take the counted tablets together unless the prescriber splits for tolerance. Forum calendars that spread five tablets across five mornings are not the strongyloides table.
What the antiparasitic card refuses
It refuses viral self-treatment, veterinary conversion, and weekly 'immune' dosing. It refuses an invented brand cash cell. Nearest US published generic on our fill card is ivermectin 3 mg x 10 at $36.45 / $23.76 on GoodRx. That is not a Stromectol coupon.
Ask the window whether they hold brand or generic 3 mg. Chart ivermectin. Mail leaflet conflicts to [email protected].
Stool follow-up after strongyloides
Label language: additional doses are generally unnecessary, but follow-up stool examinations should verify eradication. Immunocompromised hosts and steroid starts are specialist lanes. One swallow without a stool date is how infection persists into the next prednisone burst.
Write the planned O and P date on the same card as the tablet count. The weight-dose signal shows how 3 mg becomes a count. This signal decides whether you should be counting at all.
Indication checks before arithmetic
- Name the parasite before the milligram.
- Empty stomach, water, counted tablets together.
- Stool date for strongyloides; program interval for oncho.
Why COVID never earned a row
During the pandemic, people treated horse paste and leftover 3 mg bottles as respiratory self-care. Poison-control volume rose. The labelled tablet never gained a COVID indication. A review that 'keeps an open mind' by dosing for cough is a failed rating.
If the visit is COVID, the clinician uses therapies indicated for that illness. If the visit is travel diarrhea plus eosinophilia, the clinician thinks parasites. Mixing the two scripts is how 3 mg bottles get emptied for the wrong host.
Loa loa geography is not a Toronto protocol
Heavy Loa loa microfilaremia plus ivermectin is a specialist encephalopathy risk in some co-endemic maps. That sentence does not belong on a COVID forum and it does not belong on a self-timed winter calendar.
Toronto desk reviews stop at 'ask the tropical-medicine clinic before you swallow a campaign leftover from a suitcase.' We will not invent a Loa test you can buy at a corner shop.
Steroid season in someone with untreated strongyloides risk is the other silent-parasite problem. Disseminated disease is not a second 3 mg from the nightstand. Tell the prescriber about endemic years before the prednisone starts.
If paste already went down, geography essays wait. Poison control first. Keep the tube. The label-lane card already closed the conversion; this paragraph will not reopen it with a travel anecdote.
Suitcase leftovers are not a standing order
Campaign bottles in a suitcase without a stool date or a skin-snip plan fail the indication rating. Licensed care can still count 3 mg after they name the parasite.
A weekend in Niagara is not oncho-endemic exposure. A long stay on a specialist's country list can be. The tablet does not decide geography. Ask a travel clinic.
Steroid starts in someone with untreated strongyloides risk are a specialist problem. Disseminated disease is not a second nightstand tablet. Tell the prescriber about endemic years before prednisone.
NIH-style COVID care still does not live on this card. If the visit is a virus, use indicated therapies. If the visit is eosinophilia plus travel, think parasites. Mixing the scripts empties 3 mg bottles for the wrong host.
Veterinary paste in the same suitcase ends arithmetic. Poison control first. Keep the tube. Do not complete a 200 mcg/kg target with Stromectol after paste.
Oncho retreatment is a program, not a habit
Mass campaigns often use twelve-month intervals. Individual retreatment may be considered as short as three months. Neither sentence is permission to keep a 3 mg bottle on the nightstand 'just in case mosquitoes.'
Onchocerciasis management also watches Loa loa co-endemic risk in some regions. That is specialist geography, not a Toronto bathroom protocol. Do not import a campaign schedule onto a negative stool and a winter cough.
Ask travel clinics for the country list, not a group chat. A weekend in Niagara is not an oncho-endemic exposure. A long stay in parts of West or Central Africa can be. The 3 mg bottle does not decide geography for you.
If a relative mailed campaign leftovers 'in case,' that is unlabelled stock without a stool or a skin-snip plan. Fail the rating. Licensed care can still count tablets after they name the parasite.
Label rating after the indication
Parasite first. Then weight. Then stool or program follow-up. Not a COVID story. Reviewed 21 August 2026.
Educational - disclaimer. Method notes on Yuki Tanaka.
January mosquitoes in this city do not earn a 3 mg habit. Paste still ends conversion. A suitcase without a species line is not a standing order. Empty-stomach water still gates both labelled tables before anyone counts 3 mg tablets.
Steroid-season charts with old endemic years still need a specialist, not a nightstand repeat.
Airport kiosks selling parasite cleanses still sit off the labelled 3 mg lane. Travel-clinic notes without a species line do not open a standing carton.