Doctors are free to prescribe ivermectin to treat COVID-19, a lawyer representing the U.S. Food and Drug Administration (FDA) said this week.

“FDA explicitly recognizes that doctors do have the authority to prescribe ivermectin to treat COVID,” Ashley Cheung Honold, a Department of Justice lawyer representing the FDA, said during oral arguments on Aug. 8 in the U.S. Court of Appeals for the 5th Circuit.

The government is defending the FDA’s repeated exhortations to people to not take ivermectin for COVID-19, including a post that said “Stop it.”

The number of ivermectin cases reported to poison control centers increased markedly in the summer of 2021, as peddlers of medical misinformation promoted its use as a treatment for COVID-19 despite a lack of evidence and advice to the contrary from public health agencies.

As we’ve explained, ivermectin is approved for human use as an anti-parasitic drug and is also widely available in different formulations for veterinary use.

Randomized clinical trials have repeatedly found that ivermectin does not benefit COVID-19 patients. The National Institutes of Health recommends against its use for COVID-19. Ivermectin enthusiasts continue to falsely claim the contrary. 

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Ivermectin, an anti-parasitic drug used as the primary ingredient in canine heartworm preventatives, was touted as a “new tool” in the “arsenal” against SARS-CoV-2, the coronavirus strain responsible for the 2020 COVID-19 pandemic. Media publications like far-right cable channel OAN touted the drug as a “cure” that could kill the virus in “just 48 hours.”

Our analysis determined that this claim is a mixture of half-truths combined with misleading and overzealous claims.

A Japanese conglomerate that is studying the anti-parasitic drug ivermectin has found that the medication had an antiviral effect on Omicron, according to joint non-clinical research.

A group of men detained at Washington County Detention Center in Arkansas say that the jail's medical staff gave them the anti-parasite drug ivermectin last year, without their consent, to treat COVID-19, while telling them the pills were "vitamins." On Wednesday, the American Civil Liberties Union, on behalf of the inmates, filed a federal lawsuit against the jail and its doctor. 

Around the United States, in numerous cases, hospitalized COVID-19 patients have asked for Ivermectin but were denied the drug, and then sought a court order forcing the hospital to provide the requested medication. Ivermectin, which has been used safely in humans since 1985, has shown promise in treating the virus, especially when taken early. Although it is an off-label use and not guaranteed to work every time, it is legal for doctors to prescribe Ivermectin for COVID-19, and many patients, some desperate and dying, want to give it a try.

A Mississippi doctor said he was fired for attempting to treat COVID-19 patients with ivermectin, which is approved by the Food and Drug Administration (FDA) to treat parasites, although the hospital in question said he was not an employee but instead was an independent contractor.

Dr. John Witcher, an emergency room physician at the Baptist Memorial Hospital in Yazoo City, said was “told not to come back” after taking several COVID-19 patients off Remdesivir, which is approved by the FDA to treat the virus, and allowed them to use ivermectin.

Nebraska Attorney General Doug Peterson issued a legal opinion saying that his office won’t seek disciplinary action against doctors who prescribe hydroxychloroquine or ivermectin as off-label medicines to treat or prevent COVID-19, as long as they are not engaging in any misconduct.