[e-drug] Source of generic ivermectin? (2)

E-DRUG: Source of generic ivermectin? (2)
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I had a query on the same issue from a colleague in Burundi. I am not sure that there is a generic version. Since Merck gives Ivermectin (Mectizan) donation for life, there is no motivation for anyone to manufacture it, yet, this donation is only available to certain programs where onchocerciasis and filariasis are endemic. You probably have to contact Merck.

The contact for their Humanitarian program is:
Dr Christopher Longuet
Medical Manager Africa
Merck Sharp and Dohme Interpharma
106 Avenue Jean Moulin
78170 La Celle Saint Cloud
France
Tel 33-1-30-82-1007
Fax 33-1-30-82-1094
Email: christopher_longuet@merck.com
Mass treatment website: www.taskforce.org/mdp
Company Website: www.merck.com

Atieno Ojoo
atisojoo@yahoo.co.uk

[The list of products in Index Nominum are listed below. Although some might be for veterinary use, it looks as if there are more suppliers than Merck. The letters after the comma is the country where it is registered. KM, Moderator]:

Baymec® Bayer Animal Health, AU
Bimectin® VetPharma, SE
Dairymec® Virbac, AU
Double Impact® Agri Labs., US
Ecomectin® International Animal Health, AU
Equell® Virbac, DE
Equimec® Merial, AU
Eqvalan® Biokema, CH
Eqvalan® Merial, BE
Eqvalan® Merial, FR
Eqvalan® Merial, IE
Eqvalan® Merial, NZ
Eqvalan® Merial, US
Eraquall® Virbac de Portugal, AT
Eraquell® Boehringer Ingelheim, SE
Eraquell® Virbac, AU
Eraquell® Virbac, CH
Flurexel® Janssen, DE
Furexel® Janssen Santé Animale, FR
Furexel® Janssen, BE
Furexel® Janssen, GB
Furexel® Janssen, IE
Genesis® Ancare, AU
Heart Gold Chewable® Vetafarm, AU
Heartgard® Merial, AU
Ivomec Pour on® Merial FR, AT
Ivomec Pour on® Merial, DE
Ivomec Pour on® Merial, GB
Ivomec Pour on® Merial, IE
Ivomec Pour on® Merial, NZ
Ivomec Pour on® Merial, US
Ivomec Pour on® Veter, NO
Ivomec Pour on® Veter, SE
Ivomec Premix® Bioptive, DE
Ivomec Premix® Merial, DE
Ivomec Premix® Merial, GB
Ivomec Premix® Merial, IE
Ivomec Premix® Merial, NZ
Ivomec Premix® Merial, US
Ivomec S® Merial, DE
Ivomec SR® Merial, GB
Ivomec SR® Merial, IE
Ivomec SR® Merial, NZ
Ivomec SR® Merial, US
Ivomec SR® Veter, NO
Ivomec SR® Veter, SE
Ivomec-P® Impfdess, DE
Ivomec-P® Merial FR, AT
Ivomec-P® Merial, DE
Ivomec® Biokema, CH
Ivomec® Impfdess, DE
Ivomec® Merial FR, AT
Ivomec® Merial, AU
Ivomec® Merial, BE
Ivomec® Merial, DE
Ivomec® Merial, GB
Ivomec® Merial, IE
Ivomec® Merial, NZ
Ivomec® Merial, US
Ivomec® Veter, NO
Ivomec® Veter, SE
Mectizan® Merck Sharp & Dohme, EG
Mectizan® Merck Sharp & Dohme, FR
Mectizan® Merck Sharp & Dohme, ZA
Mectizan® Merck, US
Noromectin® N-vet, SE
Noromectin® Norbrook, AU
Noromectin® Norbrook, GB
Numectin® Nufarm, AU
Optimectin® Vétoquinol, CH
Oramec® Merial, BE
Oramec® Merial, FR
Oramec® Merial, GB
Oramec® Merial, IE
Panomec® Merial, GB
Panomec® Merial, IE
Paramax® Coopers Animal Health, AU
Popantel Heartworm Tablets for Dogs® Jurox, AU
Revectina® Sintofarma, BR
Rycomec® (Young's, GB)
Securo® ICN, AR
Stockman® Nufarm, NZ
Stromectol® Merck Sharp & Dohme, AU
Stromectol® Merck Sharp & Dohme, FR
Top Line® Agri Labs., US
Totectin® Vetsearch, AU
Virbamax® Virbac, AU
Virbamec S® Virbac, DE
Virbamec® VetPharma, SE
Virbamec® Virbac, CH
Virbamec® Virbac, DE
Virbamec® Virbac, GB

E-DRUG: Source of generic ivermectin? (3)
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I work as a rural G.P. (General Practitioner) in a small country town. Here, the local population throughout buys "veterinary grade" Ivermectin from the farmers shop which costs less than 10% of ordinary pharmacy Ivermectin I was told.

It appears to work fine and I have not detected any adverse effects from this. Dosage is a bit tricky with the large "horse tablets", but a farmer showed me how they cut it down to human dosage size.

Horst
--
Dr Horst Herb
Dorrigo Medical Centre
8 Hickory St
Dorrigo, NSW 2453 - AUSTRALIA
subscriptions@gnumed.net

[I think vet. grade is normally fine, as the manufacturing process is (always?) the same. However, if strength differs substantially, the dosing becomes a problem. KM, moderator]

E-DRUG: Handbook of drug discontinuation
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Dear all,

A Swedish MD, Claes Lundgren, has written an 80-page handbook on how to
discontinue medicines. It is claimed to be the first handbook on this
subject. It is named "FAS-UT" ("PHASE-OUT") and covers benzodiazepines,
antipsychotics, antidepressants, antihypertensives, proton pump inhibitors
and acetylcholinesterase inhibiting drugs. This handbook exists only in
Swedish.

regards

Staffan Svensson, MD
Dept of Clinical Pharmacology
Sahlgren's Univ Hospital
Gothenburg
Sweden
staffan.svensson@pharm.gu.se

[Any Swedish E-drugger who could post an english exective summary? WB]