Buy Stromectol and Count the 3 mg Tablets from Weight

Match the bottle before you pay

The carton to match is Stromectol 3 mg. Each tablet contains 3 mg of ivermectin. DailyMed lists NDC 0006-0032-20 and NDC 0006-0032-01, each a unit-dose package of 20. The same file says the aluminum foil strip is a bulk package, not intended for dispensing, and not child resistant. A pharmacy fill belongs in a proper container. A loose foil strip sold as the finished order is the package the label tells a pharmacy not to hand over that way. Store the tablets below 30°C (86°F).

BeSafeRx is FDA's page for people thinking about buying prescription medicine online. It asks you to learn the warning signs of websites that look like pharmacies and may be unsafe, to look up a state-licensed online pharmacy, and to report sites you think are illegally selling medicine. Do that lookup before a card number. BeSafeRx does not set a cash price. The page itself is marked content current as of 21 September 2020.

A listing can be a different product from this tablet.

Stromectol on this label is 3 mg. A 6 mg bottle, if the label on that bottle is true, is twice one Stromectol tablet. Read the prescription milligrams against the imprint MSD and 32 before anyone swallows a mailer. This note does not print a cash price or a stock count.

A foreign mail-order page that says US insurance is not required is not the state-license lookup BeSafeRx describes. An online visit can be how a prescription gets written. It still does not choose Table 1 or Table 2, and it does not license a pharmacy you have not looked up.

A 3 mg listing still needs a prescription and a named parasite. A compounded capsule is not the white MSD / 32 tablet. The carton itself says Rx only.

Coupon prices move with the ZIP code, the tablet count, and whether the coupon applies to NDC 0006-0032. Compare state-licensed pharmacies after the prescription exists. This note does not print a cash figure.

A claim that some states allow ivermectin without a prescription is not a national permission, and one pharmacy collaborative-practice arrangement is not one either. Neither changes this carton. The Merck file published 24 April 2025 still says Rx only. If a state board of pharmacy has posted its own rule, read that board page.

The broader access note for the same tablet is the ivermectin monograph. This page is the count.

Two tables, and a 70 kg example

The label does not offer one adult dose called ivermectin. DailyMed gives Table 1 for strongyloidiasis and Table 2 for onchocerciasis. Both say to take the tablets on an empty stomach with water. Both use the 3 mg tablet. The bands are the label's own rounding. A person at 15 kg and a person at 24 kg are both one tablet on Table 1. Do not split a tablet to "correct" a kilogram inside a printed band.

Take 70 kg as the worked case. Strongyloidiasis lands in 66-79 kg: five tablets, 15 mg. Onchocerciasis lands in 65-84 kg: four tablets, 12 mg. Swap the tables and the dose changes. At 60 kg the split is four tablets versus three.

At 82 kg, Table 1 stops printing a tablet count and leaves 200 mcg/kg. The arithmetic 82 times 200 is 16,400 mcg, which is 16.4 mg. That is not a sixth tablet the label wrote down. Table 2 at 82 kg is still inside 65-84 kg, so the onchocerciasis count remains four tablets. The prescriber rounds where the label has already stopped. Do not add a tablet because the multiplication is untidy.

Intestinal strongyloidiasis on this label is Strongyloides stercoralis in the gut, not disseminated disease. Activity against that worm is limited to the intestinal stages. In general, additional doses are not necessary, and follow-up stool examinations should verify that the infection is gone. In studies the label cites, 64-100% of infected patients were cured after a single 200 mcg/kg dose. In a study in France, where reinfection was unlikely, larvae reappeared in stool as long as 106 days after ivermectin. Clearance is a series of stool tests, not a feeling the next morning. In immunocompromised patients, including people with HIV, the label says repeated courses may be required, mentions intervals of about two weeks, and says cure may not be achievable.

Onchocerciasis treatment does not kill the adult Onchocerca parasites. The drug is active against the tissue microfilariae of Onchocerca volvulus but not against the adult form. Adults sit in subcutaneous nodules. Mass programs commonly repeat at 12 months. For an individual patient, retreatment may be considered at intervals as short as 3 months. A single 3 mg fill does not finish river blindness.

A pinworm household is often a different drug. The mebendazole note is the one for that job.

Empty stomach for the worms, food if the target is scabies

For the two labeled uses, patients should take the tablets on an empty stomach with water. In volunteers, 30 mg of ivermectin after a high-fat meal (48.6 g of fat) raised bioavailability about 2.5-fold compared with 30 mg fasting. That study dose is well above a single 200 mcg/kg treatment for most adults. It is still the reason the labeled doses stay tied to fasting. A heavy fatty meal is a poor day to ignore the line. It is not a home trick for multiplying a smaller dose.

Scabies is not an indication on this Stromectol carton. CDC's clinical-care page (18 December 2023) says no over-the-counter product is approved to treat human scabies, and it names permethrin 5% cream as an FDA-approved first-line medicine for people at least 2 months old. The same page says topical permethrin and oral ivermectin have similar efficacy for cure of classic scabies, and that if oral ivermectin is used, two doses of 200 µg/kg should be taken with food, 7 to 14 days apart. It also says ivermectin guidelines recommend an empty stomach, while scabies experts recommend a meal to increase bioavailability. Those two instructions conflict. They apply to different jobs. Do not copy Table 1's single fasting dose onto a mite, and do not copy the scabies "take with food" line back onto a labeled strongyloidiasis dose unless the prescriber has chosen that on purpose.

The safety of ivermectin in children weighing less than 15 kg and in pregnant women has not been established on that CDC page. The Stromectol label says the same thing in its own words for weight: safety and effectiveness in pediatric patients weighing less than 15 kg have not been established. Both dosing tables start at 15 kg. There is no labeled tablet count under that line.

Crusted scabies is not the two-dose household plan. CDC says oral ivermectin for crusted scabies should be given together with a topical agent. Itching that continues after mites are treated is a skin question for the prescriber, not an automatic third pile taken from Table 1.

Holds that come before the kilogram

Pregnancy: ivermectin should not be used during pregnancy since safety in pregnancy has not been established. Stromectol is excreted in human milk in low concentrations. Treatment of a mother who intends to breast-feed should be undertaken only when the risk of delayed treatment to the mother outweighs the possible risk to the newborn.

Loa loa is a geographic hold, not a footnote under the table. Patients with onchocerciasis who are also heavily infected with Loa loa may develop a serious or even fatal encephalopathy on their own or after a drug that kills microfilariae. For anyone who might take ivermectin for any reason and has had significant exposure to Loa loa-endemic areas of West or Central Africa, the label says pretreatment assessment for loiasis and careful post-treatment follow-up should be implemented. Adaeze Nwankwo asks that exposure question before anyone multiplies kilograms. A mail-order form that collects an address and a card number has not asked where the person lived.

Warfarin is a list question. Post-marketing reports of increased INR have been rarely reported when ivermectin was co-administered with warfarin. If warfarin is already in the bag, the pharmacist should see it before the dose. The prescriber decides whether an INR check follows.

Animal paste, pour-on, and fish tablets are not Table 1. The FDA update says certain pour-on, injectable, paste, chewable, and drench ivermectin products are approved to treat or prevent parasites in animals, and that you should never use medications intended for animals on yourself or other people. The agency has received multiple reports of patients who needed medical attention, including hospitalization, after self-medicating with ivermectin intended for animals. The Stromectol overdose section records rash, swelling, headache, dizziness, weakness, nausea, vomiting, and diarrhea as the effects reported most often after exposure to unknown quantities of veterinary formulations, plus seizure, trouble walking, and trouble breathing among other reports. A notch on a horse syringe is an animal weight mark. It is not 15-24 kg on Table 1.

COVID-19 is not a labeled use of this tablet. The FDA has not authorized or approved ivermectin for preventing or treating COVID-19 in humans or animals, and it says currently available clinical trial data do not demonstrate that ivermectin is effective against COVID-19 in humans. The same update says a clinician may, with few exceptions, prescribe an approved human drug for an unapproved use when they judge that use medically appropriate for one patient. That is one prescriber's judgment. It is not a website's license to ship tablets for a virus, and it does not turn an animal product into this 3 mg tablet. If a clinician writes a prescription, FDA says to fill it through a legitimate source such as a pharmacy. The trial row itself is the evidence note.

After the tablets

For strongyloidiasis, plan the stool tests the label asks for. One negative smear can miss a light load, which is why the France observation of larvae at 106 days matters. For onchocerciasis, plan the repeat. The adult worm is still in the nodule after the microfilariae drop. Itching, rash, tender nodes, or fever in the first days after an onchocerciasis dose can be dying larvae. Trouble breathing, confusion, a seizure, or a collapse is urgent care, especially if the travel history includes West or Central Africa.

Bring the prescription's parasite, the kilograms, and the bottle's milligrams to the same counter. Five tablets at 70 kg is the strongyloidiasis band. Four tablets at 70 kg is the onchocerciasis band. Eighty-two kilograms on Table 1 is a rate, not a tablet the label counted for you.