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- Control of extraintestinal strongyloidiasis in these patients is difficult, and suppressive therapy, i.
- The patient should be advised that treatment with ivermectin does not kill the adult Onchocerca parasites, and therefore repeated follow-up and retreatment is usually necessary.
- Data not available Dose Adjustments Retreatment is required because ivermectin has no activity against adult onchocerca volvulus parasites which tend to reside in subcutaneous nodules.
- Adequate and well-controlled clinical trials have not been conducted in such patients to determine the optimal dosing regimen.
- Pretreatment assessment for loiasis and careful posttreatment follow-up should be implemented in all patients considered for treatment with ivermectin for any reason and who had exposure to Loa loa endemic areas of West and Central Africa.