Why Ivermectin?

SARS-CoV-2 AND IVERMECTIN

CORONAVIRUS

Coronavirus (CoV) belong to a larger family Coronaviridae, within the order of Nidovirales. Several human pathogenic strains (HCoV) cause mainly respiratory disease, some cause a mild cold and others lead to severe infection. Fatal infections are caused mostly by SARS-CoV and MERS-CoV, having 10% and 39% mortality, respectively. 

The SARS-CoV outbreak in 2002-2003 caused over 8,000 infections and 800 deaths; the 2012 Middle East respiratory syndrome (MERS) outbreak had about 2,500 cases and over 800 deaths; the World Health Organization daily report shows the current Coronavirus Disease 2019 (COVID-19) pandemic has over 15 million confirmed cases and over 600,000 deaths to date, as of July 26, 2020. Officially, the severe respiratory illness caused by the late December 2019 novel coronavirus is named Severe Acute Respiratory Syndrome coronavirus (SARS-CoV-2).

There is no effective treatment for COVID-19. A big effort to develop a vaccine requires significant time and safety testing, and not everyone will or can take a vaccination. If you are allergic to many medications, have had anaphylaxis or used an EpiPen for a swollen airway in the past, the vaccine may not be for you. 

There must be other options for the general population, as well as at-risk first responders. For this reason, and to keep you out of the hospital, the Front Line COVID-19 Critical Care Alliance (FLCCC) has developed the I-MASK+ Protocol that uses Ivermectin to diminish the threat of COVID deaths. 

Do you already know that you want to go on ivermectin? 

YOUR FIRST STEP: To become a patient, click the link below for pre-registration. 

Note that Dr. Margaret Aranda is one of eleven doctors in the US who writes prescriptions for ivermectin.

The Front Line COVID-19 Critical Care Alliance (FLCCC) has developed ivermectin protocols. Ivermectin is FDA approved for onchocerciasis and strongyloidiasis as an anti-parasitic drug. 

1. Worldwide, it has been used safely since 1975
2. It won the Nobel Prize in 2015 and eradicated parasitic infections in several countries
3. It is on the WHO’s 2019 List of Essential Medicines
4. It has been given safely 3.7 billion times around the world
5. There is growing published medical evidence showing ivermectin’s highly potent capability to inhibit SARS-CoV-2 replication and suppress inflammation
6. The I-MASK+ protocol was created by the FCCCA, a group of critical care doctors caring for patients with COVID in the ICUs. They are tired of watching patients suffocate on ventilators and want you to stay out of the hospital. The I-MATH+ protocol uses ivermectin for hospitalized patients. 
7. As of January 14, 2021, the NIH no longer advises against the use of ivermectin for COVID-19
8. The NIH now says regarding Ivermectin that "there are insufficient data to recommend either for or against" using it against COVID-19; they await further studies
9. Ivermectin is a clear therapeutic option for patients
10. It is felt by FLCCC that placebo-based controlled trial studies are unethical because every patient should be given ivermectin

Ivermectin is also known by the trade name Stromectol, and anti-parasitic medication in the class of antihelmintics. Generic ivermectin is known as Ivermectol, manufactured by Ochoa Laboratories Ltd.  Ivecop is manufactured by Invida, and Scavista is manufactured by Zuvista (Zuventus Health Care Ltd). 

Ivermectin comes in two strengths: 3 mg and 6 mg tablets.

Since all manufacturers are back-ordered, it is difficult to find a pharmacy that has ivermectin. Some pharmacies can compound it, creating capsules by hand out of ivermectin powder.

After invading a cell, the SARS-CoV-2 virus emits cargo or particles. These particles are actually an enzyme molecule that goes into the human nucleus by a protein complex and instructs it not to defend itself. The surrounding cells then are indefensible. 

Thus, SARS-CoV-2 invades the nucleus, bypasses the body’s immune system and allows SARS-CoV-2 to run rampant through all cells.

The SARS-CoV-2 particles are brought into the nucleus by our bodies’ protein complex, and they enter the nucleus together. 

While ivermectin has a very safe profile, common side effects of ivermectin include dizziness, headache, muscle pain, kidney and liver issues. Testicular dysfunction and infertility have been described. Those with allergies, asthma or liver disease should avoid it. If ivermectin kills internal parasites, dying microbes release toxins; some gastrointestinal complaints include nausea, soft stool, diarrhea and abdominal pain.

Some have reported drowsiness and take their dose at bedtime. Rarely, adverse side effects include seizure and hypotension. Do not operate machinery, drive or do any activity that requires alertness until you are sure you can safely do so. Limit alcohol consumption, especially if you have liver dysfunction. Note that ivermectin passes through breast milk. 

Anecdotal reports state some patients have less pain from such conditions as spondylolysis and arthritis, as well as knee pain; both increased and decreased cervical lymph nodes have been reported. 

If you are being treated for “river blindness” or onchocerciasis, reactions may include eye swelling, pain or redness; fever; joint pain; rash or itching; tender or swollen lymph nodes and vision changes.

Some take ivermectin with selenium and/or vitamin E to protect against hepatic and renal toxicity. Low selenium levels are associated with higher COVID-19 mortality, as selenium redistributes both Vitamin D and dexamethasone from liver storage to the immune system. Talk to your doctor about selenium supplementation, which may be preferred for those with low Vitamin D or liver dysfunction.

In parasitic worms, ivermectin paralyzes worm muscles, causing loss of breathing. It kills both endoparasites and ectoparasites, making it in the class of an endectocide. The mechanism of action is that ivermectin acts on the glutamate channels. In worms, ivermectin acts on these gated channels, acting in both nerves and muscles to cause uncontrolled chloride ions to flood into the cells, causing paralysis and death.

In SARS-CoV-2, ivermectin is not antiparasitic. It prevents a protein complex from carrying SARS-CoV-2 particles into the nucleus. If the virus cannot cross into the nucleus, it cannot instruct it to remain dormant. 

Oppositely, ivermectin allows the nucleus to ramp up its defenses and fight SARS-CoV-2. The nucleus defends itself, producing interferons that instruct other cells to be alert against SARS-CoV-2 invaders. This mounts a good immune response. 

After exposure, it can take from 2-14 days to get sick. Some have reported sickness after 28 days, and the mean average time is 5.1 days. Variability is related to one’s immune system. 

This is key to understanding the dosing regimen for ivermectin. If it is dosed on Day #1, SARS-CoV-2 may be inactivated. However, in some people the virus does not start replicating until Day #3 or Day #14, which is why the second and third doses are spread apart. 

Additionally, the half-life of ivermectin is 18 hours, so splitting the dose in two not only decreases side effects but also brings the opportunity to work against the virus for a long time and in different phases of the virus' life cycle. 

Here is a link of a review of emerging evidence demonstrating the efficacy of ivermectin in both the prophylaxis and treatment of COVID-19. Properties of ivermectin are listed here and include the following:

· Ivermectin inhibits the replication of many viruses, including SARS-CoV-2 and the flu.

· It is anti-inflammatory and therefore may decrease pain.

· It decreases viral load and protects against organ damage in animals.

· When taken either pre- or post-exposure, ivermectin prevents COVID-19 transmission.

· It hastens recovery, decreases hospitalization and mortality in patients with COVID-19.

· Ivermectin leads to far fewer COVID fatalities in regions where it has been widely used.

The total number of studies done on ivermectin for COVID-19 include 27 controlled trials in 6,612 patients placed in well-matched control groups. There are 16 trials with over 2,500 patients in prospective, randomized, controlled studies. 11 of the 27 trials are published in peer-reviewed journals. An estimated 3,900 more patients have been in trials that are in press.

A meta-analysis by an independent research consortium calculated the chances that ivermectin is ineffective in COVID-19 to be 1 in 67 million. The FLCCC Alliance, based on evidence totality, supports an “A-1” recommendation in the NIH rating scheme, showing strong level, high-quality evidence in both the prophylaxis and treatment of all phases of COVID-19. Finally, multiple, population-wide ivermectin distribution program data show a significant reduction in cases and mortality rates.

There are two protocols for outpatients: 

1) prophylaxis for when you are not yet sick, and 

2) early treatment for when you are sick. 

I-MASK+ PROPHYLAXIS:  May repeat one dose every 1-2 weeks

Ivermectin 

High-risk individual prophylaxis: 0.15 - 0.2 mg/kg per dose; one dose  today, 2nd dose in 48 hours, then one dose every 1-2 weeks (this  recommendation is constantly updated); for co-morbidities and the elderly. The half-life of ivermectin is 18 hours, which is why one day is skipped. 

For 70 kg weight, one dose may be split into 6 mg twice a day. We highly recommend splitting the dose in two per day (i.e., every 12 hours) it is taken, because it lasts for 18 hours and by adding 12 hours to that, the dose is extended out to 30 hours to stop SARS-CoV-2, the COVID-19 virus, from multiplying itself.

After COVID-19 exposure prophylaxis: 0.2 mg/kg per dose; one dose today, then 2nd dose in 48 hours; use if a household member is COVID-19  positive, or for prolonged exposure. For 70 kg weight, one dose may be split into 6 mg twice a day.

I-MASK+ PROPHYLAXIS

Ivermectin: One tablet on Days #1 and #3, then one tablet every week

Melatonin 6 mg before bedtime for sleepiness 

Ascorbic acid (Vitamin C) 1000 mg twice per day

Vitamin D3 + K2 1000 – 3000 IU per day Vitamin D3

Quercetin 250 mg per day (also drink green tea)

Zinc 50 mg per day

I-MASK+ EARLY OUTPATIENT PROTOCOL: May repeat one dose every 1-2 weeks

Ivermectin 0.15-0.2 mg/kg dose; one dose daily for at least 2 days; continue daily  until recovered for a maximum of 5 days

Ivermectin: One tablet for 2-5 days, then 1-2 times per week

Melatonin 10 mg before bedtime

Ascorbic acid (Vitamin C) 2000 mg, 2-3 times per day

Vitamin D3 + K2 4000 IU per day 

Quercetin 250 mg per day or may drink macha green tea (ECGC)

Zinc 100 mg per day

Aspirin 325 mg per day, unless contraindicated

Pulse oximeter: Watch for a downward trend.  94% saturation should be regarded as ominous and you should go to the hospital or call 911 for breathing difficulties

Home monitoring with pulse oximetry is recommended for COVID-symptomatic patients. Be aware that low oxygen levels can otherwise be impossible to detect, as the patient may have no hypoxic symptoms. 

Home pulse oximeters have limitations and it is preferred to use a validated device. Take multiple readings throughout the day, watching for downward trends that require 911 or hospitalization. Most believe that a baseline less than 94%, or a saturation of 94% upon walking is a reason to hospitalize. 

Warm a cold extremity and take off nail polish prior to using. Use the middle or index finger; avoid toes or the ear lobe. Only believe values that also give a strong light with each pulse, i.e., a strong pulse signal. Take a reading for 30-60 seconds, and use the most common number. 

Supplements are regulated by the Food and Drug Administration (FDA) as a food. The Dietary Supplement Health and Education Act of 1994 allows that dietary supplement manufacturers do not need FDA approval; instead, the manufacturer is responsible to ensure their products are safe. 

The FDA cannot test every product to ensure it does not contain potentially harmful additives or fillers, including cancer-causing ones. In the case of Vitamin D, beware that even if you are taking a vitamin D supplement, there may not actually even be any absorbable Vitamin D in it, and your blood level may still show an abnormally low level. 

Additionally, Vitamin D needs help to be absorbed by the body. We recommend our patients use Vitamin D3 plus Vitamin K2, which helps increase absorption. If after 3 months of a good product your blood level does not go up, you may need a higher dose or absorbability, i.e., an injectable or topical route). To optimize absorption, take Vitamin D, a fat-soluble vitamin, after eating high-fat food or after a meal. In general, many doctors recommend taking 800 IU of Vitamin D3 per day.

Gut absorption is a factor in Vitamin D3 supplementation, because it is absorbed in the small intestine, just after passing the stomach. Things that influence absorption include stomach juices and pH, secretions from the pancreas and gallbladder, liver bile, and small intestine integrity. The following diagnoses can limit Vitamin D3 absorption: celiac disease, Crohn’s disease, cystic fibrosis, chronic pancreatitis, liver dysfunction, kidney disease, and gastroparesis. In end-stage kidney disease, Vitamin D levels are undetectable. 

DISCLAIMER:

The I-MASK+ Prophylaxis & Early Outpatient Treatment Protocol for COVID-19 and the MATH+ Hospital Treatment Protocol for COVID-19 are only for informational and educational purposes, and is not medical advice. Never disregard professional medical advice due to something you read on the internet. This is not intended to be a substitute for professional medical advice, diagnosis, or treatment in regards to any specific patient. Treatment for an individual patient should always rely on the judgement, opinion, and advice of your personal physician or other qualified health provider. Always seek their specific advice with your questions about your health or medical condition. 

NOTE: Dr. Aranda may receive a small commission on Metagenics supplements purchased from this website.

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Aranda MD Enterprises wants to keep you in the family. After you have suffered from a post-viral syndrome like COVID-19, lower back pain, adrenal or other hormone issues, we can help.

Dr. Margaret Aranda is a Keck-USC and Stanford-trained anesthesiologist with subspecialty training in critical care. Her PhD is in forensic science; her thesis was on women's health. After doing operating room and intensive care at the University of Pennsylvania, she was Assistant Professor in three departments: Anesthesiology and Critical Care, Surgery and Traumatology, and Radiology. As Interim Chief of Anesthesiology at the University of Pennsylvania's Philadelphia VA Medical Center during 911, she optimized veteran's health care outcomes and spearheaded several patient protocols. 

Dr. Aranda has been practicing medicine in Los Angeles for over two years. Her services include pain management in a caring manner for patients with a type of chronic pain that is never going to change, age management, weight control, hair loss, and regenerative medicine. Her seventh book will center on the management of failed back syndrome and describe her current protocol that patients and physicians can understand.

Now a traumatic brain injury survivor after a tragic accident with her daughter, Dr. Aranda understands pain and disability. She has personal insight into rejuvenating you back to a your best possible  health. Her most recent publication is The Rebel Patient™ book. 

Dr. Margaret Aranda is a member of the following Societies:

Invisible Disibilities™ Association, Vice Chair

American Medical Association, Member

American Society of Anesthesiologists, Member

California Society of Anesthesiologists, Member

Tucked away in the mountains of southern California, Dr. Aranda is a devoted mother of two who stays active writing, cooking, and training Buddha, her relaxed German Shepherd.