Bibliographic information

GuidelineTherapeutics and COVID-19: living guideline, August 2025
Year of Publication2025
Issuing InstitutionWorld Health Organization

Recommendation

Maintained

We recommend not to use ivermectin in patients with severe or critical COVID-19, except in the context of a clinical trial

Recommended against

Strong

Notes and Remarks

  • A recommendation to only use a drug in the setting of clinical trials is appropriate when there is very low certainty evidence and future research has a large potential for reducing uncertainty about the effects of the intervention and for doing so at reasonable cost.
  • A strong recommendation against use of ivermectin in patients with non-severe COVID-19 was published in October 2023, given new trial evidence. Practical info The GDG made a recommendation against using ivermectin for treatment of patients with COVID-19 outside the setting of a clinical trial and therefore practical considerations are less relevant for this drug

Also Featured In

This recommendation also appears in the following guidelines:

Originally Developed
Guideline

Therapeutics and COVID-19: living guideline, 10 November 2023.

Year2023
InstitutionWorld Health Organization