“Although the exact mechanisms remain unclear, macrocyclic lactones [ivermectin etc] in large doses may pass through the blood-brain barrier (BBB) to produce GABA-mimetic toxic effects. Severely poisonedpatientsusually present with coma, hypotension, respiratory failure, and even death. Despite the lack of specific therapy, the prognosis is likely to be favorable unless the poisoned patients are complicated with severe hypotension or respiratory failure.
Macrocyclic lactones, including avermectins and milbemycins, are novel parasiticides and insecticides that are produced through fermentation by soil-dwelling microorganisms. Although various macrocyclic lactones may differ in their potency and safety, all of them are believed to share common pharmac …
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