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Ivermectin to prevent hospitalizations in patients with COVID-19 a randomized, double-blind, placebo-controlled trial


Maybe we should clarify if a paper is biased (as posted here):

https://news.ycombinator.com/item?id=27562412

We should celebrate vaccines and medicines to fight covid-19. Vaccines we already got, medicines not yet.

Author's own words:

We might one day figure out if ivermectin works for Covid-19. Sadly, that day has not yet come.


This is how I picture anybody who brings HCQ and Ivermectin to "treat" covid:

https://twitter.com/corprteUnicorn/status/140676209651214746...

><


just look at Brazil, where ivermectin and HCQ are used as mentos.

I does not help at all. (I wish it was a valid treatment).


Well, in Brazil, the president (Borsalino) is promoting ivermectin as covid treatment. I can tell you is not working at all.

I doesn't help at all. I have a coworker who as using ivermectin as prophylactic and went to ICU (he is recovering now).


That a widely-disputed "leader" is "promoting" a treatment in a country as diverse and with as many systemic issues as Brazil, has no necessary bearing nor indication of that treatments actual use or resultant efficacy.

That you have a friend that took it and went to the ICU is similarly meaningless. What dosage did he take? What other predispositions did he have? How badly was he exposed? What other treatments were used? Did he keep taking it throughout, or not? You say he's recovering now, would he have died without it, then?


[flagged]


59 peer-reviewed studies listed here, of 97 total:

https://c19ivermectin.com/

Eg, one of the most recent peer-reviewed meta-studies, whose authors include advisors to the WHO, just published in the Journal of American Therapeutics:

https://journals.lww.com/americantherapeutics/Abstract/9000/...


you are better than that.

C19ivermectin.... c19study... all the same psyops.

there were no BANS on any of these medicines because of the pandemic. think about vaccines..


> I doesn't help at all. I have a coworker who as using ivermectin as prophylactic and went to ICU (he is recovering now).

This is an anecdote, and it is dangerous to generalize from it. I have several family members who seemed to respond well to Ivermectin, and recovered better than their initial condition would have indicated.


ok, show me good science. I drank beer all this time, didn't got any covid yet.

MAYBE BEER IS THE MEDICIN. BIG PHARMA IS HIDING FROM US.


I am not saying it is definitely a great medicine for Covid and everyone should use it, but we must be careful to not mandate the opposite as well. Let individual patients make the decision to use it with help from their respective doctors. If there is a genuine beneficial effect, it will emerge naturally and more doctors will urge their patients to go for it. If there isn't, the opposite will happen.

Banning it from the top is not going to help most people.


How do you know he wouldn't be dead if they hadn't been taking it?


Because a prophylactic means taking it regularly in order to avoid catching it, with the implication of the poster’s statement being that ivermectin, which carries significant risks when taken by a human at various doses, was the cause of the person going to ICU


Exactly. Just because someone doesn't dose something correctly, doesn't mean there is necessarily anything wrong with it.

Shall we ban water? Sometimes people don't dose that correctly either, and drown.

What a dangerous substance!


Your absurdist attempts aside, the important thing to consider with a prophylactic medication is the therapeutic index.

Let’s take vaccines. Covid itself has a risk of harm of around 1:100 for older age groups of requiring hospitalisation. Risk of harm for vaccines is established at around 1:200,000.

Ivermectin? There is no good data on the therapeutic index however it is a toxic substance with a low therapeutic index and a narrow therapeutic window.

The sensible thing given the available data is to encourage vaccination. Barring that, masks and social distancing. And of course there are places where both there is no vaccine supply, and social distancing is economically in feasible. Is this a use case for ivermectin? Most data says no because establishing TI and TW and ensuring adequate safety of dosing is logistically about as difficult as maintaining social distancing.

Good chat


Huh? Ivermectin has been in use for decades and administered in the billions of doses and had only a handful of associated deaths in that time. How to safely dose it is extremely well-known and established.

If you look at any vaccine adverse events reporting system, you do indeed find the 1:200,000 number - as that's indeed where it came from - for all ~70 previous vaccines on the schedule (and adjusted for under-reporting - the raw numbers in the systems are in the 1 in millions in most cases).

The COVID-19 vaccines however, unadjusted, are in the low 1 in 10,000's.

Check any reporting system independent of country/region, you'll find the same massive safety disparity between COVID-19 vaccines and all other vaccines being tracked.

So, basically everything you've said is wrong.


Risk of serious harm from vaccines from a country where I trust the people a lot more than Americans is 1:3571 (based on 446,380 doses). Where are you getting the 1:200,000 from?

https://www.medsafe.govt.nz/COVID-19/vaccine-report-overview...


Let me add that these reports don't show cause, just correlation. Attempting to determine cause is very speculative and tenuous, and so all adverse events should be reported. So long as everyone understands the vaccines don't actually cause this many adverse events. To be fair, the same goes for COVID-19: deaths associated with COVID-19 are not necessarily caused by COVID-19.

That point being addressed, I would expect the elderly to have a lot more background adverse events, such as death. If we live 28835 days on average, 15 people in this vaccinated group are expected to die every day from non-vaccine causes, and heavily weighted towards the elderly. But I'm not even seeing death as a side-effect, and the number of adverse events among the elderly (who got the vaccine first and have had the lions share of vaccine administration) is actually less than among younger groups. This perplexes me and if anyone thinks they know the answer to this riddle, please share.

[Oh wait... there aren't as many elderly people. hits head]


125 serious AEFI in 446,380 doses. 1:3571 indeed.

But here too the reporting is open to anyone, and is voluntary. So chances of large under reporting is present here as well. Which is a bit scary..


The valuable part of your comment would have been more impactful if it weren't for the following 2 paragraphs about water.


Maybe, it depends on your opinion of the established safety profile of Ivermectin prior to its attempted maligning. It's a fair comparison to this commenter.


At what dose and frequency? Was it real Ivermectin or perhaps counterfeit? What was his overall health to begin with?

I fucking love HN - downvoting valid questions for criteria.


Borsalino?


Brazil is fighting two virus simultaneously :˜(


I'm working on a authorization protocol for IoT (ABAC+ReBAC and a little of RADAC). The main idea is to make it easier for non-tech people and secure (yes, everybody wants that), made the threat model and stuff - was my master's thesis, want to do a PoC to see if it sees sunlights ;)

Also working on a DataScience crash course with basic statistics, R, Python (Basics), Dataviz and webscraping (for journalists, biologists - for everybody).

Last, but not least, we have a music's group that is doing some visual + electroacoustic music (using supercollider and instruments). Our next step is to use Arduino and some other stuff.

resumes pretty much it.

(help wanted `:D )


Location: Brazil

Remote: Yes

Willing to relocate: yes (after April)

Technologies:

        - Sysadmin: Red Hat Certified Architect(120-206-248), *nix systems, X86/PPC Archs, VMware/LPARs virtualizations.

        - Devops: Jenkins/CircleCI, ansible/puppet, docker. 

        - Programming: (strong) shell, Python, C/C++ (has knowledge) Assembly, HTML/CSS, PHP.

        - Security: CSIRT manager, FIH and AIH (from CERT®/CMU),  Checkpoint Gateways, SIEM (splunk) and Blue Team Ops;

        - IoT: Raspberry/Arduino, Security in IoT (master thesis).

        - Hobbies: Photography, Music and electronics.
lkdn: https://www.linkedin.com/in/jacsonquerubin/ email: jacson @ querub.in


Sure, I'm following the project on Telegram (english only group): https://telegram.me/joinchat/AKDWc0BDOqriD1n-mntRBg

About: https://serenata.ai/en/faq/


  Location: Foz do Iguaçu
  Remote: Maybe
  Willing to relocate: Maybe
  Technologies: Sysadmin, RCHA, VMWare, RHEV, Checkpoint FW, more on my CV
  Résumé/CV: https://www.linkedin.com/in/jacsonquerubin
  Email: spacial AT gmail DOT com


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