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Ivermectin, a semi-synthetic drug available only by prescription, is an antiphrastic drug that belongs to a separate class of drugs than amoxicillin and metronidazole (Flagyl), which are antibacterial drugs. The fermentation procedures involving the bacteria Streptomyces avermitilis lead to the production of ivermectin. Both ivermectin cream (Soolantra) and ivermectin tablets (Stromectol) are used as versions of the drug ivermectin. Rosacea lesions that are inflammatory are treated with ivermectin cream. Ivermectin medicine may have an impact on ion movements, although its exact mode of action in treating skin lesions is uncertain. Certain parasitic illnesses, such as strongyloidiasis and onchocerciasis (commonly known as river blindness), are treated with ivermectin pills. The medicine ivermectin may also be used to treat severe scabies cases. Use of ivermectin intravaginally, orally, or topically in the eyes is not advised. Ivermectin could possibly be antiviral, although the FDA has not yet authorized it for that application.