To prescribe or not prescribe… ivermectin for delusional infestation: that is the question

This letter discusses the ethical challenges of prescribing ivermectin in patients with delusional infestation- a practice sometimes used to maintain engagement despite not being included in national guidelines. Drawing on clinical experience, it explores the balance between empathy and ethical integrity, and the need for clearer guidance on how to manage these difficult cases while preserving patient trust.

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Publication Details

Journal
Clinical and Experimental Dermatology
Published
2026-02-15
DOI
https://doi.org/10.1093/ced/llag070
Primary Topic
Parasitic Diseases Research and Treatment
Type
article
Field-Weighted Citation Impact
0.00
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article

To prescribe or not prescribe… ivermectin for delusional infestation: that is the question

Peter Lepping, Andrew Affleck, A. P. Bewley, John M R Goulding et al.
Clinical and Experimental Dermatology
Parasitic Diseases Research and Treatment
article

To prescribe or not prescribe… ivermectin for delusional infestation: that is the question

Peter Lepping, Andrew Affleck, A. P. Bewley, John M R Goulding, Sibel Demirel
article en

Abstract

This letter discusses the ethical challenges of prescribing ivermectin in patients with delusional infestation- a practice sometimes used to maintain engagement despite not being included in national guidelines. Drawing on clinical experience, it explores the balance between empathy and ethical integrity, and the need for clearer guidance on how to manage these difficult cases while preserving patient trust.

Clinical and Experimental Dermatology
Betsi Cadwaladr University Health Board (GB), University Hospitals Birmingham NHS Foundation Trust (GB), Bangor University (GB), Queen Mary University of London (GB), Barts Health NHS Trust (GB), Ninewells Hospital (GB)
Openalex Percentile: Top 52%
Parasitic Diseases Research and Treatment
DOISourceOpenAlex
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To prescribe or not prescribe… ivermectin for delusional infestation: that is the question — Peter Lepping, Andrew Affleck, et al. · Clinical and Experimental Dermatology (2026) | TGRS Research Map | TGRS