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

Sibel Demirel; Peter Lepping; Anthony Bewley; John M R Goulding; Andrew Affleck

doi:10.1093/ced/llag070

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

Sibel Demirel
, Peter Lepping
, Anthony Bewley
, John M R Goulding
, Andrew Affleck

Ninewells Hospital
Barts Health NHS Trust, Royal London Hospital
University Hospital Birmingham NHS Foundation Trust

Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid

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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.

Iaith wreiddiol	Saesneg
Cyfnodolyn	Clinical and Experimental Dermatology
Dynodwyr Gwrthrych Digidol (DOIs)	https://doi.org/10.1093/ced/llag070
Statws	Cyhoeddwyd - 17 Chwef 2026

Mynediad at Ddogfen

10.1093/ced/llag070

Dyfynnu hyn

@article{4edfc4a1008b4b55bedb09acf62aba24,

title = "To prescribe or not prescribe… ivermectin for delusional infestation: that is the question",

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.",

author = "Sibel Demirel and Peter Lepping and Anthony Bewley and Goulding, \{John M R\} and Andrew Affleck",

year = "2026",

month = feb,

day = "17",

doi = "10.1093/ced/llag070",

language = "English",

journal = "Clinical and Experimental Dermatology",

issn = "0307-6938",

publisher = "Oxford University Press (OUP)",

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AU - Demirel, Sibel

AU - Lepping, Peter

AU - Bewley, Anthony

AU - Goulding, John M R

AU - Affleck, Andrew

PY - 2026/2/17

Y1 - 2026/2/17

N2 - 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.

AB - 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.

U2 - 10.1093/ced/llag070

DO - 10.1093/ced/llag070

M3 - Article

SN - 0307-6938

JO - Clinical and Experimental Dermatology

JF - Clinical and Experimental Dermatology

ER -

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

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Mynediad at Ddogfen

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