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•difficulty breathing

•eye or eyelid pain, irritation, redness or swelling

•loss or change of vision

•redness, blistering, peeling or loosening of the skin, including inside the mouth •skin rash, hives or increased itching

•yellowing of eyes or skin

•unusual weakness or tiredness Ivermectin is usually well tolerated and serious side effects are rare.

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Before taking ivermectin, tell your doctor about any other medical conditions that you have, especially liver disease. Your doctor may also prescribe a corticosteroid (a cortisone-like medicine) for certain patients with river blindness, especially those with severe symptoms. This is to help reduce the inflammation caused by the death of the worms. If your doctor prescribes these two medicines together, it is important to take the corticosteroid along with ivermectin. Take them exactly as directed by your doctor. Do not miss any doses.