Ivermectin

Mechanism of action:
Ivermectin is an avermectin derivative. It binds with high affinity to glutamate-gated Cl⁻ channels on the nerve and muscle cell membranes of parasites and activates them. These channels are widely present in invertebrates, whereas human cells lack the same type of glutamate-gated chloride channel. Once activated, large amounts of chloride ions flow into the cell, causing excessive membrane hyperpolarization and ultimately leading to flaccid paralysis of the parasite.
Reference(s):
1. El-Saber Batiha G et al. (2020). Avermectin derivatives, pharmacokinetics, therapeutic and toxic dosages, mechanism of action, and their biological effects. Pharmaceuticals (Basel).
2. Mathachan SR et al. (2021). Current use of ivermectin in dermatology, tropical medicine, and COVID-19: an update on pharmacology, uses, proven and varied proposed mechanistic action. Indian Dermatol Online J.
