On trying new things in medicine:

Teenage boy with acne not responsive to substantial dietary change (now essentially eating unprocessed food - fair bit of meat and fresh veggies), tried multiple topical gels/creams including adapalene, ivermectin, clindamycin, benzoyl peroxide, niacinamide, tried tanning lights, next traditional step in mainstream medicine would be oral antibiotics and then accutane if the oral antibiotics aren't effective.

Considering that: ivermectin oral has an excellent safety profile, it's used topically for acne, it has anti-inflammatory benefits, and the microbiome shifts seen with its use tend to be in a direction we think is positive. I've occasionally seen tremendous benefits in using it orally to treat eczema.

So started oral ivermectin at a dose of 0.3 mg/kg/daily. Will see what effect it has.

Posting here to see if anyone has experience or insights on using it this way?