Over-the-counter availability of Stromectol: Country list – May 2025

Country/Region	Availability of Ivermectin for Human Use	Notes
United States	Prescription-only at the federal level. Some states (Tennessee, Arkansas, Idaho) permit over-the-counter sales.	Some states have enacted laws that allow over-the-counter sales.
Canada	Prescription-only	Not approved for COVID-19 treatment.
Australia	Prescription-only	Not approved for COVID-19 treatment.
United Kingdom	Prescription-only	Not approved for COVID-19 treatment.
Brazil	Prescription-only	Widely distributed during COVID-19.
Mexico	Prescription-only	Used in COVID-19 kits.
Peru	Prescription-only	Initially approved for COVID-19; later revoked.
India	Prescription-only	Removed from COVID-19 protocols.
Japan	Prescription-only	Not approved for COVID-19 treatment.
South Africa	Prescription-only	Compassionate use program ended in 2022.
Russia	Prescription-only	Used for parasitic infections.
Ukraine	Prescription-only	Used for parasitic infections.
China	Prescription-only	Used for parasitic infections.
Nigeria	Prescription-only	Used for parasitic infections.
Indonesia	Prescription-only	Approved for COVID-19 in 2021.
Zimbabwe	Prescription-only	Approved for COVID-19 in 2021.
Philippines	Prescription-only	Used for parasitic infections.
Austria	Prescription-only	Approved for parasitic infections; not approved for COVID-19 treatment.
Belgium	Prescription-only	Approved for parasitic infections; not approved for COVID-19 treatment.
Bulgaria	Prescription-only	Approved for parasitic infections; not approved for COVID-19 treatment.
Croatia	Prescription-only	Approved for parasitic infections; not approved for COVID-19 treatment.
Cyprus	Prescription-only	Approved for parasitic infections; not approved for COVID-19 treatment.
Czech Republic	Prescription-only	Approved for parasitic infections; not approved for COVID-19 treatment.
Denmark	Prescription-only	Approved for parasitic infections; not approved for COVID-19 treatment.
Estonia	Prescription-only	Approved for parasitic infections; not approved for COVID-19 treatment.
Finland	Prescription-only	Approved for parasitic infections; not approved for COVID-19 treatment.
France	Prescription-only	Approved for parasitic infections; not approved for COVID-19 treatment.
Germany	Prescription-only	Approved for parasitic infections; not approved for COVID-19 treatment.
Greece	Prescription-only	Approved for parasitic infections; not approved for COVID-19 treatment.
Hungary	Prescription-only	Approved for parasitic infections; not approved for COVID-19 treatment.
Ireland	Prescription-only	Approved for parasitic infections; not approved for COVID-19 treatment.
Italy	Prescription-only	Approved for parasitic infections; not approved for COVID-19 treatment.
Latvia	Prescription-only	Approved for parasitic infections; not approved for COVID-19 treatment.
Lithuania	Prescription-only	Approved for parasitic infections; not approved for COVID-19 treatment.
Luxembourg	Prescription-only	Approved for parasitic infections; not approved for COVID-19 treatment.
Malta	Prescription-only	Approved for parasitic infections; not approved for COVID-19 treatment.
Netherlands	Prescription-only	Approved for parasitic infections; not approved for COVID-19 treatment.
Poland	Prescription-only	Approved for parasitic infections; not approved for COVID-19 treatment.
Portugal	Prescription-only	Approved for parasitic infections; not approved for COVID-19 treatment.
Romania	Prescription-only	Approved for parasitic infections; not approved for COVID-19 treatment.
Slovakia	Prescription-only	Approved for parasitic infections; not approved for COVID-19 treatment.
Slovenia	Prescription-only	Approved for parasitic infections; not approved for COVID-19 treatment.
Spain	Prescription-only	Approved for parasitic infections; not approved for COVID-19 treatment.
Sweden	Prescription-only	Approved for parasitic infections; not approved for COVID-19 treatment.

Note: In many countries, ivermectin is available OTC for veterinary use. However, human consumption of veterinary formulations is strongly discouraged due to differences in formulation and dosage, which can lead to serious health risks.