Goa Embraces National Protocol and Adopts Widespread Use of Ivermectin as PrEP

Goa Embraces National Protocol and Adopts Widespread Use of Ivermectin as PrEP

TrialSite reported that India’s national guidelines included ivermectin now for at least mild COVID-19 cases as the worst surge worldwide ravages the country due to what TrialSite’s identified via the data as a virulent mutant variant transmitted from migrating workers evading anticipated lockdowns. Now states such as Goa are taking action, after experiencing record surges of infections, with the new COVID-19 treatment protocol: all residents over 18 are now recommended to take five tablets of ivermectin in a bid to use as prophylaxis or PrEP. Ivermectin will be made available in all health centers across the coastal state, reported Vishwajit Rane, Health Minister for the State of Goa. Emphasizing the prophylaxis qualities, the Health Minister advises residents to take the drug whether they are infected or not. Health authorities are cautioning all residents to follow operating protocols, which also means other measures to protect from infection.

Ivermectin as Prophylaxis in Goa

Reported in TimesNowNews and other Indian outlets, the Health Minister noted, “We are giving this as prophylaxis treatment, as a preventive. Ivermectin tablets will be given to all patients above 18 years at government health centers. This will be made available.”

According to this local media, Goa is actually the first Indian state to formally embrace and publicly endorse the new nation-wide protocol involving ivermectin. The Health Minister confirmed the approach after a meeting with not only top health officials but also the Chief Minister Pramod Sawant.

Influence of the FLCCC

The U.S.-based Front Line COVID-19 Critical Care Alliance’s (FLCCC) published meta-analysis is now making its rounds in India as the manuscript was published recently in a peer review journal and recirculated in the Indian press IANS.  

Dr. Paul E. Mark of the FLCCC and Chief, Pulmonary and Critical Care Medicine at Easter Virginia Medical School, was quoted recently, “Our latest research shows, once again, that when the totality of the evidence is examined, there is no doubt that Ivermectin is highly effective as a safe prophylaxis and treatment for Covid-19.”

The Dosage

The Health Minister emphasized that the regimen includes 12mg of ivermectin for a period of five days as the Indians here in the western coastal state are basing their protocol on expert panels from UK, Italy, Spain, and Japan who purportedly “…found a large, statistically significant reduction in mortality, time to recovery and viral clearance in COVID-19 patients treated with Ivermectin.”

Health Minister to the People: Don’t get Complacent

The Health Minister reminded all that ivermectin should greatly help but certainly isn’t a silver bullet to completely overcome COVID-19. Rather, a combination of efforts, including ivermectin, are necessary to help stop the viral entry and transmission, not to mention disease progression. These efforts also include the adherence to standard operating procedures in the state, such as practices ranging from isolation of those that are sick (where and when possible) to masks and other PPE to appropriate sanitation and undoubtedly other treatments that are included in the national protocol as well as targeted vaccination. The health minister wants no one in Goa to fall for any “false sense of security” and hence any complacency. But the state’s on to a widespread, economical treatment and the hopes are that this will significantly contribute to reduction of incidence of infection.

Call to Action: TrialSite has reached out to contacts in Goa in an effort to track the effectiveness of this campaign. 


  1. The Goan government launched home care kits for ambulant patients in early October 2020. They contained ivermectin, a pulse oximeter, and other items. The Uttar Pradesh state government started ivermectin kiosks in August last year and from official figures on March 21, was the second best state for per capita infections and deaths. Since then, the picture has deteriorated, due to people fleeing Delhi and Mumbai, according to data analyst Juan Chamie.