The world is faced with the dire challenge of finding an effective treatment
against the rampaging COVID 19 pandemic. Amidst the crisis, reports of in
vitro inhibitory activity of ivermectin, an approved anthelmintic, against
the causative SARSCoV2 virus, have generated lot of optimism. In this
article, we have fished and compiled the needed information on the drug,
that will help readers and prospective investigators in having a quick
overview. Though the primordial biological action of the drug is allosteric
modulation of helminthic ion channel receptor, its in vitro activity against
both RNA and DNA viruses is known for almost a decade. In the past two
years, efficacy study in animal models of pseudorabies and zika virus was
found to be favourable and unfavourable respectively. Only one clinical
study evaluated the drug in dengue virus infection without any clinical
efficacy. However, the proposed mechanism of drug action, by inhibiting the
importin family of nucleus-cytoplasmic transporters along with favourable
pharmacokinetics, warrants exploration of its role in COVID 19 through
safely conducted clinical trials. Being an available and affordable drug,
enlisted in WHO List of Essential Medicine, and a long track record of
clinical safety, the drug is already in clinical trials the world over. As
the pandemic continues to ravage human civilisation with unabated intensity,
the world eagerly waits for a ray of hope emanating from the outcome of the
ongoing trials with ivermectin as well as other drugs.