What is the best binder to take with ivermectin?

There isn’t a “best binder” to take with ivermectin. A binder (something that binds the drug in the gut) would usually reduce ivermectin’s absorption and could make it less effective, so that isn’t standard or recommended.

If you’re asking about overdose management: in a hospital setting, activated charcoal may be used to bind ivermectin in the gut if ingestion was recent. This is something only healthcare professionals would do.

In normal use, ivermectin absorption is actually improved when taken with a meal that contains fat. So, if you’re taking it as prescribed, it’s typically advised to take it with food, not with a binder.

If you have a specific situation (overdose concern, interacting medications, pregnancy, etc.), please share more details or check with the prescribing clinician or a pharmacist.