The U.S. Food and Drug Administration has towed the anti-ivermectin narrative all along, with its infamous tweet reading, “You are not a horse. You are not a cow. Seriously, y’all. Stop it.”¹⁶ While commanding the U.S. public and physicians not to use ivermectin for an off-label use, the irony stands that close to 40% of U.S. prescriptions are for off-label uses.¹⁷