Yes, fenbendazole can be used alongside ivermectin. We recommend taking fenbendazole with food—ideally a meal containing some fat—as it is a fat-soluble compound and is better absorbed in the presence of dietary fat. Taking it without food or with water alone may significantly reduce its bioavailability.
It is also advisable to separate the timing of both compounds. You may continue using ivermectin in the morning as you currently do, and take fenbendazole in the evening with food. This may improve tolerance and reduce potential interactions or gastrointestinal discomfort.
Additionally, since both fenbendazole and ivermectin are metabolized by the liver, we recommend monitoring liver enzyme levels periodically during use. Supporting liver function with appropriate supplements such as milk thistle (silymarin), N-acetylcysteine (NAC), or alpha-lipoic acid (ALA) may be beneficial during your course.
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