Two stages here.
1. Avoid being bitten. Use insect repellant and clothing to cover exposed areas.
2. If bitten THEN use Ivermectin.
If you expect to be in areas where sandfly bites could be possible, then thinking ahead is a good idea.
The Ivermectin needs to be more preplanned if travelling as an after bite precaution and the insect spray/lotion as a preventative.
People can be bitten despite having insecticide if you have been in water, sweating, wiping presprayed skin via clothing etc or missing skin during application.
Best to be prepared, especially if you know you are an insect magnet.
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