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In addition, new research published in the journal of the american medical association (jama) suggests there may be a connection between the bacteria living in the vagina and the development of pelvic inflammatory disease. Azithromycin is fda approved for the treatment of bacterial vaginosis. Human dosage of ivermectin, a macrocyclic lactone drug used to treat onchocerciasis and many other parasite-derived diseases is dictated by the total body burden, not the number of parasites present.