I have a farm vet on my side . I live in florida and I do have a bad area due to steroids given to me by bad docs that cant find their way past the copay line. my perianal area due to severe hyperinfection was my bad spot but I am fortunate enough to have a nice pool full of chlorine. ammonia and chlorine are both toxic to biofilms, bacteria etc. your friend taking ivermectin and moxi at same time is not suppose to be. ivermectin will kill adults and some larvae , but moxidectin kills all stages except encysted ones that's why dogs get wormed once a month and moxidectin is the dog wormer of choice in florida. milbemycin is moxidectin the main ingredient in most doggie wormers. moxidectin once a month for several years will eliminate all encysted ones as they reemerge from hibernation.