Template:Scabies treatment

Adults

• Permethrin 5% cream neck down leave 8-12hrs repeat 1-2wks for all family members
  • Apply from neck down
  • Leave on for 8-12hr before washing off
  • Has 95-98% success rate, may reapply in 1-2wks if incomplete effect
• Ivermectin 200mcg/kg PO repeat in 2wks
  • Also viable option in adolescent or adult with insecure social situation
  • Success rate 70%, increases if give repeat dose 2wks after
  • Contraindicated in lactating women and children < 15kg

Pediatric

• Permethrin 5% cream, apply head to toe (avoid mucous membranes), leave 8-12hrs, wash off; repeat in 1-2 weeks
  • FDA approved for >2 months of age; also recommended for neonatal scabies
• Ivermectin 200mcg/kg PO, repeat in 2 weeks; only for children >15kg