Reference Table for Scabies Treatment Permethrin and crotamiton products are commonly used over-the-counter products that are FDA approved treatments for scabies. Invermectin is an FDA approved treat- ment that is available by prescription in both an oral medication and a lotion. Lindane is FDA approved for scabies but is no longer recommended as a first-line treatment for scabies due to its potential CNS toxicity. Brand Chemical FDA Approved Dosage Side Effects Precautions Name Name Use Nix, Elimite, 5% Permethrin FDA approved for Apply 5% cream from neck Treatment may initially Do not get into eyes, nose, or mouth Generic cream treatment of sca- down over entire body pay- make redness, swell- If pregnant or breast feeding, consult health care pro- bies. For use in chil- ing special attention to all ing, or itching worse. vider for instructions if using treatment on self or chil- dren 2 months of folds and creases. Wash Tingling or numbness. dren. age and older. off thoroughly after 8-14 Notify health care provider of pre-existing illness or hours. Second application allergies. is advised after 7 days. Do not use if sensitive to ragweed or chrysanthemums. Eurax, 10% Crotamiton FDA approved for Apply 10% cream from Irritation and itching Do not get into eyes, nose or mouth Crotan cream or lotion treatment of sca- chin down over entire body If pregnant or breast feeding, consult health care pro- bies. For use in chil- paying special attention to vider for instructions if using treatment on self or chil- dren 6 months of all folds and creases. dren. age and older. Wash off thoroughly after Notify health care provider of pre-existing illness or 48 hours. Second applica- allergies. tion is advised 24 hours after first treatment. Stromectol Ivermectin (oral) FDA approved for Single 200μg/kg dose Nausea and vomiting. If pregnant or breast feeding, consult health care pro- Recommended treatment of sca- orally. May be repeated in vider for instructions if using treatment on self or chil- dosage 200μg/ bies. Oral medica- 14-15 days. Take on dren. kg. tion for use in chil- empty stomach with water. Notify health care provider of pre-existing illness or dren weighing more allergies. than 15 kg (33lbs). Lindane, Lindane 1% lo- FDA approved for Apply 5% cream from neck Allergic Reaction: Itch- Potential CNS toxicity Generic tion or cream treatment of sca- down over entire body pay- ing or hives, swelling in Teratogenic effects bies. For use in chil- ing special attention to all face or hands, swelling Do not get into eyes, nose, or mouth dren 6 months of folds and creases. Wash or tingling in mouth or Notify health care provider of pre-existing illness or age and older. off thoroughly after 8-12 throat, chest tightness, allergies. hours. trouble breathing. Diz- Ask your doctor or pharmacist before using any other medi- ziness or drowsiness, cine, including over-the-counter medicines, vitamins, and Itching, burning or dry herbal products skin, seizures Not recommended for pregnant or lactating women OSDH 09/2013 .