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Evidence suggests that oral ivermectin may be a safe and effective treatment for scabies; however, ivermectin is not FDA-approved for this use. ... The safety of ivermectin in children weighing less than 15 kg and in pregnant women has not been established.
Ivermectin can kill live scabies mites, but has no effect on unhatched mite eggs. People with typical scabies need two doses of ivermectin. The second dose is taken about one week after the first dose to treat any newly hatched mites.
Do not use this medication if you are allergic to permethrin or to chrysanthemums. For the most complete treatment of lice or scabies and to prevent reinfection, you must treat your environment (clothing, bedding, pillows, furniture, hats, hair brushes and accessories, etc) at the same time you treat your body.
Ivermectin is taken as a single dose with a glass of water. The tablets can be crushed, for example to be given via a percutaneous endoscopic gastrostomy (PEG) tube. It is rapidly absorbed from the gut and metabolised in the liver.
Comparison of Treatments for Scabies Drug Cost* Use in nursing women Ivermectin (Stromectol) $38 for 3 tablets at 6 mg† Not recommended Lindane (Kwell) $17 for 60 mL (2 oz) 1% lotion Not recommendedPermethrin (Nix) $38 for 60 g (2.1 oz) 5% cream Not recommended
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