Scabies medication

Treatment options

Products used to kill scabies mites are called scabicides. No "over-the-counter" (non-prescription) products have been tested and approved to treat human scabies.

The following medications for the treatment of scabies are available only by prescription.

Classic scabies: one or more of the following may be used

First line medications:

• Permethrin cream 5%: Permethrin is approved by the U.S.

  Food and Drug Administration (FDA) for the treatment of scabies in people who are at least 2 months of age. Permethrin is a synthetic pyerthroid similar to naturally occuring pyrethrins (extracts from the chrysanthemum flower).

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Permethrin 5% cream applied to all areas of the body from the neck down and washed off after 8–14 hours. Permethrin is safe and effective with a single application. However, two (or more) applications, each about a week apart, may be necessary to eliminate all mites.

• Ivermectin oral tablet: Oral ivermectin is not FDA approved for the treatment of scabies. However, topical permethrin and oral ivermectin hav
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