Scabies prescription for adult

 1. Permethrin 5% lotion / cream 

sig. Below chin application all over body at bed time for all family members, irrespectivre of itching present or not, then wash in the morning. Wash all clothes, bed covers etc. in the same morning.

Repeat the same procedure after 1 week. (Total 2 application ) 

2. Tab antihistamine od hs for 3 weeks ( Antihistamine required for long period as mild itching may be present even after permethrin application due to sensitization to the mites)

3.Delmoist lotion /Nmfe lotion la bd for 3 weeks 

4.HHmite soap

• Sometimes itching may get aggravated even after application of permethrin due to sensitization. Proper counselling to continue antihistamine and emolient (Delmoist or Nmfe) is helpful.
• Whether Ivermectin given or NOT Ideally with proper application of permethrin, Ivermectin not needed.  

             Ivermectin dose : 200 microgm per kg stat then 2 weeks later (second dose )/ 12 mg for a healthy adult 

    Ivermectin C/I in pregnancy,small child