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Is the Ivermectin pill or the cream a better choice to treat scabies?

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Posted on Thu, 20 Jun 2019
Question: if I have been diagnosed by a doctor in Iceland with scabies, is a cream or a pill of ivermectin a better choice for treatment? i would prefer the pill but am not sure it would work as well
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Answered by Dr. Kathy Robinson (42 minutes later)
Brief Answer:
Either should work

Detailed Answer:

Hello,

In the US both 5% Permethrin cream and oral Ivermectin are considered first line choices for treatment of scabies. The % cure is the same for both treatment forms. If you take the Ivermectin you will need a second dose in 1-2 weeks. Oral Ivermectin is not recommended for pregnant or breast feeding women.

Hope I have answered your query.

Regards,
Dr. Kathy Robinson
General & Family Physician
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Kathy Robinson

General & Family Physician

Practicing since :1989

Answered : 3523 Questions

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Is the Ivermectin pill or the cream a better choice to treat scabies?

Brief Answer: Either should work Detailed Answer: Hello, In the US both 5% Permethrin cream and oral Ivermectin are considered first line choices for treatment of scabies. The % cure is the same for both treatment forms. If you take the Ivermectin you will need a second dose in 1-2 weeks. Oral Ivermectin is not recommended for pregnant or breast feeding women. Hope I have answered your query. Regards, Dr. Kathy Robinson General & Family Physician