Permethrin and Ivermectin for Treatment of Scabies

April 27, 2023

Permethrin and ivermectin are anti-parasite medications used, among other purposes, to treat scabies—a skin infection. Scabies is caused by a tiny mite that burrows through the skin, causing redness and itching. Crusting can be seen in severe cases. Permethrin 5% cream is the first drug of choice for treating scabies. It poisons both adult mites and their eggs. Ivermectin on the other hand is an oral medication that is reserved for failures of permethrin. Since ivermectin kills only adult mites and not eggs, it sometimes has to be taken more than once. If ivermectin is not taken as directed, this could result in mites developing resistance.

What is the dosage for permethrin and ivermectin?

Permethrin cream 5%, apply to the skin once.

Ivermectin is generally taken orally, once, and the dose depends on the patient’s body weight

What are the common side effects of permethrin and ivermectin?


  • Burning
  • Stinging
  • Itching
  • Redness
  • Numbness or tingling


  • Rash
  • Nausea and vomiting
  • Abdominal pain
  • Diarrhea

How much to permethrin and ivermectin cost?

The price of permethrin ranges from $20 to $54 for a 60 gram tube of 5% cream.

The price of ivermectin ranges from $15 to $60 for a blister package of 8 tablets, strength 8 mg.

To find the least expensive pharmacy near you, and to get a coupon for permethrin, click here, or for ivermectin, click here.

How can I get a prescription for permethrin?

Both permethrin and ivermectin are prescription medications that must be approved by a physician or other licensed prescriber. Did you know QuickMD can treat your scabies infection remotely by telemedicine and prescribe either permethrin or ivermectin online?

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