Syndrome

Recommended drug

Alternate drug

Classical scabies

Permethrin 5%, topical overnight administration, on days 1 and 8

Ivermectin (200 µg/kg/dose), oral, days 1 and 8

Crusted scabies

Both permethrin 5% each 2-3 days and ivermectin (200 µg /kg/dose) x 3 weekly doses if limited, up to seven doses over 4 weeks if recalcitrant/extensive

Close contact

Permethrin 5% topical overnight, once

Ivermectin (200 µg/kg/dose), oral, once

Endemic community

Multifaceted approach with education, community involvement, facilitation of washing, permethrin 5% on days 1 and 8

Ivermectin (200 µg/kg/dose), oral, once. Ivermectin and permethrin given twice if severe infestation at screening