Table 1. 2021 STI Treatment Guidelines: Ectoparasitic InfectionsTreatment of Scabies
Recommended
for Treatment of Scabies
Permethrin 5% creamapplied to all areas of the body from the neck down and washed off after 8–14 hours
Permethrin 5% cream
Tradename:Acticin, Elimite, Nix
Recommended
for Treatment of Scabies
Ivermectin200 μg/kg body weight orally, repeated in 14 days*
Ivermectin
Tradename:StromectolNote: *Oral ivermectin has limited ovicidal activity; a second dose is required for eradication.
Recommended
for Treatment of Scabies
Ivermectin 1% creamapplied to all areas of the body from the neck down and washed off after 8–14 hours^
Ivermectin 1% cream
Tradename:SoolantraNote: ^Repeat treatment in 1 week if symptoms persist
Alternative
for Treatment of Scabies
Lindane (1%)1 oz of lotion or 30 g of cream applied in a thin layer to all areas of the body from the neck down and thoroughly washed off after 8 hours**
Lindane (1%)
Tradename:Kwell, ThionexOther Names:lindaneNote: **Infants and young children aged younger than 10 years should not be treated with lindane
Source: Workowski KA, Bachmann LH, Chan PA, et al. Sexually transmitted infections treatment guidelines, 2021. Ectoparasitic infections. MMWR Recomm Rep. 2021;70(No. RR-4):1-187. [2021 STI Treatment Guidelines]