Scabies is a highly contagious skin condition caused by the Sarcoptes scabiei mite. This microscopic parasite burrows into the skin, causing intense itching and a rash. While topical treatments like permethrin are commonly used, oral Iverheal 6 has gained popularity as an effective alternative. This article explores how to treat scabies with ivermectin, including dosage, effectiveness, and precautions.
What is Ivermectin?
Ivermectin is an antiparasitic medication used to treat various parasitic infections, including scabies, head lice, and certain intestinal worms. It works by disrupting the nerve function of parasites, effectively killing them. Originally used in veterinary medicine, ivermectin has been approved for human use and is particularly beneficial in treating severe or resistant scabies infestations. you can also buy ivermectin online from dose pharmacy.
Why Use Ivermectin for Scabies?
Ivermectin is an effective treatment for scabies for the following reasons:
- Convenience: Unlike topical creams, oral ivermectin is easier to administer, especially for large outbreaks or people with mobility issues.
- Effectiveness Against Resistant Strains: Some scabies mites have become resistant to topical treatments, making ivermectin a preferred option.
- Useful for Crusted Scabies: Crusted scabies, a severe form of infestation, often requires oral treatment combined with topical therapy.
- Prevention of Reinfestation: Since scabies is highly contagious, oral ivermectin can be used to treat infected individuals and their close contacts.
Dosage and Administration of Ivermectin for Scabies
Recommended Dosage
The standard dosage for ivermectin in treating scabies is 200 mcg per kilogram of body weight, taken orally. It is typically administered as a single dose, with a follow-up dose given 7 to 14 days later to kill newly hatched mites.
Dosing Schedule for Different Age Groups
- Adults and Children Over 15 kg (33 lbs): The dosage is based on weight and should be calculated accordingly.
- Elderly Patients: Dosage remains the same but should be given under medical supervision due to potential side effects.
- Children Under 15 kg: Ivermectin is generally not recommended for young children unless prescribed by a doctor.
- Pregnant and Breastfeeding Women: Ivermectin use in pregnancy is debated; consult a healthcare provider before use.
How to Take Ivermectin?
- Take ivermectin on an empty stomach with water for optimal absorption.
- Avoid taking it with alcohol or high-fat meals, as these can affect drug metabolism.
- Take a repeat dose after 7-14 days to ensure all mites and eggs are eliminated.
How Effective is Ivermectin for Scabies?
Studies show that a single dose of ivermectin cures scabies in 70-85% of cases, with a second dose increasing the cure rate to over 95%. It is highly effective, particularly when combined with topical treatments like permethrin for severe infestations.
Side Effects and Precautions
Common Side Effects:
- Mild gastrointestinal symptoms such as nausea, diarrhea, or stomach pain.
- Headache and dizziness.
- Fatigue and mild fever.
Serious Side Effects (Rare):
- Allergic reactions like rash, swelling, or breathing difficulties.
- Neurological symptoms such as confusion, tremors, or seizures (rare but more common in immunocompromised individuals).
- Liver function changes in rare cases; monitoring is advised for long-term use.
Additional Treatment Measures
To prevent reinfestation and spread, follow these hygiene and treatment practices:
1. Treat Close Contacts
- Everyone in the household and close contacts should be treated simultaneously, even if they have no symptoms.
2. Wash and Disinfect Bedding and Clothing
- Wash all clothing, bed linens, and towels in hot water (above 122°F or 50°C) and dry them on high heat.
- Items that cannot be washed should be sealed in plastic bags for at least 72 hours to suffocate mites.
3. Maintain Proper Hygiene
- Clip nails short to prevent mites from hiding under them.
- Avoid scratching, as this can lead to bacterial infections.
4. Complementary Topical Treatments
- Permethrin 5% cream: Apply from head to toe and leave on for 8-12 hours before washing off.
- Sulfur ointments or benzyl benzoate: Alternative options for sensitive individuals.
When to See a Doctor?
- If symptoms persist after two doses of ivermectin.
- If there is severe skin infection due to scratching.
- If side effects from ivermectin occur and do not resolve.
Ivermectin is a highly effective and convenient treatment for scabies, particularly for resistant or severe cases. When taken correctly, it provides relief within a few days, though a second dose is necessary to prevent reinfestation. To ensure successful treatment, hygiene measures and treatment of close contacts are crucial. Always consult a healthcare provider before using ivermectin, especially for young children, pregnant women, or individuals with preexisting conditions. By following the correct dosage and preventive steps, scabies can be effectively eradicated.
