Permethrin and ivermectin are anti-parasite medications used, among other purposes, to treat scabies—a skin infestation caused by tiny mites that burrow under the skin.
What are the symptoms of scabies?
Scabies causes redness, a pimple-like rash, and itching. Crusting can be seen in severe cases.
What medications are prescribed for scabies?
There are no approved over-the-counter treatments for scabies.
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.
If your itching is severe, your doctor may prescribed additional medication to help make you more comfortable.
What are the common side effects of permethrin and ivermectin?
Permethrin
- Burning
- Stinging
- Itching
- Redness
- Numbness or tingling
Ivermectin
- Rash
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Nausea and vomiting
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Abdominal pain
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Diarrhea
How much do permethrin and ivermectin cost?
A 60-gram tube of 5% permethrin starts around $20.
20 tablets of 3-mg ivermectin costs around $30.
To find the least expensive pharmacy near you, and to get a coupon for permethrin, visit the GoodRX permethrin page; for ivermectin, visit the GoodRX ivermectin page.
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. QuickMD can treat your scabies infection remotely by telemedicine and prescribe either permethrin or ivermectin online. To start your treatment with a QuickMD provider, contact us today.

