Jul 10 2024, 06:10
The recommended dosing regimen for treating typical scabies with ivermectin is a two-dose approach. The first dose is given on Day 1, and the second dose is given between Day 8 and Day 15. Each dose aims to deliver approximately 200 micrograms of ivermectin per kilogram of body weight. This dosing schedule is based on clinical studies and expert guidelines, as ivermectin has been shown to be an effective oral treatment option for scabies. For patients with crusted (hyperkeratotic) scabies, a more intensive ivermectin regimen is typically required. Recommendations include administering ivermectin in 3, 5, or even 7 doses, with the first 1-2 doses given on consecutive days, followed by additional doses spaced 1 week apart. Topical scabicides like permethrin cream are also used concurrently with the oral ivermectin to help eliminate the mites and reduce scaling. Consultation with a dermatologist or infectious disease specialist is advised for managing crusted scabies cases, as they can be more challenging to treat.
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