{"id":5981,"date":"2026-02-25T14:56:15","date_gmt":"2026-02-25T14:56:15","guid":{"rendered":"https:\/\/telyrx.com\/blog\/?p=5981"},"modified":"2026-03-25T21:47:39","modified_gmt":"2026-03-25T21:47:39","slug":"what-is-ivermectin","status":"publish","type":"post","link":"https:\/\/telyrx.com\/blog\/medications\/what-is-ivermectin\/","title":{"rendered":"What Is Ivermectin (Stromectol)?"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\" id=\"how-it-works\">How It Works<\/h2>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><span data-contrast=\"auto\">Ivermectin works by specifically targeting the nervous system of the parasites.&nbsp;It attaches to special &#8220;gates\u201d found&nbsp;only on the nerve and muscle cells of invertebrates.&nbsp;This attachment floods the&nbsp;parasite&#8217;s&nbsp;cells with chloride ions&nbsp;and&nbsp;overloads&nbsp;their system, effectively shutting down their ability to send electrical signals. This process paralyzes the parasites, making them unable to move, feed, or multiply.&nbsp;Because humans do not have these specific types of channels in their nerves and muscles, the medication can&nbsp;target&nbsp;the parasites&nbsp;with a high margin of safety.&nbsp;<\/span><\/p>\n\n\n\n<div class=\"quick-facts-card\">\n  <table class=\"quick-facts-table\">\n    <colgroup>\n      <col\/>\n      <col\/>\n    <\/colgroup>\n\n    <thead>\n      <tr>\n        <th colspan=\"2\">Quick Facts<\/th>\n      <\/tr>\n    <\/thead>\n\n    <tbody>\n      <tr>\n        <th>Common Brands<\/th>\n        <td>Stromectol<\/td>\n      <\/tr>\n\n      <tr>\n        <th>Drug Class<\/th>\n        <td>Anthelmintic, Antiparasitic agent<\/td>\n      <\/tr>\n\n      <tr>\n        <th>Generic Status<\/th>\n        <td>Generic version of Stromectol <\/td>\n      <\/tr>\n\n      <tr>\n        <th>Availability<\/th>\n        <td>Prescription Only (in most states) <\/td>\n    <\/tbody>\n  <\/table>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"dosing\">Dosing<\/h2>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><span class=\"TextRun SCXW124784147 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW124784147 BCX0\">Dosing for<\/span><span class=\"NormalTextRun SCXW124784147 BCX0\">&nbsp;ivermectin is&nbsp;<\/span><span class=\"NormalTextRun SCXW124784147 BCX0\">typically&nbsp;<\/span><span class=\"NormalTextRun SCXW124784147 BCX0\">calculated based on body weight. The dose is usually taken once with food, then repeated&nbsp;<\/span><span class=\"NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW124784147 BCX0\">in<\/span><span class=\"NormalTextRun SCXW124784147 BCX0\">&nbsp;7 to&nbsp;<\/span><span class=\"NormalTextRun SCXW124784147 BCX0\">14 days<\/span><span class=\"NormalTextRun SCXW124784147 BCX0\">.&nbsp;<\/span><span class=\"NormalTextRun SCXW124784147 BCX0\">In general, the following dosing is recommended:<\/span><\/span><span class=\"EOP SCXW124784147 BCX0\" data-ccp-props=\"{}\">&nbsp;<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>79 to 110 lbs, 9mg, 3 tablets<\/li>\n\n\n\n<li>112 to 143 lbs, 12mg, 4 tablets<\/li>\n\n\n\n<li>145 to 174 lbs, 15mg, 5 tablets<\/li>\n\n\n\n<li>176 lbs or more, 200mcg per kg based on body weight<\/li>\n<\/ul>\n\n\n\n<div style=\"height:28px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><em><strong>Note:<\/strong>&nbsp;Dosing information is educational only. Your prescribing physician will&nbsp;determine&nbsp;your specific dose based on your individual health needs. Always follow your healthcare provider\u2019s instructions for exact dosing.<\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"uses\">Uses<\/h2>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>FDA-Approved Uses<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Strongyloidiasis&nbsp;&#8211;&nbsp;An infection of the intestinal tract caused by a parasitic roundworm.&nbsp;<\/li>\n\n\n\n<li>Onchocerciasis (River Blindness)&nbsp;&#8211;&nbsp;A parasitic infection of the skin and eyes caused by a worm.&nbsp;<\/li>\n<\/ul>\n\n\n\n<div style=\"height:28px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><strong>Off-Label Uses<\/strong><\/p>\n\n\n\n<p><span data-contrast=\"auto\">You may see ivermectin prescribed for uses that are not &#8220;FDA-approved.&#8221;&nbsp;This is&nbsp;a&nbsp;common&nbsp;and legal practice called &#8220;off-label&#8221; prescribing, where a doctor uses their clinical judgment to prescribe a drug for a different (but well-researched) purpose.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:278}\">&nbsp;<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><b><span data-contrast=\"auto\">Scabies&nbsp;&#8211;&nbsp;<\/span><\/b><span data-contrast=\"auto\">The CDC considers oral ivermectin an essential&nbsp;treatment for this itchy skin infestation caused by&nbsp;mites.&nbsp;It&#8217;s&nbsp;especially useful for severe or crusted scabies.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:278}\">&nbsp;<\/span><\/li>\n\n\n\n<li><b><span data-contrast=\"auto\">Head Lice&nbsp;&#8211;<\/span><\/b><span data-contrast=\"auto\">&nbsp;It is&nbsp;also often&nbsp;used for difficult-to-treat cases of head lice.<\/span><span data-ccp-props=\"{}\">&nbsp;<\/span><\/li>\n<\/ul>\n\n\n<div class=\"telyrx-email-cta alignfull wp-block-telyrx-email-signup\">\n\t<h2 class=\"telyrx-email-cta__heading\" data-toc-hidden=\"true\">Get Savings Updates<\/h2>\n\t<p class=\"telyrx-email-cta__description\">Join our mailing list for exclusive deals and more.<\/p>\n\t\t\t<form\n\t\t\tid=\"telyrx-email-form-1\"\n\t\t\tclass=\"telyrx-email-cta__form\"\n\t\t\tdata-portal-id=\"46401311\"\n\t\t\tdata-form-id=\"14e1d7d5-6b17-4228-b42e-c06d1a6c240b\"\n\t\t\tdata-i18n=\"{&quot;subscribe&quot;:&quot;Subscribe&quot;,&quot;success&quot;:&quot;Thanks! You&#039;re subscribed.&quot;,&quot;error&quot;:&quot;Something went wrong. Please try again.&quot;}\"\n\t\t>\n\t\t\t<div class=\"telyrx-email-cta__pill\">\n\t\t\t\t<input\n\t\t\t\t\ttype=\"email\"\n\t\t\t\t\tname=\"email\"\n\t\t\t\t\tclass=\"telyrx-email-cta__input\"\n\t\t\t\t\tplaceholder=\"Enter your email\"\n\t\t\t\t\trequired\n\t\t\t\t\tautocomplete=\"email\"\n\t\t\t\t\/>\n\t\t\t\t<button type=\"submit\" class=\"telyrx-email-cta__button\">\n\t\t\t\t\tSubscribe\t\t\t\t<\/button>\n\t\t\t<\/div>\n\t\t\t<p class=\"telyrx-email-cta__status\" aria-live=\"polite\"><\/p>\n\t\t<\/form>\n\t\t<noscript>\n\t\t\t<p class=\"telyrx-email-cta__noscript\">Please enable JavaScript to use the signup form.<\/p>\n\t\t<\/noscript>\n\t<\/div>\n\n\n\n<section class=\"telyrx-side-effects\" data-toc-title=\"Side Effects\">\n\t<h2 class=\"telyrx-side-effects__heading\">Side Effects<\/h2>\n\t<hr class=\"telyrx-side-effects__separator\">\n\t<div class=\"telyrx-side-effects__content\">\n\t\t\n\n<p>Most people tolerate ivermectin well. When side effects do occur, they are\u00a0usually\u00a0mild.\u00a0<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Common Side Effects<\/h3>\n\n\n\n<div class=\"telyrx-side-effects-chip telyrx-side-effects-chip--common\">\n\t\n\n<ul class=\"wp-block-list\">\n<li>Dizziness&nbsp;<\/li>\n\n\n\n<li>Nausea or diarrhea&nbsp;<\/li>\n\n\n\n<li>Mild skin rash or itching&nbsp;<\/li>\n\n\n\n<li>Fatigue&nbsp;<\/li>\n<\/ul>\n\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading\">Serious Side Effects<\/h3>\n\n\n\n<div class=\"telyrx-side-effects-chip telyrx-side-effects-chip--serious\">\n\t\n\n<p>Serious side effects are rare, but&nbsp;it\u2019s&nbsp;important to know what to look for&nbsp;if they do occur.&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Serious Neurological Effects&nbsp;\u2013<\/strong>&nbsp;Severe drowsiness, confusion, loss of balance, or seizures.&nbsp;<\/li>\n\n\n\n<li><strong>Severe Allergic Reaction (Mazzotti Reaction)&nbsp;\u2013<\/strong>&nbsp;When treating river blindness, the death of parasites can cause a body-wide inflammatory reaction. Symptoms include fever, severe rash,&nbsp;joint pain, and swollen, tender lymph nodes.&nbsp;<\/li>\n\n\n\n<li><strong>Signs of Drug-Induced Allergic Reaction&nbsp;\u2013<\/strong>&nbsp;Hives, swelling of your face, lips, or throat, or difficulty breathing.&nbsp;<\/li>\n<\/ul>\n\n<\/div>\n\n\n\n<p class=\"has-muted-color has-text-color\" style=\"font-size:0.875rem\"><em>Call your doctor immediately if you experience any concerning or prolonged symptoms.<\/em><\/p>\n\n\t<\/div>\n<\/section>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"pharmacist-tips\">Pharmacist Tips<\/h2>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"TextRun SCXW48901975 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW48901975 BCX0\">Follow Dosing Instructions<\/span><\/span><\/h3>\n\n\n\n<p><span class=\"TextRun SCXW180560990 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW180560990 BCX0\">Pay close attention to whether you should take your dose on an empty stomach (for gut worms) or with food (often for scabies).<\/span><\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"NormalTextRun SCXW261519082 BCX0\">Human Use Only<\/span><span class=\"NormalTextRun SCXW261519082 BCX0\">&nbsp;Doses<\/span><\/h3>\n\n\n\n<p><span class=\"TextRun SCXW261519082 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW261519082 BCX0\">Never use ivermectin products intended for animals. Veterinary formulas are highly concentrated and can lead to severe poisoning, overdose, or death in humans.<\/span><\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"NormalTextRun SCXW223637577 BCX0\">Don&#8217;t<\/span><span class=\"NormalTextRun SCXW223637577 BCX0\">&nbsp;Drive Until You Know<\/span><\/h3>\n\n\n\n<p><span class=\"NormalTextRun SCXW223637577 BCX0\">Ivermectin can make some people feel dizzy or drowsy.&nbsp;<\/span><span class=\"NormalTextRun SCXW223637577 BCX0\">Don&#8217;t<\/span><span class=\"NormalTextRun SCXW223637577 BCX0\">&nbsp;drive,&nbsp;<\/span><span class=\"NormalTextRun SCXW223637577 BCX0\">operate<\/span><span class=\"NormalTextRun SCXW223637577 BCX0\">&nbsp;machinery, or do anything requiring full alertness until you know how the medication affects you.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Dosing<\/h3>\n\n\n\n<p><span class=\"NormalTextRun SCXW73891861 BCX0\">If you are being treated for scabies, taking the second dose (1-2 weeks later)&nbsp;<\/span><span class=\"NormalTextRun SCXW73891861 BCX0\">should not be skipped.&nbsp;<\/span><span class=\"NormalTextRun SCXW73891861 BCX0\">It is essential to cure the infestation by killing the newly hatched mites.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"TextRun SCXW7551552 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW7551552 BCX0\">Talk About Pregnancy<\/span><\/span><\/h3>\n\n\n\n<p><span class=\"NormalTextRun SCXW104269094 BCX0\">Ivermectin is&nbsp;<\/span><span class=\"NormalTextRun SCXW104269094 BCX0\">generally not<\/span><span class=\"NormalTextRun SCXW104269094 BCX0\">&nbsp;recommended for pregnant or breastfeeding women. If you are or may become pregnant, discuss the risks and benefits thoroughly with your doctor.<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"drug-interactions\">Drug Interactions<\/h2>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<ul class=\"wp-block-list\">\n<li><b><span data-contrast=\"auto\">Warfarin (Coumadin,\u00a0Jantoven)\u00a0\u2013<\/span><\/b><span data-contrast=\"auto\">\u00a0When taking Ivermectin\u00a0with\u00a0warfarin,\u00a0bleeding risk can increase\u00a0and\u00a0requires\u00a0close monitoring.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:278}\">\u00a0<\/span><\/li>\n\n\n\n<li><b><span data-contrast=\"auto\">Sedatives\u00a0&#8211;\u00a0<\/span><\/b><span data-contrast=\"auto\">Ivermectin can increase the effects of other medications that cause drowsiness, such as benzodiazepines (Valium, Xanax), barbiturates, or sleep aids.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:278}\">\u00a0<\/span><\/li>\n<\/ul>\n\n\n\n<p><span data-contrast=\"auto\">Always give your doctor and pharmacist a complete list of all your medications, vitamins, and supplements to check for potential interactions.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:278}\">&nbsp;<\/span><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<section class=\"telyrx-faq-section\" data-toc-title=\"FAQs\">\n\t<h2 class=\"telyrx-faq-heading\">FAQs<\/h2>\n\t\t<div class=\"telyrx-faq-items\">\n\t\t\n\n<details class=\"telyrx-faq-item\">\n\t<summary class=\"telyrx-faq-question\">\n\t\t<span class=\"telyrx-faq-question-text\">What\u2019s the difference between ivermectin pills and ivermectin cream?<\/span>\n\t\t<svg class=\"telyrx-faq-chevron\" width=\"20\" height=\"20\" viewBox=\"0 0 20 20\" fill=\"none\" aria-hidden=\"true\">\n\t\t\t<path d=\"M5 7.5L10 12.5L15 7.5\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/>\n\t\t<\/svg>\n\t<\/summary>\n\t<div class=\"telyrx-faq-answer\">\n\t\t\n\n<p>Ivermectin pills (Stromectol) are an anti-parasitic taken internally to kill parasites inside your body (like worms) or under your skin (like scabies). Ivermectin cream (Soolantra) is a topical anti-inflammatory used to treat the skin condition rosacea. They are not interchangeable.<\/p>\n\n\t<\/div>\n<\/details>\n\n\n\n<details class=\"telyrx-faq-item\">\n\t<summary class=\"telyrx-faq-question\">\n\t\t<span class=\"telyrx-faq-question-text\">Why are there two doses for scabies?<\/span>\n\t\t<svg class=\"telyrx-faq-chevron\" width=\"20\" height=\"20\" viewBox=\"0 0 20 20\" fill=\"none\" aria-hidden=\"true\">\n\t\t\t<path d=\"M5 7.5L10 12.5L15 7.5\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/>\n\t\t<\/svg>\n\t<\/summary>\n\t<div class=\"telyrx-faq-answer\">\n\t\t\n\n<p>Ivermectin is effective at killing live scabies mites, but it does not kill their eggs. The first dose kills the live mites. The second dose, taken 1-2 weeks later, is timed to kill the new mites that have hatched from the eggs in the meantime. Skipping the second dose will likely cause the infestation to return.<\/p>\n\n\t<\/div>\n<\/details>\n\n\n\n<details class=\"telyrx-faq-item\">\n\t<summary class=\"telyrx-faq-question\">\n\t\t<span class=\"telyrx-faq-question-text\">Is ivermectin safe?<\/span>\n\t\t<svg class=\"telyrx-faq-chevron\" width=\"20\" height=\"20\" viewBox=\"0 0 20 20\" fill=\"none\" aria-hidden=\"true\">\n\t\t\t<path d=\"M5 7.5L10 12.5L15 7.5\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/>\n\t\t<\/svg>\n\t<\/summary>\n\t<div class=\"telyrx-faq-answer\">\n\t\t\n\n<p>When prescribed by a licensed provider for its intended use (parasitic infections) and taken at the correct human dose, ivermectin is generally considered safe and effective. The dangers you hear about are often linked to people taking unprescribed, high-dose veterinary formulations.<\/p>\n\n\t<\/div>\n<\/details>\n\n\n\n<details class=\"telyrx-faq-item\">\n\t<summary class=\"telyrx-faq-question\">\n\t\t<span class=\"telyrx-faq-question-text\">Can I drink alcohol while taking ivermectin?<\/span>\n\t\t<svg class=\"telyrx-faq-chevron\" width=\"20\" height=\"20\" viewBox=\"0 0 20 20\" fill=\"none\" aria-hidden=\"true\">\n\t\t\t<path d=\"M5 7.5L10 12.5L15 7.5\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/>\n\t\t<\/svg>\n\t<\/summary>\n\t<div class=\"telyrx-faq-answer\">\n\t\t\n\n<p>It is best to avoid alcohol. Alcohol can increase the side effects of ivermectin, especially dizziness, drowsiness, or loss of coordination.<\/p>\n\n\t<\/div>\n<\/details>\n\n\n\n<details class=\"telyrx-faq-item\">\n\t<summary class=\"telyrx-faq-question\">\n\t\t<span class=\"telyrx-faq-question-text\">How long does ivermectin take to work?<\/span>\n\t\t<svg class=\"telyrx-faq-chevron\" width=\"20\" height=\"20\" viewBox=\"0 0 20 20\" fill=\"none\" aria-hidden=\"true\">\n\t\t\t<path d=\"M5 7.5L10 12.5L15 7.5\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/>\n\t\t<\/svg>\n\t<\/summary>\n\t<div class=\"telyrx-faq-answer\">\n\t\t\n\n<p>It begins killing parasites within hours. With scabies, you may still feel itchy for 2-4 weeks after treatment, even if the mites are gone. This is a normal reaction as your body sheds the dead mites.<\/p>\n\n\t<\/div>\n<\/details>\n\n\n\n<details class=\"telyrx-faq-item\">\n\t<summary class=\"telyrx-faq-question\">\n\t\t<span class=\"telyrx-faq-question-text\">What happens if I miss a dose?<\/span>\n\t\t<svg class=\"telyrx-faq-chevron\" width=\"20\" height=\"20\" viewBox=\"0 0 20 20\" fill=\"none\" aria-hidden=\"true\">\n\t\t\t<path d=\"M5 7.5L10 12.5L15 7.5\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/>\n\t\t<\/svg>\n\t<\/summary>\n\t<div class=\"telyrx-faq-answer\">\n\t\t\n\n<p>If you are on a multi-dose regimen (like for scabies) and you miss your second dose, contact your doctor. They will likely have you take it as soon as you remember, or they may restart the 2-dose clock to ensure the infestation is fully treated. Do not \u201cdouble up\u201d on your own.<\/p>\n\n\t<\/div>\n<\/details>\n\n\n\n<details class=\"telyrx-faq-item\">\n\t<summary class=\"telyrx-faq-question\">\n\t\t<span class=\"telyrx-faq-question-text\">Do I need to treat my family for scabies, even if they aren\u2019t itchy?<\/span>\n\t\t<svg class=\"telyrx-faq-chevron\" width=\"20\" height=\"20\" viewBox=\"0 0 20 20\" fill=\"none\" aria-hidden=\"true\">\n\t\t\t<path d=\"M5 7.5L10 12.5L15 7.5\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/>\n\t\t<\/svg>\n\t<\/summary>\n\t<div class=\"telyrx-faq-answer\">\n\t\t\n\n<p>Scabies is extremely contagious. The CDC recommends that all household members and other close contacts (like sexual partners) be treated at the same time as the person who has been diagnosed. It can take 4-6 weeks for symptoms (itching) to appear, so people can spread scabies before they even know they have it. Treating everyone at once prevents a cycle of re-infestation.<\/p>\n\n\t<\/div>\n<\/details>\n\n\n\n<details class=\"telyrx-faq-item\">\n\t<summary class=\"telyrx-faq-question\">\n\t\t<span class=\"telyrx-faq-question-text\">What cleaning do I need to do for scabies?<\/span>\n\t\t<svg class=\"telyrx-faq-chevron\" width=\"20\" height=\"20\" viewBox=\"0 0 20 20\" fill=\"none\" aria-hidden=\"true\">\n\t\t\t<path d=\"M5 7.5L10 12.5L15 7.5\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/>\n\t\t<\/svg>\n\t<\/summary>\n\t<div class=\"telyrx-faq-answer\">\n\t\t\n\n<p>On the day you take your first dose, you should machine-wash all bedding, towels, and clothing you\u2019ve used in the last 3 days in hot water and dry them on high heat. Items that can\u2019t be washed should be sealed in a plastic bag for at least 72 hours, as the mites cannot survive that long off a human host.<\/p>\n\n\t<\/div>\n<\/details>\n\n\n\n<details class=\"telyrx-faq-item\">\n\t<summary class=\"telyrx-faq-question\">\n\t\t<span class=\"telyrx-faq-question-text\">Which is better for scabies: ivermectin pills or permethrin cream?<\/span>\n\t\t<svg class=\"telyrx-faq-chevron\" width=\"20\" height=\"20\" viewBox=\"0 0 20 20\" fill=\"none\" aria-hidden=\"true\">\n\t\t\t<path d=\"M5 7.5L10 12.5L15 7.5\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/>\n\t\t<\/svg>\n\t<\/summary>\n\t<div class=\"telyrx-faq-answer\">\n\t\t\n\n<p>Both are excellent first-line treatments. Permethrin cream, which is applied from the neck down and left on for 8-14 hours, is effective and often tried first. Oral ivermectin is also effective and is usually preferred for widespread outbreaks, for severe (crusted) scabies, or for people who may have difficulty applying the cream thoroughly.<\/p>\n\n\t<\/div>\n<\/details>\n\n\t<\/div>\n<\/section>\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"What\u2019s the difference between ivermectin pills and ivermectin cream?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Ivermectin pills (Stromectol) are an anti-parasitic taken internally to kill parasites inside your body (like worms) or under your skin (like scabies). Ivermectin cream (Soolantra) is a topical anti-inflammatory used to treat the skin condition rosacea. 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