Permethrin 5% Cream

Generic For: Elimite

Permethrin 5% cream (brand name Elimite) is a prescription topical scabicide used to treat scabies, an infestation of the skin caused by the mite Sarcoptes scabiei. After a licensed provider reviews your information and issues a prescription, your medication ships discreetly from a licensed U.S. pharmacy.

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7-day supply · $0.58/gram

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Buy Permethrin 5% Cream (Elimite) Online

A topical scabicide cream used to treat scabies infestations

Permethrin 5% Cream Quick Facts

Drug classTopical scabicide (pyrethroid)
TreatsScabies infestation
FormCream
Typical dosingApply cream from head to toe for 8-14 hours then rinse off re-apply in 1 week if needed.
Prescription requiredYes — prescription only

What Is Permethrin 5% Cream?

Permethrin 5% cream, sold under the brand name Elimite, is a prescription topical medication used to treat scabies. It belongs to a class of medications called pyrethroids, which work by paralyzing and killing the mites and their eggs. Permethrin is applied to the skin from the neck down (including the head and scalp in some patients), left on for a set period, and then washed off. It is FDA-approved for adults and children 2 months of age and older.

What Does Permethrin 5% Cream Treat?

Scabies infestation (Sarcoptes scabiei)
Scabies in adults
Scabies in children 2 months of age and older
Treatment of household members and close contacts, when directed by a provider
Retreatment of scabies if live mites are present 14 days after initial treatment

Permethrin 5% Cream Dosage

Massage cream thoroughly into the skin from the head (neck down in most adults) to the soles of the feet.
Leave on for 8–14 hours, then remove by washing (shower or bath).
One application is usually curative; may repeat once in 14 days if living mites are present.

Your prescriber will determine the dose and duration that are right for you. Always follow the directions on your prescription label.

Permethrin 5% Cream Side Effects

Common side effects

  • Mild burning or stinging at application
  • Itching (pruritus)
  • Tingling or numbness
  • Redness (erythema)
  • Mild skin rash
  • Temporary worsening of itching after application

Serious side effects

Stop taking this medication and seek medical attention right away if you experience:

  • Severe skin irritation, blistering, or swelling
  • Signs of allergic reaction (hives, swelling of face or throat, trouble breathing)
  • Severe or persistent burning at application sites
  • Signs of skin infection (increasing pain, warmth, pus)

Warnings & Interactions

For external use only; do not swallow or apply to eyes or mucous membranes
Do not use if allergic to permethrin, pyrethroids, pyrethrins, or chrysanthemums
Itching may persist for up to 4 weeks after successful treatment; this does not always mean treatment failed
Not established for infants under 2 months of age
Scabies is contagious; close contacts may need evaluation and treatment
Tell your provider if you are pregnant or breastfeeding before use
Avoid contact with open wounds or severely inflamed skin unless directed by your provider

Tell your prescriber about all medications, supplements, and health conditions before starting permethrin 5% cream.

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Frequently Asked Questions

What is permethrin used for?

Permethrin 5% cream is a prescription topical medication used to treat scabies, a skin infestation caused by the mite Sarcoptes scabiei. It works by paralyzing and killing the mites and their eggs.

Do I need a prescription for permethrin 5% cream?

Yes. Permethrin 5% cream (Elimite) requires a prescription in the U.S. A licensed provider will review your health information to determine whether it is appropriate for you before it can be dispensed.

How do I use permethrin cream for scabies?

Massage the cream thoroughly into the skin from the head or neck down to the soles of the feet, leave it on for 8–14 hours, and then wash it off. One application is usually sufficient, though your provider may recommend a second application after 14 days if live mites are still present.

How long does itching last after using permethrin?

Itching can persist for up to 4 weeks after successful treatment as the skin heals; this does not always mean the treatment failed. Contact your provider if itching worsens, new burrows appear, or symptoms have not improved.

Is permethrin 5% cream the same as over-the-counter lice treatments?

No. Over-the-counter permethrin products contain a lower 1% concentration and are labeled for head lice. The 5% strength used for scabies is prescription-only in the U.S.

How does ordering and shipping work?

After you place your order, a licensed provider reviews your information and, if appropriate, issues a prescription. Your medication is then filled and shipped discreetly from a licensed U.S. pharmacy.

Can my family members use my permethrin cream?

Scabies is contagious, and household members and close contacts often need treatment at the same time. However, each person should be evaluated by a provider and receive their own prescription rather than sharing medication.