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An overdose of ivermectin may cause skin rashswellingheadachedizzinessweaknessnauseavomitingdiarrheastomach painseizureconvulsionsshortness of breathand numbness or tingling.
Avoid drinking alcoholwhich can increase some of the side effects of ivermectin.
For crusted scabiesivermectin plus topical treatmentincluding PBS listed permethrinis proposed as first line treatment of crusted scabies.
The CDC recommends ivermectin oral dosing along with the use of a topical scabicideIvermectin200 mcg/kg PO with foodis given as five dosesapproximately days 1289and 15with consideration of two additional dosesapproximately days 22 and 29for severe infestationsA full body applicationall body parts from neck downof permethrin 5cream topically daily for 7 days and then 2 times weekly until release from care or cure is preferred for topical applicationA topical keratolytic cream may also be used to help reduce the crusting of the skinRe-treatment 2 weeks after the initial treatment regimen can be considered for those persons who are still symptomatic or when live mites are observedUse of an alternative regimen is recommended for those persons who do not respond initially to the recommended treatmentOptimal regimens are not yet determinedTopical benzyl benzoate 5may be used as an alternative agent to permethrin but is likely to cause skin irritation.
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stromectol is prescribed for treatment certain parasitic roundworm infections.