Permethrin Dosage

[hozer2k]

What is a good starting point for Permethrin 5% treatment?

The instructions say to treat only one time, but that is for scabies and crab lice. I have seen some that say once per week, but others that use it daily for months.

It also says it is a corticosteroid, so would that present a problem if regular long term use was done?

[Wistar]

What is a good starting point for Permethrin 5% treatment?

The instructions say to treat only one time, but that is for scabies and crab lice. I have seen some that say once per week, but others that use it daily for months.

It also says it is a corticosteroid, so would that present a problem if regular long term use was done?

Permethrin is not a corticosteroid, it is a pyrethroid.

I recommend daily as that works for me. I don't think I would have any success on a weekly dose.

[hozer2k]

Thanks, I totally read the information packet wrongly. It says to use caution if you are using a corticosteroid...oops.

I have read from several sources that a once weekly dose should be sufficient, but I really have no idea. I am very concerned that daily does would be overdoing it. Are there any good studies that give a good suggestion about dosage?

[hozer2k]

http://rosacea-support.org/demodex-m...tive-treatment

This link suggests 1 weekly application, but that is after the infestation has been cleared. It seems like a good starting point, or maybe just once every third day for the first 30 days.

[hozer2k]

http://content.karger.com/ProdukteDB....asp?Doi=65849

This study appears to have used twice daily for 60 days.

[Wistar]

The way I see it, the quicker the mites are killed, the quicker the die-off stage is over. If weekly works, then daily should work faster. If you also have type-1 rosacea, then a cautious approach may be better.

I prefer the Dr. Bikowski recommendations:

Cases of Demodex dermatitis can be treated with permethrin (Elimite) or crotamiton (Eurax) twice daily, morning and night, for 2 to 4 weeks. source

[Wistar]

There is quite a good summary of demodex dermatitis symptoms here by Dr. Bikowski.

If you look at the treatment duration for the patients mentioned. Most are using the treatment twice a day for the first 4-8 weeks. Then reduced to once a day.

The treatment used was crotamiton (Eurax) this time. Dr. Bikowski is paid to promote Eurax, I remember reading the disclosure in one of his other articles.