Варіанти лікування корости
Therapy | Instructions | Comments |
|---|---|---|
Permethrin* 5% (60 g) cream | Apply to whole body; wash off after 8–14 hours Repeat in 1 week | 1st-line treatment Can cause stinging and itching |
Ivermectin tablets | 200 mcg/kg orally for 1 dose Repeat in 7–10 days | Indicated as a 2nd-line treatment to permethrin For use in institutional epidemics and immunocompromised patients Caution required when given to older patients with hepatic, renal, or cardiac disorders Not recommended for pregnant or lactating women; unproven safety in children < 15 kg or < 5 years May cause tachycardia |
Crotamiton 10% cream/lotion | Apply after bath to whole body, apply 2nd dose after 24 hours, and bathe 48 hours after 2nd dose Repeat both doses in 7–10 days | — |
Spinosad 0.9% topical suspension | Apply to skin from the neck to the toes including the soles and feet; in bald patients, apply to forehead, hairline, scalp, and temples Wait 10 minutes before getting dressed; leave on skin for 6 hours before showering or bathing Repeat in 1 week | For use in patients ≥ 4 years of age May cause eyelid redness and swelling and dry skin; avoid contact with eyes Contains benzyl alcohol and derivatives; avoid in neonates and those younger than 6 months of age because of potential toxicity and in patients with sensitivity to benzyl alcohol |
Sulfur ointment 6–10% | Apply to whole body at bedtime for 3 nights and leave each application on for 24 hours | Very effective and safe May be limited by its unpleasant odor |
* Pyrethrins are natural components of chrysanthemum flowers, with strong insecticidal activity; pyrethroids are synthetic and natural relatives of pyrethrin; and permethrin is a commonly used synthetic pyrethroid. Pyrethrins are combined with a piperic acid derivative (piperonyl butoxide) to enhance efficacy. | ||