Medical care of breastfeeding women, initial treatment, Centre of Evidence of Dermatology

Guidelines classic scabies: in children < 15kg, pregnant or breastfeeding women Updated on january 2024

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Breast-feeding woman with classic Scabies

Back to decision-making tree Print last updated on 10/06/2024

Initial treatment

Therapeutic proposal

or	Permethrin 5% cream	---
	10% Benzyl Benzoate	Repeat a second time between the 8^th and 14^th day
	Ivermectin oral 200µg/kg off-label use

Ivermectin's case

The treatment of breastfeeding women in contact with a case of scabies (primary circle) is recommended according to recommendations above, favoring Ivermectin.

Ivermectin is preferred in cases of poor skin condition, particularly mammary involvement.

Other considerations

For the use of Ivermectin, an infectious disease advice is required if stay in tropical zone exposes to risk of loasis.
Simple clinical monitoring is a possible alternative in the 1^st or 2^nd trimester of pregnancy.

Strategy for Breast-feeding Contact cases women

The treatment for breastfeeding women in contact with a case of scabies (primary circle) is recommended according to the previous guidelines, with a preference for Ivermectin.

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