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Medically reviewed by Kovalenko Svetlana Olegovna, PharmD. Last updated on 26.06.2023

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A pyrethroid insecticide commonly used in the treatment of lice infestations and scabies. It is a yellow to light orange-brown, low melt-ing solid or viscous liquid.
Scabal P™ (Scabal P) 5% Cream is indicated for the treatment of infestation with Sarcoptesscabiei (scabies).
Scabal P is an anti-parasite medication.
Scabal P (for the skin) is used to treat head lice and scabies.
Scabal P may also be used for other purposes not listed in this medication guide.
Usual Adult Dose for Scabies:
Scabal P 5% cream:
Thoroughly massage into the skin from the neck to the soles of the feet. The cream should be removed by washing (shower or bath) after 8 to 14 hours.
Usual Adult Dose for Lice:
Scabal P 1% kit:
Apply lotion/creme rinse to shampooed and towel-dried hair until hair and scalp are saturated (especially behind the ears and on the nape of the neck). Leave on hair for 10 minutes and rinse with water. Use comb and/or gloves provided to remove remaining nits.
Scabal P 1% solution:
Apply to shampooed and towel-dried hair until hair and scalp are saturated (especially behind the ears and on the nape of the neck). Leave on hair for 10 minutes and rinse with water.
Usual Pediatric Dose for Scabies:
Scabal P 5% cream
Infants: Thoroughly massage along the hairline, neck, temple, and forehead. The cream should be removed by washing after 8 to 14 hours.
Usual Pediatric Dose for Lice:
Scabal P 1% kit:
2 months or older: Apply lotion/creme rinse to shampooed and towel-dried hair until hair and scalp are saturated (especially behind the ears and on the nape of the neck). Leave on hair for 10 minutes and rinse with water. Use comb and/or gloves provided to remove remaining nits.
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What is the most important information I should know about Scabal P?
Use this medication exactly as directed on the label, or as prescribed by your doctor. Do not use it in larger amounts or for longer than recommended.
Do not take this medication by mouth. It is for use only on the skin, hair, fabrics, or other surfaces. Do not apply Scabal P to open cuts or wounds.
Do not use this medication if you are allergic to Scabal P or to chrysanthemums.
For the most complete treatment of lice or scabies and to prevent reinfection, you must treat your environment (clothing, bedding, pillows, furniture, hats, hair brushes and accessories, etc) at the same time you treat your body.
Avoid sexual or intimate contact with others until your lice or scabies infection has cleared up. Avoid sharing hair brushes, combs, hair accessories, hats, clothing, bed linens, and other articles of personal use. Lice and scabies infections are highly contagious.
Do not take this medication by mouth. It is for use only on the skin, hair, fabrics, or other surfaces.
Use this medication exactly as directed on the label, or as prescribed by your doctor. Do not use it in larger amounts or for longer than recommended.
You may need to shake the medication before each use. Follow the directions on the medicine label.
Do not apply Scabal P to open cuts or wounds.
To treat scabies:
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Make sure your skin is clean and dry. Apply a thin layer of Scabal P to all body parts from the neck down to the soles of the feet. Rub in completely. Leave the medication on for 8 to 14 hours, then wash it off completely.
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When using Scabal P on an infant, also apply the medication to the scalp, temples, and forehead. Avoid applying close to the eyes, nose, mouth, or genitals.
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If your condition does not clear up within 14 days after applying Scabal P, use another application.
To treat head lice:
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When using the shampoo, apply it to dry hair only. Cover all hair completely and leave the shampoo in for 10 minutes. Then work into a lather using warm water and rinse out thoroughly.
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When using the cream rinse, wash your hair using shampoo only (no conditioner or 2-in-1 shampoo). Rinse thoroughly and towel dry the hair, leaving it damp. Apply enough of the cream rinse to completely saturate all hair. Leave the cream rinse in your hair for 10 minutes.
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Use a towel or washcloth to protect your eyes while the medication is left in your hair.
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Use a second application if lice are still seen 7 days after your first treatment.
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You may also use a nit comb to remove lice eggs from the hair. Your hair should be slightly damp while using a nit comb. Work on only one section of hair at a time, combing through 1- to 2-inch strands from the scalp to the ends.
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Rinse the nit comb often during use. Place removed nits into a sealed plastic bag and throw it into the trash to prevent re-infestation.
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Check the scalp again daily to make sure all nits have been removed.
To treat pubic lice (crabs):
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Wash and dry the treatment area. Apply Scabal P to all pubic hair and any surrounding hairs on the thighs and around the anus.
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Avoid getting this medication inside the rectum or vagina.
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Leave the medication in for 10 minutes. Then work into a lather using warm water and rinse out thoroughly.
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You may also use a nit comb to remove lice eggs from pubic hair (hair should be slightly damp).
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All sexual partners should also be treated to prevent re-infestation of crabs.
To prevent reinfection, wash all clothing, hats, bed clothes, bed linens, and towels in hot water and dry in high heat. Dry-clean any non-washable clothing. Hair brushes, combs, and hair accessories should be soaked in hot water for at least 10 minutes.
Use Scabal P surface spray to disinfect non-washable items such as:
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furniture;
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mattresses and pillows;
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stuffed toys;
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hats, gloves, and scarves;
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headphones or headbands;
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the inside of a bike helmet; or
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seats and carpets inside your car.
Stuffed toys or pillows that cannot be washed should be sealed in air-tight plastic bags for 4 weeks.
Vacuum all rugs and carpets and throw away the vacuum cleaner bag.
For the most complete treatment of lice or scabies, you must treat your environment (clothing, bedding, etc) at the same time you treat your body.
Store Scabal P at room temperature away from moisture and heat.
There are specific as well as general uses of a drug or medicine. A medicine can be used to prevent a disease, treat a disease over a period or cure a disease. It can also be used to treat the particular symptom of the disease. The drug use depends on the form the patient takes it. It may be more useful in injection form or sometimes in tablet form. The drug can be used for a single troubling symptom or a life-threatening condition. While some medications can be stopped after few days, some drugs need to be continued for prolonged period to get the benefit from it.Scabal P is used to treat scabies (itchy and highly contagious skin infestation by itch mite sarcoptes scabiei), infestation by head lice (head paediculosis) and pubic/ groin infestation (paediculosis pubis).
See also:
What other drugs will affect Scabal P?
There are no known significant interactions.
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What are the possible side effects of Scabal P?
Applies to Scabal P: topical cream, topical liquid, topical lotion, topical spray
In addition to its needed effects, some unwanted effects may be caused by Scabal P (the active ingredient contained in Scabal P). In the event that any of these side effects do occur, they may require medical attention.
Minor Side Effects
Some of the side effects that can occur with Scabal P may not need medical attention. As your body adjusts to the medicine during treatment these side effects may go away. Your health care professional may also be able to tell you about ways to reduce or prevent some of these side effects. If any of the following side effects continue, are bothersome or if you have any questions about them, check with your health care professional:
Less common or rare:
- Burning, itching, numbness, rash, redness, stinging, swelling, or tingling of the scalp