Your physician will provide instructions on how to properly use Alpermy Lotion and the appropriate dosage It is important to carefully read the instructions included with the medication to ensure correct usage Before applying the lotion ensure that your skin is clean dry and cool Thoroughly wash your entire body 8 to 14 hours after using the medication In most cases a single application is sufficient to treat the condition However if a second application is necessary wait at least 7 days before applying it again Itching may persist for a few weeks after treating scabies which is typically an allergic reaction to dead mites and not an indication of treatment failure The most commonly experienced side effects include mild burning stinging or tingling at the site where the medication is applied These side effects are usually mild and not everyone experiences them Prior to using Alpermy Lotion inform your doctor if you have any skin conditions or allergies to medications food or other substances or if you have asthma Although this medication is generally considered safe it is advisable to seek your doctors advice if you are pregnant or breastfeeding