Your doctor will provide instructions on how to effectively use Perene 5 Cream and the appropriate amount to apply To ensure proper usage carefully read the instructions that accompany the medication Before application ensure that your skin is clean dry and cool Thoroughly wash your entire body 814 hours after using the cream In most cases one application is sufficient to treat the condition but if a second application is required wait at least 7 days It is possible for itching to persist for a few weeks after treating scabies This is likely due to an allergic reaction to dead mites and does not indicate treatment failure The most commonly experienced side effects include mild burning stinging or tingling at the site of application These side effects are typically mild and not everyone will experience them Before using Perene 5 Cream inform your doctor of any existing skin conditions or allergies to medications food or other substances Additionally if you are pregnant or breastfeeding it is advisable to consult with your doctor for guidance as although generally considered safe further advice should be sought