Your doctor will provide instructions on how to properly use Permanid 5 Cream and specify the appropriate amount to use It is important to read the accompanying instructions to ensure correct usage Prior to application make sure that your skin is clean dry and cool Thoroughly wash your entire body 814 hours after using this medication In most cases a single application is sufficient to treat the condition However if a second application is required wait at least 7 days before applying again It is possible to experience itching 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 common side effects may include mild burning stinging or tingling at the site of application Generally these side effects are mild and not everyone experiences them Prior to using this medication inform your doctor if you have any skin conditions allergies to medications food or other substances or if you have asthma While this medication is generally considered safe it is advisable to consult your doctor for advice if you are pregnant or breastfeeding