Your doctor will provide instructions on how to properly use Permarid Cream and the recommended dosage It is important to review the instructions that come with the medication to ensure proper usage Before applying the cream make sure your skin is clean dry and cool It is advised to 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 normal for itching to persist for a few weeks after treating scabies as this may be an allergic reaction to dead mites rather than a sign of treatment failure The most commonly experienced side effects include a mild burning stinging or tingling sensation at the application site These side effects are typically mild and not everyone will experience them Before using the cream inform your doctor if you have any skin conditions or allergies to medications food or other substances If you have asthma or if you are pregnant or breastfeeding it is advisable to seek your doctors advice although this medication is generally considered safe