Your doctor will provide instructions on how to properly use Permed 5 Gel and the appropriate dosage It is important to carefully read and follow the instructions provided with the medication to ensure proper usage Prior to application make sure your skin is clean dry and cool Thoroughly wash your entire body 814 hours after using the medication In most cases a single application of the gel is sufficient to treat the condition However if a second application is necessary wait at least 7 days before reapplying It is not uncommon 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 common side effects of using Permed 5 Gel include mild burning stinging or tingling at the site of application These side effects are typically mild and not experienced by everyone Before using the gel inform your doctor of any skin conditions allergies to medications food or other substances or if you have asthma While Permed 5 Gel is generally considered safe it is always advisable to consult your doctor for advice if you are pregnant or breastfeeding