Your physician will provide instructions on how to use Psure Cream and the appropriate dosage It is important to carefully read the instructions that accompany the medication to ensure proper usage Before applying the cream ensure that your skin is clean dry and cool Thoroughly wash your entire body 814 hours after applying the cream In most cases a single application is sufficient to treat the condition However if a second application is required wait for at least 7 days before reapplying Itching may persist for a few weeks after treating scabies but this is usually due to an allergic reaction to dead mites and not an indication of treatment failure The most common side effects of Psure Cream include a mild burning stinging or tingling sensation at the application site These side effects are typically mild and not everyone experiences them Prior to using the cream inform your doctor about any skin conditions or allergies to medications food or other substances If you have asthma it is important to inform your doctor as well While this medication is generally considered safe it is advisable to seek your doctors advice if you are pregnant or breastfeeding