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Comparing Topical Scabietic Treatments Will Soon Become Extinct

Kristiina M. Burkhart; Craig N. Burkhart; Craig G. Burkhart, MS
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Department of Medicine Medical College of Ohio 5600 Monroe St, Suite 106B Sylvania, OH 43560


Arch Dermatol. 1997;133(10):1314-1314. doi:10.1001/archderm.1997.03890460140025
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We noted the interchange between Franz et al1 and Downs2 in recent issues of the Archives concerning the available topical scabietic agents that are currently used. However, with the Food and Drug Administration's approval of ivermectin (Stromectol, Merck & Co Inc, West Point, Pa) in November 1996, a new era of scabietic therapeutics began. Ivermectin is an anthelmintic used extensively in veterinary medicine for a wide range of nematode, insect, and acarine parasites, including Sarcoptes scabiei in animals.3 We use this drug routinely every 2 months for all the Arabian horses on our farm to control any potential parasitic infection. In fact, ivermectin is sold over-the-counter at farm supply stores, tack shops, grain elevators, and via stock catalogs for animal use. The drug has also been used in more than 6 million people for diseases, including onchocerciasis, strongyloidiasis, loiasis, bancroftian filariasis, and cutaneous larva migrans.

There already

REFERENCES

Franz TJ, Lehman PA, Franz SF, Guin JD.  Comparative percutaneous absorption of lindane and permethrin . Arch Dermatol. 1996;;132:901-905.
Downs A.  Comparing antiscabies treatments . Arch Dermatol. 1997;;133:526.
Aubin F, Humbert P.  Ivermectin for crusted (Norwegian) scabies . N Engl J Med. 1995;;332:612.
Meinking TL, Taplin D, Hermida JL, et al.  The treatment of scabies with ivermectin . N Engl J Med. 1995;;333:26-30.
Dunne CL, Malone CJ, Whitworth JA.  A field study of the effects of ivermectin on ectoparasites of man . Trans R Soc Trop Med Hyg. 1991;;85:550-551.
Marty P, Gari-Toussaint M, Le Fichoux Y, Gaxotte P.  Efficacy of ivermectin in the treatment of an epidemic of sarcoptic scabies . Ann Trop Med Parasitol. 1994;;88:453.
Burkhart KM, Burkhart CN, Burkhart CG.  An epidemiologic and therapeutic reassessment of scabies: special focus on fomite transmission and the newly available ivermectin treatment . Infect Med. In press.
Barkwell R, Shields S.  Deaths associated with ivermectin treatment of scabies . Lancet. 1997;;349:1144-1145.

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Franz TJ, Lehman PA, Franz SF, Guin JD.  Comparative percutaneous absorption of lindane and permethrin . Arch Dermatol. 1996;;132:901-905.
Downs A.  Comparing antiscabies treatments . Arch Dermatol. 1997;;133:526.
Aubin F, Humbert P.  Ivermectin for crusted (Norwegian) scabies . N Engl J Med. 1995;;332:612.
Meinking TL, Taplin D, Hermida JL, et al.  The treatment of scabies with ivermectin . N Engl J Med. 1995;;333:26-30.
Dunne CL, Malone CJ, Whitworth JA.  A field study of the effects of ivermectin on ectoparasites of man . Trans R Soc Trop Med Hyg. 1991;;85:550-551.
Marty P, Gari-Toussaint M, Le Fichoux Y, Gaxotte P.  Efficacy of ivermectin in the treatment of an epidemic of sarcoptic scabies . Ann Trop Med Parasitol. 1994;;88:453.
Burkhart KM, Burkhart CN, Burkhart CG.  An epidemiologic and therapeutic reassessment of scabies: special focus on fomite transmission and the newly available ivermectin treatment . Infect Med. In press.
Barkwell R, Shields S.  Deaths associated with ivermectin treatment of scabies . Lancet. 1997;;349:1144-1145.

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