Stromectol Alternatives: What Works for Scabies and Lice

If you’ve heard of Stromectol (ivermectin) but can’t get it, you’re not alone. Many people need a backup plan when the prescription is hard to find or they prefer an over‑the‑counter route. Below are real options that actually work, plus practical advice on how to use them safely.

Top Over‑the‑Counter Choices

The first place most folks look is at the drugstore aisle. Two products stand out:

• Permethrin 5% cream – This is the go‑to for scabies and also knocks out head lice. Apply it to clean, dry skin, leave it on for eight hours (usually overnight), then wash off. A second dose after one week helps kill any hatched eggs.
• Benzyl benzoate lotion – Popular in many countries for scabies. Dilute the 25% solution with a carrier oil if you have sensitive skin, spread it over the whole body, and leave it on for at least 24 hours before washing.

Both are available without a prescription, cheap, and backed by decades of use. Just follow the package directions closely – more isn’t better when it comes to skin irritants.

Prescription‑Free Alternatives That Need a Doctor’s Note

If over‑the‑counter doesn’t cut it, there are prescription‑level meds you can still get without a full doctor visit. Many telehealth services will issue a short script for:

• Crotamiton 10% cream – Works well for mild scabies and is gentle on the skin.
• Sulfur ointment (5–10%) – Old school, but effective especially for kids who can’t tolerate stronger chemicals.

The advantage? You get a stronger treatment without waiting for a specialty pharmacy that stocks ivermectin. Just make sure the telehealth provider is reputable and asks about any allergies or other meds you’re using.

When choosing an alternative, consider three things: how severe your infection is, whether you have skin sensitivities, and if you can follow the dosing schedule. For a light scabies case, permethrin alone often clears it in two weeks. For stubborn lice that keep coming back, a second round of permethrin or a switch to malathion spray can break the cycle.

Remember to treat your environment too. Wash bedding, clothing, and towels in hot water, then dry on high heat. Vacuum carpets and sofas, and seal any stuffed animals in plastic bags for 72 hours. These steps prevent re‑infestation and make the medication work faster.

If you’re pregnant, nursing, or have a chronic skin condition like eczema, check with your pharmacist before starting any cream or lotion. Some ingredients can worsen irritation, but alternatives like sulfur ointment are usually safe under medical guidance.

Bottom line: while Stromectol (ivermectin) is effective, you have plenty of backup options that you can buy locally or get through a quick online consult. Pick the one that matches your comfort level and follow the instructions exactly – then you’ll be on the road to itch‑free skin in no time.