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Ivermectin is an effective treatment for scabies, with a recommended dosage of **200 micrograms per kilogram (µg/kg)** of body weight administered as a single oral dose. This dosage is designed to target the Sarcoptes scabiei mites responsible for the condition. For example, a person weighing 70 kg would typically take a dose of 14 mg, which can be achieved with the appropriate number of ivermectin tablets. In cases of crusted scabies, which is a more severe form of the infestation, a second dose may be necessary within **8 to 15 days** of the initial treatment, often in conjunction with topical therapies to enhance efficacy and ensure complete eradication of the mites.
It is important to take ivermectin on an empty stomach, ideally with water, and to avoid food for at least two hours before and after the dose, as food can affect the absorption of the medication. While a single dose is often sufficient for typical scabies, the persistence of symptoms or new lesions may warrant a follow-up dose, but this should not be administered before four weeks post-treatment unless clinically indicated. Patients should also be advised to wash clothing and bedding in hot water to prevent reinfestation and to consult healthcare providers for any persistent symptoms or concerns following treatment.

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