Drug of choice in scabies in pregnant woman is -: (A) Permethrin, (B) Gamma Benzene Hexachloride, (C) Ivermectin, (D) Benzyl benzoate
Answer is A. Topical Permethrin 5% lotion is DOC in scabies in pregnant woman. MOA of Permethrin: Acts on Na channels. Crotamiton 10% and Precipitated sulphur can also be used Gamma Benzene Hexachloride: C/I in pregnancy. Ivermectin: Systemic agent used only in most severe scabies. Benzyl benzoate: disadvantage is multiple application is required.