Get a Permethrin
Prescription Online

Get a new permethrin prescription or refill your medication online.

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Available in 50 states. No insurance needed.

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How much does a visit to get a permethrin prescription cost?

Physician Visit
One-time visit with a physician for diagnosis, treatment, Rx, labs, referrals, and doctor’s notes.
Copay or $129 without insurance.
24/7 virtual visits
See the first available physician, or schedule a visit with a physician you like.
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Chat with our customer support whenever necessary. They are here for you 24/7.
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Get a doctor’s excuse and/or clearance for your school or work if needed.
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You can request a refund after your visit if we are unable to provide care.
Having a visit does not guarantee a medication will be ordered or refilled. It is clinicians’ professional decision. It is prohibited by law to prescribe or refill controlled substances via virtual visits. Your provider may recommend follow-up care, including additional services that may not be included in visit price.

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Permethrin is a topical anti-parasite medication used for treating parasitic infections such as scabies and lice. It belongs to the pyrethroid class, a group of synthetic chemicals modeled after the natural pyrethrins found in chrysanthemum flowers.

It works by disrupting the nervous systems of the parasites. This disruption is achieved by altering the normal function of sodium channels in the neurons of the parasites, which leads to paralysis and eventual death of the parasites. This mechanism of action is highly selective, predominantly affecting the nervous systems of insects and parasites, thereby offering a high margin of safety when used in humans.

It is mostly used for treating infestation by scabies mites and head lice, which are common parasitic infections affecting millions of people worldwide. Scabies is a highly contagious skin disease caused by the Sarcoptes scabiei mite, while head lice are tiny insects that live on the scalp and feed on blood.

Permethrin is available in various forms of topical treatment (meaning that it is applied directly to the skin) such as creams, lotions, sprays, and shampoos. These different formulations are designed to target specific areas of the body affected by parasites.

It is available as both a prescription and over-the-counter medication, with different concentrations and strength levels.

The concentration of permethrin can vary from 1% to 5%, depending on the type and severity of the infestation being treated. The recommended dosage and duration of treatment also vary based on the type of infection, age, weight, and overall health of the individual.

Common side effects associated with permethrin may include:

  • Mild skin irritation or itching
  • Burning or stinging sensation at the application site
  • Numbness or tingling
  • Redness or swelling of the skin
  • Mild stomach upset or diarrhea
  • Headache

More serious side effects which should be reported to your healthcare provider immediately may include:

  • Serious skin reactions such as rash, blisters, or hives
  • A continuous irritation or worsening of symptoms
  • Difficulty breathing
  • Swelling of the face, lips, tongue, or throat
  • Seizures or convulsions
  • Nausea and vomiting
  • Infected or pus-filled areas of the skin or scalp area

The above lists of possible side effects associated with permethrin are not exhaustive and other side effects may occur. If you experience any severe or persistent side effects while taking permethrin, it is important to contact your healthcare provider right away.

Frequently Asked Questions About Permethrin 

What Is Permethrin Used to Treat?

Permethrin is primarily used to treat parasitic infections such as scabies, and head lice. It works by paralyzing and killing these parasites, making it an effective treatment option.

For scabies, permethrin is used to eliminate the mites on the skin and relieve symptoms such as itching and redness. 5% permethrin cream is the most commonly prescribed treatment for scabies, and it is typically applied all over the body from neck to toes.

For head lice, it kills both adult lice and their eggs (nits), preventing them from spreading to others. Permethrin is most commonly used as a lotion or shampoo for lice treatment.

What Are the Most Common Side Effects of Permethrin?

The most common side effects associated with permethrin are mild and temporary, such as skin irritation, itching, or burning at the application site. These typically go away within a few days and do not require medical attention.

However, if they persist or worsen, it is important to seek medical help. Additionally, more serious side effects may occur in rare cases and should be reported to your doctor immediately for proper evaluation and treatment. These include severe allergic reactions, breathing difficulties, and may even include neurological symptoms.

How to Take Permethrin?

You should always follow the instructions provided by your doctor or pharmacist when taking permethrin. For most topical treatments, it is recommended to wash and dry the affected area before applying the medication.

For scabies treatment, 5% permethrin cream should be applied at bedtime and washed off after 8-14 hours. A second application may be needed one or two weeks later if symptoms persist.

For head lice treatment, the lotion or shampoo should be applied to dry hair and scalp and left on for 10 minutes before rinsing off. This process may need to be repeated after 7-9 days if live lice are still present.

Can Permethrin Be Used During Pregnancy or While Breastfeeding?

When applied topically, the systemic absorption of permethrin is generally low, with available studies indicating that less than 2% is absorbed into the bloodstream. This low level of systemic exposure suggests that the risk of adverse effects on a developing fetus is minimal.

The Centers for Disease Control and Prevention (CDC) acknowledges permethrin as a suitable treatment for pubic lice during pregnancy. Additionally, permethrin is considered the preferred treatment for scabies in pregnant women due to its efficacy and safety profile.

However, as with any medication used during pregnancy, it is important for expecting mothers to consult with their healthcare provider to weigh the benefits and potential risks before starting treatment with permethrin.

Permethrin can be present in breast milk and drug manufacturers usually recommend not using it during breastfeeding due to the potential risk of exposure to the infant.

Nevertheless, the CDC considers permethrin one of the drugs of choice for treating pubic lice and scabies in breastfeeding women.

Breastfeeding mothers who are prescribed permethrin for scabies or pubic lice should discuss any concerns and follow specific guidelines provided by their healthcare provider to minimize the risk to the nursing infant.

Do You Need a Prescription for Permethrin?

Permethrin is available both over-the-counter and with a prescription. Lower concentrations of permethrin (1%) can be found in products for treating head lice that are sold without a prescription, while higher concentrations (5%) require a prescription.

For scabies treatment, 5% permethrin cream is the most commonly prescribed option. It is important to follow the recommended dosage and duration of treatment as prescribed by your healthcare provider for optimal results.

Can You Get an Online Prescription for Permethrin From DrHouse?

Yes, you can obtain an online prescription for permethrin from healthcare providers at DrHouse if it is deemed appropriate by the doctor.


For more detailed information about permethrin, you can refer to the following sources:

Content on the DrHouse website is written by our medical content team and reviewed by qualified MDs, PhDs, NPs, and PharmDs. We follow strict content creation guidelines to ensure accurate medical information. However, this content is for informational purposes only and not a substitute for professional medical advice, diagnosis, or treatment. For more information read our medical disclaimer.

Always consult with your physician or other qualified health providers about medical concerns. Never disregard professional medical advice or delay seeking it based on what you read on this website.

If you are experiencing high fever (>103F/39.4C), shortness of breath, difficulty breathing, chest pain, heart palpitations, abnormal bruising, abnormal bleeding, extreme fatigue, dizziness, new weakness or paralysis, difficulty with speech, confusion, extreme pain in any body part, or inability to remain hydrated or keep down fluids or feel you may have any other life-threatening condition, please go to the emergency department or call 911 immediately.

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Frequently asked questions

  • Yes, you can get a new prescription or refill an existing one online through DrHouse. You just need to start a consultation with one of our licensed providers and they will be able to assess your needs and provide you with a prescription if necessary.

    Please note that the final decision always rests with the doctor based on their professional judgment and your health needs.

  • There are certain medications that cannot be prescribed online by DrHouse physicians due to safety reasons. These include controlled substances, such as opioids and other narcotics, as well as drugs with a high potential for abuse or dependence. DrHouse physicians also don’t prescribe Gabapentin, medical marijuana, muscle relaxants, and HRT medications.

  • With DrHouse getting a new prescription or a refill for your current Rx is a straightforward and quick process. All you need to do is follow a few easy steps:

    • Download the DrHouse telehealth app on your mobile device.
    • Create an account by providing basic information and medical history.
    • Start an on-demand virtual video consultation with one of our licensed physicians.
    • Discuss your medical needs and concerns with one of our physicians.
    • A doctor will review your medical history, symptoms, and current medications (if any) to determine if an online prescription is appropriate for you.
    • If a physician approves, they will electronically send a new prescription or refill request to the pharmacy of your choice.
    • Pick up your medication from the pharmacy.

    DrHouse makes it easy for you to get an online prescription from the comfort of your own home. No more waiting in line at the doctor’s office or pharmacy, and no need to take time off work to see a doctor. Our telehealth platform allows you to access quality medical care from anywhere with an internet connection.

    For more information about how our telehealth platform works visit our “How DrHouse Works” page.

  • During your virtual consultation with a DrHouse physician, you will have the opportunity to discuss your medical needs and concerns.

    The consultation will consist of a video call where a physician will assess your medical history and ask you questions about your symptoms and any other relevant information. This is to ensure that a physician has all the necessary information to make an informed decision about your prescription.

    You can also ask any questions or clarify any doubts you may have about your condition or medication. Our physicians are happy to address any concerns you may have.

    Once a physician has assessed your needs, they will determine if and what type of prescription is appropriate for you. If a new prescription or refill is approved, a doctor will send it electronically to your chosen pharmacy.

  • With our on-demand telehealth service, you have the opportunity to see the first available doctor in as little as 10 to 15 minutes. However, the exact consult time will depend on the complexity of your case and the thoroughness required by the healthcare provider to make an informed decision.

  • Absolutely, it is safe to get an online prescription from DrHouse. We are committed to ensuring the highest standards of patient safety and privacy.

    All our providers are highly qualified US-based physicians and often affiliated with major hospitals. They are board-certified and from the top U.S. medical schools with an average of 20 years of experience.

    We strictly adhere to HIPAA regulations, ensuring your personal and medical information is kept secure and confidential. Also, we comply with all applicable state and federal laws related to telehealth and the prescribing of medications.

    Therefore, you can rest assured knowing that your safety and privacy are our top priorities when you use DrHouse’s services.

  • DrHouse strives to provide accessible and affordable telehealth services. DrHouse urgent care, primary care, and specialist visits are $129 or your copay. This includes everything from your initial consultation through to the prescription of your medication.

    The cost of a doctor’s visit may be covered fully by your insurance. A typical copay is around $25. We recommend checking with your insurance provider to understand the extent of your coverage for telehealth services.

    To learn more about how much DrHouse costs, visit our pricing page

  • Yes, DrHouse accepts most major insurances, including Blue Cross Blue Shield, Aetna, and Medicare. The extent of coverage may vary depending on your individual plan.

  • Our physicians are able to prescribe up to a 90-day prescription without labs for any previously prescribed medication if it’s medically appropriate and is not classified as a controlled substance.

    DrHouse physicians also don’t prescribe Gabapentin, medical marijuana, muscle relaxants, and HRT medications.

    DrHouse physicians use their medical judgment to determine whether to prescribe and the duration.

    In certain cases, the prescription may be limited to 30 days or less. There also may be a 12-month cap for some prescriptions without labs. For medications requiring annual monitoring (such as blood work or imaging), the maximum prescription limit is 90 days within a year without labs.

    DrHouse physicians can refer patients to labs for longer prescription periods or refills.