General
Elimite (permethrin cream)
Virtual visit

Elimite (permethrin cream)

With our quick and easy online prescription process, you can manage your health effortlessly — whether you need a first-time prescription for Elimite (permethrin cream) or a refill of an existing one.

Licensed providers in all 50 states

Expert-guided, evidence-based treatments

Skip the trip to the doctor's office

Visit options

Costs shown are for the visit only. You'll pay for medication at your preferred pharmacy.

Video Visit

$25

Est. or $100 w/o insurance

Chat Visit

$30

w/o insurance

Most insurance accepted

Board-certified

No hidden fees

Available nationwide

What is Elimite (permethrin cream)?

Elimite is a prescription-strength 5% permethrin cream used to treat scabies—a highly contagious skin infestation caused by tiny mites that burrow into the skin and cause intense itching. It's applied from the neck down to the entire body, left on for 8–14 hours, and then washed off—typically as a single-treatment application. Permethrin is a synthetic pyrethroid that kills both adult scabies mites and their eggs by disrupting their nervous system. Prescription-strength Elimite is more concentrated than OTC permethrin products and is the first-line treatment for scabies.

Sodium channel disruption in mites

Permethrin prolongs the opening of sodium channels in the nerve cell membranes of scabies mites, causing continuous nerve firing, paralysis, and death of both adult mites and their eggs.

Ovicidal action

Kills not only adult Sarcoptes scabiei mites but also their eggs—reducing the likelihood of reinfestation from eggs that survive a treatment that only affects adult mites.

Single-application treatment

Prescription 5% concentration is designed for one thorough application that covers the entire body surface, providing effective mite and egg kill in most patients with a single treatment course.

Virtual visit with clinician

Ongoing support, always available.

You’ll be supported by experienced clinicians who care for a wide range of health needs, from everyday concerns to more complex conditions.

Our clinicians track your progress over time and adjust your care as needed. If medication is prescribed, we’ll manage dosing and monitor for side effects. If lab testing is recommended, we review results and refine your plan accordingly. You’re never left to navigate care on your own.

All your care in one place. That’s the General Medicine difference.

We help you understand your options, connect you to the right clinicians, manage prescriptions, coordinate any needed evaluations, and keep an eye on your overall health along the way. It’s comprehensive care that looks at the full picture — your goals, your history, your lifestyle — and makes it simple to move forward with confidence.

Your care plan
Clinician

What our customers have to say

“I feel like I’m finally on the right path to improving my health with the right support now! It’s so refreshing and reassuring.”

Emerald

“My experience with General Medicine was amazing. The understanding and care that was taken to figure out what is exactly going on with me. I feel like a weight has been lifted off of me.”

Kaylee

“I couldn’t be happier with my experience with General Medicine! They are fast, responsive, kind and knowledgeable. It is much easier, more affordable and faster.”

Nika

Get the care you need, without the wait.

Frequently Asked Questions

Is one application of Elimite enough?

For most people, a single treatment application left on overnight is sufficient to clear scabies. A second treatment 7–14 days later may be recommended if live mites are still observed after the first course.

Does the whole body need to be treated?

Yes. Elimite is applied from the neck down to the entire body surface, including between fingers and toes, under nails, and in skin folds. Thorough, complete coverage is essential for effective treatment.

Should my household contacts also be treated?

Yes. Because scabies spreads through close personal contact, all household members and close contacts should be treated simultaneously — even those without symptoms — to prevent reinfestation.

What side effects might I experience?

Temporary burning, stinging, itching, and redness at the application site are common. Itching may continue for 2–4 weeks after successful treatment as the immune system responds to dead mites — this doesn't mean the treatment failed.

How do I prevent reinfestation after treatment?

Wash all clothing, bedding, and towels used in the 3 days before treatment in hot water. Items that can't be washed can be sealed in plastic bags for 72 hours, as mites can't survive off the body that long.
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