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ivermectin topical vs permethrin

Side-by-side comparison of ivermectin topical and permethrin Data from FDA drug databases (Orange Book, NDC Directory, recalls, shortages) covering 20,000+ approved drugs, plus CMS pricing; see our methodology.

Drug Class
ivermectin topical Topical Antiparasitic
permethrin Topical Antiparasitic
Type
ivermectin topical Prescription
permethrin Over-the-Counter
Summary
ivermectin topical

Soolantra cream contains ivermectin and is used on the skin. It helps treat bumps and pimples caused by rosacea.

permethrin

Permethrin cream rinse is a medicine that kills lice and their eggs. You put it on your hair to treat head lice.

What It Treats
ivermectin topical

Soolantra cream treats the inflammatory bumps and pimples caused by rosacea. Rosacea is a common skin condition that causes redness and visible blood vessels in your face. It may also produce small, red, pus-filled bumps.

permethrin

This medicine treats head lice. Lice are tiny bugs that can live in your hair and make your scalp itchy. This medicine helps to get rid of the lice and their eggs.

How It Works
ivermectin topical

The exact way Soolantra works is not known. It is thought that ivermectin reduces inflammation. It may also kill certain mites that can contribute to rosacea.

permethrin

Permethrin works by affecting the nervous system of lice. This causes the lice to become paralyzed and die. It also kills the eggs.

Common Side Effects
ivermectin topical
  • Skin burning sensation
  • Skin irritation
permethrin
  • Itching
  • Rash
  • Redness
FAERS Reports
ivermectin topical

No adverse event reports.

permethrin
  • The medicine did not work 347
  • Itching 139
  • Using the medicine for something it's not approved for 110
  • Pain 92
  • Rash 78
Serious Warnings
ivermectin topical

There are no contraindications (reasons not to use) listed for this medication.

permethrin

There are no boxed warnings for this medication.

Pregnancy
ivermectin topical

It is not known if Soolantra cream can harm an unborn baby. Talk to your doctor if you are pregnant or plan to become pregnant. It is also not known if Soolantra passes into breast milk.

permethrin

It is not known if permethrin can harm an unborn baby. Talk to your doctor if you are pregnant or breastfeeding.

How to Read This ivermectin topical vs permethrin Comparison

ivermectin topical is classified in the Topical Antiparasitic drug class, while permethrin sits within the Topical Antiparasitic class. Because both drugs share the same classification, they are often considered interchangeable in theory — but clinical outcomes rarely track that cleanly. Both drugs are split between OTC and prescription status, which affects access and supervision.

Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, ivermectin topical has 0 submissions while permethrin has 766. Those figures reflect cumulative reporting volume — not per-patient risk — so older, widely dispensed drugs typically look worse on count alone. No direct interaction between these two drugs is listed in our FDA-derived dataset, though co-prescription still warrants pharmacist review. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot substitute for clinical judgment. Effectiveness, tolerability, drug-drug interactions with your other medications, kidney and liver function, pregnancy status, insurance formulary, and price all feed into a decision that only a licensed prescriber can make responsibly. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This page is for educational purposes only, is not medical advice, and should not be used to self-switch between ivermectin topical and permethrin — always consult your physician or pharmacist first.

Important: This comparison is for informational purposes only. Drug effects vary between individuals. Always consult your doctor or pharmacist for personalized medical advice.