Last update July 20, 2017


Very Low Risk

Safe. Compatible. Minimal risk for breastfeeding and infant.

It is a cutaneous infestation due to a parasite (Sarcoptes scabiei). Highly contagious through a close and maintained contact.
At diagnosis in the mother or infant it is highly probable that both are affected which is a reason for regarding separation as be useless.

Treatment used in the mother with topical Permethrin, Benzyl benzoate or oral Ivermectin is compatible with breastfeeding (see Permethrin, Benzyl benzoate or Ivermectin). One application of Permethrin or one oral dose of Ivermectin are both considered to be curative.

If scabies is diagnosed at birth it would be appropriate to take the infant away from the mother for the first day to allow initiation of effect of treatment while stimulating the production of milk by means of a milk pump and giving the milk to the infant by spoon or finger-feeding method.

See below the information of these related products:

  • Bencyl-Benzoate (Possibly safe. Probably compatible. Mild risk possible. Follow up recommended. Read the Comment.)
  • Ivermectin ( Safe. Compatible. Minimal risk for breastfeeding and infant.)
  • Permethrin ( Safe. Compatible. Minimal risk for breastfeeding and infant.)

Suggestions made at e-lactancia are done by APILAM team of health professionals, and are based on updated scientific publications. It is not intended to replace the relationship you have with your doctor but to compound it. The pharmaceutical industry contraindicates breastfeeding, mistakenly and without scientific reasons, in most of the drug data sheets.

Jose Maria Paricio, Founder & President of APILAM/e-Lactancia

Your contribution is essential for this service to continue to exist. We need the generosity of people like you who believe in the benefits of breastfeeding.

Thank you for helping to protect and promote breastfeeding.

José María Paricio, founder of e-lactancia.

Other names

Scabies is also known as


  1. Elston CA, Elston DM. Treatment of common skin infections and infestations during pregnancy. Dermatol Ther. 2013 Abstract
  2. UKMi. Wales. Scabies. Questions and Answers. UK Medicines Information 2012 Full text (link to original source) Full text (in our servers)
  3. Sánchez-Largo Uceda ME, Sanz Robles H, García Romero D, Zarco C. [Neonatal scabies]. An Pediatr (Barc). 2007 Abstract Full text (link to original source)
  4. Porto I. Antiparasitic drugs and lactation: focus on anthelmintics, scabicides, and pediculicides. J Hum Lact. 2003 Abstract
  5. [No authors listed] Ivermectin: new indication. Oral treatment of scabies: simple and effective. Prescrire Int. 2002 Oct;11(61):137-40. Abstract
  6. Fölster-Holst R, Rufli T, Christophers E. [Treatment of scabies with special consideration of the approach in infancy, pregnancy and while nursing]. Hautarzt. 2000 Abstract
  7. Quarterman MJ, Lesher JL Jr. Neonatal scabies treated with permethrin 5% cream. Pediatr Dermatol. 1994 Abstract
  8. Morin AK, Stoukides CA. Scabicides and pediculicides and breastfeeding. J Hum Lact. 1994 Abstract

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