Scabies is a common parasitic infection caused by Sarcoptes scabiei var. hominis. It is highly contagious and causes significant morbidity worldwide. Recent reports from different geographic regions, including Türkiye, have indicated an abnormal increase in cases. 1,2 Topical permethrin 5% has been the drug of choice for scabies treatment and is conventionally applied once a week for 2 weeks. 3,4 In recent years, an increasing number of cases that do not respond to topical permethrin and resistance to the drug have been mentioned. 3,5 Moreover, it has been demonstrated that