scabal p soap - Permethrin (1% w/w) + Cetrimide (0.5% w/w) medicine

Exo Soap: A Medicated Soap for Scabies and Head Lice

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🏭 Alive Pharmaceutical Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 23, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
12 min read
Evidence: Well-established for scabies and head lice.
Reviewed by
SaathiMed Expert Panel | Sep 23, 2026

When to Call Your Doctor IMMEDIATELY

  • Severe allergic reaction (swelling of face, lips, tongue, or throat, difficulty breathing)
  • Severe skin blistering or peeling
  • Signs of secondary infection (increased redness, swelling, pus, fever)
  • Symptoms persist or worsen after treatment
  • Accidental ingestion of the soap

If experiencing severe symptoms, call emergency services immediately.

What is scabal p soap used for?

This medicine is a medicated soap containing permethrin 1% and cetrimide 0.5%. It is used to treat scabies and head lice by killing the parasites and preventing infection. Apply as directed by your doctor, usually leaving it on the skin for several hours before rinsing.

  • Generic Name: Permethrin (1% w/w) + Cetrimide (0.5% w/w)
  • Manufacturer: Alive Pharmaceutical Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 scabal p soap के बारे में (Hindi Summary)

उपयोग: यह दवा परमेथ्रिन (1% w/w) और सिट्रीमाइड (0.5% w/w) का मिश्रण है, जिसका उपयोग खुजली (स्केबीज) और जूँ के इलाज के लिए किया जाता है। यह परजीवियों को मारती है और त्वचा को संक्रमण से बचाती है।

साइड इफेक्ट्स: आम दुष्प्रभावों में त्वचा में हल्की जलन, खुजली, लालिमा या जलन शामिल हो सकती है। ये आमतौर पर अस्थायी होते हैं। गंभीर एलर्जी प्रतिक्रिया दुर्लभ है, लेकिन यदि सांस लेने में कठिनाई, चेहरे या गले में सूजन हो, तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: केवल बाहरी उपयोग के लिए। आंखों, मुंह और श्लेष्मा झिल्ली के संपर्क से बचें। यदि संपर्क हो जाए तो पानी से धो लें। 2 वर्ष से छोटे बच्चों पर डॉक्टर की सलाह के बिना उपयोग न करें। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से परामर्श करें।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 scabal p soap Uses & Benefits

  • [{"condition":"Scabies","description":"This medicine is used to treat scabies, a skin infestation caused by the mite Sarcoptes scabiei.
  • Permethrin kills the mites and their eggs, while cetrimide helps to cleanse the skin and prevent secondary bacterial infection.","evidence":"Well-established"},{"condition":"Head lice","description":"Permethrin is effective against head lice and their eggs (nits).
  • This soap may be used as part of a treatment regimen for head lice infestations.","evidence":"Well-established"},{"condition":"Skin infections","description":"Cetrimide acts as an antiseptic, helping to reduce bacterial contamination and prevent infection in minor cuts, grazes, and other skin conditions.","evidence":"Supportive"}]

Off-label uses: [{"condition":"Body lice","description":"Permethrin may be effective against body lice, although this is not a primary labeled use.","evidence":"Limited"},{"condition":"Pubic lice","description":"Permethrin is sometimes used to treat pubic lice (crabs), but this is considered off-label.","evidence":"Limited"}]

Primary treatment for: Scabies

Also treats: Head lice, Skin infections

📋 Drug Information

Generic Name(s)Permethrin (1% w/w) + Cetrimide (0.5% w/w)
Brand Namescabal p soap
ManufacturerAlive Pharmaceutical Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassDERMA
Action Class
Route of AdministrationTopical
StorageStore at room temperature (15-30°C). Keep away from direct sunlight and moisture. Keep in the original packaging.
Shelf Life24 months from the date of manufacture.
WHO GuidelinePermethrin 1% is recommended by the World Health Organization for the treatment of scabies and head lice.
ICMR GuidelineThe Indian Council of Medical Research recommends permethrin for the treatment of scabies and head lice.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Apply this medicine to clean, dry skin and leave it on for the full recommended duration to ensure effectiveness.
2
Treat all household members and close contacts simultaneously to prevent reinfestation.
3
Wash all clothing, bedding, and towels in hot water and dry on high heat to kill any remaining mites or lice.
4
Avoid using this medicine on broken skin or near the eyes, as it can cause irritation.
5
If symptoms persist after treatment, consult your doctor; a second application may be needed.
6
Do not use this medicine for longer than prescribed without medical advice.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

Intense itching, especially at night
This medicine is commonly prescribed for scabies, which causes severe itching.
Likely Use
Visible lice or nits in hair
This medicine is used to treat head lice infestations.
Likely Use
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionPermethrin is poorly absorbed through intact skin. Systemic absorption is minimal when applied topically as directed. Cetrimide is also poorly absorbed through the skin.
DistributionDue to minimal systemic absorption, distribution of permethrin and cetrimide to body tissues is negligible. The action is primarily local at the site of application.
Protein BindingNot established from the available information.
MetabolismPermethrin is metabolized in the skin and liver by esterases to inactive metabolites. Cetrimide is not significantly metabolized.
Half-LifeNot established from the available information.
ExcretionAny absorbed permethrin and its metabolites are excreted primarily in the urine. Cetrimide is excreted unchanged in the urine and feces.
BioavailabilityNot established from the available information.
Onset of ActionThe onset of action against parasites is typically within a few hours after application. Relief from itching may begin within 24 to 48 hours, but may take longer as the allergic reaction to mites subsides.
Peak Plasma TimeNot established from the available information.
Duration of ActionThe parasiticidal effect persists on the skin for several days after application. A single application is often sufficient for scabies treatment, but a second application after one week may be recommended.

How It Works

Permethrin, the primary active ingredient, is a synthetic pyrethroid that acts on the nervous system of parasites. It binds to voltage-gated sodium channels in the nerve cells of mites and lice, prolonging the opening of these channels and causing repetitive firing of the nerves. This leads to paralysis and death of the parasites. Cetrimide is a quaternary ammonium compound that acts as a surfactant and antiseptic. It disrupts the lipid membranes of bacteria and other microorganisms, leading to cell leakage and death. Together, these actions help to eliminate the infestation and reduce the risk of secondary infection.

Mechanism Steps

1
Binding to sodium channels: Permethrin binds to voltage-gated sodium channels in the nerve cells of parasites, preventing normal closure of the channels.
2
Prolonged depolarization: The persistent opening of sodium channels causes continuous nerve depolarization, leading to repetitive nerve firing.
3
Paralysis and death: The overstimulation of the nervous system results in paralysis and eventual death of the parasite.
4
Antiseptic action of cetrimide: Cetrimide disrupts bacterial cell membranes, causing leakage of cellular contents and bacterial death, thus reducing the risk of secondary infection.

💡 How to Take scabal p soap

Strength: Soap bar containing Permethrin 1% w/w and Cetrimide 0.5% w/w.

1Wet your skin with water.
2Apply the soap to the affected area or entire body as directed.
3Lather gently and leave it on for the recommended time (e.g., 8-14 hours for scabies, 10 minutes for head lice).
4Rinse thoroughly with water.
5Pat dry with a clean towel.
6Wash your hands after application.
7Avoid contact with eyes and mucous membranes.

Dosage Information

Adult DosageFor scabies: Apply this medicine to the entire body from the neck down, ensuring all skin folds are covered. Leave it on for 8 to 14 hours, then wash off thoroughly. Treatment may be repeated after 7 days if necessary. For head lice: Apply to the scalp and hair, leave on for 10 minutes, then rinse and comb out nits. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageNo specific dosage adjustments are required for elderly patients. However, they may be more susceptible to skin irritation. Use with caution and consult a doctor if you have any concerns.
Renal ImpairmentNo dosage adjustments are required for patients with renal impairment, as systemic absorption is minimal.
Hepatic ImpairmentNo dosage adjustments are required for patients with hepatic impairment, as systemic absorption is minimal.
Maximum Daily DoseNot applicable for topical use. Use as directed by your doctor.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

Not applicable
This medicine is for external use only.
It is not taken by mouth.

⏰ What to Do If You Miss a Dose

📌 If you miss a dose
→ Apply it as soon as you remember.
💡 If it is almost time for your next dose, skip the missed dose and continue with your regular schedule.
📌 If you miss a scheduled repeat application
→ Apply it as soon as you remember and then resume the original schedule.
💡 Do not double the dose.

⚠️ Side Effects of scabal p soap

✅ Common Side Effects

Mild skin irritation (Common (1-10%))
Usually resolves without treatment. If irritation persists, consult your doctor.
Itching (Common (1-10%))
Itching may be due to the healing process or a mild reaction. If severe, consult your doctor.
Redness (Common (1-10%))
Typically temporary. Avoid scratching. If redness spreads or worsens, seek medical advice.
Burning sensation (Common (1-10%))
Usually subsides after a short while. If it persists, consult your doctor.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience swelling of the face, lips, tongue, or throat, difficulty breathing, or a severe rash.
Severe skin reaction (e.g., contact dermatitis) (Rare (<0.1%))
Stop using the medicine and consult a doctor if you develop severe blistering, peeling, or swelling of the skin.

⚠️ Rare Side Effects

Hypersensitivity reactions
Discontinue use and seek medical advice if you experience symptoms such as hives, difficulty breathing, or swelling.

Consult your doctor if you experience any unusual symptoms.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity or allergy to permethrin, cetrimide, or any other ingredient in this medicine.","Do not use on children under 2 years of age unless directed by a doctor.","Do not apply to broken or inflamed skin.","Avoid contact with eyes, mouth, and mucous membranes."]

⚠️ Warnings & Precautions

["For external use only. Do not swallow.","Avoid contact with eyes. If contact occurs, rinse thoroughly with water.","Do not use on large areas of the body or for prolonged periods without medical advice.","If symptoms persist after treatment, consult a doctor.","Keep out of reach of children.","If you are pregnant or breastfeeding, consult a doctor before use.","Do not use if the packaging is damaged or the product has expired."]

🤱 Lactation Safety

Permethrin and cetrimide are poorly absorbed through the skin, so the amount transferred into breast milk is expected to be minimal. However, it is recommended to consult a doctor before use during breastfeeding. Avoid applying the soap to the breast area to prevent accidental ingestion by the infant.

💊 Overdose Management

Overdose is unlikely due to the topical route of administration. If accidental ingestion occurs, seek immediate medical attention. Symptoms of overdose may include nausea, vomiting, and abdominal pain. Treatment is supportive and symptomatic.

⏰ Missed Dose

This medicine is typically used as a single application or as directed by your doctor. If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

Additional Safety Advice

General Safety

For external use only. Avoid contact with eyes, mouth, and other mucous membranes. If accidental contact occurs, rinse thoroughly with water. Do not use this medicine on children under 2 years of age unless directed by a doctor. Do not apply to inflamed or broken skin. If you are pregnant or breastfeeding, consult your doctor before using this product. Keep out of reach of children. Do not use this medicine for a longer period than recommended without medical advice. If symptoms persist after the recommended treatment period, consult a healthcare professional. Do not share this medicine with others, even if they have similar symptoms.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may have more sensitive skin and are more prone to irritation. Use with caution and consult a doctor if any adverse effects occur.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before using this medicine. Permethrin is generally considered safe during pregnancy, but medical advice is recommended.

🏥 Post-Surgery Considerations

Consult your doctor before using this medicine on surgical wounds or broken skin.

🦷 Dental Procedures

No specific considerations for dental procedures. Inform your dentist about all medicines you are using.

💚 Lifestyle Tips for Better Results

🏃
Maintain good personal hygiene.
🥗
Wash clothing and bedding regularly in hot water.
😴
Avoid sharing personal items like towels and combs.
💧
Keep your environment clean to prevent reinfestation.
🧘
Follow up with your doctor if symptoms persist.

🏋️ Exercise Considerations

No specific exercise precautions are needed while using this medicine. However, avoid swimming or activities that cause excessive sweating immediately after application, as it may reduce effectiveness.

🥗 Diet Recommendations

No specific dietary restrictions.
Maintain a healthy diet to support overall skin health.

💼 Impact on Daily Work & Life

This medicine is unlikely to affect your ability to drive or operate machinery. However, if you experience skin irritation or discomfort, avoid activities that may exacerbate it.

🛑 When to Stop This Medicine

Stop using this medicine if you experience a severe allergic reaction or if your symptoms worsen. Consult your doctor before stopping if you are in the middle of a treatment course.

📅 Long-Term Use Effects

Long-term use of this medicine is not recommended without medical supervision. Prolonged use may lead to skin irritation or allergic reactions. If your condition persists, consult a doctor for alternative treatments.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Benzyl benzoate lotion

An alternative topical treatment for scabies.

Evidence: Well-established
Ivermectin oral

An oral medication for scabies, used in certain cases.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No known interactions with vaccines. Continue with routine vaccinations as scheduled.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

When traveling, carry this medicine in its original packaging along with a copy of your prescription. Store it in a cool, dry place away from direct sunlight. If you are traveling to a different time zone, continue using the medicine as per your regular schedule. Declare it at customs if required. Avoid leaving it in a hot car or checked luggage where temperatures may fluctuate.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 30-year-old woman with scabies
She was prescribed this medicine for scabies. She applied it from neck to toe before bedtime, left it on for 12 hours, and rinsed it off in the morning. She also washed all her bedding and clothes in hot water. After one week, her itching had significantly reduced, and a second application was done to ensure complete cure.
💡 Lesson: Proper application and hygiene measures are key to successful scabies treatment.
👤 A 10-year-old child with head lice
The child's mother used this medicine on the child's scalp, leaving it on for 10 minutes before rinsing and combing out the nits. The lice were eliminated after two treatments spaced one week apart. The mother also treated other family members to prevent spread.
💡 Lesson: Treating all family members and combing out nits helps prevent reinfestation.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: The medicine starts killing parasites within hours, but relief from itching may take a few days. Complete the full course as prescribed.

Q: Can I use this medicine every day?

A: No, this medicine is usually used as a single application or as directed by your doctor. Do not use it daily unless prescribed.

Q: Is this medicine safe for children?

A: It should not be used on children under 2 years of age without a doctor's advice. For older children, use as directed by a pediatrician.

Q: What should I do if I miss a dose?

A: Apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule.

Q: Can I drink alcohol while using this medicine?

A: There is no known interaction between this medicine and alcohol, but alcohol may worsen skin irritation.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I use this medicine on my face?
  • How long should I leave it on?
  • Is it safe for pregnant women?
  • Can I use it on children?
  • What if I accidentally swallow it?
  • Does it cure scabies in one application?
  • Can I use it for other skin conditions?

🔄 Substitutes for scabal p soap

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can cure all skin infections.
    Fact: This medicine is specifically effective against parasites like scabies mites and lice, and has antiseptic properties. It is not effective against fungal or viral infections.
  • Myth: You can stop using this medicine as soon as symptoms improve.
    Fact: It is important to complete the full course of treatment as prescribed to ensure all parasites are killed and to prevent reinfestation.
  • Myth: This medicine is safe to use on the face.
    Fact: This medicine should not be applied to the face or mucous membranes unless specifically directed by a doctor, as it can cause irritation.

🔄 Alternative Options

Generic Alternatives

  • Permethrin 1% soap
  • Cetrimide 0.5% soap

Brand Alternatives

  • Exo Soap

📊 Comparison with Similar Medicines

[{"medicine":"Permethrin 1% soap","active_ingredient":"Permethrin","uses":"Scabies, head lice","route":"Topical"},{"medicine":"Cetrimide 0.5% soap","active_ingredient":"Cetrimide","uses":"Antiseptic, skin cleanser","route":"Topical"},{"medicine":"Benzyl benzoate lotion","active_ingredient":"Benzyl benzoate","uses":"Scabies","route":"Topical"}]

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