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The treatment options for scabies may vary depending on the context of the infestation. For example, oral medication, such as ivermectin, may be used if scabies infestation is found in an institution or in a crowded area. Women with scabies and infants or children with scabies are sometimes treated differently with medications that have fewer adverse effects. Patients with crusted scabies may need repeated oral and topical treatments over several weeks or longer.