Gamascab Cream belongs to a class of antiparasitic drugs known as 'scabicides' (kills scabies mites) and pediculicides (kills lice). Gamascab Cream primarily treats scabies in people for whom other medicines did not work. Gamascab Cream is available usually in the topical form used to treat head lice. Scabies is a skin condition caused by mites known as Sarcoptes scabiei. It causes an itchy skin rash and is contagious (spreads from one person to another person).

Gamascab Cream contains Lindane which works by killing scabies mites and their eggs by penetrating through the skin. Gamascab Cream is used to kill mites but does not prevent scabies or recurring symptoms.

Gamascab Cream is only for external use. Do not put Gamascab Cream in your mouth. In case of accentual swallowing or contact with the mouth, contact the poison control center immediately as it may be poisonous if taken by mouth. Apply a very thin layer of Gamascab Cream on the skin from the neck down. Apply Gamascab Cream with a toothbrush under fingernails as scabies mites likely stay there and throw away that toothbrush. Some people may experience skin dry skin, skin rash, itching, or burning sensation of the skin. Most of these side effects of Gamascab Cream do not require medical attention and gradually resolve over time. However, if the side effects persist, please consult your doctor.

If you are known to be allergic to Gamascab Cream or any other medicines, please tell your doctor. If you are pregnant or a nursing mother, it is advised to consult a doctor before using Gamascab Cream. Do not apply Gamascab Cream on lots of broken skin, crusted (scabby), or open sores on the skin. You should wash Gamascab Cream from the body thoroughly after 8-12 hours using warm water as leaving it on the skin for a prolonged time may lead to fits and death. Gamascab Cream should not be used to treat premature babies and people who have had any seizure episodes (fits). Gamascab Cream may be absorbed by the whole body and cause central nervous system toxicity resulting in disorientation, dizziness, and fits. Inform your doctor if you have AIDS/HIV or liver cirrhosis, alcoholism, history of head injury, or spinal cord or brain tumor before taking Gamascab Cream.

Gamascab Cream is an antiparasitic drug used to treat scabies and lice. Gamascab Cream kills scabies mites and their eggs by going through the skin. Gamascab Cream in shampoo form is used to treat head lice. Gamascab Cream is used to treat scabies in patients for whom other medicines did not work or cannot be given other safer medicines.

• Dry skin
• Skin rash
• Itching
• Burning sensation of skin

Do not use Gamascab Cream in premature infants due to increased risk of skin permeability. If you have uncontrolled fits, inform your doctor before using Gamascab Cream as it may be absorbed by the whole body and cause central nervous system toxicity resulting in disorientation, dizziness and fits. You are advised to wash Gamascab Cream from the body completely after 8-12 hours using warm water as leaving it on the skin for a prolonged time may lead to fits and death. There may be skin itching for a few weeks even after using Gamascab Cream. However, if itching worsens, please consult a doctor.  If you are pregnant or breastfeeding, please contact a doctor before taking Gamascab Cream. Do not use Gamascab Cream to treat the second attack of scabies that comes immediately after the first episode as using it more than one time can lead to fits and death. Inform your doctor if you have HIV/AIDS, liver cirrhosis, excessive consumption of alcohol, history of head injury, spinal cord or brain tumour before taking Gamascab Cream.

Drug-Drug Interaction: Gamascab Cream may interact with antipsychotics (haloperidol), bronchodilator (theophylline), antibiotics (imipenem, penicillins, and quinolone antibiotics), antidepressants (bupropion), immunosuppressants (cyclosporine, tacrolimus, mycophenolate mofetil), antimalarial drugs (pyrimethamine, chloroquine), antituberculosis agents (isoniazid), pain killers (meperidine), muscle relaxant (methocarbamol), radiographic contrast agents (iopamidol, iohexol)

Drug-Food Interaction: No interactions found.

Drug-Disease Interaction: Do not use Gamascab Cream in patients with uncontrolled seizures (fits) disorder as it may cause central nervous system toxicity and inform your doctor if you have liver cirrhosis, eczema, psoriasis, or crusted scabies.

• HALOPERIDOL
• THEOPHYLLINE
• TACROLIMUS
• CHLOROQUINE
• IMIPENEM
• BUPROPION
• MYCOPHENOLATE MOFETIL
• PYRIMETHAMINE
• ISONIAZID
• MEPERIDINE
• METHOCARBAMOL
• IOPAMIDOL
• IOHEXOL

• Avoid hot showers or hot water to bathe to prevent worsening of the condition.
• Wash the used clothes and bedsheets in hot water or dry clean them.
• Avoid sharing of clothes, towels, or bedding with others as it may increase the risk of transmission.
• Do not have close physical contact or sex until the treatment is completed.

• Avoid contact of Gamascab Cream with eyes. In case of accidental contact, rinse with water.
• Do not apply Gamascab Cream on lots of broken skin, crusted (scabby), or open sores on the skin.
• Wear gloves that are least permeable to Gamascab Cream such as sheer vinyl, nitrile, or latex with neoprene to avoid Gamascab Cream getting on hands while applying to someone else. Avoid natural latex gloves as they are more permeable to Gamascab Cream and wash your hands thoroughly after application.
• Wash all recently worn pajamas, underwear, clothing, towels, sheets, and pillowcases in very hot water or dry clean them.
• Do not cover the treated area with unbreathable things like tight or plastic clothes, plastic lining, blankets, or diapers.
• Avoid contact with other people’s skin after applying Gamascab Cream especially do not touch a baby or small child.
• Avoid using any oil on hair or skin just before or after applying Gamascab Cream as oils may increase the absorption of Gamascab Cream and cause adverse effects. Oils include moisturizers, skin lotions, oil-based conditioners, and hair products.

Scabies: It is a skin condition caused by mites known as Sarcoptes scabiei. It causes an itchy skin rash and is contagious (spreads from one person to another person). These tiny mites crawl under the skin and live on the skin for months laying eggs, and causing severe itching. Scabies spreads easily throughout the body except for the head. Hence, it should be treated quickly. The most commonly seen symptom include an intensely itchy rash that worsens at night. People who live in nursing homes, university halls of residence, or who work in nurseries are at more risk of spreading scabies from person to person due to close contact.