What do systematic reviews say?

Oral ivermectin 200 μg/kg (1 to 3 doses) vs topical permethrin 5% cream (1 to 3 applications)

Oral ivermectin 200 μg/kg (1 to 3 doses) showed no clear difference in complete clearance ‐ week 4 ‐ IVER 1 to 3 doses versus PER 1 to 3… compared with topical permethrin 5% cream (1 to 3 applications) (low certainty).

• Ivermectin and permethrin for treating scabies 2018 · Cochrane Headline outcomes only
  RR 0.92 [0.82, 1.03]
  5 studies · 581 participants
  Low