Print Print
CKS is no longer commissioned by the National Institute for Health and Clinical Excellence (NICE). NICE remains committed to providing a replacement service for CKS and is currently reviewing its options. In the meantime, although CKS content is now not being maintained, it still remains relevant and will continue to be made available. CKS content was generated under a programme of topic creation and update. To check if the topic you are viewing is current or out of date, please refer to the topic publication details by clicking on the 'How up-to-date is this topic?' link in the left hand menu on individual topic pages.

Scabies - Management
Sedating antihistamine (for itch at night) (chlorphenamine [off-label] or hydroxyzine [licensed])

Age from 1 year to 1 year 11 months
Chlorphenamine 2mg/5ml oral solution: 1mg at night when required
Chlorphenamine 2mg/5ml oral solution
Take 2.5ml at night when required for relief of itching.
Supply 50 ml.
Age: from 1 year to 1 year 11 months
NHS cost: £0.79
OTC cost: £3.99
Licensed use: no - off-label indication
Age from 1 year to 5 years 11 months
Hydroxyzine syrup: 5 to 15 mg at night when required
Hydroxyzine 10mg/5ml oral solution
Take 2.5ml to 7.5ml at night when required for relief of itching.
Supply 100 ml.
Age: from 1 year to 5 years 11 months
NHS cost: £0.89
Licensed use: yes
Age from 2 years to 5 years 11 months
Chlorphenamine 2mg/5ml oral solution: 1-2mg at night when required
Chlorphenamine 2mg/5ml oral solution
Take 2.5ml to 5ml at night when required for relief of itching.
Supply 100 ml.
Age: from 2 years to 5 years 11 months
NHS cost: £1.59
OTC cost: £3.99
Licensed use: no - off-label indication
Age from 6 years to 11 years 11 months
Chlorphenamine oral 2mg/5ml solution: 2-4 mg at night when required
Chlorphenamine 2mg/5ml oral solution
Take one to two 5ml spoonfuls at night when required for relief of itching.
Supply 100 ml.
Age: from 6 years to 11 years 11 months
NHS cost: £1.59
OTC cost: £3.99
Licensed use: no - off-label indication
Hydroxyzine syrup: 15mg to 25mg at night when required
Hydroxyzine 10mg/5ml oral solution
Take 7.5ml to 12.5ml at night when required for relief of itching.
Supply 200 ml.
Age: from 6 years to 11 years 11 months
NHS cost: £1.78
Licensed use: yes
Age from 12 years onwards
Chlorphenamine tablets: 4 mg at night when required
Chlorphenamine 4mg tablets
Take one tablet at night when required for relief of itching.
Supply 14 tablets.
Age: from 12 years onwards
NHS cost: £0.50
OTC cost: £3.15
Licensed use: no - off-label indication
Hydroxyzine tablets: 25mg at night when required
Hydroxyzine 25mg tablets
Take one tablet at night when required for relief of itching.
Supply 14 tablets.
Age: from 12 years onwards
NHS cost: £0.55
Licensed use: yes

© NHS Institute for Innovation and Improvement