HOE A-Scabs Lotion

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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Adeline Carol Peters
Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

Last updated:

Overview

HOE A-Scabs Lotion is a topical lotion formulated with Permethrin 5% w/v as its active ingredient, a synthetic pyrethroid-class compound. It is manufactured by HOE Pharmaceuticals Sdn Bhd and supplied in a 30ml bottle. Independent research confirms this identity consistently: HOE Pharmaceuticals’ own OTC product listing states “A-SCABS Lotion, Permethrin 5%”, and permethrin 5% w/v A-Scabs Lotion also appears in the Ministry of Health Brunei’s registered medicinal products list and a Malaysian public hospital (UKM) drug formulary under the same brand and active ingredient.

This is an Over-the-Counter (OTC) product sold in Malaysia and does not require a doctor’s prescription to purchase from a registered pharmacy or a licensed online pharmacy, though pharmacist guidance is recommended given the nature of the active ingredient. Pyrethroid-class topical preparations such as this are formulated for a specific, time-limited whole-body application pattern rather than everyday, ongoing skin care use.

The product is packaged as a single 30ml bottle, a volume consistent with pyrethroid lotions intended for one or two whole-body applications per course rather than a general-purpose, multi-week skin lotion. The name “A-Scabs” refers to the brand name of this specific pyrethroid preparation and should not be read as describing a wound-care or scab-healing product — see the important note below.

Directions for Use

  • Ensure the skin is clean, cool, and completely dry before application.
  • Shake the bottle well before use.
  • Apply the lotion evenly over the area of skin directed by a doctor or pharmacist, taking care to cover skin folds, between the fingers and toes, and under the nails, unless instructed otherwise.
  • Leave the lotion on the skin for the period of time directed by a doctor or pharmacist (commonly cited in Malaysian hospital drug references as around 8 to 14 hours) before washing it off thoroughly with soap and water.
  • A second application may be advised by a healthcare professional after a set interval; do not repeat the application on your own initiative without guidance.
  • Wash all recently worn clothing, towels, and bedding in hot water on the same day as application, as advised by your healthcare provider.

Dosage

  • Use only the amount needed to cover the directed area of skin in a single, even layer — do not apply more than once within the same treatment session unless a doctor or pharmacist has specifically advised it.
  • A single application is typically left on the skin for around 8 to 14 hours before washing off, based on published Malaysian hospital drug reference information for this exact product.
  • Do not re-apply sooner than the interval advised by a healthcare professional, and do not exceed the number of applications stated on the product label.
  • This product’s application pattern and duration should be confirmed with a pharmacist or doctor before use, particularly for children, the elderly, or anyone with extensive skin involvement.

Shelf Life

An independently verified shelf-life duration for this specific product could not be confirmed, so always check the expiry date printed on the bottle and carton before use.

Do not use a bottle that has been previously opened and stored for an extended period without checking the expiry date, and discard the lotion if it has changed colour, separated abnormally, or developed an unusual smell.

Storage Instructions

  • Store below 30°C, in a cool, dry place away from direct sunlight.
  • Keep the bottle tightly capped between uses.
  • Shake well before use if the contents have settled in storage.
  • Store well out of the reach and sight of children — this product must not be mistaken for a general skin lotion.

Side Effects

  • Mild burning or stinging sensation on the skin
  • Itching or redness at the application site
  • Numbness or tingling
  • Rash or swelling (rare)

Contraindications

  • Not for use by anyone with a known hypersensitivity to permethrin, other pyrethroid or pyrethrin compounds, or chrysanthemums.
  • Not recommended for infants under 2 months of age except under direct medical supervision.
  • Not for use on broken, infected, or extensively weeping skin unless a doctor has specifically advised it.
  • Not for use in or near the eyes, mouth, nose, or other mucous membranes.
  • Use only under medical guidance in pregnant or breastfeeding women, and in the elderly or people with widespread skin conditions, given the extent of whole-body application typically involved.

Drug / Food Interactions

  • Avoid applying other topical medicated lotions, creams, or insecticidal products to the skin at the same time as this product unless a doctor or pharmacist has specifically advised it.
  • Systemic absorption of permethrin through intact skin is minimal when used as directed, so clinically significant interactions with oral medicines are not typically expected, but tell your pharmacist about any other treatments you are using.
  • No clinically significant food interactions are known for this topical product.

Quick Tips

  • Confirm the exact area to be covered and the leave-on time with a pharmacist or doctor before your first application, as this differs from an everyday skin lotion.
  • Have clean clothing, towels, and bedding ready in advance so they can be changed promptly after the leave-on period.
  • Keep fingernails trimmed short before application, and make sure the lotion reaches under the nails as directed.
  • Avoid bathing or showering immediately before application, as the directed timing (clean, cool, dry skin) matters for correct use.
  • Store this bottle separately and clearly labelled from any other skin lotions in the household to avoid mix-ups.
  • Keep this product well out of reach of children given its specific, professionally-directed use pattern.

Ingredients / Active Ingredients

  • Active ingredient: Permethrin 5% w/v.
  • Synthetic pyrethroid-class active ingredient, formulated as a topical lotion.
  • Supplied as a 30ml bottle.
  • The full list of inactive/base ingredients is not publicly disclosed by the manufacturer; refer to the product carton for the complete ingredient listing.

Safety Advice

Pregnancy

Use With Care

This medicine should be used cautiously during pregnancy. Monitoring may be required.

Breastfeeding

Generally Safe

This medicine is generally safe during breastfeeding with minimal risk to the infant.

Kidney

Generally Safe

Generally safe, but caution may be required in some patients.

Liver

Use With Care

Use cautiously. Liver function monitoring may be required.

Alcohol

Generally Safe

Consuming alcohol with this medicine is generally safe, but moderate intake is advised.

Driving

Safe

This medicine does not affect your ability to drive.

Relevant Information

HOE A-Scabs Lotion is a permethrin-based pyrethroid topical preparation intended for a specific, time-limited application pattern under pharmacist or doctor guidance, rather than for everyday or open-ended skin care use.

Important note on product identity: This product’s brand name, “A-Scabs”, can be misread as referring to healing skin scabs or wounds. Independent verification — the manufacturer’s own product listing, a Malaysian public hospital drug formulary, and regional medicine registries — consistently identifies this as a Permethrin 5% w/v lotion, a pyrethroid-class topical preparation, and not a general wound-care or scar-healing product. Anyone who obtained this product expecting a wound-healing lotion should check with a pharmacist before use.

Precautions: Use strictly according to the area, amount, and timing directed by a doctor or pharmacist. Avoid contact with the eyes, mouth, nose, and other mucous membranes. Do not use on broken or infected skin without medical advice. Close household or personal contacts may need separate assessment and guidance from a healthcare professional. Keep this product clearly separated from other household skin lotions to avoid accidental misuse.

When to See a Doctor or Pharmacist: Seek advice before first use to confirm the correct application area and timing; if skin irritation is severe or does not settle after washing off the lotion; if you are pregnant, breastfeeding, treating an infant, or have a widespread skin condition; or if symptoms have not resolved after completing the directed course.

Frequently Asked Questions

Product Specifications

BrandHoe Pharmaceuticals
ClassificationNon-prescription
Ingredients / Active IngredientsPermethrin
Volume30ml

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