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Topical choices embody permethrin cream (drug of choice), lindane, benzyl benzoate, crotamiton lotion and cream, sulfur, topical ivermectin, tea tree oil, or oil of the leaves of Lippia multiflora Moldenke, a shrub found growing in West African savanna.
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Constructing on the successful implementation of the river blindness program, in 1998 Merck expanded its dedication to include donating Mectizan for one more illness, lymphatic filariasis (LF), also referred to as elephantiasis, in African nations and Yemen the place it co-exists with river blindness.