The list of treatments mentioned in various sources for Scabies includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.
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Note:You must always seek professional medical advice about any prescription drug, OTC drug, medication, treatment or change in treatment plans.
Some of the different medications used in the treatment of Scabies include:
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Several lotions are available to treat scabies. Always follow the directions provided by your physician or the directions on the package insert. Apply lotion to a clean body from the neck down to the toes and left overnight (8 hours). After 8 hours, take a bath or shower to wash off the lotion. Put on clean clothes. All clothes, bedding, and towels used by the infested person 2 days before treatment should be washed in hot water; dry in a hot dryer. A second treatment of the body with the same lotion may be necessary 7-10 days later. Pregnant women and children are often treated with milder scabies medications. (Source: excerpt from Scabies: DPD)
Anyone who is diagnosed with scabies, as well as his or her sexual partners and persons who have close, prolonged contact to the infested person should also be treated. If your health care provider has instructed family members to be treated, everyone should receive treatment at the same time to prevent reinfestation. (Source: excerpt from Scabies: DPD)
As with pubic lice, lindane is an effective treatment for scabies. Pregnant women should consult a doctor before using this product. Nonprescription remedies such as sulfur ointment also are available. Sulfur is fairly effective but may be objectionable because of its odor and messiness. Itching can persist even after the infestation has been eliminated because of lingering skin irritation. A hydrocortisone cream or ointment or a soothing lotion may provide relief from itching. (Source: excerpt from Other Important STDS, NIAID Fact Sheet: NIAID)
Family members and sex partners of a person with scabies are advised to undergo treatment. Twenty-four hours after drug therapy, a person with scabies infestation is no longer contagious to others, even though the skin irritation may persist for some time. As with pubic lice, special care must be taken to rid clothing and bedding of any mites. (Source: excerpt from Other Important STDS, NIAID Fact Sheet: NIAID)
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Generally, treatment for scabies consists of application of a pediculicide — permethrin, lindane cream, or crotamiton — in a thin layer over the entire skin surface from the neck down. Lindane and permethrin are left on the skin for 8 to 12 hours. Crotamiton is applied nightly for 2 consecutive nights and washed off 24 hours after the second application. To make certain that all areas have been treated, this application should be repeated in approximately 1 week.
Lindane is an effective scabicide and when used properly may be applied safely to children, but shouldn’t be used in children younger than age 2 or pregnant or nursing mothers because of potential neurologic toxicity. It also shouldn’t be applied immediately after a shower. A 6% to 10% solution of sulfur in petrolatum may be used if patients object to using lindane, but they should be advised that sulfur is messy and odorous.
Persistent pruritus (due to mite sensitization or contact dermatitis) may develop from repeated use of pediculicides rather than from continued infection. An antipruritic emollient, topical steroid, or oral antihistamine can reduce itching; intralesional steroids may resolve erythematous nodules.
Source: Professional Guide to Diseases (Eighth Edition), 2005
Treatment of scabies generally involves applying a pediculicide — permethrin cream or lindane lotion — in a thin layer over the entire skin surface. The pediculicide is left on for 8 to 12hours. To make certain that all areas have been treated, this application should be repeated in about 1 week.
Other treatments include crotamiton cream, y-benzene hexachloride, and benzyl benzoate. Widespread bacterial infections require a systemic antibiotic such as ivermectin.
Persistent pruritus (from mite sensitization or contact dermatitis) may develop from repeated use of a pediculicide rather than from continued infection. An antipruritic emollient or topical steroid can reduce itching; an intralesional steroid may resolve erythematous nodules.
Source: Handbook of Diseases, 2003
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