Topical Treatment
- Permethrin 5% Cream
- Apply the cream into the skin from the neck to the soles of the feet, special attention to the web spaces, flexures, wrist and thigh.
- Leave the permethrin cream on the body for 8 to 12 hours.
- Wash off by taking a bath.
- Gamma benzene hexachloride 1%
Contraindicated in pregnancy
- Benzyl benzoate 25 %
- Overnight application of 25 % emulsion lotion for three consecutive nights.
- Crotamiton 10%
- An application of thin layer of 10% cream or lotion from neck to toes.
- Second application applied after 24 hours
- Crotamition and hydrocrtisone combination is an effective treatment for nodular Scabies especially over the genitalia.
- Precipited Sulfur
-Sulfur ointment with 6% precipitated sulfur applied to the entire body at night for three consecutive nights.
Systemic Treatment
- Ivermectin
- 12 milligrams (mg) single dose of tablet ivermectin to be repeated after 15 days.
- 200 microgram/kg single dose in children
- Repeat dose of ivermectin after two weeks improves cure rate.
- Repeat dose of ivermectin after two weeks improves cure rate.
- Not recommended in children below 5 years
-Secondary Bacterial infection with Eczematization and paraphimosis are treated before antiscabetic applications.
-Secondary infections are treated with oral erythromycin or cefadroxyl or cloxacillin .
-Antihistaminics like pheniramine maleate or levocetrizine are useful to relieve pruritus (Itching).
-Antihistaminics like pheniramine maleate or levocetrizine are useful to relieve pruritus (Itching).