Scabies Treatment

Topical Treatment
  • Permethrin 5% Cream
Permethrin, a synthetic pyrethroid derivative.
- Thoroughly wash and dry the skin with clean cloth.
- 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%
- Gamma benzene hexachloride lotion is to be applied all over the body except face, after scrubbed bath and kept it for 12 to 24 hours. Apply for two consecutive days and repeat after 10 days. While taking bath whole body should be scrubbed to open up the burrows.

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  
Ivermectin is an avermectin derivative separated from fermentation products of streptomyces avermititis  
- 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.
- 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).
 
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