The most common and recommended treatment for scabies is permethrin 5% cream. Apply it to your entire body from the neck down, leaving it on for 8-14 hours before showering. Repeat application one week later to eliminate any surviving mites and eggs.
Another highly effective topical treatment is permethrin 1% lotion. This lotion is a suitable alternative for those who experience skin irritation with the cream. Application is similar to the cream, covering the entire body from the neck down, remaining on for 8-14 hours before washing off. Repeat application in one week.
Alternative Treatments
If you’re allergic to permethrin or it proves ineffective, your doctor might prescribe lindane 1% lotion. However, lindane is a neurotoxin and should only be used under strict medical supervision, as it carries more potential risks. It’s also crucial to thoroughly wash all bedding and clothing following treatment.
Treatment Considerations
| Permethrin 5% cream | Full body (neck down) | 8-14 hours | 1 week later |
| Permethrin 1% lotion | Full body (neck down) | 8-14 hours | 1 week later |
| Lindane 1% lotion | Full body (neck down) | 8-12 hours | Consult your doctor |
Remember to treat all household members and close contacts simultaneously to prevent re-infestation. Thoroughly wash all bedding, clothing, and towels in hot water and dry them on high heat. Vacuum your home carefully, paying attention to areas where you spend the most time. If symptoms persist or worsen after treatment, seek immediate medical attention.
Oral Medications
In severe cases or for people who cannot tolerate topical treatments, your doctor may prescribe oral ivermectin. This medication is typically used for people with crusted scabies (Norwegian scabies), which is a more severe form of the condition. Follow the doctor’s instructions precisely regarding dosage and duration of treatment.
