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How is scabies treated?

How is scabies treated?

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How is Scabies Treated?

Understanding Scabies

Scabies is a contagious skin condition caused by tiny mites burrowing into the skin. It often results in intense itching and a rash. In the UK, scabies is a common problem, and effective treatments are available through the NHS.

The mites responsible for scabies can spread easily through close physical contact. This means households, schools, and care facilities can be breeding grounds for outbreaks.

Prescription Treatments

Most cases of scabies in the UK are treated with prescription creams and lotions. Common options include permethrin 5% cream and malathion lotion.

Permethrin cream is typically the first-line treatment. It should be applied to the entire body and left on for as long as recommended, usually 8-12 hours.

If permethrin is not suitable, malathion lotion may be used. The lotion is also applied to the whole body and left on for a specified duration before being washed off.

Application Techniques

Proper application of treatment is crucial for effectiveness. It is essential to cover all areas of the body, including under the nails and in skin folds.

For young children and infants, it may be necessary to cover the scalp and face. Always follow specific instructions provided by your healthcare provider or pharmacist.

Oral Medication

In certain situations, oral medication may be prescribed. Ivermectin is used if topical treatments fail or cannot be used.

Oral treatment is typically reserved for severe cases or outbreaks in institutional settings. Always seek medical advice before taking any oral medication.

Non-Prescription Measures

Alongside medical treatments, certain measures should be taken to prevent re-infestation. Wash all clothes, bedding, and towels in hot water to kill any lingering mites.

Vacuum carpets and furniture thoroughly and consider sealing non-washable items in a plastic bag for 72 hours. This ensures any remaining mites are eliminated.

When to Seek Medical Advice

If itching persists after treatment or if a rash worsens, contact your GP for advice. Sometimes additional treatment rounds are necessary.

Family members and close contacts should also be checked and treated to prevent reinfection. Early treatment helps stop the spread of scabies in the community.

Frequently Asked Questions

What is the first-line treatment for scabies?

Permethrin cream 5% is the first-line treatment for scabies.

How should permethrin cream be applied?

Permethrin cream should be applied to the entire body from the neck down and left on for 8-14 hours before washing off.

Is there an oral medication available for scabies?

Yes, ivermectin is an oral medication that can be used for the treatment of scabies.

How is ivermectin administered for scabies?

Ivermectin is usually given as a single oral dose, which may be repeated after 1-2 weeks if necessary.

Can children use permethrin cream?

Yes, permethrin cream is safe for children aged 2 months and older.

Should bedding and clothing be washed during scabies treatment?

Yes, all bedding and clothing should be washed in hot water and dried on a hot setting to kill mites and prevent reinfestation.

Are there any alternative treatments for scabies?

Crotamiton and sulfur ointments are sometimes used as alternative treatments for scabies.

What precautions should be taken with close contacts of a scabies patient?

Close contacts should also be treated simultaneously, even if they do not show symptoms.

How long does it take for itching to stop after scabies treatment?

Itching may persist for 2-4 weeks after treatment even if the mites are killed.

Is a second treatment often necessary for scabies?

Sometimes a second treatment is required if symptoms persist or reinfestation occurs.

How can scabies be prevented from spreading?

Avoid close physical contact until treatment is complete and wash personal items in hot water.

Can pets spread scabies?

Pets do not spread the human type of scabies; however, they can get their own mite infestations.

Are there side effects of permethrin treatment?

Permethrin may cause mild burning, stinging, or irritation on the skin.

What should be done if scabies treatment is not effective?

If treatment is not effective, consult a healthcare provider for further evaluation and alternate treatment options.

Can pregnant women use permethrin for scabies?

Permethrin is considered safe for use during pregnancy, but always consult a healthcare provider first.

Is there a natural remedy for scabies?

Natural remedies lack strong scientific evidence; it is best to follow medical advice using proven treatments.

Can repeated scabies infestations occur?

Yes, particularly if close contacts or the environment are not treated.

Can scabies be transmitted through sexual contact?

Scabies can be transmitted through prolonged skin-to-skin contact, including sexual contact.

Is itching after treatment a sign of treatment failure?

Not necessarily, as itching can persist due to an allergic reaction to mites.

Can scabies lead to complications if untreated?

Yes, untreated scabies can lead to bacterial skin infections.

Useful Links

Useful Links : How is scabies treated?
Scabies - Treatment - NHS

NHS guide on how scabies is treated, including cream application and medication.
Scabies - Causes, Symptoms & Treatment - British Skin Foundation

Information from the British Skin Foundation about scabies treatment options.
Scabies and how to treat it - Patient.info

Patient.info provides an overview of treating scabies, including prescriptions.
Important Information On Using This Service


This website offers general information and is not a substitute for professional advice. Always seek guidance from qualified professionals. If you have any medical concerns or need urgent help, contact a healthcare professional or emergency services immediately.

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