Treatment Options for Scabies
Therapy | Instructions | Comments |
|---|---|---|
Apply to whole body; wash off after 8–14 hours Repeat in 1 week | 1st-line treatment Can cause stinging and itching | |
200 mcg/kg orally for 1 dose Repeat in 7–10 days | For use in institutional epidemics and immunocompromised patients Caution required when given to older patients with hepatic, renal, or cardiac disorders Not recommended for pregnant or lactating women; unproven safety in children < 15 kg or < 5 years May cause tachycardia | |
Apply after bath to whole body, apply 2nd dose after 24 hours, and bathe 48 hours after 2nd dose Repeat both doses in 7–10 days | — | |
Apply to skin from the neck to the toes including the soles and feet; in bald patients, apply to forehead, hairline, scalp, and temples Wait 10 minutes before getting dressed; leave on skin for 6 hours before showering or bathing Repeat in 1 week | For use in patients ≥ 4 years of age May cause eyelid redness and swelling and dry skin; avoid contact with eyes | |
Sulfur ointment 6–10% | Apply to whole body at bedtime for 3 nights and leave each application on for 24 hours | Very effective and safe May be limited by its unpleasant odor |