Scabies

Diagnosis

To diagnose scabies, your doctor examines your skin for signs of mites. Additionally, they may collect a skin sample for microscopic examination. This enables them to identify the presence of mites or eggs.

Treatment

Treating scabies involves using medicated creams or pills to eradicate both the mites and their eggs. These treatments are only available with a prescription, as there is no over–the–counter option. Various creams and lotions can be prescribed by your doctor.

Typically, your doctor will instruct you to apply the medication to your entire body, excluding the face, leaving it on for at least 8 to 14 hours. In some cases, a second application may be necessary, especially if new symptoms arise.

Given the highly contagious nature of scabies, your doctor will likely advise treating all members of your household and close contacts, regardless of whether they display symptoms.

Common treatments for scabies include:

• Permethrin cream. Permethrin is a topical cream containing chemicals designed to eliminate the mites responsible for scabies and their eggs. It is generally deemed safe for use by adults, pregnant or breastfeeding individuals, and children over 2 months of age.
• Sulfur cream. Sulfur cream serves as a scabies remedy that is applied overnight, washed off, and then reapplied for five consecutive nights. It is safe for use during pregnancy and in infants under 2 months old.
• Ivermectin. When prescribed lotions fail to effectively treat scabies, Ivermectin can be administered orally. It is commonly prescribed for individuals with crusted scabies or compromised immune systems. However, it is not advisable for pregnant or nursing individuals, nor for children weighing less than 33 pounds (15 kilograms).

Although these medications quickly eliminate the mites, itching may persist for several weeks. For those who do not find relief from these treatments or cannot use them, doctors may suggest alternative skin care treatments.