What are the most effective treatments for scabies. How can you identify scabies symptoms. What causes scabies infestations. How long does scabies treatment typically take. What are the best ways to prevent scabies spread.

Understanding Scabies: Causes and Transmission

Scabies is a highly contagious skin condition caused by tiny mites that burrow under the skin. These microscopic parasites, known as Sarcoptes scabiei, are responsible for the intense itching and discomfort associated with scabies infestations. But how exactly do these mites spread from person to person?

Scabies is primarily transmitted through prolonged skin-to-skin contact with an infected individual. This close contact allows the mites to crawl from one person to another. Common scenarios for transmission include:

• Intimate physical contact
• Sharing beds or living spaces
• Crowded environments like nursing homes or childcare facilities
• Sharing contaminated clothing or bedding

It’s important to note that scabies can affect anyone, regardless of age, gender, or socioeconomic status. The mites can survive for 48-72 hours without a human host, which means indirect transmission through contaminated items is possible, albeit less common.

Can you get scabies from brief contact?

While brief contact rarely results in scabies transmission, it’s not impossible. The risk increases with the duration and intimacy of contact. A quick handshake or hug is unlikely to spread scabies, but sharing a bed or prolonged close contact significantly raises the risk of infestation.

Recognizing Scabies Symptoms: Early Detection is Key

Identifying scabies symptoms early can lead to faster treatment and prevent further spread. The hallmark symptom of scabies is intense itching, particularly at night. However, several other signs may indicate a scabies infestation:

• Rash: A pimple-like rash that may contain tiny blisters or scales
• Burrow tracks: Thin, grayish-white, or skin-colored lines on the skin surface
• Intense itching: Especially severe at night and in warm conditions
• Sores: Caused by scratching, which can lead to secondary bacterial infections
• Crusted scabies: A severe form characterized by thick crusts of skin containing large numbers of mites

These symptoms typically appear 2-6 weeks after initial exposure for those who have never had scabies before. In individuals who have previously been infected, symptoms may develop much more quickly, often within 1-4 days of exposure.

Where do scabies symptoms typically appear?

Scabies mites prefer certain areas of the body. Common locations for symptoms include:

• Between fingers and toes
• Wrists and elbows
• Armpits
• Waist and buttocks
• Genital area
• Breasts (particularly under the nipples in women)
• Shoulder blades

In infants and young children, symptoms may also appear on the scalp, face, neck, palms, and soles of the feet.

Effective Scabies Treatments: From Topical to Oral Options

Treating scabies effectively requires a multi-faceted approach. The primary goal is to eliminate the mites and their eggs while managing symptoms and preventing reinfestation. Several treatment options are available, each with its own benefits and considerations:

Topical Treatments

Permethrin cream (5%): This is often the first-line treatment for scabies. It’s applied to the entire body from the neck down and left on for 8-14 hours before being washed off. A second application is typically recommended after 7 days.

Crotamiton lotion or cream (10%): This medication is applied once daily for 5 consecutive days. It’s less effective than permethrin but may be used in cases where permethrin isn’t suitable.

Sulfur ointment: A 6% sulfur ointment applied for 3 consecutive nights can be effective, especially for pregnant women and infants who can’t use other treatments.

Oral Treatments

Ivermectin: This oral medication has shown great promise in treating scabies, especially in large-scale community interventions. It’s typically given as a single dose, with a second dose often recommended after 1-2 weeks.

How long does it take for scabies treatment to work?

While the medications kill the mites quickly, itching may persist for several weeks after treatment. This is due to the body’s allergic reaction to the dead mites and their waste products. It’s crucial to complete the full course of treatment as prescribed, even if symptoms improve, to ensure all mites and eggs are eliminated.

Preventing Scabies Spread: Essential Steps for Containment

Preventing the spread of scabies is crucial, especially when an infestation has been identified. Here are key steps to contain the outbreak:

1. Treat all household members and close contacts simultaneously, even if they don’t show symptoms.
2. Wash all clothing, bedding, and towels used in the 3 days before treatment in hot water (at least 50°C or 122°F) and dry on high heat.
3. Items that can’t be washed should be sealed in plastic bags for at least 72 hours.
4. Vacuum carpets and upholstered furniture thoroughly.
5. Avoid close contact with others until treatment is complete.
6. Inform close contacts and sexual partners of the past month about potential exposure.

Can scabies live in mattresses?

While scabies mites prefer human hosts, they can survive in mattresses for short periods. To address this:

• Cover mattresses with plastic covers for at least 72 hours after treatment.
• Vacuum mattresses thoroughly and dispose of the vacuum bag immediately.
• Consider using a mattress spray designed to kill mites and other parasites.

Scabies in Special Populations: Unique Considerations

Certain populations require special attention when it comes to scabies prevention and treatment:

Infants and Young Children

Scabies in infants and young children can be particularly challenging. The rash may appear different, often affecting the head, neck, palms, and soles. Treatment options may be limited due to safety concerns, and close monitoring is essential.

Elderly and Immunocompromised Individuals

These populations are at risk for developing crusted (Norwegian) scabies, a severe form of the infestation. This variant is highly contagious and may require more aggressive treatment, including oral ivermectin in combination with topical treatments.

Healthcare Settings

Scabies outbreaks in healthcare facilities require prompt and coordinated action. This often involves treating all patients and staff, even those without symptoms, to prevent further spread.

Natural Remedies for Scabies: Complementary Approaches

While medical treatments are essential for eliminating scabies, some natural remedies may help alleviate symptoms and support the healing process:

• Tea tree oil: Known for its anti-parasitic properties, it may help kill mites when diluted and applied topically.
• Neem oil: This traditional remedy has insecticidal properties and may help soothe itching.
• Aloe vera: Its anti-inflammatory properties can help reduce skin irritation and promote healing.
• Cayenne pepper: When mixed with other ingredients, it may help relieve itching.
• Turmeric: Its anti-inflammatory and antiseptic properties may aid in skin healing.

It’s important to note that these natural remedies should not replace prescribed medical treatments. Always consult with a healthcare provider before using any alternative treatments, especially if you’re already using prescribed medications.

Are essential oils effective against scabies?

While some essential oils show promise in laboratory studies, their effectiveness against scabies in real-world scenarios is not well-established. Tea tree oil and clove oil have demonstrated some anti-scabies properties, but they should not be relied upon as a sole treatment. Essential oils can also cause skin irritation if not properly diluted, so caution is advised.

Living with Scabies: Coping Strategies and Support

Dealing with a scabies infestation can be physically and emotionally challenging. Here are some strategies to help cope with the condition:

• Stay informed: Understanding the condition can help reduce anxiety and improve compliance with treatment.
• Manage itching: Cool compresses, antihistamines, and moisturizers can help alleviate itching.
• Practice good hygiene: Regular bathing and keeping nails short can prevent secondary infections from scratching.
• Seek support: Don’t hesitate to reach out to friends, family, or support groups for emotional support.
• Follow-up care: Attend all follow-up appointments with your healthcare provider to ensure the infestation is fully resolved.

How can you manage the psychological impact of scabies?

The psychological toll of scabies shouldn’t be underestimated. Many people experience feelings of shame, anxiety, or depression. To address this:

• Educate yourself and others to combat stigma
• Practice stress-reduction techniques like meditation or deep breathing
• Seek professional mental health support if needed
• Join support groups or online communities for shared experiences and advice

Remember, scabies is a common condition that can affect anyone. With proper treatment and support, it can be effectively managed and overcome.

Advances in Scabies Research: New Horizons in Treatment and Prevention

The field of scabies research is continuously evolving, with scientists and medical professionals working tirelessly to improve treatment options and prevention strategies. Recent advancements and ongoing research offer hope for more effective management of this challenging condition:

Improved Diagnostic Tools

Researchers are developing more accurate and efficient diagnostic methods for scabies. These include:

• High-resolution imaging techniques to visualize mites and burrows
• Molecular diagnostic tests to detect mite DNA in skin samples
• Artificial intelligence-assisted diagnosis using smartphone cameras

These advancements could lead to earlier detection and more targeted treatments, potentially reducing the spread of scabies in communities.

Novel Treatment Approaches

Scientists are exploring new treatment options that could offer advantages over current methods:

• Moxidectin: A long-acting antiparasitic drug that may provide extended protection against reinfestation
• Nanotechnology-based treatments: Nanoparticles could enhance the delivery and efficacy of anti-scabies medications
• Immunotherapy: Researchers are investigating ways to boost the immune response against scabies mites

Community-Based Interventions

Large-scale studies are underway to assess the effectiveness of mass drug administration (MDA) programs in endemic areas. These programs aim to reduce the overall prevalence of scabies by treating entire communities simultaneously.

What role does genetic research play in scabies management?

Genetic research is opening new avenues in scabies management:

• Identifying genetic factors that influence susceptibility to scabies infestations
• Studying mite genetics to understand drug resistance and develop targeted treatments
• Exploring the potential for genetic modification to control mite populations

This research could lead to more personalized treatment approaches and more effective prevention strategies in the future.

Environmental Control Strategies

Researchers are also focusing on improving environmental control measures to prevent scabies transmission:

• Development of long-lasting insecticidal fabrics for bedding and clothing
• Improved disinfection methods for contaminated items
• Studies on the survival of mites in different environmental conditions to inform better prevention strategies

These advancements in scabies research offer hope for more effective management and prevention of this persistent parasitic infection. As our understanding of scabies biology and epidemiology grows, we can expect to see more targeted and efficient approaches to controlling this global health concern.

The future of scabies management looks promising, with potential improvements in diagnosis, treatment, and prevention on the horizon. However, it’s important to remember that current treatments, when used correctly, are still highly effective in managing scabies infestations. Continued research and development in this field will only enhance our ability to combat this challenging condition and improve the quality of life for those affected by scabies worldwide.

What Causes Scabies? Treatment, Symptoms & Pictures

On my first visit to my doctor, after 3 weeks of rash, which I thought was from a hotel hot tub, my doctor diagnosed me with scabies. I did have a very active traveling period from Christmas through April 1st. Staying in hotels, so I am sure I picked it up on bedding, or a bus, airplane, movie theater, etc., you can pick it up anywhere! I have been totally consumed by this, think about it constantly, always online trying to find the cure, buying all sorts of creams and oils, and I can only sleep for a couple of hours. End of April I started with permethrin treatment. Then I tried salt spray and Sarna Cream and had sea salt bath followed by cool showers and felt better. I added tea tree oil to sea salt spray, and added neem oil to Sarna medicated moisturizer and applied it for itch. When in tub baths I did exfoliating with scrub brush on affected area, but had to stop as it seemed too harsh. The permethrin treatment is tough on your skin. I showered or bathed 2 times per day, cleaned sheets and towels daily, vacuumed floors and furniture, sprayed furniture, car seats and some carpeting with permethrin spray. I bagged things that I have worn if not washed, in garage. I put shoes in freezer, sprayed and bagged. I wore pedi-socks all of the time in the house. Mattresses were encased in zippered covers. All clothing, bedding and towels went into garbage bag until ready to be washed in hot water, detergent and borax. I used hot dryer and I have cleaned things to the best of my ability. I am usually a very social person, but now find myself wanting to be in my clean bed, after a sea salt bath or cool shower. Sarna lotion offers the best moisturizer/anti-itch formula. Spot treat pimples with tea tree oil. Give the permethrin a chance to work before trying all of the harsh bleach, turpentine, etc. treatments you read about. After doing your initial environmental cleanup, you really have to concentrate on yourself, your clothing and your bedding. The mites want you! After 2nd visit to my doctor, he gave me a prescription for hydroxyzine, which has stopped the night itching and has allowed me to sleep. I think I am finally on the mend, but after almost two months, I am still dealing with it!

Scabies Means Misery. This Pill Can End It.

Scabies can be controlled with a pill or two, and the protective effect lasts for years, scientists reported on Wednesday.

At present, the standard remedy is a skin cream with an insecticide that does not provide long-term protection. In poor countries, pills can be distributed throughout a village, ridding whole communities of the parasite.

While not fatal, scabies causes profound misery; many people find even the thought of it repulsive. Two years ago, it was added to the World Health Organization’s list of neglected tropical diseases.

Scabies is an infestation of tiny mites that burrow under the skin. Victims suffer from relentless itching and develop an angry rash, which is an allergic reaction to the eggs and feces the females deposit as they tunnel.

Scratching the rash may lead to impetigo, a bacterial skin infection with oozing sores.

Scabies is most common in poor countries but can be found anywhere. It has been diagnosed in American high-school wrestling teams. In January, infestations were detected in firefighters at two New York City firehouses, one of which had to be closed for decontamination.

In the study, published in the New England Journal of Medicine, Australian and Fijian researchers tested three treatment regimens in three groups of isolated island villages in Fiji.

A third got the standard treatment prescribed in Fiji: skin lotion containing permethrin was given to people with scabies and their family members. (Permethrin is an insecticide used in insect-repellent clothing and in some mosquito nets.)

In the second group, everyone in the village got the lotion.

In the third group, everyone in the village who agreed to participate got one ivermectin pill; those with confirmed scabies got a second pill a week later.

Ivermectin, which was discovered in Streptomyces avermitilis bacteria in 1975, is a powerful drug that kills many types of parasitic worms. Because ivermectin lingers in the blood, it also kills insects that bite humans, including mosquitoes, lice and mites.

Nonetheless, the drug is considered safe enough to give to almost everyone except the youngest infants and pregnant women. It is also used in pets to kill heartworms, for example. Its inventors shared the 2015 Nobel Prize in Physiology or Medicine.

After two years of follow-up in Fiji, less than 4 percent of the inhabitants of the villages that got ivermectin still had scabies. By contrast, the prevalence rate in the villages that got standard care was 15 percent. In the villages where inhabitants got topical permethrin, the figure was 13.5 percent.

In the ivermectin group, secondary infections like impetigo were 90 percent less common after two years than they had been when the trial began — far lower than in the other two villages.

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Effective as mass distribution of ivermectin was, the authors wrote, it still needs to be tested in larger, less-isolated populations to see if the overall protective effect persists.

In 1971, a global survey of dermatologists for the Journal of the American Medical Association suggested that scabies was on the increase all around the world, for unknown reasons.

In the years following World War II, it was not uncommon to treat scabies with a lotion containing DDT, especially in military hospitals. Use of topical DDT was later linked to some cancers by the World Health Organization.

Amazon.com: Customer reviews: Scabisil 10% Sulfur Ointment

Top positive review

4.0 out of 5 starsInstant Relief Won’t Cure Though

Reviewed in the United States on March 19, 2018

This won’t eliminate your Scabies. Get Ivermectin and Permethrin and use together for complete success, along with the excessive laundering, vacuuming, and disinfecting. Trust me I’ve bought every oil and doctor prescribed remedy available. However, I’m giving this product four stars because it does provide immediate relief from the itching and burning sensation these mini demons cause, and probably kills some mites that are along the skin’s surface. But these mini demons burrow underneath the skin. Thus the need for the Ivermectin and Permethrin, both are available here on Amazon. This product smells of eggs and tire rubber but is not overwhelming and soon dissipates. The container is pretty small so I ended up ordering 3 more once I saw it. You will need at least 2 of these containers to start off with. One is definitely not enough. This product is good to use between Permethrin treatments and is very soothing to the skin. I noticed immediate relief and from the itching and burning. I recommend staying away from extremely white or black clothing while using this product if you have to go out since it is yellow in color and doesn’t seem to stain but will transfer to your clothing. To cure Scabies completely, I used an air mattress, one sheet, one blanket and one pillow, one long sleeve sleeping shirt and one pair of long comfy pajama pants worn with socks (helps keep mites and cream contained and keeps cream from drying out if you’re covered up) 2 pair of socks (one pair for night one pair for day) one bath towel and 3 outfits. All were washed in hot water and dried on hottest setting daily. Closet, bed and furniture were off limits. Bagged up everything I could including sofa pillows. You can also get Ivermectin spray for furniture. I personally used Lysol then stayed off the furniture. I vacuumed every 3 days and disposed of the vacuum debri in a tied plastic garbage bag. Used Durvet Ivermectin paste (for horses, I know but safe enough for humans and I was desperate to get rid of the mini demons) and Martins 10% Permethrin diluted to 5% (just like the doctor prescribed but way cheaper) by mixing 1/2 and 1/2 with the lotion of your choice. I recommend a soothing non scented lotion like Aloe Vera. You can waste your time and money on neem oil, tea tree oil, clove oil, orange oil, peppermint oil, coconut oil, lavender oil, sea salt, epsom salt, Hydrogen Peroxide, Borax, Bleach, along with long hot baths with any mixture of the above. Trust me I’ve tried it all but in the end it’s only going to provide temporary relief and you’re still going to need the Ivermectin and Permethrin to kill the mini demons. Overall this is a good product and I recommend using this with your treatment for immediate relief of the symptoms the mini demons otherwise known as Scabies cause. If I have helped just one person with this review, it was absolutely worth the time. Having Scabies is terrible and tough to go through. Good luck with your treatment. I hope you are mini demon free soon!

Curing my scabies (my story)

Curing my scabies

About 18 months ago I had a small patch of bumpy, itchy skin on my arm, so I went to a dermatologist and he said “Eczema” and told me to put skin lotion on it.

Well, the itch spread from one elbow to my other elbow, up and down my arms, down to my legs, etc. 

I went to another dermatologist. He said “Eczema” and told me to put regular skin lotion on it. I now have a row of bottles of useless lotion.

After months of research, I finally figured out I might have scabies. I read 5% permethrin cream was the treatment.

I went to an inner city clinic and the doctor didn’t think I had scabies, but I said “Can it hurt anything for me to try the cream?” She gave in and I got a prescription for the 5% permethrin cream. Went to Wal-Mart and it was $80 for a 2 ounce tube! $80!!! I bought a tube and smeared it on, but 2 ounces wasn’t enough to really cover me all over.

So I learned how to make my own. I ordered 10% permethrin (with no petroleum distillates) from Amazon and bought skin lotion at Wal-Mart. I mixed up my own home-made 5% permethrin cream and spread it all over. It went on much smoother than the prescription cream. Mixing up enough permethrin and lotion to make 4 ounces cost $4 (that’s $2 a “tube”). 

I even made video on how to make your own 5% permethrin cream and put it on YouTube and got lots of views and grateful comments (see “My DIY instructions and video story” at the bottom of this page for how that went.

I thought I was cured and getting better when — “wham!” — 5 weeks later the scabies came back with a vengeance. That really freaked me out. I had done everything according to the book and I still wasn’t cured. I wondered if maybe I didn’t have scabies…maybe it was “something else.” I itched so much I could only sleep a few hours at a time. I was going insane from sleep deprivation and despair.

I did more research. I read piles of studies and tests and what their results were. Finally I found the Center for Disease Control of Northern Australia had a program for treating the scabies epidemic among the aborigines. It combined almost everything I had read in many separate studies. It is called the “Healthy Skin Program.”

The key to this program was using both a topical (applied to your skin) AND an oral medication. I used my home-made 5% permethrin cream on my skin and I went and talked the clinic doctor into giving me a prescription for 2 doses of ivermectin pills. Went to good old Wal-Mart, the “Always low prices” place, and they charged $40 per dose of ivermectin!!!

The Healthy Skin Program involved 7 doses of ivermectin, and the good doctor wouldn’t prescribe any more…so I wound up using ivermectin “horse paste”. It is a paste they squirt into animals’ mouths to treat them for intestinal parasites. I used it to treat my scabies. Only $4 for 5 doses! It tasted a bit yucky, but I was in ivermectin heaven. I cannot recommend anyone else to do what I did…I’m just telling you my personal journey as it occurred.

Permethrin cream can irritate your skin, so you can only use it once a week. And after you apply it you feel better immediately, but then the itching can turn on even worse. Partly because all of a sudden you have dead scabies mites and eggs under your skin and your body doesn’t like that.

So in between the permethrin and ivermectin that I used each week for 4 weeks, I also applied home-made sulfur cream. It stopped the itch so I could sleep. I think I slept ten hours straight the first night I used the sulfur lotion. I was so elated! But the sulfur did dry my skin out so I ordered some Eurax lotion and tried that. Wonder of wonders, it stopped the itch so I could sleep AND it softened my skin. Eurax is the only skin product that didn’t make me suffer when I used it — and it kills scabies mites, too. From what I read Eurax isn’t as powerful as permethrin, but I figured if I used them both (not on the same day) I’d have a better chance at a cure.

The second week I took ivermectin 4 days in a row. I think I may taken 2 doses on one of those days. Bad idea. Late one night I suddenly realized I had developed tunnel vision. The edges of my field of vision darkened, kind of like when they show someone using a binoculars on TV…like I was looking down a tunnel. I had read about that so I wasn’t scared…in fact, by now I didn’t really care. I was so used to perpetual suffering it seemed almost normal. So I went to bed and my vision was fine in the morning. That’s one of the wonderful things about ivermectin. If you use it only once or twice a week there are no side effects. And if you do overdose, the side effects are temporary. I’m just telling you about my experience so you’ll be smarter than me!

I had been itching and scratching for over a year and so I had open sores all over. I noticed they seemed to be infected so I went back to the clinic. They were very interested in looking me over. The doctor even called in another doctor to have a look at me. I have learned it is never a good sign when a doctor is interested in me. It means something is seriously wrong. They took a sample of the infection and gave me a prescription for an antibiotic (cephalexin, a relative of penicillin) and, you guessed it, off I went to Wal-Mart to bleed money again. To my surprise cephalexin is on Wal-Mart’s “blessed” list and a 14 day supply was only $4! Oh happy day!

I took the antibiotic religiously while I continued the Healthy Skin Program. My infections cleared up and my blood pressure dropped 40 points. I hadn’t realized my swollen ankles were caused by a systemic bacterial infection (“systemic” means it is everywhere in the body).

Anyway, after 29 days I was at the end of the Healthy Skin Program. I still itched here and there now and then, but no where near like I used to. I was paranoid as hell, so when I felt even one little prick I applied the Eurax lotion. My skin has gotten better gradually. As I write this it has been 2 months since the end of the program. I am cured. I have no living scabies mites on me. The scar tissue from a year and a half’s scratching is healing gradually.

UPDATE: it is over a year now and the scar tissue has all been replaced by new, healthy skin. Also, the darker, pigmented patches of skin which I had faded gradually until my skin is all one tone again. It is amazing what a memory skin has for getting back to normal.

Just so you know, during this long program piles of laundry had to be done. All sheets, towels, pillows and clothes had to be run through the dryer on high heat for 30 minutes before being reused (it is essential for the laundry to be completely dry first, and then to run it through the dryer on high for 30 minutes — the dry heat kills the mites and their eggs). And I treated some furniture and my car seats with permethrin, too. All the details are on my other scabies pages.

But after all this, even after my scabies was cured, and after my bacterial infection was gone, I still didn’t feel “normal”. I didn’t have much energy. I did more research and wound up taking a supplement called NAC. After a few days taking that I felt normal again. Click here to read my page Nac: Feeling “normal” again.

And in the midst of all this suffering some videos and this web site have been born. Hopefully they will help other folks to cure their scabies. And not have to spend hundreds or thousands of dollars on medical bills. And not have to beg, and then get turned down, for enough medication to actually do the job. It’s a good feeling to finally be in control. Whew!

Disclaimer: I am not a doctor or any sort of medical professional. I cannot diagnose or prescribe anything for you. I can tell you what I did, but that was for me. I did my own research, came to my own conclusions and I take responsibility for all of that. The same is true for you. Do your own research, come to your own conclusions and take responsibility for that. I am not telling you what to do or not to do. I am not telling you anything is “safe” because it is always possible for you to be allergic or to not follow instructions or whatever. I often had to proceed even though I knew I didn’t have complete enough information to be sure what the results of my actions would be, but I knew I had to do something or I would suffer forever. Follow your own star, live your own life, and don’t follow anyone else blindly. Otherwise you are living their life and nobody will have lived your life. I hope that makes sense.

My DIY instructions and video story

As I said, I made video describing how I made my own 5% permethrin cream and put it up on YouTube. Not surprisingly, a lot of people watched it and made their own and treated themselves.

Well, then a guy who sells some home-made permethrin lotion and sells it on-line wrote telling me I was killing his business and had a whole sob story about his family. I checked and found someone was going around the web writing reviews of other scabies products criticizing them and talking up this guy’s stuff. I can’t say for sure, but it looked to me like this guy was writing bogus reviews criticizing other products and puffing up his own product. It sounded too suspicious to me so I couldn’t recommend his product. And I refused to take down my DIY permethrin cream video just so he could sell more of his home brew. 

Well, magically the permethrin company calls me and threatens to sue me and have the EPA and FDA prosecute me. Gee, I wonder who called them? And because I don’t want the permethrin company to sue me, I can’t describe how I did it or recommend it or anything. Oh well. I made a page with directions for how to mix up permethrin lotion for treating scabies on any animals except cats. When wet, permethrin is toxic to cats and certain breeds of dogs, such as collies (all the info is on my treating animals with permethrin page). With animals scabies is called “mange”.

So on my page about how to treat animals is my recipe to make 5% permethrin lotion…the same concoction that I used on myself. Ain’t it a strange world?

Scabies – Diagnosis and treatment

Diagnosis

To diagnose scabies, your doctor examines your skin, looking for signs of mites, including the characteristic burrows. When your doctor locates a mite burrow, he or she may take a scraping from that area of your skin to examine under a microscope. The microscopic examination can determine the presence of mites or their eggs.

Treatment

Scabies treatment involves eliminating the infestation with medications. Several creams and lotions are available with a doctor’s prescription.

Your doctor will likely ask you to apply the medication to your whole body, from the neck down, and leave the medication on for at least eight to 10 hours. Some treatments require a second application, and treatments need to be repeated if new burrows and a rash appear.

Because scabies spreads so easily, your doctor will likely recommend treatment for all household members and other close contacts, even if they show no signs of scabies infestation.

Medications commonly prescribed for scabies include:

• Permethrin cream. Permethrin is a topical cream that contains chemicals that kill scabies mites and their eggs. It is generally considered safe for adults, pregnant women, and children age 2 months and older.
• Ivermectin (Stromectol).Doctors may prescribe this oral medication for people with altered immune systems, for people who have crusted scabies, or for people who don’t respond to the prescription lotions and creams. Ivermectin isn’t recommended for women who are pregnant or nursing, or for children who weigh less than 33 pounds (15 kilograms).
• Crotamiton (Eurax, Crotan). This medication is available as a cream or a lotion. It’s applied once a day for two days. The safety of this medication hasn’t been established in children, adults 65 and older, or women who are pregnant or nursing. Frequent treatment failure has been reported with crotamiton.

Although these medications kill the mites promptly, you may find that the itching doesn’t stop entirely for several weeks.

Doctors may prescribe other topical medications, such as sulfur compounded in petrolatum, for people who don’t respond to or can’t use these medications.

Lifestyle and home remedies

Itching may persist for some time after you apply medication to kill the mites. These steps may help you find relief from itching:

• Cool and soak your skin. Soaking in cool water or an oatmeal bath, or applying a cool, wet washcloth to irritated areas of your skin may minimize itching.
• Apply soothing lotion. Calamine lotion, available without a prescription, can effectively relieve the pain and itching of minor skin irritations.
• Take antihistamines. At your doctor’s suggestion, you may find that over-the-counter antihistamines relieve the allergic symptoms caused by scabies.

Preparing for your appointment

Make an appointment with your family doctor or pediatrician if you or your child has signs and symptoms common to scabies.

Here’s some information to help you get ready for your appointment and know what to expect from your doctor.

Information to gather in advance

• List any signs or symptoms you or your child has had, and for how long.
• List any possible sources of infection, such as other family members who have had a rash.
• Write down key medical information, including any other health problems and the names of any medications you or your child is taking.
• Write down questions you want to be sure to ask your doctor.

Below are some basic questions to ask your doctor about scabies.

• What’s the most likely cause of these signs and symptoms?
• What treatment approach do you recommend?
• How soon will symptoms improve with treatment?
• When will you see me or my child again to be sure the treatment is working?
• Are there any home remedies or self-care steps that could help relieve symptoms?
• Am I or is my child contagious? For how long?
• What steps should be taken to reduce the risk of infecting others?

What to expect from your doctor

Your doctor is likely to ask you a number of questions. Being ready to answer them may reserve time to go over any points you want to talk about in-depth. Your doctor may ask:

• What signs and symptoms have you noticed?
• When did you first notice these signs and symptoms?
• Have these signs and symptoms gotten worse over time?
• If you or your child has a rash, what parts of the body are affected?
• Has anyone else with whom you have frequent, close contact had a rash, an itch or both within the past several weeks?
• Are you currently pregnant or nursing?
• Are you or is your child currently being treated or have you or your child recently been treated for any other medical conditions?
• What medications are you or your child currently taking, including prescription and over-the-counter drugs, vitamins and supplements?
• Is your child in child care?

What you can do in the meantime

In the time leading up to your appointment, try at-home and over-the-counter (OTC) remedies to help reduce itching. Cool water, antihistamines and calamine lotion may provide some relief. Ask your doctor what OTC medications and lotions are safe for your child.

Aug. 25, 2020

Permethrin cream | Patient

About permethrin cream

Permethrin cream contains an insecticide. It kills insects (parasites) that live on humans, such as the scabies mite and crab (pubic) lice. Two applications of treatment with permethrin cream are needed, one week apart. Your whole body should be treated both times.

Scabies is an itchy skin disorder that leads to a rash. It is caused by an infestation with a parasite – the scabies mite. The mite lives on the skin and burrows into it. Scabies is contagious and spreads to others through close skin-to-skin contact. The hand is the most common site to be first affected, probably from prolonged hand-holding with an infected person. Close skin-to-skin contact when having sex is another common way of catching scabies.

Crab lice are tiny insects that live on humans, usually in the pubic hair. They are passed on through close body contact, such as when having sex. Infestation with pubic lice can cause itching but not everyone affected has symptoms. Crab lice are grey or brown in colour. They get their name because some of their legs have crab-like claws.

Permethrin cream is available on prescription, or you can buy it without a prescription at a pharmacy. It is easy to apply and normally works well if used properly.

Before using permethrin cream

To make sure this is the right treatment for you, before you start using permethrin cream it is important that your doctor or pharmacist knows:

• If you are pregnant or breastfeeding. This is because, while you are expecting or feeding a baby, you should only use medicines on the recommendation of a doctor.
• If it is for a child or a teenager under 18 years if age. In children under 2 years of age, permethrin cream should only be used for scabies on the advice of a doctor. It can be used for crab lice, only in adults.
• If you have ever had an allergic reaction to a cream or ointment, or if you know you are allergic to chrysanthemums or flowering plants known as Compositae.

How to use permethrin cream

• Before you start the treatment, read the manufacturer’s printed information leaflet from inside the pack. It will give you more information about applying permethrin cream and will provide you with a full list of the side-effects which you could experience from using it.
• Two applications of treatment are needed, one week apart. Apply a thin layer of the cream over your whole body including your face, neck, scalp and ears, but try to take care not to get any into your eyes. Remember to include awkward places such as your back, the soles of your feet, between your fingers and toes, under your fingernails, and your genitals. The cream should be applied when your skin is cool and dry, so if you have just had a bath or shower, wait for a little while to let your skin cool before you apply the cream.
• If you have scabies, pay special attention to the areas where mite burrows can commonly occur – the front of your wrists and elbows, beneath your breasts, your armpits, and around the nipples in women.
• Leave the cream on for 8-12 hours for scabies, or 12 hours (overnight) for crab lice. After this time, you should remove the treatment from your skin by having a bath or a shower. If you need to wash your hands during the treatment time, remember to re-apply some cream to your hands afterwards. You will need to use the cream a second time, seven days after the first treatment. Apply the cream in the same way as the first time. Using two treatments, a week apart like this, helps to ensure that all the mites/lice are killed.
• For the two applications, an adult is likely to need 60 g of cream (two tubes – one tube for each application), older children will require 30 g cream in total (½ tube for each application) and younger children will require 15 g cream in total (¼ tube for each application).
• Please note – if you are breastfeeding a child, you should wash off the cream from your nipples before you breastfeed, and then re-apply the cream afterwards.

Getting the most from your treatment

• If you have scabies, all your household members, close contacts, and sleeping/sexual partners should also be treated – even if they have no symptoms. This is because it can take up to six weeks to develop symptoms after you become infected. Close family and partners may be infected but have no symptoms, and may pass on the mite. Everyone who is treated, should be treated on the same day.
• If you have crab lice, your recent close contacts and sexual partners should also be treated if they are infected. It is important to remember that lice may be present even without other symptoms such as itching. If you have caught crab lice from a sexual partner, you should also be tested for other sexually transmitted infections.

If you have scabies, the following also applies:

• If you are applying permethrin cream to an infant or young child, put mittens on your child to stop them licking the cream off their hands. Don’t apply the cream to areas around their mouth where it could be licked off.
• Children should stay off school until the first application of treatment for scabies has been completed.
• Clothes, towels and bed linen should be machine-washed at 50°C or above after the first application of treatment. This kills the scabies mites. Keep any items of clothing that cannot be washed, in plastic bags for at least 72 hours to contain the mites until they die. Alternative options to kill any mites on clothes and linen are ironing the item with a hot iron, dry cleaning or putting items in a dryer on the hot cycle for 10-30 minutes. It is not necessary to fumigate living areas or furniture or to treat pets.
• You will still be itchy for a while after successful treatment. If the itching becomes troublesome to you, your doctor or pharmacist will be able to advise you regarding suitable products to ease this. Moisturising creams can provide temporary relief from itching.
• It is normal for it to take up to 2-3 weeks (and sometimes up to six weeks) for the itch to go completely after scabies mites have been killed. You should, however, see a doctor if the itch persists longer than 2-3 weeks after treatment. This is because sometimes the first insecticide does not work and you may need to use a different one.
• Some people may develop a secondary skin infection which may need antibiotic treatment. If you suspect this is the case for you, you should make an appointment to see your doctor.

Can permethrin cream cause problems?

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with permethrin. You will find a full list in the manufacturer’s information leaflet supplied with the cream. The unwanted effects often improve as your body adjusts to the new medicine but speak with your doctor or pharmacist if any of the following continue or become troublesome.

Important: there is a risk of fire when creams and ointments are absorbed by fabrics (such as clothing or bedsheets), making them flammable. A spark or flame can easily ignite the fabric. The risk is highest when large amounts of paraffin-based products are applied and absorb into fabrics. However there is also a risk when non-paraffin products are used. Be aware of this fire hazard when repeatedly using large amounts of any skin product. Do not smoke or go near naked flames.

If you experience any other symptoms which you think may be due to the cream, please speak with your doctor or pharmacist for further advice.

How to store permethrin cream

• Keep all medicines out of the reach and sight of children.
• Store in a cool, dry place, away from direct heat and light. 

Important information about all medicines

Ivermectin (Stromectol) for typical and crusted scabies

Current pharmacological management of scabies is aimed at eradicating mites, alleviating symptoms and reducing the incidence of secondary infection.¹¹

Initial therapy for typical scabies with topical permethrin

Australian guidelines recommend use of permethrin 5% cream as scabies treatment of choice for adults and children aged 2 months and over, due to low toxicity, high efficacy and being generally well tolerated.¹⁰

The Australian Medicines Handbook Children’s Dosing Companion provides instructions for approximate amounts of cream for a single application in children of different ages.¹⁰

Benzyl benzoate 25% lotion is an alternative for people who are allergic to permethrin or if permethrin fails.^{10, 11} Some guidelines recommend avoiding use of benzyl benzoate
in children, as it is an irritant and when diluted to reduce irritation, efficacy can be reduced.
^{10, 25}

Treat impetigo, if present, concomitantly. Treatment choice while waiting for results will depend on setting (non-remote vs Indigenous community in central and northern Australia).¹¹ Refer to the Therapeutic Guidelines for detailed information on treating impetigo.¹¹

An important consideration is that itching may persist for 1–2 weeks after treatment, even if the mites are successfully eradicated.⁶ Symptomatic post-treatment itch and dermatitis may be treated with a moderately potent topical corticosteroid 2–3 times daily or an emollient such as glycerol
10% in sorbolene cream.
¹¹

Consider reasons for treatment failure before starting oral ivermectin for typical scabies

Always start with a complete course of topical treatments before using ivermectin.

If symptoms persist 3 weeks after topical treatment with permethrin or benzyl benzoate, consider and address possible reasons for failure, including:¹¹

• the patient not using topical treatment correctly
• incorrect diagnosis or no diagnosis
• an unidentified source of re-infestation
• inadequate contact tracing
• post-treatment itch mistaken for treatment failure. Death of mites commonly causes transient worsening of itch as a result of sensitisation of the human host to mite antigens, with a consequent immunological reaction.⁶

If none of the above is the cause of treatment failure, oral ivermectin may be indicated.¹¹

Reserve use of ivermectin as second line in typical scabies

Very few effective medicines are available for treatment of scabies, and the development of new medicines is unlikely in the near future.⁵

Clinical resistance to ivermectin has been documented, with in-vitro confirmation in people with crusted scabies in whom resistance developed after administration of repeated regimens of multiple doses of ivermectin.²⁶

As ivermectin is not ovicidal, a second dose of ivermectin is necessary to ensure total eradication. Taking both doses of ivermectin has been shown to increase the efficacy of treatment and may mitigate the development of resistance to ivermectin.^{2, 27}

Consider ivermectin if topical treatments are contraindicated

When topical treatments are contraindicated (see Who is it for?), it is preferable to use ivermectin.¹⁰

Consider ivermectin therapy in discussion with a dermatologist or infectious-diseases physician, and base frequency of therapy on severity of crusted scabies.¹¹ (See Dosing issues.)

To reduce scaling, apply topical keratolytics (eg, salicylic acid 5% to 10% in sorbolene cream, or lactic acid 5% plus urea 10% in sorbolene cream) once daily after washing on days when scabicides are not applied.¹¹

Prevent person-to-person contact and environmental transmission of scabies

The evidence is limited for efficacy of interventions, including medicines, barrier precautions, personal hygiene measures or environmental decontamination, for close contacts of people infected with scabies to prevent them from acquiring and spreading scabies infestation.³¹

Some treatment guidelines recommend contact tracing, notification and treatment of close contacts, to prevent treatment failure.^{11, 15}

Clothes, towels and bedding should be washed or subjected to heat from an iron or a clothes dryer. If this is not possible they can simply be stored for a week. as the mites survive for a maximum of 36 hours away from the host.¹¹

Guidelines also recommend putting bedding, clothes and mattresses in the sun.³²

Use in conjunction with scabies programs in communities with endemic scabies

Scabies programs have been successful in reducing the prevalence of scabies and related skin infections when appropriate treatment and follow-up are implemented.¹⁴

Treatment of scabies in Moscow: prices, reviews

Scabies is a contagious disease caused by scabies mites. The disease is accompanied by severe itching, which explains its name. Treatment for scabies cannot be delayed. The sooner you get qualified help, the faster you will be able to cope with the disease. Remember that this is a contagious disease, and it is important to temporarily limit contact with others so as not to expose them to the risk of infection.

Features of infection

Scabies is spread by prolonged (20-30 minutes) contact with the skin of an infected person.The easiest way to get infected is from a host at night while lying in the same bed. This is also due to biological characteristics; in the dark, ticks behave more actively.

It takes time to penetrate the skin, and in the external environment the mite quickly loses its activity and dies. However, the tick is still alive for about a day and can penetrate the skin through general clothing or hygiene items.

Symptoms

Itching is a characteristic symptom of scabies. It intensifies in the evening and at night, which is associated with the life cycle of ticks and the activation of their vital activity in the dark.It is at night that individuals make moves in which they subsequently lay eggs during the day. The disease is also accompanied by the formation of papules between the fingers, on the wrists, abdominal skin, and genitals. Most often, sinuous itch passages are also observed, but this is an optional sign. You can see them on areas with thin skin – on the bends of the arms and legs, inner thighs, nipples, etc.

Diagnostic methods

Diagnosis of the disease is based on visual examination data and laboratory tests.The doctor carefully examines and interviews, specifying how long ago the rash appeared and the accompanying symptoms. It is necessary to talk about the signs of general intoxication, if any: headache, fever and other manifestations.

Epidemiological information is also taken into account. If you have been in the outbreak or have come into contact with a reliably infected person, inform your doctor.

The doctor can detect scabies by staining the skin with iodine tincture.They can be seen as brown streaks against fair skin. The advanced diagnostic method is the video dermatoscope. A magnification of several hundred times allows you to see the moves in almost every case.

Laboratory diagnostics consists in the study of scrapings from the affected areas of the skin. There are various techniques for obtaining scrapings. The simplest of them are the usual scraping from the surface of the affected skin or the extraction of material with a needle from the ends of the itch passages.Other scraping techniques involve first applying chemicals to the skin, such as 40 percent lactic acid, which loosens the top layer of the epidermis, does not cause irritation, and produces quality material. Alkaline preparation is also used – the skin area is treated with a 10% alkali solution and material is taken for analysis. Subsequent microscopic examination is aimed at identifying mites and their metabolic products.

An important condition for recovery is an examination for scabies of people who have been in contact with an infected person.This is especially necessary when children visit educational institutions, as well as relevant for adults who work in close contact with each other and other people. Otherwise, even with an effective treatment regimen, the disease will return again, moreover, the lack of preventive measures and early treatment can jeopardize the health of others.

Peculiarities of treatment

Treating scabies in adults is a fairly straightforward exercise. The most important condition for effective therapy is the treatment of not only the affected areas of the skin, but also the entire surface of the skin.There are other features of the treatment:

• regular hygiene procedures – it is necessary to take a shower before and after treatment;

• bed linen change – it is important to boil the linen that you used before receiving the treatment, and also change the set after the therapy is completed;

• after the end of treatment, it is imperative to boil clothes, change hygiene items – a washcloth, a comb, etc.

It is also very important to trim your nails short, as mite eggs may be underneath due to scratching. Disinfection of clothes can be carried out by boiling for 5-10 minutes in a solution of soda or ordinary washing powder. For reliability, it is worth walking over the fabric with a hot iron. There are also other ways – take off the laundry and wrap it in a plastic bag for five days, or hang it out in the fresh air for the same period of time.

The course of drug treatment is based on low-toxic, highly effective drugs.Sulfuric ointment, medicines based on benzyl benzoate and piperonyl butoxide can be used. The doctor will select the desired form of the drug – ointment, spray. Aerosols are the simplest form, they make it possible to quickly treat the skin of the infected and the rest of the family.

External products should be rubbed into the skin over the entire surface of the body, including hairy areas. It is important to carefully process the skin under the nails, in this area the concentration of the pathogen can be maximum.If the disease is already accompanied by the appearance of crusts on the skin, they are preliminarily softened and removed: the doctor will prescribe a suitable remedy.

After completing the course, you must repeat it in a few days. This will get rid of not only adult ticks, but also larvae.

Prevention of scabies

Scabies cannot be prevented if you come into contact with an infected person. However, if you are aware of a medical condition, it is important to use personal protective equipment.If you find out that a loved one has scabies or have been in contact with a patient, you need to make an appointment with a dermatologist to make sure that there is no disease and take preventive measures.

Benefits of contacting the Family Doctor clinic

Our advantages:

• Inspection by experienced professionals. Reception is conducted by highly qualified doctors, candidates and doctors of science.

• Wide diagnostic capabilities.You can get all the tests you need in one place.

• Modern methods of treating scabies in the clinic. We adhere to an integrated approach and modern principles of treatment, which allows us to help patients even in advanced cases.

• Treatment of adults and children. You can come to the doctor yourself and bring your child to the pediatric dermatologist.

• Affordable prices.You can clarify the cost of admission on the website or by phone.

Clinic buildings work according to a convenient schedule. You can make an appointment with a doctor for the evening or weekend. To make an appointment with a dermatologist, perform a scraping for the diagnosis of scabies, call the single contact center in Moscow +7 (495) 775 75 66, fill out the online registration form or contact the registry.

Cost

dermatovenerologist, oncologist, cosmetologist, Ph.MD, leading specialist of the clinic

dermatovenerologist, cosmetologist

dermatovenerologist, cosmetologist, trichologist

dermatovenerologist

dermatovenerologist, trichologist, cosmetologist, Ph.D.

dermatovenerologist, trichologist, Ph.MD, associate professor

90,000 Treatment of ulcerative colitis in Moscow on DocDoc.ru

Medicine and Beauty

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multidisciplinary medical center

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The network of clinics Medicine and Beauty is a multifunctional treatment and diagnostic medical centers located in the center of Moscow, a 1-minute walk from the Paveletskaya and Novoslobodskaya metro stations.

Moscow, 6th Monetchikovsky per., 19

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08:00 – 21:00
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8 (499) 519-34-67

He Clinic

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The On Clinic Group is a network of family-type universal medical and diagnostic centers, which receive more than 600 specialists from 60 key medical specializations.

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8 (499) 519-37-05

Medical Center K-Medicine

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K-Medicine is a multidisciplinary family clinic offering a wide range of medical services.

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08:00 – 21:00
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7 Metropolitan doctors

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The Clinic of 7 Metropolitan Doctors is a modern specialized institution that treats the spine and joints, and also effectively removes pain in muscle tissues.

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Polyclinic ProfMedLab

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ProfMedLab is a multidisciplinary medical clinic in Moscow, equipped with modern equipment.

Moscow, st. Presnensky Val, 14, building 3

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8 (499) 969-28-55

MedCenterService on Nov. Cheryomushki

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Multidisciplinary medical center.Located 7 min. walk from m.

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GS-clinic

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GS-Clinic was established in 2010 as a multidisciplinary medical center.

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MedCenterService on Belorusskaya

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MedCenterService is a group of 17 multifunctional medical institutions, each of which provides high-quality medical care in such areas as: urology, gynecology, andrology, venereology, dermatology, ENT, therapy, trichology, parasitology and various complexes of surgical operations in urology and gynecology.

Moscow, st. 1st Tverskaya-Yamskaya, 29, bldg. 1

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Moscow, st. Zemlyanoy Val, 38/40, bldg. 6

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Arpimed

If you are pregnant or breastfeeding, ask your doctor or pharmacist for advice before using this medicine.

Important information about the ingredients in Permethrin

How to use Permethrin

Always take this medicine exactly as recommended by your doctor or pharmacist.If you have any doubts about taking a medicine, consult your doctor or pharmacist.

To open the tube, remove the cap from the tube, rotate it and place it on the threaded end of the tube, then turn it to pierce the seal.

Apply cream to clean, dry, cooled skin. Do not take a hot bath or shower just before applying the cream.

Apply a small amount of cream in a thin layer to the affected skin (see.”How and when to take Permethrin Cream”).

Treatment of scabies

Adults and adolescents over 12 years old: apply up to 30 g of cream (corresponds to 60% of the cream in the tube).

Children from 6 to 12 years old: apply up to 15 g of cream (corresponds to 30% of the cream in the tube).

Children aged 2 months to 5 years: apply up to 7.5 g of cream (corresponds to 15% of the cream in the tube).

Newborns and children under 2 months of age: there is insufficient experience with the drug in this age group and therefore the required dose has not been developed. Accordingly, the use of the cream is not recommended in patients of this age group.

The above dosing information is for guidance only. The dose can be adjusted according to the needs of the individual patient and body surface area.For example, sometimes some adult patients require more cream.

Treatment of pubic lice

Adults over 18 years old: apply up to 30 g of cream (corresponds to 60% of the cream in the tube).

How and when to apply cream Permethrin

Permethrin is for skin application only.

Avoid contact with eyes or contact with mucous membranes (nasopharynx, genitals) or open wounds.In case of accidental contact with these surfaces, rinse thoroughly with water.

Adults should apply the cream all over the body, including the neck, palms of the hands and feet. The head and face do not need to be applied if these areas are not affected by scabies (scabies mites).

When applying the cream to the areas between the fingers and toes (also under the nails of the fingers and toes), wrists, elbows, armpits, genitals and buttocks, they must be carefully prepared.

Treatment of pubic lice in adults: Any hair on the face (beard, mustache) and eyelashes should be checked for lice and nits.The cream should be applied to the scalp on the face, avoiding contact with the eyes. If lice or nits are found on the eyelashes, they should be gently removed with tweezers. The cream should not be applied to the eyelashes because it may cause mild eye irritation.

Children: Children should apply the cream evenly to the entire body, including the palms of the hands, soles of the feet, neck, face, ears and scalp. The skin around the mouth (because the cream can get into the mouth) and eyes must be protected from being applied.

Do not allow your child to lick the cream off their hands. If necessary, children should wear gloves during treatment.

There is insufficient experience with the use of the drug in infants and young children. Therefore, the treatment of children under the age of 23 months should be carried out only under the close supervision of a physician.

Elderly: elderly patients (over 65 years of age) should apply the cream in the same way as adults, but in addition, the cream should also be applied to the face, ears and scalp.Care should be taken to avoid getting the cream on the skin around the eyes.

How long to apply cream Permethrin

A single application of Permethrin is usually sufficient. Leave the applied cream on the skin for at least eight hours, for example overnight. Avoid bathing, showering, or washing during this period, as this can reduce the effectiveness of the treatment. If you still need to wash your hands within the eight-hour period of applying the cream, then after washing you will need to reapply the cream on your hands and wrist area.If the cream is washed off from other areas of the skin, they must also be re-treated with the cream (buttocks, external genitals).

After eight hours, shower or wash your skin with soap and water.

Provided the instructions for use are followed, a single application is usually sufficient for successful treatment. However, if the lesion persists or recurs, it may be necessary to repeat the treatment after 14 days.

If you used more Permethrin than recommended

When applying the cream in an amount much larger than recommended, wash the skin with warm water and soap.

If you still have any signs of irritation, consult your doctor.

If the contents of the tube (cream) are swallowed by a child, seek immediate medical attention from a doctor or the emergency department of the nearest hospital.

90,000 symptoms, causes, prevention and treatment

Scabies (scabies) is one of the most common parasitic skin lesions. The causative agent of the pathology is the itch mite Sarcoptes scabiei.The main symptoms of the disease are rashes on the skin, well-visible tick-borne passages in the upper layers of the dermis and scratching in places of their localization. Patients are treated under the supervision of a dermatologist.

Etiology of the disease

The cause of the development of scabies is the contact of a healthy child or adult with a carrier of scabies mites. Sarcoptes scabiei parasitizes only on humans. Scabies in the epidermis are laid by females whose body length does not exceed 100 microns.The hatching larvae emerge on the surface of the skin and independently penetrate into the epidermis due to the presence of a powerful jaw apparatus. For some time, ticks remain viable on the surface of household items – a healthy person can become a carrier of the parasite after using cutlery, dishes, and personal hygiene products. No less dangerous are door handles, stair railings, telephone handsets, bed linen.

Sarcoptes scabiei is inserted under the skin in 20-25 minutes.The causative agents of the disease die at temperatures above 50 degrees for 10 minutes, heating the environment to 80 degrees leads to an instant cessation of their activity.

Symptoms of scabies

The first signs of scabies appear in a healthy person 7-10 days after contact with a carrier of the pathology. With a close examination of the skin for 2-3 days, you can notice itching moves. Symptoms increase when females lay eggs in the thickness of the epidermis.Patients experience unbearable itching, which intensifies in the evening and at night. When Sarcoptes scabiei bites, they release chemically active substances that cause an allergic reaction and local inflammation of the skin. Itching leads to scratching, covered with bloody scabs.

Do you have symptoms of scabies?

Only a doctor can accurately diagnose the disease.
Do not delay the consultation – call

+7 (495) 775-73-60

Classification of pathology

The symptoms of scabies detected during the examination of patients allow dermatologists to distinguish four types of the disease.

Diagnostic measures

Scabies is diagnosed by a dermatologist, therapist or infectious disease specialist.The basis for the diagnosis is clinical data and patient complaints. In some cases, a scraping is prescribed, a laboratory study of the resulting biomaterial is carried out. The test is not always informative due to the fact that patients shower before visiting the clinic.

During the examination, the doctor may heat individual areas of the skin or apply a drop of oil to them. These measures increase the locomotor activity of scabies mites. Dyes allow you to detect itch burrows in the absence of noticeable rashes on the skin.

Therapeutic course

Clinical guidelines include the treatment of all patients’ skin with emulsions or sprays. The exception is the scalp. Anti-scabious drugs have low toxicity and do not cause discomfort during treatment. The patient should shower before the first application of benzyl benzoate. Re-processing of the skin is carried out after 48 hours – ticks that are in the larval stage die.With the complete elimination of symptoms, a new cycle of application of the drug is not carried out. After completing treatment, the patient should use an antiseptic to treat furniture, household items, and clothing.

The crusted form of scabies requires a different approach to treatment. Antiscabious therapy is preceded by the stage of softening and removing the crusts by means of soap-soda baths or keratolytic ointments. After removing all the stratum corneum, the patient can start applying the benzyl benzoate solution to the affected areas.

Complications and prevention

Lack of treatment for scabies can lead to the development of pyoderma, microbial eczema, and dermatitis. For this reason, dermatologists recommend that patients seek medical attention at the first sign of scabies.

Prevention of scabies involves the elimination of foci of mass infection of people (quarantines in kindergartens and schools). Systematic examinations of children by doctors and adherence to the rules of personal hygiene by representatives of all age groups significantly reduce the risk of infection with scabies.

Statistics

Scabies is common among all social groups of Muscovites. The season of greatest activity of scabies mites lasts from April to October. At its peak, the incidence reaches 50 cases for every 100 thousand residents of the city. During the period of decline of the epidemic, this figure drops to 15-18 cases. Children and young people are at greatest risk due to active lifestyles and regular visits to public places.

Questions and Answers

Should relatives of a patient with diagnosed scabies undergo treatment?

People living with a carrier of scabies are very likely to become infected.For this reason, dermatologists often prescribe a prophylactic treatment with benzyl benzoate-based drugs to the patient’s relatives.

Is it immune to scabies?

Re-infection of a person with scabies is possible immediately after the completion of the current course. Because of this, doctors insist on the need for antiseptic treatment of furniture and clothing – patients do not develop immunity to scabies mites.

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90,000 how to treat itching in diabetes mellitus

how to treat itching in diabetes mellitus

There is also a risk of complications such as heart attack or stroke when using pharmacy products. The Glykyron complex does not include harmful substances in its composition, therefore it does not negatively affect the body.

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Itching in diabetes can be caused by allergies to the drugs or foods used.More often it proceeds in the form of urticaria, but it can be rampant. If you suspect an allergy, the help of an allergist is needed. Treatment of itchy skin in diabetes mellitus. 1. Decrease in blood sugar levels to normal or acceptable levels. 2. Compliance with the diet. Colds. Prevention is better to prevent than to cure. 5. 0. Source: South Med J. 2019; 109 (10): 636-646. By: William B. Horton, MD; Patrick L. Bohler, MD, PharmD; Angela R. Suboust, MD.Translation: Delis.pro; when reprinting an article, a hyperlink to www.delis.pro at the beginning and at the end of the article is required. Abstract and introduction. Annotation. Diabetes mellitus (DM) is a heterogeneous condition characterized by hyperglycemia due to defects in insulin secretion and varying degrees of insulin resistance. Diabetes mellitus is the most common disease of the endocrine system in the United States, which in 2014 is why itching in diabetes mellitus in men and women is one of the characteristic manifestations, along with a feeling of weakness, thirst, sudden weight loss, headaches and other typical symptoms.Features of itching in diabetes in women. Usually, itching of the skin in diabetes mellitus in women appears in hard-to-reach places. Most often, this usually occurs in the area of: The bends of the legs (starting with diaper rash with an unpleasant smell, developing into itching and pain). Itching in diabetes: why it appears and how to treat it. Hello everyone! Our skin is an indicator of health. Severe metabolic disorders underlying the pathogenesis of diabetes mellitus (DM) lead to changes in almost all organs and tissues of the body, including the skin.Etiology of cutaneous lesions. Peculiarities of skin disorders in insulin-dependent diabetes mellitus. Therapist. B. Mertsalova, Candidate of Medical Sciences, Russian Medical Academy of Postgraduate Education, Moscow. Our communities are Facebook and Vkontakte. Attending physician’s weekly digest: the main medical news in one newsletter. Subscribe to our email newsletter and stay updated on the most important medical events. Thank you, your data has been accepted. Itching of the skin in diabetes mellitus. With an increased concentration of glucose in the blood in a person suffering from diabetes mellitus, the volume of daily urine output increases, which leads to a significant loss of fluid.Skin dehydration occurs: peeling, dryness appears. In addition, the functioning of the sweat and sebaceous glands is disrupted, which causes itching, cracks, and inflammation. Hygiene practices can help prevent the development of these skin lesions. However, conventional cosmetics are not suitable for the skin of patients with diabetes mellitus. Toilet soap reduces the acidity of the skin, sn. Diabetes mellitus is a dangerous and unpleasant disease that not only causes discomfort to a person, but also significantly limits his viability.One of the most unpleasant phenomena, many patients recognize itching in diabetes. Itching in diabetes is completely cured if diabetes mellitus can be cured. If diabetes is not treated, the itching will not only not disappear, but will progress. [58]. Diabetes mellitus is a chronic endocrinological disease characterized by high blood sugar (glucose) levels. Glucose is the main source of energy for our body. The food must contain carbohydrates.Diabetes mellitus can cause genital itching. Furunculosis. Diabetes mellitus leads to the development of inflammatory skin lesions and furunculosis (the appearance of boils). Treatment for diabetes mellitus is aimed at achieving compensation. Diabetes mellitus compensation is the maintenance of blood glucose levels within a normal range. Diabetes mellitus: causes and symptoms of the disease, diagnosis, treatment, possible complications and prevention. Diabetes mellitus is a pathology that belongs to the group of endocrine pathologies.It is associated with a disorder in the absorption of glucose. The disorder develops due to the absolute or relative insufficiency of insulin, the hormone responsible for its processing. A patient with diabetes mellitus has hyperglycemia. This condition is characterized by a persistent rise in plasma glucose. The patient has a violation of all types of metabolism: water-salt, carbohydrate, protein, fat, mineral. The disease has a chronic course. At the same time, the whole body itches, but there are areas where the itching is more intense.With Hodgkin’s lymphoma, itching is also one of the most common concomitant symptoms and is observed in 25% of patients with this disease. If, thanks to the itching, it is examined on time, then the oncological disease can be caught in the early, treatable stages. Water: helps and provokes. Skin changes in diabetes mellitus are quite common, and doctors of various specialties can face this. Diabetes-associated skin symptoms are based on metabolic (hyperglycemia, hyperlipidemia), vascular, neurological and immune disorders.The article presents the etiology, pathogenesis, clinical picture and classification of dermatoses that develop with a prolonged increase in glucose levels. Granuloma annulare is usually asymptomatic; slight pruritus is possible, painful lesions are rare [33]. PHOTO 6 Annular granuloma.

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The drug helps to reduce toxins and toxins, relieves a person of harmful waste inside the walls of the stomach, as well as blood vessels.As a result, the general tone of the body, immune defense increases, blood circulation is normalized, metabolic processes are activated. To order, leave your details in the order form so that the manager will contact you to clarify the order. For residents of Moscow and St. Petersburg, delivery is carried out within 1-2 days, delivery to other regions of Russia takes up to two weeks. Beware of counterfeits! The Glykyron drug is unique in its composition. The product contains natural ingredients without chemical impurities and synthetic additives.

Dr. Altman, clinic of dermatology in Yekaterinburg – review and assessment – Flamper

All patients are different: some are restrained, intelligent, well-mannered … Others live in a different coordinate system.

But it is important for us to hear, understand and help everyone because we are doctors.

Your judgments, Julia, have a pronounced destructive character, contain groundless accusations and even violate certain conditions of privacy. The reason?

I believe that…

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All patients are different: some are restrained, intelligent, well-mannered … Others live in a different coordinate system.

But it is important for us to hear, understand and help everyone because we are doctors.

Your judgments, Julia, have a pronounced destructive character, contain groundless accusations and even violate certain conditions of privacy. The reason?

I believe that there is a discrepancy between the available experience and the actual information.This new information causes you discomfort and negative emotions. When this kind of mental problem arises, a person can change previous ideas or expectations in order to maintain inner harmony, but it is easier to change the result and

to justify behavior by reducing the degree of discrepancy between his ideas and reality.

There is nothing shameful or reprehensible in the diagnosis of scabies. At the present time, parasitic skin diseases are not the lot of population groups falling out of stable social structures.Moreover, according to the currently accepted treatment standards, a dermatologist is obliged to exclude scabies in every patient

with complaints of persistent generalized itching.

In your case, the diagnosis was made on the basis of a clinical picture, survey data (according to your words, allergic dermatitis was treated unsuccessfully for the three previous months), dermatoscopic examination with photographic fixation. In young children, the disease is often complicated by dermatitis, eczema, and pyoderma.Therefore, the success of the diagnosis depends on the doctor’s ability to detect the corresponding symptoms. Ksenia Nikolaevna has these skills, which once again confirms her qualifications. The prescribed therapy was adequate: the cause was eliminated – the symptoms disappeared. “… We were prescribed Suprastin and a strict diet, after four days the skin was clear …”. For Ksenia Nikolaevna and for me, this phrase is the main one in the letter. The child has recovered – this is the main thing …..

Let the cynical coverage of the situation, suppression and distortion of facts remain on your conscience…in this connection, the verses of Samuil Marshak come to mind: “Try to keep the warmth of shame

Everything that you love and honor in the world

Needs its protection

Or may disappear without a trace ….”

Altman Yu .NS.

90,000 causes and symptoms, treatment

Scabies: causes and symptoms

The causative agent of the infection is a microscopic mite that “gnaws” tunnels in the skin, which causes unbearable itching.Most often, the incidence of scabies occurs in the cold season, which is associated with favorable conditions for the reproduction of the pathogen.

This infection is widespread throughout the world, it suffers most of all in unfavorable areas where sanitary standards are neglected. The scabies mite can be found for a long time not only on human skin, but also on household items, especially bed linen, clothing and toiletries. This explains the fact that infection is possible not only through direct contact with the patient, but also through the use of his things.For this reason, it is necessary to start treatment for scabies as soon as the first symptoms of infection appear in one of the family or collective members (kindergartens, boarding schools, hostels).

The main symptom of the disease is severe itching of the skin, which can cover the entire surface of the body. In addition, “itch burrows” and various rashes are formed at the site of the combs. Scabies rashes can vary in size, shape, and color. The itching subsides somewhat in the daytime and becomes unbearable at night.

How to get rid of scabies?

The basic principle of the treatment of scabies is the disinfection of the premises and all objects in contact with the patient. Ointment for the treatment of scabies is necessary not only for the patient, but also for all members of his family. The most commonly used drugs include sulfuric ointment, benzyl benzoate, and spray medicine Spregal.

All these medicines must be intensively rubbed into the skin over the entire surface of the body, including the hairy areas.It is especially important to treat the skin under the nails, since in this place the accumulation of the pathogen is maximal. Treatment should be prescribed by a dermatologist.

Treatment of scabies in young children is especially important due to the frequent recurrence of the infection. When rubbing the ointment into the skin of a newborn, it is worth taking precautions so that the drug does not get into the baby’s eyes and mouth. The disease in babies can be more severe (the appearance of ulcers as an allergic reaction), therefore, treatment is best carried out in an infectious hospital.

Due to the fact that the incubation period of scabies can last up to two weeks, after treatment it is necessary to see a doctor again and take disinfection measures.

Scabies is not a reason to be shy and hide the symptoms, timely treatment by a dermatologist will help you quickly and permanently get rid of the infection.