Medications used to treat and kill human scabies are called scabicides. They are available only with a doctor's prescription. There are no over-the-counter products tested and approved to treat human scabies. Always follow the manufacturer's instruction in the box or printed on the label.
Scabicide lotion or cream should be applied to all areas of the body from the neck down to the feet and toes. When treating infants and young children the medication should be applied to their entire head and neck as scabies can affect their face and scalp. Leave the lotion on for the recommended period of time before washing it off. Don clean clothing after treatment.
In addition to the infested person, treatment is also recommended for all household members, sexual contacts, and others who have had direct skin to skin contact with the infested individual. These people should be treated at the same time to avoid reinfestation.
Bedding. clothing, and towels used by the infested person, their household, sexual conducts, or others during a three day prior prior to treatment should be decontaminated. This is done by hot water washing and drying in a hot dryer, or by dry-cleaning. Because scabies mites do not survive more than 2 to 3 days away from human skin, the articles can also be sealed in a plastic bag for a period of 72 hours.
Because the symptoms of scabies are caused by a hypersensitivity reaction to the mites, eggs, and feces, itching may continue for several weeks after treatment even if all the mites and eggs are killed. If 2 to 4 weeks after treatment itching is still present or if new burrows, rashes, or lesions appear, retreatment will be necessary.
Last Reviewed: 05-18-11