How to use medication for scabies
I have developed scabies on my body, and it is especially itchy between my fingers and on my abdomen. May I ask what medication should I use? Should I apply a topical ointment or take oral medication?
Doctor's answer (1)
Scabies is a contagious skin disease caused by the scabies mite, primarily transmitted through direct contact. Medications for treating scabies mainly consist of topical agents that kill the mites and their eggs.
A 10% sulfur ointment should be applied over the entire body, including between the fingers, on the abdomen, genital area, and around the anus, without leaving any areas untreated. The ointment should remain on the skin for three days. If sulfur ointment is unavailable, alternative options include lindane ointment, mercuric ammonium chloride ointment, or zinc oxide sulfur ointment.
Ivermectin is an oral medication used for treating refractory or widespread scabies and should be used under a doctor's guidance. Benzyl benzoate is suitable for those allergic to lindane; it should be applied over the entire body, followed by bathing 24 hours later, and then repeated once.
When applying medication, skin folds should also be treated, excluding the head and face. Particular attention should be given to areas such as between the fingers, which require repeated and thorough application. If intense itching occurs, antipruritic medications such as cetirizine tablets or loratadine tablets may be taken temporarily as directed by a physician.
Avoid close contact with others during treatment to prevent transmission. Wash clothing, bed linens, and towels to eliminate any potentially present scabies mites.
