I have had scabies for 3 to 4 months, and it has not cleared up despite using permethrin and ivermectin. What alternative medications or treatments should I use next?
It is frustrating when scabies persists. Since first-line treatments haven't worked, alternative options include topical benzyl benzoate, malathion, or sulfur ointment. Sometimes, a combination of oral ivermectin and a different topical agent is prescribed. Often, persistent symptoms are due to re-infestation rather than drug resistance. It is crucial that all household members and close contacts are treated simultaneously, even if asymptomatic. Additionally, wash all clothing and bedding used recently in hot water. Note that itching can normally last for several weeks even after the mites are successfully cleared. Please consult your doctor to safely plan your next treatment step.