Scabies is a very common and highly treatable skin condition. The most effective and widely recommended first-line treatment is permethrin 5% cream. You apply this cream from the neck down, leave it on overnight (for 8 to 14 hours), and then wash it off, typically repeating the application one week later. Another highly effective option, particularly for severe cases or when creams cannot be used, is an oral prescription medication called ivermectin. To ensure complete recovery, it is also important to wash all recently used clothing and bedding in hot water. Please consult a doctor for a proper prescription.

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.