Anti scabies drugs: Scabies treatment involves eliminating the infestation with medications.

Several creams and lotions are available. You usually apply the medication over all your body, from your neck down, and leave the medication on for at least eight hours. A second treatment is needed if new burrows and rash appear. Because scabies spreads so easily, your doctor may recommend treatment for all family members and other close contacts, even if they show no signs of scabies infestation. Medications commonly prescribed for scabies include:

Permethrin 5 percent (Elimite). Your doctor may recommend that you apply this cream which contains chemicals that kill scabies mites and their eggs twice, with a week or so between each application. Permethrin is generally considered safe for children and adults of all ages, including women who are pregnant or nursing.

Scabies: ELIMITE (permethrin) 5% Cream is indicated for the treatment of infestation with Sarcoptes scabiei (scabies). DOSAGE AND ADMINISTRATION: Adults and children: Thoroughly massage ELIMITE into the skin from the head to the soles of the feet. Scabies rarely infests the scalp of adults, although the hairline, neck, temple, and forehead may be infested in infants and geriatric patients. Usually 30 grams is sufficient for an average adult. The cream should be removed by washing (shower or bath) after 8 to 14 hours. Infants should be treated on the scalp, temple and forehead. ONE APPLICATION IS GENERALLY CURATIVE. Patients may experience persistent pruritus after treatment. This is rarely a sign of treatment failure and is not an indication for retreatment. Demonstrable living mites after 14 days indicate that retreatment is necessary.

Lindane. This medication also a chemical treatment is available as a cream, lotion and shampoo. This medication isn't safe for children younger than age 2 years, women who are pregnant or nursing, or people with weakened immune systems.

INDICATIONS: Because post-treatment pruritus is common and may lead to misuse, lindane lotion is indicated only for the treatment of patients infested with Sarcoptes scabiei (scabies) who have either failed to respond to adequate doses, or are intolerant of other approved therapies. Reinfestation should be considered carefully before attributing the posttreatment presence of ectoparasites to a failure of response to adequate doses of other approved therapies. DOSAGE AND ADMINISTRATION: USE ONLY AS DIRECTED. DO NOT EXCEED RECOMMENDED DOSAGE. No residual effects of lindane treatment have been demonstrated, therefore, this product should not be used to ward off a possible infestation. However, sexual contacts should be treated simultaneously.

Directions: (Lotion: Shake Well) 1. Apply this preparation to dry skin in a thin layer and rub in thoroughly. 2. Trim nails and apply under nails with toothbrush (throw away toothbrush after use). 3. If a warm bath is taken before application allow the skin to dry and cool completely before applying the medication. 4. A total body application should be made from the neck down, including soles of feet, unless otherwise directed by your physician. 5. The lotion should be left on for 8 to 12 hours (usually overnight) and then removed by thorough washing (bath or shower). 6. Avoid unnecessary contact with your skin if you are applying to another person. If treating more than one person, person applying lotion (especially pregnant or nursing women) should wear rubber gloves. 7. All recently worn clothing, underwear and pajamas, and used sheets, pillow cases, and towels should be washed in very hot water or dry cleaned. After one application, itching will continue for several weeks. This is normal and does not require reapplication. If you have any questions or concerns about your condition or use of the lotion, contact your physician.

Crotamiton (Eurax). This nonchemical medication is applied once a day for two to five days. Your doctor may recommend it if your baby has scabies. USES: This medication is used to treat scabies. Scabies is a skin infection caused by mites that burrow into the skin. Irritation from the mites leads to severe itching and small bumps/blisters filled with fluid/pus. Crotamiton works by killing the mites that cause scabies. It also helps relieve itching related to scabies and other skin conditions. Crotamiton belongs to two classes of drugs: scabicides and antipruritics. HOW TO USE: This medication is for use on the skin only. Do not take this medication by mouth. Avoid applying crotamiton on the face, eyes, mouth, vagina, and any skin that is inflamed, raw, or oozing fluid.If you are using the lotion, shake the bottle thoroughly before use.To treat scabies, take a bath or shower before using this medication. Remove scaly or crusted skin by rubbing gently. Then dry with a towel. Massage a thin layer of the cream or lotion into all skin from the chin down to the toes, including skin folds/creases, between the fingers and toes, and on the soles of the feet. Trim fingernails short and apply the medication under the nails since the mites often live there. You may use a toothbrush to apply the medication under the fingernails. Immediately after use, wrap the toothbrush in paper and throw it away. Do not use the same toothbrush in the mouth because it may lead to poisoning.Apply the medication again after 24 hours. Change clothing, towels, and bed sheets the next morning after each application. Wash all clothing, towels, and bedding that have been used in the 3 days before treatment and after each application in hot water and dry in a hot dryer (or dry-clean) to kill all the mites and prevent them from returning. Items that cannot be washed or dry-cleaned should be removed from contact with the body for at least 72 hours.Take a bath 48 hours after the last application to remove the medication from your skin.To treat other itching skin conditions besides scabies, massage a thin layer gently into the affected areas until the medication is completely absorbed. Repeat as needed, as directed by your doctor, usually 2 to 3

times a day.After treating scabies, you may still have itching for several weeks. Ask your doctor about other medications that may help to soothe the itching. Tell your doctor if your condition persists or if it worsens. SIDE EFFECTS: Worsening skin irritation (such as itching, redness) may occur.A very serious allergic reaction to this drug is rare. However, symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. Ivermectin: INDICATIONS AND USAGE: SKLICE Lotion is a pediculicide indicated for the topical treatment of head lice infestations in patients 6 months of age and older. USE IN SPECIFIC POPULATIONS Safety and effectiveness in pediatric patients below the age of 6 months have not been established. DOSAGE AND ADMINISTRATION:: -For topical use only. Not for oral, ophthalmic or intravaginal use. -Apply SKLICE Lotion to dry hair in an amount sufficient (up to 1 tube) to thoroughly coat the hair and scalp. -After 10 minutes, rinse off with water. -For single use. Discard any unused portion. DOSAGE FORMS AND STRENGTHS:: Lotion: 0.5% CONTRAINDICATIONS:: None. WARNINGS AND PRECAUTIONS Accidental ingestion in pediatric patients may occur: Administer only under direct adult supervision. ADVERSE REACTIONS Most common adverse reactions (incidence <1%) are conjunctivitis, ocular hyperemia, eye irritation, dandruff, dry skin, and skin burning sensation. Although these medications kill the mites promptly, you may find that the itching doesn't stop entirely for several weeks. Doctors sometimes prescribe the oral medication ivermectin (Stromectol) 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.