Scabies

• Refer crusted scabies, crusted flaky rash often on elbows,knees, hands and feet
• Lyclear (permethrin) cream
• Derbax M (malathion) lotion
• Crotamiton 10% cream for itchiness or if the mites have been eradicated, hydrocortisone 1%
• Chlorphenamine, helps you sleep and reduce scratching
• Use the whole tube over whole body after cleaning skin and allowing it to cool
• Do not forget application to face, neck, ears and between fingers and toes
• Reapply cream to hands if washed
• Do not smoke or go near flames, it may worsen eczema/asthma symptoms
• Avoid mucus membranes and open wounds with cream
• Avoid washing for 24 hours
• Permethrin okay in pregnancy and breastfeeding but refer to doctor
• chlorphenamine for night time sedation to reduce scratching
• Will need to be applied again seven days after first treatment
• Wash all bedding and clothes at 60 degrees
• Seal clothes that cannot be washed for 3 days to kill mites
• Treat everyone in household twice, treat sexual partners within 8 weeks
• Avoid sex/close contact
• Do not share bedding, clothing or towels
• Can return to work/school 24 hours after first treatment
• Intensely itchy rash, local sensitivity and redness
• Lots of red papules and lesions all over the body, older people may get on head and neck