What OTC Scabies Cream Can Be Used in the Scabies Treatment?

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3 Answers

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Can you purchase this medication without going to the doctor?
Permethrin cream is OTC and widely used for scabies.
What are scabies
Do you have to have a prescription for this cream
No. OTC (over the counter / non-prescription) cream like permethrin can be got from a pharmacy.
does rubbing alcohol help kill these bugs
Hello Mr. Hejl, no, alcohol can't kill scabies. Scabies live under the skin, alcohol can only clear the surface of the skin.
Nothing over the counter that you can buy even touches these worthless SOBs I have tried bleach alcohol hydrogen peroxide oils clove Teatree Alevera WD-40 you name it I have tried it Nothing works they will drive you crazy get to a doctor get it done right these mites are straight from hell
What medication killed them?
Also, can your animals have them?
The following medications for the treatment of scabies are available only by prescription.

Classic scabies: one or more of the following may be used

Permethrin cream 5% Brand name product: Elimite*Permethrin is approved by the US Food and Drug Administration (FDA) for the treatment of scabies in persons who are at least 2 months of age. Permethrin is a synthetic pyrethroid similar to naturally occurring pyrethrins which are extracts from the chrysanthemum flower. Permethrin is safe and effective when used as directed. Permethrin kills the scabies mite and eggs. Permethrin is the drug of choice for the treatment of scabies. Two (or more) applications, each about a week apart, may be necessary to eliminate all mites. Children aged 2 months or older can be treated with permethrin.
Crotamiton lotion 10% and Crotamiton cream 10% Brand name products: Eurax*; Crotan*Crotamiton is approved by the US Food and Drug Administration (FDA) for the treatment of scabies in adults; it is considered safe when used as directed. Crotamiton is not FDA-approved for use in children. Frequent treatment failure has been reported with crotamiton.
Sulfur (5%-10%) ointment (multiple brand names) Sulfur in an ointment base (petrolatum) is safe for topical use in children, including infants under 2 months of age. The odor and cosmetic quality may make it unpleasant to use (CITE KARTHIKEYAN 2007).
Lindane lotion 1% Brand name products: None availableLindane is an organochloride. Although FDA-approved for the treatment of scabies, lindane is not recommended as a first-line therapy. Overuse, misuse, or accidentally swallowing lindane can be toxic to the brain and other parts of the nervous system; its use should be restricted to patients who have failed treatment with or cannot tolerate other medications that pose less risk. Lindane should not be used to treat premature infants, persons with a seizure disorder, women who are pregnant or breast-feeding, persons who have very irritated skin or sores where the lindane will be applied, infants, children, the elderly, and persons who weigh less than 110 pounds.
Ivermectin Brand name product: Stromectol*Ivermectin is an oral antiparasitic agent approved for the treatment of worm infestations. Evidence suggests that oral ivermectin may be a safe and effective treatment for scabies; however, ivermectin is not FDA-approved for this use. Oral ivermectin should be considered for patients who have failed treatment with or who cannot tolerate FDA-approved topical medications for the treatment of scabies. If used for classic scabies, two doses of oral ivermectin (200µg/kg/dose) should be taken with food, each approximately one week apart. The safety of ivermectin in children weighing less than 15 kg and in pregnant women has not been established.
Note that although ivermectin guidelines recommend taking on an empty stomach, scabies experts recommend taking with a meal to increase bioavailability (CITE NEJM Currie article).
 

Crusted scabies: both oral and topical agents should be used

Ivermectin Brand name product: StromectolIvermectin is an oral antiparasitic agent approved for the treatment of worm infestations. Evidence suggests that oral ivermectin may be a safe and effective treatment for scabies; however, ivermectin is not FDA-approved for this use. The safety of ivermectin in children weighing less than 15 kg and in pregnant women has not been established.
For crusted scabies, ivermectin should be administered together with a topical agent. Oral ivermectin (200µg/kg/dose) should be taken with food. Depending on infection severity, ivermectin should be taken in three doses (approximately days 1, 2, and 8), five doses (approximately days 1, 2, 8, 9, and 15), or seven doses (approximately days 1, 2, 8, 9, 15, 22, and 29).
Permethrin cream 5% Brand name product: ElimitePermethrin is approved by the US Food and Drug Administration (FDA) for the treatment of scabies in persons who are at least 2 months of age. Permethrin is a synthetic pyrethroid similar to naturally occurring pyrethrins which are extracts from the chrysanthemum flower. Permethrin is safe and effective when used as directed. Permethrin kills the scabies mite and eggs. Permethrin is the drug of choice for the treatment of scabies. Topical permethrin should be administered every 2-3 days for 1-2 weeks to treat crusted scabies.
Benzyl benzoate 25% (with or without tea tree oil) Benzyl benzoate may be used as an alternative topical agent to permethrin. However, this agent may cause immediate skin irritation. Lower concentrations may be used in children (10% or 12.5%).
Keratolytic cream A topical keratolytic cream may also be used to help reduce the crusting of the skin and aid in the absorption of the topical permethrin or benzyl benzoate.
Several over-the-counter flea medications may be effective for pets, such as Frontline Plus. Sulfur creams are often recommended for removal of scabies on humans, and these may be effective for pets as well. Bathe your pet and trim any excess hair. Apply the cream all over his body for a few days straight. Don't allow him to consume.However, consult your veterinarian about your individual dog before giving any human medications.
BTW, scabies are a mite that your dog can get from the environment or from another dog. Pets and animals usually do not spread human scabies.
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