How to Apply Ulesfia for Scabies: Tips for Effective Treatment - Dermatology

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Application method for Ulyso cleanser?


Due to scabies, the doctor prescribed Ulesfia for me and instructed me to apply it all over my body below the neck.
Currently, I am experiencing significant itching in my scrotum.
Should I also pull back the foreskin and apply the medication to both the foreskin and the glans?

Lao Baixing, 30~39 year old female. Ask Date: 2018/05/13

Dr. Wu Yuxin reply Dermatology


It seems

Reply Date: 2018/05/13

More Info


When dealing with scabies, Ulesfia (benzyl benzoate) is a topical treatment that can be effective in eliminating the mites responsible for the condition. It is crucial to follow the instructions provided by your healthcare provider for optimal results. Here are some tips for effectively applying Ulesfia and addressing your concerns regarding its use in sensitive areas, such as the genital region.


Application Instructions for Ulesfia
1. Preparation: Before applying Ulesfia, ensure that your skin is clean and dry. Take a shower or bath to remove any dirt, sweat, or other products from your skin. Pat your skin dry with a clean towel.

2. Full-Body Application: As your doctor advised, you should apply Ulesfia to your entire body from the neck down. This includes all areas where scabies mites may reside, such as the arms, legs, torso, and between the fingers and toes.

3. Sensitive Areas: Regarding your specific question about applying Ulesfia to the genital area, including the foreskin and glans (head of the penis), it is generally recommended to apply the medication to these areas as well. Scabies can infest any part of the body, and the genital region is no exception. Make sure to gently lift the foreskin and apply the medication to the skin underneath, as well as to the glans, to ensure thorough treatment.

4. Application Technique: Use enough Ulesfia to cover the skin completely, ensuring that you rub it in gently but thoroughly. Pay special attention to areas that are often overlooked, such as the folds of the skin, under the breasts, and around the waist.

5. Duration: Leave the medication on for the duration recommended by your healthcare provider, typically for at least 8 to 12 hours. It is often advised to apply it before bedtime and wash it off in the morning.

6. Reapplication: Depending on the severity of your scabies infestation, your doctor may recommend a second application after a week. This is to ensure that any newly hatched mites are also eliminated.

7. Post-Application Care: After washing off the medication, you may experience some itching or irritation. This is common as the skin heals from the infestation. Avoid scratching, as this can lead to secondary infections. If itching persists or worsens, consult your healthcare provider for further advice.


Additional Considerations
- Clothing and Bedding: To prevent re-infestation, wash all clothing, bedding, and towels in hot water and dry them on a high heat setting. Items that cannot be washed should be sealed in a plastic bag for at least 72 hours to kill any remaining mites.

- Follow-Up: If your symptoms do not improve after treatment or if you notice new lesions, it is essential to follow up with your healthcare provider. They may need to reassess your condition and consider alternative treatments.

- Avoid Close Contact: Scabies is highly contagious, so avoid close contact with others until you have completed treatment and your symptoms have resolved.

In summary, applying Ulesfia correctly is crucial for effective treatment of scabies. Make sure to cover all areas, including sensitive regions, and follow your doctor's instructions closely. If you have any concerns or experience unusual symptoms, do not hesitate to reach out to your healthcare provider for guidance.

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