Can You Reapply Permethrin 5% for Scabies Treatment?

Scabies medication issues?

Can I apply permethrin 5% again the next day after using it, or can I use a BB lotion instead?

Wo, 20~29 year old female. Ask Date: 2020/06/14

Dr. Wu Yuxin reply Dermatology

There is no need to apply the same product again the next day, but BB lotion can be used.

Reply Date: 2020/06/14

More Info

Permethrin 5% is a topical treatment commonly used for scabies, a skin infestation caused by the Sarcoptes scabiei mite. It works by killing the mites and their eggs, providing relief from the intense itching associated with the condition. When it comes to reapplying permethrin after the initial treatment, it is essential to follow the guidelines provided by your healthcare provider or the instructions on the medication packaging.

Typically, permethrin 5% is applied once and left on the skin for a specified duration, usually around 8 to 14 hours, before being washed off. If the scabies infestation persists or if symptoms do not improve after the first treatment, it is generally recommended to wait at least one week before reapplying permethrin. This waiting period allows the skin to recover and reduces the risk of irritation or adverse reactions from repeated applications.

If you are considering applying permethrin again the day after the initial treatment, it is advisable to consult your healthcare provider first. They can assess your specific situation and determine whether a second application is necessary or if other treatments might be more appropriate.

Regarding the use of BB lotion (which I assume refers to a type of body lotion), it is essential to be cautious. After applying permethrin, the skin may be sensitive, and using additional products could potentially irritate the skin further. If you wish to use a lotion to alleviate dryness or itching, it is best to wait until after the permethrin has been washed off and the skin has had time to recover. Always choose a gentle, fragrance-free lotion to minimize the risk of irritation.

In summary, while reapplying permethrin 5% the day after the initial treatment is generally not recommended, it is crucial to consult with your healthcare provider for personalized advice. They can provide guidance on the appropriate timing for reapplication and suggest alternative treatments if necessary. Additionally, be cautious with other topical products like BB lotion, and prioritize gentle skincare to support your healing process.

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