Scabies Treatments: Benzyl Benzoate vs. Sulfur Ointment - Dermatology

More Info

---

When it comes to treating scabies, understanding the differences between various topical treatments is crucial for effective management. The two commonly used treatments are Benzyl Benzoate lotion (BB lotion) and Sulfur ointment.
1. Benzyl Benzoate Lotion (BB Lotion): This is a topical treatment that is typically applied once a day. It is recommended to cover the entire body from the neck down, including behind the ears, as scabies mites can inhabit any area of the skin. The treatment usually lasts for about three days, but it can be extended to a week to ensure that all mites are eradicated, especially if there are concerns about missed areas. Side effects can include skin irritation, redness, or a burning sensation at the application site. However, these are generally mild and temporary.

2. Sulfur Ointment: Sulfur ointment is another effective treatment for scabies. Similar to BB lotion, it should be applied to the entire body, not just the itchy areas. This is important because scabies mites can be present in areas that are not visibly affected. The sulfur ointment works by suffocating the mites and has the added benefit of being less irritating to the skin compared to some other treatments.
3. Mesulphen Ointment: Products like Mitigal and Scalphen, which contain Mesulphen, are also used for treating scabies. These ointments are designed to be applied to the entire body, similar to BB lotion and sulfur ointment. They work by disrupting the life cycle of the mites and are generally well-tolerated.
4. Effectiveness and Recommendations: In terms of effectiveness, all three treatments can be effective if used correctly. However, the choice may depend on individual patient factors, such as skin sensitivity, the presence of secondary infections, and the specific environment (like in a nursing home setting). For patients in nursing homes, it is crucial to ensure that all residents are treated simultaneously to prevent reinfestation.
In summary, while Benzyl Benzoate, Sulfur ointment, and Mesulphen ointments are all effective treatments for scabies, they must be applied correctly to the entire body, not just the itchy areas. The choice of treatment may depend on individual patient needs and tolerability. It is also essential to implement additional measures such as washing clothing and bedding in hot water and treating close contacts to prevent the spread of scabies. Always consult with a healthcare provider for personalized recommendations and to ensure the best treatment approach for the patient’s specific situation.