How Long to Leave Scabies Treatment on Skin Before Washing Off? - Dermatology

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Scabies issue


How long should the lice treatment be left on the skin before washing it off? After washing it off, can I apply scabies cream?

A Yao, 30~39 year old female. Ask Date: 2011/12/15

Dr. Wu Yuxin reply Dermatology


Generally, scabicidal agents should remain on the skin for at least 8 hours, after which they can be washed off or left on.
If a second treatment is needed, medications such as benzyl benzoate or permethrin can be applied again one week later.

Reply Date: 2011/12/15

More Info


When it comes to scabies treatment, specifically with creams like SCABI CREAM, it's essential to follow the instructions provided by your healthcare provider, as they may vary based on the severity of the infestation and individual patient factors. Generally, scabies treatments are designed to be left on the skin for a specific duration to ensure maximum efficacy.

Typically, scabies creams should be applied to the entire body from the neck down and left on for at least 8 to 14 hours before washing off. This duration allows the active ingredients in the cream to penetrate the skin effectively and kill the mites responsible for scabies. After the recommended time, you can wash the cream off with soap and water. It is crucial to ensure that you follow the specific instructions given by your doctor, as they may recommend a different duration based on your particular case.

Regarding your question about reapplying scabies treatment after washing it off, it is generally not advised to apply the cream again immediately after washing it off unless specifically instructed by your healthcare provider. If your doctor has prescribed a regimen that includes multiple applications, they will provide guidance on when to reapply the treatment. In many cases, a second application may be recommended a week after the initial treatment to ensure that any newly hatched mites are also eliminated.

As for concerns about the toxicity of scabies treatments, while it is true that some topical medications can be potent, when used as directed, they are generally safe for adults and children. Washing your hands thoroughly after applying the cream is crucial to avoid transferring the medication to other areas of your body or to others. Using soap and water to wash your hands twice is typically sufficient to ensure cleanliness.

It's also important to note that scabies is highly contagious, so treating all close contacts and washing bedding, clothing, and towels in hot water is essential to prevent reinfestation. If you have any lingering concerns about the safety of the medication or its application, do not hesitate to reach out to your healthcare provider for further clarification.

In summary, leave the scabies treatment on for the recommended duration (usually 8 to 14 hours), wash it off thoroughly, and follow your doctor's instructions regarding reapplication. Maintain good hygiene practices, and ensure that you treat any close contacts to prevent the spread of scabies. If you have any doubts or experience any adverse reactions, consult your healthcare provider for further advice.

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