Brief Answer:
Injection is not for cure ,can reileive only itching.

Detailed Answer:
Hello,

thanks for writing to Ask A Doctor service.
I am Dr XXXXXXX ( dermatologist) and I hope I can understand your concern.

First of all ,I assume your diagnosis of scabies is confirmed by your doctor and I will guide only about management part.

Scabeis is a parasitic infection caused by mite.

It is a highly contagious disease which spreads rapidly among family members and close contacts .Disease is associated with severe itching particularly at night.

Mainstay of treatment is permethrin cream .It has to be applied below neck and a single application is advised to whole body.

Supportive treatment includes a permethrin containing soap and antihistamincis such as levocetrizine and hydroxizine. All family members need to be treated simultaneously. You may require a prescription for this.

There is no requirement of injection for scabies since most of patients will recover with above treatment.

I hope this will be helpful for you.Free feel to ask in case of any concern.

Thanks.

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Brief Answer:
Levocetrizine available on counter. For other prescription is required.

Detailed Answer:
Thanks for follow up.

Levocetrizine is available on counter.

It is available as tablet xyzal .It should be taken in morning .

Hydroxizine tablet which is commonly marketed as atarax is available on prescription .It has two strength 10 mg and 25 mg ,you can start with 10 mg tablet at night and if itching is not relieved you can increase it to 25 mg.

If it is impossible for you to consult a doctor I will advise you only to take xyzal tablet two times daily.

You can use any antiseptic soap instaed of permithrin containing soap once you have applied permithrin cream as per instructions.You can repeat application after 1 week for better results.

I hope this will help you .Free feel to ask in case of any concern.Thanks.

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Brief Answer:
Post scabitic pruritus,chances of reinfection.

Detailed Answer:
Hello ,thanks for follow up.

Mainstay treatment for scabeis is permithrin cream which kills mite.

Itching will persist for few days even mite is killed by application of permithrin .This phenomenon is known as post scabitic pruritus. Anti histaminic tablets which I recommend you in our previous discussion will be helpful in such cases.

Chances of reinfection also are there if other family members are also affected.
In such cases repeat application of permithrin is recommended.

If stiil u have persistent itching sometimes doctors prescribe short course of oral steroids .However this is not required in many cases.

It will be also helpful if you let me know of medicines which you are taking.

I hope this will help you.

Free feel to ask in case of any concern.

Thanks.

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Brief Answer:
Permithrin cream instead of benzyl benzoate wil be helpful.

Detailed Answer:
Hi,

thanks for sending drugs.

Ivermectin is a good drug for scabeis.

Its dose for adults is 12 mg weekly for 2 weeks.

Benzyl benzoate lotion is also anti scabitic ,but it is a old molecule and not effective much .In fact it can cause irritation which can lead to more itching.

As we discussed earlier permithrin is gold standard treatment for scabeis. Probably you will get relief after permithrin application.

You can continue with hydroxhlorine tablet 25 mg tablet which is anti histaminic.

I hope this will be helpful to you. Again feel free to ask in case of any concern.

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Brief Answer:
Stop benzyl benzoate lotion,no need for Ivermectin repeat.

Detailed Answer:
Hi,welcome again,

First I will advise you to stop benzyl benzoate lotion.

It can be irritant some times leading to more itching.

Dose of Ivermectin is 12 mg weekly for 2 weeks ,if you have completed this dose no need to repeat it.

Hope this will be helpful.

Thanks.Take care.

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Brief Answer:
Dose of Ivermectin 12 mg week apart.no need to worry about nodules.

Detailed Answer:
Hi,

Dose of Ivermectin is 12 mg every week for 2 weeks.If you have 6 mg tablet you can take 2 tablets at a time 1 week apart.

Ivermectin is preferably taken at night.

Lesion over penis and scrotum are a common manifestation of scabeis. Usually they will subside within 2 to 3 weeks ,but can persist up to 3 months.There is nothing to worry much about it.

If other members of your family are not affected ,you need not to change bedsheets.

I will still recommend you to apply permithrin cream.

I hope this will help you.Take care.

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Brief Answer:
2 doses of Ivermectin will be probably helpful

Detailed Answer:
Hi ,

Two doses of Ivermectin 12 mg is as much as effective as a single application of permithrin.

Other treatments are not effective as per my personal experience.

Ivermectin is also available in cream form in some countries.It has got good results with a single application overnight.

If you have no other options available,I will advise you to take 2 doses of Ivermectin and anti histaminics tablet and let me know after 2 weeks.

I hope this will be helpful for you.

Thanks.

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