Items you do not wish to wash may be placed in the dryer on the hot cycle for 30 minutes, or pressed with a warm iron.Any clean clothes hanging in the closet or folded in the drawers are OK. Do all the laundry with the hottest water possible. If you wash your hands after application, you need to reapply the medication to your hands again. Apply treatment to all skin from neck to legs – this includes between the toes, the crease between the buttocks, etc.If you do not treat everyone, it is as if you were never treated. Incubation time is 6-8 weeks so symptoms may not show up for a while. Treat all exposed individuals whether obviously infested or not.Remember, although you may be disturbed at the thought of bugs, scabies is no reflection on your personal cleanliness. See a dermatologist as soon as possible to begin treatment.Successful eradication of this infestation requires the following: Bedding and clothing must be washed or dry cleaned.This includes close friends, day care or school classmates, or nursing homes. Everyone in the family or group, whether itching or not, should be treated at the same time to stop the spread of scabies. Getting rid of the mites is critical in the treatment of scabies.Antihistamines may be prescribed to relieve itching, which can last for weeks, even after the mite is gone.It is not to be used in infants or pregnant women. Ivermectin is an oral medicine which may be prescribed for the difficult to treat crusted form.10% sulfur ointment and crotamiton cream may be used for infants.Lindane should not be used on infants, small children, pregnant or nursing women, or people with seizures or other neurological diseases, and has been banned in the state of California. 1% lindane lotion is applied from the neck down at night and washed off in the morning.If a patient continues to have trouble, reinfestation may be a problem requiring further evaluation by the dermatologist. Lesions heal within four weeks after the treatment. Side effect of 5% permethrin cream includes mild temporary burning and stinging. A second treatment one week later may be recommended. Dermatologists recommend that the cream be applied to cool, dry skin over the entire body (including the palms of the hands, under finger nails, soles of the feet, and the groin) and left on for 8 to 14 hours.
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