Chapter 1: Clinical Overview
Scabicides - Topical
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Lyclear Scabies Cream (Permethrin 5%)
Benzemul (Benzyl Benzoate 25%)
Quellada (Permethrin 5%)
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Lyclear Scabies Cream: A first-line treatment containing permethrin, applied from neck to toes and left on for 8–12 hours before washing off.
Benzemul (Benzyl Benzoate): An alternative for those unable to use permethrin, typically diluted for sensitive skin. Applied similarly to permethrin.
Quellada: Another permethrin-based option with comparable usage instructions.
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Suitable for most adults and children over 2 months of age.
Permethrin is preferred for pregnant and breastfeeding women, but medical advice is essential.
Scabicides - oral (prescription only)
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Stromectol (Ivermectin 3mg tablets)
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Used for severe or widespread cases of scabies or for patients who cannot tolerate topical treatments.
Typically taken as a single dose, with a second dose 7–14 days later if necessary.
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Suitable for adults and children over 15kg.
Not recommended during pregnancy or breastfeeding unless advised by a doctor.
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DermAid (Hydrocortisone 1%)
Antihistamines (e.g., Claratyne, Zyrtec)
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DermAid: Reduces itching and inflammation; applied sparingly to affected areas.
Antihistamines: Taken orally to help relieve itching, especially at night.
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Patients experiencing intense itching or inflammation.
Hydrocortisone is suitable for short-term use; avoid prolonged use without advice.
Symptom Relief
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Tea Tree Oil
Neem Oil
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Tea Tree Oil: Known for its antimicrobial properties, may help reduce itching and secondary infections. Applied diluted to the skin or added to bathwater.
Neem Oil: Believed to disrupt the life cycle of mites; can be applied topically or mixed with lotion.
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Individuals seeking natural or supplementary options alongside conventional treatments.
Not recommended as a standalone treatment for scabies.
Complementary Medicines
NOTE: While pharmacy medicines can effectively treat scabies, proper application and adherence to instructions are crucial. Household members and close contacts should be treated simultaneously to prevent reinfestation. Always consult a pharmacist or doctor for guidance on choosing the most appropriate treatment.