How to Get Rid of Scabies (2024)

Scabies treatment typically involves a topical or oral medication, such asPermethrin cream orIvermectin. These medicines kill scabies mites and their eggs.Your healthcare provider may also recommend other treatments, such as pain or anti-itch medications, to help ease relateddiscomfort.

Takingsteps to eradicate the mite from your surroundings is important for avoiding re-infection, so it will be considered part of a treatment plan.

Close contacts, like family members, may evenbe treated for scabies whether they are showing signs or symptoms of infection or not—partly to get ahead of a potential future diagnosis, partly to protect you all from passing the mite back and forth.

How to Get Rid of Scabies (1)

Prescriptions

Several prescription treatments are available and approved for treatment of scabies infection. These treatments help clear up the scabies rash and reduce the risk of complications.

Scabies is treated with either topical pesticide creams or an oral medication.The Centers for Disease Control and Prevention (CDC)recommends the following treatments:

  • Permethrin 5% creamapplied to all areas of the body from the neck down(not just those with rash) and washed off after 8 to 14 hours; asecond treatment is completed one week later to treat mites that were not killed while they were in eggs.
  • Crotamiton(Eurax)lotion: approved for topical use for scabies in adults, but not for children
  • Sulfur ointment:appropriate for all ages
  • Lindane 1% lotion or creamapplied in a thin layer to all areas of the body from the neck down and thoroughly washed off after 8 hours. This medicationis only recommended if you cannot tolerate the other treatments because of its high risk of toxicity. Resistance to Lindanetreatment has also been reported. Lindaneshould not be used by people with skin problems, and it should not be used directly after a bath or shower. In addition, lindaneis not approved for infants and children under age 10.

Sometimes, scabies does not improve with the therapies that are approved for its treatment. If that is your experience, your healthcare provider might consider off-label options—topical or oral therapiesnot approved by the FDA for scabies—including benzyl benzoate, allethrin (pyrethrin topical spray), or Stromectol (ivermectin).

It is imperative that you take your medication as prescribed,finishing the full course of treatment.

The parasite is not considered dead until treatment is complete.

So, though your symptoms may seemingly resolve ahead of schedule, ending treatment early may cause them to return.

Topical corticosteroid creamscan decrease inflammation and help reduce the itching sensation, but they donot destroy the parasite or shorten the duration of infection.

Scabies Healthcare Provider Discussion Guide

Get our printable guide for your next doctor's appointment to help you ask the right questions.

How to Get Rid of Scabies (2)

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OTC Therapies

Over-the-counter treatments can't treat the actual infection, but they can help make you more comfortable as it resolves.

Lotions

Creams and lotions can help soothe your skinas your scabies clears up. Some creams—such as over-the-counter hydrocortisone cream, Benadryl cream, and Caladryl lotion—alsohave anti-itch ingredientsthat candiminish itching for hours.

Anti-itch Medication

You can take oral (by mouth) pills to reduce your itchiness. Even when taking an over the counter pill for itching, it is best to check with your healthcare provider if you have never taken anti-itch pills before.

Pain Medications andAnti-Inflammatories

If you have pain from your scabies, you may experience some relief withover-the-counter pain medication.Non-steroidal anti-inflammatory medications, like Advil (ibuprofen),can reduce pain as well as the inflammation caused by scabies infection, but other options can also provide comfort.

Home Remedies and Lifestyle

Like over-the-counter options, home remedies can only reduce discomfort, not wipe out the mite from your body. However, some home-based approaches do offer the additional benefit of helping to prevent the transmission of the mite within the family and to others with whom you may come in close contact.

Vacuum Thoroughly

On the day you start treatment, vacuum your living area thoroughly, including carpets, rugs, and upholstered furniture.

Decontaminate Personal Items

In addition to treating your infection, it's important to cleanfabrics and soft surfacesthat you have come incontact withto avoid re-infection. This includes using special detergents to kill mites on clothing and sheets, and washing them in hot water the morning after treatment and one week after the second treatment.

Itemsthat cannot be washed, like stuffed animals, can be placed in a plastic bag for at least 72 hours, according to the CDC.

SootheDiscomfort and Itchiness

You may find relief by applying wrapped ice packs on your skin or bathing in cool water. You might also notice that the itching sensation is worse in warmer temperatures, so cooling your body with air conditioning or a fan can help.

Avoid Scratching

Try not to scratch your skin. Scratching may cause wounds and open sores thatcan become infected by bacteria and lead to further problems.

That, however, is often easier said than done (especially for children).Some strategies that can help reduce scratching include covering the skin with soft, padded clothes, using bandages to cover particularly itchy areas, trimming nails short, and wearing mittens.

CAM Therapies

There are no alternative therapies recommendedfor the treatment of scabies. Studies show that tea tree oil may show promise, but its effectiveness still needs further study.

Frequently Asked Questions

  • How quickly does scabies treatment work?

    For most people, the best medicine for scabies, Elimite (5% permethrin), destroys the mites that cause scabies within eight to 14 hours, which is why it's often applied at bedtime. It's always recommended to repeat the treatment after one week.

  • Can scabies infest mattresses?

    No. The mites that cause scabies can't infest a mattress (unlike bedbugs), but they can live on surfaces for up to three days. It's important to thoroughly wash all loose bedding in hot water and to seal up items that can't go into the laundry in plastic bags to allow lingering mites to die off. Before putting fresh sheets on a bed that may have had mites, vacuum the mattress thoroughly.

  • What will happen if scabies is not treated?

    The mites will continue to reproduce, which will lead to continued itching, rash, and other symptoms. Not treating scabies also increases the possibility it will be spread to other people, which is why when someone is diagnosed with scabies it's advisable that everyone they have close physical contact with get treated.

  • How long will it take for itching caused by scabies to stop?

    After treatment, itching can linger for up to a month. If it's really uncomfortable, a topical steroid or oral glucocorticoid may be helpful. Itching that gets worse or persists beyond four weeks may mean a reinfection.

How to Prevent Scabies

8 Sources

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

  1. Centers for Disease Control and Prevention. Scabies. Clinical care of scabies.

  2. Centers for Disease Control and Prevention. Treatment of scabies.

  3. American Academy of Dermatology. Scabies: tips for managing.

  4. Mayo Clinic. Scabies. Lifestyle and home remedies

  5. Thomas J, Carson CF, Peterson GM, et al. Therapeutic Potential of Tea Tree Oil for Scabies. Am J Trop Med Hyg. 2016;94(2):258-266. doi:10.4269/ajtmh.14-0515

  6. UpToDate. Scabies (Beyond the Basics).

  7. Centers for Disease Control and Prevention. Preventing scabies.

  8. University of Michigan Health. Scabies.

Additional Reading

  • Centers for Disease Control and Prevention. Clinical care of scabies.

  • Fischer K,Holt D,Currie B,Kemp D. Scabies: important clinicalconsequencesexplained by new molecular studies. Adv Parasitol.2012;79:339-73. doi: 10.1016/B978-0-12-398457-9.00005-6.
  • Khalil S,Abbas O,Kibbi AG,Kurban M. Scabiesin the age of increasing drug resistance. PLoS Negl Trop Dis.2017 Nov 30;11(11):e0005920. doi: 10.1371/journal.pntd.0005920. eCollection 2017 Nov.
  • Thomas J,Carson CF,Peterson GM et al. Therapeutic Potential ofTea Tree OilforScabies. Am J Trop Med Hyg.2016 Feb;94(2):258-66. doi: 10.4269/ajtmh.14-0515. Epub 2016 Jan 19.

How to Get Rid of Scabies (3)

By Elizabeth Boskey, PhD
Boskey has a doctorate in biophysics and master's degrees in public health and social work, with expertise in transgender and sexual health.

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