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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Scabies Be Treated?

HI my grandaughter was diagnosed with scabies although the doctor didnt do a skin graph at the time nor did he do any other test on her so the doctor gave her a cream called permethrin i put it on her and left it on for 14 hours on a Thursday night and her mom took her to the emergency room on the following sunday and the doctor there said that it was not scabies and they did a skin graph to comfirm that it was not. my question is it possible that the skin test was not positive because she had the medication put on her three days prior to the skin graph?
Tue, 26 Jun 2018
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General & Family Physician 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

The medication will not affect sin graph. If there was any allergy it might have shown in skin graph. Scabies is treated with permethrin. I will tell you in detail about its treatment. Scabies treatment involves eliminating the infestation with medications. Several creams and lotions are available with a doctor's prescription. You usually apply the medication over all your body, from your neck down, and leave the medication on for at least eight hours. A second treatment is needed if new burrows and rash appear. Because scabies spreads so easily, your doctor will likely recommend treatment for all household members and other close contacts, even if they show no signs of scabies infestation. Medications commonly prescribed for scabies include:

1. Permethrin cream, 5 percent (Elimite). Permethrin is a topical cream that contains chemicals that kill scabies mites and their eggs. It is generally considered safe for adults, pregnant women, and children ages 2 months and older. This medicine is not recommended for nursing mothers.
2. Lindane lotion. This medication — also a chemical treatment — is recommended only for people who can't tolerate other approved treatments, or for whom other treatments didn't work. This medication isn't safe for children younger than age 2 years, women who are pregnant or nursing, the elderly, or anyone who weighs less than 110 pounds (50 kilograms).
3. Crotamiton (Eurax). This medication is available as a cream or a lotion. It's applied once a day for two days. This medication isn't recommended for children or for women who are pregnant or nursing. Frequent treatment failure has been reported with crotamiton.
4, Ivermectin (Stromectol). Doctors may prescribe this oral medication for people with altered immune systems, for people who have crusted scabies, or for people who don't respond to the prescription lotions and creams. Ivermectin isn't recommended for women who are pregnant or nursing, or for children who weigh less than 33 pounds (15 kg).

Hope I have answered your query. Let me know if I can assist you further.
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How Can Scabies Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The medication will not affect sin graph. If there was any allergy it might have shown in skin graph. Scabies is treated with permethrin. I will tell you in detail about its treatment. Scabies treatment involves eliminating the infestation with medications. Several creams and lotions are available with a doctor s prescription. You usually apply the medication over all your body, from your neck down, and leave the medication on for at least eight hours. A second treatment is needed if new burrows and rash appear. Because scabies spreads so easily, your doctor will likely recommend treatment for all household members and other close contacts, even if they show no signs of scabies infestation. Medications commonly prescribed for scabies include: 1. Permethrin cream, 5 percent (Elimite). Permethrin is a topical cream that contains chemicals that kill scabies mites and their eggs. It is generally considered safe for adults, pregnant women, and children ages 2 months and older. This medicine is not recommended for nursing mothers. 2. Lindane lotion. This medication — also a chemical treatment — is recommended only for people who can t tolerate other approved treatments, or for whom other treatments didn t work. This medication isn t safe for children younger than age 2 years, women who are pregnant or nursing, the elderly, or anyone who weighs less than 110 pounds (50 kilograms). 3. Crotamiton (Eurax). This medication is available as a cream or a lotion. It s applied once a day for two days. This medication isn t recommended for children or for women who are pregnant or nursing. Frequent treatment failure has been reported with crotamiton. 4, Ivermectin (Stromectol). Doctors may prescribe this oral medication for people with altered immune systems, for people who have crusted scabies, or for people who don t respond to the prescription lotions and creams. Ivermectin isn t recommended for women who are pregnant or nursing, or for children who weigh less than 33 pounds (15 kg). Hope I have answered your query. Let me know if I can assist you further.