Scabies

Scabies is a skin infestation caused by Sarcoptes scabiei, a tiny mite that burrows into the outer layer of skin to lay eggs. The result is persistent, often severe itching and a pimple-like rash. It spreads easily through prolonged skin-to-skin contact, making it common in households, care homes, and crowded living situations, a pattern seen across South and Southeast Asia, including India, Indonesia, the Philippines, and Thailand.

Medicine used to treat Scabies

Stromectol

Ivermectin

3 · 6 · 12mg

This medicine is developed to target parasitic infestations like strongyloidiasis and is intended to alleviate symptoms by eradicating the underlying parasite.

From $1.44 / tablet View

What the infestation looks like

The signature symptom is intense itching that tends to worsen at night. The rash typically appears as small red bumps or thin, wavy burrow lines in the skin. Common sites are the finger webs, wrists, elbows, armpits, waist, and genitals; in young children the face, scalp, and palms can also be affected. Symptoms usually take two to six weeks to appear after first exposure, though someone who has had scabies before may react within days of re-exposure.

Treating scabies

Treatment targets both the mites and their eggs. Ivermectin is an oral antiparasitic used when topical treatment is impractical or in cases of crusted (Norwegian) scabies, a more severe form that carries a high mite burden. All household members and close contacts are usually treated at the same time to prevent re-infestation, and clothing, bedding, and towels should be washed in hot water on the day of treatment.

Itching can persist for two to four weeks after successful treatment as the skin reacts to dead mites and eggs, this does not mean treatment has failed.