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Suggest Treatment For Persistent Scabies

Posted on Wed, 15 Mar 2017

Question: I'm immunosuppressed, and have been fighting scabies for 5 weks. it's making me crazy. is there a quick home remedy? I keep reading about vinegar

Answered by Dr. Dr. Muhammad Sareer Khalil (54 minutes later)

Brief Answer:
Explained

Detailed Answer:
Hello and Welcome

I appreciate your concern

Scabies is most effectively treated with topical permethrin or malathion.
Vinegar is not as effective as permethrin.
Ivermectin can also be given orally for treating scabies.

Wishing you best of health

Thanks

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (1 hour later)

I have been on permethrin for 5 weeks. Why isn't it working? The itching is drivig me crazy, especially when trying to sleep.
Also, I have been on Myrbetriq for 18+ weeks. It worked like a miracle, then suddenly stopped. I can't get in to see my urologist for 8 weeks. I've been leaving home even less than ever due to bladder control issues. Is it normal for it to suddenly stop working? I've had to put off a trip with my father and sisters. It's frustrating.

Answered by Dr. Dr. Muhammad Sareer Khalil (3 hours later)

Brief Answer:
Explained

Detailed Answer:
Hello again

An antihistamine in addition to corticosteroid can be added to see for improvement in pruritus. These may include hydroxyzine, cetirizine or diphenhydramine.

In severe scabies with high mite burden repeated treatment may be necessary. The itching may persist for a few weeks after application and may even worsen.
In recurrent disease oral ivermectin can be combined with topical scabicidal agents.

Mirabegron used for overactive bladder can be effective at 25 mg orally once a day at weeks. Other factors like an urinary tract infection, high blood sugar and drugs can cause worsening of the OAB. However dose can be increased up to 50 mg to see for optimum effect.

Wishing you best of health

Thanks

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar