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Suggest Treatment For Scabies Inspite Of Having Asthma
Question: I ended up with Scabies after having a patient that the medical team thought was having a drug allergy reaction to a medication she had after a stroke. Doctor said classic symptoms! Turned out to be Norwegian scabies. At first I itched but had no bumps.(Insane itch) After about 4 weeks red bumps appeared. At Occupational medicine a nurse practioner gave me Ivemectim 3 mg. It didn't get better, it was getting worse. Then she gave me prometherine cream 5%. Head to toe two nights in arrow. The itch was awful and the rash angry looking. My asthma became noticeably worse. I was then sent to a dermatologist who said I should have had 4 x the dose of Ivermectim than what I had taken since it was weight based and I am 130 pounds. He also prescribed Triamcinolone cream and Sarna for sensitive skin. Things started looking better. Asthma exacerbated though, and is very bad. I am now on oral prednisone and all of my inhalers. Peak flow at its best in the morning is 240. It has been two weeks and itchy bumps are appearing on my back again. I don't know if this is a reaction to dead mites, or if the scabies are still there. I'm afraid to take the "insecticide" again because of my asthma. Help!
XXXXXXX
Brief Answer:
scabies and its management
Detailed Answer:
Hello dear,
Welcome to healthcaremagic. I
have read your query and understood your concern.
Scabies is a communicable disease which presents with extensive itchy lesions over body spraring face. The itch in scabies is actually a result of hypersensitivity reaction to the mite and its secretions.
Your dermatologist gave you the appropriate dosage of antiscabicidal medication that is ivermectin.
But even once the infection is fully resolved, itch may persist for a month or so due to the allergic reaction to the mite and the secretions as I already mentioned. In case, there is no re exposure , your itch is most likely the result of hypersensitivity reaction.
You may apply topical mild to moderate potency steroids like fluticasone/ mometasone twice daily over the lesions for symptomatic relief.
For itch, you may take oral antihistaminics like levocetrizine / fexofenadine in night time for symptomatic relief.
If you wish, you may discuss this with your treating doctor, I am sure that he/ she will agree with my opinion.
Good luck.
scabies and its management
Detailed Answer:
Hello dear,
Welcome to healthcaremagic. I
have read your query and understood your concern.
Scabies is a communicable disease which presents with extensive itchy lesions over body spraring face. The itch in scabies is actually a result of hypersensitivity reaction to the mite and its secretions.
Your dermatologist gave you the appropriate dosage of antiscabicidal medication that is ivermectin.
But even once the infection is fully resolved, itch may persist for a month or so due to the allergic reaction to the mite and the secretions as I already mentioned. In case, there is no re exposure , your itch is most likely the result of hypersensitivity reaction.
You may apply topical mild to moderate potency steroids like fluticasone/ mometasone twice daily over the lesions for symptomatic relief.
For itch, you may take oral antihistaminics like levocetrizine / fexofenadine in night time for symptomatic relief.
If you wish, you may discuss this with your treating doctor, I am sure that he/ she will agree with my opinion.
Good luck.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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