How to get rid of scabies mites on the head? - briefly
Use a topical scabicide such as 5 % permethrin cream, applying it to the entire scalp, leaving it for the prescribed period, then washing it off; repeat the treatment after 7–10 days to eliminate any surviving mites. Clean bedding, towels, and personal items in hot water or seal them for several days to prevent re‑infestation.
How to get rid of scabies mites on the head? - in detail
Scabies infestation of the scalp requires prompt, systematic eradication to prevent spread and secondary infection. The following protocol outlines diagnosis, pharmacologic therapy, adjunctive measures, and environmental control.
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Confirm diagnosis – Visual inspection for burrows, erythematous papules, and intense itching, especially at night. Microscopic skin scrapings or dermatoscopic examination can verify the presence of Sarcoptes scabiei.
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First‑line medication – Apply a topical permethrin 5 % cream to the entire scalp, extending to the neck and ears. Leave the preparation for 8–14 hours, then wash off with mild soap. Repeat the application after 7 days to eliminate newly hatched mites.
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Alternative agents – If permethrin is contraindicated or ineffective, use:
- Ivermectin oral dose of 200 µg/kg, repeated after 7 days.
- Benzyl benzoate 25 % lotion applied for 24 hours, then rinsed; repeat after 48 hours.
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Symptom relief – Antihistamines (e.g., cetirizine 10 mg) or topical corticosteroids can reduce pruritus. Avoid scratching to limit skin damage.
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Hygiene and decontamination – Wash all bedding, towels, and clothing in hot water (≥60 °C) and dry on high heat. Items that cannot be laundered should be sealed in airtight bags for at least 72 hours. Vacuum carpets and upholstered furniture; discard disposable items that have contacted the scalp.
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Contact management – Treat household members and close contacts simultaneously, even if asymptomatic, to prevent reinfestation.
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Follow‑up – Re‑examine the scalp after the second treatment cycle. Persistence of lesions or new burrows warrants a repeat course or escalation to higher‑dose ivermectin under medical supervision.
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Prevention – Limit head-to-head contact in communal settings (schools, sports). Encourage regular laundering of personal items and prompt treatment of any suspected cases.
Adhering to this comprehensive regimen eliminates mites from the scalp, alleviates itching, and reduces the risk of recurrence.