What should be applied to a tick bite after removal? - briefly
After extracting the tick, wash the area with soap and water. Then apply a topical antiseptic (e.g., povidone‑iodine or chlorhexidine) and, if needed, a thin layer of antibiotic ointment.
What should be applied to a tick bite after removal? - in detail
After a tick is removed, the first step is to clean the site thoroughly. Wash the area with soap and water, then rinse with clean running water. Apply an antiseptic solution such as povidone‑iodine, chlorhexidine, or ethanol to reduce bacterial contamination.
Next, consider a topical antimicrobial agent. Options include:
- Bacitracin ointment
- Neomycin‑polymyxin B‑bacitracin combination
- Mupirocin cream
Apply a thin layer over the bite and cover with a sterile gauze pad if the wound is oozing. For individuals at high risk of Lyme disease—those bitten by a nymphal Ixodes scapularis in endemic regions, or with prolonged attachment (>36 hours)—a single dose of doxycycline (200 mg) may be prescribed within 72 hours of removal, per clinical guidelines. Verify contraindications (pregnancy, allergy, age <8 years) before administration.
Pain and inflammation can be managed with over‑the‑counter analgesics such as ibuprofen or acetaminophen, following label dosing. Avoid applying home remedies lacking scientific support (e.g., essential oils, herbal poultices).
Finally, monitor the area for at least 30 days. Seek medical attention if any of the following appear:
- Expanding erythema (≥5 cm) with central clearing
- Fever, chills, or flu‑like symptoms
- Joint pain, headache, or fatigue
- Persistent swelling or drainage
Document the date of removal, tick identification if possible, and any symptoms that develop, to aid future clinical assessment.