Scabies is a really annoying and annoying thing, isn't it? The itching that lasts all day, the fact that it gets worse at night, and the skin is so red and blistered that you can't even wear clothes properly are really annoying. One of the most common medications that doctors prescribe for this condition is a cream called Permethrin. So today, let's talk about how to use this medication exactly and what you need to be careful about.
What is this Permethrin cream?
Simply put, this is a medicine used to kill the tiny mites that cause the skin disease called Scabies. These mites burrow into our skin and lay eggs, which causes this itching and irritation. So, what this cream does is to kill those mites and their eggs and cure the disease. This is only a topical medicine, and it is not good to take it orally for any reason.
Things you need to tell your doctor before using the medicine
Before prescribing this medicine to you, your doctor will ask you some questions. However, you should definitely inform your doctor about the following:
- If you have breathing problems like asthma.
- Tell your doctor if you have had an allergic reaction to this Permethrin medicine or any other medicine. Also, if you have any allergies to household insecticides, certain flowers (e.g. Chrysanthemums), foods, or preservatives.
- If you are pregnant, or trying to get pregnant, be sure to tell your doctor.
- You should also mention that if you are a breastfeeding mother .
Based on this information, the doctor will decide whether this medication is suitable for you or not, or whether you need another treatment.
How exactly do you use this cream?
This is the most important part. To get the most out of this medicine, you need to apply it correctly. If you miss a spot, the mites can spread the disease again.
Although this may seem like a bit of a tedious task, it is very important to do it this way to completely heal the wound.
For convenience, let's look at this step by step.
| Steps | What to do and explanation |
|---|---|
| 1. Preparation | Do not shower or wash your body before applying the cream. Keep your skin dry and cool. Keep your nails short. |
| 2. Applying the cream | Apply the cream thoroughly all over your body , from your neck to your feet . Don't just apply it to the areas where you have acne. Apply it well between your fingers, toes, wrists, waist, buttocks, genital area, and around your navel. |
| 3. Under the nails | Mites can hide under your nails, so use something like a toothpick to apply the cream under your nails. |
| 4. Special occasions | If you are applying this to a small baby or someone with a small head of hair , apply it thoroughly to the neck, scalp, forehead, and both sides of the ears. |
| 5. Time to keep | Apply the cream and leave it on for 8 to 14 hours . It's best to apply it before going to bed at night and wash it off in the morning. |
| 6. Washing | After the allotted time, take a good shower, shampoo your hair, and completely remove the cream from your body. |
If you apply the cream to someone else...
If you are giving this medicine to someone else, wear plastic or disposable gloves to prevent spreading the disease to yourself.
What to do if it gets into your eye?
Do not let this cream get into your eyes. If you accidentally get it in your eyes, immediately rinse them thoroughly with clean water.
Things we need to be careful about when taking medicine
Is it normal to still have itching after treatment?
Yes. This is something that many people worry about. Even after applying the cream and washing it off, there may be itching and redness on the skin for 2 to 4 weeks .
This does not mean that your treatment has failed or that you need to reapply the cream. It is simply a reaction to the dead mites' body parts being under the skin.
However, if the itching is unbearable or lasts for more than 4 weeks, see your doctor immediately.
Do family members also need treatment?
Syphilis is a highly contagious disease that spreads through close contact. Therefore, if you have syphilis, your family and those you live with (especially your sexual partner) should also be treated, even if they are asymptomatic. Talk to your doctor about this and get advice.
Clothing and bedding
Wash and dry all your used clothes, towels, sheets, and pillowcases as usual. There is no need to wash unused clean clothes again. There is no need to clean the floors, walls, or furniture in your home in any special way.
What are the possible side effects?
There are usually no major side effects, but some people may experience these things.
- Itchy skin
- Skin redness or slight swelling
- A burning or tingling sensation when applying the cream
- Skin numbness
These things usually go away after a while. But if they persist or bother you, talk to your doctor about it.
What to do if you overdose on medication?
If you think you have taken too much of this medicine, go to a hospital's Emergency Unit (ETU) immediately. Alternatively, you can call the National Poisons Information Centre at the Colombo National Hospital for advice.
Take-Home Message
- Permethrin is a medicine for scabies. It should only be used under the advice of a doctor.
- When applying the cream, apply it thoroughly all over your body, from your neck to your feet, not just the area where the rash is.
- It is normal to have some itching for a few weeks after treatment. Don't worry about it.
- Ask your doctor if your family and close associates also need treatment.
- If you have any questions or concerns about your medication or medical condition, be sure to talk to your doctor.
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