Dermatology
Scabies
خارش / کھجلی
Itching all over the body, especially at the peripheral parts, worse at night and on the genitalia, with a positive family history.
- ICD-10
- —
- Source
- OPD handbook pp.104–105
- Status
- Draft
Not yet reviewed by a clinician. Check doses and brands against current national guidelines before use.
Symptoms
- Itching all over the body, especially peripheral parts
- On inquiry: family history positive
- Itching more severe at night and on the genitalia
Diagnosis
- Scratch marks on hands and legs, as well as between the finger webs
Treatment
Step 1 of 3
1. Scabicide lotion
- Scabfree = permethrin; Scabion = crotamiton and sulphur; Scabrid = permethrin
- How to use (Urdu note): after bathing in the afternoon (Asr), apply the lotion to the whole body; next morning bathe again and wash all the clothes; all affected members of the household should use it; repeat after one week
Prescription
Permethrin lotionScabicide
DoseApply to the whole body after a bath; wash off next morning; repeat after 1 week
Brand Scabfree / Scabrid lotion
Also sold as Scabfree, Scabrid
Step 2 of 3
2. Antihistamine
Prescription
CetirizineAntihistamine
DoseAt night (HS)
Brand Tab Rigix 10 mg
7 days (sample)
Also sold as Rigix, Sedil, Antial, Neo-Antial, Cetrix, Zyrtec
Step 3 of 3
3. Counselling (Urdu notes)
- Wash all clothes of the affected persons and iron or dry them in hot sunlight
- Persons who are affected: the towels used by them should not be used by the others
Sample prescription from the book (patient details removed)
- Male, 12 y, itching all over the body especially at night; younger brother has similar complaints; scratch marks on the skin; diagnosis scabies: Scabfree lotion (use as above); Tab Rigix 10 mg at night for 7 days; wash and sun-dry clothes; do not share towels.