Use a prescribed scabicide such as permethrin 5% cream or oral ivermectin as directed by a healthcare professional
Apply the medication exactly as instructed, usually to all skin from the neck down and under the nails
Leave the treatment on for the recommended time before washing it off
Repeat the treatment if instructed, often about 7 days later
Treat all household members and close sexual contacts at the same time, even if they have no symptoms
Wash bedding, towels, and clothing used in the previous 3 days in hot water and dry on high heat
Seal items that cannot be washed in a plastic bag for several days to a week
Vacuum mattresses, carpets, and upholstered furniture
Trim fingernails and clean under them to reduce mite spread
Avoid close skin-to-skin contact until treatment is completed
Use antihistamines or soothing lotions if recommended for itching
Seek medical care if symptoms persist, worsen, or signs of infection develop