Use a prescribed scabicide such as permethrin 5% cream or oral ivermectin
Apply permethrin 5% cream to the entire body from the neck down, including under nails and skin folds
Leave permethrin on for 8 to 14 hours, then wash it off
Repeat permethrin treatment in 7 days if directed
Take ivermectin exactly as prescribed, often with a repeat dose in 7 to 14 days
Treat all close household and sexual contacts at the same time
Wash bedding, clothing, and towels used in the past 3 days in hot water and dry on high heat
Seal unwashable items in a closed bag for at least 3 days
Vacuum furniture, carpets, and car seats
Avoid close skin-to-skin contact until treatment is completed
Use antihistamines or anti-itch creams if recommended for itching
Seek medical care if symptoms persist, worsen, or signs of infection develop
Get urgent care if there is widespread crusting, severe rash, fever, or immunocompromise