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Treating Scabies

Key Information:

  • Why Precision Matters: To get rid of scabies mites for good, you must follow the treatment instructions exactly. Missing a step often leads to treatment failure and re-infection.
  • The Golden Rule: Everyone living in your house must be treated at the same time, even if they do not have symptoms. Scabies can spread before a rash appears. Treating everyone breaks the cycle.

The Treatment Protocol

Follow this simple formula: Treat everyone at once + Cover the whole body + Repeat one week later.
 

Step 1: Preparation (Day 1)

  • On the day you begin treatment, wash all bedding, towels, and clothing worn in the last few days.
  • Use a hot wash (50°C or higher) to kill any mites on the fabrics.

Step 2: Application

Think of the cream as a protective layer that must cover every inch of skin so mites have nowhere to hide.

  • Timing: Apply when skin is cool and dry (not straight after a hot bath). Ideally, apply in the evening before bed.
  • Coverage: Apply a thin layer to your entire body, from your neck down to the soles of your feet.
  • The Details: Pay special attention to difficult-to-reach areas:
  • In between fingers and toes.
  • Under fingernails.
  • Wrists, elbows, and skin folds.
  • Hand Washing Rule: If you wash your hands during the treatment time (e.g., after using the toilet), you must re-apply the cream to your hands immediately.

Step 3: Duration

  • Leave the cream on for 8 to 12 hours.
  • Wash it off thoroughly the next morning.

Step 4: The Repeat (Important!)

  • You must repeat this entire process exactly one week later.
  • This second treatment is essential to kill any mites that have hatched from eggs since the first application.

Discuss Your Symptoms


What Happens Next?

The treatment cream can sometimes cause mild tingling or irritation, which is usually normal. However, if you develop a severe skin reaction, please contact us.

Discuss Your Concerns

 


 

Further Information

earn more about scabies

Scabies: Why am I Still Itching After Treatment?

For more information about treating scabies, please visit the NHS website.

Learn more about scabies

 


 

Last reviewed: 26 December 2025
Next review due: 26 December 2028