Scabies does not require hospital treatment. The dermatologist prescribes an individual treatment for each patient, depending on the severity of the disease and the clinical signs.
Medicines for scabies should have the following characteristics:
- fight mites and their larvae as quickly and effectively as possible;
- be quickly eliminated from the body;
- have minimum side effects;
- be affordable and easy to use;
- do not stain clothes, without a strong smell.
In most cases, the skin does not react to the introduction of the female mite in the stratum corneum of the epidermis, so there is no inflammatory component in the laying of the female stroke, and the clinical picture of the disease is dominated by a typical or intact version of scabies passage. Externally, it has the appearance of a slightly elevated line of dirty gray color, straight or curved, 5-7 mm in length. At the same time, an inflammatory reaction may occur after some time.
What Is Eurax
Eurax (crotamiton) is an antiparasitic medicine that kills certain parasites that live or lay eggs in your skin. Despite the high effectiveness of today’s medications, it is important not only to treat the affected areas of your skin but also to disinfect all household items touched by the infected person to avoid reinfection. You should use disposable gloves during treatment and wash your hands thoroughly afterward. Modern manufacturers offer a wide range of products that differ not only in form but also in composition. Thus, among the active substances that can be used we should mention:
- sulfur;
- permethrin;
- benzyl benzoate.
Active ingredients provoke paralysis of parasites’ respiratory and digestive functions, leading to their death. Ointments and other topical preparations are highly effective because they act directly on the foci of the disease. Before treatment, it is important to ventilate the room well and carefully avoid getting the medication on mucous membranes. The drugs should be used strictly according to the instructions for use, carefully studying the contraindications when selecting the appropriate remedy. A patient can be treated at home – hospitalization is not required because the general condition is usually not affected.
A medication called Eurax is widely used to treat scabies caused by scabies mites. This intradermal parasite can accidentally get on a person’s epidermis, penetrates it, and begins to reproduce actively. As a result, scabies passages appear, in which the female lays eggs.
If used correctly, the cream should be enough for an entire course of treatment. The drug comes in the form of an ointment in a tube of 20 grams and as a lotion – of 60 grams. Consumers give positive feedback about the drug, so given its high effectiveness, the price is considered small. Crotamiton is the main component of Eurax cream. This substance relieves itching and has a detrimental effect on the pathogen, destroying it.
Drug Details
The instructions for use include a complete description of Eurax lotion scabies. If a patient is confirmed with a diagnosis of scabies, the ointment should be applied to the skin in areas from the chin to the lower extremities. The skin should be cleaned beforehand with water. After a day, you can repeat the procedure, this will be enough to destroy the parasite.
It is undesirable to use Eurax for pregnant women, as well as to apply to areas of the skin that bleed or are exposed to water. In addition, the medication has side effects, which include redness of the skin and other allergic reactions.
How To Use Eurax Lotion
Eurax Lotion should be applied to the entire body, from your neck to your toes. Babies and young children should also apply the cream or ointment to the entire head, including the scalp.
- Wash your baby well and wipe it dry before applying.
- Wear disposable gloves when treating.
- Apply the drug by rubbing lightly into the skin, moving from top to bottom.
- Thoroughly treat areas where tick tunnels are found.
- Don’t forget the hard-to-reach areas – bends, folds of the body.
- Don’t wash off the product for as long as the instructions say; that is from 8 hours to a day. If you had to wash it off your hands, do not forget to reapply.
- Explain to your child that you should not lick the treated areas of the skin. Small children should wear mittens.
- Be sure to wash things that have come in contact with the sick person – clothes, bedding, towels. They can be washed in hot water (not less than 50 degrees), ironed, or wrapped tightly in polyethylene to remove for at least three days – parasites will die without food.
Pharmacological Action
The pharmacological action of crotamiton scabies is antiparasitic and insecticidal. It acts against lice, fleas, mites (including scabies), and other ectoparasites of the arthropod family; it reduces development and causes the death of larvae, nits, and reproducing parasites.
Its antiparasitic effect is caused by disruption of ionic permeability through sodium channels, and inhibition of polarization (repolarization) of insect nerve cell membrane, which leads to paralysis effect. After cutaneous application, absorption is not more than 2%. A part of the substance, once in the systemic bloodstream, is rapidly hydrolyzed into inactive metabolites, which are excreted mainly with the urine. During a single treatment of surfaces affected by pediculosis, the effect lasts from 2-3 to 6 weeks (depending on the dosage form used). As an anti-lice agent, it is effective after a single treatment.
Indications
The main sign of scabies is itching, which intensifies after taking hot baths and at night, so the patient’s sleep is restless and intermittent. The child begins to itch because there is an allergic reaction. Itching begins a few weeks after infection, and with reinfection, the first signs appear after a couple of days. The incubation period for scabies usually lasts from 4 to 6 weeks. If the patient has had this infection before, symptoms may appear after 1 to 4 days.
Scabies can easily be recognized by the many small rashes in the form of red spots and papules. In children under the age of 2, the rash most often appears on the palms of the hands, feet, head, and neck. In older children, rashes appear between the fingers, in the folds and bends of the wrists and elbows, as well as on the waist, thighs, buttocks, and genitals.
Ticks not only live on the human body but also lay eggs there, for which they burst small tunnels that are visible on the skin. These are thin, sinuous gray or white lines that look like a pencil drawing.
Scratching the itchy areas of the body can cause new infections, inflammation, and redness. Therefore, at the first signs of scabies, parents should better stop self-treatment and immediately contact the doctor to relieve the acute symptoms and prescribe the correct therapy.
| Overview of treatment comparisons; lowest and highest calculated effect estimates (RR) with confidence intervals (95% CIs) (outcome parameters: healing, cure, reduction in lesion count) and number of trials | ||
|---|---|---|
| 1 Interventions | Results after 2 weeks: RR (95% Cl) | Results after 4 weeks: RR 1 [95% Cl], no. of trials |
| Topical treatments | ||
| Topical permethrin vs. topical crotamiton (12,13) | 2.33 [0.98; 5.55) | 1.11 [1.00; 1.24] and 1.50 [1.16; 1.94] 2 RCTs |
| Topical ivermectin vs. topical permethrin (14) | — | 0.99 [0.96; 1.02] |
| Sulfur vs. benzyl benzoate (15) | 1.07 10.99; 1.15] | — |
| Sulfur vs. sulfur (8%/10% as single dose, 3 days, and 3 nights) (16) | 1.72 [1.24; 2.38] to 1.7811.29:2.44] 1 RCT, 3 arms | 2.14 [1.41; 3.23] to 2.28 [1.53:3.41] 1 RCT, 3 arms |
| Benzyl benzoate vs. permethrin (17) | 0.95 [0.83; 1.09] | — |
| Topical vs. systemic treatment | ||
| Topical permethrin vs. systemic ivermectin (14,17-21) | 0.8010.52; 1.21] to 1.40 [1.13; 1.72] 5 RCTs | 1.01 [0.98; 1.04] to 1.11 [0.92;1.33| 4 RCTs |
| Topical ivermectin vs. systemic ivermectin (14) | — | 1.01 [0.98; 1.04] |
| Systemic ivermectin vs. benzyl benzoate (BB) (17,22-25) | 0.3610.22; 0.57] to 2.4310.74; 7.99] 4 RCTs | 0.45 [0.34; 0.60] to 1.93 [1.31; 2.85] 4 RCTs |
| Systemic treatments | ||
| Systemic ivermectin vs. systemic ivermectin (1 vs. 2 doses) (20) | 0.97 [0.85; 1.12] | |
| Therapy and prophylaxis (treatment of all island inhabitants; orphanage residents; one RCT each) | ||
| Permethrin, single-dose treatment for all affected individuals vs. permethrin. single dose for all island inhabitants and 2 doses for all affected individuals (26) | 1 year: 0.96 [0.92; 1.02] | |
| Permethrin, single-dose treatment for all affected individuals vs. oral ivermectin for all island inhabitants (26) | 1 year: 0.86 [0.82:0.89] | |
| Permethrin. single dose for all island inhabitants and 2 doses for all affected individuals vs. oral ivermectin, single dose for all island inhabitants (26) | 1 year: 0.83 [0.80; 0.86] | |
| Sulfur 10% cold cream vs. sulfur 10% and salicylic acid 1% treatment for all orphanage residents (27) | 10 days: 1.13 [0.97; 1.33] | |
‘Pooled data: 95% Cl: 95% confidence interval. RR: Relative risk: RCT. randomized controlled trial; not applicable
Source: https://www.aerzteblatt.de/int/archive/article/183659
Dosage And Administration
Outwardly (before applying, the bottle should be shaken), after washing hair with regular shampoo, rinse with water and towel dry, then the cream is applied evenly to the hair of the head or hairy parts of the body (with pubic pediculosis), rubbing into the hair roots.
Usually, 10-30 g of the preparation per person is used, depending on the degree of insect infestation and hair thickness and length. After 10 minutes from the treated body parts, wash off the product with warm running water and soap or shampoo, rinse head hair with 5% aqueous acetic acid solution, then comb with a fine comb to remove dead insects.
Crotamiton Side Effects
Local reactions – a burning feeling to stinging, or tingling, numbness, increased itching, erythema, allergic reactions (skin rashes, swelling).
Contraindications of crotamiton cream:
- hypersensitivity (including other synthetic pyrethroids, chrysanthemums, and other plants containing pyrethrins);
- pregnancy;
- breastfeeding (stop for the duration of treatment);
- young children: up to 2 months of age.
However, it is important to note that when treating this infectious disease, sanitizing the affected area of the body is very important. Since the person’s general condition is usually not affected by the itch, in the case of scabies, hospitalization is not required. Instead, applying special solutions to the skin can be done at home and shows promising results. In most cases, special sprays for scabies are used, the effect of which is to eliminate itching and redness.
It is worth paying special attention to the fact that each remedy has certain specifications of use and contraindications. This should be taken into account because allergic reactions or other symptoms can occur if these recommendations are not followed.
Precautions While Using Eurax Creme
Buy scabies medicine only after consulting your doctor. However, it is important to note that it is essential to sanitize the affected body area when treating this infectious disease.
Follow the preventive recommendations listed below:
- The clothes of a sick person must necessarily undergo chemical treatment. In some cases, regular washing may not be enough.
- The sick person should have separate utensils, which prevents contact with healthy people.
- It is important to use disposable gloves after the procedures. When the treatment is finished, wash your hands well with antibacterial soap.
- All scabies remedies should be kept in one place.
If one member of the family becomes infected with scabies, the chance of spreading the disease to all household members is greatly increased. Following the listed measures of general prevention and using crotamiton cream will help minimize such risks and greatly accelerate the patient’s recovery. Avoid getting this medicine in the eyes or mouth.
Pregnancy and Lactation
The FDA has not determined the category of action for the fetus. Although, it can be used in pregnant women only when strictly indicated and prescribed by a physician. There is no safety data for breastfeeding, so it is recommended to stop breastfeeding for the duration of treatment.
Overdose
After accidental ingestion of the emulsion, a case of seizure has been reported. It was stopped by gastric lavage, administration of activated charcoal, diazepam, and metoclopramide (with a plasma concentration of 34 ng/ml of Crotamiton). When applied to the skin, pallor and cyanosis were noted in the newborn infant.
Eurax Cream Price
You can buy online an anti-itch remedy that effectively combats scabies mites on the hands, feet, and other body parts. The patient can choose an odorless ointment or medicine in another release form. There are lots of medications in online pharmacy stores. All of them are different, but can be distinguished by:
- Effectiveness – if you follow the instructions, you can quickly get rid of the disease;
- Safety – fast elimination from the body, minimum side effects;
- Affordability – loyal price due to low-cost components;
- Ease of use – easy to apply, evenly lays on the surface of the hands, feet, and other areas.
Some drugs are entirely odorless and do not stain clothes, which makes their use as comfortable as possible. Acaricidal medicines against scabies mites have different durations of use. In addition, sprays, creams, and emulsions have different consistency and concentration of active ingredients. So, the period of use of one cream to complete the treatment maybe 3-4 days, and another – up to 8 days. The most effective prevention of scabies is the chemical treatment of all belongings of the sick person.
Eurax cream price: 20 grams – $11.99
Eurax tablets and special ointments from Eurax, which are widely available today in the catalogs of online pharmacies, will help you quickly deal with this irritant and reduce discomfort to a minimum.
It is very easy to buy Eurax lotion in the online store. However, visit your doctor beforehand. Only a qualified specialist can diagnose the disease, determine the complexity of the pathology and prescribe an effective remedy that will quickly eliminate the negative symptoms.
Eurax Cream Alternatives
There are several alternative creams and treatments for those who cannot tolerate Eurax itch cream. Anthisan cream or HC45 cream can be used for itching, stings, and insect bites. Eurax is available in combination with a steroid cream called Eurax HC cream.
A good medication would be Spregal. Its active ingredient is Esdepaletrin, a neurotoxic insect venom that disrupts the cation exchange of nerve cell membranes. The second component, piperonyl butoxide, enhances the effect of Esdepaletrin and eliminates the possibility of scabies pathogen resistance to this scabicide.
Nittyfor Crem is suitable for the treatment of scabies. Its active ingredient is permethrin. Nittyfor Crem is designed and officially approved for the treatment of pediculosis. It is applied to limited areas of the skin, and its exposure to the skin should not exceed 40 minutes.
Allergy medicines for external or oral antihistamines are effective in treating itching. In rare cases, the doctor may prescribe hormonal ointments with glucocorticoids, such as Hydrocortisone. If purulent rashes or wounds appear on the site of the scratches, antibiotics in ointments should be used. Neomycin and bacitracin have a broad spectrum of action. They can also be treated at home after the doctor’s advice.
| Brand Name | Chemical Name | FDA Approved Use | Dosage | Side Effects | Precautions |
|---|---|---|---|---|---|
| Nix, Elimite, Generic | 5% Permethrin cream | FDA approved for treatment of scabies. For use in children 2 months of age and older. | Apply 5% cream from neck down over entire body paying special attention to all folds and creases. Wash off thoroughly after 8-14 hours. Second application is advised after 7 days. | Treatment may initially make redness, swelling, or itching worse. Tingling or numbness. |
|
| Eurax,Crotan | 10% Crotamiton cream or lotion | FDA approved for treatment of scabies. For use in children 6 months of age and older. | Apply 10% cream from chin down over entire body paying special attention to all folds and creases. Wash off thoroughly after 48 hours. Second application is advised 24 hours after first treatment. | Irritation and itching |
|
| Stromectol | Ivermectin (oral) Recommended dosage 200mg/kg | FDA approved for treatment of scabies. Oral medication for use in children weighing more than 15 kg (33lbs). | Single 200mg/kg dose orally. May be repeated in 14-15 days. Take on empty stomach with water. | Nausea and vomiting. |
|
| Lindane, Generic | Lindane 1% lotion or cream | FDA approved for treatment of scabies. For use in children 6 months of age and older. | Apply 5% cream from neck down over entire body paying special attention to all folds and creases. Wash off thoroughly after 8-12 hours. | Allergic Reaction: Itching or hives, swelling in face or hands, swelling or tingling in mouth or throat, chest tightness, trouble breathing. Dizziness or drowsiness, Itching, burning or dry skin, seizures |
|
Special Precautions
It is necessary to avoid getting Eurax cream for itching into the mucous membranes of the eyes, nose, mouth, and urinary tract (if this happens – mucous membranes should be abundantly washed with running water).
Use the medicine in a well-ventilated room. Requires consultation with the doctor before starting treatment, while taking other drugs or in case of scalp diseases. In addition, a physician’s consultation is needed if itching persists for more than 4 weeks after scabies treatment. The occurrence of hypersensitivity reactions requires discontinuation of treatment.
Frequently Asked Questions
What Is Eurax?
Eurax (crotamiton) is an antiparasitic medicine that kills certain parasites which live or lay eggs in your skin.
What Is Crotamiton Used For?
Crotamiton’s antiparasitic effect is caused by disruption of ionic permeability through sodium channels, and inhibition of polarization (repolarization) of insect nerve cell membrane, which leads to paralysis effect. After cutaneous application, absorption is not more than 2%.
Does Eurax Cream Have Any Side Effects?
There are burning sensation to stinging, tingling, numbness, increased itching, erythema, allergic reactions (skin rashes, swelling).