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Understanding Scabies: Causes, Symptoms, and Treatment Options

Date: 04 Jun 2025

Scabies is a common, intensely itchy skin condition caused by a microscopic parasite known as the Sarcoptes scabiei mite. These tiny mites burrow into the skin, laying eggs and causing a persistent allergic reaction that leads to severe itching and skin rashes. Though scabies is not life-threatening, it can cause immense discomfort, sleep disturbances, and social distress if left untreated. Fortunately, it is entirely treatable with the right approach.

At Pharmily, we provide trusted treatment solutions for scabies, including Lindane Cream, to help you manage and recover from this condition effectively.

 

What Causes Scabies?

Scabies is caused by the infestation of the skin by the female scabies mite, which burrows into the upper layer of the skin (epidermis) to live and lay eggs. The body reacts to the presence of the mites, their eggs, and their waste products, which causes an allergic response characterized by itching and inflammation.

How is Scabies Spread?

Scabies is highly contagious and spreads through:

  • Prolonged skin-to-skin contact (e.g., between family members or sexual partners)
     
  • Sharing personal items such as towels, bedding, or clothing
     
  • Crowded conditions like schools, dormitories, prisons, or nursing homes
     

It is important to note that scabies cannot be transmitted by casual contact, such as a handshake or a brief hug.

 

Signs and Symptoms of Scabies

Symptoms of scabies usually develop 2–6 weeks after the initial infestation in individuals who have never been exposed before. In those who have had scabies before, symptoms may appear within 1–4 days due to prior sensitization.

Common Symptoms Include:

  • Intense itching, especially at night. The itching is a result of the body’s allergic reaction to the mites.
     
  • Red, inflamed bumps or small blisters on the skin.
     
  • Thin, irregular burrow tracks, often appearing as grayish or skin-colored lines.
     
  • Crusted or scabbed skin from scratching, which may lead to secondary infections like impetigo.
     

Areas Commonly Affected:

  • Between the fingers and toes
     
  • Inner wrists and elbows
     
  • Armpits
     
  • Around the waist and navel
     
  • Genital region
     
  • Buttocks
     
  • For infants and the elderly: scalp, face, neck, palms, and soles
     

If left untreated, the number of mites on the body can multiply quickly, leading to a more severe form known as crusted scabies (formerly called Norwegian scabies), which is highly infectious and often seen in immunocompromised individuals.

 

Diagnosing Scabies

Diagnosis is primarily based on a clinical examination of symptoms and rash patterns. In some cases, a skin scraping may be taken and examined under a microscope to confirm the presence of mites, eggs, or mite feces.

 

Treatment and Management of Scabies

Successful treatment of scabies requires a combination of topical or oral medications, personal hygiene practices, and the simultaneous treatment of all household members and close contacts to prevent reinfestation.

Topical Treatments

These are applied directly to the skin and are the first line of defense:

✅ Lindane Cream 1% (Available at Pharmily)

  • How it works: Lindane is a scabicide that kills the mites and their eggs by penetrating their nervous system.
     
  • Application: Apply a thin layer over the entire body from the neck down (including the scalp for infants), leave it on for 8 hours (usually overnight), then wash off thoroughly.
     
  • Precautions: Lindane is effective but should be used with caution, especially in infants, elderly people, and individuals with skin conditions such as eczema. It should not be reapplied due to the risk of neurotoxicity.
     

You can order Lindane Cream conveniently from Pharmily, your trusted online pharmacy in Kenya.

✅ Permethrin Cream 5%

  • Considered safer than Lindane and often the first-choice treatment.
     
  • Applied similarly and often repeated after 7 days to ensure eradication.

You can order Permethrin Cream 5% conveniently from Pharmily, your trusted online pharmacy in Kenya.
 

✅ Sulfur Ointment (5–10%)

  • Safe for infants and pregnant women.
     
  • Less effective compared to other treatments and has an unpleasant odor.
     

Oral Treatment

✅ Ivermectin Tablets

  • An oral antiparasitic medication is useful for treating widespread or crusted scabies.
     
  • Also used in mass treatment programs during outbreaks.
     
  • Not recommended for children under 15kg or pregnant women unless advised by a doctor.
     

 

Post-Treatment Itching

Even after successful treatment, itching can persist for several weeks due to the body’s continued allergic reaction to the dead mites. This does not mean the treatment failed.

To manage post-treatment symptoms:

  • Use antihistamines (e.g., cetirizine, loratadine)
     
  • Apply soothing calamine lotion or hydrocortisone cream (if recommended by a doctor)
     
  • Moisturize the skin regularly
     

 

Preventing Reinfestation

Proper environmental hygiene is crucial in managing scabies. Here’s how you can prevent reinfection:

  • Treat everyone in the household simultaneously, even if they are not showing symptoms.
     
  • Wash all clothes, bed linens, and towels in hot water and dry them on a high heat setting.
     
  • Seal unwashable items in plastic bags for 72 hours.
     
  • Vacuum carpets, mattresses, and furniture thoroughly.
     
  • Avoid close personal contact until the full course of treatment is completed.
     

 

Scabies in Special Populations

  • Infants and young children: Use only treatments recommended by a pediatrician. Lindane is not the first choice here.
     
  • Pregnant and breastfeeding women Should consult a healthcare provider before using any scabicide. Sulfur ointment is generally considered safe.
     

 

Where to Get Scabies Medication in Kenya

If you or a loved one is experiencing symptoms of scabies, early treatment is essential. Pharmily offers quality-assured medications, including Lindane Cream, and delivers directly to your home for privacy and convenience.

Why Choose Pharmily?

  • Genuine pharmaceutical products
     
  • Professional customer support
     
  • Fast and discreet delivery
     
  • Easy online ordering
     

Frequently Asked Questions (FAQs)

1. Can scabies go away on its own without treatment?

No. Scabies does not go away without treatment. The mites will continue to reproduce and spread on the body and to others. Without proper medication like Lindane Cream or permethrin, the condition can worsen and lead to secondary infections or crusted scabies in severe cases.

2. How long does it take for scabies to clear up after treatment?

The mites usually die within 24–48 hours of treatment, but itching can persist for up to 2–4 weeks as the body continues to react to dead mites and their waste. This is normal and can be managed with antihistamines or topical creams. If itching continues beyond 4 weeks or worsens, consult a healthcare provider for reassessment.

3. Is Lindane Cream safe for everyone?

Lindane Cream is effective but should be used with caution. It is not recommended for infants, pregnant or breastfeeding women, or individuals with conditions like eczema or seizure disorders due to the risk of absorption and potential neurotoxicity. Always follow a healthcare provider’s instructions when using Lindane.

4. Should everyone in the household be treated if one person has scabies?

Yes. All close contacts and household members should be treated at the same time, even if they do not show symptoms. Scabies mites can live on the skin for weeks before symptoms appear, so untreated individuals can continue spreading the infestation.

5. Can I get scabies again after treatment?

Yes. Reinfestation can occur if proper precautions aren’t taken—such as treating all contacts, cleaning bedding and clothing, and avoiding close contact until treatment is complete. If you are exposed to an infested person again, you can develop scabies once more, even after successful treatment.