Treatment for scabies requires the use of topical (skin) medication to kill the mites and any eggs. In general, all close contacts such as household members should be treated, even if they have no symptoms since the onset of symptoms may be delayed. Scabies is highly contagious.
Older infants and children are treated with Permethrin 5% cream (Elimite). The treatment should be repeated in seven days. Young infants and pregnant women are treated with 5 percent precipitated sulfur in petrolatum. Treatment should be done once a night for three nights in a row.
For infants, apply the medicine to the scalp, forehead, body, arms, legs, hands, feet and diaper area. For older children and adults, apply the medicine from the neck down to the feet, covering all body areas. Also apply between the fingers and toes and in the genital area. Leave the medicine on overnight (eight to 14 hours). In the morning, wash it off completely with shampoo and soap.
Your doctor may also prescribe a topical steroid cream or an oral (by mouth) medicine to help with the itching.