Therapeutic indications: treatment of sarcoptic mange in humans.
Composition: each tablet contains 3 mg of Ivermectin
Format: 4 tablets.
- Scabies is a parasitic infestation of the skin caused by the Sarcoptes scabiei (var. hominis) mite. The infestation is specifically human. The proteins of the mites and the residues they produce cause a hypersensitivity reaction that causes an intense itch that increases in intensity at night.
- The transmission of scabies is by direct skin-to-skin contact between people where the mite moves through the skin. Contact needs to be prolonged, meaning that it is difficult for it to be transmitted through a quick handshake or hug. However, it can easily be transmitted between family members and sexual partners.
- In places where many people live together in enclosed spaces, such as nursing homes, nurseries, reception centres, prisons and hospitals, transmission is easy. Scabies can also be spread by indirect and prolonged contact through objects, such as recently contaminated clothing, towels and bedding.
- The mite requires human skin to complete its life cycle. When parasitising humans it can live from one to two months although outside the host, mites do not live more than three or four days at room temperature.
- The mite withstands cold and high humidity well. It cannot survive for more than ten minutes at 50ºC. An infested individual can transmit scabies, even if they have no symptoms.
- The period between infestation and the appearance of symptoms is around two weeks, although this can extend up to six weeks, especially if it is the first time the disease has been suffered since the sensitisation to the parasite is slower and itching appears later. In the case of reinfestation, itching appears much faster, one to four days after re-exposure.
PERIOD OF TRANSMISSIBILITY
- The infested person is immediately a potential source of infection for others, even in the absence of symptoms. The period of transmissibility begins from the first moment of infestation until the mite and eggs are destroyed by treatment. Clothing that has been in contact with the affected person is considered to have a potential risk of transmission until it is treated or until seven days have passed since its last use.
- The disease is no longer transmissible 24 hours after starting the first acaricidal treatment.
- Infested people should avoid intimate or sexual relations until treatment is completed and has been effective. The use of condoms does not prevent the transmission of scabies.
- Treatment should be given to all infested people with symptoms and their asymptomatic contacts, which may include people they live with, sexual contacts and especially anyone who has had direct and prolonged skin-to-skin contact with the infested person during the month prior to the onset of symptoms.
- All infested people and their contacts should be treated at the same time (within a 24-hour period) to avoid reinfections. It is important to remember that the first time a person is infested with scabies they will usually show no symptoms for the first two to six weeks and can still transmit scabies during this period.
- Cohabitants and contacts at risk without symptoms should be treated with a dose of oral ivermectin as they may be in the incubation period.
The contents of this section are strictly directed to health professionals with practice in Spain and certified to prescribe pharmaceutical products, which require specialized training for their right interpretation. Please notice that pharmaceutical products might have a different summary of characteristics authorised in other countries.
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