Eurax Drug Uses
Use Eurax to treat scabies or to reduce itching associated with certain conditions.
How Taken
Shake the lotion well before use. Apply a thin layer of the cream or lotion to all body parts from the neck down to the soles of your feet (scabies does not usually infect the head). Apply the medication to dry skin and rub it in well. Leave the medication on for 24 hours, then, without washing, apply a second dose. Thoroughly wash off the medication 48 hours after the last application.
Eurax Warnings/Precautions
Do not use more of this medication than is recommended. Do not take this medication by mouth. Avoid application to the mouth, nose, or eyes. Treat sexual and other close contacts who are also infected. To prevent reinfection, wash all clothing, hats, bed clothes, bed linens, hair brushes, and combs with a strong cleanser in hot water to remove any mites or eggs.
Eurax Missed Dose
Two doses of Eurax, 24 hours apart, are recommended. If the second dose is missed, retreatment may be necessary. Contact your doctor or pharmacist if you miss a dose.
Eurax Possible Side Effects
You are not likely to experience serious side effects. Stop using Eurax and seek emergency medical attention if you experience an allergic reaction (shortness of breath; closing of your throat; swelling of your lips, face, or tongue; or hives).
Eurax Storage
Store Eurax at room temperature away from moisture and heat.
Eurax Overdose
Seek emergency medical attention. Symptoms of an overdose (after ingestion) include a burning feeling in the mouth; irritation or inflammation of the mouth, throat, and stomach lining; nausea; vomiting; and abdominal pain.
More Information
Do not apply this medication to the eyes, nose, or mouth. Flush with water if you get medication in any of these areas.
Disclaimer
This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.
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Q: Do you deliver Eurax to my state?
A: Due to regulations we cannot ship medicines to all states, please check the order form for the current list of states that we can ship to.
Treatment Options for Scabies
The most appropriate treatment will generally be a topical medication or cream containing
permethrin, lindane, or crotamiton. The following treatment considerations are provided for
informational purposes only.
• Topical medications - ensure thorough application of topical scabicides, including within
severe contractures and skin folds of patients.
o 5% permethrin cream (Elimite, Nix) is the medication most commonly used to
kill scabies mites. This medication is safe for use in children as young as two
months of age, pregnant and lactating women, and the elderly.
?? After bathing or showering, the cream should be applied over the entire
body, from the chin down to, and including, the soles of the feet. Include
the scalp, face and neck in children less than five years of age. It should
be left on for 8-14 hours and then rinsed off by bathing. It is best to apply
at bedtime and then wash off in the morning. The treatment should be
repeated in 1 week since treatments may not be ovicidal (i.e., kill the mite
eggs).
o Other options include:
- 1% lindane (Kwell) is rarely used because of its limited safety profile: do
not use lindane in persons who are less than 10 years of age, weigh less
than 50 kg, who are immunocompromised, pregnant or lactating, who
have a known seizure disorder, or who have extensively broken, denuded
or excoriated skin. In addition, scabies resistance to lindane has been
reported in some areas of the world, including parts of the United States.
It should be left on for 6-12 hours and then rinsed off by bathing. A
second application may be needed one week later.
- 10% crotamiton (Eurax) has a good safety profile, but is more difficult to
use and has a much lower cure rate. To use, wash thoroughly and scrub
away any loose scales, then apply a thin layer topically from neck to toes.
Gently massage into skin and leave on; a second application should be
applied after 24 hours; bathe 48 hours after the last application.
- Precipitated sulfur 6% in petrolatum is safe and effective in infants less
than two months of age and pregnant or lactating women. However,
sulfur is less acceptable to patients secondary to its odor and messy
application. It should be applied to the entire body (including the head
and neck in newborns) for 24 hours and then reapplied every 24 hours for
the next two days (i.e., a total of three applications). A bath should be
taken before each application and 24 hours after the last application.
- Ivermectin (Stromectin) is an antiparasitic drug taken orally. While not
approved by the FDA for the treatment of scabies, it has been found to be
effective and is especially useful for patients whose infestation is
refractory or who cannot tolerate topical therapy. Therefore, off-label use
of ivermectin for the treatment of scabies is a consideration. The dosage is
200 mcg/kg PO once; a repeat dose may be necessary if the patient is
infected with Norwegian scabies or in immunocompromised patients.
The safety of this medication in pregnancy and in children less than five years
of age has not been established
o Re-screen affected persons for continuing infestation after one, two, and four
weeks to ensure that treatment was successful.
• Patients with Norwegian scabies may need brushing and topical keratolytics (e.g.,
salicylic acid 3-6% cream) to remove scales.
• The nails of cases should be trimmed and should be cleaned under to remove any mites or
eggs that may be present from scratching. For those with nail involvement, nail
scrubbing with scabicide may be performed; removal of the nail using 40% urea cream or
by avulsion may be required for recalcitrant subungual scabies.
• Itching can last as long as several weeks after effective treatment. To combat this:
o Moisturize before and after showering;
o Avoid irritants such as too much soap and excessive sweating;
o Consider the use of oral or topical anti-itch medications in the antihistamine class,
such as diphenhydramine (Benadryl), as indicated. Other antihistamine
medications that could be considered include hydroxyzine (Atarax), cetirizine
(Zyrtec), loratidine (Claritin) and promethazine (Phenergan); and,
o Consider the use of appropriately potent topical corticosteroids. Oral steroids
may rarely be used. However, steroids should not be prescribed before the
completion of primary scabicide therapy.
• Occasionally, the rash area can become infected with bacteria. If this occurs, it may need
to be treated with an antibiotic ointment applied to the area, or oral antibiotics.
• Nodular scabies: 10% crotamiton cream (Eurax) may be used for treating scabies nodules
in children. The cream should be left on the nodules for 24 hours, washed off, and then
reapplied for an additional 24 hours. Persistent nodular scabies may need to be treated
with injections of steroids into the nodules or (rarely) with coal tar products applied to the
skin.
All family members and close contacts should be treated. If a child with scabies attends
daycare or a person is institutionalized (such as in a nursing home or prison), then staff in
contact with the person should be treated. It is necessary to treat everyone at the same time
to avoid re-infection.
Environmental controls and preventative measures must be implemented to ensure successful
treatment.
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