Answered! When Scabies Won't Go Away?

Scabies is a highly contagious skin condition caused by tiny mites known as Sarcoptes scabiei. It is characterized by intense itching and a rash that often worsens at night. While scabies can typically be treated successfully with appropriate medications, there are instances when the condition persists despite treatment. 

Today, we will explore the reasons why scabies may not go away and provide insights into effective treatment options and preventive measures.

Understanding Scabies and Its Lifecycle:

Scabies mites burrow into the upper layers of the skin, where they lay eggs and produce waste products that trigger an allergic reaction. The mites can survive for several weeks on the human body, during which time they continue to reproduce and cause symptoms. Scabies is commonly transmitted through close physical contact with an infected person or by sharing contaminated bedding or clothing.

Possible Reasons for Scabies Persistence:

Inadequate Treatment: 

One of the main reasons scabies may not go away is insufficient or improper treatment. If the prescribed medication is not applied as directed or for the recommended duration, some mites may survive and cause a relapse.

Reinfection: 

Scabies can easily spread among family members or close contacts. If someone in your household is not treated at the same time, there is a higher chance of reinfection, making it difficult to eliminate scabies entirely.

Resistance to Medication: 

In rare cases, scabies mites may develop resistance to certain medications, such as permethrin or benzyl benzoate. This resistance can hinder the effectiveness of treatment and lead to persistent symptoms.

Delayed Immune Response: 

Everyone's immune system responds differently to scabies infestations. Some individuals may experience a delayed or weakened immune response, making it challenging to eradicate the mites entirely.

Also Read: Answered! Can you get scabies from gardening

Effective Treatment Options:

Prescription Medications: 

Your doctor may prescribe topical creams or lotions containing permethrin, ivermectin, or sulfur to treat scabies. These medications help kill the mites and their eggs. It is crucial to follow the prescribed treatment regimen diligently to ensure complete eradication.

Household Cleaning: 

To prevent reinfection, it is essential to thoroughly clean your home. Wash all bedding, clothing, and towels in hot water and dry them on high heat. Vacuum upholstery and carpets, and consider placing items that cannot be washed in a sealed bag for a few days.

Family-wide Treatment: 

Treating all family members or close contacts simultaneously is vital to prevent the spread of scabies. Even if symptoms are not present in some individuals, they may still be carriers.

Preventive Measures:

Hygiene Practices: 

Regular handwashing, especially after close physical contact with others, can help reduce the risk of scabies transmission. Avoid sharing personal items, such as clothing, towels, or bedding.

Prompt Action: 

If you suspect scabies, seek medical attention promptly. Early diagnosis and treatment can help prevent the condition from becoming chronic and minimize the risk of further spread.

Education and Awareness: 

Educate yourself and others about scabies, its symptoms, and preventive measures. Awareness is key to preventing the recurrence of scabies infestations.


Scabies can be a persistent and frustrating condition if not properly addressed. However, by understanding the possible reasons for its persistence and following appropriate treatment and preventive measures, you can effectively eliminate scabies from your life. If you find that scabies won't go away despite treatment, consult a healthcare professional for further evaluation and guidance. Remember, with the right approach and patience, you can overcome scabies and restore your skin's health.

Also Read: Answered! Can you get scabies from gardening