Due to scabies got few spot on penis

Few months back i got scabies on whole part of the body and got few spot on penis too. After treatment some red spot on penis were left and i took it generally and thought would heal but after a long wait of few months now its getting worse and now 3-4 dark red spots on penis head but can't able to break them and few red area on penis head too, don't know how long will it take to heal but need some instant treatment for that, coz now its more than 3 months ?

Suggest me some kind of medicine or cream anything?

[Bhupinder Kaur, MD]

Hello,
Permethrin and oral ivermectin are the best treatment options of scabies. Sometimes itching of scabies persists for a few days after completion of treatment also and sometimes there may be recurrent and chronic cases which may require oral treatment of ivermectin.

It is basically reserved for very severe, chronic and stubborn scabies that does not respond to conventional therapies. So you should continue the permethrin treatment for a few days more and if the symptoms persist then oral ivermectin may need to be prescribed. There is a rule that all family members of the patient of scabies also need to be treated even if they do not have any itching or rashes.
Hence please ensure that all your family members also get the topical treatment. If the itching persists even after treatment completion then oral antihistaminics can be taken because itching of scabies takes some days to settle down.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.