Before starting treatment, it is advisable for the patient to take a hot shower for mechanical removal from the skin of the mites, as well as loosening of the surface layer of the epidermis (to facilitate penetration of the drug).
Treatment of patients identified in one focus, as well as contact persons, should be carried out simultaneously in order to avoid re-infection. Preservation of itching after treatment is not an indication for the appointment of an additional course of specific therapy.Itching is a reaction of the body to the killed tick and the products of its vital activity and disappears when prescribing antihistamines and ointments with glucocorticosteroids. After treatment, medical control is necessary for 2 weeks, and in the presence of complications and a longer time.
All items that come into contact with the infected skin must be carefully processed. Bedding and linen, towels are boiled in a detergent solution for 5-10 minutes. The outer clothing is ironed on both sides with a hot iron. Things not subject to heat treatment are hung in open air for 3 days. Shoes, toys and other items are excluded from use for 5 days and placed in a cellophane bag. Mattresses, pillows, blankets are also excluded from use for 5 days or subjected to chamber disinfection. Upholstered furniture can be treated with preparations for pest control. The apartment must be cleaned, washed floors with detergents or the addition of disinfectants. It is necessary to avoid getting the drug on the mucous membranes of the eyes, nasal cavity, oral cavity, genital organs.In case of contact, rinse thoroughly with warm water or 1% - 2% sodium bicarbonate solution (food soda). If the product gets into the stomach, it is necessary to rinse it with 1% - 2% sodium hydrogen carbonate solution and drink a glass of water with activated carbon (in a glass of water stir 2 tablespoons of activated charcoal).