How can a 22-year-old patient manage the itchy lesions on his scrotum and the rashes on his thighs?

Hello,

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As per the history provided, you have scabies that is not visible to the naked eye. Instead, they present with red pimple-like bumps with intense itching, especially at night. They may be present throughout the body, including private areas and web spaces between the fingers. In addition, they may affect nearby family members or friends, which is formed due to bug bites. The medications mentioned from your end are for fungal infections. Since an image has not been provided, I would like to request you, please provide an image. I suggest you do the following:

1. Permethrin lotion 5 % is to be applied from the neck downwards to your toes, including private areas except for the head and face. Keep the lotion without washing on the body for 24 hours. Following 24 hours, apply a second layer of the same similarly without washing off or bathing and keep for another 24 hours. Following a total of 48 hours, wash the lotion. Repeat the application of lotion for 24 hours after two more weeks. And wash off after 24 hours.
2. Permethrin soap is to be used for washing the lotion.
3. Tablet Ivermectin 12 mg to be taken at night (one tablet only in total).
4. Tablet Cetirizine 5 mg is to be taken at night for one hour before going to sleep for one week. They help with itching. They are sedative and, therefore, may cause sleepiness.
5. Avoid sharing belongings with close contacts. Make sure to wash your bed linen, pillowcases, clothes, etc., in hot water with detergent and dry them in the sun.

Hope I could be of help. Stay happy, healthy, and safe.