My daughter has scabies, which did not subside with medication. Please help.

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Please continue the Atarax syrup (Hydroxyzine) only if there is itching. You can repeat HH mite cream (Permethrin) if itching is significant. It has to be applied to the whole body below the neck. Avoid the head, face, neck, anal and vaginal areas. Also, avoid regions where the skin is scratched. Over the scratched regions, you can apply Flutivate (Topical Fluticasone). Clip the nails of the baby, before the application, as the eggs of the scabies mites are generally present in the nails, which might cause a reinfection. Apply at night, and wash properly the next morning. All the family members should undergo the same treatment, even if they do not have symptoms. All the bed sheets and pillow covers and clothes of the family members should be washed separately. Fresh bedsheets or pillow covers should be used the next morning. I suggest you use HH mite soap (Permethrin topical), till complete recovery after this application. Itching may continue even for a week or two after HH mite application. So, if you have already followed the above procedure during your previous application, you can just use soap for now and wait for recovery. If you have not followed the above procedure, you can repeat the application of cream.

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