What is the preferred treatment for scabies?

The preferred treatment for scabies is permethrin applied over the body overnight. Permethrin is a topical insecticide that effectively kills the mites responsible for scabies, as well as their eggs. When applied according to instructions, it typically leads to a significant reduction in symptoms and infestation within a week.

Permethrin works by disrupting the nervous system of the scabies mites, ultimately leading to their demise. This treatment is generally safe, well-tolerated, and can be used for individuals of all ages, including young children. After the application, it's essential to wait at least eight hours before showering to ensure maximum effectiveness.

In comparison, other treatments mentioned, such as eczema treatments or herpes simplex treatments, do not address the scabies mites. Topical hydrocortisone may help relieve itching but does not eliminate the infestation itself. Thus, for a successful scabies treatment regimen, permethrin remains the first-line choice due to its efficacy and safety profile.