Scabies & lice guide

Scabies and lice treatment online in Virginia and West Virginia

This guide is for classic scabies or lice in an otherwise-well adult, not for thick crusted disease, signs of skin infection, or immunocompromise.

Start online

Start a $59 online review for Scabies and lice.

Scabies and lice are common, treatable infestations. Scabies causes intense itching that is worse at night, often with a bumpy rash in the finger webs, wrists, and waistline; lice cause an itchy scalp with visible lice or nits. Classic cases in otherwise-well adults are often a good online condition, treated with permethrin plus household measures. Thick crusted disease, signs of skin infection, or a weakened immune system need in-person care.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visit See response times

Quick facts

You must be physically located in Virginia or West Virginia at the time of request.
Starts at $59
No insurance needed
No app download
Physician review around the clock
Non-controlled prescriptions can be sent to your pharmacy when appropriate
A work or school note can be included when medically appropriate
Response times apply 24/7, every day

Common symptoms

Intense itching, worse at night (scabies)
A bumpy rash in finger webs, wrists, or waistline
Itchy scalp with visible lice or nits
Other household members itching too

May fit online care

Adults & children 4+ (with a parent or legal guardian)
Classic scabies or lice symptoms
Otherwise feeling well
No thick crusted or widespread skin changes
Able to send a clear photo

Look for another care setting

Thick, crusted, scaly skin over large areas
Signs of skin infection (pus, spreading redness, fever)
A weakened immune system

What to have ready

A clear, well-lit photo of the rash or scalp
Where the itch/rash is and how long
Whether household members are affected
Medication allergies, current medications, and whether you could be pregnant

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer a few questions to check that this visit fits you, and choose how fast you want an answer (the response window). If your concern still fits this service, a physician reviews it and sends you a secure update after you sign in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Your physician

Every visit is personally reviewed by Ankur Fadia, MD. He is board-certified, has extra training in heart care (a cardiology fellowship), and is a member of Alpha Omega Alpha, a medical honor society. He is licensed in Virginia and West Virginia, and your care is never handed off to someone else.

Verify Virginia medical license Verify West Virginia medical license Verify board certification

Do I have to treat my whole household?

Yes. Scabies and lice spread easily, so everyone in the household (and close contacts) should be treated at the same time, even if they aren't itchy yet, and bedding/clothing should be laundered or bagged.

Why do I still itch after treatment?

Scabies itch can last 2 to 4 weeks after the mites are gone, because your skin is still reacting. That alone does not mean treatment failed. See a clinician (a doctor or other health professional) if a new rash appears or there is a clear re-infestation (the mites clearly come back).

When does this need in-person care?

Thick, crusted skin over large areas (crusted scabies), signs of a skin infection from scratching, or a weakened immune system need an in-person evaluation (a fuller checkup).

Other conditions we treat

Not quite what you have? Here are other conditions we treat.

Acne keloidalis nuchae Acne or breakouts Cold sores Dandruff or itchy scalp Eczema flare Eyelash growth