From the FDA Drug Label
Uses temporarily relieves itching associated with minor skin irritations, inflammation, and rashes due to: ... insect bites Directions for itching of skin irritation, inflammation, and rashes: adults and children 2 years of age and older: apply to affected area not more than 3 to 4 times daily The treatment for infection from bedbug bites is not directly addressed in the provided drug labels. Hydrocortisone may be used to relieve itching associated with insect bites, but it does not specifically address infection. 1 1
- The labels do not provide information on treating infections from bedbug bites. The FDA drug label does not answer the question.
From the Research
Bedbug bites are typically self-limited and do not require antibiotic treatment, but if an infection occurs, it should be treated with topical antibiotics like bacitracin, neomycin, or polymyxin B, and in severe cases, oral antibiotics like cephalexin or clindamycin may be necessary, as stated in the most recent study 2.
Treatment of Bedbug Bites
The treatment of bedbug bites primarily focuses on alleviating symptoms, as the bites themselves are usually not serious.
- Topical pramoxine and oral antihistamines can be used to alleviate pruritus, as suggested by 2.
- Topical corticosteroids can be used for significant eruptions to control inflammation and pruritus, and to hasten resolution of the lesions, also mentioned in 2.
Prevention of Infection
To prevent infection, it is essential to keep the area clean by washing gently with soap and water daily and avoiding scratching to prevent further infection.
- Consider taking an antihistamine like diphenhydramine (Benadryl) 25-50mg every 4-6 hours to reduce itching, as stated in the example answer.
Eradication of Bedbugs
Eradication of bedbugs is crucial to prevent further bites and potential infections.
- Integrated pest management, including monitoring devices, nonchemical interventions like keeping affected areas clean and free of clutter, vacuuming, washing linens with hot water, and chemical interventions like insecticides, should be used, as recommended by 2.
- Consultation with a professional exterminator is recommended to fully eradicate an infestation, as suggested by 2.