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Home / Impetigo treatment​ cream

Get an impetigo treatment cream

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treatment of impetigo online

Table of Content:
What is impetigo? | Signs and symptoms of impetigo | Who is at risk of getting impetigo? | Types of impetigo | Can you get an impetigo treatment online? | What medications are commonly prescribed for impetigo? | Choose a dermatologist | FAQ


Dermatologist  Dr. Anne Allen
Medically reviewed by:
Dr. Anne Allen
Dermatologist

Why get impetigo treatment via Miiskin?

price details

First consultation is $59 and medication refills are $39.

urgency details

No subscriptions, order your treatment on-demand.

topicals details

Customized melasma cream with up to 5 ingredients.

*The Miiskin-affiliated dermatologists are independent healthcare providers. Miiskin does not interfer with their practice of medicine.

What is impetigo?

Child with impetigo showing a yellow-crusted sore at the corner of the mouth, illustrating common symptoms of the bacterial skin infection

Impetigo is the most common bacterial skin infection in children aged 2 to 5, but it can occur at any age. It has two main forms: nonbullous (about 70% of cases) and bullous (about 30%).

It can appear on healthy skin or develop over insect bites, eczema, or herpes lesions. Bullous impetigo, caused only by S. aureus, leads to large, soft blisters that more often involve skin folds. Both types usually clear up within two to three weeks without scarring.

Impetigo is usually not serious but it should be promptly treated with topical or oral antibiotics, as it is highly contagious. Keeping the affected area clean and avoiding skin-to-skin contact helps prevent spread.1

Signs and symptoms of impetigo

  • Red sores or blisters that quickly rupture
  • Honey-colored crust forming over sores
  • Itchy rash that may cause discomfort
  • Sores most often around nose and mouth
  • Swollen nearby lymph nodes in some cases
  • Spread to other areas by scratching or touch2
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Child's mouth with impetigo showing a yellow-crusted sore at the corner of the mouth, illustrating common symptoms of the bacterial skin infection

Who is at risk of getting impetigo?

children in kindergarden  with teacher representing who is most at risk

Impetigo most commonly affects young children between ages 2 and 5, but it can occur at any age. It’s more likely in settings where close contact is common, like schools, daycare centers, or sports teams. You’re also at higher risk if you have a break in the skin, such as a cut, insect bite, or another skin condition like eczema, which allows bacteria to enter. Poor hygiene can also increase the chances of developing impetigo3.

Types of impetigo

There are three main types of impetigo, each varying in appearance, severity, and depth of skin involvement, and treatment can differ slightly depending on the type:

Non-bullous impetigo

This is the most common type, presenting with small blisters that burst and form a yellow crust. It is usually caused by Staph aureus bacteria but can also be caused by Strep pyogenes bacteria. It’s usually treated with topical antibiotics like mupirocin or retapamulin if mild, ensuring quick and effective healing.

Bullous impetigo

Characterized by larger fluid-filled blisters, mostly on the trunk, caused by Staph aureus. More widespread cases may require oral antibiotics such as cephalexin or dicloxacillin.

MRSA Impetigo

It is caused by methicillin-resistant Staphylococcus aureus, this form may look like typical impetigo but resists standard antibiotics. It often requires oral treatment with antibiotics effective against MRSA, such as clindamycin, trimethoprim-sulfamethoxazole (Bactrim), or doxycycline, depending on age and clinical factors4

3 images of different impetigo types
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Can I get an impetigo treatment online?

Do I need a prescription for an impetigo treatment cream?

Yes, you need a prescription to get an antibiotic medication for treating impetigo. Miiskin connects you with an independent, board-certified dermatologist who can assess your condition and provide the necessary prescription.

How can I get an online prescription for an impetigo treatment cream?

You can get an online prescription through Miiskin by having a virtual consultation with an independent, board-certified dermatologist. They will review your symptoms and prescribe the right treatment, all online. Consultation price is $55 – $69.

Where to buy an impetigo treatment cream?

Once your dermatologist issues your prescription you can buy your impetigo treatment cream at a local pharmacy or at an online pharmacy and start treatment straight away.

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phone showing a prescription request and answer from a doctor with impetigo diagnosis

What medications are commonly prescribed for impetigo?

Impetigo is typically treated with topical or oral antibiotics to clear the infection and prevent it from spreading. The choice of medication depends on the severity and extent of the condition:

Impetigo treatment creams

Mupirocin (Bactroban)

Mupirocin (Bactroban) tube

*Topical antibiotic used for mild, localized cases.

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Retapamulin (Altabax)

Retapamulin (Altabax) tube

*Another topical option for small, non-bullous lesions.

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Clindamycin (Cleocin)

Clindamycin (Cleocin) tube

*Used if there’s concern for MRSA.

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Oral medication for impetigo

Cephalexin (Keflex)

Cephalexin (Keflex) medicine

*Oral antibiotic often used for more widespread or bullous impetigo.

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Dicloxacillin

Dicloxacillin medicine

*Oral antibiotic effective against Staph and Strep bacteria.

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Bactrim

Bactrim medicines

Trimethoprim-sulfamethoxazole – May be used if MRSA is suspected

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Meet the family-friendly dermatologists

You are in expert hands. These board-certified dermatologists offer dermatology treatment for the entire family.

To start an online consultation with a dermatologist on behalf of your child, you just need to choose a dermatologist available in your state, and select “Minor” under the “skin problem” section to ensure the consultation is properly set up for a child.

Dr. Anne Allen

Dr. Anne Allen

Pediatric dermatologist

Licenses: 36 U.S. states

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Dr. Craig Burkhart

Dr. Craig Burkhart

Pediatric Dermatologist

License: North Carolina.

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Dr. Anna Chacon

Dr. Anna Chacon

Dermatologist

Licenses: 50 U.S. states

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Dr. Ryan Trowbridge

Dr. Ryan Trowbridge

Dermatologist

Licenses: CA, CT, NY, TX, NE, IL.

Choose dermatologist

Provider & Prescription Information

Miiskin connects patients with independent dermatologists who provide care through their own private practices. Miiskin does not employ dermatologists and does not sell or distribute medications. Any prescriptions issued by the dermatologists can be filled at third-party pharmacies of the patient’s choice.

What patients say about Miiskin

Very happy with this service. Quick and easy. With someone with not the greatest insurance and super busy. This was perfect. Got my prescription next day and great advice for my condition.

Marcus Liniarski,
Patient Review →

10 of 10stars

I had a great experience with Miiskin – I was able to get my prescription very quickly and their app is easy to use. It was very convenient and their team is very responsive. I highly recommend them and will likely use them in the future for other skin issues.

Susie Tse,
Patient Review →

10 of 10stars

What a technology! I was very impressed by the speed of communication with a doctor using the Miiskin app. Losing my hair has been my biggest concern, but I didn’t have the courage to reveal my bald spot to a doctor in person. Miiskin solved all my issues instantly. I just took a photo in my own room, uploaded it, and wrote about my concerns. That’s it. The best part is that without insurance, the consultation fee was much lower than any health insurance. I submitted my photo at midnight and received a prescription the very next morning. The doctor at Miiskin was very professional and empathetic, which really helped ease my emotional distress. Although I’m just at the beginning stage of my treatment and haven’t seen significant results yet, I feel reassured and supported. I will definitely upload my progress in 3 to 4 months to show my appreciation for the prescription from Miiskin.

Jiyeon Kang,
Patient Review →

10 of 10stars

My dermatologist was extremely quick, reviewed my consultation request within 2hrs and I had my Rx the next day! The Miiskin team also responds within minutes and are very polite and communicated concisely. I’ll never make a in person appointment again after experiencing this outstanding and affordable telehealth service!

Dion H,
Patient Review →

10 of 10stars

Quick response from the dermatologist — I wanted a fast turnaround for a skin concern that would be more immediate than going through health insurance, making an appointment, traveling to the doctor.

Timothy C.
Patient Review →

10 of 10stars

FAQ about impetigo and getting an impetigo treatment cream

Can an online dermatologist diagnose and treat impetigo?

Yes! The board-certified dermatologists within the Miiskin network are highly experienced in diagnosing and managing impetigo and common skin issues through online consultations. Having conducted over 50,000 consultations, you can feel confident that you or your child are receiving top-quality care.

How is mild impetigo treated?

According to Dr. Allen, mild impetigo is typically treated with topical antibiotics applied directly to the skin. Treatment usually lasts 5 to 7 days. With proper hygiene and medication, most mild cases resolve without complications.

How is impetigo treated in adults?

Dr. Allen says adults are treated similarly to children, with topical antibiotics for localized infections and oral antibiotics for more severe or widespread cases. Adults with underlying skin conditions or weakened immune systems may need closer monitoring and follow-up to ensure proper healing.

How do you treat impetigo on the lips?

Impetigo around the lips can be uncomfortable and may look similar to cold sores, according to Dr. Allen. Topical antibiotics are usually used first, but if the area is extensive or not improving, oral antibiotics may be needed. Good hygiene and avoiding lip picking or touching can help speed recovery and prevent spread.

How is impetigo on the scalp treated?

Scalp impetigo often requires oral antibiotics because the hair can interfere with the effectiveness of topical creams. In some cases, antibacterial shampoos may be recommended alongside oral treatment. It’s important to avoid sharing combs, hats, or hairbrushes during treatment.

What is the best cream for treating impetigo?

Dr. Allen says that mupirocin (Bactroban) is widely considered the first-choice cream for impetigo due to its effectiveness against both Staph aureus and Strep pyogenes. It’s typically used three times daily and is safe for both children and adults in mild to moderate cases.

Is impetigo contagious?

Yes, Dr. Allen explains that impetigo is highly contagious. It spreads through direct skin-to-skin contact or by sharing items like towels, bedding, or clothing that have touched infected skin. Children are particularly susceptible, especially in group settings like schools or daycare.

How long is impetigo contagious?

Dr. Allen advises that impetigo is contagious until the sores have crusted over, or at least 24–48 hours after starting effective antibiotic treatment. Until then, close contact and sharing personal items should be avoided.

How long does impetigo last?

According to Dr. Allen, most cases of impetigo clear within 7 to 10 days of starting treatment. Without antibiotics, the infection can persist for 2 to 3 weeks and may continue to spread or worsen.

Will impetigo go away on its own?

While impetigo can resolve without treatment, Dr. Allen strongly recommends antibiotics to speed healing, prevent spread, and reduce the risk of complications such as deeper infections or post-streptococcal glomerulonephritis.

Are there any over-the-counter treatment creams for impetigo?

Dr. Allen notes that while over-the-counter antiseptics may help with cleanliness, they don’t effectively treat impetigo. Prescription-strength antibiotic creams like mupirocin are usually necessary for proper resolution.

Is impetigo dangerous?

In most cases, impetigo is not dangerous and resolves without complications. However, Dr. Allen warns that if left untreated, it can spread to others or develop into a deeper infection. Rare complications include kidney inflammation or cellulitis.

What is the fastest way to cure impetigo?

The fastest way, according to Dr. Allen, is starting antibiotic treatment as soon as possible—ideally within 24 hours of noticing symptoms. Keeping the skin clean, covering lesions, and avoiding scratching all help speed recovery.

What ointment kills impetigo?

Mupirocin is Dr. Allen’s go-to topical antibiotic for mild impetigo. It effectively kills the Staph and Strep bacteria responsible for the infection. Other options include retapamulin and fusidic acid (used in some countries).

What is the main cause of impetigo?

Dr. Allen explains that impetigo is caused by bacterial infection with Staphylococcus aureus or less commonly Streptococcus pyogenes. It can start on healthy skin or develop after skin is broken by cuts, insect bites, or eczema.

Why is impetigo so hard to get rid of?

Impetigo can be stubborn if it’s misdiagnosed, improperly treated, or if reinfection occurs from close contacts or contaminated items. Dr. Allen stresses the importance of finishing antibiotics and practicing good hygiene during and after treatment.

Is it better to cover impetigo or let it breathe?

Dr. Allen recommends covering impetigo lesions, especially in children, to reduce the risk of spreading the infection. Bandaging also helps prevent scratching and secondary infection. However, dressings should be changed regularly and kept clean.

What can be mistaken for impetigo?

Conditions like cold sores, eczema, contact dermatitis, insect bites, and even herpes simplex can resemble impetigo. Dr. Allen emphasizes the importance of proper diagnosis, especially if symptoms are not improving with treatment.

What should you not do with impetigo?

Dr. Allen advises against scratching or picking at the lesions, as this can worsen the infection and spread bacteria. You should also avoid sharing towels, razors, or personal care items during the infection.

What naturally kills impetigo?

Dr. Allen said that while tea tree oil and honey have antibacterial properties, they are not reliable substitutes for antibiotics. They may offer some mild benefit but should only be used alongside or after medical treatment, not in place of it.

Can dirty sheets cause impetigo?

Contaminated sheets or towels can contribute to the spread of impetigo. Dr. Allen recommends washing bedding, clothing, and towels in hot water and avoiding sharing linens during an active infection.

What is the best treatment for impetigo?

Dr. Allen says that impetigo is treated with antibiotics as it is a bacterial infection. Antibiotics eliminate the infection and prevent it from spreading to others. Mild cases often respond well to topical antibiotics, while more extensive or deeper infections may require oral antibiotics. Keeping the skin clean, avoiding scratching, and covering affected areas are important parts of treatment and prevention.

What creams are used to treat impetigo?

Topical antibiotics like mupirocin (Bactroban) and retapamulin (Altabax) are the most commonly prescribed creams for impetigo. These are applied directly to the affected skin, usually two to three times a day for about 5 to 7 days. They are effective for small, localized patches of non-bullous impetigo.

How is bullous impetigo treated?

Bullous impetigo, caused by Staph aureus, tends to produce larger, fluid-filled blisters and often affects the trunk or skin folds. Dr. Allen says that because it can spread more easily or involve larger areas, treatment usually requires oral antibiotics like cephalexin or dicloxacillin. In cases of suspected MRSA, clindamycin or Bactrim may be prescribed.

Can impetigo be treated over the counter?

Dr. Allen says that while over-the-counter (OTC) antiseptics and wound care products can help keep the skin clean, they are not effective at curing impetigo on their own. Impetigo usually requires prescription antibiotics. If you suspect impetigo, especially in children, it’s best to consult an online dermatologist for proper diagnosis and treatment.

Are there natural treatments for impetigo?

Dr. Allen says that although some natural remedies like raw honey, tea tree oil, or diluted apple cider vinegar have mild antimicrobial properties there is limited scientific evidence to support their effectiveness in treating impetigo. They should not be used as a replacement for antibiotics.

References:
1 https://www.aafp.org/pubs/afp/issues/2014/0815/p229.html
2 https://my.clevelandclinic.org/health/diseases/15134-impetigo
3 https://www.aad.org/public/diseases/a-z/impetigo-causes
4 https://kidshealth.org/en/parents/mrsa.html

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Miiskin is an online dermatology consultations platform that connects patients with independent dermatologists.

All consultations are provided by independent online dermatologists on a cash-pay-only basis. Miiskin does not practice medicine or pharmacy. Prescriptions, if applicable, are sent to third-party pharmacies, which are paid directly for any medication. Medication images on the website are for illustrative purposes only and images of people are not actual patients. Medical information on miiskin.com is for informational purposes and not medical advice. Consult a healthcare provider for any concerns.

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